ST. MARY'S HOSPITAL DECATUR - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_Cdm_Chg , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg ," 6 DEGREES HEALTH, INC ", AETNA , AETNA HSHS , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , BC EXCHANGE , BC MEDICARE , BCBS OF ILLINOIS PPO , BLUE CROSS BLUE SHEILD OF ILLINOIS DUAL , BLUE CROSS BLUE SHIELD  IL HMO , BLUE CROSS BLUE SHIELD IPA IL , BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV , BLUE CROSS SIHCA , CELTIC INSURANCE COMPANY , CHOICE CARE , CIGNA , CIGNA BEHAVIORAL HEALTH , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , CONSOCIATE GROUP , COVENTRY MEDICARE ADVENTRA , CURRENT HEALTH SOLUTIONS ," ESSENCE, L.L.P. ", FIRST HEALTH NETWORK , HEALTH ALLIANCE KINGERY , HEALTH ALLIANCE MEDICAL PLAN EXCHANGE ," HEALTH ALLIANCE MEDICAL PLANS, INC. ", HEALTH ALLIANCE MEDICARE , HEALTH ALLIANCE PPO , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MAGELLAN BEHAVIORAL HEALTH , 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 
ST. MARY'S HOSPITAL - DECATUR,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$43,572.74 ","$2,558.69 ","$163,722.90 ","$163,722.90 ","$60,517.70 ","$33,284.74 ","$64,179.38 ","$16,944.96 ","$60,517.70 ","$64,179.38 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$30,258.85 ","$60,517.70 ","$13,125.00 ","$60,517.70 ","$64,821.17 ","$42,362.39 ","$64,179.38 ","$30,258.85 ","$59,307.35 ","$45,388.28 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$64,179.38 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$51,440.05 ","$60,517.70 ","$41,938.77 ","$59,307.35 ", N/A ,"$33,950.43 ","$64,179.38 ","$15,855.64 ","$11,925.00 ","$2,680.54 ","$2,558.69 ","$67,388.35 ","$39,336.51 ","$60,517.70 ","$16,944.96 ","$54,465.93 ","$60,517.70 ","$60,517.70 ","$64,179.38 ","$29,048.50 "
ST. MARY'S HOSPITAL - DECATUR,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,020.10 ","$1,590.00 ","$43,287.08 ","$43,287.08 ","$15,305.70 ","$8,418.14 ","$16,968.53 ","$4,285.60 ","$15,305.70 ","$16,968.53 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$15,305.70 ","$10,713.99 ","$15,305.70 ","$1,750.00 ","$15,305.70 ","$17,138.22 ","$2,034.00 ","$16,968.53 ","$7,652.85 ","$14,999.59 ","$11,479.28 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$16,968.53 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$13,009.85 ","$15,305.70 ","$10,606.85 ","$14,999.59 ", N/A ,"$8,586.50 ","$16,968.53 ","$4,010.09 ","$1,590.00 ","$2,680.54 ","$2,558.69 ","$17,816.96 ","$9,948.71 ","$15,305.70 ","$4,285.60 ","$13,775.13 ","$15,305.70 ","$15,305.70 ","$16,968.53 ","$7,346.74 "
ST. MARY'S HOSPITAL - DECATUR,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,247.72 ","$1,590.00 ","$32,872.50 ","$32,872.50 ","$11,455.16 ","$6,300.34 ","$12,886.02 ","$3,207.44 ","$11,455.16 ","$12,886.02 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,455.16 ","$8,018.61 ","$11,455.16 ","$1,750.00 ","$11,455.16 ","$13,014.88 ","$8,018.61 ","$12,886.02 ","$5,727.58 ","$11,226.06 ","$8,591.37 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$12,886.02 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$9,736.89 ","$11,455.16 ","$7,938.43 ","$11,226.06 ", N/A ,"$6,426.34 ","$12,886.02 ","$3,001.25 ","$1,590.00 ","$2,680.54 ","$2,558.69 ","$13,530.32 ","$7,445.85 ","$11,455.16 ","$3,207.44 ","$10,309.64 ","$11,455.16 ","$11,455.16 ","$12,886.02 ","$5,498.48 "
ST. MARY'S HOSPITAL - DECATUR,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,060.09 ","$2,558.69 ","$63,857.13 ","$63,857.13 ","$23,694.57 ","$13,032.01 ","$25,031.99 ","$6,634.48 ","$23,694.57 ","$25,031.99 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,694.57 ","$16,586.20 ","$23,694.57 ","$3,500.00 ","$23,694.57 ","$25,282.31 ","$4,068.00 ","$25,031.99 ","$11,847.29 ","$23,220.68 ","$17,770.93 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$25,031.99 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$20,140.38 ","$23,694.57 ","$16,420.34 ","$23,220.68 ", N/A ,"$13,292.65 ","$25,031.99 ","$6,207.98 ","$3,180.00 ","$2,680.54 ","$2,558.69 ","$26,283.59 ","$15,401.47 ","$23,694.57 ","$6,634.48 ","$21,325.11 ","$23,694.57 ","$23,694.57 ","$25,031.99 ","$11,373.39 "
ST. MARY'S HOSPITAL - DECATUR,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,916.60 ","$1,590.00 ","$20,484.35 ","$20,484.35 ","$6,828.61 ","$3,755.74 ","$8,029.87 ","$1,912.01 ","$6,828.61 ","$8,029.87 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,828.61 ","$4,780.03 ","$6,828.61 ","$1,750.00 ","$6,828.61 ","$8,110.17 ","$2,034.00 ","$8,029.87 ","$3,414.31 ","$6,692.04 ","$5,121.46 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$8,029.87 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$5,804.32 ","$6,828.61 ","$4,732.23 ","$6,692.04 ", N/A ,"$3,830.85 ","$8,029.87 ","$1,789.10 ","$1,590.00 ","$2,680.54 ","$2,558.69 ","$8,431.36 ","$4,438.60 ","$6,828.61 ","$1,912.01 ","$6,145.75 ","$6,828.61 ","$6,828.61 ","$8,029.87 ","$3,277.73 "
ST. MARY'S HOSPITAL - DECATUR,12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,$869.00 ,$625.68 ,$227.68 ,$869.00 , Inpatient Medicare +150% ,"$14,150.00 ",$477.95 , Inpatient Medicare ,$243.32 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$608.30 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$434.50 , Inpatient Medicare +2% ,$651.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$869.00 ,"$11,487.00 ",$738.65 , Inpatient Medicare +150% ,$602.22 , Inpatient Medicare , N/A ,$487.51 , Inpatient Medicare ,$227.68 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$564.85 ,"$10,530.00 ",$243.32 ,$782.10 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,12000004,N/A,HC DAILY ORGAN DONOR,120,1 ,$869.00 ,$625.68 ,$227.68 ,$869.00 , Inpatient Medicare +150% ,"$14,150.00 ",$477.95 , Inpatient Medicare ,$243.32 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$608.30 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$434.50 , Inpatient Medicare +2% ,$651.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$869.00 ,"$11,487.00 ",$738.65 , Inpatient Medicare +150% ,$602.22 , Inpatient Medicare , N/A ,$487.51 , Inpatient Medicare ,$227.68 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$564.85 ,"$10,530.00 ",$243.32 ,$782.10 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,$869.00 ,$625.68 ,$227.68 ,$869.00 , Inpatient Medicare +150% ,"$14,150.00 ",$477.95 , Inpatient Medicare ,$243.32 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$608.30 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$434.50 , Inpatient Medicare +2% ,$651.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$869.00 ,"$11,487.00 ",$738.65 , Inpatient Medicare +150% ,$602.22 , Inpatient Medicare , N/A ,$487.51 , Inpatient Medicare ,$227.68 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$564.85 ,"$10,530.00 ",$243.32 ,$782.10 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,12300001,N/A,HC DAILY PEDIATRIC,123,1 ,$869.00 ,$625.68 ,$227.68 ,$869.00 , Inpatient Medicare +150% ,"$14,150.00 ",$477.95 , Inpatient Medicare ,$243.32 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$764.40 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$434.50 , Inpatient Medicare +2% ,$651.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$869.00 ,"$11,487.00 ",$738.65 , Inpatient Medicare +150% ,$602.22 , Inpatient Medicare , N/A ,$487.51 , Inpatient Medicare ,$227.68 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$564.85 ,"$10,530.00 ",$243.32 ,$782.10 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,12400001,N/A,HC DAILY SERVICE PSYCH,124,1 ,"$1,265.00 ",$910.80 ,$331.43 ,"$1,265.00 ", Inpatient Medicare +150% ,"$14,150.00 ",$695.75 , Inpatient Medicare ,$354.20 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$764.40 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,138.50 ", Inpatient Medicare ,$632.50 , Inpatient Medicare +2% ,$948.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$1,265.00 ","$11,487.00 ","$1,075.25 ", Inpatient Medicare +150% ,$876.65 , Inpatient Medicare , N/A ,$709.67 , Inpatient Medicare ,$331.43 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$822.25 ,"$10,530.00 ",$354.20 ,"$1,138.50 ","$1,154.00 ","$7,173.00 ", Inpatient Medicare ,$607.20 
ST. MARY'S HOSPITAL - DECATUR,12400004,N/A,HC DAILY PSYCH GERIATRIC,124,1 ,"$1,176.00 ",$846.72 ,$308.11 ,"$1,176.00 ", Inpatient Medicare +150% ,"$14,150.00 ",$646.80 , Inpatient Medicare ,$329.28 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$448.70 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,058.40 ", Inpatient Medicare ,$588.00 , Inpatient Medicare +2% ,$882.00 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$1,176.00 ","$11,487.00 ",$999.60 , Inpatient Medicare +150% ,$814.97 , Inpatient Medicare , N/A ,$659.74 , Inpatient Medicare ,$308.11 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$764.40 ,"$10,530.00 ",$329.28 ,"$1,058.40 ","$1,154.00 ",$642.00 , Inpatient Medicare ,$564.48 
ST. MARY'S HOSPITAL - DECATUR,12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$641.00 ,$461.52 ,$167.94 ,$641.00 , Inpatient Medicare +150% ,"$14,150.00 ",$352.55 , Inpatient Medicare ,$179.48 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,343.30 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$320.50 , Inpatient Medicare +2% ,$480.75 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ",$825.00 ,$641.00 ,$825.00 ,$544.85 , Inpatient Medicare +150% ,$444.21 , Inpatient Medicare , N/A ,$359.60 , Inpatient Medicare ,$167.94 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$416.65 ,"$10,530.00 ",$179.48 ,$576.90 ,"$8,404.00 ",$910.00 , Inpatient Medicare ,$307.68 
ST. MARY'S HOSPITAL - DECATUR,12800001,N/A,HC DAILY REHAB SERVICE,128,1 ,"$1,919.00 ","$1,381.68 ",$502.78 ,"$1,919.00 ", Inpatient Medicare +150% ,"$2,087.00 ","$1,055.45 ", Inpatient Medicare ,$537.32 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$513.80 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$959.50 ,$695.00 ,"$1,439.25 ","$1,405.00 ","$1,264.00 ","$1,405.00 ", Inpatient Medicare ,"$1,405.00 ","$11,487.00 ","$1,919.00 ","$11,487.00 ","$1,631.15 ", Inpatient Medicare +150% ,"$1,329.87 ", Inpatient Medicare , N/A ,"$1,076.56 ", Inpatient Medicare ,$502.78 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,247.35 ","$10,530.00 ",$537.32 ,"$1,727.10 ","$1,188.00 ","$1,231.00 ", Inpatient Medicare ,$921.12 
ST. MARY'S HOSPITAL - DECATUR,17100001,N/A,HC DAILY INFANT SERVICE LEV 1,171,1 ,$734.00 ,$528.48 ,$192.31 ,$734.00 , Inpatient Medicare +150% ,"$14,150.00 ",$403.70 , Inpatient Medicare ,$205.52 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,$604.10 ,"$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$0.00, Inpatient Medicare ,$367.00 , Inpatient Medicare +2% ,$550.50 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$734.00 ,"$11,487.00 ",$623.90 , Inpatient Medicare +150% ,$508.66 , Inpatient Medicare , N/A ,$411.77 , Inpatient Medicare ,$192.31 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$477.10 ,"$10,530.00 ",$205.52 ,$660.60 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$352.32 
ST. MARY'S HOSPITAL - DECATUR,17200002,N/A,HC DAILY INFANT SERVICE LEV 2,172,1 ,$863.00 ,$621.36 ,$226.11 ,$863.00 , Inpatient Medicare +150% ,"$14,150.00 ",$474.65 , Inpatient Medicare ,$241.64 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,686.30 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$966.00 , Inpatient Medicare ,$431.50 , Inpatient Medicare +2% ,$647.25 ,"$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ",$863.00 ,"$11,487.00 ",$733.55 , Inpatient Medicare +150% ,$598.06 , Inpatient Medicare , N/A ,$484.14 , Inpatient Medicare ,$226.11 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$560.95 ,"$10,530.00 ",$241.64 ,$776.70 ,"$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$414.24 
ST. MARY'S HOSPITAL - DECATUR,20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$2,409.00 ","$1,734.48 ",$631.16 ,"$2,409.00 ", Inpatient Medicare +150% ,"$14,150.00 ","$1,324.95 ", Inpatient Medicare ,$674.52 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,267.00 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,"$1,204.50 ", Inpatient Medicare +2% ,"$1,806.75 ","$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$2,409.00 ","$11,487.00 ","$2,047.65 ", Inpatient Medicare +150% ,"$1,669.44 ", Inpatient Medicare , N/A ,"$1,351.45 ", Inpatient Medicare ,$631.16 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,565.85 ","$10,530.00 ",$674.52 ,"$2,168.10 ","$8,404.00 ","$7,173.00 ", Inpatient Medicare ,"$1,156.32 "
ST. MARY'S HOSPITAL - DECATUR,20300001,N/A,HC DAILY PEDIATRIC IMC,203,1 ,"$1,810.00 ","$1,303.20 ",$474.22 ,"$1,810.00 ", Inpatient Medicare +150% ,"$14,150.00 ",$995.50 , Inpatient Medicare ,$506.80 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,267.00 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$905.00 , Inpatient Medicare +2% ,"$1,357.50 ","$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$1,810.00 ","$11,487.00 ","$1,538.50 ", Inpatient Medicare +150% ,"$1,254.33 ", Inpatient Medicare , N/A ,"$1,015.41 ", Inpatient Medicare ,$474.22 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,176.50 ","$10,530.00 ",$506.80 ,"$1,629.00 ","$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$868.80 
ST. MARY'S HOSPITAL - DECATUR,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$1,810.00 ","$1,303.20 ",$474.22 ,"$1,810.00 ", Inpatient Medicare +150% ,"$14,150.00 ",$995.50 , Inpatient Medicare ,$506.80 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,267.00 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$905.00 , Inpatient Medicare +2% ,"$1,357.50 ","$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$1,810.00 ","$11,487.00 ","$1,538.50 ", Inpatient Medicare +150% ,"$1,254.33 ", Inpatient Medicare , N/A ,"$1,015.41 ", Inpatient Medicare ,$474.22 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,176.50 ","$10,530.00 ",$506.80 ,"$1,629.00 ","$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$868.80 
ST. MARY'S HOSPITAL - DECATUR,21000002,N/A,HC DAILY CARDIAC CARE,210,1 ,"$1,810.00 ","$1,303.20 ",$474.22 ,"$1,810.00 ", Inpatient Medicare +150% ,"$14,150.00 ",$995.50 , Inpatient Medicare ,$506.80 ,"$11,115.00 ", Inpatient Medicare ,"$11,700.00 ", Inpatient Medicare ,"$10,530.00 ","$10,530.00 ", Inpatient Medicare ,"$10,530.00 ", Inpatient Medicare +102% ,"$1,267.00 ","$17,900.00 ",$875.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,017.00 ", Inpatient Medicare ,$905.00 , Inpatient Medicare +2% ,"$1,357.50 ","$8,855.00 ","$7,967.00 ","$8,855.00 ", Inpatient Medicare ,"$8,855.00 ","$11,487.00 ","$1,810.00 ","$11,487.00 ","$1,538.50 ", Inpatient Medicare +150% ,"$1,254.33 ", Inpatient Medicare , N/A ,"$1,015.41 ", Inpatient Medicare ,$474.22 ,$795.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,176.50 ","$10,530.00 ",$506.80 ,"$1,629.00 ","$8,404.00 ","$7,173.00 ", Inpatient Medicare ,$868.80 
ST. MARY'S HOSPITAL - DECATUR,23100003,N/A,HC ADVANCED NURSING CARE,231,1 ,$239.00 ,$172.08 ,$62.62 ,$239.00 , N/A ,$126.67 ,$131.45 , N/A ,$66.92 ,$125.00 , N/A ,$131.45 , N/A ,$118.31 ,$118.31 , N/A ,$118.31 , N/A ,$167.30 ,$149.38 ,$191.20 , N/A , N/A ,$167.30 , N/A ,$143.40 , N/A ,$179.25 ,$131.93 ,$119.02 ,$131.93 , N/A ,$131.93 ,$193.59 ,$239.00 ,$193.59 ,$203.15 , N/A ,$165.63 , N/A ,$239.00 ,$134.08 , N/A ,$62.62 ,$239.00 , N/A , N/A , N/A ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$130.02 , N/A ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,23100004,N/A,HC CARDIAC/RESPIRATORY MONITOR,231,1 ,$47.00 ,$33.84 ,$12.31 ,$47.00 , N/A ,$24.91 ,$25.85 , N/A ,$13.16 ,$24.58 , N/A ,$25.85 , N/A ,$23.27 ,$23.27 , N/A ,$23.27 , N/A ,$32.90 ,$29.38 ,$37.60 , N/A , N/A ,$32.90 , N/A ,$28.20 , N/A ,$35.25 ,$25.94 ,$23.41 ,$25.94 , N/A ,$25.94 ,$38.07 ,$47.00 ,$38.07 ,$39.95 , N/A ,$32.57 , N/A ,$47.00 ,$26.37 , N/A ,$12.31 ,$47.00 , N/A , N/A , N/A ,$37.60 ,$23.27 ,$13.16 ,$42.30 ,$17.86 ,$25.57 , N/A ,$22.56 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ACETYLCYSTEINE 20 % SOLN,250,1 ,$155.30 ,$111.82 ,$40.69 ,$155.30 , N/A ,$82.31 ,$85.42 , N/A ,$43.48 ,$81.22 , N/A ,$85.42 , N/A ,$76.87 ,$62.12 , N/A ,$76.87 , N/A ,$108.71 ,$97.06 ,$124.24 , N/A , N/A ,$108.71 , N/A ,$93.18 , N/A ,$116.48 ,$85.73 ,$77.34 ,$85.73 , N/A ,$85.73 ,$125.79 ,$155.30 ,$125.79 ,$132.01 , N/A ,$107.62 , N/A ,$155.30 ,$87.12 , N/A ,$40.69 ,$155.30 , N/A , N/A , N/A ,$124.24 ,$76.87 ,$43.48 ,$139.77 ,$59.01 ,$84.48 , N/A ,$74.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ALBUTEROL (2.5 MG/3ML) 0.083% NEBU,250,1 ,$16.00 ,$11.52 ,$4.19 ,$16.00 , N/A ,$8.48 ,$8.80 , N/A ,$4.48 ,$8.37 , N/A ,$8.80 , N/A ,$7.92 ,$6.40 , N/A ,$7.92 , N/A ,$11.20 ,$10.00 ,$12.80 , N/A , N/A ,$11.20 , N/A ,$9.60 , N/A ,$12.00 ,$8.83 ,$7.97 ,$8.83 , N/A ,$8.83 ,$12.96 ,$16.00 ,$12.96 ,$13.60 , N/A ,$11.09 , N/A ,$16.00 ,$8.98 , N/A ,$4.19 ,$16.00 , N/A , N/A , N/A ,$12.80 ,$7.92 ,$4.48 ,$14.40 ,$6.08 ,$8.70 , N/A ,$7.68 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ALBUTEROL (5 MG/ML) 0.5% NEBU 20 ML BOTTLE,250,1 ,$318.80 ,$229.54 ,$83.53 ,$318.80 , N/A ,$168.96 ,$175.34 , N/A ,$89.26 ,$166.73 , N/A ,$175.34 , N/A ,$157.81 ,$127.52 , N/A ,$157.81 , N/A ,$223.16 ,$199.25 ,$255.04 , N/A , N/A ,$223.16 , N/A ,$191.28 , N/A ,$239.10 ,$175.98 ,$158.76 ,$175.98 , N/A ,$175.98 ,$258.23 ,$318.80 ,$258.23 ,$270.98 , N/A ,$220.93 , N/A ,$318.80 ,$178.85 , N/A ,$83.53 ,$318.80 , N/A , N/A , N/A ,$255.04 ,$157.81 ,$89.26 ,$286.92 ,$121.14 ,$173.43 , N/A ,$153.02 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ATROPINE 1 % SOLN 2 ML BOTTLE,250,1 ,$335.05 ,$241.24 ,$87.78 ,$335.05 , N/A ,$177.58 ,$184.28 , N/A ,$93.81 ,$175.23 , N/A ,$184.28 , N/A ,$165.85 ,$134.02 , N/A ,$165.85 , N/A ,$234.54 ,$209.41 ,$268.04 , N/A , N/A ,$234.54 , N/A ,$201.03 , N/A ,$251.29 ,$184.95 ,$166.85 ,$184.95 , N/A ,$184.95 ,$271.39 ,$335.05 ,$271.39 ,$284.79 , N/A ,$232.19 , N/A ,$335.05 ,$187.96 , N/A ,$87.78 ,$335.05 , N/A , N/A , N/A ,$268.04 ,$165.85 ,$93.81 ,$301.55 ,$127.32 ,$182.27 , N/A ,$160.82 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,AZTREONAM 1 G SOLR 1 EACH VIAL,250,1 ,$353.10 ,$254.23 ,$92.51 ,$353.10 , N/A ,$187.14 ,$194.21 , N/A ,$98.87 ,$184.67 , N/A ,$194.21 , N/A ,$174.78 ,$141.24 , N/A ,$174.78 , N/A ,$247.17 ,$220.69 ,$282.48 , N/A , N/A ,$247.17 , N/A ,$211.86 , N/A ,$264.83 ,$194.91 ,$175.84 ,$194.91 , N/A ,$194.91 ,$286.01 ,$353.10 ,$286.01 ,$300.14 , N/A ,$244.70 , N/A ,$353.10 ,$198.09 , N/A ,$92.51 ,$353.10 , N/A , N/A , N/A ,$282.48 ,$174.78 ,$98.87 ,$317.79 ,$134.18 ,$192.09 , N/A ,$169.49 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,AZTREONAM 2 G SOLR 1 EACH VIAL,250,1 ,$533.85 ,$384.37 ,$139.87 ,$533.85 , N/A ,$282.94 ,$293.62 , N/A ,$149.48 ,$279.20 , N/A ,$293.62 , N/A ,$264.26 ,$213.54 , N/A ,$264.26 , N/A ,$373.70 ,$333.66 ,$427.08 , N/A , N/A ,$373.70 , N/A ,$320.31 , N/A ,$400.39 ,$294.69 ,$265.86 ,$294.69 , N/A ,$294.69 ,$432.42 ,$533.85 ,$432.42 ,$453.77 , N/A ,$369.96 , N/A ,$533.85 ,$299.49 , N/A ,$139.87 ,$533.85 , N/A , N/A , N/A ,$427.08 ,$264.26 ,$149.48 ,$480.47 ,$202.86 ,$290.41 , N/A ,$256.25 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BENZOCAINE 20 % 20 % SOLN,250,1 ,$70.95 ,$51.08 ,$18.59 ,$70.95 , N/A ,$37.60 ,$39.02 , N/A ,$19.87 ,$37.11 , N/A ,$39.02 , N/A ,$35.12 ,$28.38 , N/A ,$35.12 , N/A ,$49.67 ,$44.34 ,$56.76 , N/A , N/A ,$49.67 , N/A ,$42.57 , N/A ,$53.21 ,$39.16 ,$35.33 ,$39.16 , N/A ,$39.16 ,$57.47 ,$70.95 ,$57.47 ,$60.31 , N/A ,$49.17 , N/A ,$70.95 ,$39.80 , N/A ,$18.59 ,$70.95 , N/A , N/A , N/A ,$56.76 ,$35.12 ,$19.87 ,$63.86 ,$26.96 ,$38.60 , N/A ,$34.06 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 78 G CAN,250,1 ,$46.20 ,$33.26 ,$12.10 ,$46.20 , N/A ,$24.49 ,$25.41 , N/A ,$12.94 ,$24.16 , N/A ,$25.41 , N/A ,$22.87 ,$18.48 , N/A ,$22.87 , N/A ,$32.34 ,$28.88 ,$36.96 , N/A , N/A ,$32.34 , N/A ,$27.72 , N/A ,$34.65 ,$25.50 ,$23.01 ,$25.50 , N/A ,$25.50 ,$37.42 ,$46.20 ,$37.42 ,$39.27 , N/A ,$32.02 , N/A ,$46.20 ,$25.92 , N/A ,$12.10 ,$46.20 , N/A , N/A , N/A ,$36.96 ,$22.87 ,$12.94 ,$41.58 ,$17.56 ,$25.13 , N/A ,$22.18 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 85 G CAN,250,1 ,$53.05 ,$38.20 ,$13.90 ,$53.05 , N/A ,$28.12 ,$29.18 , N/A ,$14.85 ,$27.75 , N/A ,$29.18 , N/A ,$26.26 ,$21.22 , N/A ,$26.26 , N/A ,$37.14 ,$33.16 ,$42.44 , N/A , N/A ,$37.14 , N/A ,$31.83 , N/A ,$39.79 ,$29.28 ,$26.42 ,$29.28 , N/A ,$29.28 ,$42.97 ,$53.05 ,$42.97 ,$45.09 , N/A ,$36.76 , N/A ,$53.05 ,$29.76 , N/A ,$13.90 ,$53.05 , N/A , N/A , N/A ,$42.44 ,$26.26 ,$14.85 ,$47.75 ,$20.16 ,$28.86 , N/A ,$25.46 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,250,1 ,$126.95 ,$91.40 ,$33.26 ,$126.95 , N/A ,$67.28 ,$69.82 , N/A ,$35.55 ,$66.39 , N/A ,$69.82 , N/A ,$62.84 ,$50.78 , N/A ,$62.84 , N/A ,$88.87 ,$79.34 ,$101.56 , N/A , N/A ,$88.87 , N/A ,$76.17 , N/A ,$95.21 ,$70.08 ,$63.22 ,$70.08 , N/A ,$70.08 ,$102.83 ,$126.95 ,$102.83 ,$107.91 , N/A ,$87.98 , N/A ,$126.95 ,$71.22 , N/A ,$33.26 ,$126.95 , N/A , N/A , N/A ,$101.56 ,$62.84 ,$35.55 ,$114.26 ,$48.24 ,$69.06 , N/A ,$60.94 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BRIVARACETAM 50 MG/5ML SOLN,250,1 ,$392.30 ,$282.46 ,$102.78 ,$392.30 , N/A ,$207.92 ,$215.77 , N/A ,$109.84 ,$205.17 , N/A ,$215.77 , N/A ,$194.19 ,$156.92 , N/A ,$194.19 , N/A ,$274.61 ,$245.19 ,$313.84 , N/A , N/A ,$274.61 , N/A ,$235.38 , N/A ,$294.23 ,$216.55 ,$195.37 ,$216.55 , N/A ,$216.55 ,$317.76 ,$392.30 ,$317.76 ,$333.46 , N/A ,$271.86 , N/A ,$392.30 ,$220.08 , N/A ,$102.78 ,$392.30 , N/A , N/A , N/A ,$313.84 ,$194.19 ,$109.84 ,$353.07 ,$149.07 ,$213.41 , N/A ,$188.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUDESONIDE 0.25 MG/2ML SUSP,250,1 ,$75.95 ,$54.68 ,$19.90 ,$75.95 , N/A ,$40.25 ,$41.77 , N/A ,$21.27 ,$39.72 , N/A ,$41.77 , N/A ,$37.60 ,$30.38 , N/A ,$37.60 , N/A ,$53.17 ,$47.47 ,$60.76 , N/A , N/A ,$53.17 , N/A ,$45.57 , N/A ,$56.96 ,$41.92 ,$37.82 ,$41.92 , N/A ,$41.92 ,$61.52 ,$75.95 ,$61.52 ,$64.56 , N/A ,$52.63 , N/A ,$75.95 ,$42.61 , N/A ,$19.90 ,$75.95 , N/A , N/A , N/A ,$60.76 ,$37.60 ,$21.27 ,$68.36 ,$28.86 ,$41.32 , N/A ,$36.46 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUDESONIDE 0.5 MG/2ML SUSP,250,1 ,$78.40 ,$56.45 ,$20.54 ,$78.40 , N/A ,$41.55 ,$43.12 , N/A ,$21.95 ,$41.00 , N/A ,$43.12 , N/A ,$38.81 ,$31.36 , N/A ,$38.81 , N/A ,$54.88 ,$49.00 ,$62.72 , N/A , N/A ,$54.88 , N/A ,$47.04 , N/A ,$58.80 ,$43.28 ,$39.04 ,$43.28 , N/A ,$43.28 ,$63.50 ,$78.40 ,$63.50 ,$66.64 , N/A ,$54.33 , N/A ,$78.40 ,$43.98 , N/A ,$20.54 ,$78.40 , N/A , N/A , N/A ,$62.72 ,$38.81 ,$21.95 ,$70.56 ,$29.79 ,$42.65 , N/A ,$37.63 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUDESONIDE 1 MG/2ML SUSP,250,1 ,$84.00 ,$60.48 ,$22.01 ,$84.00 , N/A ,$44.52 ,$46.20 , N/A ,$23.52 ,$43.93 , N/A ,$46.20 , N/A ,$41.58 ,$33.60 , N/A ,$41.58 , N/A ,$58.80 ,$52.50 ,$67.20 , N/A , N/A ,$58.80 , N/A ,$50.40 , N/A ,$63.00 ,$46.37 ,$41.83 ,$46.37 , N/A ,$46.37 ,$68.04 ,$84.00 ,$68.04 ,$71.40 , N/A ,$58.21 , N/A ,$84.00 ,$47.12 , N/A ,$22.01 ,$84.00 , N/A , N/A , N/A ,$67.20 ,$41.58 ,$23.52 ,$75.60 ,$31.92 ,$45.70 , N/A ,$40.32 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN,250,1 ,$88.50 ,$63.72 ,$23.19 ,$88.50 , N/A ,$46.91 ,$48.68 , N/A ,$24.78 ,$46.29 , N/A ,$48.68 , N/A ,$43.81 ,$35.40 , N/A ,$43.81 , N/A ,$61.95 ,$55.31 ,$70.80 , N/A , N/A ,$61.95 , N/A ,$53.10 , N/A ,$66.38 ,$48.85 ,$44.07 ,$48.85 , N/A ,$48.85 ,$71.69 ,$88.50 ,$71.69 ,$75.23 , N/A ,$61.33 , N/A ,$88.50 ,$49.65 , N/A ,$23.19 ,$88.50 , N/A , N/A , N/A ,$70.80 ,$43.81 ,$24.78 ,$79.65 ,$33.63 ,$48.14 , N/A ,$42.48 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,250,1 ,$68.95 ,$49.64 ,$18.06 ,$68.95 , N/A ,$36.54 ,$37.92 , N/A ,$19.31 ,$36.06 , N/A ,$37.92 , N/A ,$34.13 ,$27.58 , N/A ,$34.13 , N/A ,$48.27 ,$43.09 ,$55.16 , N/A , N/A ,$48.27 , N/A ,$41.37 , N/A ,$51.71 ,$38.06 ,$34.34 ,$38.06 , N/A ,$38.06 ,$55.85 ,$68.95 ,$55.85 ,$58.61 , N/A ,$47.78 , N/A ,$68.95 ,$38.68 , N/A ,$18.06 ,$68.95 , N/A , N/A , N/A ,$55.16 ,$34.13 ,$19.31 ,$62.06 ,$26.20 ,$37.51 , N/A ,$33.10 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,250,1 ,$68.45 ,$49.28 ,$17.93 ,$68.45 , N/A ,$36.28 ,$37.65 , N/A ,$19.17 ,$35.80 , N/A ,$37.65 , N/A ,$33.88 ,$27.38 , N/A ,$33.88 , N/A ,$47.92 ,$42.78 ,$54.76 , N/A , N/A ,$47.92 , N/A ,$41.07 , N/A ,$51.34 ,$37.78 ,$34.09 ,$37.78 , N/A ,$37.78 ,$55.44 ,$68.45 ,$55.44 ,$58.18 , N/A ,$47.44 , N/A ,$68.45 ,$38.40 , N/A ,$17.93 ,$68.45 , N/A , N/A , N/A ,$54.76 ,$33.88 ,$19.17 ,$61.61 ,$26.01 ,$37.24 , N/A ,$32.86 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN,250,1 ,$88.65 ,$63.83 ,$23.23 ,$88.65 , N/A ,$46.98 ,$48.76 , N/A ,$24.82 ,$46.36 , N/A ,$48.76 , N/A ,$43.88 ,$35.46 , N/A ,$43.88 , N/A ,$62.06 ,$55.41 ,$70.92 , N/A , N/A ,$62.06 , N/A ,$53.19 , N/A ,$66.49 ,$48.93 ,$44.15 ,$48.93 , N/A ,$48.93 ,$71.81 ,$88.65 ,$71.81 ,$75.35 , N/A ,$61.43 , N/A ,$88.65 ,$49.73 , N/A ,$23.23 ,$88.65 , N/A , N/A , N/A ,$70.92 ,$43.88 ,$24.82 ,$79.79 ,$33.69 ,$48.23 , N/A ,$42.55 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN 10 ML VIAL,250,1 ,$52.50 ,$37.80 ,$13.76 ,$52.50 , N/A ,$27.83 ,$28.88 , N/A ,$14.70 ,$27.46 , N/A ,$28.88 , N/A ,$25.99 ,$21.00 , N/A ,$25.99 , N/A ,$36.75 ,$32.81 ,$42.00 , N/A , N/A ,$36.75 , N/A ,$31.50 , N/A ,$39.38 ,$28.98 ,$26.15 ,$28.98 , N/A ,$28.98 ,$42.53 ,$52.50 ,$42.53 ,$44.63 , N/A ,$36.38 , N/A ,$52.50 ,$29.45 , N/A ,$13.76 ,$52.50 , N/A , N/A , N/A ,$42.00 ,$25.99 ,$14.70 ,$47.25 ,$19.95 ,$28.56 , N/A ,$25.20 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN 30 ML VIAL,250,1 ,$92.50 ,$66.60 ,$24.24 ,$92.50 , N/A ,$49.03 ,$50.88 , N/A ,$25.90 ,$48.38 , N/A ,$50.88 , N/A ,$45.79 ,$37.00 , N/A ,$45.79 , N/A ,$64.75 ,$57.81 ,$74.00 , N/A , N/A ,$64.75 , N/A ,$55.50 , N/A ,$69.38 ,$51.06 ,$46.07 ,$51.06 , N/A ,$51.06 ,$74.93 ,$92.50 ,$74.93 ,$78.63 , N/A ,$64.10 , N/A ,$92.50 ,$51.89 , N/A ,$24.24 ,$92.50 , N/A , N/A , N/A ,$74.00 ,$45.79 ,$25.90 ,$83.25 ,$35.15 ,$50.32 , N/A ,$44.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE 0.25 % SOLN,250,1 ,$105.45 ,$75.92 ,$27.63 ,$105.45 , N/A ,$55.89 ,$58.00 , N/A ,$29.53 ,$55.15 , N/A ,$58.00 , N/A ,$52.20 ,$42.18 , N/A ,$52.20 , N/A ,$73.82 ,$65.91 ,$84.36 , N/A , N/A ,$73.82 , N/A ,$63.27 , N/A ,$79.09 ,$58.21 ,$52.51 ,$58.21 , N/A ,$58.21 ,$85.41 ,$105.45 ,$85.41 ,$89.63 , N/A ,$73.08 , N/A ,$105.45 ,$59.16 , N/A ,$27.63 ,$105.45 , N/A , N/A , N/A ,$84.36 ,$52.20 ,$29.53 ,$94.91 ,$40.07 ,$57.36 , N/A ,$50.62 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE 0.25 % SOLN 10 ML VIAL,250,1 ,$48.53 ,$34.94 ,$12.71 ,$48.53 , N/A ,$25.72 ,$26.69 , N/A ,$13.59 ,$25.38 , N/A ,$26.69 , N/A ,$24.02 ,$19.41 , N/A ,$24.02 , N/A ,$33.97 ,$30.33 ,$38.82 , N/A , N/A ,$33.97 , N/A ,$29.12 , N/A ,$36.40 ,$26.79 ,$24.17 ,$26.79 , N/A ,$26.79 ,$39.31 ,$48.53 ,$39.31 ,$41.25 , N/A ,$33.63 , N/A ,$48.53 ,$27.23 , N/A ,$12.71 ,$48.53 , N/A , N/A , N/A ,$38.82 ,$24.02 ,$13.59 ,$43.68 ,$18.44 ,$26.40 , N/A ,$23.29 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE 0.25 % SOLN 30 ML VIAL,250,1 ,$88.55 ,$63.76 ,$23.20 ,$88.55 , N/A ,$46.93 ,$48.70 , N/A ,$24.79 ,$46.31 , N/A ,$48.70 , N/A ,$43.83 ,$35.42 , N/A ,$43.83 , N/A ,$61.99 ,$55.34 ,$70.84 , N/A , N/A ,$61.99 , N/A ,$53.13 , N/A ,$66.41 ,$48.88 ,$44.10 ,$48.88 , N/A ,$48.88 ,$71.73 ,$88.55 ,$71.73 ,$75.27 , N/A ,$61.37 , N/A ,$88.55 ,$49.68 , N/A ,$23.20 ,$88.55 , N/A , N/A , N/A ,$70.84 ,$43.83 ,$24.79 ,$79.70 ,$33.65 ,$48.17 , N/A ,$42.50 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE 0.5 % 0.5 % SOLN 50 ML VIAL,250,1 ,$49.12 ,$35.37 ,$12.87 ,$49.12 , N/A ,$26.03 ,$27.02 , N/A ,$13.75 ,$25.69 , N/A ,$27.02 , N/A ,$24.31 ,$19.65 , N/A ,$24.31 , N/A ,$34.38 ,$30.70 ,$39.30 , N/A , N/A ,$34.38 , N/A ,$29.47 , N/A ,$36.84 ,$27.11 ,$24.46 ,$27.11 , N/A ,$27.11 ,$39.79 ,$49.12 ,$39.79 ,$41.75 , N/A ,$34.04 , N/A ,$49.12 ,$27.56 , N/A ,$12.87 ,$49.12 , N/A , N/A , N/A ,$39.30 ,$24.31 ,$13.75 ,$44.21 ,$18.67 ,$26.72 , N/A ,$23.58 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75-8.25 % SOLN,250,1 ,$83.95 ,$60.44 ,$21.99 ,$83.95 , N/A ,$44.49 ,$46.17 , N/A ,$23.51 ,$43.91 , N/A ,$46.17 , N/A ,$41.56 ,$33.58 , N/A ,$41.56 , N/A ,$58.77 ,$52.47 ,$67.16 , N/A , N/A ,$58.77 , N/A ,$50.37 , N/A ,$62.96 ,$46.34 ,$41.81 ,$46.34 , N/A ,$46.34 ,$68.00 ,$83.95 ,$68.00 ,$71.36 , N/A ,$58.18 , N/A ,$83.95 ,$47.10 , N/A ,$21.99 ,$83.95 , N/A , N/A , N/A ,$67.16 ,$41.56 ,$23.51 ,$75.56 ,$31.90 ,$45.67 , N/A ,$40.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN 30 ML VIAL,250,1 ,$127.30 ,$91.66 ,$33.35 ,$127.30 , N/A ,$67.47 ,$70.02 , N/A ,$35.64 ,$66.58 , N/A ,$70.02 , N/A ,$63.01 ,$50.92 , N/A ,$63.01 , N/A ,$89.11 ,$79.56 ,$101.84 , N/A , N/A ,$89.11 , N/A ,$76.38 , N/A ,$95.48 ,$70.27 ,$63.40 ,$70.27 , N/A ,$70.27 ,$103.11 ,$127.30 ,$103.11 ,$108.21 , N/A ,$88.22 , N/A ,$127.30 ,$71.42 , N/A ,$33.35 ,$127.30 , N/A , N/A , N/A ,$101.84 ,$63.01 ,$35.64 ,$114.57 ,$48.37 ,$69.25 , N/A ,$61.10 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN,250,1 ,$108.18 ,$77.89 ,$28.34 ,$108.18 , N/A ,$57.34 ,$59.50 , N/A ,$30.29 ,$56.58 , N/A ,$59.50 , N/A ,$53.55 ,$43.27 , N/A ,$53.55 , N/A ,$75.73 ,$67.61 ,$86.54 , N/A , N/A ,$75.73 , N/A ,$64.91 , N/A ,$81.14 ,$59.72 ,$53.87 ,$59.72 , N/A ,$59.72 ,$87.63 ,$108.18 ,$87.63 ,$91.95 , N/A ,$74.97 , N/A ,$108.18 ,$60.69 , N/A ,$28.34 ,$108.18 , N/A , N/A , N/A ,$86.54 ,$53.55 ,$30.29 ,$97.36 ,$41.11 ,$58.85 , N/A ,$51.93 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % AERO 20 G BOTTLE,250,1 ,$785.40 ,$565.49 ,$205.77 ,$785.40 , N/A ,$416.26 ,$431.97 , N/A ,$219.91 ,$410.76 , N/A ,$431.97 , N/A ,$388.77 ,$314.16 , N/A ,$388.77 , N/A ,$549.78 ,$490.88 ,$628.32 , N/A , N/A ,$549.78 , N/A ,$471.24 , N/A ,$589.05 ,$433.54 ,$391.13 ,$433.54 , N/A ,$433.54 ,$636.17 ,$785.40 ,$636.17 ,$667.59 , N/A ,$544.28 , N/A ,$785.40 ,$440.61 , N/A ,$205.77 ,$785.40 , N/A , N/A , N/A ,$628.32 ,$388.77 ,$219.91 ,$706.86 ,$298.45 ,$427.26 , N/A ,$376.99 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % AERO 5 G BOTTLE,250,1 ,$402.60 ,$289.87 ,$105.48 ,$402.60 , N/A ,$213.38 ,$221.43 , N/A ,$112.73 ,$210.56 , N/A ,$221.43 , N/A ,$199.29 ,$161.04 , N/A ,$199.29 , N/A ,$281.82 ,$251.63 ,$322.08 , N/A , N/A ,$281.82 , N/A ,$241.56 , N/A ,$301.95 ,$222.24 ,$200.49 ,$222.24 , N/A ,$222.24 ,$326.11 ,$402.60 ,$326.11 ,$342.21 , N/A ,$279.00 , N/A ,$402.60 ,$225.86 , N/A ,$105.48 ,$402.60 , N/A , N/A , N/A ,$322.08 ,$199.29 ,$112.73 ,$362.34 ,$152.99 ,$219.01 , N/A ,$193.25 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CAFFEINE-SODIUM BENZOATE 125-125 MG/ML SOLN 2 ML VIAL,250,1 ,$158.15 ,$113.87 ,$41.44 ,$158.15 , N/A ,$83.82 ,$86.98 , N/A ,$44.28 ,$82.71 , N/A ,$86.98 , N/A ,$78.28 ,$63.26 , N/A ,$78.28 , N/A ,$110.71 ,$98.84 ,$126.52 , N/A , N/A ,$110.71 , N/A ,$94.89 , N/A ,$118.61 ,$87.30 ,$78.76 ,$87.30 , N/A ,$87.30 ,$128.10 ,$158.15 ,$128.10 ,$134.43 , N/A ,$109.60 , N/A ,$158.15 ,$88.72 , N/A ,$41.44 ,$158.15 , N/A , N/A , N/A ,$126.52 ,$78.28 ,$44.28 ,$142.34 ,$60.10 ,$86.03 , N/A ,$75.91 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CALCIUM CHLORIDE 10 % SOLN 10 ML VIAL,250,1 ,$219.85 ,$158.29 ,$57.60 ,$219.85 , N/A ,$116.52 ,$120.92 , N/A ,$61.56 ,$114.98 , N/A ,$120.92 , N/A ,$108.83 ,$87.94 , N/A ,$108.83 , N/A ,$153.90 ,$137.41 ,$175.88 , N/A , N/A ,$153.90 , N/A ,$131.91 , N/A ,$164.89 ,$121.36 ,$109.49 ,$121.36 , N/A ,$121.36 ,$178.08 ,$219.85 ,$178.08 ,$186.87 , N/A ,$152.36 , N/A ,$219.85 ,$123.34 , N/A ,$57.60 ,$219.85 , N/A , N/A , N/A ,$175.88 ,$108.83 ,$61.56 ,$197.87 ,$83.54 ,$119.60 , N/A ,$105.53 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CARBOPROST 250 MCG/ML SOLN,250,1 ,"$1,389.80 ","$1,000.66 ",$364.13 ,"$1,389.80 ", N/A ,$736.59 ,$764.39 , N/A ,$389.14 ,$726.87 , N/A ,$764.39 , N/A ,$687.95 ,$555.92 , N/A ,$687.95 , N/A ,$972.86 ,$868.63 ,"$1,111.84 ", N/A , N/A ,$972.86 , N/A ,$833.88 , N/A ,"$1,042.35 ",$767.17 ,$692.12 ,$767.17 , N/A ,$767.17 ,"$1,125.74 ","$1,389.80 ","$1,125.74 ","$1,181.33 ", N/A ,$963.13 , N/A ,"$1,389.80 ",$779.68 , N/A ,$364.13 ,"$1,389.80 ", N/A , N/A , N/A ,"$1,111.84 ",$687.95 ,$389.14 ,"$1,250.82 ",$528.12 ,$756.05 , N/A ,$667.10 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CHARCOAL ACTIVATED LIQD 120 ML BOTTLE,250,1 ,$207.50 ,$149.40 ,$54.37 ,$207.50 , N/A ,$109.98 ,$114.13 , N/A ,$58.10 ,$108.52 , N/A ,$114.13 , N/A ,$102.71 ,$83.00 , N/A ,$102.71 , N/A ,$145.25 ,$129.69 ,$166.00 , N/A , N/A ,$145.25 , N/A ,$124.50 , N/A ,$155.63 ,$114.54 ,$103.34 ,$114.54 , N/A ,$114.54 ,$168.08 ,$207.50 ,$168.08 ,$176.38 , N/A ,$143.80 , N/A ,$207.50 ,$116.41 , N/A ,$54.37 ,$207.50 , N/A , N/A , N/A ,$166.00 ,$102.71 ,$58.10 ,$186.75 ,$78.85 ,$112.88 , N/A ,$99.60 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CHARCOAL ACTIVATED LIQD 240 ML BOTTLE,250,1 ,$212.95 ,$153.32 ,$55.79 ,$212.95 , N/A ,$112.86 ,$117.12 , N/A ,$59.63 ,$111.37 , N/A ,$117.12 , N/A ,$105.41 ,$85.18 , N/A ,$105.41 , N/A ,$149.07 ,$133.09 ,$170.36 , N/A , N/A ,$149.07 , N/A ,$127.77 , N/A ,$159.71 ,$117.55 ,$106.05 ,$117.55 , N/A ,$117.55 ,$172.49 ,$212.95 ,$172.49 ,$181.01 , N/A ,$147.57 , N/A ,$212.95 ,$119.47 , N/A ,$55.79 ,$212.95 , N/A , N/A , N/A ,$170.36 ,$105.41 ,$59.63 ,$191.66 ,$80.92 ,$115.84 , N/A ,$102.22 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CHARCOAL ACTIVATED LIQD 240 ML TUBE,250,1 ,$166.35 ,$119.77 ,$43.58 ,$166.35 , N/A ,$88.17 ,$91.49 , N/A ,$46.58 ,$87.00 , N/A ,$91.49 , N/A ,$82.34 ,$66.54 , N/A ,$82.34 , N/A ,$116.45 ,$103.97 ,$133.08 , N/A , N/A ,$116.45 , N/A ,$99.81 , N/A ,$124.76 ,$91.83 ,$82.84 ,$91.83 , N/A ,$91.83 ,$134.74 ,$166.35 ,$134.74 ,$141.40 , N/A ,$115.28 , N/A ,$166.35 ,$93.32 , N/A ,$43.58 ,$166.35 , N/A , N/A , N/A ,$133.08 ,$82.34 ,$46.58 ,$149.72 ,$63.21 ,$90.49 , N/A ,$79.85 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CHLORHEXIDINE 0.12 % SOLN,250,1 ,$28.10 ,$20.23 ,$7.36 ,$28.10 , N/A ,$14.89 ,$15.46 , N/A ,$7.87 ,$14.70 , N/A ,$15.46 , N/A ,$13.91 ,$11.24 , N/A ,$13.91 , N/A ,$19.67 ,$17.56 ,$22.48 , N/A , N/A ,$19.67 , N/A ,$16.86 , N/A ,$21.08 ,$15.51 ,$13.99 ,$15.51 , N/A ,$15.51 ,$22.76 ,$28.10 ,$22.76 ,$23.89 , N/A ,$19.47 , N/A ,$28.10 ,$15.76 , N/A ,$7.36 ,$28.10 , N/A , N/A , N/A ,$22.48 ,$13.91 ,$7.87 ,$25.29 ,$10.68 ,$15.29 , N/A ,$13.49 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CIPROFLOXACIN 0.3 % OINT 3.5 G TUBE,250,1 ,"$1,157.55 ",$833.44 ,$303.28 ,"$1,157.55 ", N/A ,$613.50 ,$636.65 , N/A ,$324.11 ,$605.40 , N/A ,$636.65 , N/A ,$572.99 ,$463.02 , N/A ,$572.99 , N/A ,$810.29 ,$723.47 ,$926.04 , N/A , N/A ,$810.29 , N/A ,$694.53 , N/A ,$868.16 ,$638.97 ,$576.46 ,$638.97 , N/A ,$638.97 ,$937.62 ,"$1,157.55 ",$937.62 ,$983.92 , N/A ,$802.18 , N/A ,"$1,157.55 ",$649.39 , N/A ,$303.28 ,"$1,157.55 ", N/A , N/A , N/A ,$926.04 ,$572.99 ,$324.11 ,"$1,041.80 ",$439.87 ,$629.71 , N/A ,$555.62 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$798.05 ,$574.60 ,$209.09 ,$798.05 , N/A ,$422.97 ,$438.93 , N/A ,$223.45 ,$417.38 , N/A ,$438.93 , N/A ,$395.03 ,$319.22 , N/A ,$395.03 , N/A ,$558.64 ,$498.78 ,$638.44 , N/A , N/A ,$558.64 , N/A ,$478.83 , N/A ,$598.54 ,$440.52 ,$397.43 ,$440.52 , N/A ,$440.52 ,$646.42 ,$798.05 ,$646.42 ,$678.34 , N/A ,$553.05 , N/A ,$798.05 ,$447.71 , N/A ,$209.09 ,$798.05 , N/A , N/A , N/A ,$638.44 ,$395.03 ,$223.45 ,$718.25 ,$303.26 ,$434.14 , N/A ,$383.06 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % SUSP 7.5 ML BOTTLE,250,1 ,"$1,345.15 ",$968.51 ,$352.43 ,"$1,345.15 ", N/A ,$712.93 ,$739.83 , N/A ,$376.64 ,$703.51 , N/A ,$739.83 , N/A ,$665.85 ,$538.06 , N/A ,$665.85 , N/A ,$941.61 ,$840.72 ,"$1,076.12 ", N/A , N/A ,$941.61 , N/A ,$807.09 , N/A ,"$1,008.86 ",$742.52 ,$669.88 ,$742.52 , N/A ,$742.52 ,"$1,089.57 ","$1,345.15 ","$1,089.57 ","$1,143.38 ", N/A ,$932.19 , N/A ,"$1,345.15 ",$754.63 , N/A ,$352.43 ,"$1,345.15 ", N/A , N/A , N/A ,"$1,076.12 ",$665.85 ,$376.64 ,"$1,210.64 ",$511.16 ,$731.76 , N/A ,$645.67 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CISATRACURIUM 20 MG/10ML SOLN 10 ML VIAL,250,1 ,$203.20 ,$146.30 ,$53.24 ,$203.20 , N/A ,$107.70 ,$111.76 , N/A ,$56.90 ,$106.27 , N/A ,$111.76 , N/A ,$100.58 ,$81.28 , N/A ,$100.58 , N/A ,$142.24 ,$127.00 ,$162.56 , N/A , N/A ,$142.24 , N/A ,$121.92 , N/A ,$152.40 ,$112.17 ,$101.19 ,$112.17 , N/A ,$112.17 ,$164.59 ,$203.20 ,$164.59 ,$172.72 , N/A ,$140.82 , N/A ,$203.20 ,$114.00 , N/A ,$53.24 ,$203.20 , N/A , N/A , N/A ,$162.56 ,$100.58 ,$56.90 ,$182.88 ,$77.22 ,$110.54 , N/A ,$97.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CISATRACURIUM BESYLATE 200 MG/20ML SOLN 20 ML VIAL,250,1 ,$673.70 ,$485.06 ,$176.51 ,$673.70 , N/A ,$357.06 ,$370.54 , N/A ,$188.64 ,$352.35 , N/A ,$370.54 , N/A ,$333.48 ,$269.48 , N/A ,$333.48 , N/A ,$471.59 ,$421.06 ,$538.96 , N/A , N/A ,$471.59 , N/A ,$404.22 , N/A ,$505.28 ,$371.88 ,$335.50 ,$371.88 , N/A ,$371.88 ,$545.70 ,$673.70 ,$545.70 ,$572.65 , N/A ,$466.87 , N/A ,$673.70 ,$377.95 , N/A ,$176.51 ,$673.70 , N/A , N/A , N/A ,$538.96 ,$333.48 ,$188.64 ,$606.33 ,$256.01 ,$366.49 , N/A ,$323.38 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CLINDAMYCIN 300 MG/50ML SOLN,250,1 ,$109.10 ,$78.55 ,$28.58 ,$109.10 , N/A ,$57.82 ,$60.01 , N/A ,$30.55 ,$57.06 , N/A ,$60.01 , N/A ,$54.00 ,$43.64 , N/A ,$54.00 , N/A ,$76.37 ,$68.19 ,$87.28 , N/A , N/A ,$76.37 , N/A ,$65.46 , N/A ,$81.83 ,$60.22 ,$54.33 ,$60.22 , N/A ,$60.22 ,$88.37 ,$109.10 ,$88.37 ,$92.74 , N/A ,$75.61 , N/A ,$109.10 ,$61.21 , N/A ,$28.58 ,$109.10 , N/A , N/A , N/A ,$87.28 ,$54.00 ,$30.55 ,$98.19 ,$41.46 ,$59.35 , N/A ,$52.37 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CLINDAMYCIN 600 MG/50ML SOLN,250,1 ,$139.10 ,$100.15 ,$36.44 ,$139.10 , N/A ,$73.72 ,$76.51 , N/A ,$38.95 ,$72.75 , N/A ,$76.51 , N/A ,$68.85 ,$55.64 , N/A ,$68.85 , N/A ,$97.37 ,$86.94 ,$111.28 , N/A , N/A ,$97.37 , N/A ,$83.46 , N/A ,$104.33 ,$76.78 ,$69.27 ,$76.78 , N/A ,$76.78 ,$112.67 ,$139.10 ,$112.67 ,$118.24 , N/A ,$96.40 , N/A ,$139.10 ,$78.04 , N/A ,$36.44 ,$139.10 , N/A , N/A , N/A ,$111.28 ,$68.85 ,$38.95 ,$125.19 ,$52.86 ,$75.67 , N/A ,$66.77 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CLINDAMYCIN 900 MG/50ML SOLN,250,1 ,$158.60 ,$114.19 ,$41.55 ,$158.60 , N/A ,$84.06 ,$87.23 , N/A ,$44.41 ,$82.95 , N/A ,$87.23 , N/A ,$78.51 ,$63.44 , N/A ,$78.51 , N/A ,$111.02 ,$99.13 ,$126.88 , N/A , N/A ,$111.02 , N/A ,$95.16 , N/A ,$118.95 ,$87.55 ,$78.98 ,$87.55 , N/A ,$87.55 ,$128.47 ,$158.60 ,$128.47 ,$134.81 , N/A ,$109.91 , N/A ,$158.60 ,$88.97 , N/A ,$41.55 ,$158.60 , N/A , N/A , N/A ,$126.88 ,$78.51 ,$44.41 ,$142.74 ,$60.27 ,$86.28 , N/A ,$76.13 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,CLINDAMYCIN PHOSPHATE 300 MG/2ML SOLN 2 ML VIAL,250,1 ,$59.45 ,$42.80 ,$15.58 ,$59.45 , N/A ,$31.51 ,$32.70 , N/A ,$16.65 ,$31.09 , N/A ,$32.70 , N/A ,$29.43 ,$23.78 , N/A ,$29.43 , N/A ,$41.62 ,$37.16 ,$47.56 , N/A , N/A ,$41.62 , N/A ,$35.67 , N/A ,$44.59 ,$32.82 ,$29.61 ,$32.82 , N/A ,$32.82 ,$48.15 ,$59.45 ,$48.15 ,$50.53 , N/A ,$41.20 , N/A ,$59.45 ,$33.35 , N/A ,$15.58 ,$59.45 , N/A , N/A , N/A ,$47.56 ,$29.43 ,$16.65 ,$53.51 ,$22.59 ,$32.34 , N/A ,$28.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,250,1 ,"$1,151.85 ",$829.33 ,$301.78 ,"$1,151.85 ", N/A ,$610.48 ,$633.52 , N/A ,$322.52 ,$602.42 , N/A ,$633.52 , N/A ,$570.17 ,$460.74 , N/A ,$570.17 , N/A ,$806.30 ,$719.91 ,$921.48 , N/A , N/A ,$806.30 , N/A ,$691.11 , N/A ,$863.89 ,$635.82 ,$573.62 ,$635.82 , N/A ,$635.82 ,$933.00 ,"$1,151.85 ",$933.00 ,$979.07 , N/A ,$798.23 , N/A ,"$1,151.85 ",$646.19 , N/A ,$301.78 ,"$1,151.85 ", N/A , N/A , N/A ,$921.48 ,$570.17 ,$322.52 ,"$1,036.67 ",$437.70 ,$626.61 , N/A ,$552.89 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DESMOPRESSIN 0.01 % SOLN 5 ML BOTTLE,250,1 ,"$1,063.80 ",$765.94 ,$278.72 ,"$1,063.80 ", N/A ,$563.81 ,$585.09 , N/A ,$297.86 ,$556.37 , N/A ,$585.09 , N/A ,$526.58 ,$425.52 , N/A ,$526.58 , N/A ,$744.66 ,$664.88 ,$851.04 , N/A , N/A ,$744.66 , N/A ,$638.28 , N/A ,$797.85 ,$587.22 ,$529.77 ,$587.22 , N/A ,$587.22 ,$861.68 ,"$1,063.80 ",$861.68 ,$904.23 , N/A ,$737.21 , N/A ,"$1,063.80 ",$596.79 , N/A ,$278.72 ,"$1,063.80 ", N/A , N/A , N/A ,$851.04 ,$526.58 ,$297.86 ,$957.42 ,$404.24 ,$578.71 , N/A ,$510.62 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN,250,1 ,$60.45 ,$43.52 ,$15.84 ,$60.45 , N/A ,$32.04 ,$33.25 , N/A ,$16.93 ,$31.62 , N/A ,$33.25 , N/A ,$29.92 ,$24.18 , N/A ,$29.92 , N/A ,$42.32 ,$37.78 ,$48.36 , N/A , N/A ,$42.32 , N/A ,$36.27 , N/A ,$45.34 ,$33.37 ,$30.10 ,$33.37 , N/A ,$33.37 ,$48.96 ,$60.45 ,$48.96 ,$51.38 , N/A ,$41.89 , N/A ,$60.45 ,$33.91 , N/A ,$15.84 ,$60.45 , N/A , N/A , N/A ,$48.36 ,$29.92 ,$16.93 ,$54.41 ,$22.97 ,$32.88 , N/A ,$29.02 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN 2 ML VIAL,250,1 ,$210.40 ,$151.49 ,$55.12 ,$210.40 , N/A ,$111.51 ,$115.72 , N/A ,$58.91 ,$110.04 , N/A ,$115.72 , N/A ,$104.15 ,$84.16 , N/A ,$104.15 , N/A ,$147.28 ,$131.50 ,$168.32 , N/A , N/A ,$147.28 , N/A ,$126.24 , N/A ,$157.80 ,$116.14 ,$104.78 ,$116.14 , N/A ,$116.14 ,$170.42 ,$210.40 ,$170.42 ,$178.84 , N/A ,$145.81 , N/A ,$210.40 ,$118.03 , N/A ,$55.12 ,$210.40 , N/A , N/A , N/A ,$168.32 ,$104.15 ,$58.91 ,$189.36 ,$79.95 ,$114.46 , N/A ,$100.99 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DEXMEDETOMIDINE 400 MCG/100ML SOLN,250,1 ,$660.80 ,$475.78 ,$173.13 ,$660.80 , N/A ,$350.22 ,$363.44 , N/A ,$185.02 ,$345.60 , N/A ,$363.44 , N/A ,$327.10 ,$264.32 , N/A ,$327.10 , N/A ,$462.56 ,$413.00 ,$528.64 , N/A , N/A ,$462.56 , N/A ,$396.48 , N/A ,$495.60 ,$364.76 ,$329.08 ,$364.76 , N/A ,$364.76 ,$535.25 ,$660.80 ,$535.25 ,$561.68 , N/A ,$457.93 , N/A ,$660.80 ,$370.71 , N/A ,$173.13 ,$660.80 , N/A , N/A , N/A ,$528.64 ,$327.10 ,$185.02 ,$594.72 ,$251.10 ,$359.48 , N/A ,$317.18 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DEXTROSE 10 %,250,1 ,$114.00 ,$82.08 ,$29.87 ,$114.00 , N/A ,$60.42 ,$62.70 , N/A ,$31.92 ,$59.62 , N/A ,$62.70 , N/A ,$56.43 ,$45.60 , N/A ,$56.43 , N/A ,$79.80 ,$71.25 ,$91.20 , N/A , N/A ,$79.80 , N/A ,$68.40 , N/A ,$85.50 ,$62.93 ,$56.77 ,$62.93 , N/A ,$62.93 ,$92.34 ,$114.00 ,$92.34 ,$96.90 , N/A ,$79.00 , N/A ,$114.00 ,$63.95 , N/A ,$29.87 ,$114.00 , N/A , N/A , N/A ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$62.02 , N/A ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DILTIAZEM 125 MG/25ML SOLN 25 ML VIAL,250,1 ,$145.55 ,$104.80 ,$38.13 ,$145.55 , N/A ,$77.14 ,$80.05 , N/A ,$40.75 ,$76.12 , N/A ,$80.05 , N/A ,$72.05 ,$58.22 , N/A ,$72.05 , N/A ,$101.89 ,$90.97 ,$116.44 , N/A , N/A ,$101.89 , N/A ,$87.33 , N/A ,$109.16 ,$80.34 ,$72.48 ,$80.34 , N/A ,$80.34 ,$117.90 ,$145.55 ,$117.90 ,$123.72 , N/A ,$100.87 , N/A ,$145.55 ,$81.65 , N/A ,$38.13 ,$145.55 , N/A , N/A , N/A ,$116.44 ,$72.05 ,$40.75 ,$131.00 ,$55.31 ,$79.18 , N/A ,$69.86 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DILTIAZEM 25 MG/5ML SOLN,250,1 ,$126.50 ,$91.08 ,$33.14 ,$126.50 , N/A ,$67.05 ,$69.58 , N/A ,$35.42 ,$66.16 , N/A ,$69.58 , N/A ,$62.62 ,$50.60 , N/A ,$62.62 , N/A ,$88.55 ,$79.06 ,$101.20 , N/A , N/A ,$88.55 , N/A ,$75.90 , N/A ,$94.88 ,$69.83 ,$63.00 ,$69.83 , N/A ,$69.83 ,$102.47 ,$126.50 ,$102.47 ,$107.53 , N/A ,$87.66 , N/A ,$126.50 ,$70.97 , N/A ,$33.14 ,$126.50 , N/A , N/A , N/A ,$101.20 ,$62.62 ,$35.42 ,$113.85 ,$48.07 ,$68.82 , N/A ,$60.72 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DINOPROSTONE 10 MG INST,250,1 ,"$1,583.50 ","$1,140.12 ",$414.88 ,"$1,583.50 ", N/A ,$839.26 ,$870.93 , N/A ,$443.38 ,$828.17 , N/A ,$870.93 , N/A ,$783.83 ,$633.40 , N/A ,$783.83 , N/A ,"$1,108.45 ",$989.69 ,"$1,266.80 ", N/A , N/A ,"$1,108.45 ", N/A ,$950.10 , N/A ,"$1,187.63 ",$874.09 ,$788.58 ,$874.09 , N/A ,$874.09 ,"$1,282.64 ","$1,583.50 ","$1,282.64 ","$1,345.98 ", N/A ,"$1,097.37 ", N/A ,"$1,583.50 ",$888.34 , N/A ,$414.88 ,"$1,583.50 ", N/A , N/A , N/A ,"$1,266.80 ",$783.83 ,$443.38 ,"$1,425.15 ",$601.73 ,$861.42 , N/A ,$760.08 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DORNASE ALFA 2.5 MG/2.5ML SOLN 2.5 ML PLAS CONT,250,1 ,$821.40 ,$591.41 ,$215.21 ,$821.40 , N/A ,$435.34 ,$451.77 , N/A ,$229.99 ,$429.59 , N/A ,$451.77 , N/A ,$406.59 ,$328.56 , N/A ,$406.59 , N/A ,$574.98 ,$513.38 ,$657.12 , N/A , N/A ,$574.98 , N/A ,$492.84 , N/A ,$616.05 ,$453.41 ,$409.06 ,$453.41 , N/A ,$453.41 ,$665.33 ,$821.40 ,$665.33 ,$698.19 , N/A ,$569.23 , N/A ,$821.40 ,$460.81 , N/A ,$215.21 ,$821.40 , N/A , N/A , N/A ,$657.12 ,$406.59 ,$229.99 ,$739.26 ,$312.13 ,$446.84 , N/A ,$394.27 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL,250,1 ,$261.40 ,$188.21 ,$68.49 ,$261.40 , N/A ,$138.54 ,$143.77 , N/A ,$73.19 ,$136.71 , N/A ,$143.77 , N/A ,$129.39 ,$104.56 , N/A ,$129.39 , N/A ,$182.98 ,$163.38 ,$209.12 , N/A , N/A ,$182.98 , N/A ,$156.84 , N/A ,$196.05 ,$144.29 ,$130.18 ,$144.29 , N/A ,$144.29 ,$211.73 ,$261.40 ,$211.73 ,$222.19 , N/A ,$181.15 , N/A ,$261.40 ,$146.65 , N/A ,$68.49 ,$261.40 , N/A , N/A , N/A ,$209.12 ,$129.39 ,$73.19 ,$235.26 ,$99.33 ,$142.20 , N/A ,$125.47 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ENALAPRILAT 1.25 MG/ML INJ,250,1 ,$101.00 ,$72.72 ,$26.46 ,$101.00 , N/A ,$53.53 ,$55.55 , N/A ,$28.28 ,$52.82 , N/A ,$55.55 , N/A ,$50.00 ,$40.40 , N/A ,$50.00 , N/A ,$70.70 ,$63.13 ,$80.80 , N/A , N/A ,$70.70 , N/A ,$60.60 , N/A ,$75.75 ,$55.75 ,$50.30 ,$55.75 , N/A ,$55.75 ,$81.81 ,$101.00 ,$81.81 ,$85.85 , N/A ,$69.99 , N/A ,$101.00 ,$56.66 , N/A ,$26.46 ,$101.00 , N/A , N/A , N/A ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$54.94 , N/A ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ESMOLOL 100 MG/10ML SOLN,250,1 ,$78.20 ,$56.30 ,$20.49 ,$78.20 , N/A ,$41.45 ,$43.01 , N/A ,$21.90 ,$40.90 , N/A ,$43.01 , N/A ,$38.71 ,$31.28 , N/A ,$38.71 , N/A ,$54.74 ,$48.88 ,$62.56 , N/A , N/A ,$54.74 , N/A ,$46.92 , N/A ,$58.65 ,$43.17 ,$38.94 ,$43.17 , N/A ,$43.17 ,$63.34 ,$78.20 ,$63.34 ,$66.47 , N/A ,$54.19 , N/A ,$78.20 ,$43.87 , N/A ,$20.49 ,$78.20 , N/A , N/A , N/A ,$62.56 ,$38.71 ,$21.90 ,$70.38 ,$29.72 ,$42.54 , N/A ,$37.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ESMOLOL 2500 MG/250ML SOLN,250,1 ,$911.00 ,$655.92 ,$238.68 ,$911.00 , N/A ,$482.83 ,$501.05 , N/A ,$255.08 ,$476.45 , N/A ,$501.05 , N/A ,$450.95 ,$364.40 , N/A ,$450.95 , N/A ,$637.70 ,$569.38 ,$728.80 , N/A , N/A ,$637.70 , N/A ,$546.60 , N/A ,$683.25 ,$502.87 ,$453.68 ,$502.87 , N/A ,$502.87 ,$737.91 ,$911.00 ,$737.91 ,$774.35 , N/A ,$631.32 , N/A ,$911.00 ,$511.07 , N/A ,$238.68 ,$911.00 , N/A , N/A , N/A ,$728.80 ,$450.95 ,$255.08 ,$819.90 ,$346.18 ,$495.58 , N/A ,$437.28 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ETOMIDATE 2 MG/ML SOLN,250,1 ,$127.70 ,$91.94 ,$33.46 ,$127.70 , N/A ,$67.68 ,$70.24 , N/A ,$35.76 ,$66.79 , N/A ,$70.24 , N/A ,$63.21 ,$51.08 , N/A ,$63.21 , N/A ,$89.39 ,$79.81 ,$102.16 , N/A , N/A ,$89.39 , N/A ,$76.62 , N/A ,$95.78 ,$70.49 ,$63.59 ,$70.49 , N/A ,$70.49 ,$103.44 ,$127.70 ,$103.44 ,$108.55 , N/A ,$88.50 , N/A ,$127.70 ,$71.64 , N/A ,$33.46 ,$127.70 , N/A , N/A , N/A ,$102.16 ,$63.21 ,$35.76 ,$114.93 ,$48.53 ,$69.47 , N/A ,$61.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FAMOTIDINE 20 MG/2ML SOLN 2 ML VIAL,250,1 ,$63.70 ,$45.86 ,$16.69 ,$63.70 , N/A ,$33.76 ,$35.04 , N/A ,$17.84 ,$33.32 , N/A ,$35.04 , N/A ,$31.53 ,$25.48 , N/A ,$31.53 , N/A ,$44.59 ,$39.81 ,$50.96 , N/A , N/A ,$44.59 , N/A ,$38.22 , N/A ,$47.78 ,$35.16 ,$31.72 ,$35.16 , N/A ,$35.16 ,$51.60 ,$63.70 ,$51.60 ,$54.15 , N/A ,$44.14 , N/A ,$63.70 ,$35.74 , N/A ,$16.69 ,$63.70 , N/A , N/A , N/A ,$50.96 ,$31.53 ,$17.84 ,$57.33 ,$24.21 ,$34.65 , N/A ,$30.58 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FAMOTIDINE 20-0.9 MG/50ML-% SOLN,250,1 ,$90.20 ,$64.94 ,$23.63 ,$90.20 , N/A ,$47.81 ,$49.61 , N/A ,$25.26 ,$47.17 , N/A ,$49.61 , N/A ,$44.65 ,$36.08 , N/A ,$44.65 , N/A ,$63.14 ,$56.38 ,$72.16 , N/A , N/A ,$63.14 , N/A ,$54.12 , N/A ,$67.65 ,$49.79 ,$44.92 ,$49.79 , N/A ,$49.79 ,$73.06 ,$90.20 ,$73.06 ,$76.67 , N/A ,$62.51 , N/A ,$90.20 ,$50.60 , N/A ,$23.63 ,$90.20 , N/A , N/A , N/A ,$72.16 ,$44.65 ,$25.26 ,$81.18 ,$34.28 ,$49.07 , N/A ,$43.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FAMOTIDINE 200 MG/20ML SOLN 2 ML VIAL,250,1 ,$63.00 ,$45.36 ,$16.51 ,$63.00 , N/A ,$33.39 ,$34.65 , N/A ,$17.64 ,$32.95 , N/A ,$34.65 , N/A ,$31.19 ,$25.20 , N/A ,$31.19 , N/A ,$44.10 ,$39.38 ,$50.40 , N/A , N/A ,$44.10 , N/A ,$37.80 , N/A ,$47.25 ,$34.78 ,$31.37 ,$34.78 , N/A ,$34.78 ,$51.03 ,$63.00 ,$51.03 ,$53.55 , N/A ,$43.66 , N/A ,$63.00 ,$35.34 , N/A ,$16.51 ,$63.00 , N/A , N/A , N/A ,$50.40 ,$31.19 ,$17.64 ,$56.70 ,$23.94 ,$34.27 , N/A ,$30.24 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FAT EMULSION 20 % EMUL,250,1 ,$242.50 ,$174.60 ,$63.54 ,$242.50 , N/A ,$128.53 ,$133.38 , N/A ,$67.90 ,$126.83 , N/A ,$133.38 , N/A ,$120.04 ,$97.00 , N/A ,$120.04 , N/A ,$169.75 ,$151.56 ,$194.00 , N/A , N/A ,$169.75 , N/A ,$145.50 , N/A ,$181.88 ,$133.86 ,$120.77 ,$133.86 , N/A ,$133.86 ,$196.43 ,$242.50 ,$196.43 ,$206.13 , N/A ,$168.05 , N/A ,$242.50 ,$136.04 , N/A ,$63.54 ,$242.50 , N/A , N/A , N/A ,$194.00 ,$120.04 ,$67.90 ,$218.25 ,$92.15 ,$131.92 , N/A ,$116.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FERRIC SUBSULFATE SOLN,250,1 ,$102.10 ,$73.51 ,$26.75 ,$102.10 , N/A ,$54.11 ,$56.16 , N/A ,$28.59 ,$53.40 , N/A ,$56.16 , N/A ,$50.54 ,$40.84 , N/A ,$50.54 , N/A ,$71.47 ,$63.81 ,$81.68 , N/A , N/A ,$71.47 , N/A ,$61.26 , N/A ,$76.58 ,$56.36 ,$50.85 ,$56.36 , N/A ,$56.36 ,$82.70 ,$102.10 ,$82.70 ,$86.79 , N/A ,$70.76 , N/A ,$102.10 ,$57.28 , N/A ,$26.75 ,$102.10 , N/A , N/A , N/A ,$81.68 ,$50.54 ,$28.59 ,$91.89 ,$38.80 ,$55.54 , N/A ,$49.01 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FLUMAZENIL 0.5 MG/5ML SOLN,250,1 ,$115.00 ,$82.80 ,$30.13 ,$115.00 , N/A ,$60.95 ,$63.25 , N/A ,$32.20 ,$60.15 , N/A ,$63.25 , N/A ,$56.93 ,$46.00 , N/A ,$56.93 , N/A ,$80.50 ,$71.88 ,$92.00 , N/A , N/A ,$80.50 , N/A ,$69.00 , N/A ,$86.25 ,$63.48 ,$57.27 ,$63.48 , N/A ,$63.48 ,$93.15 ,$115.00 ,$93.15 ,$97.75 , N/A ,$79.70 , N/A ,$115.00 ,$64.52 , N/A ,$30.13 ,$115.00 , N/A , N/A , N/A ,$92.00 ,$56.93 ,$32.20 ,$103.50 ,$43.70 ,$62.56 , N/A ,$55.20 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FLUPHENAZINE 2.5 MG/ML SOLN,250,1 ,$103.73 ,$74.69 ,$27.18 ,$103.73 , N/A ,$54.98 ,$57.05 , N/A ,$29.04 ,$54.25 , N/A ,$57.05 , N/A ,$51.35 ,$41.49 , N/A ,$51.35 , N/A ,$72.61 ,$64.83 ,$82.98 , N/A , N/A ,$72.61 , N/A ,$62.24 , N/A ,$77.80 ,$57.26 ,$51.66 ,$57.26 , N/A ,$57.26 ,$84.02 ,$103.73 ,$84.02 ,$88.17 , N/A ,$71.88 , N/A ,$103.73 ,$58.19 , N/A ,$27.18 ,$103.73 , N/A , N/A , N/A ,$82.98 ,$51.35 ,$29.04 ,$93.36 ,$39.42 ,$56.43 , N/A ,$49.79 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,250,1 ,$56.50 ,$40.68 ,$14.80 ,$56.50 , N/A ,$29.95 ,$31.08 , N/A ,$15.82 ,$29.55 , N/A ,$31.08 , N/A ,$27.97 ,$22.60 , N/A ,$27.97 , N/A ,$39.55 ,$35.31 ,$45.20 , N/A , N/A ,$39.55 , N/A ,$33.90 , N/A ,$42.38 ,$31.19 ,$28.14 ,$31.19 , N/A ,$31.19 ,$45.77 ,$56.50 ,$45.77 ,$48.03 , N/A ,$39.15 , N/A ,$56.50 ,$31.70 , N/A ,$14.80 ,$56.50 , N/A , N/A , N/A ,$45.20 ,$27.97 ,$15.82 ,$50.85 ,$21.47 ,$30.74 , N/A ,$27.12 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FORMOTEROL 20 MCG/2ML NEBU,250,1 ,$156.15 ,$112.43 ,$40.91 ,$156.15 , N/A ,$82.76 ,$85.88 , N/A ,$43.72 ,$81.67 , N/A ,$85.88 , N/A ,$77.29 ,$62.46 , N/A ,$77.29 , N/A ,$109.31 ,$97.59 ,$124.92 , N/A , N/A ,$109.31 , N/A ,$93.69 , N/A ,$117.11 ,$86.19 ,$77.76 ,$86.19 , N/A ,$86.19 ,$126.48 ,$156.15 ,$126.48 ,$132.73 , N/A ,$108.21 , N/A ,$156.15 ,$87.60 , N/A ,$40.91 ,$156.15 , N/A , N/A , N/A ,$124.92 ,$77.29 ,$43.72 ,$140.54 ,$59.34 ,$84.95 , N/A ,$74.95 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,GLYCOPYRROLATE 0.2 MG/ML SOLN,250,1 ,$110.33 ,$79.44 ,$28.91 ,$110.33 , N/A ,$58.47 ,$60.68 , N/A ,$30.89 ,$57.70 , N/A ,$60.68 , N/A ,$54.61 ,$44.13 , N/A ,$54.61 , N/A ,$77.23 ,$68.96 ,$88.26 , N/A , N/A ,$77.23 , N/A ,$66.20 , N/A ,$82.75 ,$60.90 ,$54.94 ,$60.90 , N/A ,$60.90 ,$89.37 ,$110.33 ,$89.37 ,$93.78 , N/A ,$76.46 , N/A ,$110.33 ,$61.90 , N/A ,$28.91 ,$110.33 , N/A , N/A , N/A ,$88.26 ,$54.61 ,$30.89 ,$99.30 ,$41.93 ,$60.02 , N/A ,$52.96 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,HYPROMELLOSE 2.5 % SOLN 15 ML BOTTLE,250,1 ,$165.90 ,$119.45 ,$43.47 ,$165.90 , N/A ,$87.93 ,$91.25 , N/A ,$46.45 ,$86.77 , N/A ,$91.25 , N/A ,$82.12 ,$66.36 , N/A ,$82.12 , N/A ,$116.13 ,$103.69 ,$132.72 , N/A , N/A ,$116.13 , N/A ,$99.54 , N/A ,$124.43 ,$91.58 ,$82.62 ,$91.58 , N/A ,$91.58 ,$134.38 ,$165.90 ,$134.38 ,$141.02 , N/A ,$114.97 , N/A ,$165.90 ,$93.07 , N/A ,$43.47 ,$165.90 , N/A , N/A , N/A ,$132.72 ,$82.12 ,$46.45 ,$149.31 ,$63.04 ,$90.25 , N/A ,$79.63 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,INDOCYANINE GREEN 25 MG SOLR,250,1 ,$594.30 ,$427.90 ,$155.71 ,$594.30 , N/A ,$314.98 ,$326.87 , N/A ,$166.40 ,$310.82 , N/A ,$326.87 , N/A ,$294.18 ,$237.72 , N/A ,$294.18 , N/A ,$416.01 ,$371.44 ,$475.44 , N/A , N/A ,$416.01 , N/A ,$356.58 , N/A ,$445.73 ,$328.05 ,$295.96 ,$328.05 , N/A ,$328.05 ,$481.38 ,$594.30 ,$481.38 ,$505.16 , N/A ,$411.85 , N/A ,$594.30 ,$333.40 , N/A ,$155.71 ,$594.30 , N/A , N/A , N/A ,$475.44 ,$294.18 ,$166.40 ,$534.87 ,$225.83 ,$323.30 , N/A ,$285.26 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,INSULIN REGULAR 100 UNITS/100 ML NS SOLN,250,1 ,$302.00 ,$217.44 ,$79.12 ,$302.00 , N/A ,$160.06 ,$166.10 , N/A ,$84.56 ,$157.95 , N/A ,$166.10 , N/A ,$149.49 ,$120.80 , N/A ,$149.49 , N/A ,$211.40 ,$188.75 ,$241.60 , N/A , N/A ,$211.40 , N/A ,$181.20 , N/A ,$226.50 ,$166.70 ,$150.40 ,$166.70 , N/A ,$166.70 ,$244.62 ,$302.00 ,$244.62 ,$256.70 , N/A ,$209.29 , N/A ,$302.00 ,$169.42 , N/A ,$79.12 ,$302.00 , N/A , N/A , N/A ,$241.60 ,$149.49 ,$84.56 ,$271.80 ,$114.76 ,$164.29 , N/A ,$144.96 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,IPRATROPIUM 0.02 % SOLN,250,1 ,$26.85 ,$19.33 ,$7.03 ,$26.85 , N/A ,$14.23 ,$14.77 , N/A ,$7.52 ,$14.04 , N/A ,$14.77 , N/A ,$13.29 ,$10.74 , N/A ,$13.29 , N/A ,$18.80 ,$16.78 ,$21.48 , N/A , N/A ,$18.80 , N/A ,$16.11 , N/A ,$20.14 ,$14.82 ,$13.37 ,$14.82 , N/A ,$14.82 ,$21.75 ,$26.85 ,$21.75 ,$22.82 , N/A ,$18.61 , N/A ,$26.85 ,$15.06 , N/A ,$7.03 ,$26.85 , N/A , N/A , N/A ,$21.48 ,$13.29 ,$7.52 ,$24.17 ,$10.20 ,$14.61 , N/A ,$12.89 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE,250,1 ,$614.15 ,$442.19 ,$160.91 ,$614.15 , N/A ,$325.50 ,$337.78 , N/A ,$171.96 ,$321.20 , N/A ,$337.78 , N/A ,$304.00 ,$245.66 , N/A ,$304.00 , N/A ,$429.91 ,$383.84 ,$491.32 , N/A , N/A ,$429.91 , N/A ,$368.49 , N/A ,$460.61 ,$339.01 ,$305.85 ,$339.01 , N/A ,$339.01 ,$497.46 ,$614.15 ,$497.46 ,$522.03 , N/A ,$425.61 , N/A ,$614.15 ,$344.54 , N/A ,$160.91 ,$614.15 , N/A , N/A , N/A ,$491.32 ,$304.00 ,$171.96 ,$552.74 ,$233.38 ,$334.10 , N/A ,$294.79 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE,250,1 ,$526.45 ,$379.04 ,$137.93 ,$526.45 , N/A ,$279.02 ,$289.55 , N/A ,$147.41 ,$275.33 , N/A ,$289.55 , N/A ,$260.59 ,$210.58 , N/A ,$260.59 , N/A ,$368.52 ,$329.03 ,$421.16 , N/A , N/A ,$368.52 , N/A ,$315.87 , N/A ,$394.84 ,$290.60 ,$262.17 ,$290.60 , N/A ,$290.60 ,$426.42 ,$526.45 ,$426.42 ,$447.48 , N/A ,$364.83 , N/A ,$526.45 ,$295.34 , N/A ,$137.93 ,$526.45 , N/A , N/A , N/A ,$421.16 ,$260.59 ,$147.41 ,$473.81 ,$200.05 ,$286.39 , N/A ,$252.70 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN,250,1 ,$27.65 ,$19.91 ,$7.24 ,$27.65 , N/A ,$14.65 ,$15.21 , N/A ,$7.74 ,$14.46 , N/A ,$15.21 , N/A ,$13.69 ,$11.06 , N/A ,$13.69 , N/A ,$19.36 ,$17.28 ,$22.12 , N/A , N/A ,$19.36 , N/A ,$16.59 , N/A ,$20.74 ,$15.26 ,$13.77 ,$15.26 , N/A ,$15.26 ,$22.40 ,$27.65 ,$22.40 ,$23.50 , N/A ,$19.16 , N/A ,$27.65 ,$15.51 , N/A ,$7.24 ,$27.65 , N/A , N/A , N/A ,$22.12 ,$13.69 ,$7.74 ,$24.89 ,$10.51 ,$15.04 , N/A ,$13.27 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,KETAMINE 10 MG/ML SOLN,250,1 ,$91.55 ,$65.92 ,$23.99 ,$91.55 , N/A ,$48.52 ,$50.35 , N/A ,$25.63 ,$47.88 , N/A ,$50.35 , N/A ,$45.32 ,$36.62 , N/A ,$45.32 , N/A ,$64.09 ,$57.22 ,$73.24 , N/A , N/A ,$64.09 , N/A ,$54.93 , N/A ,$68.66 ,$50.54 ,$45.59 ,$50.54 , N/A ,$50.54 ,$74.16 ,$91.55 ,$74.16 ,$77.82 , N/A ,$63.44 , N/A ,$91.55 ,$51.36 , N/A ,$23.99 ,$91.55 , N/A , N/A , N/A ,$73.24 ,$45.32 ,$25.63 ,$82.40 ,$34.79 ,$49.80 , N/A ,$43.94 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,KETAMINE 100 MG/ML SOLN,250,1 ,$60.75 ,$43.74 ,$15.92 ,$60.75 , N/A ,$32.20 ,$33.41 , N/A ,$17.01 ,$31.77 , N/A ,$33.41 , N/A ,$30.07 ,$24.30 , N/A ,$30.07 , N/A ,$42.53 ,$37.97 ,$48.60 , N/A , N/A ,$42.53 , N/A ,$36.45 , N/A ,$45.56 ,$33.53 ,$30.25 ,$33.53 , N/A ,$33.53 ,$49.21 ,$60.75 ,$49.21 ,$51.64 , N/A ,$42.10 , N/A ,$60.75 ,$34.08 , N/A ,$15.92 ,$60.75 , N/A , N/A , N/A ,$48.60 ,$30.07 ,$17.01 ,$54.68 ,$23.09 ,$33.05 , N/A ,$29.16 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,KETAMINE 100 MG/ML SOLN 5 ML VIAL,250,1 ,$104.80 ,$75.46 ,$27.46 ,$104.80 , N/A ,$55.54 ,$57.64 , N/A ,$29.34 ,$54.81 , N/A ,$57.64 , N/A ,$51.88 ,$41.92 , N/A ,$51.88 , N/A ,$73.36 ,$65.50 ,$83.84 , N/A , N/A ,$73.36 , N/A ,$62.88 , N/A ,$78.60 ,$57.85 ,$52.19 ,$57.85 , N/A ,$57.85 ,$84.89 ,$104.80 ,$84.89 ,$89.08 , N/A ,$72.63 , N/A ,$104.80 ,$58.79 , N/A ,$27.46 ,$104.80 , N/A , N/A , N/A ,$83.84 ,$51.88 ,$29.34 ,$94.32 ,$39.82 ,$57.01 , N/A ,$50.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,KETAMINE 50 MG/ML SOLN 10 ML VIAL,250,1 ,$120.25 ,$86.58 ,$31.51 ,$120.25 , N/A ,$63.73 ,$66.14 , N/A ,$33.67 ,$62.89 , N/A ,$66.14 , N/A ,$59.52 ,$48.10 , N/A ,$59.52 , N/A ,$84.18 ,$75.16 ,$96.20 , N/A , N/A ,$84.18 , N/A ,$72.15 , N/A ,$90.19 ,$66.38 ,$59.88 ,$66.38 , N/A ,$66.38 ,$97.40 ,$120.25 ,$97.40 ,$102.21 , N/A ,$83.33 , N/A ,$120.25 ,$67.46 , N/A ,$31.51 ,$120.25 , N/A , N/A , N/A ,$96.20 ,$59.52 ,$33.67 ,$108.23 ,$45.70 ,$65.42 , N/A ,$57.72 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LABETALOL 5 MG/ML SOLN,250,1 ,$71.90 ,$51.77 ,$18.84 ,$71.90 , N/A ,$38.11 ,$39.55 , N/A ,$20.13 ,$37.60 , N/A ,$39.55 , N/A ,$35.59 ,$28.76 , N/A ,$35.59 , N/A ,$50.33 ,$44.94 ,$57.52 , N/A , N/A ,$50.33 , N/A ,$43.14 , N/A ,$53.93 ,$39.69 ,$35.81 ,$39.69 , N/A ,$39.69 ,$58.24 ,$71.90 ,$58.24 ,$61.12 , N/A ,$49.83 , N/A ,$71.90 ,$40.34 , N/A ,$18.84 ,$71.90 , N/A , N/A , N/A ,$57.52 ,$35.59 ,$20.13 ,$64.71 ,$27.32 ,$39.11 , N/A ,$34.51 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LABETALOL 5 MG/ML SOLN 20 ML VIAL,250,1 ,$56.75 ,$40.86 ,$14.87 ,$56.75 , N/A ,$30.08 ,$31.21 , N/A ,$15.89 ,$29.68 , N/A ,$31.21 , N/A ,$28.09 ,$22.70 , N/A ,$28.09 , N/A ,$39.73 ,$35.47 ,$45.40 , N/A , N/A ,$39.73 , N/A ,$34.05 , N/A ,$42.56 ,$31.33 ,$28.26 ,$31.33 , N/A ,$31.33 ,$45.97 ,$56.75 ,$45.97 ,$48.24 , N/A ,$39.33 , N/A ,$56.75 ,$31.84 , N/A ,$14.87 ,$56.75 , N/A , N/A , N/A ,$45.40 ,$28.09 ,$15.89 ,$51.08 ,$21.57 ,$30.87 , N/A ,$27.24 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LEVALBUTEROL 0.63 MG/3ML NEBU,250,1 ,$24.05 ,$17.32 ,$6.30 ,$24.05 , N/A ,$12.75 ,$13.23 , N/A ,$6.73 ,$12.58 , N/A ,$13.23 , N/A ,$11.90 ,$9.62 , N/A ,$11.90 , N/A ,$16.84 ,$15.03 ,$19.24 , N/A , N/A ,$16.84 , N/A ,$14.43 , N/A ,$18.04 ,$13.28 ,$11.98 ,$13.28 , N/A ,$13.28 ,$19.48 ,$24.05 ,$19.48 ,$20.44 , N/A ,$16.67 , N/A ,$24.05 ,$13.49 , N/A ,$6.30 ,$24.05 , N/A , N/A , N/A ,$19.24 ,$11.90 ,$6.73 ,$21.65 ,$9.14 ,$13.08 , N/A ,$11.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LEVALBUTEROL 1.25 MG/0.5ML NEBU,250,1 ,$53.60 ,$38.59 ,$14.04 ,$53.60 , N/A ,$28.41 ,$29.48 , N/A ,$15.01 ,$28.03 , N/A ,$29.48 , N/A ,$26.53 ,$21.44 , N/A ,$26.53 , N/A ,$37.52 ,$33.50 ,$42.88 , N/A , N/A ,$37.52 , N/A ,$32.16 , N/A ,$40.20 ,$29.59 ,$26.69 ,$29.59 , N/A ,$29.59 ,$43.42 ,$53.60 ,$43.42 ,$45.56 , N/A ,$37.14 , N/A ,$53.60 ,$30.07 , N/A ,$14.04 ,$53.60 , N/A , N/A , N/A ,$42.88 ,$26.53 ,$15.01 ,$48.24 ,$20.37 ,$29.16 , N/A ,$25.73 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LEVALBUTEROL 0.31 MG/3ML NEBU,250,1 ,$53.60 ,$38.59 ,$14.04 ,$53.60 , N/A ,$28.41 ,$29.48 , N/A ,$15.01 ,$28.03 , N/A ,$29.48 , N/A ,$26.53 ,$21.44 , N/A ,$26.53 , N/A ,$37.52 ,$33.50 ,$42.88 , N/A , N/A ,$37.52 , N/A ,$32.16 , N/A ,$40.20 ,$29.59 ,$26.69 ,$29.59 , N/A ,$29.59 ,$43.42 ,$53.60 ,$43.42 ,$45.56 , N/A ,$37.14 , N/A ,$53.60 ,$30.07 , N/A ,$14.04 ,$53.60 , N/A , N/A , N/A ,$42.88 ,$26.53 ,$15.01 ,$48.24 ,$20.37 ,$29.16 , N/A ,$25.73 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LEVOTHYROXINE 100 MCG SOLR,250,1 ,$572.65 ,$412.31 ,$150.03 ,$572.65 , N/A ,$303.50 ,$314.96 , N/A ,$160.34 ,$299.50 , N/A ,$314.96 , N/A ,$283.46 ,$229.06 , N/A ,$283.46 , N/A ,$400.86 ,$357.91 ,$458.12 , N/A , N/A ,$400.86 , N/A ,$343.59 , N/A ,$429.49 ,$316.10 ,$285.18 ,$316.10 , N/A ,$316.10 ,$463.85 ,$572.65 ,$463.85 ,$486.75 , N/A ,$396.85 , N/A ,$572.65 ,$321.26 , N/A ,$150.03 ,$572.65 , N/A , N/A , N/A ,$458.12 ,$283.46 ,$160.34 ,$515.39 ,$217.61 ,$311.52 , N/A ,$274.87 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LEVOTHYROXINE 100 MCG/5ML SOLN,250,1 ,$781.70 ,$562.82 ,$204.81 ,$781.70 , N/A ,$414.30 ,$429.94 , N/A ,$218.88 ,$408.83 , N/A ,$429.94 , N/A ,$386.94 ,$312.68 , N/A ,$386.94 , N/A ,$547.19 ,$488.56 ,$625.36 , N/A , N/A ,$547.19 , N/A ,$469.02 , N/A ,$586.28 ,$431.50 ,$389.29 ,$431.50 , N/A ,$431.50 ,$633.18 ,$781.70 ,$633.18 ,$664.45 , N/A ,$541.72 , N/A ,$781.70 ,$438.53 , N/A ,$204.81 ,$781.70 , N/A , N/A , N/A ,$625.36 ,$386.94 ,$218.88 ,$703.53 ,$297.05 ,$425.24 , N/A ,$375.22 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE (PF) 1 % SOLN,250,1 ,$82.15 ,$59.15 ,$21.52 ,$82.15 , N/A ,$43.54 ,$45.18 , N/A ,$23.00 ,$42.96 , N/A ,$45.18 , N/A ,$40.66 ,$32.86 , N/A ,$40.66 , N/A ,$57.51 ,$51.34 ,$65.72 , N/A , N/A ,$57.51 , N/A ,$49.29 , N/A ,$61.61 ,$45.35 ,$40.91 ,$45.35 , N/A ,$45.35 ,$66.54 ,$82.15 ,$66.54 ,$69.83 , N/A ,$56.93 , N/A ,$82.15 ,$46.09 , N/A ,$21.52 ,$82.15 , N/A , N/A , N/A ,$65.72 ,$40.66 ,$23.00 ,$73.94 ,$31.22 ,$44.69 , N/A ,$39.43 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE (PF) 1 % SOLN 2 ML VIAL,250,1 ,$66.10 ,$47.59 ,$17.32 ,$66.10 , N/A ,$35.03 ,$36.36 , N/A ,$18.51 ,$34.57 , N/A ,$36.36 , N/A ,$32.72 ,$26.44 , N/A ,$32.72 , N/A ,$46.27 ,$41.31 ,$52.88 , N/A , N/A ,$46.27 , N/A ,$39.66 , N/A ,$49.58 ,$36.49 ,$32.92 ,$36.49 , N/A ,$36.49 ,$53.54 ,$66.10 ,$53.54 ,$56.19 , N/A ,$45.81 , N/A ,$66.10 ,$37.08 , N/A ,$17.32 ,$66.10 , N/A , N/A , N/A ,$52.88 ,$32.72 ,$18.51 ,$59.49 ,$25.12 ,$35.96 , N/A ,$31.73 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE (PF) 1 % SOLN 5 ML VIAL,250,1 ,$103.40 ,$74.45 ,$27.09 ,$103.40 , N/A ,$54.80 ,$56.87 , N/A ,$28.95 ,$54.08 , N/A ,$56.87 , N/A ,$51.18 ,$41.36 , N/A ,$51.18 , N/A ,$72.38 ,$64.63 ,$82.72 , N/A , N/A ,$72.38 , N/A ,$62.04 , N/A ,$77.55 ,$57.08 ,$51.49 ,$57.08 , N/A ,$57.08 ,$83.75 ,$103.40 ,$83.75 ,$87.89 , N/A ,$71.66 , N/A ,$103.40 ,$58.01 , N/A ,$27.09 ,$103.40 , N/A , N/A , N/A ,$82.72 ,$51.18 ,$28.95 ,$93.06 ,$39.29 ,$56.25 , N/A ,$49.63 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE (PF) 2 % SOLN,250,1 ,$105.70 ,$76.10 ,$27.69 ,$105.70 , N/A ,$56.02 ,$58.14 , N/A ,$29.60 ,$55.28 , N/A ,$58.14 , N/A ,$52.32 ,$42.28 , N/A ,$52.32 , N/A ,$73.99 ,$66.06 ,$84.56 , N/A , N/A ,$73.99 , N/A ,$63.42 , N/A ,$79.28 ,$58.35 ,$52.64 ,$58.35 , N/A ,$58.35 ,$85.62 ,$105.70 ,$85.62 ,$89.85 , N/A ,$73.25 , N/A ,$105.70 ,$59.30 , N/A ,$27.69 ,$105.70 , N/A , N/A , N/A ,$84.56 ,$52.32 ,$29.60 ,$95.13 ,$40.17 ,$57.50 , N/A ,$50.74 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 1 % SOLN,250,1 ,$136.10 ,$97.99 ,$35.66 ,$136.10 , N/A ,$72.13 ,$74.86 , N/A ,$38.11 ,$71.18 , N/A ,$74.86 , N/A ,$67.37 ,$54.44 , N/A ,$67.37 , N/A ,$95.27 ,$85.06 ,$108.88 , N/A , N/A ,$95.27 , N/A ,$81.66 , N/A ,$102.08 ,$75.13 ,$67.78 ,$75.13 , N/A ,$75.13 ,$110.24 ,$136.10 ,$110.24 ,$115.69 , N/A ,$94.32 , N/A ,$136.10 ,$76.35 , N/A ,$35.66 ,$136.10 , N/A , N/A , N/A ,$108.88 ,$67.37 ,$38.11 ,$122.49 ,$51.72 ,$74.04 , N/A ,$65.33 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE (PF) 1 % SOLN 30 ML VIAL,250,1 ,$136.10 ,$97.99 ,$35.66 ,$136.10 , N/A ,$72.13 ,$74.86 , N/A ,$38.11 ,$71.18 , N/A ,$74.86 , N/A ,$67.37 ,$54.44 , N/A ,$67.37 , N/A ,$95.27 ,$85.06 ,$108.88 , N/A , N/A ,$95.27 , N/A ,$81.66 , N/A ,$102.08 ,$75.13 ,$67.78 ,$75.13 , N/A ,$75.13 ,$110.24 ,$136.10 ,$110.24 ,$115.69 , N/A ,$94.32 , N/A ,$136.10 ,$76.35 , N/A ,$35.66 ,$136.10 , N/A , N/A , N/A ,$108.88 ,$67.37 ,$38.11 ,$122.49 ,$51.72 ,$74.04 , N/A ,$65.33 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 1 % SOLN 2 ML VIAL,250,1 ,$68.50 ,$49.32 ,$17.95 ,$68.50 , N/A ,$36.31 ,$37.68 , N/A ,$19.18 ,$35.83 , N/A ,$37.68 , N/A ,$33.91 ,$27.40 , N/A ,$33.91 , N/A ,$47.95 ,$42.81 ,$54.80 , N/A , N/A ,$47.95 , N/A ,$41.10 , N/A ,$51.38 ,$37.81 ,$34.11 ,$37.81 , N/A ,$37.81 ,$55.49 ,$68.50 ,$55.49 ,$58.23 , N/A ,$47.47 , N/A ,$68.50 ,$38.43 , N/A ,$17.95 ,$68.50 , N/A , N/A , N/A ,$54.80 ,$33.91 ,$19.18 ,$61.65 ,$26.03 ,$37.26 , N/A ,$32.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 2 % PRSY 10 ML SYRINGE,250,1 ,$61.55 ,$44.32 ,$16.13 ,$61.55 , N/A ,$32.62 ,$33.85 , N/A ,$17.23 ,$32.19 , N/A ,$33.85 , N/A ,$30.47 ,$24.62 , N/A ,$30.47 , N/A ,$43.09 ,$38.47 ,$49.24 , N/A , N/A ,$43.09 , N/A ,$36.93 , N/A ,$46.16 ,$33.98 ,$30.65 ,$33.98 , N/A ,$33.98 ,$49.86 ,$61.55 ,$49.86 ,$52.32 , N/A ,$42.65 , N/A ,$61.55 ,$34.53 , N/A ,$16.13 ,$61.55 , N/A , N/A , N/A ,$49.24 ,$30.47 ,$17.23 ,$55.40 ,$23.39 ,$33.48 , N/A ,$29.54 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 2 % SOLN,250,1 ,$98.00 ,$70.56 ,$25.68 ,$98.00 , N/A ,$51.94 ,$53.90 , N/A ,$27.44 ,$51.25 , N/A ,$53.90 , N/A ,$48.51 ,$39.20 , N/A ,$48.51 , N/A ,$68.60 ,$61.25 ,$78.40 , N/A , N/A ,$68.60 , N/A ,$58.80 , N/A ,$73.50 ,$54.10 ,$48.80 ,$54.10 , N/A ,$54.10 ,$79.38 ,$98.00 ,$79.38 ,$83.30 , N/A ,$67.91 , N/A ,$98.00 ,$54.98 , N/A ,$25.68 ,$98.00 , N/A , N/A , N/A ,$78.40 ,$48.51 ,$27.44 ,$88.20 ,$37.24 ,$53.31 , N/A ,$47.04 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 4 % 4 % SOLN,250,1 ,$83.80 ,$60.34 ,$21.96 ,$83.80 , N/A ,$44.41 ,$46.09 , N/A ,$23.46 ,$43.83 , N/A ,$46.09 , N/A ,$41.48 ,$33.52 , N/A ,$41.48 , N/A ,$58.66 ,$52.38 ,$67.04 , N/A , N/A ,$58.66 , N/A ,$50.28 , N/A ,$62.85 ,$46.26 ,$41.73 ,$46.26 , N/A ,$46.26 ,$67.88 ,$83.80 ,$67.88 ,$71.23 , N/A ,$58.07 , N/A ,$83.80 ,$47.01 , N/A ,$21.96 ,$83.80 , N/A , N/A , N/A ,$67.04 ,$41.48 ,$23.46 ,$75.42 ,$31.84 ,$45.59 , N/A ,$40.22 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 4 % SOLN 50 ML BOTTLE,250,1 ,$355.60 ,$256.03 ,$93.17 ,$355.60 , N/A ,$188.47 ,$195.58 , N/A ,$99.57 ,$185.98 , N/A ,$195.58 , N/A ,$176.02 ,$142.24 , N/A ,$176.02 , N/A ,$248.92 ,$222.25 ,$284.48 , N/A , N/A ,$248.92 , N/A ,$213.36 , N/A ,$266.70 ,$196.29 ,$177.09 ,$196.29 , N/A ,$196.29 ,$288.04 ,$355.60 ,$288.04 ,$302.26 , N/A ,$246.43 , N/A ,$355.60 ,$199.49 , N/A ,$93.17 ,$355.60 , N/A , N/A , N/A ,$284.48 ,$176.02 ,$99.57 ,$320.04 ,$135.13 ,$193.45 , N/A ,$170.69 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 4%-EPINEPHRINE 0.18%-TETRACAINE 0.5% KIT,250,1 ,$22.90 ,$16.49 ,$6.00 ,$22.90 , N/A ,$12.14 ,$12.60 , N/A ,$6.41 ,$11.98 , N/A ,$12.60 , N/A ,$11.34 ,$9.16 , N/A ,$11.34 , N/A ,$16.03 ,$14.31 ,$18.32 , N/A , N/A ,$16.03 , N/A ,$13.74 , N/A ,$17.18 ,$12.64 ,$11.40 ,$12.64 , N/A ,$12.64 ,$18.55 ,$22.90 ,$18.55 ,$19.47 , N/A ,$15.87 , N/A ,$22.90 ,$12.85 , N/A ,$6.00 ,$22.90 , N/A , N/A , N/A ,$18.32 ,$11.34 ,$6.41 ,$20.61 ,$8.70 ,$12.46 , N/A ,$10.99 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 5 % OINT 35.44 G TUBE,250,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 5 % PTCH,250,1 ,$202.60 ,$145.87 ,$53.08 ,$202.60 , N/A ,$107.38 ,$111.43 , N/A ,$56.73 ,$105.96 , N/A ,$111.43 , N/A ,$100.29 ,$81.04 , N/A ,$100.29 , N/A ,$141.82 ,$126.63 ,$162.08 , N/A , N/A ,$141.82 , N/A ,$121.56 , N/A ,$151.95 ,$111.84 ,$100.89 ,$111.84 , N/A ,$111.84 ,$164.11 ,$202.60 ,$164.11 ,$172.21 , N/A ,$140.40 , N/A ,$202.60 ,$113.66 , N/A ,$53.08 ,$202.60 , N/A , N/A , N/A ,$162.08 ,$100.29 ,$56.73 ,$182.34 ,$76.99 ,$110.21 , N/A ,$97.25 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE CREAM 4 % KIT,250,1 ,$50.40 ,$36.29 ,$13.20 ,$50.40 , N/A ,$26.71 ,$27.72 , N/A ,$14.11 ,$26.36 , N/A ,$27.72 , N/A ,$24.95 ,$20.16 , N/A ,$24.95 , N/A ,$35.28 ,$31.50 ,$40.32 , N/A , N/A ,$35.28 , N/A ,$30.24 , N/A ,$37.80 ,$27.82 ,$25.10 ,$27.82 , N/A ,$27.82 ,$40.82 ,$50.40 ,$40.82 ,$42.84 , N/A ,$34.93 , N/A ,$50.40 ,$28.27 , N/A ,$13.20 ,$50.40 , N/A , N/A , N/A ,$40.32 ,$24.95 ,$14.11 ,$45.36 ,$19.15 ,$27.42 , N/A ,$24.19 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 4 % CREA 5 G TUBE,250,1 ,$50.40 ,$36.29 ,$13.20 ,$50.40 , N/A ,$26.71 ,$27.72 , N/A ,$14.11 ,$26.36 , N/A ,$27.72 , N/A ,$24.95 ,$20.16 , N/A ,$24.95 , N/A ,$35.28 ,$31.50 ,$40.32 , N/A , N/A ,$35.28 , N/A ,$30.24 , N/A ,$37.80 ,$27.82 ,$25.10 ,$27.82 , N/A ,$27.82 ,$40.82 ,$50.40 ,$40.82 ,$42.84 , N/A ,$34.93 , N/A ,$50.40 ,$28.27 , N/A ,$13.20 ,$50.40 , N/A , N/A , N/A ,$40.32 ,$24.95 ,$14.11 ,$45.36 ,$19.15 ,$27.42 , N/A ,$24.19 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE HCL 4 % SOLN 4 ML BOTTLE,250,1 ,$230.85 ,$166.21 ,$60.48 ,$230.85 , N/A ,$122.35 ,$126.97 , N/A ,$64.64 ,$120.73 , N/A ,$126.97 , N/A ,$114.27 ,$92.34 , N/A ,$114.27 , N/A ,$161.60 ,$144.28 ,$184.68 , N/A , N/A ,$161.60 , N/A ,$138.51 , N/A ,$173.14 ,$127.43 ,$114.96 ,$127.43 , N/A ,$127.43 ,$186.99 ,$230.85 ,$186.99 ,$196.22 , N/A ,$159.98 , N/A ,$230.85 ,$129.51 , N/A ,$60.48 ,$230.85 , N/A , N/A , N/A ,$184.68 ,$114.27 ,$64.64 ,$207.77 ,$87.72 ,$125.58 , N/A ,$110.81 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 100 ML BOTTLE,250,1 ,$13.90 ,$10.01 ,$3.64 ,$13.90 , N/A ,$7.37 ,$7.65 , N/A ,$3.89 ,$7.27 , N/A ,$7.65 , N/A ,$6.88 ,$5.56 , N/A ,$6.88 , N/A ,$9.73 ,$8.69 ,$11.12 , N/A , N/A ,$9.73 , N/A ,$8.34 , N/A ,$10.43 ,$7.67 ,$6.92 ,$7.67 , N/A ,$7.67 ,$11.26 ,$13.90 ,$11.26 ,$11.82 , N/A ,$9.63 , N/A ,$13.90 ,$7.80 , N/A ,$3.64 ,$13.90 , N/A , N/A , N/A ,$11.12 ,$6.88 ,$3.89 ,$12.51 ,$5.28 ,$7.56 , N/A ,$6.67 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP,250,1 ,$28.30 ,$20.38 ,$7.41 ,$28.30 , N/A ,$15.00 ,$15.57 , N/A ,$7.92 ,$14.80 , N/A ,$15.57 , N/A ,$14.01 ,$11.32 , N/A ,$14.01 , N/A ,$19.81 ,$17.69 ,$22.64 , N/A , N/A ,$19.81 , N/A ,$16.98 , N/A ,$21.23 ,$15.62 ,$14.09 ,$15.62 , N/A ,$15.62 ,$22.92 ,$28.30 ,$22.92 ,$24.06 , N/A ,$19.61 , N/A ,$28.30 ,$15.88 , N/A ,$7.41 ,$28.30 , N/A , N/A , N/A ,$22.64 ,$14.01 ,$7.92 ,$25.47 ,$10.75 ,$15.40 , N/A ,$13.58 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN 20 ML VIAL,250,1 ,$77.00 ,$55.44 ,$20.17 ,$77.00 , N/A ,$40.81 ,$42.35 , N/A ,$21.56 ,$40.27 , N/A ,$42.35 , N/A ,$38.12 ,$30.80 , N/A ,$38.12 , N/A ,$53.90 ,$48.13 ,$61.60 , N/A , N/A ,$53.90 , N/A ,$46.20 , N/A ,$57.75 ,$42.50 ,$38.35 ,$42.50 , N/A ,$42.50 ,$62.37 ,$77.00 ,$62.37 ,$65.45 , N/A ,$53.36 , N/A ,$77.00 ,$43.20 , N/A ,$20.17 ,$77.00 , N/A , N/A , N/A ,$61.60 ,$38.12 ,$21.56 ,$69.30 ,$29.26 ,$41.89 , N/A ,$36.96 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN,250,1 ,$77.00 ,$55.44 ,$20.17 ,$77.00 , N/A ,$40.81 ,$42.35 , N/A ,$21.56 ,$40.27 , N/A ,$42.35 , N/A ,$38.12 ,$30.80 , N/A ,$38.12 , N/A ,$53.90 ,$48.13 ,$61.60 , N/A , N/A ,$53.90 , N/A ,$46.20 , N/A ,$57.75 ,$42.50 ,$38.35 ,$42.50 , N/A ,$42.50 ,$62.37 ,$77.00 ,$62.37 ,$65.45 , N/A ,$53.36 , N/A ,$77.00 ,$43.20 , N/A ,$20.17 ,$77.00 , N/A , N/A , N/A ,$61.60 ,$38.12 ,$21.56 ,$69.30 ,$29.26 ,$41.89 , N/A ,$36.96 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN 30 ML VIAL,250,1 ,$99.45 ,$71.60 ,$26.06 ,$99.45 , N/A ,$52.71 ,$54.70 , N/A ,$27.85 ,$52.01 , N/A ,$54.70 , N/A ,$49.23 ,$39.78 , N/A ,$49.23 , N/A ,$69.62 ,$62.16 ,$79.56 , N/A , N/A ,$69.62 , N/A ,$59.67 , N/A ,$74.59 ,$54.90 ,$49.53 ,$54.90 , N/A ,$54.90 ,$80.55 ,$99.45 ,$80.55 ,$84.53 , N/A ,$68.92 , N/A ,$99.45 ,$55.79 , N/A ,$26.06 ,$99.45 , N/A , N/A , N/A ,$79.56 ,$49.23 ,$27.85 ,$89.51 ,$37.79 ,$54.10 , N/A ,$47.74 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:100000 SOLN,250,1 ,$104.75 ,$75.42 ,$27.44 ,$104.75 , N/A ,$55.52 ,$57.61 , N/A ,$29.33 ,$54.78 , N/A ,$57.61 , N/A ,$51.85 ,$41.90 , N/A ,$51.85 , N/A ,$73.33 ,$65.47 ,$83.80 , N/A , N/A ,$73.33 , N/A ,$62.85 , N/A ,$78.56 ,$57.82 ,$52.17 ,$57.82 , N/A ,$57.82 ,$84.85 ,$104.75 ,$84.85 ,$89.04 , N/A ,$72.59 , N/A ,$104.75 ,$58.76 , N/A ,$27.44 ,$104.75 , N/A , N/A , N/A ,$83.80 ,$51.85 ,$29.33 ,$94.28 ,$39.81 ,$56.98 , N/A ,$50.28 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:100000 SOLN 20 ML VIAL,250,1 ,$79.73 ,$57.41 ,$20.89 ,$79.73 , N/A ,$42.26 ,$43.85 , N/A ,$22.32 ,$41.70 , N/A ,$43.85 , N/A ,$39.47 ,$31.89 , N/A ,$39.47 , N/A ,$55.81 ,$49.83 ,$63.78 , N/A , N/A ,$55.81 , N/A ,$47.84 , N/A ,$59.80 ,$44.01 ,$39.71 ,$44.01 , N/A ,$44.01 ,$64.58 ,$79.73 ,$64.58 ,$67.77 , N/A ,$55.25 , N/A ,$79.73 ,$44.73 , N/A ,$20.89 ,$79.73 , N/A , N/A , N/A ,$63.78 ,$39.47 ,$22.32 ,$71.76 ,$30.30 ,$43.37 , N/A ,$38.27 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,MANNITOL 20 % SOLN 500 ML FLEX CONT,250,1 ,$130.50 ,$93.96 ,$34.19 ,$130.50 , N/A ,$69.17 ,$71.78 , N/A ,$36.54 ,$68.25 , N/A ,$71.78 , N/A ,$64.60 ,$52.20 , N/A ,$64.60 , N/A ,$91.35 ,$81.56 ,$104.40 , N/A , N/A ,$91.35 , N/A ,$78.30 , N/A ,$97.88 ,$72.04 ,$64.99 ,$72.04 , N/A ,$72.04 ,$105.71 ,$130.50 ,$105.71 ,$110.93 , N/A ,$90.44 , N/A ,$130.50 ,$73.21 , N/A ,$34.19 ,$130.50 , N/A , N/A , N/A ,$104.40 ,$64.60 ,$36.54 ,$117.45 ,$49.59 ,$70.99 , N/A ,$62.64 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,METOPROLOL TARTRATE 5 MG/5ML SOLN,250,1 ,$88.85 ,$63.97 ,$23.28 ,$88.85 , N/A ,$47.09 ,$48.87 , N/A ,$24.88 ,$46.47 , N/A ,$48.87 , N/A ,$43.98 ,$35.54 , N/A ,$43.98 , N/A ,$62.20 ,$55.53 ,$71.08 , N/A , N/A ,$62.20 , N/A ,$53.31 , N/A ,$66.64 ,$49.05 ,$44.25 ,$49.05 , N/A ,$49.05 ,$71.97 ,$88.85 ,$71.97 ,$75.52 , N/A ,$61.57 , N/A ,$88.85 ,$49.84 , N/A ,$23.28 ,$88.85 , N/A , N/A , N/A ,$71.08 ,$43.98 ,$24.88 ,$79.97 ,$33.76 ,$48.33 , N/A ,$42.65 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,METRONIDAZOLE 500-0.74 MG/100ML-% SOLN,250,1 ,$90.00 ,$64.80 ,$23.58 ,$90.00 , N/A ,$47.70 ,$49.50 , N/A ,$25.20 ,$47.07 , N/A ,$49.50 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$56.25 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$48.96 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,METRONIDAZOLE 500 MG/100ML SOLN,250,1 ,$90.00 ,$64.80 ,$23.58 ,$90.00 , N/A ,$47.70 ,$49.50 , N/A ,$25.20 ,$47.07 , N/A ,$49.50 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$56.25 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$48.96 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,MICROFIBRILLAR COLL HEMOSTAT POWD,250,1 ,"$1,305.00 ",$939.60 ,$341.91 ,"$1,305.00 ", N/A ,$691.65 ,$717.75 , N/A ,$365.40 ,$682.52 , N/A ,$717.75 , N/A ,$645.98 ,$522.00 , N/A ,$645.98 , N/A ,$913.50 ,$815.63 ,"$1,044.00 ", N/A , N/A ,$913.50 , N/A ,$783.00 , N/A ,$978.75 ,$720.36 ,$649.89 ,$720.36 , N/A ,$720.36 ,"$1,057.05 ","$1,305.00 ","$1,057.05 ","$1,109.25 ", N/A ,$904.37 , N/A ,"$1,305.00 ",$732.11 , N/A ,$341.91 ,"$1,305.00 ", N/A , N/A , N/A ,"$1,044.00 ",$645.98 ,$365.40 ,"$1,174.50 ",$495.90 ,$709.92 , N/A ,$626.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,250,1 ,$920.45 ,$662.72 ,$241.16 ,$920.45 , N/A ,$487.84 ,$506.25 , N/A ,$257.73 ,$481.40 , N/A ,$506.25 , N/A ,$455.62 ,$368.18 , N/A ,$455.62 , N/A ,$644.32 ,$575.28 ,$736.36 , N/A , N/A ,$644.32 , N/A ,$552.27 , N/A ,$690.34 ,$508.09 ,$458.38 ,$508.09 , N/A ,$508.09 ,$745.56 ,$920.45 ,$745.56 ,$782.38 , N/A ,$637.87 , N/A ,$920.45 ,$516.37 , N/A ,$241.16 ,$920.45 , N/A , N/A , N/A ,$736.36 ,$455.62 ,$257.73 ,$828.41 ,$349.77 ,$500.72 , N/A ,$441.82 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL,250,1 ,$147.75 ,$106.38 ,$38.71 ,$147.75 , N/A ,$78.31 ,$81.26 , N/A ,$41.37 ,$77.27 , N/A ,$81.26 , N/A ,$73.14 ,$59.10 , N/A ,$73.14 , N/A ,$103.43 ,$92.34 ,$118.20 , N/A , N/A ,$103.43 , N/A ,$88.65 , N/A ,$110.81 ,$81.56 ,$73.58 ,$81.56 , N/A ,$81.56 ,$119.68 ,$147.75 ,$119.68 ,$125.59 , N/A ,$102.39 , N/A ,$147.75 ,$82.89 , N/A ,$38.71 ,$147.75 , N/A , N/A , N/A ,$118.20 ,$73.14 ,$41.37 ,$132.98 ,$56.15 ,$80.38 , N/A ,$70.92 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT,250,1 ,$7.25 ,$5.22 ,$1.90 ,$7.25 , N/A ,$3.84 ,$3.99 , N/A ,$2.03 ,$3.79 , N/A ,$3.99 , N/A ,$3.59 ,$2.90 , N/A ,$3.59 , N/A ,$5.08 ,$4.53 ,$5.80 , N/A , N/A ,$5.08 , N/A ,$4.35 , N/A ,$5.44 ,$4.00 ,$3.61 ,$4.00 , N/A ,$4.00 ,$5.87 ,$7.25 ,$5.87 ,$6.16 , N/A ,$5.02 , N/A ,$7.25 ,$4.07 , N/A ,$1.90 ,$7.25 , N/A , N/A , N/A ,$5.80 ,$3.59 ,$2.03 ,$6.53 ,$2.76 ,$3.94 , N/A ,$3.48 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 5-400-10000 OINT 3.5 G TUBE,250,1 ,$313.25 ,$225.54 ,$82.07 ,$313.25 , N/A ,$166.02 ,$172.29 , N/A ,$87.71 ,$163.83 , N/A ,$172.29 , N/A ,$155.06 ,$125.30 , N/A ,$155.06 , N/A ,$219.28 ,$195.78 ,$250.60 , N/A , N/A ,$219.28 , N/A ,$187.95 , N/A ,$234.94 ,$172.91 ,$156.00 ,$172.91 , N/A ,$172.91 ,$253.73 ,$313.25 ,$253.73 ,$266.26 , N/A ,$217.08 , N/A ,$313.25 ,$175.73 , N/A ,$82.07 ,$313.25 , N/A , N/A , N/A ,$250.60 ,$155.06 ,$87.71 ,$281.93 ,$119.04 ,$170.41 , N/A ,$150.36 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,250,1 ,$239.35 ,$172.33 ,$62.71 ,$239.35 , N/A ,$126.86 ,$131.64 , N/A ,$67.02 ,$125.18 , N/A ,$131.64 , N/A ,$118.48 ,$95.74 , N/A ,$118.48 , N/A ,$167.55 ,$149.59 ,$191.48 , N/A , N/A ,$167.55 , N/A ,$143.61 , N/A ,$179.51 ,$132.12 ,$119.20 ,$132.12 , N/A ,$132.12 ,$193.87 ,$239.35 ,$193.87 ,$203.45 , N/A ,$165.87 , N/A ,$239.35 ,$134.28 , N/A ,$62.71 ,$239.35 , N/A , N/A , N/A ,$191.48 ,$118.48 ,$67.02 ,$215.42 ,$90.95 ,$130.21 , N/A ,$114.89 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% SOLN,250,1 ,$635.60 ,$457.63 ,$166.53 ,$635.60 , N/A ,$336.87 ,$349.58 , N/A ,$177.97 ,$332.42 , N/A ,$349.58 , N/A ,$314.62 ,$254.24 , N/A ,$314.62 , N/A ,$444.92 ,$397.25 ,$508.48 , N/A , N/A ,$444.92 , N/A ,$381.36 , N/A ,$476.70 ,$350.85 ,$316.53 ,$350.85 , N/A ,$350.85 ,$514.84 ,$635.60 ,$514.84 ,$540.26 , N/A ,$440.47 , N/A ,$635.60 ,$356.57 , N/A ,$166.53 ,$635.60 , N/A , N/A , N/A ,$508.48 ,$314.62 ,$177.97 ,$572.04 ,$241.53 ,$345.77 , N/A ,$305.09 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,250,1 ,$578.00 ,$416.16 ,$151.44 ,$578.00 , N/A ,$306.34 ,$317.90 , N/A ,$161.84 ,$302.29 , N/A ,$317.90 , N/A ,$286.11 ,$231.20 , N/A ,$286.11 , N/A ,$404.60 ,$361.25 ,$462.40 , N/A , N/A ,$404.60 , N/A ,$346.80 , N/A ,$433.50 ,$319.06 ,$287.84 ,$319.06 , N/A ,$319.06 ,$468.18 ,$578.00 ,$468.18 ,$491.30 , N/A ,$400.55 , N/A ,$578.00 ,$324.26 , N/A ,$151.44 ,$578.00 , N/A , N/A , N/A ,$462.40 ,$286.11 ,$161.84 ,$520.20 ,$219.64 ,$314.43 , N/A ,$277.44 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN 4 ML AMPULE,250,1 ,$92.35 ,$66.49 ,$24.20 ,$92.35 , N/A ,$48.95 ,$50.79 , N/A ,$25.86 ,$48.30 , N/A ,$50.79 , N/A ,$45.71 ,$36.94 , N/A ,$45.71 , N/A ,$64.65 ,$57.72 ,$73.88 , N/A , N/A ,$64.65 , N/A ,$55.41 , N/A ,$69.26 ,$50.98 ,$45.99 ,$50.98 , N/A ,$50.98 ,$74.80 ,$92.35 ,$74.80 ,$78.50 , N/A ,$64.00 , N/A ,$92.35 ,$51.81 , N/A ,$24.20 ,$92.35 , N/A , N/A , N/A ,$73.88 ,$45.71 ,$25.86 ,$83.12 ,$35.09 ,$50.24 , N/A ,$44.33 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,250,1 ,$201.40 ,$145.01 ,$52.77 ,$201.40 , N/A ,$106.74 ,$110.77 , N/A ,$56.39 ,$105.33 , N/A ,$110.77 , N/A ,$99.69 ,$80.56 , N/A ,$99.69 , N/A ,$140.98 ,$125.88 ,$161.12 , N/A , N/A ,$140.98 , N/A ,$120.84 , N/A ,$151.05 ,$111.17 ,$100.30 ,$111.17 , N/A ,$111.17 ,$163.13 ,$201.40 ,$163.13 ,$171.19 , N/A ,$139.57 , N/A ,$201.40 ,$112.99 , N/A ,$52.77 ,$201.40 , N/A , N/A , N/A ,$161.12 ,$99.69 ,$56.39 ,$181.26 ,$76.53 ,$109.56 , N/A ,$96.67 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NOREPINEPHRINE 4-5 MG/250ML-% SOLN,250,1 ,$230.00 ,$165.60 ,$60.26 ,$230.00 , N/A ,$121.90 ,$126.50 , N/A ,$64.40 ,$120.29 , N/A ,$126.50 , N/A ,$113.85 ,$92.00 , N/A ,$113.85 , N/A ,$161.00 ,$143.75 ,$184.00 , N/A , N/A ,$161.00 , N/A ,$138.00 , N/A ,$172.50 ,$126.96 ,$114.54 ,$126.96 , N/A ,$126.96 ,$186.30 ,$230.00 ,$186.30 ,$195.50 , N/A ,$159.39 , N/A ,$230.00 ,$129.03 , N/A ,$60.26 ,$230.00 , N/A , N/A , N/A ,$184.00 ,$113.85 ,$64.40 ,$207.00 ,$87.40 ,$125.12 , N/A ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$943.35 ,$679.21 ,$247.16 ,$943.35 , N/A ,$499.98 ,$518.84 , N/A ,$264.14 ,$493.37 , N/A ,$518.84 , N/A ,$466.96 ,$377.34 , N/A ,$466.96 , N/A ,$660.35 ,$589.59 ,$754.68 , N/A , N/A ,$660.35 , N/A ,$566.01 , N/A ,$707.51 ,$520.73 ,$469.79 ,$520.73 , N/A ,$520.73 ,$764.11 ,$943.35 ,$764.11 ,$801.85 , N/A ,$653.74 , N/A ,$943.35 ,$529.22 , N/A ,$247.16 ,$943.35 , N/A , N/A , N/A ,$754.68 ,$466.96 ,$264.14 ,$849.02 ,$358.47 ,$513.18 , N/A ,$452.81 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,OLANZAPINE 10 MG SOLR,250,1 ,$297.75 ,$214.38 ,$78.01 ,$297.75 , N/A ,$157.81 ,$163.76 , N/A ,$83.37 ,$155.72 , N/A ,$163.76 , N/A ,$147.39 ,$119.10 , N/A ,$147.39 , N/A ,$208.43 ,$186.09 ,$238.20 , N/A , N/A ,$208.43 , N/A ,$178.65 , N/A ,$223.31 ,$164.36 ,$148.28 ,$164.36 , N/A ,$164.36 ,$241.18 ,$297.75 ,$241.18 ,$253.09 , N/A ,$206.34 , N/A ,$297.75 ,$167.04 , N/A ,$78.01 ,$297.75 , N/A , N/A , N/A ,$238.20 ,$147.39 ,$83.37 ,$267.98 ,$113.15 ,$161.98 , N/A ,$142.92 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,OPHTHALMIC IRRIGATION SOLN 118 ML BOTTLE,250,1 ,$43.90 ,$31.61 ,$11.50 ,$43.90 , N/A ,$23.27 ,$24.15 , N/A ,$12.29 ,$22.96 , N/A ,$24.15 , N/A ,$21.73 ,$17.56 , N/A ,$21.73 , N/A ,$30.73 ,$27.44 ,$35.12 , N/A , N/A ,$30.73 , N/A ,$26.34 , N/A ,$32.93 ,$24.23 ,$21.86 ,$24.23 , N/A ,$24.23 ,$35.56 ,$43.90 ,$35.56 ,$37.32 , N/A ,$30.42 , N/A ,$43.90 ,$24.63 , N/A ,$11.50 ,$43.90 , N/A , N/A , N/A ,$35.12 ,$21.73 ,$12.29 ,$39.51 ,$16.68 ,$23.88 , N/A ,$21.07 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,PILOCARPINE 1 % SOLN 15 ML BOTTLE,250,1 ,$542.15 ,$390.35 ,$142.04 ,$542.15 , N/A ,$287.34 ,$298.18 , N/A ,$151.80 ,$283.54 , N/A ,$298.18 , N/A ,$268.36 ,$216.86 , N/A ,$268.36 , N/A ,$379.51 ,$338.84 ,$433.72 , N/A , N/A ,$379.51 , N/A ,$325.29 , N/A ,$406.61 ,$299.27 ,$269.99 ,$299.27 , N/A ,$299.27 ,$439.14 ,$542.15 ,$439.14 ,$460.83 , N/A ,$375.71 , N/A ,$542.15 ,$304.15 , N/A ,$142.04 ,$542.15 , N/A , N/A , N/A ,$433.72 ,$268.36 ,$151.80 ,$487.94 ,$206.02 ,$294.93 , N/A ,$260.23 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,"POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE",250,1 ,$196.00 ,$141.12 ,$51.35 ,$196.00 , N/A ,$103.88 ,$107.80 , N/A ,$54.88 ,$102.51 , N/A ,$107.80 , N/A ,$97.02 ,$78.40 , N/A ,$97.02 , N/A ,$137.20 ,$122.50 ,$156.80 , N/A , N/A ,$137.20 , N/A ,$117.60 , N/A ,$147.00 ,$108.19 ,$97.61 ,$108.19 , N/A ,$108.19 ,$158.76 ,$196.00 ,$158.76 ,$166.60 , N/A ,$135.83 , N/A ,$196.00 ,$109.96 , N/A ,$51.35 ,$196.00 , N/A , N/A , N/A ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$106.62 , N/A ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,250,1 ,$108.73 ,$78.29 ,$28.49 ,$108.73 , N/A ,$57.63 ,$59.80 , N/A ,$30.44 ,$56.87 , N/A ,$59.80 , N/A ,$53.82 ,$43.49 , N/A ,$53.82 , N/A ,$76.11 ,$67.96 ,$86.98 , N/A , N/A ,$76.11 , N/A ,$65.24 , N/A ,$81.55 ,$60.02 ,$54.15 ,$60.02 , N/A ,$60.02 ,$88.07 ,$108.73 ,$88.07 ,$92.42 , N/A ,$75.35 , N/A ,$108.73 ,$61.00 , N/A ,$28.49 ,$108.73 , N/A , N/A , N/A ,$86.98 ,$53.82 ,$30.44 ,$97.86 ,$41.32 ,$59.15 , N/A ,$52.19 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,POVIDONE-IODINE 10 % SOLN 59 ML BOTTLE,250,1 ,$0.18 ,$0.13 ,$0.05 ,$0.18 , N/A ,$0.10 ,$0.10 , N/A ,$0.05 ,$0.09 , N/A ,$0.10 , N/A ,$0.09 ,$0.07 , N/A ,$0.09 , N/A ,$0.13 ,$0.11 ,$0.14 , N/A , N/A ,$0.13 , N/A ,$0.11 , N/A ,$0.14 ,$0.10 ,$0.09 ,$0.10 , N/A ,$0.10 ,$0.15 ,$0.18 ,$0.15 ,$0.15 , N/A ,$0.12 , N/A ,$0.18 ,$0.10 , N/A ,$0.05 ,$0.18 , N/A , N/A , N/A ,$0.14 ,$0.09 ,$0.05 ,$0.16 ,$0.07 ,$0.10 , N/A ,$0.09 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,250,1 ,$304.30 ,$219.10 ,$79.73 ,$304.30 , N/A ,$161.28 ,$167.37 , N/A ,$85.20 ,$159.15 , N/A ,$167.37 , N/A ,$150.63 ,$121.72 , N/A ,$150.63 , N/A ,$213.01 ,$190.19 ,$243.44 , N/A , N/A ,$213.01 , N/A ,$182.58 , N/A ,$228.23 ,$167.97 ,$151.54 ,$167.97 , N/A ,$167.97 ,$246.48 ,$304.30 ,$246.48 ,$258.66 , N/A ,$210.88 , N/A ,$304.30 ,$170.71 , N/A ,$79.73 ,$304.30 , N/A , N/A , N/A ,$243.44 ,$150.63 ,$85.20 ,$273.87 ,$115.63 ,$165.54 , N/A ,$146.06 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$307.15 ,$221.15 ,$80.47 ,$307.15 , N/A ,$162.79 ,$168.93 , N/A ,$86.00 ,$160.64 , N/A ,$168.93 , N/A ,$152.04 ,$122.86 , N/A ,$152.04 , N/A ,$215.01 ,$191.97 ,$245.72 , N/A , N/A ,$215.01 , N/A ,$184.29 , N/A ,$230.36 ,$169.55 ,$152.96 ,$169.55 , N/A ,$169.55 ,$248.79 ,$307.15 ,$248.79 ,$261.08 , N/A ,$212.86 , N/A ,$307.15 ,$172.31 , N/A ,$80.47 ,$307.15 , N/A , N/A , N/A ,$245.72 ,$152.04 ,$86.00 ,$276.44 ,$116.72 ,$167.09 , N/A ,$147.43 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,RACEPINEPHRINE 2.25 % 2.25 % NEBU,250,1 ,$21.60 ,$15.55 ,$5.66 ,$21.60 , N/A ,$11.45 ,$11.88 , N/A ,$6.05 ,$11.30 , N/A ,$11.88 , N/A ,$10.69 ,$8.64 , N/A ,$10.69 , N/A ,$15.12 ,$13.50 ,$17.28 , N/A , N/A ,$15.12 , N/A ,$12.96 , N/A ,$16.20 ,$11.92 ,$10.76 ,$11.92 , N/A ,$11.92 ,$17.50 ,$21.60 ,$17.50 ,$18.36 , N/A ,$14.97 , N/A ,$21.60 ,$12.12 , N/A ,$5.66 ,$21.60 , N/A , N/A , N/A ,$17.28 ,$10.69 ,$6.05 ,$19.44 ,$8.21 ,$11.75 , N/A ,$10.37 
ST. MARY'S HOSPITAL - DECATUR,25000003,J0248,REMDESIVIR 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$12.48 ,$8.99 ,$3.27 ,$231.65 ,$13.78 ,$6.36 ,$6.86 ,$5.40 ,$3.49 ,$6.53 ,$5.40 ,$6.86 ,$5.40 ,$6.18 ,$4.99 ,$5.40 ,$6.18 ,$11.13 ,$8.74 ,$11.02 ,$9.98 ,$13.78 ,$5.40 ,$8.74 ,$5.40 ,$7.49 ,$5.51 ,$9.36 ,$6.89 ,$6.22 ,$6.89 ,$5.40 ,$6.89 ,$10.11 ,$12.48 ,$10.11 ,$10.61 ,$12.48 ,$8.65 ,$5.40 ,$12.48 ,$7.00 ,$5.40 ,$3.27 ,$12.48 ,$12.48 ,$231.65 ,$5.67 ,$9.98 ,$6.18 ,$3.49 ,$11.23 ,$4.74 ,$9.09 ,$5.40 ,$5.99 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,REMIFENTANIL 1 MG SOLR,250,1 ,$376.50 ,$271.08 ,$98.64 ,$376.50 , N/A ,$199.55 ,$207.08 , N/A ,$105.42 ,$196.91 , N/A ,$207.08 , N/A ,$186.37 ,$150.60 , N/A ,$186.37 , N/A ,$263.55 ,$235.31 ,$301.20 , N/A , N/A ,$263.55 , N/A ,$225.90 , N/A ,$282.38 ,$207.83 ,$187.50 ,$207.83 , N/A ,$207.83 ,$304.97 ,$376.50 ,$304.97 ,$320.03 , N/A ,$260.91 , N/A ,$376.50 ,$211.22 , N/A ,$98.64 ,$376.50 , N/A , N/A , N/A ,$301.20 ,$186.37 ,$105.42 ,$338.85 ,$143.07 ,$204.82 , N/A ,$180.72 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,REMIFENTANIL 2 MG SOLR,250,1 ,$488.30 ,$351.58 ,$127.93 ,$488.30 , N/A ,$258.80 ,$268.57 , N/A ,$136.72 ,$255.38 , N/A ,$268.57 , N/A ,$241.71 ,$195.32 , N/A ,$241.71 , N/A ,$341.81 ,$305.19 ,$390.64 , N/A , N/A ,$341.81 , N/A ,$292.98 , N/A ,$366.23 ,$269.54 ,$243.17 ,$269.54 , N/A ,$269.54 ,$395.52 ,$488.30 ,$395.52 ,$415.06 , N/A ,$338.39 , N/A ,$488.30 ,$273.94 , N/A ,$127.93 ,$488.30 , N/A , N/A , N/A ,$390.64 ,$241.71 ,$136.72 ,$439.47 ,$185.55 ,$265.64 , N/A ,$234.38 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,RIFAMPIN 600 MG SOLR 1 EACH VIAL,250,1 ,"$1,059.80 ",$763.06 ,$277.67 ,"$1,059.80 ", N/A ,$561.69 ,$582.89 , N/A ,$296.74 ,$554.28 , N/A ,$582.89 , N/A ,$524.60 ,$423.92 , N/A ,$524.60 , N/A ,$741.86 ,$662.38 ,$847.84 , N/A , N/A ,$741.86 , N/A ,$635.88 , N/A ,$794.85 ,$585.01 ,$527.78 ,$585.01 , N/A ,$585.01 ,$858.44 ,"$1,059.80 ",$858.44 ,$900.83 , N/A ,$734.44 , N/A ,"$1,059.80 ",$594.55 , N/A ,$277.67 ,"$1,059.80 ", N/A , N/A , N/A ,$847.84 ,$524.60 ,$296.74 ,$953.82 ,$402.72 ,$576.53 , N/A ,$508.70 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,ROCURONIUM 50 MG/5ML SOLN,250,1 ,$100.40 ,$72.29 ,$26.30 ,$100.40 , N/A ,$53.21 ,$55.22 , N/A ,$28.11 ,$52.51 , N/A ,$55.22 , N/A ,$49.70 ,$40.16 , N/A ,$49.70 , N/A ,$70.28 ,$62.75 ,$80.32 , N/A , N/A ,$70.28 , N/A ,$60.24 , N/A ,$75.30 ,$55.42 ,$50.00 ,$55.42 , N/A ,$55.42 ,$81.32 ,$100.40 ,$81.32 ,$85.34 , N/A ,$69.58 , N/A ,$100.40 ,$56.32 , N/A ,$26.30 ,$100.40 , N/A , N/A , N/A ,$80.32 ,$49.70 ,$28.11 ,$90.36 ,$38.15 ,$54.62 , N/A ,$48.19 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SCOPOLAMINE 1 MG/3DAYS PT72,250,1 ,$178.90 ,$128.81 ,$46.87 ,$178.90 , N/A ,$94.82 ,$98.40 , N/A ,$50.09 ,$93.56 , N/A ,$98.40 , N/A ,$88.56 ,$71.56 , N/A ,$88.56 , N/A ,$125.23 ,$111.81 ,$143.12 , N/A , N/A ,$125.23 , N/A ,$107.34 , N/A ,$134.18 ,$98.75 ,$89.09 ,$98.75 , N/A ,$98.75 ,$144.91 ,$178.90 ,$144.91 ,$152.07 , N/A ,$123.98 , N/A ,$178.90 ,$100.36 , N/A ,$46.87 ,$178.90 , N/A , N/A , N/A ,$143.12 ,$88.56 ,$50.09 ,$161.01 ,$67.98 ,$97.32 , N/A ,$85.87 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SILVER-POTASSIUM NITRATE 75-25 % MISC,250,1 ,$4.33 ,$3.12 ,$1.13 ,$4.33 , N/A ,$2.29 ,$2.38 , N/A ,$1.21 ,$2.26 , N/A ,$2.38 , N/A ,$2.14 ,$1.73 , N/A ,$2.14 , N/A ,$3.03 ,$2.71 ,$3.46 , N/A , N/A ,$3.03 , N/A ,$2.60 , N/A ,$3.25 ,$2.39 ,$2.16 ,$2.39 , N/A ,$2.39 ,$3.51 ,$4.33 ,$3.51 ,$3.68 , N/A ,$3.00 , N/A ,$4.33 ,$2.43 , N/A ,$1.13 ,$4.33 , N/A , N/A , N/A ,$3.46 ,$2.14 ,$1.21 ,$3.90 ,$1.65 ,$2.36 , N/A ,$2.08 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN,250,1 ,$174.60 ,$125.71 ,$45.75 ,$174.60 , N/A ,$92.54 ,$96.03 , N/A ,$48.89 ,$91.32 , N/A ,$96.03 , N/A ,$86.43 ,$69.84 , N/A ,$86.43 , N/A ,$122.22 ,$109.13 ,$139.68 , N/A , N/A ,$122.22 , N/A ,$104.76 , N/A ,$130.95 ,$96.38 ,$86.95 ,$96.38 , N/A ,$96.38 ,$141.43 ,$174.60 ,$141.43 ,$148.41 , N/A ,$121.00 , N/A ,$174.60 ,$97.95 , N/A ,$45.75 ,$174.60 , N/A , N/A , N/A ,$139.68 ,$86.43 ,$48.89 ,$157.14 ,$66.35 ,$94.98 , N/A ,$83.81 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,250,1 ,$233.05 ,$167.80 ,$61.06 ,$233.05 , N/A ,$123.52 ,$128.18 , N/A ,$65.25 ,$121.89 , N/A ,$128.18 , N/A ,$115.36 ,$93.22 , N/A ,$115.36 , N/A ,$163.14 ,$145.66 ,$186.44 , N/A , N/A ,$163.14 , N/A ,$139.83 , N/A ,$174.79 ,$128.64 ,$116.06 ,$128.64 , N/A ,$128.64 ,$188.77 ,$233.05 ,$188.77 ,$198.09 , N/A ,$161.50 , N/A ,$233.05 ,$130.74 , N/A ,$61.06 ,$233.05 , N/A , N/A , N/A ,$186.44 ,$115.36 ,$65.25 ,$209.75 ,$88.56 ,$126.78 , N/A ,$111.86 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,"SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT",250,1 ,$106.00 ,$76.32 ,$27.77 ,$106.00 , N/A ,$56.18 ,$58.30 , N/A ,$29.68 ,$55.44 , N/A ,$58.30 , N/A ,$52.47 ,$42.40 , N/A ,$52.47 , N/A ,$74.20 ,$66.25 ,$84.80 , N/A , N/A ,$74.20 , N/A ,$63.60 , N/A ,$79.50 ,$58.51 ,$52.79 ,$58.51 , N/A ,$58.51 ,$85.86 ,$106.00 ,$85.86 ,$90.10 , N/A ,$73.46 , N/A ,$106.00 ,$59.47 , N/A ,$27.77 ,$106.00 , N/A , N/A , N/A ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$57.66 , N/A ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,DEXTROSE 5 % LACTATED RINGERS,250,1 ,$106.00 ,$76.32 ,$27.77 ,$106.00 , N/A ,$56.18 ,$58.30 , N/A ,$29.68 ,$55.44 , N/A ,$58.30 , N/A ,$52.47 ,$42.40 , N/A ,$52.47 , N/A ,$74.20 ,$66.25 ,$84.80 , N/A , N/A ,$74.20 , N/A ,$63.60 , N/A ,$79.50 ,$58.51 ,$52.79 ,$58.51 , N/A ,$58.51 ,$85.86 ,$106.00 ,$85.86 ,$90.10 , N/A ,$73.46 , N/A ,$106.00 ,$59.47 , N/A ,$27.77 ,$106.00 , N/A , N/A , N/A ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$57.66 , N/A ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM CHLORIDE 3 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SIMETHICONE 40 MG/0.6ML SUSP,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM CHLORIDE 0.9 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM CHLORIDE 10 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,AMMONIA INHA,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,BENZOCAINE 20 % 20 % AERO,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,FLUORESCEIN 1 MG STRP,250,1 ,$6.00 ,$4.32 ,$1.57 ,$6.00 , N/A ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM CHLORIDE 7 % NEBU,250,1 ,$9.15 ,$6.59 ,$2.40 ,$9.15 , N/A ,$4.85 ,$5.03 , N/A ,$2.56 ,$4.79 , N/A ,$5.03 , N/A ,$4.53 ,$3.66 , N/A ,$4.53 , N/A ,$6.41 ,$5.72 ,$7.32 , N/A , N/A ,$6.41 , N/A ,$5.49 , N/A ,$6.86 ,$5.05 ,$4.56 ,$5.05 , N/A ,$5.05 ,$7.41 ,$9.15 ,$7.41 ,$7.78 , N/A ,$6.34 , N/A ,$9.15 ,$5.13 , N/A ,$2.40 ,$9.15 , N/A , N/A , N/A ,$7.32 ,$4.53 ,$2.56 ,$8.24 ,$3.48 ,$4.98 , N/A ,$4.39 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM HYPOCHLORITE 0.25 % SOLN 473 ML BOTTLE,250,1 ,$96.05 ,$69.16 ,$25.17 ,$96.05 , N/A ,$50.91 ,$52.83 , N/A ,$26.89 ,$50.23 , N/A ,$52.83 , N/A ,$47.54 ,$38.42 , N/A ,$47.54 , N/A ,$67.24 ,$60.03 ,$76.84 , N/A , N/A ,$67.24 , N/A ,$57.63 , N/A ,$72.04 ,$53.02 ,$47.83 ,$53.02 , N/A ,$53.02 ,$77.80 ,$96.05 ,$77.80 ,$81.64 , N/A ,$66.56 , N/A ,$96.05 ,$53.88 , N/A ,$25.17 ,$96.05 , N/A , N/A , N/A ,$76.84 ,$47.54 ,$26.89 ,$86.45 ,$36.50 ,$52.25 , N/A ,$46.10 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$234.90 ,$169.13 ,$61.54 ,$234.90 , N/A ,$124.50 ,$129.20 , N/A ,$65.77 ,$122.85 , N/A ,$129.20 , N/A ,$116.28 ,$93.96 , N/A ,$116.28 , N/A ,$164.43 ,$146.81 ,$187.92 , N/A , N/A ,$164.43 , N/A ,$140.94 , N/A ,$176.18 ,$129.66 ,$116.98 ,$129.66 , N/A ,$129.66 ,$190.27 ,$234.90 ,$190.27 ,$199.67 , N/A ,$162.79 , N/A ,$234.90 ,$131.78 , N/A ,$61.54 ,$234.90 , N/A , N/A , N/A ,$187.92 ,$116.28 ,$65.77 ,$211.41 ,$89.26 ,$127.79 , N/A ,$112.75 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM PHOSPHATE 45 MMOLE/15ML SOLN 5 ML VIAL,250,1 ,$185.60 ,$133.63 ,$48.63 ,$185.60 , N/A ,$98.37 ,$102.08 , N/A ,$51.97 ,$97.07 , N/A ,$102.08 , N/A ,$91.87 ,$74.24 , N/A ,$91.87 , N/A ,$129.92 ,$116.00 ,$148.48 , N/A , N/A ,$129.92 , N/A ,$111.36 , N/A ,$139.20 ,$102.45 ,$92.43 ,$102.45 , N/A ,$102.45 ,$150.34 ,$185.60 ,$150.34 ,$157.76 , N/A ,$128.62 , N/A ,$185.60 ,$104.12 , N/A ,$48.63 ,$185.60 , N/A , N/A , N/A ,$148.48 ,$91.87 ,$51.97 ,$167.04 ,$70.53 ,$100.97 , N/A ,$89.09 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SODIUM TETRADECYL SULFATE 3 % SOLN,250,1 ,$565.65 ,$407.27 ,$148.20 ,$565.65 , N/A ,$299.79 ,$311.11 , N/A ,$158.38 ,$295.84 , N/A ,$311.11 , N/A ,$280.00 ,$226.26 , N/A ,$280.00 , N/A ,$395.96 ,$353.53 ,$452.52 , N/A , N/A ,$395.96 , N/A ,$339.39 , N/A ,$424.24 ,$312.24 ,$281.69 ,$312.24 , N/A ,$312.24 ,$458.18 ,$565.65 ,$458.18 ,$480.80 , N/A ,$392.00 , N/A ,$565.65 ,$317.33 , N/A ,$148.20 ,$565.65 , N/A , N/A , N/A ,$452.52 ,$280.00 ,$158.38 ,$509.09 ,$214.95 ,$307.71 , N/A ,$271.51 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,STERILE WATER SOLN,250,1 ,$105.00 ,$75.60 ,$27.51 ,$105.00 , N/A ,$55.65 ,$57.75 , N/A ,$29.40 ,$54.92 , N/A ,$57.75 , N/A ,$51.98 ,$42.00 , N/A ,$51.98 , N/A ,$73.50 ,$65.63 ,$84.00 , N/A , N/A ,$73.50 , N/A ,$63.00 , N/A ,$78.75 ,$57.96 ,$52.29 ,$57.96 , N/A ,$57.96 ,$85.05 ,$105.00 ,$85.05 ,$89.25 , N/A ,$72.77 , N/A ,$105.00 ,$58.91 , N/A ,$27.51 ,$105.00 , N/A , N/A , N/A ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$57.12 , N/A ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 3,000 ML PLAS CONT",250,1 ,$105.00 ,$75.60 ,$27.51 ,$105.00 , N/A ,$55.65 ,$57.75 , N/A ,$29.40 ,$54.92 , N/A ,$57.75 , N/A ,$51.98 ,$42.00 , N/A ,$51.98 , N/A ,$73.50 ,$65.63 ,$84.00 , N/A , N/A ,$73.50 , N/A ,$63.00 , N/A ,$78.75 ,$57.96 ,$52.29 ,$57.96 , N/A ,$57.96 ,$85.05 ,$105.00 ,$85.05 ,$89.25 , N/A ,$72.77 , N/A ,$105.00 ,$58.91 , N/A ,$27.51 ,$105.00 , N/A , N/A , N/A ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$57.12 , N/A ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,"STERILE WATER SOLN 1,000 ML BOTTLE",250,1 ,$48.00 ,$34.56 ,$12.58 ,$48.00 , N/A ,$25.44 ,$26.40 , N/A ,$13.44 ,$25.10 , N/A ,$26.40 , N/A ,$23.76 ,$19.20 , N/A ,$23.76 , N/A ,$33.60 ,$30.00 ,$38.40 , N/A , N/A ,$33.60 , N/A ,$28.80 , N/A ,$36.00 ,$26.50 ,$23.90 ,$26.50 , N/A ,$26.50 ,$38.88 ,$48.00 ,$38.88 ,$40.80 , N/A ,$33.26 , N/A ,$48.00 ,$26.93 , N/A ,$12.58 ,$48.00 , N/A , N/A , N/A ,$38.40 ,$23.76 ,$13.44 ,$43.20 ,$18.24 ,$26.11 , N/A ,$23.04 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,"STERILE WATER SOLN 1,000 ML FLEX CONT",250,1 ,$118.00 ,$84.96 ,$30.92 ,$118.00 , N/A ,$62.54 ,$64.90 , N/A ,$33.04 ,$61.71 , N/A ,$64.90 , N/A ,$58.41 ,$47.20 , N/A ,$58.41 , N/A ,$82.60 ,$73.75 ,$94.40 , N/A , N/A ,$82.60 , N/A ,$70.80 , N/A ,$88.50 ,$65.14 ,$58.76 ,$65.14 , N/A ,$65.14 ,$95.58 ,$118.00 ,$95.58 ,$100.30 , N/A ,$81.77 , N/A ,$118.00 ,$66.20 , N/A ,$30.92 ,$118.00 , N/A , N/A , N/A ,$94.40 ,$58.41 ,$33.04 ,$106.20 ,$44.84 ,$64.19 , N/A ,$56.64 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,STERILE WATER SOLN 10 ML VIAL,250,1 ,$56.00 ,$40.32 ,$14.67 ,$56.00 , N/A ,$29.68 ,$30.80 , N/A ,$15.68 ,$29.29 , N/A ,$30.80 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,GLYCOPYRROLATE 1 MG/5ML SOLN,250,1 ,$56.00 ,$40.32 ,$14.67 ,$56.00 , N/A ,$29.68 ,$30.80 , N/A ,$15.68 ,$29.29 , N/A ,$30.80 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LABETALOL 5 MG/ML SOLN 40 ML VIAL,250,1 ,$56.00 ,$40.32 ,$14.67 ,$56.00 , N/A ,$29.68 ,$30.80 , N/A ,$15.68 ,$29.29 , N/A ,$30.80 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,LIDOCAINE 0.5 % SOLN,250,1 ,$56.00 ,$40.32 ,$14.67 ,$56.00 , N/A ,$29.68 ,$30.80 , N/A ,$15.68 ,$29.29 , N/A ,$30.80 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,NITROGLYCERIN 200-5 MCG/ML-% SOLN,250,1 ,$56.00 ,$40.32 ,$14.67 ,$56.00 , N/A ,$29.68 ,$30.80 , N/A ,$15.68 ,$29.29 , N/A ,$30.80 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,STERILE WATER SOLN 50 ML VIAL,250,1 ,$84.20 ,$60.62 ,$22.06 ,$84.20 , N/A ,$44.63 ,$46.31 , N/A ,$23.58 ,$44.04 , N/A ,$46.31 , N/A ,$41.68 ,$33.68 , N/A ,$41.68 , N/A ,$58.94 ,$52.63 ,$67.36 , N/A , N/A ,$58.94 , N/A ,$50.52 , N/A ,$63.15 ,$46.48 ,$41.93 ,$46.48 , N/A ,$46.48 ,$68.20 ,$84.20 ,$68.20 ,$71.57 , N/A ,$58.35 , N/A ,$84.20 ,$47.24 , N/A ,$22.06 ,$84.20 , N/A , N/A , N/A ,$67.36 ,$41.68 ,$23.58 ,$75.78 ,$32.00 ,$45.80 , N/A ,$40.42 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,STRONG IODINE 5 % SOLN 473 ML BOTTLE,250,1 ,$463.10 ,$333.43 ,$121.33 ,$463.10 , N/A ,$245.44 ,$254.71 , N/A ,$129.67 ,$242.20 , N/A ,$254.71 , N/A ,$229.23 ,$185.24 , N/A ,$229.23 , N/A ,$324.17 ,$289.44 ,$370.48 , N/A , N/A ,$324.17 , N/A ,$277.86 , N/A ,$347.33 ,$255.63 ,$230.62 ,$255.63 , N/A ,$255.63 ,$375.11 ,$463.10 ,$375.11 ,$393.64 , N/A ,$320.93 , N/A ,$463.10 ,$259.80 , N/A ,$121.33 ,$463.10 , N/A , N/A , N/A ,$370.48 ,$229.23 ,$129.67 ,$416.79 ,$175.98 ,$251.93 , N/A ,$222.29 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SUGAMMADEX 200 MG/2ML SOLN,250,1 ,$786.78 ,$566.48 ,$206.14 ,$786.78 , N/A ,$416.99 ,$432.73 , N/A ,$220.30 ,$411.49 , N/A ,$432.73 , N/A ,$389.46 ,$314.71 , N/A ,$389.46 , N/A ,$550.75 ,$491.74 ,$629.42 , N/A , N/A ,$550.75 , N/A ,$472.07 , N/A ,$590.09 ,$434.30 ,$391.82 ,$434.30 , N/A ,$434.30 ,$637.29 ,$786.78 ,$637.29 ,$668.76 , N/A ,$545.24 , N/A ,$786.78 ,$441.38 , N/A ,$206.14 ,$786.78 , N/A , N/A , N/A ,$629.42 ,$389.46 ,$220.30 ,$708.10 ,$298.98 ,$428.01 , N/A ,$377.65 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML SOLN 10 ML VIAL,250,1 ,$118.78 ,$85.52 ,$31.12 ,$118.78 , N/A ,$62.95 ,$65.33 , N/A ,$33.26 ,$62.12 , N/A ,$65.33 , N/A ,$58.80 ,$47.51 , N/A ,$58.80 , N/A ,$83.15 ,$74.24 ,$95.02 , N/A , N/A ,$83.15 , N/A ,$71.27 , N/A ,$89.09 ,$65.57 ,$59.15 ,$65.57 , N/A ,$65.57 ,$96.21 ,$118.78 ,$96.21 ,$100.96 , N/A ,$82.31 , N/A ,$118.78 ,$66.64 , N/A ,$31.12 ,$118.78 , N/A , N/A , N/A ,$95.02 ,$58.80 ,$33.26 ,$106.90 ,$45.14 ,$64.62 , N/A ,$57.01 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,SURGICAL LUBRICANT GEL 5 G,250,1 ,$6.40 ,$4.61 ,$1.68 ,$6.40 , N/A ,$3.39 ,$3.52 , N/A ,$1.79 ,$3.35 , N/A ,$3.52 , N/A ,$3.17 ,$2.56 , N/A ,$3.17 , N/A ,$4.48 ,$4.00 ,$5.12 , N/A , N/A ,$4.48 , N/A ,$3.84 , N/A ,$4.80 ,$3.53 ,$3.19 ,$3.53 , N/A ,$3.53 ,$5.18 ,$6.40 ,$5.18 ,$5.44 , N/A ,$4.44 , N/A ,$6.40 ,$3.59 , N/A ,$1.68 ,$6.40 , N/A , N/A , N/A ,$5.12 ,$3.17 ,$1.79 ,$5.76 ,$2.43 ,$3.48 , N/A ,$3.07 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TETRACAINE 0.5 % SOLN 4 ML PLAS CONT,250,1 ,$97.90 ,$70.49 ,$25.65 ,$97.90 , N/A ,$51.89 ,$53.85 , N/A ,$27.41 ,$51.20 , N/A ,$53.85 , N/A ,$48.46 ,$39.16 , N/A ,$48.46 , N/A ,$68.53 ,$61.19 ,$78.32 , N/A , N/A ,$68.53 , N/A ,$58.74 , N/A ,$73.43 ,$54.04 ,$48.75 ,$54.04 , N/A ,$54.04 ,$79.30 ,$97.90 ,$79.30 ,$83.22 , N/A ,$67.84 , N/A ,$97.90 ,$54.92 , N/A ,$25.65 ,$97.90 , N/A , N/A , N/A ,$78.32 ,$48.46 ,$27.41 ,$88.11 ,$37.20 ,$53.26 , N/A ,$46.99 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TETRACAINE 1 % SOLN,250,1 ,$275.63 ,$198.45 ,$72.22 ,$275.63 , N/A ,$146.08 ,$151.60 , N/A ,$77.18 ,$144.15 , N/A ,$151.60 , N/A ,$136.44 ,$110.25 , N/A ,$136.44 , N/A ,$192.94 ,$172.27 ,$220.50 , N/A , N/A ,$192.94 , N/A ,$165.38 , N/A ,$206.72 ,$152.15 ,$137.26 ,$152.15 , N/A ,$152.15 ,$223.26 ,$275.63 ,$223.26 ,$234.29 , N/A ,$191.01 , N/A ,$275.63 ,$154.63 , N/A ,$72.22 ,$275.63 , N/A , N/A , N/A ,$220.50 ,$136.44 ,$77.18 ,$248.07 ,$104.74 ,$149.94 , N/A ,$132.30 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TOBRAMYCIN 300 MG/5ML NEBU,250,1 ,$907.20 ,$653.18 ,$237.69 ,$907.20 , N/A ,$480.82 ,$498.96 , N/A ,$254.02 ,$474.47 , N/A ,$498.96 , N/A ,$449.06 ,$362.88 , N/A ,$449.06 , N/A ,$635.04 ,$567.00 ,$725.76 , N/A , N/A ,$635.04 , N/A ,$544.32 , N/A ,$680.40 ,$500.77 ,$451.79 ,$500.77 , N/A ,$500.77 ,$734.83 ,$907.20 ,$734.83 ,$771.12 , N/A ,$628.69 , N/A ,$907.20 ,$508.94 , N/A ,$237.69 ,$907.20 , N/A , N/A , N/A ,$725.76 ,$449.06 ,$254.02 ,$816.48 ,$344.74 ,$493.52 , N/A ,$435.46 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TPN-CLINIMIX E 8/14 (STANDARD ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TPN-CLINIMIX 4.25/5 (CUSTOM ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TPN-CLINIMIX 4.25/5 (STANDARD ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TPN-CLINIMIX 5/15 (CUSTOM ELECTROLYTES) - WITH MVI AND TRACE ELEMENTS,250,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TPN-CLINIMIX 8/14 (CUSTOM ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TRANEXAMIC ACID 1000 MG/100 ML SOLN 100 ML FLEX CONT,250,1 ,$176.20 ,$126.86 ,$46.16 ,$176.20 , N/A ,$93.39 ,$96.91 , N/A ,$49.34 ,$92.15 , N/A ,$96.91 , N/A ,$87.22 ,$70.48 , N/A ,$87.22 , N/A ,$123.34 ,$110.13 ,$140.96 , N/A , N/A ,$123.34 , N/A ,$105.72 , N/A ,$132.15 ,$97.26 ,$87.75 ,$97.26 , N/A ,$97.26 ,$142.72 ,$176.20 ,$142.72 ,$149.77 , N/A ,$122.11 , N/A ,$176.20 ,$98.85 , N/A ,$46.16 ,$176.20 , N/A , N/A , N/A ,$140.96 ,$87.22 ,$49.34 ,$158.58 ,$66.96 ,$95.85 , N/A ,$84.58 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,250,1 ,$346.67 ,$249.60 ,$90.83 ,$346.67 , N/A ,$183.74 ,$190.67 , N/A ,$97.07 ,$181.31 , N/A ,$190.67 , N/A ,$171.60 ,$138.67 , N/A ,$171.60 , N/A ,$242.67 ,$216.67 ,$277.34 , N/A , N/A ,$242.67 , N/A ,$208.00 , N/A ,$260.00 ,$191.36 ,$172.64 ,$191.36 , N/A ,$191.36 ,$280.80 ,$346.67 ,$280.80 ,$294.67 , N/A ,$240.24 , N/A ,$346.67 ,$194.48 , N/A ,$90.83 ,$346.67 , N/A , N/A , N/A ,$277.34 ,$171.60 ,$97.07 ,$312.00 ,$131.73 ,$188.59 , N/A ,$166.40 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,VALPROATE 100 MG/ML SOLN 5 ML VIAL,250,1 ,$157.73 ,$113.57 ,$41.33 ,$157.73 , N/A ,$83.60 ,$86.75 , N/A ,$44.16 ,$82.49 , N/A ,$86.75 , N/A ,$78.08 ,$63.09 , N/A ,$78.08 , N/A ,$110.41 ,$98.58 ,$126.18 , N/A , N/A ,$110.41 , N/A ,$94.64 , N/A ,$118.30 ,$87.07 ,$78.55 ,$87.07 , N/A ,$87.07 ,$127.76 ,$157.73 ,$127.76 ,$134.07 , N/A ,$109.31 , N/A ,$157.73 ,$88.49 , N/A ,$41.33 ,$157.73 , N/A , N/A , N/A ,$126.18 ,$78.08 ,$44.16 ,$141.96 ,$59.94 ,$85.81 , N/A ,$75.71 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,VANCOMYCIN 50 MG/ML SOLR,250,1 ,$3.40 ,$2.45 ,$0.89 ,$3.40 , N/A ,$1.80 ,$1.87 , N/A ,$0.95 ,$1.78 , N/A ,$1.87 , N/A ,$1.68 ,$1.36 , N/A ,$1.68 , N/A ,$2.38 ,$2.13 ,$2.72 , N/A , N/A ,$2.38 , N/A ,$2.04 , N/A ,$2.55 ,$1.88 ,$1.69 ,$1.88 , N/A ,$1.88 ,$2.75 ,$3.40 ,$2.75 ,$2.89 , N/A ,$2.36 , N/A ,$3.40 ,$1.91 , N/A ,$0.89 ,$3.40 , N/A , N/A , N/A ,$2.72 ,$1.68 ,$0.95 ,$3.06 ,$1.29 ,$1.85 , N/A ,$1.63 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,VERAPAMIL 2.5 MG/ML SOLN,250,1 ,$296.85 ,$213.73 ,$77.77 ,$296.85 , N/A ,$157.33 ,$163.27 , N/A ,$83.12 ,$155.25 , N/A ,$163.27 , N/A ,$146.94 ,$118.74 , N/A ,$146.94 , N/A ,$207.80 ,$185.53 ,$237.48 , N/A , N/A ,$207.80 , N/A ,$178.11 , N/A ,$222.64 ,$163.86 ,$147.83 ,$163.86 , N/A ,$163.86 ,$240.45 ,$296.85 ,$240.45 ,$252.32 , N/A ,$205.72 , N/A ,$296.85 ,$166.53 , N/A ,$77.77 ,$296.85 , N/A , N/A , N/A ,$237.48 ,$146.94 ,$83.12 ,$267.17 ,$112.80 ,$161.49 , N/A ,$142.49 
ST. MARY'S HOSPITAL - DECATUR,25000003,N/A,VITAMIN A 50000 UNIT/ML SOLN,250,1 ,$998.75 ,$719.10 ,$261.67 ,$998.75 , N/A ,$529.34 ,$549.31 , N/A ,$279.65 ,$522.35 , N/A ,$549.31 , N/A ,$494.38 ,$399.50 , N/A ,$494.38 , N/A ,$699.13 ,$624.22 ,$799.00 , N/A , N/A ,$699.13 , N/A ,$599.25 , N/A ,$749.06 ,$551.31 ,$497.38 ,$551.31 , N/A ,$551.31 ,$808.99 ,$998.75 ,$808.99 ,$848.94 , N/A ,$692.13 , N/A ,$998.75 ,$560.30 , N/A ,$261.67 ,$998.75 , N/A , N/A , N/A ,$799.00 ,$494.38 ,$279.65 ,$898.88 ,$379.53 ,$543.32 , N/A ,$479.40 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,DEXTROSE 10 % SOLN,258,1 ,$127.00 ,$91.44 ,$33.27 ,$127.00 , N/A ,$67.31 ,$69.85 , N/A ,$35.56 ,$66.42 , N/A ,$69.85 , N/A ,$62.87 ,$50.80 , N/A ,$62.87 , N/A ,$88.90 ,$79.38 ,$101.60 , N/A , N/A ,$88.90 , N/A ,$76.20 , N/A ,$95.25 ,$70.10 ,$63.25 ,$70.10 , N/A ,$70.10 ,$102.87 ,$127.00 ,$102.87 ,$107.95 , N/A ,$88.01 , N/A ,$127.00 ,$71.25 , N/A ,$33.27 ,$127.00 , N/A , N/A , N/A ,$101.60 ,$62.87 ,$35.56 ,$114.30 ,$48.26 ,$69.09 , N/A ,$60.96 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,"DEXTROSE 10 % SOLN 1,000 ML FLEX CONT",258,1 ,$122.00 ,$87.84 ,$31.96 ,$122.00 , N/A ,$64.66 ,$67.10 , N/A ,$34.16 ,$63.81 , N/A ,$67.10 , N/A ,$60.39 ,$48.80 , N/A ,$60.39 , N/A ,$85.40 ,$76.25 ,$97.60 , N/A , N/A ,$85.40 , N/A ,$73.20 , N/A ,$91.50 ,$67.34 ,$60.76 ,$67.34 , N/A ,$67.34 ,$98.82 ,$122.00 ,$98.82 ,$103.70 , N/A ,$84.55 , N/A ,$122.00 ,$68.44 , N/A ,$31.96 ,$122.00 , N/A , N/A , N/A ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$66.37 , N/A ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,DEXTROSE 10 % SOLN 250 ML FLEX CONT,258,1 ,$102.00 ,$73.44 ,$26.72 ,$102.00 , N/A ,$54.06 ,$56.10 , N/A ,$28.56 ,$53.35 , N/A ,$56.10 , N/A ,$50.49 ,$40.80 , N/A ,$50.49 , N/A ,$71.40 ,$63.75 ,$81.60 , N/A , N/A ,$71.40 , N/A ,$61.20 , N/A ,$76.50 ,$56.30 ,$50.80 ,$56.30 , N/A ,$56.30 ,$82.62 ,$102.00 ,$82.62 ,$86.70 , N/A ,$70.69 , N/A ,$102.00 ,$57.22 , N/A ,$26.72 ,$102.00 , N/A , N/A , N/A ,$81.60 ,$50.49 ,$28.56 ,$91.80 ,$38.76 ,$55.49 , N/A ,$48.96 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,DEXTROSE 50 % SOLN,258,1 ,$178.10 ,$128.23 ,$46.66 ,$178.10 , N/A ,$94.39 ,$97.96 , N/A ,$49.87 ,$93.15 , N/A ,$97.96 , N/A ,$88.16 ,$71.24 , N/A ,$88.16 , N/A ,$124.67 ,$111.31 ,$142.48 , N/A , N/A ,$124.67 , N/A ,$106.86 , N/A ,$133.58 ,$98.31 ,$88.69 ,$98.31 , N/A ,$98.31 ,$144.26 ,$178.10 ,$144.26 ,$151.39 , N/A ,$123.42 , N/A ,$178.10 ,$99.91 , N/A ,$46.66 ,$178.10 , N/A , N/A , N/A ,$142.48 ,$88.16 ,$49.87 ,$160.29 ,$67.68 ,$96.89 , N/A ,$85.49 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,DEXTROSE 50 % SOLN 50 ML SYRINGE,258,1 ,$161.30 ,$116.14 ,$42.26 ,$161.30 , N/A ,$85.49 ,$88.72 , N/A ,$45.16 ,$84.36 , N/A ,$88.72 , N/A ,$79.84 ,$64.52 , N/A ,$79.84 , N/A ,$112.91 ,$100.81 ,$129.04 , N/A , N/A ,$112.91 , N/A ,$96.78 , N/A ,$120.98 ,$89.04 ,$80.33 ,$89.04 , N/A ,$89.04 ,$130.65 ,$161.30 ,$130.65 ,$137.11 , N/A ,$111.78 , N/A ,$161.30 ,$90.49 , N/A ,$42.26 ,$161.30 , N/A , N/A , N/A ,$129.04 ,$79.84 ,$45.16 ,$145.17 ,$61.29 ,$87.75 , N/A ,$77.42 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,PROCALAMINE 3 % SOLN,258,1 ,$337.00 ,$242.64 ,$88.29 ,$337.00 , N/A ,$178.61 ,$185.35 , N/A ,$94.36 ,$176.25 , N/A ,$185.35 , N/A ,$166.82 ,$134.80 , N/A ,$166.82 , N/A ,$235.90 ,$210.63 ,$269.60 , N/A , N/A ,$235.90 , N/A ,$202.20 , N/A ,$252.75 ,$186.02 ,$167.83 ,$186.02 , N/A ,$186.02 ,$272.97 ,$337.00 ,$272.97 ,$286.45 , N/A ,$233.54 , N/A ,$337.00 ,$189.06 , N/A ,$88.29 ,$337.00 , N/A , N/A , N/A ,$269.60 ,$166.82 ,$94.36 ,$303.30 ,$128.06 ,$183.33 , N/A ,$161.76 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,TPN-CLINIMIX E 5/15 (STANDARD ELECTROLYTES),258,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,25800000,N/A,TPN-CLINIMIX 5/15 (STANDARD ELECTROLYTES),258,1 ,$996.15 ,$717.23 ,$260.99 ,$996.15 , N/A ,$527.96 ,$547.88 , N/A ,$278.92 ,$520.99 , N/A ,$547.88 , N/A ,$493.09 ,$398.46 , N/A ,$493.09 , N/A ,$697.31 ,$622.59 ,$796.92 , N/A , N/A ,$697.31 , N/A ,$597.69 , N/A ,$747.11 ,$549.87 ,$496.08 ,$549.87 , N/A ,$549.87 ,$806.88 ,$996.15 ,$806.88 ,$846.73 , N/A ,$690.33 , N/A ,$996.15 ,$558.84 , N/A ,$260.99 ,$996.15 , N/A , N/A , N/A ,$796.92 ,$493.09 ,$278.92 ,$896.54 ,$378.54 ,$541.91 , N/A ,$478.15 
ST. MARY'S HOSPITAL - DECATUR,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$526.00 ,$378.72 ,$65.19 ,$526.00 ,$484.70 ,$278.78 ,$289.30 ,$190.00 ,$147.28 ,$275.10 ,$190.00 ,$289.30 ,$190.00 ,$260.37 ,$65.19 ,$190.00 ,$260.37 ,$391.63 ,$368.20 , N/A ,$420.80 ,$484.70 ,$190.00 ,$368.20 ,$190.00 ,$315.60 ,$193.80 ,$394.50 ,$290.35 ,$261.95 ,$290.35 ,$190.00 ,$290.35 ,$426.06 ,$526.00 ,$426.06 ,$447.10 ,$484.70 ,$364.52 ,$190.00 ,$526.00 ,$295.09 ,$190.00 ,$137.81 ,$526.00 ,$226.38 ,$216.09 ,$199.50 ,$420.80 ,$260.37 ,$147.28 ,$473.40 ,$199.88 ,$286.14 ,$190.00 ,$252.48 
ST. MARY'S HOSPITAL - DECATUR,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$265.00 ,$190.80 ,$23.36 ,$337.82 ,$99.43 ,$140.45 ,$145.75 ,$38.97 ,$74.20 ,$138.60 ,$38.97 ,$145.75 ,$38.97 ,$131.18 ,$23.36 ,$38.97 ,$131.18 ,$80.33 ,$185.50 , N/A ,$212.00 ,$99.42 ,$38.97 ,$185.50 ,$38.97 ,$159.00 ,$39.75 ,$198.75 ,$146.28 ,$131.97 ,$146.28 ,$38.97 ,$146.28 ,$214.65 ,$265.00 ,$214.65 ,$225.25 ,$99.42 ,$183.65 ,$38.97 ,$265.00 ,$148.67 ,$38.97 ,$69.43 ,$265.00 ,$265.00 ,$337.82 ,$40.92 ,$212.00 ,$131.18 ,$74.20 ,$238.50 ,$100.70 ,$144.16 ,$38.97 ,$127.20 
ST. MARY'S HOSPITAL - DECATUR,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$794.00 ,$571.68 ,$100.13 ,$794.00 ,$484.70 ,$420.82 ,$436.70 ,$190.00 ,$222.32 ,$415.26 ,$190.00 ,$436.70 ,$190.00 ,$393.03 ,$100.13 ,$190.00 ,$393.03 ,$391.63 ,$555.80 , N/A ,$635.20 ,$484.70 ,$190.00 ,$555.80 ,$190.00 ,$476.40 ,$193.80 ,$595.50 ,$438.29 ,$395.41 ,$438.29 ,$190.00 ,$438.29 ,$643.14 ,$794.00 ,$643.14 ,$674.90 ,$484.70 ,$550.24 ,$190.00 ,$794.00 ,$445.43 ,$190.00 ,$208.03 ,$794.00 ,$226.38 ,$216.09 ,$199.50 ,$635.20 ,$393.03 ,$222.32 ,$714.60 ,$301.72 ,$431.94 ,$190.00 ,$381.12 
ST. MARY'S HOSPITAL - DECATUR,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$510.00 ,$367.20 ,$30.71 ,$510.00 ,$99.43 ,$270.30 ,$280.50 ,$38.97 ,$142.80 ,$241.07 ,$38.97 ,$251.86 ,$38.97 ,$252.45 ,$30.71 ,$38.97 ,$252.45 ,$80.33 ,$357.00 , N/A ,$408.00 ,$99.42 ,$38.97 ,$357.00 ,$38.97 ,$306.00 ,$39.75 ,$382.50 ,$281.52 ,$253.98 ,$281.52 ,$38.97 ,$281.52 ,$413.10 ,$510.00 ,$413.10 ,$433.50 ,$99.42 ,$353.43 ,$38.97 ,$510.00 ,$286.11 ,$38.97 ,$133.62 ,$510.00 ,$353.90 ,$337.82 ,$40.92 ,$408.00 ,$252.45 ,$142.80 ,$459.00 ,$193.80 ,$277.44 ,$38.97 ,$244.80 
ST. MARY'S HOSPITAL - DECATUR,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$107.00 ,$77.04 ,$28.03 ,$216.09 ,$158.30 ,$56.71 ,$58.85 ,$62.05 ,$29.96 ,$55.96 ,$62.05 ,$58.85 ,$62.05 ,$52.97 ,$44.08 ,$62.05 ,$52.97 ,$107.00 ,$74.90 , N/A ,$85.60 ,$158.31 ,$62.05 ,$74.90 ,$62.05 ,$64.20 ,$63.30 ,$80.25 ,$59.06 ,$53.29 ,$59.06 ,$62.05 ,$59.06 ,$86.67 ,$107.00 ,$86.67 ,$90.95 ,$107.00 ,$74.15 ,$62.05 ,$107.00 ,$60.03 ,$62.05 ,$28.03 ,$107.00 ,$107.00 ,$216.09 ,$65.16 ,$85.60 ,$52.97 ,$29.96 ,$96.30 ,$40.66 ,$58.21 ,$62.05 ,$51.36 
ST. MARY'S HOSPITAL - DECATUR,26000005,96368,HC INFUS CONCURRENT,260,1 ,$115.00 ,$82.80 ,$29.69 ,$216.09 , N/A ,$60.95 ,$63.25 , N/A ,$32.20 ,$60.15 , N/A ,$63.25 , N/A ,$56.93 ,$29.69 , N/A ,$56.93 , N/A ,$80.50 , N/A ,$92.00 , N/A , N/A ,$80.50 , N/A ,$69.00 , N/A ,$86.25 ,$63.48 ,$57.27 ,$63.48 , N/A ,$63.48 ,$93.15 ,$115.00 ,$93.15 ,$97.75 , N/A ,$79.70 , N/A ,$115.00 ,$64.52 , N/A ,$30.13 ,$115.00 ,$115.00 ,$216.09 , N/A ,$92.00 ,$56.93 ,$32.20 ,$103.50 ,$43.70 ,$62.56 , N/A ,$55.20 
ST. MARY'S HOSPITAL - DECATUR,26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$526.00 ,$378.72 ,$65.19 ,$526.00 ,$484.70 ,$278.78 ,$289.30 ,$190.00 ,$147.28 ,$275.10 ,$190.00 ,$289.30 ,$190.00 ,$260.37 ,$65.19 ,$190.00 ,$260.37 ,$391.63 ,$368.20 , N/A ,$420.80 ,$484.70 ,$190.00 ,$368.20 ,$190.00 ,$315.60 ,$193.80 ,$394.50 ,$290.35 ,$261.95 ,$290.35 ,$190.00 ,$290.35 ,$426.06 ,$526.00 ,$426.06 ,$447.10 ,$484.70 ,$364.52 ,$190.00 ,$526.00 ,$295.09 ,$190.00 ,$137.81 ,$526.00 ,$226.38 ,$216.09 ,$199.50 ,$420.80 ,$260.37 ,$147.28 ,$473.40 ,$199.88 ,$286.14 ,$190.00 ,$252.48 
ST. MARY'S HOSPITAL - DECATUR,26000007,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$794.00 ,$571.68 ,$100.13 ,$794.00 ,$484.70 ,$420.82 ,$436.70 ,$190.00 ,$222.32 ,$415.26 ,$190.00 ,$436.70 ,$190.00 ,$393.03 ,$100.13 ,$190.00 ,$393.03 ,$391.63 ,$555.80 , N/A ,$635.20 ,$484.70 ,$190.00 ,$555.80 ,$190.00 ,$476.40 ,$193.80 ,$595.50 ,$438.29 ,$395.41 ,$438.29 ,$190.00 ,$438.29 ,$643.14 ,$794.00 ,$643.14 ,$674.90 ,$484.70 ,$550.24 ,$190.00 ,$794.00 ,$445.43 ,$190.00 ,$208.03 ,$794.00 ,$226.38 ,$216.09 ,$199.50 ,$635.20 ,$393.03 ,$222.32 ,$714.60 ,$301.72 ,$431.94 ,$190.00 ,$381.12 
ST. MARY'S HOSPITAL - DECATUR,26000008,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$418.00 ,$300.96 ,$23.53 ,$418.00 ,$99.43 ,$221.54 ,$229.90 ,$38.97 ,$117.04 ,$199.33 ,$38.97 ,$208.25 ,$38.97 ,$206.91 ,$23.53 ,$38.97 ,$206.91 ,$80.33 ,$292.60 , N/A ,$334.40 ,$99.42 ,$38.97 ,$292.60 ,$38.97 ,$250.80 ,$39.75 ,$313.50 ,$230.74 ,$208.16 ,$230.74 ,$38.97 ,$230.74 ,$338.58 ,$418.00 ,$338.58 ,$355.30 ,$99.42 ,$289.67 ,$38.97 ,$418.00 ,$234.50 ,$38.97 ,$109.52 ,$418.00 , N/A , N/A ,$40.92 ,$334.40 ,$206.91 ,$117.04 ,$376.20 ,$158.84 ,$227.39 ,$38.97 ,$200.64 
ST. MARY'S HOSPITAL - DECATUR,26000009,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$300.00 ,$216.00 ,$14.70 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$133.60 , N/A ,$139.58 , N/A ,$148.50 ,$14.70 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,26000014,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB",260,1 ,$954.00 ,$686.88 ,$249.95 ,$954.00 , N/A ,$505.62 ,$524.70 , N/A ,$267.12 ,$498.94 , N/A ,$524.70 , N/A ,$472.23 ,$381.60 , N/A ,$472.23 , N/A ,$667.80 ,$596.25 ,$763.20 , N/A , N/A ,$667.80 , N/A ,$572.40 , N/A ,$715.50 ,$526.61 ,$475.09 ,$526.61 , N/A ,$526.61 ,$772.74 ,$954.00 ,$772.74 ,$810.90 , N/A ,$661.12 , N/A ,$954.00 ,$535.19 , N/A ,$249.95 ,$954.00 , N/A , N/A , N/A ,$763.20 ,$472.23 ,$267.12 ,$858.60 ,$362.52 ,$518.98 , N/A ,$457.92 
ST. MARY'S HOSPITAL - DECATUR,26000015,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB ADMINISTRATION",260,1 ,"$1,023.00 ",$736.56 ,$216.09 ,"$1,057.05 ","$1,057.05 ",$542.19 ,$562.65 ,$414.36 ,$286.44 ,$535.03 ,$414.36 ,$562.65 ,$414.36 ,$506.39 ,$409.20 ,$414.36 ,$506.39 ,$854.10 ,$716.10 ,$639.38 ,$818.40 ,"$1,057.05 ",$414.36 ,$716.10 ,$414.36 ,$613.80 ,$422.65 ,$767.25 ,$564.70 ,$509.45 ,$564.70 ,$414.36 ,$564.70 ,$828.63 ,"$1,023.00 ",$828.63 ,$869.55 ,"$1,023.00 ",$708.94 ,$414.36 ,"$1,023.00 ",$573.90 ,$414.36 ,$268.03 ,"$1,023.00 ",$226.38 ,$216.09 ,$435.08 ,$818.40 ,$506.39 ,$286.44 ,$920.70 ,$388.74 ,$556.51 ,$414.36 ,$491.04 
ST. MARY'S HOSPITAL - DECATUR,26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$933.00 ,$671.76 ,$216.09 ,"$1,057.05 ","$1,057.05 ",$494.49 ,$513.15 ,$414.36 ,$261.24 ,$487.96 ,$414.36 ,$513.15 ,$414.36 ,$461.84 ,$373.20 ,$414.36 ,$461.84 ,$854.10 ,$653.10 ,$583.13 ,$746.40 ,"$1,057.05 ",$414.36 ,$653.10 ,$414.36 ,$559.80 ,$422.65 ,$699.75 ,$515.02 ,$464.63 ,$515.02 ,$414.36 ,$515.02 ,$755.73 ,$933.00 ,$755.73 ,$793.05 ,$933.00 ,$646.57 ,$414.36 ,$933.00 ,$523.41 ,$414.36 ,$244.45 ,$933.00 ,$226.38 ,$216.09 ,$435.08 ,$746.40 ,$461.84 ,$261.24 ,$839.70 ,$354.54 ,$507.55 ,$414.36 ,$447.84 
ST. MARY'S HOSPITAL - DECATUR,27000024,N/A,HC TRAY SPINAL ANESTHESIA,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27000045,N/A,HC BED SPECIALTY,270,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27000046,N/A,HC BRACE WRIST ARTERIAL,270,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27000050,N/A,HC DEVICE THERAPEP,270,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27000051,N/A,HC DIALYSATE BAG 5 LITERS,270,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27000052,N/A,HC KIT CPM MACHINE,270,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27000053,N/A,HC KIT ISOLATION SUPPLIES,270,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27000055,N/A,HC MASK ANESTHESIA,270,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27000056,N/A,HC MDI CHAMBER,270,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27000057,N/A,HC REHAB TREATMENT JOURNAL,270,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27000059,N/A,HC STRAP FETAL MONITOR,270,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27000060,N/A,HC WRAP GEL COLD PAK,270,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27000090,N/A,HC KIT REFILL PUMP SYNCHROMED,270,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100096,N/A,HC NASAL PHANYNGEAL AIRWAY,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100105,N/A,HC OXYGEN CANNULA,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100107,N/A,HC OXYGEN HOURLY,271,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27100163,N/A,HC VENTILATOR CIRCUIT,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100167,N/A,HC WARMING BLANKET DISPOSABLE,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100188,N/A,HC SLING ARM,271,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27100193,L3260,HC SHOE POST OP,274,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A , N/A ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 , N/A , N/A ,$9.90 , N/A ,$10.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$10.60 ,$20.00 ,$10.60 ,$17.00 , N/A ,$9.90 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$9.92 , N/A , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100215,N/A,HC RESTRAINT ANY TYPE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100219,N/A,HC SET IV MICRO PRIMARY,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100223,N/A,HC SHELL/SHIELD BREAST,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100235,N/A,HC MASK OXYGEN,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100250,N/A,HC ADAPTER NASAL CO2,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100251,N/A,HC BAG URINARY DRAIN,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100253,N/A,HC BLOOD WARMER PRESSURIZED,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27100254,N/A,HC CUFF BLOOD PRESSURE,271,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27100256,N/A,HC ELECTRODE FETAL SCALP,271,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27100257,N/A,HC KIT INFANT RESUSCITATOR,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27100258,N/A,HC KIT RT OXYGEN SUPPLY,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100259,N/A,HC LINER SUCTION CANISTER,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100262,N/A,HC PAD EGG CRATE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100263,N/A,HC POSITIONER HEAD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27100264,N/A,HC PILLOW POSITIONING PRONE,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27100266,N/A,HC SLEEVE SCD THIGH,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100267,N/A,HC SLEEVE SCD FOOT,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27100269,N/A,HC SUSPENSORY/SUPPORT SCROTAL,271,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27100519,N/A,HC SYSTEM MONITR NOVII PTCH,271,1 ,$87.00 ,$62.64 ,$22.79 ,$87.00 , N/A ,$46.11 ,$47.85 , N/A ,$24.36 ,$45.50 , N/A ,$47.85 , N/A ,$43.07 ,$34.80 , N/A ,$43.07 , N/A ,$60.90 ,$54.38 ,$69.60 , N/A , N/A ,$60.90 , N/A ,$52.20 , N/A ,$65.25 ,$48.02 ,$43.33 ,$48.02 , N/A ,$48.02 ,$70.47 ,$87.00 ,$70.47 ,$73.95 , N/A ,$60.29 , N/A ,$87.00 ,$48.81 , N/A ,$22.79 ,$87.00 , N/A , N/A , N/A ,$69.60 ,$43.07 ,$24.36 ,$78.30 ,$33.06 ,$47.33 , N/A ,$41.76 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,1.5% GLYCINE IRRIGATION SOLUTION,271,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CASSETTE IRRIGATION TPS 2 STERILE LATEX FREE DISPOSABLE,271,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DEVICE POSITIONING STAR TRACTION SLEEVE,271,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAUTERY PAD GROUNDING RADIOFREQUENCY,271,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,EPIFILM,271,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,LEAD METRONIC NERVESTIMULATOR 5MM 1 X 8,271,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STOCKINETTE IMPERVIOUS LARGE,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BINDER ABDOMINAL 30-45X12IN 4 PAN,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BINDER ABDOMINAL 46-62X12IN 4 PAN,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE WALKING SMALL UNIVERSAL STANDARD CONTOUR FOOT ANKLE COMFORTABLE HOOK LOOP STRAP ROCKER BOTTOM STRUT DESIGN SHOCK ABSORBABLE SOLE EQUALIZER LATEX FREE GRAY,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE WALKING XS CONTOUR STRUT LOW PROFILE ROCKER SOLE SHOCK ABSORBING INSOLE ADJUSTABLE STRAPS EQUALIZER GRAY,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CANISTER SUCTION 10L WASTE COLLECTION BAG,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAUTERY PENCIL SMOKE EVACUATOR W/HOLSTER,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING STOCKINETTE ORTHO COTTON TUBLR NONSTERILE 25YDX6,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,INSTRUMENT ROBOTIC ENDOWRIST HOT SHEAR ACCESSORY TIP (400180),271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,MATTRESS AIR 74X33IN SOFCARE C350LB VINYL OVERLAY WATERPROOF,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN LUBRICANT/AIR DUFFUSER MIDAS REX,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BAG DRAINAGE LINGEMAN UROLOGY NONSTERILE GE OEC TABLE 2600,271,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,ULTRA SLING MEDIUM GRAY,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BOOT TRACTION UNIVERSAL MEDIAL LATERAL STAY 20IN 20IN,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRA 34-36IN MEDIUM FULL COVERAGE 3 ROW HOOK EYE FRONT CLOSURE POST SURGICAL FABRIC BLACK,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SLING ULTRA LARGE,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SLINGSHOT SHOULDER IMMOBILIZER M,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT DOYLE NASAL,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT NASAL 2.25X1.25IN SMALL ALUMINUM FOAM RUBBER SEPTUM LIGHTWEIGHT LINING WATER RESISTANT ADHESIVE EXTERNAL SKIN PREP,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHOPEDIC LARGE CONTOUR 1.5IN 7.5-9.5IN WRIST RIGHT PERFORATE 3 CONTACT CLOSURE COCKUP ALUMINUM VINYL ADULT,271,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,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 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,WALKER PATIENT XL EQUALIZER BLACK,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE WALKING 7.5-10.5 8.5-11.5 MEDIUM FOOT ANKLE SHOCK ABSORB SOLE ROCKER BOTTOM SEAMLESS LINER FORM FIT BLACK,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE WALKING LARGE PREMIUM HIGH TOP CONTOURED STRUT DESIGN SHOCK ABSORBING ROCKER BOTTOM EQUALIZER BLACK,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,COLLAR CERV ADLT MED 2.5IN MI J PRCR CHIN REST PD TRCH OPN,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,MIAMI J COLLAR 400 REG ADULT AVG FEM,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT NASAL 2.63INX1.73IN LG,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHO MED 1-1.25IN,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STRAP GUHL ANKLE DISTRACTOR,271,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,WIPE INSTRUMENT 3.5X3.5IN MICRO STERILE LATEX FREE DISPOSABLE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BLANKET WARMING 25 X 69,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAST PAD COTTON STERILE 2X4YD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAST PAD COTTON STERILE 4X4YD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAST PAD COTTON STERILE 6X4YD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAST PADDING MEDLINE 4,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CAUTERY PAD PEDIATRIC REM,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING COBAN 3,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING EYE PAD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING STOCKINETTE 3 TUBE/ YARD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING SUPER FLUFF SPONGE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING WEBRIL 3 STERILE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,ELECTRODES FOAM 235,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,FORMULA 1L HIGH NITROGEN TWOCAL VANILLA SUPPLEMENTAL BOTTLE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,HEADREST DONUT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,IMMOB ORTHO UNIV 2 BEND 24IN,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,MANIFOLD DORNOCH REPROCESSED,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PLASTER BLUE 2 FAST,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PLASTER BLUE 3 FAST,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PLASTER BLUE 4 FAST,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PLASTER GREEN 6 X-FAST,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP CHLORAPREP 26ML,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP DURA LARGE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP HIBICLENS 4OZ LF,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP IODINE BETADINE PAINT 4 OZ GR,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP PAINT STICKS 220,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PREP TRAY WET SKIN,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SLING ARM LARGE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SLING ARM XTRA LARGE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IRR 0.9 NACL 250ML BAG,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IRR 0.9 NACL 3000ML BAG,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IRR 0.9% SALINE 1000ML BOTTLE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IRR WATER BOTTLE 1000ML,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IV .9% SALINE 500ML BAG,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IV LACTATED RINGER 1000ML 0.9%,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLUTION IRR 0.9% NACL PLS PB,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLUTION IRR WATER 250,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLUTION SORBITAL 3% 3000ML,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT 12X3IN PRECUT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT 15X4IN PRECUT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT 30X4IN PRECUT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTH LG 8IN 7.5-8.5IN WRST LT CNTCT CLSR MLBL STRD AL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTH XL 8IN 8.5+ IN WRST LT CNTCT CLSR MLBL STRD AL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTH XL 8IN 8.5+ IN WRST RT CNTCT CLSR MLBL PLMR STAY,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHO UNIV 2 BEND 20IN,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHOPEDIC 30X5IN PRECUT LIGHTWEIGHT WASHABLE FIBERGLASS SAFETYSPLINT LATEX FREE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHOPEDIC MEDIUM 8IN 6.5-7.5IN WRIST RIGHT CONTACT CLOSURE PALMAR STAY ALUMINUM CANVAS PROCARE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT PLASTER 4 X 15,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT PLASTER BLUE 5 X 30 FAST,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPONGE SPEAR SURGICAL WECK CELL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STERILE WATER FOR IRRIG.USP.,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STERILE WATER FOR IRRIGATION 1,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STOCKINETTE 4 X 48,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STOCKINETTE 6 X 48,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,STOCKINETTE 8 X 4YD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SUPPORTER ADULT LARGE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SUPPORTER ADULT MEDIUM,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SUPPORTER ADULT SMALL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE ADHERENT STRIP-TS,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,"TAPE ADHESIVE 2""",271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,"TAPE ADHESIVE 6""",271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE DURAPORE 2,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE DURAPORE 3,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MEDIPORE 3,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MEDIPORE 4 X 10YD,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MEDIPORE 6,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MICROFOAM 1 INCH,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MICROFOAM 3,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE MICROFOAM 4 INCH,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,"TAPE PAPER 1""",271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE PAPER 2,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE SURG 10YDX1IN TEE DRMCL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE SURG WHT 10YDX.5IN 3M CLT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE TRANSPORE 1,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE TRANSPORE 2,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE UMB COTN 24X1/8IN LIGA,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE WHT 4YDX3IN DELT-LT CONFR,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE WHT 4YDX4IN DELT-LT FBRGL,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE WHT 4YDX5IN DLTLT CNFRM FBGLS STRCH RGD SUPP EXC LMNT,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TRAP MUCUS 40CC UNIVERSAL CONNECTOR CATHETER OPEN SUCTION STERILE LATEX FREE DISPOSABLE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,ARM CRADLE FOAM,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,ARM ENDOSCOPE BERKELEY SAFETOUCH BOTTLE SEAL CAP NONSTERILE DISPOSABLE,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BAG URINE DRAINAGE 4 LITER,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BANDAGE 5YDX4IN TENSOPLAST COTTON RUBBER POROUS AIR PERMEABLE ELASTIC WATER REPELLENT FLUFFY EDGE ADHESIVE BEIGE NONSTERILE LATEX,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BANDAGE 5YDX6IN TENSOPLAST COTTON POROUS ELASTIC SUPERIOR STRETCH WATER REPELLENT AIR PERMEABLE ADHESIVE NONSTERILE LATEX,271,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,WRAP STERILIZATION 45X45IN LOW LINT MICROBIAL BARRIER FLAME RESISTANCE HALYARD KIMGUARD ONE-STEP QUICK CHECK POLYPROPYLENE NONSTERILE LATEX FREE DISPOSABLE BLUE WHITE 400,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRA 2X-LARGE BLACK,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRA 3236IN LG POST SURG,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRA 42-44IN XL FULL COVERAGE 3 ROW HOOK EYE FRONT CLOSURE POST SURGICAL FABRIC BLACK,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE ORTHOPEDIC 17-27IN 30.5- IN KNEE ROM HINGE TRIMMABLE STRAP POSTOPERATIVE FLEXIBLE CUFF FOAM T SCOPE BRIDGETECH,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRACE ORTHOPEDIC XL 17-27IN 35.5- IN KNEE ROM HINGE TRIMMABLE STRAP POSTOPERATIVE FLEXIBLE CUFF FOAM T SCOPE BRIDGETECH,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,BRAKE CASTER W/BMPR,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,MIAMI J COLLAR SHORT,271,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,WRAP THERP KNEE THIGH GEL,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CUFF TOURNIQUET DISP CUFF 18 STERILE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,CUFF TOURNIQUET DISP CUFF 30 STERILE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,DRESSING STOCKINETTE ORTHO COTTON TUBLR NON-STERILE 25YDX4,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,PILLOW ABDUCTION HIP MEDIUM DISPOSABLE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,POSITIONER LARGE BUMP ROUND TOP STERILE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,POSITIONING STRAP HEAD CHIN,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,POSITIONING SURGICAL ASSISTANT HOLDER INSERT LEG FOAM WHITE DISPOSABLE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SOLN IRRIGATION SOBITOL 3000ML,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTH 35X3IN PCUT FBGLS OTHGLS,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHOPEDIC LARGE 8IN 7.5-8.5IN WRIST RIGHT CONTACT CLOSURE MALLEABLE PALMAR STAY STURDY ALUMINUM CANVAS COCK-UP PROCARE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,SPLINT ORTHOPEDIC MEDIUM 8IN 6.5-7.5IN WRIST LEFT CONTACT CLOSURE MALLEABLE STURDY ALUMINUM CANVAS COCK-UP PROCARE,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27170000,N/A,TAPE DRSG HPFX 10YDX4IN ADH WA,271,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27200054,C1751,HC KIT CATHETER,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 , N/A ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27200357,N/A,HC BIS MONITOR STRIP,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27200543,N/A,HC BLOOD FILTER,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27200544,N/A,HC BLOOD TUBING,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27200546,N/A,HC BLOOD WARMER UNIT AND TUBING,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27200571,N/A,HC BREAST PUMP KIT,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27200798,N/A,HC CATH INTRODUCER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27200848,N/A,HC CATHETER - ARTERIAL SET,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27200849,N/A,HC CATHETER - FOLEY,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27200885,N/A,HC CELL SAVER RESERVOIR,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27201148,N/A,HC DRESSING AQUACELL W/HYDROFIBER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27201221,N/A,HC ENDO BRONCHIAL TUBE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27201252,N/A,HC EPIDURAL TRAY,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27201271,N/A,HC EYE GUARDS POST-OP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27201413,N/A,HC HI-LO EVAC ENDOTRACH TUBE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27201596,N/A,HC LASER-FLEX ENDOTRACH TUB,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27201613,N/A,HC LINER DISP SUCTION,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27201890,N/A,HC PREP CHLORAPREP 26ML,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27201950,N/A,HC RAE TUBE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27201973,N/A,HC RETR ALEXIS LG,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27201974,N/A,HC RETR ALEXIS XL,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27202002,N/A,HC SCD SLEEVE KNEE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27202033,N/A,HC SET IV SECONDARY,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27202120,N/A,HC STAPLER SKIN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27202151,N/A,HC STOCKING TED KNEE HIGH,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27202152,N/A,HC STOCKING TED THIGH HIGH,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27202729,N/A,HC TRANSDUCER COVER,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27202885,N/A,HC TUBE NIM EMG ENDOTRACHEAL,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27203101,N/A,HC STOPCOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203265,N/A,HC ELECTRODES,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203298,N/A,HC HEMOSTATIC PARTICLES,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27203511,N/A,HC BAG LEG URINARY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203519,A6223,HC DRESSING XEROFORM,272,1 ,$10.00 ,$7.20 ,$2.23 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$2.23 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203526,A6266,HC PACKING GAUZE IODOFORM,272,1 ,$10.00 ,$7.20 ,$1.77 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$1.77 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203528,A6403,HC DRESSING KERLIX SPONGE >16  AND  <48 SQ CM,272,1 ,$20.00 ,$14.40 ,$0.50 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$3.35 , N/A ,$3.50 , N/A ,$9.90 ,$0.50 , N/A ,$9.90 , N/A ,$14.00 , N/A ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27203538,N/A,HC KIT ARTERIAL LINE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27203557,N/A,HC CATHETER INTRAUTERINE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27203560,N/A,HC CATHETER IV,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203562,N/A,HC CATHETER SUCTION,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203575,N/A,HC DRESSING TELFA,272,1 ,$25.00 ,$18.00 ,$6.55 ,$25.00 , N/A ,$13.25 ,$13.75 , N/A ,$7.00 ,$13.08 , N/A ,$13.75 , N/A ,$12.38 ,$10.00 , N/A ,$12.38 , N/A ,$17.50 ,$15.63 ,$20.00 , N/A , N/A ,$17.50 , N/A ,$15.00 , N/A ,$18.75 ,$13.80 ,$12.45 ,$13.80 , N/A ,$13.80 ,$20.25 ,$25.00 ,$20.25 ,$21.25 , N/A ,$17.33 , N/A ,$25.00 ,$14.03 , N/A ,$6.55 ,$25.00 , N/A , N/A , N/A ,$20.00 ,$12.38 ,$7.00 ,$22.50 ,$9.50 ,$13.60 , N/A ,$12.00 
ST. MARY'S HOSPITAL - DECATUR,27203589,N/A,HC STYLET INTUBATING,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203590,N/A,HC SYRINGE PUMP SYRINGE,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27203605,N/A,HC CIRCUIT ANESTHESIA,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203617,N/A,HC SET IV PRIMARY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27203626,N/A,HC TUBE ENDOTRACH,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27203632,N/A,HC SET IV PRIMARY PUMP,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27203841,N/A,HC BALLOON DILATOR CERVICAL,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27203846,N/A,HC SYSTEM VACUUM ASSIST MUSHROOM CAP,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27203849,N/A,HC DRESSING WOUND PICO,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27203886,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27203923,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27203939,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T29,272,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ","$3,480.00 ", N/A ,"$4,306.50 ", N/A ,"$6,090.00 ", N/A ,"$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$7,047.00 ","$8,700.00 ","$7,047.00 ","$7,395.00 ", N/A ,"$6,029.10 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$3,306.00 ","$4,732.80 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27203941,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T31,272,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ","$3,960.00 ", N/A ,"$4,900.50 ", N/A ,"$6,930.00 ", N/A ,"$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$8,019.00 ","$9,900.00 ","$8,019.00 ","$8,415.00 ", N/A ,"$6,860.70 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$3,762.00 ","$5,385.60 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27203942,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T32,272,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ","$4,200.00 ", N/A ,"$5,197.50 ", N/A ,"$7,350.00 ", N/A ,"$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$8,505.00 ","$10,500.00 ","$8,505.00 ","$8,925.00 ", N/A ,"$7,276.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$3,990.00 ","$5,712.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27203948,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27203949,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27203950,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27203951,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27203952,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T10,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27203953,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27203954,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27203955,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27203956,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27203957,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T15,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27203958,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T16,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 , N/A ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27203959,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T17,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ", N/A ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27203960,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27203961,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27203962,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27203963,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27203966,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ", N/A ,"$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27203967,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ", N/A ,"$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27203968,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ", N/A ,"$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27203982,C1730,HC CATHETER EP DIAG <19 ELECTRODES T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204058,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204073,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T1,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204074,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T2,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204075,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T3,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204084,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T12,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204090,C1753,HC CATHETER US IMAGING/IVUS T5,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204091,C1753,HC CATHETER US IMAGING/IVUS T6,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204092,C1753,HC CATHETER US IMAGING/IVUS T7,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204099,C1753,HC CATHETER US IMAGING/IVUS T14,272,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,000.00 ", N/A ,"$3,712.50 ", N/A ,"$5,250.00 ", N/A ,"$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,197.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ","$4,080.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27204100,C1753,HC CATHETER US IMAGING/IVUS T15,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ", N/A ,"$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27204106,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204107,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204108,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204109,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204110,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T10,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27204113,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27204114,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204116,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T16,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 , N/A ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27204118,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204123,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T23,272,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ","$2,040.00 ", N/A ,"$2,524.50 ", N/A ,"$3,570.00 ", N/A ,"$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$4,131.00 ","$5,100.00 ","$4,131.00 ","$4,335.00 ", N/A ,"$3,534.30 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$1,938.00 ","$2,774.40 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27204124,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ", N/A ,"$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27204128,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T28,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ", N/A ,"$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27204129,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T29,272,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ","$3,480.00 ", N/A ,"$4,306.50 ", N/A ,"$6,090.00 ", N/A ,"$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$7,047.00 ","$8,700.00 ","$7,047.00 ","$7,395.00 ", N/A ,"$6,029.10 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$3,306.00 ","$4,732.80 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27204141,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T41,272,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ","$6,600.00 ", N/A ,"$8,167.50 ", N/A ,"$11,550.00 ", N/A ,"$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$13,365.00 ","$16,500.00 ","$13,365.00 ","$14,025.00 ", N/A ,"$11,434.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$6,270.00 ","$8,976.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27204146,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T46,272,1 ,"$20,500.00 ","$14,760.00 ","$5,371.00 ","$20,500.00 ", N/A ,"$10,865.00 ","$11,275.00 ", N/A ,"$5,740.00 ","$10,721.50 ", N/A ,"$11,275.00 ", N/A ,"$10,147.50 ","$8,200.00 ", N/A ,"$10,147.50 ", N/A ,"$14,350.00 ", N/A ,"$16,400.00 ", N/A , N/A ,"$14,350.00 ", N/A ,"$12,300.00 ", N/A ,"$15,375.00 ","$11,316.00 ","$10,209.00 ","$11,316.00 ", N/A ,"$11,316.00 ","$16,605.00 ","$20,500.00 ","$16,605.00 ","$17,425.00 ", N/A ,"$14,206.50 ", N/A ,"$20,500.00 ","$11,500.50 ", N/A ,"$5,371.00 ","$20,500.00 ", N/A , N/A , N/A ,"$16,400.00 ","$10,147.50 ","$5,740.00 ","$18,450.00 ","$7,790.00 ","$11,152.00 ", N/A ,"$9,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27204167,C1760,HC DEVICE VASCULAR CLOSURE T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204174,C1760,HC DEVICE VASCULAR CLOSURE T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204175,C1760,HC DEVICE VASCULAR CLOSURE T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204203,C1769,HC GUIDEWIRE GLIDEWIRE T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204204,C1769,HC GUIDEWIRE GLIDEWIRE T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204206,C1769,HC GUIDEWIRE GLIDEWIRE T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204208,C1769,HC GUIDEWIRE GLIDEWIRE T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204217,C1769,HC GUIDEWIRE GLIDEWIRE T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204219,C1769,HC GUIDEWIRE T2,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 , N/A ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204220,C1769,HC GUIDEWIRE T3,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 , N/A ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204221,C1769,HC GUIDEWIRE T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204222,C1769,HC GUIDEWIRE T5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204223,C1769,HC GUIDEWIRE T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204224,C1769,HC GUIDEWIRE T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204225,C1769,HC GUIDEWIRE T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204226,C1769,HC GUIDEWIRE T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204227,C1769,HC GUIDEWIRE T10,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27204228,C1769,HC GUIDEWIRE T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204229,C1769,HC GUIDEWIRE T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204235,C1769,HC GUIDEWIRE T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204257,C1773,HC DEVICE RETRIEVAL INSERTABLE T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204258,C1773,HC DEVICE RETRIEVAL INSERTABLE T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27204259,C1773,HC DEVICE RETRIEVAL INSERTABLE T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204260,C1773,HC DEVICE RETRIEVAL INSERTABLE T15,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27204261,C1773,HC DEVICE RETRIEVAL INSERTABLE T16,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 , N/A ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27204263,C1773,HC DEVICE RETRIEVAL INSERTABLE T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204291,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204296,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204297,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204298,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27204299,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27204300,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T23,272,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ","$2,040.00 ", N/A ,"$2,524.50 ", N/A ,"$3,570.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$4,131.00 ","$5,100.00 ","$4,131.00 ","$4,335.00 ", N/A ,"$3,534.30 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$1,938.00 ","$2,774.40 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27204301,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27204302,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27204326,C1887,HC CATHETER GUIDING T2,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 , N/A ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204327,C1887,HC CATHETER GUIDING T3,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 , N/A ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204328,C1887,HC CATHETER GUIDING T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204329,C1887,HC CATHETER GUIDING T5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204330,C1887,HC CATHETER GUIDING T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204331,C1887,HC CATHETER GUIDING T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204332,C1887,HC CATHETER GUIDING T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204333,C1887,HC CATHETER GUIDING T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204334,C1887,HC CATHETER GUIDING T10,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27204335,C1887,HC CATHETER GUIDING T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204336,C1887,HC CATHETER GUIDING T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204337,C1887,HC CATHETER GUIDING T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27204338,C1887,HC CATHETER GUIDING T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204339,C1887,HC CATHETER GUIDING T15,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27204340,C1887,HC CATHETER GUIDING T16,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 , N/A ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27204341,C1887,HC CATHETER GUIDING T17,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ", N/A ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27204342,C1887,HC CATHETER GUIDING T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204343,C1887,HC CATHETER GUIDING T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204344,C1887,HC CATHETER GUIDING T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204345,C1887,HC CATHETER GUIDING T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27204346,C1887,HC CATHETER GUIDING T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ", N/A ,"$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27204351,C1887,HC CATHETER GUIDING T27,272,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,000.00 ", N/A ,"$3,712.50 ", N/A ,"$5,250.00 ", N/A ,"$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,197.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ","$4,080.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27204354,C1887,HC CATHETER GUIDING T30,272,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ","$3,720.00 ", N/A ,"$4,603.50 ", N/A ,"$6,510.00 ", N/A ,"$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$7,533.00 ","$9,300.00 ","$7,533.00 ","$7,905.00 ", N/A ,"$6,444.90 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$3,534.00 ","$5,059.20 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27204370,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204371,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204376,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204383,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204408,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T3,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 , N/A ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204409,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204410,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204411,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204412,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204413,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204414,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204416,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204417,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204418,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27204419,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 , N/A ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204422,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T17,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ", N/A ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27204423,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204424,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204425,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204426,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27204431,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ", N/A ,"$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27204443,C2628,HC CATHETER OCCLUSION T9,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27204444,C2628,HC CATHETER OCCLUSION T10,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ", N/A ,"$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27204446,C2628,HC CATHETER OCCLUSION T12,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ", N/A ,"$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27204447,N/A,HC SUTURE T1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204448,N/A,HC SUTURE T2,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204449,N/A,HC SUTURE T3,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204450,N/A,HC SUTURE T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204451,N/A,HC SURGICAL STERILE SUPPLY T1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204452,N/A,HC SURGICAL STERILE SUPPLY T2,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204453,N/A,HC SURGICAL STERILE SUPPLY T3,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204454,N/A,HC SURGICAL STERILE SUPPLY T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204455,N/A,HC SURGICAL STERILE SUPPLY T5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204456,N/A,HC SURGICAL STERILE SUPPLY T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204457,N/A,HC SURGICAL STERILE SUPPLY T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204458,N/A,HC SURGICAL STERILE SUPPLY T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204459,N/A,HC SURGICAL STERILE SUPPLY T9,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27204460,N/A,HC SURGICAL STERILE SUPPLY T10,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27204461,N/A,HC SURGICAL STERILE SUPPLY T11,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27204462,N/A,HC SURGICAL STERILE SUPPLY T12,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204463,N/A,HC SURGICAL STERILE SUPPLY T13,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27204464,N/A,HC SURGICAL STERILE SUPPLY T14,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27204465,N/A,HC SURGICAL STERILE SUPPLY T15,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27204466,N/A,HC SURGICAL STERILE SUPPLY T16,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27204467,N/A,HC SURGICAL STERILE SUPPLY T17,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27204468,N/A,HC SURGICAL STERILE SUPPLY T18,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27204469,N/A,HC SURGICAL STERILE SUPPLY T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204470,N/A,HC SURGICAL STERILE SUPPLY T20,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27204474,N/A,HC SURGICAL STERILE SUPPLY T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27204475,N/A,HC SURGICAL STERILE SUPPLY T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27204525,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T1,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204560,C1729,HC CATHETER DRAINAGE T4,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204562,C1729,HC CATHETER DRAINAGE T6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204563,C1729,HC CATHETER DRAINAGE T7,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204564,C1729,HC CATHETER DRAINAGE T8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27204573,C1729,HC CATHETER DRAINAGE T17,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ", N/A ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27204574,N/A,HC ORAL AIRWAY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204575,N/A,HC LARYNGEAL MASK AIRWAY SUPREME,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204579,N/A,HC DIALYZER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204581,N/A,HC FILTER CIRCUIT,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204582,N/A,HC FILTER IV,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204584,N/A,HC KIT OXYGEN THERAPY,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204585,N/A,HC KIT MULTILUMEN CATHETER,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27204586,N/A,HC KIT TRANSDUCER,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204587,N/A,HC KIT TRANSDUCER TRIPLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27204588,N/A,HC NEEDLE PACK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204589,N/A,HC NEEDLE REGIONAL,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204590,N/A,HC PACK C-SECTION,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204591,N/A,HC PROBE,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204593,N/A,HC SET BLOOD WASH,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204594,N/A,HC SPONGE GELFOAM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204595,N/A,HC SYRINGE PACK,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204596,N/A,HC SUCTION TIP,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204597,N/A,HC SUTURE CHROMIC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204598,N/A,HC SUTURE MONOCRYL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204599,N/A,HC SUTURE PLAIN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204600,N/A,HC SUTURE VICRYL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204601,N/A,HC TAPE ELASTIKON,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204606,N/A,HC TUBE JET VENTILATION,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204607,N/A,HC TUBE NASOGASTRIC,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204609,N/A,HC TUBE PRESSURE,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204610,N/A,HC TUBING CELL SAVER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27204611,N/A,HC TUBING EPIDURAL,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204612,N/A,HC TUBING EXTENSION,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27204613,N/A,HC TUBING HIGH PRESSURE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204614,N/A,HC TUBING IV,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27204615,N/A,HC TUBING Y,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27204616,N/A,HC TUBING SUCTION,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27204738,C1729,HC CATHETER DRAINAGE T19,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27204740,C1729,HC CATHETER DRAINAGE T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27204769,N/A,HC BALLOON UTERINE TAMPON,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$20.00 ,$14.40 ,$5.24 ,$20.00 , N/A ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 , N/A ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,27205006,N/A,HC RETRACTOR ABDOMINAL T2,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27205097,C1819,HC WIRE BREAST,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27205207,C1768,HC GRAFT VASCULAR T1,272,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ","$4,440.00 ", N/A ,"$5,494.50 ", N/A ,"$7,770.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$8,991.00 ","$11,100.00 ","$8,991.00 ","$9,435.00 ", N/A ,"$7,692.30 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$4,218.00 ","$6,038.40 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27205208,C1768,HC GRAFT VASCULAR T2,272,1 ,"$11,700.00 ","$8,424.00 ","$3,065.40 ","$11,700.00 ", N/A ,"$6,201.00 ","$6,435.00 ", N/A ,"$3,276.00 ","$6,119.10 ", N/A ,"$6,435.00 ", N/A ,"$5,791.50 ","$4,680.00 ", N/A ,"$5,791.50 ", N/A ,"$8,190.00 ","$7,312.50 ","$9,360.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$7,020.00 ", N/A ,"$8,775.00 ","$6,458.40 ","$5,826.60 ","$6,458.40 ", N/A ,"$6,458.40 ","$9,477.00 ","$11,700.00 ","$9,477.00 ","$9,945.00 ", N/A ,"$8,108.10 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$3,065.40 ","$11,700.00 ", N/A , N/A , N/A ,"$9,360.00 ","$5,791.50 ","$3,276.00 ","$10,530.00 ","$4,446.00 ","$6,364.80 ", N/A ,"$5,616.00 "
ST. MARY'S HOSPITAL - DECATUR,27205209,C1768,HC GRAFT VASCULAR T3,272,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ","$4,920.00 ", N/A ,"$6,088.50 ", N/A ,"$8,610.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$9,963.00 ","$12,300.00 ","$9,963.00 ","$10,455.00 ", N/A ,"$8,523.90 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$4,674.00 ","$6,691.20 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27205210,C1768,HC GRAFT VASCULAR T4,272,1 ,"$12,900.00 ","$9,288.00 ","$3,379.80 ","$12,900.00 ", N/A ,"$6,837.00 ","$7,095.00 ", N/A ,"$3,612.00 ","$6,746.70 ", N/A ,"$7,095.00 ", N/A ,"$6,385.50 ","$5,160.00 ", N/A ,"$6,385.50 ", N/A ,"$9,030.00 ","$8,062.50 ","$10,320.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$7,740.00 ", N/A ,"$9,675.00 ","$7,120.80 ","$6,424.20 ","$7,120.80 ", N/A ,"$7,120.80 ","$10,449.00 ","$12,900.00 ","$10,449.00 ","$10,965.00 ", N/A ,"$8,939.70 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$3,379.80 ","$12,900.00 ", N/A , N/A , N/A ,"$10,320.00 ","$6,385.50 ","$3,612.00 ","$11,610.00 ","$4,902.00 ","$7,017.60 ", N/A ,"$6,192.00 "
ST. MARY'S HOSPITAL - DECATUR,27205211,C1768,HC GRAFT VASCULAR T5,272,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ","$5,400.00 ", N/A ,"$6,682.50 ", N/A ,"$9,450.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$10,935.00 ","$13,500.00 ","$10,935.00 ","$11,475.00 ", N/A ,"$9,355.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$5,130.00 ","$7,344.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27205212,C1768,HC GRAFT VASCULAR T6,272,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ","$5,700.00 ", N/A ,"$7,053.75 ", N/A ,"$9,975.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$11,542.50 ","$14,250.00 ","$11,542.50 ","$12,112.50 ", N/A ,"$9,875.25 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$5,415.00 ","$7,752.00 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27205213,C1768,HC GRAFT VASCULAR T7,272,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ","$6,000.00 ", N/A ,"$7,425.00 ", N/A ,"$10,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$12,150.00 ","$15,000.00 ","$12,150.00 ","$12,750.00 ", N/A ,"$10,395.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$5,700.00 ","$8,160.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27205214,C1768,HC GRAFT VASCULAR T8,272,1 ,"$15,750.00 ","$11,340.00 ","$4,126.50 ","$15,750.00 ", N/A ,"$8,347.50 ","$8,662.50 ", N/A ,"$4,410.00 ","$8,237.25 ", N/A ,"$8,662.50 ", N/A ,"$7,796.25 ","$6,300.00 ", N/A ,"$7,796.25 ", N/A ,"$11,025.00 ","$9,843.75 ","$12,600.00 ", N/A , N/A ,"$11,025.00 ", N/A ,"$9,450.00 ", N/A ,"$11,812.50 ","$8,694.00 ","$7,843.50 ","$8,694.00 ", N/A ,"$8,694.00 ","$12,757.50 ","$15,750.00 ","$12,757.50 ","$13,387.50 ", N/A ,"$10,914.75 ", N/A ,"$15,750.00 ","$8,835.75 ", N/A ,"$4,126.50 ","$15,750.00 ", N/A , N/A , N/A ,"$12,600.00 ","$7,796.25 ","$4,410.00 ","$14,175.00 ","$5,985.00 ","$8,568.00 ", N/A ,"$7,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27205215,C1768,HC GRAFT VASCULAR T9,272,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ","$6,600.00 ", N/A ,"$8,167.50 ", N/A ,"$11,550.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$13,365.00 ","$16,500.00 ","$13,365.00 ","$14,025.00 ", N/A ,"$11,434.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$6,270.00 ","$8,976.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27205216,C1768,HC GRAFT VASCULAR T10,272,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ","$6,900.00 ", N/A ,"$8,538.75 ", N/A ,"$12,075.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$13,972.50 ","$17,250.00 ","$13,972.50 ","$14,662.50 ", N/A ,"$11,954.25 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$6,555.00 ","$9,384.00 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27205217,C1768,HC GRAFT VASCULAR T11,278,1 ,"$18,000.00 ","$12,960.00 ","$4,716.00 ","$18,000.00 ", N/A ,"$9,540.00 ","$9,900.00 ", N/A ,"$5,040.00 ","$9,414.00 ", N/A ,"$9,900.00 ", N/A ,"$8,910.00 ", N/A , N/A ,"$8,910.00 ", N/A ,"$9,000.00 ","$11,250.00 ","$14,400.00 ", N/A , N/A ,"$12,600.00 ", N/A ,"$10,800.00 ", N/A ,"$13,500.00 ","$9,936.00 ","$8,964.00 ","$9,936.00 ", N/A ,"$9,936.00 ","$9,540.00 ","$18,000.00 ","$9,540.00 ","$15,300.00 ", N/A ,"$8,910.00 ", N/A ,"$18,000.00 ","$10,098.00 ", N/A ,"$4,716.00 ","$18,000.00 ", N/A , N/A , N/A ,"$14,400.00 ","$8,910.00 ","$5,040.00 ","$16,200.00 ","$8,928.00 ","$6,300.00 ", N/A ,"$8,640.00 "
ST. MARY'S HOSPITAL - DECATUR,27205218,C1768,HC GRAFT VASCULAR T12,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27205219,C1768,HC GRAFT VASCULAR T13,272,1 ,"$19,500.00 ","$14,040.00 ","$5,109.00 ","$19,500.00 ", N/A ,"$10,335.00 ","$10,725.00 ", N/A ,"$5,460.00 ","$10,198.50 ", N/A ,"$10,725.00 ", N/A ,"$9,652.50 ","$7,800.00 ", N/A ,"$9,652.50 ", N/A ,"$13,650.00 ","$12,187.50 ","$15,600.00 ", N/A , N/A ,"$13,650.00 ", N/A ,"$11,700.00 ", N/A ,"$14,625.00 ","$10,764.00 ","$9,711.00 ","$10,764.00 ", N/A ,"$10,764.00 ","$15,795.00 ","$19,500.00 ","$15,795.00 ","$16,575.00 ", N/A ,"$13,513.50 ", N/A ,"$19,500.00 ","$10,939.50 ", N/A ,"$5,109.00 ","$19,500.00 ", N/A , N/A , N/A ,"$15,600.00 ","$9,652.50 ","$5,460.00 ","$17,550.00 ","$7,410.00 ","$10,608.00 ", N/A ,"$9,360.00 "
ST. MARY'S HOSPITAL - DECATUR,27205220,C1768,HC GRAFT VASCULAR T14,278,1 ,"$20,250.00 ","$14,580.00 ","$5,305.50 ","$20,250.00 ", N/A ,"$10,732.50 ","$11,137.50 ", N/A ,"$5,670.00 ","$10,590.75 ", N/A ,"$11,137.50 ", N/A ,"$10,023.75 ", N/A , N/A ,"$10,023.75 ", N/A ,"$10,125.00 ","$12,656.25 ","$16,200.00 ", N/A , N/A ,"$14,175.00 ", N/A ,"$12,150.00 ", N/A ,"$15,187.50 ","$11,178.00 ","$10,084.50 ","$11,178.00 ", N/A ,"$11,178.00 ","$10,732.50 ","$20,250.00 ","$10,732.50 ","$17,212.50 ", N/A ,"$10,023.75 ", N/A ,"$20,250.00 ","$11,360.25 ", N/A ,"$5,305.50 ","$20,250.00 ", N/A , N/A , N/A ,"$16,200.00 ","$10,023.75 ","$5,670.00 ","$18,225.00 ","$10,044.00 ","$7,087.50 ", N/A ,"$9,720.00 "
ST. MARY'S HOSPITAL - DECATUR,27205221,C1768,HC GRAFT VASCULAR T15,272,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ","$8,400.00 ", N/A ,"$10,395.00 ", N/A ,"$14,700.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$17,010.00 ","$21,000.00 ","$17,010.00 ","$17,850.00 ", N/A ,"$14,553.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$7,980.00 ","$11,424.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27205222,C1768,HC GRAFT VASCULAR T16,272,1 ,"$22,500.00 ","$16,200.00 ","$5,895.00 ","$22,500.00 ", N/A ,"$11,925.00 ","$12,375.00 ", N/A ,"$6,300.00 ","$11,767.50 ", N/A ,"$12,375.00 ", N/A ,"$11,137.50 ","$9,000.00 ", N/A ,"$11,137.50 ", N/A ,"$15,750.00 ","$14,062.50 ","$18,000.00 ", N/A , N/A ,"$15,750.00 ", N/A ,"$13,500.00 ", N/A ,"$16,875.00 ","$12,420.00 ","$11,205.00 ","$12,420.00 ", N/A ,"$12,420.00 ","$18,225.00 ","$22,500.00 ","$18,225.00 ","$19,125.00 ", N/A ,"$15,592.50 ", N/A ,"$22,500.00 ","$12,622.50 ", N/A ,"$5,895.00 ","$22,500.00 ", N/A , N/A , N/A ,"$18,000.00 ","$11,137.50 ","$6,300.00 ","$20,250.00 ","$8,550.00 ","$12,240.00 ", N/A ,"$10,800.00 "
ST. MARY'S HOSPITAL - DECATUR,27205223,C1768,HC GRAFT VASCULAR T17,272,1 ,"$24,000.00 ","$17,280.00 ","$6,288.00 ","$24,000.00 ", N/A ,"$12,720.00 ","$13,200.00 ", N/A ,"$6,720.00 ","$12,552.00 ", N/A ,"$13,200.00 ", N/A ,"$11,880.00 ","$9,600.00 ", N/A ,"$11,880.00 ", N/A ,"$16,800.00 ","$15,000.00 ","$19,200.00 ", N/A , N/A ,"$16,800.00 ", N/A ,"$14,400.00 ", N/A ,"$18,000.00 ","$13,248.00 ","$11,952.00 ","$13,248.00 ", N/A ,"$13,248.00 ","$19,440.00 ","$24,000.00 ","$19,440.00 ","$20,400.00 ", N/A ,"$16,632.00 ", N/A ,"$24,000.00 ","$13,464.00 ", N/A ,"$6,288.00 ","$24,000.00 ", N/A , N/A , N/A ,"$19,200.00 ","$11,880.00 ","$6,720.00 ","$21,600.00 ","$9,120.00 ","$13,056.00 ", N/A ,"$11,520.00 "
ST. MARY'S HOSPITAL - DECATUR,27205224,C1768,HC GRAFT VASCULAR T18,272,1 ,"$25,500.00 ","$18,360.00 ","$6,681.00 ","$25,500.00 ", N/A ,"$13,515.00 ","$14,025.00 ", N/A ,"$7,140.00 ","$13,336.50 ", N/A ,"$14,025.00 ", N/A ,"$12,622.50 ","$10,200.00 ", N/A ,"$12,622.50 ", N/A ,"$17,850.00 ","$15,937.50 ","$20,400.00 ", N/A , N/A ,"$17,850.00 ", N/A ,"$15,300.00 ", N/A ,"$19,125.00 ","$14,076.00 ","$12,699.00 ","$14,076.00 ", N/A ,"$14,076.00 ","$20,655.00 ","$25,500.00 ","$20,655.00 ","$21,675.00 ", N/A ,"$17,671.50 ", N/A ,"$25,500.00 ","$14,305.50 ", N/A ,"$6,681.00 ","$25,500.00 ", N/A , N/A , N/A ,"$20,400.00 ","$12,622.50 ","$7,140.00 ","$22,950.00 ","$9,690.00 ","$13,872.00 ", N/A ,"$12,240.00 "
ST. MARY'S HOSPITAL - DECATUR,27205225,C1768,HC GRAFT VASCULAR T19,272,1 ,"$27,000.00 ","$19,440.00 ","$7,074.00 ","$27,000.00 ", N/A ,"$14,310.00 ","$14,850.00 ", N/A ,"$7,560.00 ","$14,121.00 ", N/A ,"$14,850.00 ", N/A ,"$13,365.00 ","$10,800.00 ", N/A ,"$13,365.00 ", N/A ,"$18,900.00 ","$16,875.00 ","$21,600.00 ", N/A , N/A ,"$18,900.00 ", N/A ,"$16,200.00 ", N/A ,"$20,250.00 ","$14,904.00 ","$13,446.00 ","$14,904.00 ", N/A ,"$14,904.00 ","$21,870.00 ","$27,000.00 ","$21,870.00 ","$22,950.00 ", N/A ,"$18,711.00 ", N/A ,"$27,000.00 ","$15,147.00 ", N/A ,"$7,074.00 ","$27,000.00 ", N/A , N/A , N/A ,"$21,600.00 ","$13,365.00 ","$7,560.00 ","$24,300.00 ","$10,260.00 ","$14,688.00 ", N/A ,"$12,960.00 "
ST. MARY'S HOSPITAL - DECATUR,27205226,C1768,HC GRAFT VASCULAR T20,278,1 ,"$28,500.00 ","$20,520.00 ","$7,467.00 ","$28,500.00 ", N/A ,"$15,105.00 ","$15,675.00 ", N/A ,"$7,980.00 ","$14,905.50 ", N/A ,"$15,675.00 ", N/A ,"$14,107.50 ", N/A , N/A ,"$14,107.50 ", N/A ,"$14,250.00 ","$17,812.50 ","$22,800.00 ", N/A , N/A ,"$19,950.00 ", N/A ,"$17,100.00 ", N/A ,"$21,375.00 ","$15,732.00 ","$14,193.00 ","$15,732.00 ", N/A ,"$15,732.00 ","$15,105.00 ","$28,500.00 ","$15,105.00 ","$24,225.00 ", N/A ,"$14,107.50 ", N/A ,"$28,500.00 ","$15,988.50 ", N/A ,"$7,467.00 ","$28,500.00 ", N/A , N/A , N/A ,"$22,800.00 ","$14,107.50 ","$7,980.00 ","$25,650.00 ","$14,136.00 ","$9,975.00 ", N/A ,"$13,680.00 "
ST. MARY'S HOSPITAL - DECATUR,27205258,N/A,HC RETRACTOR ADBOMINAL ADHESIVE,272,1 ,$138.00 ,$99.36 ,$36.16 ,$138.00 , N/A ,$73.14 ,$75.90 , N/A ,$38.64 ,$72.17 , N/A ,$75.90 , N/A ,$68.31 ,$55.20 , N/A ,$68.31 , N/A ,$96.60 ,$86.25 ,$110.40 , N/A , N/A ,$96.60 , N/A ,$82.80 , N/A ,$103.50 ,$76.18 ,$68.72 ,$76.18 , N/A ,$76.18 ,$111.78 ,$138.00 ,$111.78 ,$117.30 , N/A ,$95.63 , N/A ,$138.00 ,$77.42 , N/A ,$36.16 ,$138.00 , N/A , N/A , N/A ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$75.07 , N/A ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,27205329,N/A,HC SUTURE SPECIALTY,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27205350,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27205351,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T27,272,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,000.00 ", N/A ,"$3,712.50 ", N/A ,"$5,250.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,197.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ","$4,080.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27205381,N/A,HC SURGICEL HEMOSTAT 4X4,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27205434,N/A,HC DISPOSABLE FIBEROPTIC SCOPE,272,1 ,$550.00 ,$396.00 ,$144.10 ,$550.00 , N/A ,$291.50 ,$302.50 , N/A ,$154.00 ,$287.65 , N/A ,$302.50 , N/A ,$272.25 ,$220.00 , N/A ,$272.25 , N/A ,$385.00 ,$343.75 ,$440.00 , N/A , N/A ,$385.00 , N/A ,$330.00 , N/A ,$412.50 ,$303.60 ,$273.90 ,$303.60 , N/A ,$303.60 ,$445.50 ,$550.00 ,$445.50 ,$467.50 , N/A ,$381.15 , N/A ,$550.00 ,$308.55 , N/A ,$144.10 ,$550.00 , N/A , N/A , N/A ,$440.00 ,$272.25 ,$154.00 ,$495.00 ,$209.00 ,$299.20 , N/A ,$264.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,1.1 STRAIGHT ROUTER,272,1 ,$317.31 ,$228.46 ,$83.14 ,$317.31 , N/A ,$168.17 ,$174.52 , N/A ,$88.85 ,$165.95 , N/A ,$174.52 , N/A ,$157.07 ,$126.92 , N/A ,$157.07 , N/A ,$222.12 ,$198.32 ,$253.85 , N/A , N/A ,$222.12 , N/A ,$190.39 , N/A ,$237.98 ,$175.16 ,$158.02 ,$175.16 , N/A ,$175.16 ,$257.02 ,$317.31 ,$257.02 ,$269.71 , N/A ,$219.90 , N/A ,$317.31 ,$178.01 , N/A ,$83.14 ,$317.31 , N/A , N/A , N/A ,$253.85 ,$157.07 ,$88.85 ,$285.58 ,$120.58 ,$172.62 , N/A ,$152.31 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,2.5X12MM DRILL,272,1 ,$154.53 ,$111.26 ,$40.49 ,$154.53 , N/A ,$81.90 ,$84.99 , N/A ,$43.27 ,$80.82 , N/A ,$84.99 , N/A ,$76.49 ,$61.81 , N/A ,$76.49 , N/A ,$108.17 ,$96.58 ,$123.62 , N/A , N/A ,$108.17 , N/A ,$92.72 , N/A ,$115.90 ,$85.30 ,$76.96 ,$85.30 , N/A ,$85.30 ,$125.17 ,$154.53 ,$125.17 ,$131.35 , N/A ,$107.09 , N/A ,$154.53 ,$86.69 , N/A ,$40.49 ,$154.53 , N/A , N/A , N/A ,$123.62 ,$76.49 ,$43.27 ,$139.08 ,$58.72 ,$84.06 , N/A ,$74.17 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"4K LAPAROSCOPE, 0 DEG, 5.5X300MM. HI-MAG",272,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ","$6,000.00 ", N/A ,"$7,425.00 ", N/A ,"$10,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$12,150.00 ","$15,000.00 ","$12,150.00 ","$12,750.00 ", N/A ,"$10,395.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$5,700.00 ","$8,160.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"4K LAPAROSCOPE, 30 DEG, 10 X 330MM",272,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,000.00 ", N/A ,"$3,712.50 ", N/A ,"$5,250.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,197.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ","$4,080.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"4K LAPAROSCOPE, 0 DEG, 10 X 330MM",272,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,000.00 ", N/A ,"$3,712.50 ", N/A ,"$5,250.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,197.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ","$4,080.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"4K LAPAROSCOPE, 30 DEG, 5.5X300MM, HI-MAG",272,1 ,"$30,000.00 ","$21,600.00 ","$7,860.00 ","$30,000.00 ", N/A ,"$15,900.00 ","$16,500.00 ", N/A ,"$8,400.00 ","$15,690.00 ", N/A ,"$16,500.00 ", N/A ,"$14,850.00 ","$12,000.00 ", N/A ,"$14,850.00 ", N/A ,"$21,000.00 ","$18,750.00 ","$24,000.00 ", N/A , N/A ,"$21,000.00 ", N/A ,"$18,000.00 ", N/A ,"$22,500.00 ","$16,560.00 ","$14,940.00 ","$16,560.00 ", N/A ,"$16,560.00 ","$24,300.00 ","$30,000.00 ","$24,300.00 ","$25,500.00 ", N/A ,"$20,790.00 ", N/A ,"$30,000.00 ","$16,830.00 ", N/A ,"$7,860.00 ","$30,000.00 ", N/A , N/A , N/A ,"$24,000.00 ","$14,850.00 ","$8,400.00 ","$27,000.00 ","$11,400.00 ","$16,320.00 ", N/A ,"$14,400.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,8.5 X 5.0 PF CAP,272,1 ,"$19,500.00 ","$14,040.00 ","$5,109.00 ","$19,500.00 ", N/A ,"$10,335.00 ","$10,725.00 ", N/A ,"$5,460.00 ","$10,198.50 ", N/A ,"$10,725.00 ", N/A ,"$9,652.50 ","$7,800.00 ", N/A ,"$9,652.50 ", N/A ,"$13,650.00 ","$12,187.50 ","$15,600.00 ", N/A , N/A ,"$13,650.00 ", N/A ,"$11,700.00 ", N/A ,"$14,625.00 ","$10,764.00 ","$9,711.00 ","$10,764.00 ", N/A ,"$10,764.00 ","$15,795.00 ","$19,500.00 ","$15,795.00 ","$16,575.00 ", N/A ,"$13,513.50 ", N/A ,"$19,500.00 ","$10,939.50 ", N/A ,"$5,109.00 ","$19,500.00 ", N/A , N/A , N/A ,"$15,600.00 ","$9,652.50 ","$5,460.00 ","$17,550.00 ","$7,410.00 ","$10,608.00 ", N/A ,"$9,360.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ACL TOOLBOX INSTRUMENT SET,272,1 ,"$55,500.00 ","$39,960.00 ","$14,541.00 ","$55,500.00 ", N/A ,"$29,415.00 ","$30,525.00 ", N/A ,"$15,540.00 ","$29,026.50 ", N/A ,"$30,525.00 ", N/A ,"$27,472.50 ","$22,200.00 ", N/A ,"$27,472.50 ", N/A ,"$38,850.00 ","$34,687.50 ","$44,400.00 ", N/A , N/A ,"$38,850.00 ", N/A ,"$33,300.00 ", N/A ,"$41,625.00 ","$30,636.00 ","$27,639.00 ","$30,636.00 ", N/A ,"$30,636.00 ","$44,955.00 ","$55,500.00 ","$44,955.00 ","$47,175.00 ", N/A ,"$38,461.50 ", N/A ,"$55,500.00 ","$31,135.50 ", N/A ,"$14,541.00 ","$55,500.00 ", N/A , N/A , N/A ,"$44,400.00 ","$27,472.50 ","$15,540.00 ","$49,950.00 ","$21,090.00 ","$30,192.00 ", N/A ,"$26,640.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ANGEL BLOOD ACCESS KIT,272,1 ,"$1,395.00 ","$1,004.40 ",$365.49 ,"$1,395.00 ", N/A ,$739.35 ,$767.25 , N/A ,$390.60 ,$729.59 , N/A ,$767.25 , N/A ,$690.53 ,$558.00 , N/A ,$690.53 , N/A ,$976.50 ,$871.88 ,"$1,116.00 ", N/A , N/A ,$976.50 , N/A ,$837.00 , N/A ,"$1,046.25 ",$770.04 ,$694.71 ,$770.04 , N/A ,$770.04 ,"$1,129.95 ","$1,395.00 ","$1,129.95 ","$1,185.75 ", N/A ,$966.74 , N/A ,"$1,395.00 ",$782.60 , N/A ,$365.49 ,"$1,395.00 ", N/A , N/A , N/A ,"$1,116.00 ",$690.53 ,$390.60 ,"$1,255.50 ",$530.10 ,$758.88 , N/A ,$669.60 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ANK SPN KIT SING CLAMP,272,1 ,"$2,887.95 ","$2,079.32 ",$756.64 ,"$2,887.95 ", N/A ,"$1,530.61 ","$1,588.37 ", N/A ,$808.63 ,"$1,510.40 ", N/A ,"$1,588.37 ", N/A ,"$1,429.54 ","$1,155.18 ", N/A ,"$1,429.54 ", N/A ,"$2,021.57 ","$1,804.97 ","$2,310.36 ", N/A , N/A ,"$2,021.57 ", N/A ,"$1,732.77 ", N/A ,"$2,165.96 ","$1,594.15 ","$1,438.20 ","$1,594.15 ", N/A ,"$1,594.15 ","$2,339.24 ","$2,887.95 ","$2,339.24 ","$2,454.76 ", N/A ,"$2,001.35 ", N/A ,"$2,887.95 ","$1,620.14 ", N/A ,$756.64 ,"$2,887.95 ", N/A , N/A , N/A ,"$2,310.36 ","$1,429.54 ",$808.63 ,"$2,599.16 ","$1,097.42 ","$1,571.04 ", N/A ,"$1,386.22 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ARACHNOIS SPEAR BLADE 1.5 (5/BX),272,1 ,$278.40 ,$200.45 ,$72.94 ,$278.40 , N/A ,$147.55 ,$153.12 , N/A ,$77.95 ,$145.60 , N/A ,$153.12 , N/A ,$137.81 ,$111.36 , N/A ,$137.81 , N/A ,$194.88 ,$174.00 ,$222.72 , N/A , N/A ,$194.88 , N/A ,$167.04 , N/A ,$208.80 ,$153.68 ,$138.64 ,$153.68 , N/A ,$153.68 ,$225.50 ,$278.40 ,$225.50 ,$236.64 , N/A ,$192.93 , N/A ,$278.40 ,$156.18 , N/A ,$72.94 ,$278.40 , N/A , N/A , N/A ,$222.72 ,$137.81 ,$77.95 ,$250.56 ,$105.79 ,$151.45 , N/A ,$133.63 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ARCOS 18 X 175 MM BRCH BODY STD,272,1 ,"$17,651.40 ","$12,709.01 ","$4,624.67 ","$17,651.40 ", N/A ,"$9,355.24 ","$9,708.27 ", N/A ,"$4,942.39 ","$9,231.68 ", N/A ,"$9,708.27 ", N/A ,"$8,737.44 ","$7,060.56 ", N/A ,"$8,737.44 ", N/A ,"$12,355.98 ","$11,032.13 ","$14,121.12 ", N/A , N/A ,"$12,355.98 ", N/A ,"$10,590.84 ", N/A ,"$13,238.55 ","$9,743.57 ","$8,790.40 ","$9,743.57 ", N/A ,"$9,743.57 ","$14,297.63 ","$17,651.40 ","$14,297.63 ","$15,003.69 ", N/A ,"$12,232.42 ", N/A ,"$17,651.40 ","$9,902.44 ", N/A ,"$4,624.67 ","$17,651.40 ", N/A , N/A , N/A ,"$14,121.12 ","$8,737.44 ","$4,942.39 ","$15,886.26 ","$6,707.53 ","$9,602.36 ", N/A ,"$8,472.67 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ARCOS 12 X 175 BRCH BODY STD,272,1 ,"$17,651.40 ","$12,709.01 ","$4,624.67 ","$17,651.40 ", N/A ,"$9,355.24 ","$9,708.27 ", N/A ,"$4,942.39 ","$9,231.68 ", N/A ,"$9,708.27 ", N/A ,"$8,737.44 ","$7,060.56 ", N/A ,"$8,737.44 ", N/A ,"$12,355.98 ","$11,032.13 ","$14,121.12 ", N/A , N/A ,"$12,355.98 ", N/A ,"$10,590.84 ", N/A ,"$13,238.55 ","$9,743.57 ","$8,790.40 ","$9,743.57 ", N/A ,"$9,743.57 ","$14,297.63 ","$17,651.40 ","$14,297.63 ","$15,003.69 ", N/A ,"$12,232.42 ", N/A ,"$17,651.40 ","$9,902.44 ", N/A ,"$4,624.67 ","$17,651.40 ", N/A , N/A , N/A ,"$14,121.12 ","$8,737.44 ","$4,942.39 ","$15,886.26 ","$6,707.53 ","$9,602.36 ", N/A ,"$8,472.67 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ARCOS 13 X 15 MM  BRCH BODY STD,272,1 ,"$17,651.40 ","$12,709.01 ","$4,624.67 ","$17,651.40 ", N/A ,"$9,355.24 ","$9,708.27 ", N/A ,"$4,942.39 ","$9,231.68 ", N/A ,"$9,708.27 ", N/A ,"$8,737.44 ","$7,060.56 ", N/A ,"$8,737.44 ", N/A ,"$12,355.98 ","$11,032.13 ","$14,121.12 ", N/A , N/A ,"$12,355.98 ", N/A ,"$10,590.84 ", N/A ,"$13,238.55 ","$9,743.57 ","$8,790.40 ","$9,743.57 ", N/A ,"$9,743.57 ","$14,297.63 ","$17,651.40 ","$14,297.63 ","$15,003.69 ", N/A ,"$12,232.42 ", N/A ,"$17,651.40 ","$9,902.44 ", N/A ,"$4,624.67 ","$17,651.40 ", N/A , N/A , N/A ,"$14,121.12 ","$8,737.44 ","$4,942.39 ","$15,886.26 ","$6,707.53 ","$9,602.36 ", N/A ,"$8,472.67 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BATTERY RESTORE ADVANCED SURE SCAN MEDTRONIC,272,1 ,"$45,000.00 ","$32,400.00 ","$11,790.00 ","$45,000.00 ", N/A ,"$23,850.00 ","$24,750.00 ", N/A ,"$12,600.00 ","$23,535.00 ", N/A ,"$24,750.00 ", N/A ,"$22,275.00 ","$18,000.00 ", N/A ,"$22,275.00 ", N/A ,"$31,500.00 ","$28,125.00 ","$36,000.00 ", N/A , N/A ,"$31,500.00 ", N/A ,"$27,000.00 ", N/A ,"$33,750.00 ","$24,840.00 ","$22,410.00 ","$24,840.00 ", N/A ,"$24,840.00 ","$36,450.00 ","$45,000.00 ","$36,450.00 ","$38,250.00 ", N/A ,"$31,185.00 ", N/A ,"$45,000.00 ","$25,245.00 ", N/A ,"$11,790.00 ","$45,000.00 ", N/A , N/A , N/A ,"$36,000.00 ","$22,275.00 ","$12,600.00 ","$40,500.00 ","$17,100.00 ","$24,480.00 ", N/A ,"$21,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONSTRAINED FEM 6 RT,272,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ","$8,400.00 ", N/A ,"$10,395.00 ", N/A ,"$14,700.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$17,010.00 ","$21,000.00 ","$17,010.00 ","$17,850.00 ", N/A ,"$14,553.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$7,980.00 ","$11,424.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIO-TENODESIS INSTRUEMENT SET,272,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ","$8,400.00 ", N/A ,"$10,395.00 ", N/A ,"$14,700.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$17,010.00 ","$21,000.00 ","$17,010.00 ","$17,850.00 ", N/A ,"$14,553.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$7,980.00 ","$11,424.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISSECTOR DISP. BALLOON (OMS-PDB-S2),272,1 ,"$1,166.49 ",$839.87 ,$305.62 ,"$1,166.49 ", N/A ,$618.24 ,$641.57 , N/A ,$326.62 ,$610.07 , N/A ,$641.57 , N/A ,$577.41 ,$466.60 , N/A ,$577.41 , N/A ,$816.54 ,$729.06 ,$933.19 , N/A , N/A ,$816.54 , N/A ,$699.89 , N/A ,$874.87 ,$643.90 ,$580.91 ,$643.90 , N/A ,$643.90 ,$944.86 ,"$1,166.49 ",$944.86 ,$991.52 , N/A ,$808.38 , N/A ,"$1,166.49 ",$654.40 , N/A ,$305.62 ,"$1,166.49 ", N/A , N/A , N/A ,$933.19 ,$577.41 ,$326.62 ,"$1,049.84 ",$443.27 ,$634.57 , N/A ,$559.92 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 50MM 1.6MM 7MM STP TWST 7MM STRL,272,1 ,$480.00 ,$345.60 ,$125.76 ,$480.00 , N/A ,$254.40 ,$264.00 , N/A ,$134.40 ,$251.04 , N/A ,$264.00 , N/A ,$237.60 ,$192.00 , N/A ,$237.60 , N/A ,$336.00 ,$300.00 ,$384.00 , N/A , N/A ,$336.00 , N/A ,$288.00 , N/A ,$360.00 ,$264.96 ,$239.04 ,$264.96 , N/A ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 , N/A ,$332.64 , N/A ,$480.00 ,$269.28 , N/A ,$125.76 ,$480.00 , N/A , N/A , N/A ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$261.12 , N/A ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT INTEGRA,272,1 ,$822.00 ,$591.84 ,$215.36 ,$822.00 , N/A ,$435.66 ,$452.10 , N/A ,$230.16 ,$429.91 , N/A ,$452.10 , N/A ,$406.89 ,$328.80 , N/A ,$406.89 , N/A ,$575.40 ,$513.75 ,$657.60 , N/A , N/A ,$575.40 , N/A ,$493.20 , N/A ,$616.50 ,$453.74 ,$409.36 ,$453.74 , N/A ,$453.74 ,$665.82 ,$822.00 ,$665.82 ,$698.70 , N/A ,$569.65 , N/A ,$822.00 ,$461.14 , N/A ,$215.36 ,$822.00 , N/A , N/A , N/A ,$657.60 ,$406.89 ,$230.16 ,$739.80 ,$312.36 ,$447.17 , N/A ,$394.56 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL 160MM 3.5MM VAPR STERILE DISPOSABLE 2 PIECE SIDE EFFECT NONSUCTION,272,1 ,$738.00 ,$531.36 ,$193.36 ,$738.00 , N/A ,$391.14 ,$405.90 , N/A ,$206.64 ,$385.97 , N/A ,$405.90 , N/A ,$365.31 ,$295.20 , N/A ,$365.31 , N/A ,$516.60 ,$461.25 ,$590.40 , N/A , N/A ,$516.60 , N/A ,$442.80 , N/A ,$553.50 ,$407.38 ,$367.52 ,$407.38 , N/A ,$407.38 ,$597.78 ,$738.00 ,$597.78 ,$627.30 , N/A ,$511.43 , N/A ,$738.00 ,$414.02 , N/A ,$193.36 ,$738.00 , N/A , N/A , N/A ,$590.40 ,$365.31 ,$206.64 ,$664.20 ,$280.44 ,$401.47 , N/A ,$354.24 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ENSEAL SUPER JAW 22 CM,272,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ","$5,700.00 ", N/A ,"$7,053.75 ", N/A ,"$9,975.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$11,542.50 ","$14,250.00 ","$11,542.50 ","$12,112.50 ", N/A ,"$9,875.25 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$5,415.00 ","$7,752.00 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ARCOS 15 X 15 MM BRCH BODY STD7,272,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ","$5,700.00 ", N/A ,"$7,053.75 ", N/A ,"$9,975.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$11,542.50 ","$14,250.00 ","$11,542.50 ","$12,112.50 ", N/A ,"$9,875.25 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$5,415.00 ","$7,752.00 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT MEDTRONIC TRAJECTORY GUIDE BIOPSY,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RECHARGER NEUROSTIMULATOR RESTOREADVANCED SURESCAN ANTENNA AC POWER SUPPLY POUCH SPINAL CORD STIMULATION THERAPY NONSTERILE LATEX FREE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL NAVIGATED INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM STERILE LATEX FREE DISPOSABLE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY ROBOTIC HOOK PERM SINGLE SITE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.0 (6/TB),272,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$1,800.00 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$1,710.00 ","$2,448.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KNEE SCORPION,272,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ","$3,720.00 ", N/A ,"$4,603.50 ", N/A ,"$6,510.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$7,533.00 ","$9,300.00 ","$7,533.00 ","$7,905.00 ", N/A ,"$6,444.90 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$3,534.00 ","$5,059.20 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REPAIR PIN COLLET  (2.0-3.2MM ),272,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ","$3,720.00 ", N/A ,"$4,603.50 ", N/A ,"$6,510.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$7,533.00 ","$9,300.00 ","$7,533.00 ","$7,905.00 ", N/A ,"$6,444.90 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$3,534.00 ","$5,059.20 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KOLBEL SOFT TISSUE RETRACTOR,272,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ","$2,040.00 ", N/A ,"$2,524.50 ", N/A ,"$3,570.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$4,131.00 ","$5,100.00 ","$4,131.00 ","$4,335.00 ", N/A ,"$3,534.30 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$1,938.00 ","$2,774.40 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SMITH  AND  NEPHEW DYONICS,272,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ","$2,040.00 ", N/A ,"$2,524.50 ", N/A ,"$3,570.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$4,131.00 ","$5,100.00 ","$4,131.00 ","$4,335.00 ", N/A ,"$3,534.30 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$1,938.00 ","$2,774.40 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG SP DMD-LT DBKY 7.75IN SERR TIP TI 1.5MM,272,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ","$2,040.00 ", N/A ,"$2,524.50 ", N/A ,"$3,570.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$4,131.00 ","$5,100.00 ","$4,131.00 ","$4,335.00 ", N/A ,"$3,534.30 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$1,938.00 ","$2,774.40 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIGATOR 2.8MM 8.6-11.5MM SPEEDBAND SUPERVIEW SUPER 7 ESOPHAGEAL 1 STRING MULTIPLE BAND HANDLE STERILE DISPOSABLE ENDOSCOPIC HEMOSTASIS LATEX FREE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PASSER SURGICAL 60CM SUBCUTANEOUS VENTRICULOPERITONEAL CATHETER SHUNT DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PILLOW ABDCUTION LEG LARGE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT ENDOSCOPE SINGLE SITE 8.5MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PRESS SURGICAL BONEBAC DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROFILE DRILL MICRO,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SET KNOT PUSHER, SUTURE CUTTER,SLOTTED CANNULA SMITH  AND  NEPHEW",272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SHOULDER CHAIR HEAD PAD,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE CUTTER CURVED 40MM GREEN RELOAD,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE ENDOECHELON 60MM BLACK RELOAD,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE RELOAD ENDOCUT GREEN 60MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ENDOPATH GOLD 3.8MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER RELOAD ECHELON 60MM BLUE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER RELOAD ECHELON 60MM GREEN,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 0.76 QC 10MM MINI,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.8 QC 110MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.8 QC 125MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 QC 140MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT WRIGHT MEDICAL 2.0,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT WRIGHT MEDICAL 2.5,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT WRIGHT MEDICAL 2.5MM X 60MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2.7MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 30MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ECHELON ENDOSCOPE LINEAR CUTTER BLACK 60MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FEATHER BLADE HANDLE STRAIGH SHORT,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FILTER SMOKE EVACUATOR WHITE ULPA,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 30MM 2MM ORTHOLOC DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE FLEXIBLE OSTETOME 10MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE FLEXIBLE OSTETOME 8MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE HIP CAPSULOTOMY W/O HANDLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW OXFORD CEMENT STRYKER,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BOLT EXTERNAL FIXATION 10MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BUR MIDAS REX  T12MH25,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BUR MIDAS REX 14MH30,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG ATR DBKY 53MM BLDG 5IN CRV JW ATRM RNG HNDL,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG BKHS CRV 135MM TWL,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG DBKY 5.125IN STR BLDG RNG HNDL,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING NASOPORE 4CM STANDARD,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ARTHREX LASSO 90' SMALL DIAMETER STRAIGHT,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED LT (AR-4068-45L),272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED RT  (AR-4068-45R),272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE SCORPION SUREFIRE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK BATTERY T4 POWER,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.8 X 60,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT BIOMET 2.7MM PERIPHERAL SCREW,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW 2.7MM,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 0.76 QC  6MM MINI,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 0.76 QC  8MM MINI,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG ANG RT 5.5IN DSCT LGT,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG DBKY STR 8INX2MM ATRM DSCT STRL,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOOK 2MM 180MM NRV RETR BLNT MLS,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ACCESSORY .157MM INJEX SILICONE BUMPY FLEXIBLE COMPRESSION-FIT ANCHOR PRELOADED DISPENSER IMPLANTABLE NEUROSTIMULATOR,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ENDOVIVE SAFETY PEG 24FR,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT INSTRUMENT ACL TRANSTIBIAL DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,myPTM,272,1 ,"$27,000.00 ","$19,440.00 ","$7,074.00 ","$27,000.00 ", N/A ,"$14,310.00 ","$14,850.00 ", N/A ,"$7,560.00 ","$14,121.00 ", N/A ,"$14,850.00 ", N/A ,"$13,365.00 ","$10,800.00 ", N/A ,"$13,365.00 ", N/A ,"$18,900.00 ","$16,875.00 ","$21,600.00 ", N/A , N/A ,"$18,900.00 ", N/A ,"$16,200.00 ", N/A ,"$20,250.00 ","$14,904.00 ","$13,446.00 ","$14,904.00 ", N/A ,"$14,904.00 ","$21,870.00 ","$27,000.00 ","$21,870.00 ","$22,950.00 ", N/A ,"$18,711.00 ", N/A ,"$27,000.00 ","$15,147.00 ", N/A ,"$7,074.00 ","$27,000.00 ", N/A , N/A , N/A ,"$21,600.00 ","$13,365.00 ","$7,560.00 ","$24,300.00 ","$10,260.00 ","$14,688.00 ", N/A ,"$12,960.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEUROSTIMULATOR IMPLANTABLE 54MMX54MM RESTORESENSOR SURESCAN ADAPTIVESTIM MRI RECHARGEABLE BATTERY 45GM,272,1 ,"$48,000.00 ","$34,560.00 ","$12,576.00 ","$48,000.00 ", N/A ,"$25,440.00 ","$26,400.00 ", N/A ,"$13,440.00 ","$25,104.00 ", N/A ,"$26,400.00 ", N/A ,"$23,760.00 ","$19,200.00 ", N/A ,"$23,760.00 ", N/A ,"$33,600.00 ","$30,000.00 ","$38,400.00 ", N/A , N/A ,"$33,600.00 ", N/A ,"$28,800.00 ", N/A ,"$36,000.00 ","$26,496.00 ","$23,904.00 ","$26,496.00 ", N/A ,"$26,496.00 ","$38,880.00 ","$48,000.00 ","$38,880.00 ","$40,800.00 ", N/A ,"$33,264.00 ", N/A ,"$48,000.00 ","$26,928.00 ", N/A ,"$12,576.00 ","$48,000.00 ", N/A , N/A , N/A ,"$38,400.00 ","$23,760.00 ","$13,440.00 ","$43,200.00 ","$18,240.00 ","$26,112.00 ", N/A ,"$23,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SURG PTSPC CSTM TYMP LTXF,272,1 ,$43.68 ,$31.45 ,$11.44 ,$43.68 , N/A ,$23.15 ,$24.02 , N/A ,$12.23 ,$22.84 , N/A ,$24.02 , N/A ,$21.62 ,$17.47 , N/A ,$21.62 , N/A ,$30.58 ,$27.30 ,$34.94 , N/A , N/A ,$30.58 , N/A ,$26.21 , N/A ,$32.76 ,$24.11 ,$21.75 ,$24.11 , N/A ,$24.11 ,$35.38 ,$43.68 ,$35.38 ,$37.13 , N/A ,$30.27 , N/A ,$43.68 ,$24.50 , N/A ,$11.44 ,$43.68 , N/A , N/A , N/A ,$34.94 ,$21.62 ,$12.23 ,$39.31 ,$16.60 ,$23.76 , N/A ,$20.97 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR LAPAROSCOPIC 31CM 10MM ENDO RETRACT FAN DISPOSABLE 8MM,272,1 ,"$1,077.12 ",$775.53 ,$282.21 ,"$1,077.12 ", N/A ,$570.87 ,$592.42 , N/A ,$301.59 ,$563.33 , N/A ,$592.42 , N/A ,$533.17 ,$430.85 , N/A ,$533.17 , N/A ,$753.98 ,$673.20 ,$861.70 , N/A , N/A ,$753.98 , N/A ,$646.27 , N/A ,$807.84 ,$594.57 ,$536.41 ,$594.57 , N/A ,$594.57 ,$872.47 ,"$1,077.12 ",$872.47 ,$915.55 , N/A ,$746.44 , N/A ,"$1,077.12 ",$604.26 , N/A ,$282.21 ,"$1,077.12 ", N/A , N/A , N/A ,$861.70 ,$533.17 ,$301.59 ,$969.41 ,$409.31 ,$585.95 , N/A ,$517.02 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING BLUE INTEGRATE IRRIGATION FMS SOLO FMS DUO+,272,1 ,$158.37 ,$114.03 ,$41.49 ,$158.37 , N/A ,$83.94 ,$87.10 , N/A ,$44.34 ,$82.83 , N/A ,$87.10 , N/A ,$78.39 ,$63.35 , N/A ,$78.39 , N/A ,$110.86 ,$98.98 ,$126.70 , N/A , N/A ,$110.86 , N/A ,$95.02 , N/A ,$118.78 ,$87.42 ,$78.87 ,$87.42 , N/A ,$87.42 ,$128.28 ,$158.37 ,$128.28 ,$134.61 , N/A ,$109.75 , N/A ,$158.37 ,$88.85 , N/A ,$41.49 ,$158.37 , N/A , N/A , N/A ,$126.70 ,$78.39 ,$44.34 ,$142.53 ,$60.18 ,$86.15 , N/A ,$76.02 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SLING ORTHO 11X9IN FOAM SM,272,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 , N/A ,$63.60 ,$66.00 , N/A ,$33.60 ,$62.76 , N/A ,$66.00 , N/A ,$59.40 ,$48.00 , N/A ,$59.40 , N/A ,$84.00 ,$75.00 ,$96.00 , N/A , N/A ,$84.00 , N/A ,$72.00 , N/A ,$90.00 ,$66.24 ,$59.76 ,$66.24 , N/A ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 , N/A ,$83.16 , N/A ,$120.00 ,$67.32 , N/A ,$31.44 ,$120.00 , N/A , N/A , N/A ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$65.28 , N/A ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER LAPAROSCOPIC HERNIA PROTAC,272,1 ,"$1,188.12 ",$855.45 ,$311.29 ,"$1,188.12 ", N/A ,$629.70 ,$653.47 , N/A ,$332.67 ,$621.39 , N/A ,$653.47 , N/A ,$588.12 ,$475.25 , N/A ,$588.12 , N/A ,$831.68 ,$742.58 ,$950.50 , N/A , N/A ,$831.68 , N/A ,$712.87 , N/A ,$891.09 ,$655.84 ,$591.68 ,$655.84 , N/A ,$655.84 ,$962.38 ,"$1,188.12 ",$962.38 ,"$1,009.90 ", N/A ,$823.37 , N/A ,"$1,188.12 ",$666.54 , N/A ,$311.29 ,"$1,188.12 ", N/A , N/A , N/A ,$950.50 ,$588.12 ,$332.67 ,"$1,069.31 ",$451.49 ,$646.34 , N/A ,$570.30 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SURGICEL SNOW 2X4,272,1 ,$238.17 ,$171.48 ,$62.40 ,$238.17 , N/A ,$126.23 ,$130.99 , N/A ,$66.69 ,$124.56 , N/A ,$130.99 , N/A ,$117.89 ,$95.27 , N/A ,$117.89 , N/A ,$166.72 ,$148.86 ,$190.54 , N/A , N/A ,$166.72 , N/A ,$142.90 , N/A ,$178.63 ,$131.47 ,$118.61 ,$131.47 , N/A ,$131.47 ,$192.92 ,$238.17 ,$192.92 ,$202.44 , N/A ,$165.05 , N/A ,$238.17 ,$133.61 , N/A ,$62.40 ,$238.17 , N/A , N/A , N/A ,$190.54 ,$117.89 ,$66.69 ,$214.35 ,$90.50 ,$129.56 , N/A ,$114.32 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE DEFLUX 1ML PREFILLED,272,1 ,"$8,665.80 ","$6,239.38 ","$2,270.44 ","$8,665.80 ", N/A ,"$4,592.87 ","$4,766.19 ", N/A ,"$2,426.42 ","$4,532.21 ", N/A ,"$4,766.19 ", N/A ,"$4,289.57 ","$3,466.32 ", N/A ,"$4,289.57 ", N/A ,"$6,066.06 ","$5,416.13 ","$6,932.64 ", N/A , N/A ,"$6,066.06 ", N/A ,"$5,199.48 ", N/A ,"$6,499.35 ","$4,783.52 ","$4,315.57 ","$4,783.52 ", N/A ,"$4,783.52 ","$7,019.30 ","$8,665.80 ","$7,019.30 ","$7,365.93 ", N/A ,"$6,005.40 ", N/A ,"$8,665.80 ","$4,861.51 ", N/A ,"$2,270.44 ","$8,665.80 ", N/A , N/A , N/A ,"$6,932.64 ","$4,289.57 ","$2,426.42 ","$7,799.22 ","$3,293.00 ","$4,714.20 ", N/A ,"$4,159.58 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM FIXATION CPR VIPER,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RONGEUR 5 1/8IN 24X1.8MM CRV FN SURG,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RONGEUR 6.75IN 4MM CSPR HVYDTY SURG,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSOR 3.4 CURVED R STR,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSOR 3.4 L CURVED L,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SILVERGLIDE BIPOLAR FORCEPS,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STENT ENDOPROSTHESIS VENOUS 40MM 20MM WALLSTENT CATHETER 75CM ACCEPTS 11FR SHEATH,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE MYOSURE REACH,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT BONE GRAFT,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT FOR LAG SCREW SMITH  AND  NEPHEW,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG STR 3.25IN ALGTR TIP STRL 6X1.5MM,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT NOVASURE HANDLE ABLATATION ENDOMETRIUM,272,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ","$1,320.00 ", N/A ,"$1,633.50 ", N/A ,"$2,310.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$2,673.00 ","$3,300.00 ","$2,673.00 ","$2,805.00 ", N/A ,"$2,286.90 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,254.00 ","$1,795.20 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM FIXATION SPEEDBRIDGE JUMPSTART ACHILLES BIOCOMPOSITE STERILE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REGEN MULTI,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REPAIR HUDSON /MODIFIED TRINKLE ATTACHMENT,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BARACUDA RONGEUR,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTR LG LAPAROSCOPIC FORCEPS CADIERE 8MM XI4000,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP ASPIRATOR 4.6IN SPETZLER LONG BONE MICRO CLAW 1.8X2MM STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PILLING BLUE FO CABLE BIFURCATED 8""",272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT GELPORT LAPAROSCOPIC SYSTEM 120MM INCISION,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROCISE SINUS WAND,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 5.25IN GLPI SHRP SLFRET TNCLM PRNG SURG,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 61CM 12MM ENDO PADDLE RETRACT CURVE JAW DISPOSABLE ENDOSCOPIC STAINLESS STEEL 46CM STANDARD LENGTH 9X9CM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR BLADE 8 INCHES WIDTH 1 INCH,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSORS CURVED SINGLE SITE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SEALER TISSUE 45CM ENSEAL X1 TAPER TIP CURVE JAW,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET SPRY EZSPRY TSSL 2 LUM CONN HOSE STRL FLTR 1 HD CLIP LF,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE HEMOCLIP HEMOLOK XLG,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ENDO GIA 12MM HANDLE UNIVERSAL ULTRA,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,12 MM ACCESSPORT W/ BLUT TIP,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,12MM ACCESS PORT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3.4 CONQUEST STRAIGHT BITE BIG PUNCH,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,32MM HEAD COCR,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT HIP FULL OSTEOTOME 58MM HEMISPHERE ACETABULAR CUP REMOVAL SYSTEM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT HIP OSTEOTOME 56MM HEMISPHERE ACETABULAR CUP REMOVAL SYSTEM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT ZIMMER 58MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT ZIMMER LONG,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT ZIMMER LONG 52MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT ZIMMER SHORT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE EXPLANT ZIMMER SHORT 52MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHVR 11CM 2.9MM XPS 60D 5K RPM SINUS CRV SHFT OFST CUT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE XPLNT HIP FULL OSTME 64MM HMSPHR ACTB CUP REM SYS,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE XPLNT HIP TRUNCATE OSTME 64MM HMSPHR ACTB CUP REM SYS,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA LAPAROSCOPIC DA VINCI XI,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA LAPAROSCOPIC DA VINCI XI OD8 MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUT LIGASURE HANDPIECE SHORT IMPACT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LIGASURE CRVD LARGE JAW OPEN SEALER,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP APPLIER SINGLE SITE MED/LG 5MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR ROD XLNK XS SPNE MP-AXL SCR,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE PSTN PRNVW TBL PLAT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISECTOR MARYLAND SINGLE SITE 5MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP ASPIRATOR 4.5IN 1.92MM 1.5MM 25KHZ STRAIGHT SOFT TISSUE ULTRASONIC SONOPET UNIVERSAL HANDPIECE STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP ASPIRATOR 4.5IN 1.92MM 1.5MM SPETZLER BARRACUDA 25KHZ SOFT TISSUE ULTRASONIC SONOPET UNIVERSAL HANDPIECE STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP ASPIRATOR 4.6IN 2.46MM 2.01MM SPETZLER BARRACUDA 25KHZ LARGE DIAMETER SOFT TISSUE ULTRASONIC SONOPET UNIVERSAL HANDPIECE STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NARROW BANKHART TYPE ELEVATOR,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,OBTURATOR LAPAROSCOPIC 8MM DA VINCI XI LONG BLUNT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TWIST DRILL,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,VESSEL SEALER EXTEND,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WIDE BANKHART TYE ELEVATOR,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WOOLLEY TIBIA PUNCH (SHARP),272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,XENO SURE 0.8 X 8,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,XENO SURE1 X 6,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ACUMED 6MM,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GRASPER CROCODILE SINGLE SITE,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUN BNCMNT REV,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOLDER 30CM EPTH FLSH PORT PALMABLE HNDL RCHT NDL STR 5MM NS,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HORSE SHOE GEL PAD LEFT  F/MAYFIELD HEADREST,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HORSE SHOE GEL PAD RIGHT F MAYFIELD HEAD REST,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT 1.8MM Q FIX MINI DISP,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT IOVERA,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT SECONDARY FIXATION  ACL/PCL,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LEAD INTRO KIT,272,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ",$840.00 , N/A ,"$1,039.50 ", N/A ,"$1,470.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,701.00 ","$2,100.00 ","$1,701.00 ","$1,785.00 ", N/A ,"$1,455.30 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ",$798.00 ,"$1,142.40 ", N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP CRYOSURGICAL IOVERA L6.9 MM OD3 GA SM,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE DRILL GUIDE SURESHOT SMITH  AND  NEPHEW,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCREWDRIVER SHAFT 1.5 MTRX-NEUR MED SLFHLD 66MM,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE RELOAD RELIATACK ARTIC FIXATION,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,4 PIN TO 3 PIN ADAPTER,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,8.5 ENDOSCOPE ALIGNMENT TARGET,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ANGEL CPRP PROCESS SET,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW MTRX-NEUR SHRT SLFRET NS,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 18CM 2.9MM SKMR ANG,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CAUTERY BIOPOLAR CODMAN 7""",272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY EVEREST CUTTING FORCEPS 5MM-33CM BI-COAG,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LIGASURE MARYLAND JAW LAP DEVICE 37CM 5MM,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SMITH  AND  NEPHEW ANGLED,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE MYOSURE LITE,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"DISP SPEZLER MAILS STND FORCEPS BAYONET 7"" (5/BX)",272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM ABLATION COBRA FUSION 150 VERSAPOLAR FLEXIBLE,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT CANNULATED SMITH  AND  NEPHEW 2.0,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HYSTEROSCOPE MYOSURE RIGID 3MM LITE TISSUE,272,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 ,$600.00 , N/A ,$742.50 , N/A ,"$1,050.00 ",$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,"$1,215.00 ","$1,500.00 ","$1,215.00 ","$1,275.00 ", N/A ,"$1,039.50 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$570.00 ,$816.00 , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP MED 6.5IN INTPLS SHLD,272,1 ,$33.39 ,$24.04 ,$8.75 ,$33.39 , N/A ,$17.70 ,$18.36 , N/A ,$9.35 ,$17.46 , N/A ,$18.36 , N/A ,$16.53 ,$13.36 , N/A ,$16.53 , N/A ,$23.37 ,$20.87 ,$26.71 , N/A , N/A ,$23.37 , N/A ,$20.03 , N/A ,$25.04 ,$18.43 ,$16.63 ,$18.43 , N/A ,$18.43 ,$27.05 ,$33.39 ,$27.05 ,$28.38 , N/A ,$23.14 , N/A ,$33.39 ,$18.73 , N/A ,$8.75 ,$33.39 , N/A , N/A , N/A ,$26.71 ,$16.53 ,$9.35 ,$30.05 ,$12.69 ,$18.16 , N/A ,$16.03 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TOOL DISSECTING,272,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ","$3,960.00 ", N/A ,"$4,900.50 ", N/A ,"$6,930.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$8,019.00 ","$9,900.00 ","$8,019.00 ","$8,415.00 ", N/A ,"$6,860.70 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$3,762.00 ","$5,385.60 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TOOL MIDAS 14BA50,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PARTICLES ARISTA HEMOSTATIC 3GM  (SM0002-USA),272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN GUIDE THREADED TIP SMITH  AND  NEPHEW 3.2 X 248MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN HALF TIN SMITH  AND  NEPHEW 5MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN JET-X SMITH  AND  NEPHEW 5 X 35MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PRO TOE DRIVER,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 6.5IN WTLNR SHRP SLFRET SURG,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ROD GUIDE SMITH  AND  NEPHEW BALL TIP 600MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET HALF PIN SMITH  AND  NEPHEW LONG 5MM X 45MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE INTERCEED,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ENDOSCOPIC CURVED 25MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER INTERNAL 37CMX5.5MM CURVE CIRCLE INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE ENDOPATH 20.4MM LUMEN 1-2.5MM 29MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLR INT 5.5MM 1-2.5MM CRV CIRC INTRLUM ENDO,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3.0 ROUND CARBIDE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2MM STD,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURG 15MM CANN 6MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL ANGLE 85MM 2.3MM VAPR STERILE DISPOSABLE SIDE EFFECT THERMAL MODIFICATION ARTHROSCOPIC,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE MNPLR 33CM 5MM OUTR INNR TUBE HNDL ENH SFTY,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EXTRACTOR STONE 120CM 12MM 1.9FR URETERAL NITINOL TIPLESS,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BAR EXTERNAL FIXATION 185MM 6MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 3MM STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 4MM TRIGEN LONG AO PILOT STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 110MM 2MM XPS 60-3K,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHVR MRN 4.5MM ELITE STR FULL RDS ARTHSCP STRL DISP,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SURESHOT CURVED  4.0,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR 3MM CARBIDE MATCH HEAD,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL 5MM PRECISION ROUND STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG CLY 2MM 7.75IN ATRM DRSG,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG KNTRWTZ RT THOR,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP RESOLUTION 2.8MM 360 235CM 11MM OPEN,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP RESOLUTION 360 DEG 2.8MM X 235CM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CON OBT FOR TAP/FEN HF 4MM SCOPE SHEATH,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DARRACH RETRATOR  260 X 16 MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE FIXATION ULTRA FAST-FIX CURVE MENISCAL REPAIR SYSTEM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISSECTING TOOL,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING NASOPORE 8CM STANDARD,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING PICO 30 X 10CM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING PICO 40 X 10CM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIGATOR 2.8MM 8.6-11.5MM SPEEDBAND SUPERVIEW SUPER 7 STRING DEPLOYMENT MOLD BAND ENDOSCOPIC SQUARE LATEX FREE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE VLOC 2-0 P-14 12""",272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NYLON SUPRAMID E2 3-0 LOOP 1,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SUC FRZR 9FR 4IN ANG TUBE OBT,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MILL BONE BIOPSY MIDASREX ELECTRIC 2 BLADE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE MEGA SUTURECUT 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE SUTURE EXPRESS SEW IIII,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAC DISPOSABLE HIP SMITH  AND  NEPHEW,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL 3.0 CANN HEAD,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL ACUMED 2.0MM QUICK COUPLER SURGBIT,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 30MM 3.2MM TRIL MED,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 4.0 SHORT 161 MMAO PILOT,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT MEDTRONIC 2.4,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT STRYKER 5.0 ROUND CARBIDE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG 90MM TRMT STRL MOD HND INST ST,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG ALIS STR 155MM INTST 5X6 TTH GRSP,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG DBKY 8IN ATRM DSCT STR JW STRL 1.5MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FUSION TRACKER ENT PATIENT,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE BALL TIP SMITH  AND  NEPHEW 2.0MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HANDLE ESURG MNPLR RCHT,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HANDLE MNPLR 5MM QUICKSNAP PLS LAPSCP REUSE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC ENDO WRIST PRO GRASP,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC FORCEP TENACULUM 8MM XI,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC FORCEPS PROGRASP 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC MEGA SUTURECUT NEEDLE DRIVER,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC NEEDLE DRIVER LARGE  8MM XI4000,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC TIP UP FENESTRATED GRASPER,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT POSITIONING PAD HIP DISTRACTION SYSTEM DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT PUSHLOCK 2.9 PERCUTANEOUS,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TOOL MIDAS F2/8TA23,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RELOAD ECHELON 45MM WHITE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 9.5IN RCHDSN SURG 47X21MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR WOUND ALEXIS 11-17CM XL APPLIED MEDICAL,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRIEVER ROTH NET PLATINUM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSORS 9IN MYO HR CRV SURG,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCTN TB FRAZIER S RGD 5-1/2 AGL 11,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SHEATH ENDO  14-18FR 12FR 45CM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPECULUM NSL 9.4MM 27MM SM VIENNA STD PTTRN STN FNSH LF,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ECHELON 45 BLUE RELOAD,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER PROXIMATE CUTTER 75 3.8,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER RELOAD ECHELON 45MM BLUE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER RELOAD ECHELON 60MM WHITE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.7MM THREE FLUTED,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.2 QC 195MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 4.3 QC 180MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT TRIMED 2.3MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT TRIMED SURGICAL 90MM 1.8MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT TWIST NON CANNULATED TRIMED 3.20MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT TWIST TRIMED 2.30,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 3.3MM NCB,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 4.3,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 4.3MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER TIB/HUM CALI 4.3MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER W/STOP,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURGICAL 80MM 2.3MM NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURGICAL 90MM 1.8MM NONSTERILE LATEX FREE REUSABLE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL-2.3 120 MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BRUSH CYTOLOGY 8FR 200CMX2.1MM RAPID EXCHANGE COMBO CATH DISPOSABLE BILIARY ACCEPTS .035IN GUIDEWIRE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BUR STRYKER HELIOCOIDAL RASP MED 3.2MM (5120-80-30),272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CARTER-THOMPSON SUTURE PASSER GUIDE 5MM 10/12MM DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER PASSER 60CM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY TIP COLORADO 3CM X 3/32,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SYNTHES EXTERNAL FIXATION BODY TWO NUTS,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUTTER SUTURE REMOVAL MENISCAL CINCH KNOT PUSHER 2-0 FIBERWIRE ARTHROSCOPY STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCSN 20FR 12IN A SRTG,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM CLOSURE ZIPLINE 24,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SURGICEL FIBRILLAR 4 X 4,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PASSER LASSO 90D 2.3MM ELBW,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MENISCUS MENDER II SMITH  AND  NEPHEW,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK CRANI SMD,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.7 DRILL,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.7MM CALIBRATED,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 3.2,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT BIOMET 3.2MM CENTRAL SCREW,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT HINGE PIN ARTHREX,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT PIN ARTHREX FOR TIGHTROPE OPEN EYELET 4MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT QUICK RELEASE 2.8MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SET W/ PIN SMITH  AND  NEPHEW 3.2MM X 127MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW 190MM 2MM QC,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW 2.0MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG ADSN 7IN BYNT,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG DBK DTH 1MM 7.75IN TISS TIP 1MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG DBKY 1.5MM 6IN ATRM DSCT JW STRL,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG HLSTD-MSQTO CRV 125MM DLCT HMSTC,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GRAVES LONGVIEW 180MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GRAVES OPEN SIDED SPECULUM LARGE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC PERMANENT CAUTERY HOOK 8MM XI4000,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT INSTRUMENT ACL TRANSTIBIAL HALL STYLE SAW BLADE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KNOT PUSHER,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TPRLC 133 FP,272,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ","$3,480.00 ", N/A ,"$4,306.50 ", N/A ,"$6,090.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$7,047.00 ","$8,700.00 ","$7,047.00 ","$7,395.00 ", N/A ,"$6,029.10 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$3,306.00 ","$4,732.80 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MOLD CEMENT 70MM STAGEONE AGC UNIVERSAL KNEE FEMORAL SILICONE SPACER CRUCIATE SACRIFICE INTERNAL DEPTH GAUGE STERILE DISPOSABLE,272,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ","$3,480.00 ", N/A ,"$4,306.50 ", N/A ,"$6,090.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$7,047.00 ","$8,700.00 ","$7,047.00 ","$7,395.00 ", N/A ,"$6,029.10 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$3,306.00 ","$4,732.80 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRACKER NAVIGATION NONINVASIVE STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PHANTOM LS MICRO LUMBAR DISC HOOK W TEETH,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN GUIDE SMITH  AND  NEPHEW 3.2MMX 343MM THREADED TIP,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POST EXTERNAL FIXATION SUPPORTS MALE SMITH  AND  NEPHEW,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE ARTHROSCOPIC MEASUREMENT,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER ARTHREX LOW PROFILE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER ARTHREX LOW PROFILE 6.5MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER ARTHREX LOW PROFILE 8MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER CANNULATED ARTHREX LOW PROFILE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER LOW PROFILE ARTHREX 7.0MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER SURGICAL 8.5MM LOW PROFILE ACL RECONSTRUCTION STERILE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REINFORCEMENT STAPLE LINE 60MM SOFT TISSUE ECHELON ENDOPATH,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 6.5IN WTLNR BLNT SLFRET SURG,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR SYNTHES HOHMANN BABY,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRODRILL GUIDE PIN,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCORPION NEEDLE KNEE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET DILATOR SHEATH COAXIAL BOSTON SCIENTIFIC,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SLEEVE DRILL LCP 3.5MM 2.5MM INSERT NONSTERILE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SMALL BENDING IRONS FOR PLATES,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ROBOTIC 45 2.5 WHITE XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ROBOTIC 45 3.5 BLUE XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ROBOTIC 45 4.3 GREEN XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3.2 X 343 GUIDE PIN,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT WRIGHT MEDICAL 3.0MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURG SHLDR TRB MTL 2.5MM STRL RVRS SYS,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURGICAL 15MM CANNULATED 6MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELEVATOR SYNTHES PERIOSTEAL,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ENDOWRIST STAPLER 45 BUE RELOADED,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ENDOWRIST STAPLER 45 GREEN RELOAD,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ACCESSORY KIT,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 14MM 11MM ZYPHR LARGE CRANIAL PERFORATOR HUDSON END SHARP STERILE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE ARTHROSCOPY FACIOTOMY ANGLED,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 11CM 3.5MM TRCT XPS,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 11CM 4MM RADENOID CURVED,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHVR 11CM 4MM XPS RAD 60 5K RPM SINUS CRV SHFT OFST,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CABLE NEUROSTIMULATOR MULTI LEAD TRIAL,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY ROBOTIC PERMANENT,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAIL FUSION 9"" AGL 1-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" #4",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" AGL #1",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" AGL 3-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" AGL 4-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" ANGLED #4",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" STR #1",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" STR 1-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" STR 3-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CUR SPINAL FUSION 9"" STR 4-0",272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SUC REG 5MM 45CM VNT 5ML REUSE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE SCORPION SUTURE FIBERWIRE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.0,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.0 CANN,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 3.2MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 4.0,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT CANN 1.7,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW 3.5,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW SHORT 4MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP DAVINICI CADIERE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE DRILL TAN 3.2MM SURESHOT PIN,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ARTHREX BIO TENODESIS INSTRUMENT DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ARTHREX DISPOSABLE 3X8 BIOTENODESIS,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ARTHREX HIP DISPOSIBLE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ARTHREX PERCUTANEOUS 3.0 SUTURTAKS,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY HUMERAL COMPREHENSIVE REVERSE SHOULDER BIOMET,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ROUND FLUTED BUR LONG 9.0 M,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET IMPL SUTUREBRIDGE LG TAPER,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SHEATH, HF, TAP/FEN.2 STPCK FOR 4MM SCOPE",272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3/4 INCH DARRACH TYPE ELEVATOR,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ERGOMAT HYGIENE NITRILE 2 X 3 RED,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP RANCHO EX FIX SMITH  AND  NEPHEW,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,VITAMIN E ARTIFICIAL SURFACE LEFT 13MM 8-11 GF,272,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ","$1,560.00 ", N/A ,"$1,930.50 ", N/A ,"$2,730.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$3,159.00 ","$3,900.00 ","$3,159.00 ","$3,315.00 ", N/A ,"$2,702.70 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,482.00 ","$2,121.60 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY INTRODUCER EXPRESS KYPHOPAK 15/2,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY INTRODUCER EXPRESS KYPHOPAK 10/2,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,VALVULOTOME LEMAITRE EXPANDABLE 98CM,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTR LG LAPAROSCOPIC FORCEPS MARYLAND BIPOLAR 8MM XI4000,272,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$3,240.00 ", N/A ,"$4,009.50 ", N/A ,"$5,670.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$6,561.00 ","$8,100.00 ","$6,561.00 ","$6,885.00 ", N/A ,"$5,613.30 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$3,078.00 ","$4,406.40 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY TIB 71MM VNGRD 360 KN POR REV SYS,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE ERBE FIAPC CIRCUMFERENTIAL,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,APPLIER INT CLP XL 45CM ENDO HEM-O-LOK 10MM,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY TIB 67MM VNGRD 360 KN POR REV SYS,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC NEEDLE DRIVER LARGE,272,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ","$2,760.00 ", N/A ,"$3,415.50 ", N/A ,"$4,830.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$5,589.00 ","$6,900.00 ","$5,589.00 ","$5,865.00 ", N/A ,"$4,781.70 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$2,622.00 ","$3,753.60 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRIPORE TDDHA 1-2MM GRANULE 10CC SYRINGE,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CALIBRATED TIBIAL SPREADER MEDIUM,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY INTRODUCER EXPRESS KYPHOPAK ADDITIONAL 15/2,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WAND E SURG,272,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ","$2,280.00 ", N/A ,"$2,821.50 ", N/A ,"$3,990.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$4,617.00 ","$5,700.00 ","$4,617.00 ","$4,845.00 ", N/A ,"$3,950.10 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,166.00 ","$3,100.80 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRIPORE TDDHA 1-2MM GRANULE 5CC SYRINGE,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PLATFORM ACCESS 4X4CM GELPOINT GELSEAL INSUFFLATION STABILIZATION BAG CAP CHANNEL TRANSANAL,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 7.25IN 4.75IN GLPI SHRP SLFRET SHRP TNCLM PRNG RNG,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR TIB SURG,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET BX CRAIG VERT CMPLT,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SM FUKUDA TYPE RETRCTOR,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,APPLICATOR ENDO 13CM MONT-YOUNGS RHNFRC 2 SUC CHNL SPRG HNDL,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHVR 11CM 3.5MM XPS RAD 120 3K RPM SINUS CRV SHFT TPR,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP ADJUSTABLE WIRE WITH PIN SYNTHES,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP BAR TO BAR SMITH  AND  NEPHEW,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP BAR TO PIN SMITH  AND  NEPHEW 10.5 X 5MM,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP MINI FREEDOM SMITH  AND  NEPHEW 6MM TO 4MM,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP PIN SMITH  AND  NEPHEW 6 HOLE,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SMITH  AND  NEPHEW 10.5MM TO 6MM,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM RETRACTOR ALEXIS GELPOINT 6500,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM RETRACTOR ALEXIS GELPOINT MINI 6,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRIPORE 5 CC,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MONTGOMERY-YOUNGS RHINOFORCE CLIP APPLI- CATOR W/SUCTION JAW,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NAVIGATED 2.4 DRILL BIT,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle MEDTRONIC BIOPSY,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SUTURE STERILE PERCUTANEOUS ACHILLES REPAIR SYSTEM,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG MCGIVNEY 7.25IN HMRHD,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GRASPER LAPSCP 1 ACT ATRM SLD LCK HNDL 36CM 5MM PSTG,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HIP VAC AMBIENT 50,272,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ","$1,080.00 ", N/A ,"$1,336.50 ", N/A ,"$1,890.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$2,187.00 ","$2,700.00 ","$2,187.00 ","$2,295.00 ", N/A ,"$1,871.10 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,026.00 ","$1,468.80 ", N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR 12MM 120MM AIRSEAL BLADELESS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACKING NASAL RAPID RHINO POSTERIOR,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAD POSITIONING 11IN 9IN 1.5IN ACTIVE HEEL HIP PERINEUM SUPINE POST DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PASSER SURGICAL 36CM UNI-SHUNT SHORT PERITONEUM CATHETER MALLEABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PASSER SURGICAL 38CM CATHETER STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT 12MM ACCESS OPTICAL,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT 8MM AIRSEAL ACCESS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT HAND ACCESS 100MM 2 WALL CANNULA BLADELESS OPTICAL TIP LOW PROFILE OBTURATOR VALVE FREE TROCAR AIRSEAL 5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT HAND ACCESS 150MM BLUNT TIP SMOOTH AIRSEAL 5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT HAND ACCESS 5MM 120MM AIRSEAL BLADELESS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PORT HAND ACCESS 8MM 120MM AIRSEAL BLADELESS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POUCH ENDO CATCH 5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUSHER SUTURE CUTTER STERILE KNOT MENISCAL REPAIR SYSTEM ULTRA FAST-FIX STRAIGHT DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR 4.25X5/16IN SCVL ANG NRV ROOT SURG,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR SCOTT RING (SQARE),272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING AIRSEAL TRI-LUMEN FILTER,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING AQUILEX FLUID CONTROL INFLOW,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING HEAT ISO CONNECTOR DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SOFT CERVICAL COLLAR UNIVERSAL,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE RELOAD 5 COUNT RELIATACK FIXATION,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER TX90 4.8 TL90,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3.0 ROUND DIAMOND BUR LONG,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,4.0 ROUND DIAMOND BUR COARSE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.8 QC 165MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER HUM FEM NCB 2.5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRIVER 2MM HEXAGON SET TRIAL CONSTRAIN SCREW 4.5MM SURGICAL FEMORAL,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ANTENNA MEDTRONIC NEUROSTIMULATOR,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BI LUMEN  TUBE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 3.8MM 3MM PRECISION NEURO,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 40MM 3.2MM RINGLOC+ ACETABULAR STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE ARTHROSCOPY FACIOTOMY CURVED,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER BEIGE 3.5MM DYONICS CURVE CONCAVE FULL RADIUS STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER TPS LARGE TEAR RASP,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER SET CHOLANGIOGRAPHY SET,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE BONE BIOPSY XPANDER KYPHX EXPRESS 2 CONE TAPER SPINE LUER FIT SPECIMEN COLLECTION CANNULA,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISP HEATED TUBE SET (10/PK),272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE MTPS 7-0 BV175-7 18IN 2 ARM MFL 4 STRN BLU NABS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYS ATF BLOOD CNSRVT KIT WND,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM BONE CEMENT REVOLUTION BREAKAWAY NOZZLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TAPPERED ROUNTER 2.3,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ENDOSTITCH 0 SURGIDAC GREEN 48    ES-9,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERLINK ARTHREX SUTURETAPE 1.3MM TAPE BLACK WHITE NONABSORBABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SUC ADSN 11FR 6IN CRV OBT FNGR VLV,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TITANIUM RAINBOW GRAVES SPECULUM  MEDIUM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TITANUIUM RAINBOW GRAVES SPECULUM LARGE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TOWER CEMENT CLEAR MIX,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRENGUARD 450 PROCEDURE PACK 12/CA,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR 12MM 100MM AIRSEAL BLADELESS,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NCB DRILL BIT,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK TOTAL JOINT,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK TOTAL JOINT SMD,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WRENCH CUSA 36 KHZ,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL ANCHOR AO CONNECTOR ARTHREX,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 3.2MM QC,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 2.0MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 2.0MM AO,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 2.5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 2.5MM CALIBRATED,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 2.5MM TRIM-IT,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ARTHREX 3.5MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS GRASPING RESCUE RAT TOOTH,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"FRAZIER TUBE ANGLED 4-1/2"" 9 FR",272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"FRAZIER TUBE ANGLED 7-1/2"" 9 FR",272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"FREE-LOCK GUIDE PINS, TROCAR 3.2 DIA X 230MM",272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HEATED INSUFFLATION TUBING,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOLDER 205MM MYO HG DRGRP SERRATE HVY NDL TC,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOOK 6.25IN RETR SHRP KLNR,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT DRAIN THRCTM LTXFR TRMDD,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT GSTRM 18FR SIL ENTRL FDTB RADPQ LOPRO DEHP-FR MCKY,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"KNIFE HANDLE BEAVER KNURLED HANDLE 6""",272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LAP OCCLUDER BALLOON 2.5 RUMI II,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LAP OCCLUDER BALLOON 3.0 RUMI II,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LAP OCCLUDER BALLOON 3.5 RUMI II,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LAP OCCLUDER BALLOON 4.0 RUMI II,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIFTER SURGICAL ORISE SUBMUCOSAL GEL 10ML STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 5MM SPACEMAKER PRO ROUND DISSECTION BALLOON BLUNT TIP LOW PROFILE OPTICAL LATEX FREE TOTAL EXTRAPERITONEAL HERNIA REPAIR,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR SYNTHES HOHMANN WIDE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRIEVER ROTH NET STANDARD,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SOLUTION WOUND CLEANSING BACTISURE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STYLET NAVIGATION 2 COIL STERILE LATEX FREE DISPOSABLE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.7 QC 160MM,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.2 CANNULATED 170MM,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.5 QC 160MM,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 5.0 QC 300MM,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL 12D-30D ANGLE LOOP STANDARD 24FR PLASMALOOP STERILE DISPOSABLE HIGH FREQUENCY RESECTION LATEX FREE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 170MM 4.5MM 1.7MM CANNULATED QUICK COUPLING NONSTERILE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,COVER PIN CAP SMITH  AND  NEPHEW,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP ELECTRODE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP ELECTRODE 12 DEGREE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM IMG SM INTST ST ENDOCAPSULE,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NAGEL MICRO SCISSOR,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS 10IN LSTNK HRSL BN CUT,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FRAG LOC 2.5 DRILL,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,JARIT KERRISON RONG 7 1MM 40,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT ARTHROSCOPY HIP ARTHREX,272,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 ,$540.00 , N/A ,$668.25 , N/A ,$945.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,"$1,093.50 ","$1,350.00 ","$1,093.50 ","$1,147.50 ", N/A ,$935.55 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$513.00 ,$734.40 , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE ENDOTRACHEAL 8.8MM 6MM STANDARD INFLATE CUFF REINFORCE WIRE ELECTRODE PIN GREEN WHITE NIM STAINLESS STEEL SILICONE ELASTOMER STERILE LATEX FREE DISPOSABLE EMG,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN EXTERNAL FIXATION 50MM 5MM JET-X SHORT TITANIUM NITRIDE TRACTION NONSTERILE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN TRACTION SMITH  AND  NEPHEW 5MM,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE DRILL GUIDE SURESHOT HUMERAL SMITH  AND  NEPHEW,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUNCH BIOPSY TISCHLER MINI UP RAINBOW,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SHEARS ESURG 9CM HRMN FOCUS CR,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STIMULATOR PROGRAMMER EXTERNAL WIRELESS NERVE CHRONIC PAIN RS2 SPINAL CORD,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,4.0 AO PILOT DRILL,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,6.0 ROUND FLUTED BUR MED,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2MM STRAIGHT,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"DRILL BIT, JACOBS CHUCK, 1.1MM DIA, 45MM",272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EXTRACTOR SURGICAL NAIL LARGE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FIBERTAK W SUTURE TAPE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 16FR HEYMAN,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BOLT EXTERNAL FIXATION ILIZAROV COMBINATION WIRE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LIGASURE HANDPIECE CURVED SMALL JAW,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE FIXATION VIOLET 5MM ABSORBATACK POLYESTER 30 TACK ABSORBABLE PISTOL GRIP HANDLE LAPAROSCOPIC HERNIA REPAIR STERILE DISPOSABLE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE FX VIOL 5MM ABSRBTCK SHRT POLY 20 TACK ABS PSTL GRP,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM ALEXIS CONTAINED EXTRACTION,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP HARMONIC SCALPEL SHEARS 5MM 36CM,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP MICRO LONG CANNULATED MEDSOURCE,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER 12FR 13.35IN COUDE HEYMAN,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE ENDOTRACHEAL 10.2MM 7MM REINFORCE NIM STERILE LATEX FREE DISPOSABLE EMG,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE ENDOTRACHEAL 11.3MM 8MM STANDARD INFLATE CUFF REINFORCE WIRE ELECTRODE PIN GREEN WHITE NIM STAINLESS STEEL SILICONE ELASTOMER STERILE LATEX FREE DISPOSABLE EMG,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,UNIT THRP PREVENA INCS MGMT SYS CSTM KIT,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT CANNULATED SMITH  AND  NEPHEW 1.8MM,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP SYNTHES REDUCTION W/PT 132MM BROAD,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT INSTRUMENT XL HIP DISPOSABLE SHORT 2.9MM PUSHLOCK,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE GASTRIC LAVAGE 36FR TUM-E-VAC 1 LUMEN MULTIPLE EYELET RADIOPAQUE STRIPE ADULT NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POUCH 30X30IN LG 2 INCI FILM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POUCH 36X30IN 360D 2 INCI FILM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POUCH URO CATCHER DRAI,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PRESSURIZER BONE CEMENT YELLOW MEDIUM FEMORAL,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUMP SUCTION SIPHON 16L NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SEAL ROBOTIC 10/12 CANNULA (400077),272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING AQUILEX FLUID CONTROL OUTFLOW SUCTION,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE CAPTIVATO COLD SINGLE-USE SNARE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE CAPTIVATOR COLD SINGLE-USE SNARE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE MEDIUM HEXAGONAL 240CM 2.4MM CAPTIVATOR LOOP STIFF ENDOSCOPIC POLYPECTOMY 27MM STERILE DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE ROUND 240MM 10MM 2.4MM CAPTIVATOR II,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE XS OVAL 240CM 2.4MM CAPTIFLEX LOOP,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SOCK CANISTER 8IN ELBOW SPECIMEN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPHERES 1 PACK,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPHERES 5 PACK,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE HEMOCLIP LIGACLIP EXTRA MEDIUM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE HEMOCLIP LIGACLIP EXTRA MEDIUM/LARGE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ETHICON 35 W ROTATING HEAD PRW35,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION MANIFOLD DORNOCH,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL ROUND LOOP 10X10MM 3/32IN UTAHLOOP SAFE-T-GAUGE STERILE STAINLESS STEEL TUNGSTEN PLASTIC 11CM DISPOSABLE YELLOW Y SHAFT WIRE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL ROUND LOOP 11CM 8MM UTAHLOOP SAFE-T-GAUGE LETZ STERILE 8X25MM DISPOSABLE TAN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL ROUND LOOP 12X15MM 3/32IN UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN 11CM DISPOSABLE GREEN Y SHAFT WIRE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL ROUND LOOP 12X20MM 3/32IN UTAHLOOP SAFE-T-GAUGE LETZ STERILE STAINLESS STEEL TUNGSTEN PLASTIC 11CM DISPOSABLE WHITE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADHESIVE DERMABOND,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ATTACHMENT SMOKE EVACUATOR VALLEYLAB L10 FT,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BRUSH CYTOLOGY 3MM 7FR 240CM BRISTLE STERILE DISPOSABLE RED BRONCHIAL UPPER LOWER GASTROINTESTINAL TRACT 2.8MM CHANNEL COLONOSCOPE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHROSCOPIC 5.5MM 70MM UNIVERSAL SHOULDER SET 2 SEAL BLUNT OBTURATOR STERILE LATEX FREE DISPOSABLE GRAY,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LETZ BALL ELECTRODE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LETZ BALL ELECTRODE 5MM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY LOOP ELECTRODE 20MM X 15MM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP APPLIER LARGE HEM-O-LOK 8MM XI4000,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIPS RANEY SCALP AND APP,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CORD ACMI VAPORTRODE DISP (DAC),272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET BLUE ATS 3K 3.5 X 12,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET BROWN ATS 3K 4 X 34,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET GREEN ATS 3K 4 X 24,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET RED ATS 3K 4 X 18,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET RUBY ATS 3K 4 X 42,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET WHITE ATS 3K 2.75 X 8,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCISION 10FR 1/8IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE HUBLESS TROCAR STERILE LATEX FREE 1/8IN FULL FLUTE ROUND DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCISION 10MM FLAT CHANNEL BARD,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GLASSCOCK EAR,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING SURGICAL NON ADHERENT 8 X 12,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 CT-1 18 C/R C821G,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 CT-2 18IN CONRE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 MO-6 18IN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 5-0 BV-1 DA 24,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SUPRAMID 4-0,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP PULSAVAC BRUSH INTRAMEDULLARY ZIMMER,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CAPROSYN SURGALLOY 4-0 P-12 18IN MONOFILAMENT UNDYED ABSORBABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE CHROMIC 5-0 S-14 12"" 1766G",272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 2 V- 37 30 MX69G,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 5 LV-37 30 MB66G,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NUROLON 4-0 TF CR C584D,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PASSOR PRO W/10/12MM GUIDE  AND  TROCAR SWABS,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS II 0 CT-1 CR 8-18 Z740D,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS II 1 CTX CR 18IN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SUCTION REGULAR 5MM 32CM IRRIGATION DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRANSDUCER COVER,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK SURESTEP 16FR FOLEY DRAINAGE BAG BACTI-GUARD NATURAL RUBBER STERILE LATEX DISPOSABLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MANIFOLD SUCTION INTELLICART CLOG FREE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MANIFOLD SUCTION NEPTUNE 2 2 STANDARD 4 PORT WASTE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MATTRESS OVERLAY BASE 2IN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE HYPO JAMSHIDI BONE MARROW 11GA X 4,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK CYSTO SMD,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK T  AND  A,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK UNIVERSAL II,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACKING NASAL KENNEDY,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING LAP SUCT SMOKE EVAC PLUME PUREVIEW,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY RADIAL JAW 4 WITH NEEDLE,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE PIN ORTHO 3.2MM 12IN SMTH SHFT TROC TIP,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE PIN ZIMMER 1.6MM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT HANA TABLE BOOT LINER,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT PCUT TELFA GLSCK PED EAR D,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE JJNSTM 14FR 9FR SIL STD MIC LL RADPQ STRP 1 FD PORT,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PERFORATOR DISPOSABLE 14MM CODMAN,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUNCH SURG UPWRD CUT KER 7INX1MM 130D STD,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SEALER AQUAMANTYS 6.0 BIPOLAR,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SHEARS HARMONIC FOCUS 9MM CURVED,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPECULUM VIENNA SURG SPT MED 11.2X30MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ECHELON POWERED FLEX 60MM X 34MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ECHELON POWERED FLEX 60MM X 44MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING CUSA 36 KHZ,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,3.5 TWIST DRILL,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2.7MM CANN QCKCONCT,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLIP CUTTER II ARTHREX 10.0MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLIP CUTTER II ARTHREX 10.5MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLIP CUTTER II ARTHREX 8.5MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLIP CUTTER II ARTHREX 9.0MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLIP CUTTER II ARTHREX 9.5MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BAR EXTERNAL FIXATION 350MM JET-X CARBON FIBER NONSTERILE DISPOSABLE,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 11CM 3.5MM RAD 90 5000 RPM CURVE M4 ROTATABLE OFFSET CUT SURFACE IRRIGATION TUBE MAXILLARY POLYPECTOMY FRONTAL SINUSOTOMY STERILE,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SYNTHES EXTERNAL FIXATION 4MM 2.5MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUBE SMITH  AND  NEPHEW,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIGHTROPE ARTHREX ACL RT,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP HARMONIC SCALPEL SHEARS ACE PLUS W/ADV HEMO 23CM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SCREWDRIVER 3.5MM AEQUALIS REVERSED HEXAGON SHOULDER STERILE DISPOSABLE,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP SUC FRZR 11FR 4IN ANG OBT FNGR VLV,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRIPORE 2 CC,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRIPORE 2CC,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"LOVE-GRUEN RONGEUR, STR, W/TEETH 3X10MM, 7""",272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,OPEN ABDOMINAL DRESSING (5/BX),272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT LONG GRADUATED BRAD POINT SMITH  AND  NEPHEW 3.2MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT MICRO ACUMED,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT PIN ZIMMER HEADLESS TROCAR,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SMITH  AND  NEPHEW PILOT 4MM,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SURESHOT SMITH  AND  NEPHEW LONG,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC ENDO WRIST HOT SHEARS,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC SCISSORS MONOPOLAR CURVED 8MM XI4000,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT  INTEGRA CRANIAL ACCESS,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT BONE PREP QUIK-USE FEMUR POLYETHYLENE BARIUM SULFATE CEMENT STERILE,272,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A ,$556.50 ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 ,$420.00 , N/A ,$519.75 , N/A ,$735.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 , N/A ,$727.65 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$571.20 , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE JJNSTM 18FR SIL NTRL RBR STD MIC SECUR-LOK TRM DIST TIP,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER LOW PROFILE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,REAMER SURGICAL 10MM CANNULATED ACL LOW PROFILE STERILE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETROCUTTER,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETROCUTTER 8.5,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETROCUTTER 9.5 MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETROCUTTER 9MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSORS MNPLR MTL HNDL TRD,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET SPINAL BLACK 6IN 22GA 18GA CHIBA METAL PLASTIC 2 NEEDLE INTRODUCER STYLET 3.5IN STERILE LATEX FREE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER CURVED CUTTER 3.0MM X 4.7MM CS40G,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER ECHELON POWERED FLEX 45MM X 34MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER PURSESTRING 65  020242,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION IRRIGATOR SINGLE SITE 5MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,2.5MM HEX CANN SCREWDRIVER,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT1.6MM STANDARD DRILL TIP GUIDE WIRE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURGICAL CANNULATED STOP GLENOID BIGLIANI/FLATOW TRABECULAR METAL 6MM STERILE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ANCHOR SUTURE 2 BIO-SUTURETAK TIGERTAIL BIOABSORBABLE 14.5MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BATTERY DRIVER LARGE SYSTEM 6,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULATED DRILL 3.2,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER DRAINAGE 120CM PERITONEAL CODMAN BACTISEAL BARIUM SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER DRAINAGE 14CM VENTRICULAR CODMAN BACTISEAL BARIUM SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUT LIGASURE HANDPIECE 5MM-37CM BLUNT TIP,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLAMP SURG LWN 185MM BN SERRATE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUBE RANCHO SMITH  AND  NEPHEW 4 HOLE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUTTER FLIP ARTHREX 10MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE ELECTROSURGICAL PINK LOCK DISPOSABLE PLASMABLADE X STERILE LATEX FREE,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE FIXATION ULTRA FAST-FIX STRAIGHT MENISCAL REPAIR SYSTEM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE SUTURING ARTHREX CURVE MENISCAL CINCH,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM EXTERNAL DRAINAGE WIDE POLE CLAMP SHORT THUMB SCREW BASE FRAME TUBE VENTRICULAR CATHETER ENHANCED NATUS EDS 3 CLEAR,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORTX CV-0 THX-25 36IN,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE JJNSTM 16FR SIL STD J MIC SECUR-LOK TRM DIST TIP RADPQ,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING STRYKER SONOPET,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WAND COBALTOR PROCISE PLASMA XP T  AND  A,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WAND REFLEX ULTRA 45,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SURESHOT SMITH  AND  NEPHEW 40MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSERT CLMP FGRTY 33MM 2 HDRJW ST ATRM OCL LF DISP,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC BIPOLAR ENERGY CORD BLUE  XI4000,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC BIPOLAR FORCEPS FENESTRATED (420205),272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT ROBOTIC MONOPOLAR ENERGY CORD GREEN XI4000,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSUFFLATION BULB FILTER,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INTERTAN 7.0 COMP SCRW START DRILL,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,IRRIGATOR SUCTION 8MM ENDOWRIST,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE MIC GASTROSTOMY 26FR/20CC,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN GUIDE ZIMMER FREELOCK THREADED,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,POSITIONER OR GRAY WHITE NECK REST DI,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUNCH FISCHER CONE BIOPSY    900-151,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUNCH STD HNDL 3MM AOR PX6,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SEAL ROBOTIC CANNULA 12MM STAPLER XI4000,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SEAL ROBOTIC PORTS 5MM-8MM XI4000,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SHEATH STAPLER ROBOT  ENDOWRIST INTUITIVE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE 13MM SNARE (ROTATABLE),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE SMALL OVAL 13MM ROTATABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE SURGICAL 10MM ROUND COLD,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE GELFOAM 100,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE GELFOAM COMPRESSED 100,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER SKIN 3.9X5.7MM 360D REG,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE TELESCOPING BOVIE PENCIL WITH SMOKE EVACUATION,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EVACUATOR BLADDER UROVAC,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EXCISOR BIOPSY .472X.354IN FISCHER 74D 12MM SMALL CONE DISTAL TIP CURVE STOP ARM INSULATED SHAFT LINEAR RIGID WIRE .59IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EXCISOR BIOPSY FISCHER LARGE CONE CERVICAL LINEAR RIGID WIRE FULLY INSULATE SHAFT LEEP ELECTRODE POSITION LABEL STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,EXCISOR BIOPSY FISCHER MEDIUM CONE DISTAL TIP CURVE STOP ARM INSULATE SHAFT LINEAR RIGID WIRE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADAPTER SMOKE EVACUATOR 7/8IN Y CONNECTOR,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADAPTER TUBING CONTINUOUS WAVE II 2 SPIKE Y,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,APPLICATOR ARISTA AH FLEXITIP XL 38CM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BAUSCH  AND  LOMB  BITE LINERS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE ASSEMBLY FOR SPECIALITY CLIPPER (4412A),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE HEAD DERMATOME DISPOSABLE BLUE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE MICRO OSC FINE 5023-162,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 25X9MM PRECISION THIN OFFSET STRYKER,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 25X9MM PRECISION THK.38MM THIN RECIPROCATE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 42X13.3X.61MM PRECISION THK.38MM XLONG WIDE THIN STAINLESS STEEL OSCILLATE SAGITTAL AGGRESSIVE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 70X12.5MM THK.8MM STAINLESS STEEL RECIPROCATE OFFSET 2 SIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER MEDIUM NARROW LONG 2296-3-414,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER MICRO OSC 5.5 X 18,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER MICRO SAGITTAL BLADE FINE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER THIN OFFSET 25MM (5.5),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER TPS MEDIUM SAGITTAL 18.5MM X 9.0MM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL 4MM OVAL CARBIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHREX TIBIAL TUNNEL,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHREX TWIST 8.25MM X 9CM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHROSCOPIC 6MM 7CM TWST-IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHROSCOPIC 7MM 7CM TWIST-IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ROBOTIC 8MM REDUCER XI4000,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ROBOTIC SEAL ENDOWRIST INTUITIVE SURG,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA TWIST IN 8.25MM X 7CM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAP PIN SMITH  AND  NEPHEW 5MM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CARRIER DERMACARRIER 6 TO 1,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CARRIER DERMACARRIER 9 TO 1,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CARRIER DERMACARRIER I 2195-13,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CARTRIDGE CRYOSURGICAL IOVERA N2O,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER KIT FOLEY URINE METER,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP LARGE INTERNAL LIGACLIP EXTRA TITANIUM LIGATE OPEN STERILE DISPOSABLE LATEX FREE YELLOW,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONTAINER TRANSPEC SPECIMEN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE V-LOC 180 0 GS-21 6IN ABSORBABLE GREEN CLOSURE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISP LONG OBTURATOR BLADLESS 8MM (24/),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCISION 10FR JACKSON-PRATT SILICONE RADIOPAQUE END PERFORATION TROCAR STERILE LATEX FREE ROUND DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LINE SAMPLE 2MR NOMOLINE LUER LOCK CONNECTOR LATEX FREE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 7-0 BV175-6 DA 24IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ULTRABRAID 2 38,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VLOC 0 180 12 GS 21,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VLOC 0 GS-22 .5 CIRC 18IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VLOC 180 2-0 GS-22 .5 CIRCLE 9IN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VLOC CV23,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUPPORT ORTH THK1/8IN XL UNV BTRS 23-25.5IN KN NPRN 2 AXIS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ABSORBABLE STRATAFIX MONOCRYL PLUS 3-0 PS-2 SPIRAL L6,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERWIRE #2 AR-7200,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERWIRE 4-0 1 T-12 TAPER 8 3/8 CIR,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORTX CV-6 TTC-13 24IN 2,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MERSILENE BD-1 3/16X12 RS21,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY FORCEP 3.2,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY HOT 240CM 2.2MM RAD,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 10/12MM THORACIC RIGID,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 12MM XCEL BLADELESS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM XCEL BLADELESS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR XCEL 11MMX100MM   6 BX DILATING TIP,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR XCEL 12 MM 100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR XCEL BLADELESS 8MM X 100MM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR XCEL BLADELESS OPTIVIEW 5MM X 100MM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR Z THREADED 5X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE 30FR SILICONE RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY MIC SECUR-LOK WHITE 7-10ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE MIC GASTROSTOMY  20FR/20CC,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE MIC GASTROSTOMY  24FR/20CC,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE MIC GASTROSTOMY 14FR ENTERNAL FEEDING,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MANIFOLD SUCTION NEPTUNE BLUE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MANIPULATOR KRONNER UTERINE (003276),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,OBT 8MM BLDELS DVNC STER DISP ENDO,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SURGICAL CUSTOM VAG PATIENT SPECIFIC ST MARYS LATEX FREE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY JUMBO 3.2,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP HOT BIOPSY DISPOSABLE 240CM X 2.2MM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GRID ACCU,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE PIN ORTHO 3.2MM 12IN TROC TIP P-THR,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HANDPIECE 10FT INTERPULSE SURGILAV PLUS SET TUBE PULSED LAVAGE STERILE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HEADREST PRONE VIEW CUSHION LARGE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HEADREST PRONE VIEW LARGE,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOOK DERMA,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INFUSOR BAG 3000 ML (10/BX),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT COLON W/ 1.1 OZ ORCA HYDRA SEAL (2 GOWNS),272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KNIFE SERRATED SMITH  AND  NEPHEW,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE SET,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR WOUND ALEXIS 17-25CM APPLIED MEDICAL,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET SUCTION HIGH PRESSURE KAIRISON DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SPURLING RONGEUR, PITUITARY, UP ANG 4X10MM, 7""",272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,2.4 COUTERSINK CANN,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,4.0 ROUND FLUTED BUR MEDIUM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.8MM X 200MM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT-3.2,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL SURGICAL SHOULDER TRABECULAR METAL 2.5MM STERILE REVERSE SYSTEM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FEMORAL CANAL PRESSURIZER,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BIT DRILL 3.5MM PERI-LOC SHORT QUICK CONNECT STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 11CM 4MM XPS SERRATE IRRIGATION TUBE OSCILLATE,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BONE PRESS,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BUR SURG 2.5MM MTCH HD LF,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER BIPOLAR 2.8MM 7FR 300CM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP RESOLUTION 2.8MM 11MM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DISSECTING TOOL T4,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOCKE PHALANGEAL FCPS 6 1X2T,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE TISSEEL BAXTER  4ML,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE JEJUNOSTOMY 68CM 12FR ENDOVIVE PIGTAIL TIP FEED THROUGH THE PEG STIFF STYLET LATEX FREE,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"LOVE-GRUENWALD RONGEUR, PITUITARY DWN ANGLE 3X10MM, 7""",272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"LOVE-GRUENWALD RONGEUR, PITUITARY, UP ANG 3X10MM, 7""",272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE SCORPION AR-13995N,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WAND ESURG 4.2MM 5.5MM AMB MEGAVAC 90 CBLTN QUANT,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT MEDTRONIC,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT QUICK RELEASE MEDSOURCE 2.8 ACUMED,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP ESURG ENT BYNT,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FUSION TRACKER ENT INSTRUMENT,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"JARIT LEKSELL RONGEUR 9"" SLIGHT CURVE",272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT SYRINGE INFUSION SET LUER CAP TOURNIQUET SERIES I ANGEL WING ACP 19GA DISPOSABLE LATEX FREE ALCOHOL,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE SUCT HYDRPHB FILTR ELEC,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PENFIELD DISSECTOR NO 4, 8-1/2""",272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PICK SURGICAL 32MM 25GA 45D MICROPICK LUER LOCK HUB RETINAL,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE SURGICEL 2 X 3,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE HEMOCLIP LARGE HEMOLOK,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE HEMOCLIP MED/LARGE HEMOLOK,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE TX30 RELOAD 30MM 4.8 GREEN XR30G,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 3/32 (2.4MM) 5,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FILIFORM URETHRAL 18IN 6FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE DERMATOME 1.25-4.25IN STERILE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 41.5X9.5MM THK.4MM THK.6MM SMALL BONE SAGITTAL,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER RECIPROCATING HEAVY SAW DUTY 277-96-325,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA ARTHREX GEMINI 8.25MM X 9CM (AR-6572),272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,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 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA PASSPORT BUTTON 4MM X 8CM (AR-6592-08-40),272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA PASSPORT BUTTON 8 X 3,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET GREEN  4 X 24,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CUFF TOURNIQUET RED 18   DUAL BLADDER,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN PERITONEAL ABRAMSON 15 X 3 X 8,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAINAGE CHEST SYSTEM SENTINAL,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING AQUACEL AG HYRDOFIBER 3.5 X 10,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE RETRIEVER ACUFEX,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYSTEM CLEARIFY VISUALIZATION,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORETEX  CV-6  6M08A,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORTX CV-0 THX-26 36IN NONABSORB,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORTX CV-6 TTC-9 24IN 2,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE GORTX CV-7 TTC-9 24IN 2,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS ENDOLOOP 18 EZ10G,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY FORCEP RADIAL JAW 3.2 240CM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRACH SHILEY CUFFED SIZE 10,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRACH SHILEY CUFFED SIZE 8,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRENGUARD  450 SUPPORT WEDGE 12/CA,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR Z THREADED 12X100MM BLADELESS,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE 12FR SIL MED PORT RADPQ STRP RTNT BLN UNV FD PORT CONN,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE INSUFL THERMOFLATOR HFLO,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MATO SCS 6-3/4 CVD MATTE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MATTRESS AIR 74X33IN SOFCARE C350LB VINYL FABRIC OVERLAY WATERPROOF NONWOVEN,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE HYPO INTERJECT 25G X 240CM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE HYPO INTERJECT SCLEROTHERAPY 25GA,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,OBTURATOR LAPAROSCOPIC 8MM BLADELESS DAVINCI,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,OBTURATOR LAPAROSCOPIC 8MM LONG BLADELESS DAVINCI,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAPAROSCOPY PACK SMD,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK MINOR,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK VAG HYST SMD,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING IRRIGATION 8FT REDEUCE DUALWAVE BACKFLOW CHECK VALVE CONNECTOR STERILE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING IRRIGATION STRAIGHTSHOT XPS,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,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 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG CSHG 8IN SEM SHRP SERR DSCT 1X2 TTH STRL,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,INSTRUMENT BIOPSY 13GA X 13.8CM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,IRRIGATOR STRYKER SURGILAV INTERPULSE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT INFUSION PUMP REFILL PROGRAMMABLE SYNCHROMED II,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT PULSAVAC WOUND DEBRIDEMENT FAN ZIMMER,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE TRACHEOSTOMY 6 76MM 10.8MM 6.4MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE STERILE LATEX FREE GREEN WHITE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PENFIELD DISSECTOR NO 1, 7""",272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PENFIELD DISSECTOR NO 2, 7-1/4""",272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PENFIELD DISSECTOR NO 3, 7-1/4""",272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"PENFIELD DISSECTOR SZ 3 FULLY CUURVED WAX PACKER 8""",272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RAPID RHINO 4.5 ANTERIOR EPISTAX,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RAZOR EDGE BLACK HANDLE SCISSOR,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR V-CARE VAG/CERV MED-STD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,S.C. ALUMINUM HEAD PIECE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSORS 7IN LSTR HVY BNDG,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SLING ORTHO 11.75X9.5IN FOAM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SLING ORTHO 13X10IN FOAM LG,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SLING ORTHO 13X10IN FOAM XL,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE ENDOSCOPIC 2 TIP DISSECTOR 38CM 5MM KITTNER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE PROXIMATE CUTTER 60-3.8 RELOAD TCR55 GIA,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE PROXIMATE CUTTER 60-4.8 RELOAD XR60G,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE TX90-4.8 RELOAD TR90,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,2.5X14MM DRILL,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 70MM X 3MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT WIRE PASS 1.5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE 1.5MR .4MM STAINLESS STEEL 13MM DISPOSABLE ASSORTED SUBDERMAL LEADWIRE GROUP 1,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ESURG 36CM 4.8MM STRL DISP SLD LAPSCP WRE J HK TIP,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FIBERSTICK ARTHREX # 2 (AR-7209),272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 14FR HEYMAN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 20FR HEYMAN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 22FR HEYMAN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADAPTER CATHETER 15CM 14FR FOLEY DRAINAGE BAG URETERAL GOLDBERG,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,APPLICATOR ENDOSCOPIC SURGIFLO SEALANT,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,AWL SURGICAL 3.8MM TAPER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE CONMED SAW 19.5 X 90 X 1.27MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE FULL RADIUS 2.9MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE INCISOR PLUS 4.5MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 90X18MM THK1.27MM SAGITTAL STERILE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 2.9MM MAGNUM MINI ABRADER DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER 4.5MM SYNOVATOR DYONICS PLATINUM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER AQUA 4MM DYONICS ABRADER STRAIGHT SHAFT ARTHROSCOPIC STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER BEIGE 7CM 2.9MM DYONICS POWERMINI CUTTER STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER BGE 7CM 3.5MM FULL RADIUS,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER FOREST GREEN 4.5MM DYONICS STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER GRAY 3.5MM INCISOR STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER DUAL CUT SAGITTAL 4 IN 1,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER SAGITTAL HIP AND KNEE 4125-127-090,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STYRKER MICRO SAGITTAL BLADE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BUR SURG LILAC 5.5MM DYNC NTC,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAV MRN 4MM STNCTR STRT RESCT; SHRP; BLDE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER MAROON 4MM DYONICS ELITE STONECUTTER STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER OLIVE 5.5MM STONECUTTER STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER SAGE GREEN 4MM DYONICS ACROMIOBLASTER STRAIGHT SHAFT ARTHROSCOPY RESECTION SYSTEM REPROCESSED STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER WHITE 4.5MM DYONICS STRAIGHT SHIELD SLAP HOOD STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL MAUVE 4MM DYONICS ACROMIONIZER STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA SEAL SINGLE SITE 8-5 13MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATCH ENDO POUCH,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER CHOLANGIOGRAM 11IN 4FR PERC EXTND,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER CHOLANGIOGRAM 19GA PRVW KUMAR CHOLANGIOCATHETER,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER CHOLANGIOGRAM 7IN 4FR OPEN PROC,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CEMENT MIXER STRYKER BOWL (MIXEVAC),272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP LIGACLIP MCA MEDIUM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP LIGACLIP TITANIUM LARGE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP LIGACLIP TITANIUM SMALL,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CORD BIPOLAR AND FORCEP,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIGATOR ENDOSCOPIC SHORTSHOT SAEED TRIVIEW ADULT L5 IN OD.,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE TIGERSTICK TIGERWIRE 2 50IN 1 END STIFFEN MONOFILAMENT BLACK WHITE 12IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIGERTAPE ARTHREX 2MM (AR-7237-7T),272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION/IRRIGATOR STRYKER ENDOSCOPY STRYKEFLOW II,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERLOOP 2 AR-7234,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERSTICK 2-0 FIBERWIRE 2-0,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERTAPE 2MM 7   BLUE  TAPERED TO #2 FIBERWIRE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 24FR HEYMAN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.5IN 18FR PHLPS,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER 10FR 13.35IN COUDE HEYMAN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER URETHRAL 13.5IN 14FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER URETHRAL 13.5IN 16FR PHILLIPS WOVEN DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER URTH 13.5IN 12FR PHLPS WVN DIL CATH STRL LF REUSE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRACH SHILEY CUFFED SZ 4,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAP DORNOCH SPECIMEN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE TRACHEOSTOMY 10 81MM 13MM 8.9MM SHILEY CUFF INNER CANNULA FENESTRATE STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LUBE ELECTRO LG LAPAROSCOPIC,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,MANIPULATOR VAGINAL UTERINE SMALL  VCARE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle BIOPSY TRU-CUT 14GA X 4.5,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE STORZ BOTOX,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ORTHO DRI ABSORBENT PACKING,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK ARTHROSCOPY,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK ARTHROSCOPY SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK BUNION SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK C-SECTION SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAP SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAPAROTOMY,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK MINOR SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK NECK 180160 SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK NECK SMD,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACKING 5.5CM NASAL INFLATABLE UNILATERAL WITHOUT AIRWAY RAPID RHINO HYDROCOLLOID FABRIC,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING SMOKE EVACUATOR 6FT SURGIFRESH WAND AES,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,WRENCH SYNTHES 4.5MM PIN,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 12MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 14MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 16MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 25MM 3.8MMPINNACLE DEPUY,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 3.2 QC 145MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY RADIAL JAW HOT 2.8,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP ENDO SHEARS 5MM CURVED,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS ESURG 31CM 5MM MD INSUL OUTR TUBE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FRAZIER TUBE ANGLED 4 -1/2 7 FR,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"FRAZIER TUBE ANGLED 7-1/2"" 7 FR",272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUARD PIN WHITE JURGAN PIN BALL 6 BALL .035IN K WIRE W SERIES STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE 8MM RING TUBE ALIGNMENT SURGICAL MEDULLARY,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,IRRIGATOR SUCTION STRYKEFLOW 2,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT EXTERNAL DRAINAGE CSF REPLACEMENT COLLECTION NATUS EDS 3,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KNIFE ENDO  ACL,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING  SMOKE EVACUATOR  RAPIDVAC 10FT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACKING WOUND 3YDX1IN TYVEK POLY GAUZE VAGINAL XRAY DETECTABLE RADIOPAQUE FANFOLD PEEL POUCH STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACKING WOUND 3YDX2IN COTTON VAGINAL HANDLE LOOP RADIOPAQUE PREWASH STERILE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAD ARMBOARD PURPLE 20X8X2IN FOAM CONVOLUTE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAD COLD THERAPEUTIC 18X13IN RESERVOIR BUTTON MUL-T-PAD T/PUMP LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAD POSITIONING STANDARD PERINEAL FOAM POST PRESSURE RELIEF TABLE PEDIATRIC DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PAD THERAPEUTIC 22X15IN NONWOVEN LOCALIZED TEMPERATURE CLICK-TITE CONNECTOR PLASTIC CLOTH MUL-T-PAD STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PILLOW POSITIONING 7IN GENTLETOUCH CONTOUR HEAD CHIN FOAM 1 BLOCK REST RIGHT INTUBATION SLOT LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE ESOPHAGUS RECTUM 3FT MEDI-THERM TEMPERATURE SMALL STATURE 9FR STERILE DISPOSABLE HYPER/HYPOTHERMIA SYSTEM,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROTECTOR INSTRUMENT 1.1MM GUARD WHITE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RESERVOIR JACKSON PRATT WOUND DRAINAGE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RESVR DRAIN EVAC BULB SUCT NO,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR SKIN HOOK SINGLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCOPE WARMER DISP SEAL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET .28IN 85IN 4 LEAD 3Y CONN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET ADMIN 104IN 20 GTT 17ML IV,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET SEAL MYOSURE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET Y TUR 96IN NONVENT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SNARE ROUND 2.8CM 240CM 2 LOOP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SOLUTION IRRIGATION ARTHROMATIC LACTATED RINGERS 3000ML PLASTIC CONTAINER LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPECIMEN CUP 4OZ,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPIKE TRANSFER TRANSOFIX,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPINAL NEEDLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE PEANUT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPRING CLIPS FOR YELLOW FIN STIRRUPS,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER PRECISE 35 WIDE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STOPCOCK 3-WAY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STRAP STIRRUP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTIN CANISTER 2000ML 90D LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION FLANGE TIP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION TRAP TISSUE BERKLEY SAFETOUCH,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION TUBING 10FT .25IN NONCDTV UNIV F STRT M CONN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION TUBING FRAZIER CONNECTING,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION VACUUM CURETTE 10 MM CURVED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION VACUUM CURETTE 7MM CURVED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING COLLECTION SET D  AND  C,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,1.5 SINGLE NEEDLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE EEG 20X15MM STICKY PAD SURFACE STIMULATING 1.5MR DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE EEG STICKY PAD LARGE L20 MM X W15 MM L2.5 MR STIMULATE SURFACE PREGEL SPECIALLY FORMULATE DISPOSABLE BLACK BLUE GREEN RED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL BLADE STANDARD FLAT ULTRACLEAN STERILE STAINLESS STEEL DISPOSABLE HEXAGONAL HUB LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL INSULATED BLADE 2.75IN 3/32IN EDGE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL INSULATED BLADE 4IN 3/32IN EDGE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL INSULATED BOVIE TIP 6.5IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL INSULATED NEEDLE 4IN 3/32IN EDGE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FILTER ASPIRATOR BERKELEY SAFETOUCH UTERINE COLLECTION SYSTEM NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FLAT DRAIN 10 MM FULLY PERFORATED W TROCAR CA/10,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FOLLOWER  13.35IN 18FR HEYMAN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADAPTER CATHETER 3 WAY UNIT INTERMITTENT BLADDER IRRIGATION STERILE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADAPTER TUBING UNIVERSAL NUT NIPPLE BARB HOSE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ADHESIVE DERMABOND MINI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ALCOHOL ISOPROPYL 70% 16OZ,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ACE STERILE 2 X 5YD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ACE STERILE 3 X 5YD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ACE STERILE 4 X 5YD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ACE STERILE 6 X 5YD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ESMARK 3,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ESMARK 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE ESMARK 6',272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BANDAGE GAUZE 4.1YDX3IN MEDLINE BULKEE LITE COTTON 3 PLY LIGHT STRETCH ROLL WOVEN STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE BEAVER 6400 MINI ROUND TIP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE BEAVER 67 MINI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE CLIPPER SURGICAL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE OPHTHALMIC 1.31IN BEAVER MINI-BLADE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE OPHTHALMIC BEAVER MINI-BLADE STRAIGHT POINT TIP LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE OPHTHALMIC BLUE MINI-BLADE STRAIGHT GRINDLESS SHARP ALL AROUND 2 BEVEL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 25.5X9.5X4MM MICRO 100 MICROPOWER THK.6MM STAINLESS STEEL SAGITTAL FINE TOOTH STERILE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 35X10MM HALL THK.6MM STERNUM STAINLESS STEEL STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 5.5MM MICRO 100 MICROPOWER THK.4MM STAINLESS STEEL COARSE TOOTH SAGITTAL STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE STRYKER MICRO OSC 18.5 X 9,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SURGICAL 10,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SURGICAL 11,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SURGICAL 12,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SURGICAL 15,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BRUSH CYTOLOGY 3MM 1.7MM 115CM STERILE DISPOSABLE LATEX FREE BRONCHOSCOPE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BRUSH FEMORAL CANAL SUCTION IRRIGATION STERILE LATEX FREE DISPOSABLE INTERPULSE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL .2IN 2.1MM 6 FLUTE TAPER MICRO CARBIDE SIDE CUT 1.77IN STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL 5MM MICROPOWER MICRO100 MEDIUM CARBIDE ROUND STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL 8MM 4MM HALL MEDIUM OVAL SMALL BONE CARBIDE STERILE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANISTER SUCTION WASTE COLLECTION SOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA IV 17GA 1.5IN 2 PIECE NDL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CANNULA SUCTION LNG 10MM RIGDI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAP SYNTHES 1.8/2MM K WIRE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATH SUCT 18FR 20IN NO CNTRL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATH THORACIC 32FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER ANGIO 20G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER IV 14GA X 1IN LF,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER IV 18GA 1.16IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER URETERAL BARD-IC 12FR 2WY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CATHETER URETERAL SIL 20FR FOLEY 2WY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"CAUT BLADE INSULATED 6.5""",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY BIPOLAR CORD DISP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY BLADE TEFLON TIP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY BOVIE EXTENSION 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY ELECTRODE EXTENDED BLADE TEFLON,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY ELECTRODE NEEDLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY PAD ADULT REM,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CAUTERY PENCIL COVIDIEN ELECTRO SURGICAL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CIRCUIT BREATHING COAXIAL CONNECTOR ELBOW LINE SAMPLE PORT FILTER 40IN PEDIATRIC 1L NONSTERILE LATEX FREE UNIVERSAL F2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CIRCUIT BREATHING SAMPLE PORT ELBOW PATIENT END BAG COAXIAL FILTER 72IN 3L LATEX FREE UNIVERSAL FLEX2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLEANSER WOUND 3% HYDROGEN PEROXIDE ANTISEPTIC DEBRIDE AGENT 4OZ LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP CARTRIDGE LARGE HORIZON ORANGE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP CARTRIDGE MEDIUM HORIZON BLUE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP LIGA SMALL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP MEDIUM LARGE CHEVRON INTERNAL WECK HORIZON TITANIUM 6 CARTRIDGE LIGATE TRIANGULATE CROSS SECTION HEART WIRE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CLIP SM ANG RT CHEVRON RING,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,COAGULATOR SUCTION 6IN 10FR VALLEYLAB HANDSWITCH CORD THERMAL REDUCTION FLUID EVACUATION TUBE ENT STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR 5 IN 1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR 5 IN 1 360,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR ONE-LINK NDLEF,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR TUBING 3/16-7/16IN ARGYLE VINYL STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONNECTOR Y,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONTAINER PATHOLOGY POLYPROPYLENE LEAK RESISTANT LID FREEZABLE 64OZ NONSTERILE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONTAINER SPECIMEN 86OZ,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CONTAINER SPECIMEN STERILE 16/32 OZ SPECTRUM LABS,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CORD BIPOLAR PLASTIC L12FT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE SECUREMENT 2 1/8INX2IN DRESSING DOCUMENTATION TAPE STRIP ADHESIVE STABILIZATION BORDER 4.5X3.5IN 12FR LATEX FREE TEGADERM CHLORHEXIDINE GLUCONATE SILICONE SOFT CLOTH PICC CVC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN BARD PVC W/ TROCAR 1/8 10FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN BARD W/ TROCAR ROUND 10FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCISION 19FR .25IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL TROCAR STERILE LATEX FREE FULL FLUTE ROUND DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN INCISION 3IN SILICONE STERILE T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN JP 7FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN JP BULB SILICONE 100ML,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRAIN PENROSE 1/4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING 3M MDPR+ 6X3.5IN WHT NADH PD ABS HPOAL BRTHBL WND,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING ADAPTIC OIL EMULSION 3X3,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING COBAN 1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING COBAN 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING COBAN 3 INCH,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING COBAN 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING COBAN 4 STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING EMULSION OIL 8 X 3IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GAUZE IODOFORM 1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GAUZE IODOFORM 1/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GAUZE IODOFORM 1/4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GAUZE IODOFORM 2.0,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING GAUZE NU GAUZE PLAIN 1/4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING KERLIX 4.5IN STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING KLING 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING KLING 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING MASTISOL 2/3CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING NASAL HOLDER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING TEGADERM 12 X 8 1629,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING TEGADERM 4X10,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING TEGADERM W/ WINDOW 6 X 7 CM,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING TEGADERM W/WINDOW 4 X 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING TELFA 3IN X 8IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIGHT HANDLE COVER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LIGHT HANDLE COVER HARMONYAIR A-SERIES,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESS 70 MINI STD YEL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESS MINI STD LTXFR RED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESSEL BLUE MINI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESSEL MAXI BLUE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESSEL MAXI STANDARD LATEX FREE RED RADIOPAQUE SILICONE DEV-O-LOOP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PLAIN GUT 4-0 SC-1 1824H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0  CT-2 30 8412H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 CT 30 8434H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 CT-1 8424H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 0 MO-6 30 8418H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 1 CT-1 30 8425H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 2-0 CT-2 30,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 2-0 SH 30 8833H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 3-0 PS-2  188687H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 3-0 SH 30IN 8832H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE PROLENE 3-0 V-5 36"" 8936H",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 3-0 V-7 DA 36IN 8976H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 4-0 FS-2 18 8683G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 4-0 P-3 18 8699G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 4-0 V-5 DA 36IN 8935H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 5-0 C-1 24,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 5-0 P-3 30 8698H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 6-0 BV-1 DA 24 8805H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 6-0 C-1 30 8706H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PROLENE 7-0 DA BV-1 8702H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 0 FSL C-16 18 678H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 0 SH 30 K834H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 0 TIES 18 A186H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 0 TIES 30 A306H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 18 TIES A185H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 30 TIES A305H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 FS 18 685H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 FS 685G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 SH 18 C012D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 SH 30 CR C016D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 2-0 SH 30 K833H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 3-0 30 TIES A304H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 3-0 SH CR 18,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 3-0 SH CR MULTIPACK 30 C017D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 3-0 SILK SH 30 K832H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 3-0 TIES 12-18 A184H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 4-0 18 TIES A183H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 4-0 G-3 18789G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 4-0 SH 18 C014D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE SILK 4-0 SH 30"" C018D",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK 4-0 TIES 30 SA83H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK PERMA-HAND 0 KS 30IN BRAID BLACK NONABSORBABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SILK PERMA-HAND 3-0 KS 30IN BRAID BLACK NONABSORBABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE SUPRAMID EXTRA 3-0 18IN WHITE NONABSORBABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE UMBILICAL TAPE 1/8   X36   U12T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0  54   TIES J616H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 27 CT-1 J260H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 8-18 C/R CT-2 J727D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT 18IN J752D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT 27IN J280H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT 36 J958H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT J358H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT-1 36 J946H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT-1 36IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT-1 CR 27 JJ41G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT-1 CR J840D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CT-2 27 J270H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 CTX 36,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 TIES 18 J112T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 UR-5 27 J376H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 0 UR-6 36 J603H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 1  CT-1 36 J947H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 1 CT 27IN J281H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 1 CT 8-18 CR J841,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 1 CT-1 27 J261H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 1CT 1 CR JJ40G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE VICRYL 2-0 CT 27"" J275H",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 CT 27IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 CT-1 UNDYED 27 J259H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 CT-1/CR-8 J839D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 CT-2 27 J269H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 SH 27 DYED J317H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 SH 27 J417H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 SH V-20 18 VIOLET,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 TIES J111T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 UR-5 27 J375H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 2-0 UR-6 J602H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3 CCS-1 27IN BRAID CTD UND ABS,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0  PS-1 27 UNDYED J936H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0  SH 27 UNDYED J416H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 CT-1  27 UNDYED J258H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 CT-1 27,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 CT-1 36 J344H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 CT-1 36 UNDYED J944H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 CT-2 J232H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 FS-2 J423H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 RB-1 27 J215H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 RB-1 27 J305H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 SH  18 C/R UNDYED J864D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 3-0 TIES 18 J110T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0  PS-2  27 UNDYED J426H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0  SH 27 UNDYED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 FS-1 27IN BRD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 FS2 27IN BRD COAT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 P-3 18IN BRD COAT UNDY ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 PS-2 18 J496H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 RB-1 27  J214H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 REEL 54 J284G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 4-0 TIES 18 J109T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 5-0 P-3 J493G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 5-0 PS-2 J4945H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL 6-0 P-3,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE VICRYL MULTIPASS 5-0 PC-5 18IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SWEAT BANDS STRYKER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 10ML LUER LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 1ML 26GA 3/8IN NEEDLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 20ML LUER LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 2OZ LTXFR STER IRR EAR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 3ML LUER LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 5CC LUER LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE 60CC LUER LOCK,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE ASEPTO,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE ASEPTO BULB MEDLINE 60ML,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE CONTROL 10ML,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE LUER LOCK 30 ML,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE TB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE TOOMEY 70ML,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SYRINGE W TIP CAP BD 60CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TAPE MEASURE 36IN PAPER GRADUATE PEDIATRIC LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP MEDIVAC SUCTION CLEAR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION VACUUM CURETTE 8MM CURVED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION VACUUM CURETTE 9MM CURVED,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUCTION YANKAUER WITHOUT VENT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE 4-0 SUPRA MID EXTRA II.7,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE 5-0 SUPRA MID EXTRA II,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE BONE WAX 2.5GM,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE BOOTIES 051015PBX,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 0 CT-1 36 924H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 0 CT-1 812H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE CHROMIC 1 TP-1 60"" GL30G",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 2-0 SH 27 G123H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 3-0 FS-2 636H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 3-0 SH 27 G122H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 4-0  P-3 18 1654G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 4-0 FS-2 27 635H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 4-0 SH 27 G121H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 5-0 FS-2 27 634G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 5-0 RB-1 27 U202H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CHROMIC 6-0 G-1 18 796G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CR 0 GS-21 30IN ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CR 1 GS-21 30IN ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CR 1; CT-1 27IN MFIL ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CR 2-0 CT-1 27IN MFIL BRN ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE CR 5-0 C-13 30IN ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHB XCL TPRCT 3-0 V-5 30IN 2 ARM BRAID GRN NABS,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 0 CT-1 CR CX21D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 0 CT-2 30 X412H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 1 CT-1 30 GREEN X425H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 1 OS-4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 2 0S-4 30 GREEN X519H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE ETHIBOND 2 OS-4 30"" X579H",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 2-0 CT-1 CX22D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 2-0 CT-2 30,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE ETHIBOND 3-0 V-7 30"" X963H",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND 5 LR LR GREEN 30 B499T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND EXC 2-0 MO-6 18IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND EXCEL TAPERCUT 4-0 V-5 30IN 2 ARM BRAID GREEN NONABSORBABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHIBOND XCL 2-0 V-5 30IN 2 ARM X937H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILION 4-0 FS-2 662H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILION 4-0 P-3 18  699H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILION 5-0 PS-2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILION 6-0 P-1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON (NYLON) 2 LR/LR 30 490T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON (NYLON) 2-0 CS-1 30 628H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON (NYLON) 3-0 FS-1 669H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON (NYLON) 3-0 PS-2 18 1669H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON (NYLON) 5-0 P-3 18 698H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 2-0  FS 18 664H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 2-0 PS-2 18 593H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 4-0 PC-3 18 1864G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE ETHILON 4-0 PC-3 18"" 1964G",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 4-0 PS-2 19 1667G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 5-0 FS -2 18  661G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 5-0 P-1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 5-0 PC-3 18 1865G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON 6-0 PC-1 18 1856G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"SUTURE ETHILON 6-0 PC-1 18"" 1956G",272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE ETHILON MULTIPASS 3-0 FS-1 18IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 0 CT 36 Y358H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 2-0 SH 27 Y417H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 2-0 UR-6 Y605H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 3-0 27  SH Y416H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 3-0 PS-2 27 Y427H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 3-0 PS-2 Y497,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 4-0 P-3 Y494G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 4-0 PS-2 Y496G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 4-0 RB-1 27 Y214H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 5-0  P-3 18 UNDYED Y493G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 5-0 PS-2 18 Y495G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MONOCRYL 6-0  P-3 18  UNDYED Y492G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NOVAFIL 0 HGS-22,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NUROLON 0 CT-1 8X18 C521D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NUROLON 0 CT-2 18 CR/8,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NUROLON 2-0 CT-2 18 C526D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE NUROLON 4-0 RB-1 CR C554D,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 0 CT-1 36,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 0 CT-2 Z334H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 1 CT-1 Z347H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 2 1; CT-1 27IN MFIL VIO ABSORB,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 2-0 CT-1 27 Z339H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 2-0 CT-2 27,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 3-0 PS-2 18,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS 4-0  PS-2 18 Z496G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS II 2 CCS-1 27 Z807T,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS II 2-0 CT 1 CL Z259H,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP PULSED LAVAGE INTERPULSE SHORT FEMORAL CANAL FAN SPRAY SUCTION STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAP 4 CHAMBER CATCHEM SPECIMEN POLYP DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TRAY CATHETER COMP CARE ADDAFOLEY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR SURGICAL 6IN 1/8IN MEDIUM STAINLESS STEEL WOUND DRAIN STERILE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE 16MM RBR THORA DRAIN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE CULTURE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE SUCTION FRAZIER 10FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE SUCTION FRAZIER 12FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBE SUCTION FRAZIER 7FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESSEL WHITE MINI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LOOP VESSEL YELLOW MAXI,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,METER URINE BARD EZ-LOK INFECTION CONTROL SAMPLE PORT DRAINAGE BAG 350ML 2500ML STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle BLUNT 15GA 1 1/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle BLUNT 18GA 1,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE COUNTER 1840,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle ENDO INSUFFLATION 120MM (PN120),272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle ENDO INSUFFLATION 150MM,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE EPID 16GA 3.5IN TUO MTL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE FILTER 1.5IN 18GA BLUNT BEVEL LUER HUB DEHP FREE BD STERILE LATEX FREE PURPLE POLYCARBONATE 5UM REGULAR WALL DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 18G X 1.5,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 18GA 1.5IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 20G 1IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 21GA 1.5,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 21GA 1IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 21GA X 1 1/3IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 23GA X 1IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 25GA 5/8IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 25GA X 1.5IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 26G X 1 1/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 26GA 5/8IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 27G X 1 1/4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 27GA 1 1/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 27GA 1/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle HYPO 30GA 1IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE MAYO 216735,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE RICHARD ALLAN 2167-06,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle SPINAL 18GA X 31/2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle SPINAL 22GA 5IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE SPINAL BLACK 3IN 22GA BD REGULAR WALL POLYPROPYLENE QUINCKE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle SPINAL BLUE 25GA 3IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle SPINAL YELLOW 20GA 3IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK D  AND  C SMD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK D C PACK SMD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAP T DRAPE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAP TIBURON,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK UNIVERSAL SPLIT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING CYSTO IRRIGATION,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING DISPOSABLE FILTER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING SUCT CLR 10FT .25IN MDV,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PDS II I 96 LOOP Z880G,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE PLAIN 2-0 CT-1 27IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING WEBRIL 4,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING WEBRIL 6,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING XEROFORM 2 X 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRESSING XEROFORM 5 X 9,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEP BIOPSY LARGE 2.8,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FUSION TRACKER ENT ADHESIVE PAD,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Glove Blue Protexis sz 9,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUARD PIN BLUE .035IN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUARD PIN GRN .062IN STER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HANDLE SUCTION FRAZIER 10FR CONTROL VENT STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HANDLE SUCTION FRAZIER 8FR CONTROL VENT STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOLDER TUBE 1 UNIV TRACH COLLAR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOOK LONE STAR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOSE EXT 36IN 2 POS LOCK CONN,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT FOLEY CATHETER LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT IV START,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KNIFE MYRINGOTOMY SPEAR BLADE INTEGRAL HANDLE STERILE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,LENS SHIELD CLEAR TIDISHIELD ANTIFOG ANTISTATIC 9211-100 DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TUBING ARTHREX ARTHROSCOPY,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PILLOW 6IN LNG CONTR 17.25X12I,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PIN GUIDE THREADED TIP BIOMET 2.5 X 9 INCHES,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PROBE NERVE STIMULATOR 78IN 2.3MM 30D,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PUMP TUBE ARTH 8FT REDEUCE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID MED,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID SMALL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SCISSORS LAPAROSCOPIC 2 EDGE BLADE ROTATION DIAL ERGONOMIC HANDLE LOW PROFILE EPIX DIRECT DRIVE STAINLESS STEEL 45CM LATEX FREE DISPOSABLE 5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING 1 WAY VALVE FLUID MANAGEMENT FMS DUO,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SET TUBING EVAC 2 BRANCH SMOKE EVACUATOR FILTERED AIRSEAL IF,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SOCKET THREADED SMITH  AND  NEPHEW,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SPONGE SURGICEL 4 X 8,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLE PROXIMATE CUTTER 7.5 - 3.8 RELOAD TCR75,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER PROXIMATE CUTTER 60 3.8 TLC55 GIA,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER TX 30-4.8,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STAPLER TX 60 4.8,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,STIMULATOR HANDHELD LOCATOR VARI-STIM III NERVE STANDARD SUBDERMIS,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,7.5 ROUND FLUTED BUR LONG,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.0 QC 50MM MINI,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.1 QC  55MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.1 QC  60MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.3 QC 55MM MINI,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.5 J LATCH  75MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.5 QC  65MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.5 QC  85MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.5 QC 110MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 1.8 QC 80MM MINI,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 J LATCH  75MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 JACOBS CHUCK 85MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 QC  65MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 QC 100MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.0 QC 125MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.4 QC 80MM MINI,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.5 QC 110MM GOLD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.7 JACOBS CHUCK  85MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 2.7 QC 100MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.2 JACOBS CHUCK 130MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.5 JACOBS CHUCK  95MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 3.5 QC 110MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 4.5 JACOBS CHUCK 130MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT SYNTHES 4.5 QC 145MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2.0MM QC,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2.5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 2.7MM QC,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT ZIMMER 3.5MM QC,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE COSMAN 28G 10CM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL .012IN RIGHT ANGLE CUT LOOP 24FR USA ELITE SYSTEM STERILE DISPOSABLE YELLOW WIRE LATEX FREE RESECTOSCOPE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE 4CM 3/32IN COLORADO STERILE TUNGSTEN DISPOSABLE INSULATE STRAIGHT SLEEVE MICRODISSECTION,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELECTRODE MNPLR LHK CERM TIP ESCP MOD DRBLTY,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ELEVATOR SURG 7.75IN BLNT FRER 2 END SHRP SPT,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ENDO CLIP APPLIER LIGAMAX 10MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,ENDO CLIP APPLIER LIGAMAX M/L 5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FIBER LINK ARTHREX,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BAG POLYMER 4IN ATTACH MEMORY WIRE CANNULA INSERT INDICATOR 120ML SPECIMEN STERILE DISPOSABLE 3IN 5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE ARTHROSCOPY CURVED INCISOR PLUS CONCAVE 4.5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE ARTHROSCOPY INCISOR PLUS ELITE 4.5MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SAW 90X18X1.47MM SAGITTAL OSCILLATE 2 CUT STERILE LATEX FREE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER SLATE 18CM 4.5MM DYONICS ELITE INCISOR PLUS LONG CURVE HIP STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER SLATE 18CM 4.5MM DYONICS ELITE INCISOR PLUS LONG STRAIGHT HIP STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLADE SHAVER SLATE 4.5MM DYONICS INCISOR PLUS ELITE CURVE STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BLUNT HOUSE NEEDLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER 18CM 4MM DYONICS POWER LONG ABRADER PARTIAL HOOD STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SHAVER 18CM 5.5MM DYONICS LONG ABRADER ARTHROSCOPIC STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,BURR SURGICAL 5MM TPS MEDIUM ROUND FLUTE MIDAS REX ULTRAPOWER STERILE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CABLE ESURG 10FT 4MM MNPLR LG PIN REUSE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,CEMENT MIXING BOWL W/VACUUM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"DANDY NERVE HOOK STRAIGHT, 8-5/8""",272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE POSITIONING COBAN STAR SLEEVE LATERAL TRACTION ROTATION STRAP FOREARM WRIST FOAM DISPOSABLE STERILE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DEVICE ZIP 16CM SKIN CLOSURE STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE TIGERLINK FIBERWIRE 2 26IN CLOSED LOOP BLACK WHITE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TAP 1.5MM MINI CONNECT SURGICAL ECT LATEX FREE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TIP CAUTERY 8MM SI ENDOWRIST VESSEL SEALER INTUITIVE SURG,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE COLLAGEN COATED ARTHREX FIBER LOOP #2,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERWIRE #2 LOOPED WITH NEEDLE PUNCH NEEDLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE FIBERWIRE 2-0 BRAID,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,SUTURE MXBRD 2 BLK BLU W CRV TPR NDL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TOGA SURGICAL SURGICOOL FLYTE LARGE ZIPPER LATEX FREE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR BALLOON HASSAN 12X100MM BLUNT TIP,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR FIOS ADVANCE 5X100MM BLADELESS,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR FIRST ENTRY 12MMX100MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 12MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,Needle BOTOX FOR CYF-4,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,NEEDLE ENDOSCOPIC 16GA GRASPER LAPAROSCOPIC GRANEE STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK EXTREMITY PACK SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK EXTREMITY SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK HIP PINNING SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK LAP T SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SHOULDER,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SHOULDER SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SPINAL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SPINE SMD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,PACK SURGICAL TOTAL KNEE BANDAGE GAUZE DRAPE STERILE 6X5YD 4X4IN PLASTIC LATEX FREE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,UTERINE MANIPULATOR X-LG,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,V-CARE VAGINAL CERVICAL LARGE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,DRILL BIT 2.0MM FAST,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS GRASPING 3 PRONG RING DISTAL TIP 230CMX20MM POLYGRAB TRIPOD STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,FORCEPS SURG ADSN 4.75IN TISS 1X2 TTH DLCT STRL,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE PIN ORTHO 3.2MM 230MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,GUIDE PIN ORTHOPEDIC 50CM 2.4MM ACL SUTURE EYE PCL REPAIR STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,HOOK SM RETR SHRP LCP NS,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,KIT TRIMANO BEACH CHAIR ARM HOLDER,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27270000,N/A,"KNIFE HANDLE BEAVER KNURLED HANDLE 4""",272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,BALLOON CRE DILATION 10-12MM 7.5FR,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,CATHETER BARTHOLIN GLAND,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 10-12MM 6FR,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 18-20MM 6FR,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,DEVICE INFLATION CRE (SYRINGE),272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,DILATOR ENDOSCOPIC CRE 240CM 5.5CM 8-9-10MM 7.5FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE PEBAX STERILE LATEX FREE DISPOSABLE 2.8MM 3.2MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,BALLOON CRE DILATION 12-13.5-15MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,BALLOON CRE DILATION 12-15MM 7.5FR,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,DILATOR ENDOSCOPIC CRE 240CM 5.5CM 15-16.5-18MM 7.5FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE PEBAX STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271726,C1726,DILATOR ENDOSCOPIC CRE 240CM 5.5CM 18-19-20MM 7.5FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE PEBAX STERILE LATEX FREE DISPOSABLE 2.8MM 3.2MM 3.7MM 4.2MM,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER DRAIN 24FR 20IN ARG SENTL,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER DRAINAGE 23CM 4FR STANDARD VENTRICULAR CSF IMPREGNATE SHUNT INPUT TS BARIUM SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER DRN 32FR 20IN ARGYL SNTNL LN SNTNL EYE 6 EYLT D MRK,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER THORACIC 28FR,272,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A ,$318.00 ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 ,$240.00 , N/A ,$297.00 , N/A ,$420.00 , N/A ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$486.00 ,$600.00 ,$486.00 ,$510.00 , N/A ,$415.80 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$326.40 , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER THORACIC 28FR X 20CM STR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATH DRAIN 32FR 23IN 5 EYELT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER DRAIN 32FR 23IN HDGLD XL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER DRAIN 36FR 20IN ARG SENTL,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 03CC 10FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 10FR 3CC BALLOON,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 16 FR 5CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 18 FR 5CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 20 FR 5CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 20FR 30CC 3 WAY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY 22 FR 5CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY BARD 18FR 30CC SILICONE LATEX FREE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER FOLEY LATEX 8FR 3CC,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER NEPHROSTOMY MALECOT 36FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,CATHETER NPHSTM 36FR MLCT NTRL RBR 4 WNG DRN STRL LTX DISP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271729,C1729,SILICONE MALECOT CATHETER 24 FR,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,Catheter Embolectomy FOGARTY2FR 60CM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,PACK EMBOLECTOMY 80CM 7FR FOGERTY,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,Catheter Embolectomy FOGARTY 6FR 80CM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,PACK EMBOLECTOMY 80CM 3FR FOGERTY,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,PACK EMBOLECTOMY 80CM 4FR FOGERTY,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271757,C1757,PACK EMBOLECTOMY 80CM 5FR FOGERTY,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL ACCESS DUAL FLEXI TIP 10FR. X 50CM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 8FR 70CM WVN,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 5FR 70CM WVN,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL FLEXTP 4FR 70CM,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL OPEN ENDED,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL FLEXTP 5FR 70CM,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER COUNCIL 16FR,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER COUNCIL 18FR,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,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 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 8FR AP INTMT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD-IC 14FR 2WY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 22FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 24FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 26FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BRDX LBR 22FR FOLEY,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL CONE TIP 8 FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETHRAL 12FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,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 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER RED RUBBER 14FR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URET 5FR 70CM OLIVE TIP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URET 6FR 70CM OLV TIP 2 DRN EYE PU STRL DISP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL 22FR MED RND 2WY 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL 24FR 2WY 2 STGR,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 10FR AP INTMT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 16FR AP INTMT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 18FR AP INTMT,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 4FR 70CM OLIVE TIP ADAPTER KINK RESISTANCE GRADUATED POLYURETHANE STERILE LATEX FREE DISPOSABLE,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URTH LBRCTH 14FR 2W 1 DRN EYE FOL MED OLV CDE NTRL,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 16FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE AMBER,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,FILIFORM URETHRAL 18IN 3FR DILATION CATHETER WOVEN STRAIGHT TIP STERILE LATEX FREE REUSABLE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,FOLLOWER URETHRAL 13.5IN 8FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,FOLLOWER URETHRAL 13.5IN 20FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,FOLLOWER URETHRAL 13.5IN 22FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,FOLLOWER URETHRAL 13.5IN 24FR PHILLIPS PLASTIC WOVEN DILATION CATHETER STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271758,C1758,CATHETER URETERAL BARD 4FR 70CM BLSC,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ZIMMER 1.6MM X 6IN PARTIAL THREAD,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .045IN STAINLESS STEEL TROCAR,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE VASC 200CM .035IN BNTSN,272,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$20.00 , N/A ,$24.75 , N/A ,$35.00 , N/A ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 ,$27.20 , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ZIMMER 3.0 BULLET TIP X100CM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE 86MM,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHO 3.2MM 460MM ENTRY,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHO 3MM 98CM BEAD TIP,272,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A ,$198.75 ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 ,$150.00 , N/A ,$185.63 , N/A ,$262.50 , N/A ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$303.75 ,$375.00 ,$303.75 ,$318.75 , N/A ,$259.88 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$204.00 , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE 229MM 1.6MM KIRSCH SS 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHOPEDIC 5.91IN .045IN TROCAR TIP,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE 15.2CM 1.6MM KIRSCH SS 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE 229MM .9MM KIRSCH SS 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE 229MM 1.1MM KIRSCH SS 2,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 , N/A ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE BALL NOSE DEPUY 2.0MM X 70CM,272,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A ,$278.25 ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 ,$210.00 , N/A ,$259.88 , N/A ,$367.50 , N/A ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 , N/A ,$363.83 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$285.60 , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE BALL TIPPED SMITH  AND  NEPHEW 3.0 X 100MM,272,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A ,$397.50 ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 ,$300.00 , N/A ,$371.25 , N/A ,$525.00 , N/A ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 , N/A ,$519.75 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 2.8 THREADED TROCAR POINT 300MM,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ARTHREX KIRSCHNER .062 (157MM/1.6IN) TROCAR TIP,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHO 2MM 230MM THR SS,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE URO 150CM .035IN ZPWR URET NTNL PU HDRPH RADPQ,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE 1.1,272,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A ,$79.50 ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 ,$60.00 , N/A ,$74.25 , N/A ,$105.00 , N/A ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$121.50 ,$150.00 ,$121.50 ,$127.50 , N/A ,$103.95 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$81.60 , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 2.8 W/FLUTES 300MM,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE TIP THREADED SMITH NEPHEW,272,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$180.00 , N/A ,$222.75 , N/A ,$315.00 , N/A ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$244.80 , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER BLUNT TROCAR WRIGHT MEDICAL 0.9 X 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ENDO  .035IN 145CM STRT,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHOPEDIC .045IN 2 TROCAR TIP LASER MARK 3.5 MINI 4 STANDARD COMPRESSION FT SCREW DISPOSABLE,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ZIPWIRE STRAIGHT .035 X 150CM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE DEPUY 1.25 THREADED 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 1.1 NON-THREADED 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 1.1 THREADED 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 1.25 THREADED 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE GUIDE SYNTHES 1.6 THREADED 150MM,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER SMITH  AND  NEPHEW,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE DRILL TIP THREADED SMITH  AND  NEPHEW 1.6 X 150MM,272,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 ,$480.00 , N/A ,$594.00 , N/A ,$840.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$972.00 ,"$1,200.00 ",$972.00 ,"$1,020.00 ", N/A ,$831.60 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$456.00 ,$652.80 , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER SMITH  AND  NEPHEW 2.0 X 150MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER SMITH  AND  NEPHEW 1.25MM X 150MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER SMITH  AND  NEPHEW 1.6 X 150MM,272,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A ,$477.00 ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 ,$360.00 , N/A ,$445.50 , N/A ,$630.00 , N/A ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$729.00 ,$900.00 ,$729.00 ,$765.00 , N/A ,$623.70 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$342.00 ,$489.60 , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER TRIMED 0.8 X 80MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ZIMMER 1.6,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER SYNTHES SPADE REDUCTION 2.0MM X 350MM,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER TRIMED 1.1,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ARTHREX 1.35 X 150MM TROCAR TIP,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE DOUBLE TROCAR MEDSOURCE 0.45 X 6,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .054IN STAINLESS STEEL TROCAR,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE SS ACUTRAK II .035 MICRO,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,GUIDEWIRE VASC 145CM .035IN BNTSN,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271769,C1769,WIRE KIRSCHNER TRIMED,272,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A ,$39.75 ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 ,$30.00 , N/A ,$37.13 , N/A ,$52.50 , N/A ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 , N/A ,$51.98 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$40.80 , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27271885,C1885,CATHETER TAUT CHOLANGIOGRAM 4.5FR TIP 5.5F GREEN,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271893,C1893,PROBE SUCTION 6IN 17GA LUMBAR PERCUTANEOUS LUMBAR DISCECTOMY STERILE LATEX FREE DISPOSABLE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ","$2,520.00 ", N/A ,"$3,118.50 ", N/A ,"$4,410.00 ", N/A ,"$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$5,103.00 ","$6,300.00 ","$5,103.00 ","$5,355.00 ", N/A ,"$4,365.90 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$2,394.00 ","$3,427.20 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27271894,C1894,INTRO SHEATH 9FR 14CM HEMOS,272,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A ,$53.00 ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 , N/A ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$54.40 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27271894,C1894,SHEATH ACC 35CM 14-18FR 12FR F,272,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27271894,C1894,TUNNELER A/V ACCESS SHEATH W/BULLET TIPS LG ORANGE,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27271894,C1894,SHEATH W/BULLET TIP SCANLON (GREEN),272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27272627,C2627,CATHETER SUPRAPUBIC FOLEY 12FR BARD,272,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A ,$119.25 ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 ,$90.00 , N/A ,$111.38 , N/A ,$157.50 , N/A ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$182.25 ,$225.00 ,$182.25 ,$191.25 , N/A ,$155.93 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$122.40 , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27272900,S2900,HC SURGERY ROBOTIC TECHNICAL SYSTEM,272,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,27280032,N/A,HC DRSG NASAL HOLDER,272,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A ,$5.30 ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 ,$4.00 , N/A ,$4.95 , N/A ,$7.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$8.10 ,$10.00 ,$8.10 ,$8.50 , N/A ,$6.93 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$3.80 ,$5.44 , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27280160,N/A,HC DETECTOR CO2,272,1 ,$30.00 ,$21.60 ,$7.86 ,$30.00 , N/A ,$15.90 ,$16.50 , N/A ,$8.40 ,$15.69 , N/A ,$16.50 , N/A ,$14.85 ,$12.00 , N/A ,$14.85 , N/A ,$21.00 ,$18.75 ,$24.00 , N/A , N/A ,$21.00 , N/A ,$18.00 , N/A ,$22.50 ,$16.56 ,$14.94 ,$16.56 , N/A ,$16.56 ,$24.30 ,$30.00 ,$24.30 ,$25.50 , N/A ,$20.79 , N/A ,$30.00 ,$16.83 , N/A ,$7.86 ,$30.00 , N/A , N/A , N/A ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$16.32 , N/A ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,27282051,N/A,HC FETAL PILLOW,272,1 ,"$2,985.00 ","$2,149.20 ",$782.07 ,"$2,985.00 ", N/A ,"$1,582.05 ","$1,641.75 ", N/A ,$835.80 ,"$1,561.16 ", N/A ,"$1,641.75 ", N/A ,"$1,477.58 ","$1,194.00 ", N/A ,"$1,477.58 ", N/A ,"$2,089.50 ","$1,865.63 ","$2,388.00 ", N/A , N/A ,"$2,089.50 ", N/A ,"$1,791.00 ", N/A ,"$2,238.75 ","$1,647.72 ","$1,486.53 ","$1,647.72 ", N/A ,"$1,647.72 ","$2,417.85 ","$2,985.00 ","$2,417.85 ","$2,537.25 ", N/A ,"$2,068.61 ", N/A ,"$2,985.00 ","$1,674.59 ", N/A ,$782.07 ,"$2,985.00 ", N/A , N/A , N/A ,"$2,388.00 ","$1,477.58 ",$835.80 ,"$2,686.50 ","$1,134.30 ","$1,623.84 ", N/A ,"$1,432.80 "
ST. MARY'S HOSPITAL - DECATUR,27400044,L3908,HC COCK UP WRIST SPLINT/FIT  AND  ADJ,274,1 ,$150.00 ,$108.00 ,$39.30 ,$228.05 ,$228.05 , N/A ,$82.50 ,$89.40 ,$42.00 ,$78.45 ,$89.40 ,$82.50 ,$89.40 ,$74.25 , N/A ,$89.40 ,$74.25 ,$150.00 ,$75.00 ,$93.75 ,$120.00 ,$228.04 ,$89.40 ,$105.00 ,$89.40 ,$90.00 ,$91.18 ,$112.50 ,$82.80 ,$74.70 ,$82.80 ,$89.40 ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 ,$150.00 ,$74.25 ,$89.40 ,$150.00 ,$84.15 ,$89.40 ,$39.30 ,$150.00 , N/A , N/A ,$93.86 ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A ,$89.40 ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27400069,L8501,HC PASSEY MUIR VALVE,274,1 ,$300.00 ,$216.00 ,$78.60 ,$426.00 ,$426.00 , N/A ,$165.00 ,$166.99 ,$84.00 ,$156.90 ,$166.99 ,$165.00 ,$166.99 ,$148.50 , N/A ,$166.99 ,$148.50 ,$300.00 ,$150.00 ,$187.50 ,$240.00 ,$426.00 ,$166.99 ,$210.00 ,$166.99 ,$180.00 ,$170.33 ,$225.00 ,$165.60 ,$149.40 ,$165.60 ,$166.99 ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 ,$300.00 ,$148.50 ,$166.99 ,$300.00 ,$168.30 ,$166.99 ,$78.60 ,$300.00 , N/A , N/A ,$175.34 ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A ,$166.99 ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27500049,C1721,HC ICD DEFIB DUAL CHAMBER T7,275,1 ,"$34,500.00 ","$24,840.00 ","$9,039.00 ","$34,500.00 ", N/A ,"$18,285.00 ","$18,975.00 ", N/A ,"$9,660.00 ","$18,043.50 ", N/A ,"$18,975.00 ", N/A ,"$17,077.50 ","$17,077.50 ", N/A ,"$17,077.50 ", N/A ,"$17,250.00 ","$21,562.50 ","$27,600.00 ", N/A , N/A ,"$24,150.00 ", N/A ,"$20,700.00 ", N/A ,"$25,875.00 ","$19,044.00 ","$17,181.00 ","$19,044.00 ", N/A ,"$19,044.00 ","$18,285.00 ","$34,500.00 ","$18,285.00 ","$29,325.00 ", N/A ,"$17,077.50 ", N/A ,"$34,500.00 ","$19,354.50 ", N/A ,"$9,039.00 ","$34,500.00 ", N/A , N/A , N/A ,"$27,600.00 ","$17,077.50 ","$9,660.00 ","$31,050.00 ","$17,112.00 ","$12,075.00 ", N/A ,"$16,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27500051,C1721,HC ICD DEFIB DUAL CHAMBER T9,275,1 ,"$36,000.00 ","$25,920.00 ","$9,432.00 ","$36,000.00 ", N/A ,"$19,080.00 ","$19,800.00 ", N/A ,"$10,080.00 ","$18,828.00 ", N/A ,"$19,800.00 ", N/A ,"$17,820.00 ","$17,820.00 ", N/A ,"$17,820.00 ", N/A ,"$18,000.00 ","$22,500.00 ","$28,800.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$21,600.00 ", N/A ,"$27,000.00 ","$19,872.00 ","$17,928.00 ","$19,872.00 ", N/A ,"$19,872.00 ","$19,080.00 ","$36,000.00 ","$19,080.00 ","$30,600.00 ", N/A ,"$17,820.00 ", N/A ,"$36,000.00 ","$20,196.00 ", N/A ,"$9,432.00 ","$36,000.00 ", N/A , N/A , N/A ,"$28,800.00 ","$17,820.00 ","$10,080.00 ","$32,400.00 ","$17,856.00 ","$12,600.00 ", N/A ,"$17,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27500052,C1721,HC ICD DEFIB DUAL CHAMBER T10,275,1 ,"$39,000.00 ","$28,080.00 ","$10,218.00 ","$39,000.00 ", N/A ,"$20,670.00 ","$21,450.00 ", N/A ,"$10,920.00 ","$20,397.00 ", N/A ,"$21,450.00 ", N/A ,"$19,305.00 ","$19,305.00 ", N/A ,"$19,305.00 ", N/A ,"$19,500.00 ","$24,375.00 ","$31,200.00 ", N/A , N/A ,"$27,300.00 ", N/A ,"$23,400.00 ", N/A ,"$29,250.00 ","$21,528.00 ","$19,422.00 ","$21,528.00 ", N/A ,"$21,528.00 ","$20,670.00 ","$39,000.00 ","$20,670.00 ","$33,150.00 ", N/A ,"$19,305.00 ", N/A ,"$39,000.00 ","$21,879.00 ", N/A ,"$10,218.00 ","$39,000.00 ", N/A , N/A , N/A ,"$31,200.00 ","$19,305.00 ","$10,920.00 ","$35,100.00 ","$19,344.00 ","$13,650.00 ", N/A ,"$18,720.00 "
ST. MARY'S HOSPITAL - DECATUR,27500053,C1721,HC ICD DEFIB DUAL CHAMBER T11,275,1 ,"$40,500.00 ","$29,160.00 ","$10,611.00 ","$40,500.00 ", N/A ,"$21,465.00 ","$22,275.00 ", N/A ,"$11,340.00 ","$21,181.50 ", N/A ,"$22,275.00 ", N/A ,"$20,047.50 ","$20,047.50 ", N/A ,"$20,047.50 ", N/A ,"$20,250.00 ","$25,312.50 ","$32,400.00 ", N/A , N/A ,"$28,350.00 ", N/A ,"$24,300.00 ", N/A ,"$30,375.00 ","$22,356.00 ","$20,169.00 ","$22,356.00 ", N/A ,"$22,356.00 ","$21,465.00 ","$40,500.00 ","$21,465.00 ","$34,425.00 ", N/A ,"$20,047.50 ", N/A ,"$40,500.00 ","$22,720.50 ", N/A ,"$10,611.00 ","$40,500.00 ", N/A , N/A , N/A ,"$32,400.00 ","$20,047.50 ","$11,340.00 ","$36,450.00 ","$20,088.00 ","$14,175.00 ", N/A ,"$19,440.00 "
ST. MARY'S HOSPITAL - DECATUR,27500055,C1721,HC ICD DEFIB DUAL CHAMBER T13,275,1 ,"$41,000.00 ","$29,520.00 ","$10,742.00 ","$41,000.00 ", N/A ,"$21,730.00 ","$22,550.00 ", N/A ,"$11,480.00 ","$21,443.00 ", N/A ,"$22,550.00 ", N/A ,"$20,295.00 ","$20,295.00 ", N/A ,"$20,295.00 ", N/A ,"$20,500.00 ","$25,625.00 ","$32,800.00 ", N/A , N/A ,"$28,700.00 ", N/A ,"$24,600.00 ", N/A ,"$30,750.00 ","$22,632.00 ","$20,418.00 ","$22,632.00 ", N/A ,"$22,632.00 ","$21,730.00 ","$41,000.00 ","$21,730.00 ","$34,850.00 ", N/A ,"$20,295.00 ", N/A ,"$41,000.00 ","$23,001.00 ", N/A ,"$10,742.00 ","$41,000.00 ", N/A , N/A , N/A ,"$32,800.00 ","$20,295.00 ","$11,480.00 ","$36,900.00 ","$20,336.00 ","$14,350.00 ", N/A ,"$19,680.00 "
ST. MARY'S HOSPITAL - DECATUR,27500056,C1721,HC ICD DEFIB DUAL CHAMBER T14,275,1 ,"$45,000.00 ","$32,400.00 ","$11,790.00 ","$45,000.00 ", N/A ,"$23,850.00 ","$24,750.00 ", N/A ,"$12,600.00 ","$23,535.00 ", N/A ,"$24,750.00 ", N/A ,"$22,275.00 ","$22,275.00 ", N/A ,"$22,275.00 ", N/A ,"$22,500.00 ","$28,125.00 ","$36,000.00 ", N/A , N/A ,"$31,500.00 ", N/A ,"$27,000.00 ", N/A ,"$33,750.00 ","$24,840.00 ","$22,410.00 ","$24,840.00 ", N/A ,"$24,840.00 ","$23,850.00 ","$45,000.00 ","$23,850.00 ","$38,250.00 ", N/A ,"$22,275.00 ", N/A ,"$45,000.00 ","$25,245.00 ", N/A ,"$11,790.00 ","$45,000.00 ", N/A , N/A , N/A ,"$36,000.00 ","$22,275.00 ","$12,600.00 ","$40,500.00 ","$22,320.00 ","$15,750.00 ", N/A ,"$21,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27500058,C1721,HC ICD DEFIB DUAL CHAMBER T16,275,1 ,"$48,000.00 ","$34,560.00 ","$12,576.00 ","$48,000.00 ", N/A ,"$25,440.00 ","$26,400.00 ", N/A ,"$13,440.00 ","$25,104.00 ", N/A ,"$26,400.00 ", N/A ,"$23,760.00 ","$23,760.00 ", N/A ,"$23,760.00 ", N/A ,"$24,000.00 ","$30,000.00 ","$38,400.00 ", N/A , N/A ,"$33,600.00 ", N/A ,"$28,800.00 ", N/A ,"$36,000.00 ","$26,496.00 ","$23,904.00 ","$26,496.00 ", N/A ,"$26,496.00 ","$25,440.00 ","$48,000.00 ","$25,440.00 ","$40,800.00 ", N/A ,"$23,760.00 ", N/A ,"$48,000.00 ","$26,928.00 ", N/A ,"$12,576.00 ","$48,000.00 ", N/A , N/A , N/A ,"$38,400.00 ","$23,760.00 ","$13,440.00 ","$43,200.00 ","$23,808.00 ","$16,800.00 ", N/A ,"$23,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27500063,C1721,HC ICD DEFIB DUAL CHAMBER T21,275,1 ,"$51,000.00 ","$36,720.00 ","$13,362.00 ","$51,000.00 ", N/A ,"$27,030.00 ","$28,050.00 ", N/A ,"$14,280.00 ","$26,673.00 ", N/A ,"$28,050.00 ", N/A ,"$25,245.00 ","$25,245.00 ", N/A ,"$25,245.00 ", N/A ,"$25,500.00 ","$31,875.00 ","$40,800.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$30,600.00 ", N/A ,"$38,250.00 ","$28,152.00 ","$25,398.00 ","$28,152.00 ", N/A ,"$28,152.00 ","$27,030.00 ","$51,000.00 ","$27,030.00 ","$43,350.00 ", N/A ,"$25,245.00 ", N/A ,"$51,000.00 ","$28,611.00 ", N/A ,"$13,362.00 ","$51,000.00 ", N/A , N/A , N/A ,"$40,800.00 ","$25,245.00 ","$14,280.00 ","$45,900.00 ","$25,296.00 ","$17,850.00 ", N/A ,"$24,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27500066,C1722,HC ICD DEFIB SINGLE CHAMBER T2,275,1 ,"$27,250.00 ","$19,620.00 ","$7,139.50 ","$27,250.00 ", N/A ,"$14,442.50 ","$14,987.50 ", N/A ,"$7,630.00 ","$14,251.75 ", N/A ,"$14,987.50 ", N/A ,"$13,488.75 ","$13,488.75 ", N/A ,"$13,488.75 ", N/A ,"$13,625.00 ","$17,031.25 ","$21,800.00 ", N/A , N/A ,"$19,075.00 ", N/A ,"$16,350.00 ", N/A ,"$20,437.50 ","$15,042.00 ","$13,570.50 ","$15,042.00 ", N/A ,"$15,042.00 ","$14,442.50 ","$27,250.00 ","$14,442.50 ","$23,162.50 ", N/A ,"$13,488.75 ", N/A ,"$27,250.00 ","$15,287.25 ", N/A ,"$7,139.50 ","$27,250.00 ", N/A , N/A , N/A ,"$21,800.00 ","$13,488.75 ","$7,630.00 ","$24,525.00 ","$13,516.00 ","$9,537.50 ", N/A ,"$13,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27500069,C1722,HC ICD DEFIB SINGLE CHAMBER T5,275,1 ,"$31,500.00 ","$22,680.00 ","$8,253.00 ","$31,500.00 ", N/A ,"$16,695.00 ","$17,325.00 ", N/A ,"$8,820.00 ","$16,474.50 ", N/A ,"$17,325.00 ", N/A ,"$15,592.50 ","$15,592.50 ", N/A ,"$15,592.50 ", N/A ,"$15,750.00 ","$19,687.50 ","$25,200.00 ", N/A , N/A ,"$22,050.00 ", N/A ,"$18,900.00 ", N/A ,"$23,625.00 ","$17,388.00 ","$15,687.00 ","$17,388.00 ", N/A ,"$17,388.00 ","$16,695.00 ","$31,500.00 ","$16,695.00 ","$26,775.00 ", N/A ,"$15,592.50 ", N/A ,"$31,500.00 ","$17,671.50 ", N/A ,"$8,253.00 ","$31,500.00 ", N/A , N/A , N/A ,"$25,200.00 ","$15,592.50 ","$8,820.00 ","$28,350.00 ","$15,624.00 ","$11,025.00 ", N/A ,"$15,120.00 "
ST. MARY'S HOSPITAL - DECATUR,27500071,C1722,HC ICD DEFIB SINGLE CHAMBER T7,275,1 ,"$34,500.00 ","$24,840.00 ","$9,039.00 ","$34,500.00 ", N/A ,"$18,285.00 ","$18,975.00 ", N/A ,"$9,660.00 ","$18,043.50 ", N/A ,"$18,975.00 ", N/A ,"$17,077.50 ","$17,077.50 ", N/A ,"$17,077.50 ", N/A ,"$17,250.00 ","$21,562.50 ","$27,600.00 ", N/A , N/A ,"$24,150.00 ", N/A ,"$20,700.00 ", N/A ,"$25,875.00 ","$19,044.00 ","$17,181.00 ","$19,044.00 ", N/A ,"$19,044.00 ","$18,285.00 ","$34,500.00 ","$18,285.00 ","$29,325.00 ", N/A ,"$17,077.50 ", N/A ,"$34,500.00 ","$19,354.50 ", N/A ,"$9,039.00 ","$34,500.00 ", N/A , N/A , N/A ,"$27,600.00 ","$17,077.50 ","$9,660.00 ","$31,050.00 ","$17,112.00 ","$12,075.00 ", N/A ,"$16,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27500072,C1722,HC ICD DEFIB SINGLE CHAMBER T8,275,1 ,"$36,000.00 ","$25,920.00 ","$9,432.00 ","$36,000.00 ", N/A ,"$19,080.00 ","$19,800.00 ", N/A ,"$10,080.00 ","$18,828.00 ", N/A ,"$19,800.00 ", N/A ,"$17,820.00 ","$17,820.00 ", N/A ,"$17,820.00 ", N/A ,"$18,000.00 ","$22,500.00 ","$28,800.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$21,600.00 ", N/A ,"$27,000.00 ","$19,872.00 ","$17,928.00 ","$19,872.00 ", N/A ,"$19,872.00 ","$19,080.00 ","$36,000.00 ","$19,080.00 ","$30,600.00 ", N/A ,"$17,820.00 ", N/A ,"$36,000.00 ","$20,196.00 ", N/A ,"$9,432.00 ","$36,000.00 ", N/A , N/A , N/A ,"$28,800.00 ","$17,820.00 ","$10,080.00 ","$32,400.00 ","$17,856.00 ","$12,600.00 ", N/A ,"$17,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27500073,C1722,HC ICD DEFIB SINGLE CHAMBER T9,275,1 ,"$37,500.00 ","$27,000.00 ","$9,825.00 ","$37,500.00 ", N/A ,"$19,875.00 ","$20,625.00 ", N/A ,"$10,500.00 ","$19,612.50 ", N/A ,"$20,625.00 ", N/A ,"$18,562.50 ","$18,562.50 ", N/A ,"$18,562.50 ", N/A ,"$18,750.00 ","$23,437.50 ","$30,000.00 ", N/A , N/A ,"$26,250.00 ", N/A ,"$22,500.00 ", N/A ,"$28,125.00 ","$20,700.00 ","$18,675.00 ","$20,700.00 ", N/A ,"$20,700.00 ","$19,875.00 ","$37,500.00 ","$19,875.00 ","$31,875.00 ", N/A ,"$18,562.50 ", N/A ,"$37,500.00 ","$21,037.50 ", N/A ,"$9,825.00 ","$37,500.00 ", N/A , N/A , N/A ,"$30,000.00 ","$18,562.50 ","$10,500.00 ","$33,750.00 ","$18,600.00 ","$13,125.00 ", N/A ,"$18,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27500077,C1722,HC ICD DEFIB SINGLE CHAMBER T13,275,1 ,"$43,500.00 ","$31,320.00 ","$11,397.00 ","$43,500.00 ", N/A ,"$23,055.00 ","$23,925.00 ", N/A ,"$12,180.00 ","$22,750.50 ", N/A ,"$23,925.00 ", N/A ,"$21,532.50 ","$21,532.50 ", N/A ,"$21,532.50 ", N/A ,"$21,750.00 ","$27,187.50 ","$34,800.00 ", N/A , N/A ,"$30,450.00 ", N/A ,"$26,100.00 ", N/A ,"$32,625.00 ","$24,012.00 ","$21,663.00 ","$24,012.00 ", N/A ,"$24,012.00 ","$23,055.00 ","$43,500.00 ","$23,055.00 ","$36,975.00 ", N/A ,"$21,532.50 ", N/A ,"$43,500.00 ","$24,403.50 ", N/A ,"$11,397.00 ","$43,500.00 ", N/A , N/A , N/A ,"$34,800.00 ","$21,532.50 ","$12,180.00 ","$39,150.00 ","$21,576.00 ","$15,225.00 ", N/A ,"$20,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27500080,C1722,HC ICD DEFIB SINGLE CHAMBER T16,275,1 ,"$48,000.00 ","$34,560.00 ","$12,576.00 ","$48,000.00 ", N/A ,"$25,440.00 ","$26,400.00 ", N/A ,"$13,440.00 ","$25,104.00 ", N/A ,"$26,400.00 ", N/A ,"$23,760.00 ","$23,760.00 ", N/A ,"$23,760.00 ", N/A ,"$24,000.00 ","$30,000.00 ","$38,400.00 ", N/A , N/A ,"$33,600.00 ", N/A ,"$28,800.00 ", N/A ,"$36,000.00 ","$26,496.00 ","$23,904.00 ","$26,496.00 ", N/A ,"$26,496.00 ","$25,440.00 ","$48,000.00 ","$25,440.00 ","$40,800.00 ", N/A ,"$23,760.00 ", N/A ,"$48,000.00 ","$26,928.00 ", N/A ,"$12,576.00 ","$48,000.00 ", N/A , N/A , N/A ,"$38,400.00 ","$23,760.00 ","$13,440.00 ","$43,200.00 ","$23,808.00 ","$16,800.00 ", N/A ,"$23,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27500094,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T8,275,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ","$4,603.50 ", N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27500095,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T9,275,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ","$4,900.50 ", N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27500096,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T10,275,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ","$5,197.50 ", N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27500097,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T11,275,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ","$5,494.50 ", N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27500098,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T12,275,1 ,"$11,700.00 ","$8,424.00 ","$3,065.40 ","$11,700.00 ", N/A ,"$6,201.00 ","$6,435.00 ", N/A ,"$3,276.00 ","$6,119.10 ", N/A ,"$6,435.00 ", N/A ,"$5,791.50 ","$5,791.50 ", N/A ,"$5,791.50 ", N/A ,"$5,850.00 ","$7,312.50 ","$9,360.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$7,020.00 ", N/A ,"$8,775.00 ","$6,458.40 ","$5,826.60 ","$6,458.40 ", N/A ,"$6,458.40 ","$6,201.00 ","$11,700.00 ","$6,201.00 ","$9,945.00 ", N/A ,"$5,791.50 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$3,065.40 ","$11,700.00 ", N/A , N/A , N/A ,"$9,360.00 ","$5,791.50 ","$3,276.00 ","$10,530.00 ","$5,803.20 ","$4,095.00 ", N/A ,"$5,616.00 "
ST. MARY'S HOSPITAL - DECATUR,27500099,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T13,275,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27500100,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T14,275,1 ,"$12,900.00 ","$9,288.00 ","$3,379.80 ","$12,900.00 ", N/A ,"$6,837.00 ","$7,095.00 ", N/A ,"$3,612.00 ","$6,746.70 ", N/A ,"$7,095.00 ", N/A ,"$6,385.50 ","$6,385.50 ", N/A ,"$6,385.50 ", N/A ,"$6,450.00 ","$8,062.50 ","$10,320.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$7,740.00 ", N/A ,"$9,675.00 ","$7,120.80 ","$6,424.20 ","$7,120.80 ", N/A ,"$7,120.80 ","$6,837.00 ","$12,900.00 ","$6,837.00 ","$10,965.00 ", N/A ,"$6,385.50 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$3,379.80 ","$12,900.00 ", N/A , N/A , N/A ,"$10,320.00 ","$6,385.50 ","$3,612.00 ","$11,610.00 ","$6,398.40 ","$4,515.00 ", N/A ,"$6,192.00 "
ST. MARY'S HOSPITAL - DECATUR,27500101,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T15,275,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ","$6,682.50 ", N/A ,"$6,682.50 ", N/A ,"$6,750.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$7,155.00 ","$13,500.00 ","$7,155.00 ","$11,475.00 ", N/A ,"$6,682.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$6,696.00 ","$4,725.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27500102,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T16,275,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ","$7,053.75 ", N/A ,"$7,053.75 ", N/A ,"$7,125.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$7,552.50 ","$14,250.00 ","$7,552.50 ","$12,112.50 ", N/A ,"$7,053.75 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$7,068.00 ","$4,987.50 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27500103,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T17,275,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ","$7,425.00 ", N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27500104,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T18,275,1 ,"$15,750.00 ","$11,340.00 ","$4,126.50 ","$15,750.00 ", N/A ,"$8,347.50 ","$8,662.50 ", N/A ,"$4,410.00 ","$8,237.25 ", N/A ,"$8,662.50 ", N/A ,"$7,796.25 ","$7,796.25 ", N/A ,"$7,796.25 ", N/A ,"$7,875.00 ","$9,843.75 ","$12,600.00 ", N/A , N/A ,"$11,025.00 ", N/A ,"$9,450.00 ", N/A ,"$11,812.50 ","$8,694.00 ","$7,843.50 ","$8,694.00 ", N/A ,"$8,694.00 ","$8,347.50 ","$15,750.00 ","$8,347.50 ","$13,387.50 ", N/A ,"$7,796.25 ", N/A ,"$15,750.00 ","$8,835.75 ", N/A ,"$4,126.50 ","$15,750.00 ", N/A , N/A , N/A ,"$12,600.00 ","$7,796.25 ","$4,410.00 ","$14,175.00 ","$7,812.00 ","$5,512.50 ", N/A ,"$7,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27500105,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T19,275,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ","$8,167.50 ", N/A ,"$8,167.50 ", N/A ,"$8,250.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$8,745.00 ","$16,500.00 ","$8,745.00 ","$14,025.00 ", N/A ,"$8,167.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$8,184.00 ","$5,775.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27500106,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T20,275,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ","$8,538.75 ", N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27500107,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T21,275,1 ,"$18,000.00 ","$12,960.00 ","$4,716.00 ","$18,000.00 ", N/A ,"$9,540.00 ","$9,900.00 ", N/A ,"$5,040.00 ","$9,414.00 ", N/A ,"$9,900.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,000.00 ","$11,250.00 ","$14,400.00 ", N/A , N/A ,"$12,600.00 ", N/A ,"$10,800.00 ", N/A ,"$13,500.00 ","$9,936.00 ","$8,964.00 ","$9,936.00 ", N/A ,"$9,936.00 ","$9,540.00 ","$18,000.00 ","$9,540.00 ","$15,300.00 ", N/A ,"$8,910.00 ", N/A ,"$18,000.00 ","$10,098.00 ", N/A ,"$4,716.00 ","$18,000.00 ", N/A , N/A , N/A ,"$14,400.00 ","$8,910.00 ","$5,040.00 ","$16,200.00 ","$8,928.00 ","$6,300.00 ", N/A ,"$8,640.00 "
ST. MARY'S HOSPITAL - DECATUR,27500108,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T22,275,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ","$9,281.25 ", N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27500109,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T23,275,1 ,"$19,500.00 ","$14,040.00 ","$5,109.00 ","$19,500.00 ", N/A ,"$10,335.00 ","$10,725.00 ", N/A ,"$5,460.00 ","$10,198.50 ", N/A ,"$10,725.00 ", N/A ,"$9,652.50 ","$9,652.50 ", N/A ,"$9,652.50 ", N/A ,"$9,750.00 ","$12,187.50 ","$15,600.00 ", N/A , N/A ,"$13,650.00 ", N/A ,"$11,700.00 ", N/A ,"$14,625.00 ","$10,764.00 ","$9,711.00 ","$10,764.00 ", N/A ,"$10,764.00 ","$10,335.00 ","$19,500.00 ","$10,335.00 ","$16,575.00 ", N/A ,"$9,652.50 ", N/A ,"$19,500.00 ","$10,939.50 ", N/A ,"$5,109.00 ","$19,500.00 ", N/A , N/A , N/A ,"$15,600.00 ","$9,652.50 ","$5,460.00 ","$17,550.00 ","$9,672.00 ","$6,825.00 ", N/A ,"$9,360.00 "
ST. MARY'S HOSPITAL - DECATUR,27500110,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T24,275,1 ,"$20,500.00 ","$14,760.00 ","$5,371.00 ","$20,500.00 ", N/A ,"$10,865.00 ","$11,275.00 ", N/A ,"$5,740.00 ","$10,721.50 ", N/A ,"$11,275.00 ", N/A ,"$10,147.50 ","$10,147.50 ", N/A ,"$10,147.50 ", N/A ,"$10,250.00 ","$12,812.50 ","$16,400.00 ", N/A , N/A ,"$14,350.00 ", N/A ,"$12,300.00 ", N/A ,"$15,375.00 ","$11,316.00 ","$10,209.00 ","$11,316.00 ", N/A ,"$11,316.00 ","$10,865.00 ","$20,500.00 ","$10,865.00 ","$17,425.00 ", N/A ,"$10,147.50 ", N/A ,"$20,500.00 ","$11,500.50 ", N/A ,"$5,371.00 ","$20,500.00 ", N/A , N/A , N/A ,"$16,400.00 ","$10,147.50 ","$5,740.00 ","$18,450.00 ","$10,168.00 ","$7,175.00 ", N/A ,"$9,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27500120,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T10,275,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,712.50 ", N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27500121,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T11,275,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ","$4,009.50 ", N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27500122,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T12,275,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ","$4,306.50 ", N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27500124,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T14,275,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ","$4,900.50 ", N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27500125,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T15,275,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ","$5,197.50 ", N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27500126,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T16,275,1 ,"$46,500.00 ","$33,480.00 ","$12,183.00 ","$46,500.00 ", N/A ,"$24,645.00 ","$25,575.00 ", N/A ,"$13,020.00 ","$24,319.50 ", N/A ,"$25,575.00 ", N/A ,"$23,017.50 ","$23,017.50 ", N/A ,"$23,017.50 ", N/A ,"$23,250.00 ","$29,062.50 ","$37,200.00 ", N/A , N/A ,"$32,550.00 ", N/A ,"$27,900.00 ", N/A ,"$34,875.00 ","$25,668.00 ","$23,157.00 ","$25,668.00 ", N/A ,"$25,668.00 ","$24,645.00 ","$46,500.00 ","$24,645.00 ","$39,525.00 ", N/A ,"$23,017.50 ", N/A ,"$46,500.00 ","$26,086.50 ", N/A ,"$12,183.00 ","$46,500.00 ", N/A , N/A , N/A ,"$37,200.00 ","$23,017.50 ","$13,020.00 ","$41,850.00 ","$23,064.00 ","$16,275.00 ", N/A ,"$22,320.00 "
ST. MARY'S HOSPITAL - DECATUR,27500155,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T16,275,1 ,"$45,000.00 ","$32,400.00 ","$11,790.00 ","$45,000.00 ", N/A ,"$23,850.00 ","$24,750.00 ", N/A ,"$12,600.00 ","$23,535.00 ", N/A ,"$24,750.00 ", N/A ,"$22,275.00 ","$22,275.00 ", N/A ,"$22,275.00 ", N/A ,"$22,500.00 ","$28,125.00 ","$36,000.00 ", N/A , N/A ,"$31,500.00 ", N/A ,"$27,000.00 ", N/A ,"$33,750.00 ","$24,840.00 ","$22,410.00 ","$24,840.00 ", N/A ,"$24,840.00 ","$23,850.00 ","$45,000.00 ","$23,850.00 ","$38,250.00 ", N/A ,"$22,275.00 ", N/A ,"$45,000.00 ","$25,245.00 ", N/A ,"$11,790.00 ","$45,000.00 ", N/A , N/A , N/A ,"$36,000.00 ","$22,275.00 ","$12,600.00 ","$40,500.00 ","$22,320.00 ","$15,750.00 ", N/A ,"$21,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27500156,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T17,275,1 ,"$46,500.00 ","$33,480.00 ","$12,183.00 ","$46,500.00 ", N/A ,"$24,645.00 ","$25,575.00 ", N/A ,"$13,020.00 ","$24,319.50 ", N/A ,"$25,575.00 ", N/A ,"$23,017.50 ","$23,017.50 ", N/A ,"$23,017.50 ", N/A ,"$23,250.00 ","$29,062.50 ","$37,200.00 ", N/A , N/A ,"$32,550.00 ", N/A ,"$27,900.00 ", N/A ,"$34,875.00 ","$25,668.00 ","$23,157.00 ","$25,668.00 ", N/A ,"$25,668.00 ","$24,645.00 ","$46,500.00 ","$24,645.00 ","$39,525.00 ", N/A ,"$23,017.50 ", N/A ,"$46,500.00 ","$26,086.50 ", N/A ,"$12,183.00 ","$46,500.00 ", N/A , N/A , N/A ,"$37,200.00 ","$23,017.50 ","$13,020.00 ","$41,850.00 ","$23,064.00 ","$16,275.00 ", N/A ,"$22,320.00 "
ST. MARY'S HOSPITAL - DECATUR,27500157,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T18,275,1 ,"$48,000.00 ","$34,560.00 ","$12,576.00 ","$48,000.00 ", N/A ,"$25,440.00 ","$26,400.00 ", N/A ,"$13,440.00 ","$25,104.00 ", N/A ,"$26,400.00 ", N/A ,"$23,760.00 ","$23,760.00 ", N/A ,"$23,760.00 ", N/A ,"$24,000.00 ","$30,000.00 ","$38,400.00 ", N/A , N/A ,"$33,600.00 ", N/A ,"$28,800.00 ", N/A ,"$36,000.00 ","$26,496.00 ","$23,904.00 ","$26,496.00 ", N/A ,"$26,496.00 ","$25,440.00 ","$48,000.00 ","$25,440.00 ","$40,800.00 ", N/A ,"$23,760.00 ", N/A ,"$48,000.00 ","$26,928.00 ", N/A ,"$12,576.00 ","$48,000.00 ", N/A , N/A , N/A ,"$38,400.00 ","$23,760.00 ","$13,440.00 ","$43,200.00 ","$23,808.00 ","$16,800.00 ", N/A ,"$23,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27500159,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T20,275,1 ,"$51,000.00 ","$36,720.00 ","$13,362.00 ","$51,000.00 ", N/A ,"$27,030.00 ","$28,050.00 ", N/A ,"$14,280.00 ","$26,673.00 ", N/A ,"$28,050.00 ", N/A ,"$25,245.00 ","$25,245.00 ", N/A ,"$25,245.00 ", N/A ,"$25,500.00 ","$31,875.00 ","$40,800.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$30,600.00 ", N/A ,"$38,250.00 ","$28,152.00 ","$25,398.00 ","$28,152.00 ", N/A ,"$28,152.00 ","$27,030.00 ","$51,000.00 ","$27,030.00 ","$43,350.00 ", N/A ,"$25,245.00 ", N/A ,"$51,000.00 ","$28,611.00 ", N/A ,"$13,362.00 ","$51,000.00 ", N/A , N/A , N/A ,"$40,800.00 ","$25,245.00 ","$14,280.00 ","$45,900.00 ","$25,296.00 ","$17,850.00 ", N/A ,"$24,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27500161,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T22,275,1 ,"$54,000.00 ","$38,880.00 ","$14,148.00 ","$54,000.00 ", N/A ,"$28,620.00 ","$29,700.00 ", N/A ,"$15,120.00 ","$28,242.00 ", N/A ,"$29,700.00 ", N/A ,"$26,730.00 ","$26,730.00 ", N/A ,"$26,730.00 ", N/A ,"$27,000.00 ","$33,750.00 ","$43,200.00 ", N/A , N/A ,"$37,800.00 ", N/A ,"$32,400.00 ", N/A ,"$40,500.00 ","$29,808.00 ","$26,892.00 ","$29,808.00 ", N/A ,"$29,808.00 ","$28,620.00 ","$54,000.00 ","$28,620.00 ","$45,900.00 ", N/A ,"$26,730.00 ", N/A ,"$54,000.00 ","$30,294.00 ", N/A ,"$14,148.00 ","$54,000.00 ", N/A , N/A , N/A ,"$43,200.00 ","$26,730.00 ","$15,120.00 ","$48,600.00 ","$26,784.00 ","$18,900.00 ", N/A ,"$25,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27500162,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T23,275,1 ,"$55,500.00 ","$39,960.00 ","$14,541.00 ","$55,500.00 ", N/A ,"$29,415.00 ","$30,525.00 ", N/A ,"$15,540.00 ","$29,026.50 ", N/A ,"$30,525.00 ", N/A ,"$27,472.50 ","$27,472.50 ", N/A ,"$27,472.50 ", N/A ,"$27,750.00 ","$34,687.50 ","$44,400.00 ", N/A , N/A ,"$38,850.00 ", N/A ,"$33,300.00 ", N/A ,"$41,625.00 ","$30,636.00 ","$27,639.00 ","$30,636.00 ", N/A ,"$30,636.00 ","$29,415.00 ","$55,500.00 ","$29,415.00 ","$47,175.00 ", N/A ,"$27,472.50 ", N/A ,"$55,500.00 ","$31,135.50 ", N/A ,"$14,541.00 ","$55,500.00 ", N/A , N/A , N/A ,"$44,400.00 ","$27,472.50 ","$15,540.00 ","$49,950.00 ","$27,528.00 ","$19,425.00 ", N/A ,"$26,640.00 "
ST. MARY'S HOSPITAL - DECATUR,27500166,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T27,275,1 ,"$61,500.00 ","$44,280.00 ","$16,113.00 ","$61,500.00 ", N/A ,"$32,595.00 ","$33,825.00 ", N/A ,"$17,220.00 ","$32,164.50 ", N/A ,"$33,825.00 ", N/A ,"$30,442.50 ","$30,442.50 ", N/A ,"$30,442.50 ", N/A ,"$30,750.00 ","$38,437.50 ","$49,200.00 ", N/A , N/A ,"$43,050.00 ", N/A ,"$36,900.00 ", N/A ,"$46,125.00 ","$33,948.00 ","$30,627.00 ","$33,948.00 ", N/A ,"$33,948.00 ","$32,595.00 ","$61,500.00 ","$32,595.00 ","$52,275.00 ", N/A ,"$30,442.50 ", N/A ,"$61,500.00 ","$34,501.50 ", N/A ,"$16,113.00 ","$61,500.00 ", N/A , N/A , N/A ,"$49,200.00 ","$30,442.50 ","$17,220.00 ","$55,350.00 ","$30,504.00 ","$21,525.00 ", N/A ,"$29,520.00 "
ST. MARY'S HOSPITAL - DECATUR,27500169,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T30,275,1 ,"$66,000.00 ","$47,520.00 ","$17,292.00 ","$66,000.00 ", N/A ,"$34,980.00 ","$36,300.00 ", N/A ,"$18,480.00 ","$34,518.00 ", N/A ,"$36,300.00 ", N/A ,"$32,670.00 ","$32,670.00 ", N/A ,"$32,670.00 ", N/A ,"$33,000.00 ","$41,250.00 ","$52,800.00 ", N/A , N/A ,"$46,200.00 ", N/A ,"$39,600.00 ", N/A ,"$49,500.00 ","$36,432.00 ","$32,868.00 ","$36,432.00 ", N/A ,"$36,432.00 ","$34,980.00 ","$66,000.00 ","$34,980.00 ","$56,100.00 ", N/A ,"$32,670.00 ", N/A ,"$66,000.00 ","$37,026.00 ", N/A ,"$17,292.00 ","$66,000.00 ", N/A , N/A , N/A ,"$52,800.00 ","$32,670.00 ","$18,480.00 ","$59,400.00 ","$32,736.00 ","$23,100.00 ", N/A ,"$31,680.00 "
ST. MARY'S HOSPITAL - DECATUR,27500170,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T31,275,1 ,"$63,500.00 ","$45,720.00 ","$16,637.00 ","$63,500.00 ", N/A ,"$33,655.00 ","$34,925.00 ", N/A ,"$17,780.00 ","$33,210.50 ", N/A ,"$34,925.00 ", N/A ,"$31,432.50 ","$31,432.50 ", N/A ,"$31,432.50 ", N/A ,"$31,750.00 ","$39,687.50 ","$50,800.00 ", N/A , N/A ,"$44,450.00 ", N/A ,"$38,100.00 ", N/A ,"$47,625.00 ","$35,052.00 ","$31,623.00 ","$35,052.00 ", N/A ,"$35,052.00 ","$33,655.00 ","$63,500.00 ","$33,655.00 ","$53,975.00 ", N/A ,"$31,432.50 ", N/A ,"$63,500.00 ","$35,623.50 ", N/A ,"$16,637.00 ","$63,500.00 ", N/A , N/A , N/A ,"$50,800.00 ","$31,432.50 ","$17,780.00 ","$57,150.00 ","$31,496.00 ","$22,225.00 ", N/A ,"$30,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27500188,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T18,275,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ","$8,167.50 ", N/A ,"$8,167.50 ", N/A ,"$8,250.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$8,745.00 ","$16,500.00 ","$8,745.00 ","$14,025.00 ", N/A ,"$8,167.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$8,184.00 ","$5,775.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27500192,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T22,275,1 ,"$19,500.00 ","$14,040.00 ","$5,109.00 ","$19,500.00 ", N/A ,"$10,335.00 ","$10,725.00 ", N/A ,"$5,460.00 ","$10,198.50 ", N/A ,"$10,725.00 ", N/A ,"$9,652.50 ","$9,652.50 ", N/A ,"$9,652.50 ", N/A ,"$9,750.00 ","$12,187.50 ","$15,600.00 ", N/A , N/A ,"$13,650.00 ", N/A ,"$11,700.00 ", N/A ,"$14,625.00 ","$10,764.00 ","$9,711.00 ","$10,764.00 ", N/A ,"$10,764.00 ","$10,335.00 ","$19,500.00 ","$10,335.00 ","$16,575.00 ", N/A ,"$9,652.50 ", N/A ,"$19,500.00 ","$10,939.50 ", N/A ,"$5,109.00 ","$19,500.00 ", N/A , N/A , N/A ,"$15,600.00 ","$9,652.50 ","$5,460.00 ","$17,550.00 ","$9,672.00 ","$6,825.00 ", N/A ,"$9,360.00 "
ST. MARY'S HOSPITAL - DECATUR,27500193,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T23,275,1 ,"$18,500.00 ","$13,320.00 ","$4,847.00 ","$18,500.00 ", N/A ,"$9,805.00 ","$10,175.00 ", N/A ,"$5,180.00 ","$9,675.50 ", N/A ,"$10,175.00 ", N/A ,"$9,157.50 ","$9,157.50 ", N/A ,"$9,157.50 ", N/A ,"$9,250.00 ","$11,562.50 ","$14,800.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$11,100.00 ", N/A ,"$13,875.00 ","$10,212.00 ","$9,213.00 ","$10,212.00 ", N/A ,"$10,212.00 ","$9,805.00 ","$18,500.00 ","$9,805.00 ","$15,725.00 ", N/A ,"$9,157.50 ", N/A ,"$18,500.00 ","$10,378.50 ", N/A ,"$4,847.00 ","$18,500.00 ", N/A , N/A , N/A ,"$14,800.00 ","$9,157.50 ","$5,180.00 ","$16,650.00 ","$9,176.00 ","$6,475.00 ", N/A ,"$8,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27500208,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T35,275,1 ,"$30,000.00 ","$21,600.00 ","$7,860.00 ","$30,000.00 ", N/A ,"$15,900.00 ","$16,500.00 ", N/A ,"$8,400.00 ","$15,690.00 ", N/A ,"$16,500.00 ", N/A ,"$14,850.00 ","$14,850.00 ", N/A ,"$14,850.00 ", N/A ,"$15,000.00 ","$18,750.00 ","$24,000.00 ", N/A , N/A ,"$21,000.00 ", N/A ,"$18,000.00 ", N/A ,"$22,500.00 ","$16,560.00 ","$14,940.00 ","$16,560.00 ", N/A ,"$16,560.00 ","$15,900.00 ","$30,000.00 ","$15,900.00 ","$25,500.00 ", N/A ,"$14,850.00 ", N/A ,"$30,000.00 ","$16,830.00 ", N/A ,"$7,860.00 ","$30,000.00 ", N/A , N/A , N/A ,"$24,000.00 ","$14,850.00 ","$8,400.00 ","$27,000.00 ","$14,880.00 ","$10,500.00 ", N/A ,"$14,400.00 "
ST. MARY'S HOSPITAL - DECATUR,27801584,C1764,HC RECORDER CARDIAC EVENT IMPLANT T2,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27801597,C1764,HC RECORDER CARDIAC EVENT IMPLANT T15,278,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ", N/A , N/A ,"$6,682.50 ", N/A ,"$6,750.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$7,155.00 ","$13,500.00 ","$7,155.00 ","$11,475.00 ", N/A ,"$6,682.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$6,696.00 ","$4,725.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27801598,C1764,HC RECORDER CARDIAC EVENT IMPLANT T16,278,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ", N/A , N/A ,"$7,053.75 ", N/A ,"$7,125.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$7,552.50 ","$14,250.00 ","$7,552.50 ","$12,112.50 ", N/A ,"$7,053.75 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$7,068.00 ","$4,987.50 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27801599,C1764,HC RECORDER CARDIAC EVENT IMPLANT T17,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27801601,C1764,HC RECORDER CARDIAC EVENT IMPLANT T19,278,1 ,"$15,600.00 ","$11,232.00 ","$4,087.20 ","$15,600.00 ", N/A ,"$8,268.00 ","$8,580.00 ", N/A ,"$4,368.00 ","$8,158.80 ", N/A ,"$8,580.00 ", N/A ,"$7,722.00 ", N/A , N/A ,"$7,722.00 ", N/A ,"$7,800.00 ","$9,750.00 ","$12,480.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$9,360.00 ", N/A ,"$11,700.00 ","$8,611.20 ","$7,768.80 ","$8,611.20 ", N/A ,"$8,611.20 ","$8,268.00 ","$15,600.00 ","$8,268.00 ","$13,260.00 ", N/A ,"$7,722.00 ", N/A ,"$15,600.00 ","$8,751.60 ", N/A ,"$4,087.20 ","$15,600.00 ", N/A , N/A , N/A ,"$12,480.00 ","$7,722.00 ","$4,368.00 ","$14,040.00 ","$7,737.60 ","$5,460.00 ", N/A ,"$7,488.00 "
ST. MARY'S HOSPITAL - DECATUR,27801609,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T7,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27801621,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T1,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27801627,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T7,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27801636,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T1,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27801637,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T2,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27801638,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T3,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27801639,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T4,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27801640,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T5,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27801641,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T6,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801642,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T7,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801643,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T8,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27801644,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T9,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27801645,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T10,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27801646,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T11,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27801647,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T12,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27801648,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T13,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27801649,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T14,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27801650,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T15,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27801651,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T16,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27801652,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T17,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27801653,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T18,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27801654,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T19,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27801655,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T20,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27801656,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T21,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27801657,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T22,278,1 ,"$11,700.00 ","$8,424.00 ","$3,065.40 ","$11,700.00 ", N/A ,"$6,201.00 ","$6,435.00 ", N/A ,"$3,276.00 ","$6,119.10 ", N/A ,"$6,435.00 ", N/A ,"$5,791.50 ", N/A , N/A ,"$5,791.50 ", N/A ,"$5,850.00 ","$7,312.50 ","$9,360.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$7,020.00 ", N/A ,"$8,775.00 ","$6,458.40 ","$5,826.60 ","$6,458.40 ", N/A ,"$6,458.40 ","$6,201.00 ","$11,700.00 ","$6,201.00 ","$9,945.00 ", N/A ,"$5,791.50 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$3,065.40 ","$11,700.00 ", N/A , N/A , N/A ,"$9,360.00 ","$5,791.50 ","$3,276.00 ","$10,530.00 ","$5,803.20 ","$4,095.00 ", N/A ,"$5,616.00 "
ST. MARY'S HOSPITAL - DECATUR,27801658,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T23,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27801659,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T24,278,1 ,"$12,900.00 ","$9,288.00 ","$3,379.80 ","$12,900.00 ", N/A ,"$6,837.00 ","$7,095.00 ", N/A ,"$3,612.00 ","$6,746.70 ", N/A ,"$7,095.00 ", N/A ,"$6,385.50 ", N/A , N/A ,"$6,385.50 ", N/A ,"$6,450.00 ","$8,062.50 ","$10,320.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$7,740.00 ", N/A ,"$9,675.00 ","$7,120.80 ","$6,424.20 ","$7,120.80 ", N/A ,"$7,120.80 ","$6,837.00 ","$12,900.00 ","$6,837.00 ","$10,965.00 ", N/A ,"$6,385.50 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$3,379.80 ","$12,900.00 ", N/A , N/A , N/A ,"$10,320.00 ","$6,385.50 ","$3,612.00 ","$11,610.00 ","$6,398.40 ","$4,515.00 ", N/A ,"$6,192.00 "
ST. MARY'S HOSPITAL - DECATUR,27801660,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T25,278,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ", N/A , N/A ,"$6,682.50 ", N/A ,"$6,750.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$7,155.00 ","$13,500.00 ","$7,155.00 ","$11,475.00 ", N/A ,"$6,682.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$6,696.00 ","$4,725.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27801661,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T26,278,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ", N/A , N/A ,"$7,053.75 ", N/A ,"$7,125.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$7,552.50 ","$14,250.00 ","$7,552.50 ","$12,112.50 ", N/A ,"$7,053.75 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$7,068.00 ","$4,987.50 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27801662,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T27,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27801663,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T28,278,1 ,"$15,750.00 ","$11,340.00 ","$4,126.50 ","$15,750.00 ", N/A ,"$8,347.50 ","$8,662.50 ", N/A ,"$4,410.00 ","$8,237.25 ", N/A ,"$8,662.50 ", N/A ,"$7,796.25 ", N/A , N/A ,"$7,796.25 ", N/A ,"$7,875.00 ","$9,843.75 ","$12,600.00 ", N/A , N/A ,"$11,025.00 ", N/A ,"$9,450.00 ", N/A ,"$11,812.50 ","$8,694.00 ","$7,843.50 ","$8,694.00 ", N/A ,"$8,694.00 ","$8,347.50 ","$15,750.00 ","$8,347.50 ","$13,387.50 ", N/A ,"$7,796.25 ", N/A ,"$15,750.00 ","$8,835.75 ", N/A ,"$4,126.50 ","$15,750.00 ", N/A , N/A , N/A ,"$12,600.00 ","$7,796.25 ","$4,410.00 ","$14,175.00 ","$7,812.00 ","$5,512.50 ", N/A ,"$7,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27801664,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T29,278,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ", N/A , N/A ,"$8,167.50 ", N/A ,"$8,250.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$8,745.00 ","$16,500.00 ","$8,745.00 ","$14,025.00 ", N/A ,"$8,167.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$8,184.00 ","$5,775.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27801669,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T5,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801670,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T6,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801671,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T7,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27801672,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T8,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27801673,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T9,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27801674,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T10,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27801676,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T12,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27801677,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T13,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27801678,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T14,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27801679,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T15,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27801680,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T16,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27801681,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T17,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27801682,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T18,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27801683,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T19,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27801684,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T20,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27801685,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T21,278,1 ,"$11,700.00 ","$8,424.00 ","$3,065.40 ","$11,700.00 ", N/A ,"$6,201.00 ","$6,435.00 ", N/A ,"$3,276.00 ","$6,119.10 ", N/A ,"$6,435.00 ", N/A ,"$5,791.50 ", N/A , N/A ,"$5,791.50 ", N/A ,"$5,850.00 ","$7,312.50 ","$9,360.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$7,020.00 ", N/A ,"$8,775.00 ","$6,458.40 ","$5,826.60 ","$6,458.40 ", N/A ,"$6,458.40 ","$6,201.00 ","$11,700.00 ","$6,201.00 ","$9,945.00 ", N/A ,"$5,791.50 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$3,065.40 ","$11,700.00 ", N/A , N/A , N/A ,"$9,360.00 ","$5,791.50 ","$3,276.00 ","$10,530.00 ","$5,803.20 ","$4,095.00 ", N/A ,"$5,616.00 "
ST. MARY'S HOSPITAL - DECATUR,27801686,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T22,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27801687,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T23,278,1 ,"$12,900.00 ","$9,288.00 ","$3,379.80 ","$12,900.00 ", N/A ,"$6,837.00 ","$7,095.00 ", N/A ,"$3,612.00 ","$6,746.70 ", N/A ,"$7,095.00 ", N/A ,"$6,385.50 ", N/A , N/A ,"$6,385.50 ", N/A ,"$6,450.00 ","$8,062.50 ","$10,320.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$7,740.00 ", N/A ,"$9,675.00 ","$7,120.80 ","$6,424.20 ","$7,120.80 ", N/A ,"$7,120.80 ","$6,837.00 ","$12,900.00 ","$6,837.00 ","$10,965.00 ", N/A ,"$6,385.50 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$3,379.80 ","$12,900.00 ", N/A , N/A , N/A ,"$10,320.00 ","$6,385.50 ","$3,612.00 ","$11,610.00 ","$6,398.40 ","$4,515.00 ", N/A ,"$6,192.00 "
ST. MARY'S HOSPITAL - DECATUR,27801688,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T24,278,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ", N/A , N/A ,"$6,682.50 ", N/A ,"$6,750.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$7,155.00 ","$13,500.00 ","$7,155.00 ","$11,475.00 ", N/A ,"$6,682.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$6,696.00 ","$4,725.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27801689,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T25,278,1 ,"$14,100.00 ","$10,152.00 ","$3,694.20 ","$14,100.00 ", N/A ,"$7,473.00 ","$7,755.00 ", N/A ,"$3,948.00 ","$7,374.30 ", N/A ,"$7,755.00 ", N/A ,"$6,979.50 ", N/A , N/A ,"$6,979.50 ", N/A ,"$7,050.00 ","$8,812.50 ","$11,280.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$8,460.00 ", N/A ,"$10,575.00 ","$7,783.20 ","$7,021.80 ","$7,783.20 ", N/A ,"$7,783.20 ","$7,473.00 ","$14,100.00 ","$7,473.00 ","$11,985.00 ", N/A ,"$6,979.50 ", N/A ,"$14,100.00 ","$7,910.10 ", N/A ,"$3,694.20 ","$14,100.00 ", N/A , N/A , N/A ,"$11,280.00 ","$6,979.50 ","$3,948.00 ","$12,690.00 ","$6,993.60 ","$4,935.00 ", N/A ,"$6,768.00 "
ST. MARY'S HOSPITAL - DECATUR,27801690,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T26,278,1 ,"$14,700.00 ","$10,584.00 ","$3,851.40 ","$14,700.00 ", N/A ,"$7,791.00 ","$8,085.00 ", N/A ,"$4,116.00 ","$7,688.10 ", N/A ,"$8,085.00 ", N/A ,"$7,276.50 ", N/A , N/A ,"$7,276.50 ", N/A ,"$7,350.00 ","$9,187.50 ","$11,760.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$8,820.00 ", N/A ,"$11,025.00 ","$8,114.40 ","$7,320.60 ","$8,114.40 ", N/A ,"$8,114.40 ","$7,791.00 ","$14,700.00 ","$7,791.00 ","$12,495.00 ", N/A ,"$7,276.50 ", N/A ,"$14,700.00 ","$8,246.70 ", N/A ,"$3,851.40 ","$14,700.00 ", N/A , N/A , N/A ,"$11,760.00 ","$7,276.50 ","$4,116.00 ","$13,230.00 ","$7,291.20 ","$5,145.00 ", N/A ,"$7,056.00 "
ST. MARY'S HOSPITAL - DECATUR,27801692,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T28,278,1 ,"$15,600.00 ","$11,232.00 ","$4,087.20 ","$15,600.00 ", N/A ,"$8,268.00 ","$8,580.00 ", N/A ,"$4,368.00 ","$8,158.80 ", N/A ,"$8,580.00 ", N/A ,"$7,722.00 ", N/A , N/A ,"$7,722.00 ", N/A ,"$7,800.00 ","$9,750.00 ","$12,480.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$9,360.00 ", N/A ,"$11,700.00 ","$8,611.20 ","$7,768.80 ","$8,611.20 ", N/A ,"$8,611.20 ","$8,268.00 ","$15,600.00 ","$8,268.00 ","$13,260.00 ", N/A ,"$7,722.00 ", N/A ,"$15,600.00 ","$8,751.60 ", N/A ,"$4,087.20 ","$15,600.00 ", N/A , N/A , N/A ,"$12,480.00 ","$7,722.00 ","$4,368.00 ","$14,040.00 ","$7,737.60 ","$5,460.00 ", N/A ,"$7,488.00 "
ST. MARY'S HOSPITAL - DECATUR,27801696,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T32,278,1 ,"$17,400.00 ","$12,528.00 ","$4,558.80 ","$17,400.00 ", N/A ,"$9,222.00 ","$9,570.00 ", N/A ,"$4,872.00 ","$9,100.20 ", N/A ,"$9,570.00 ", N/A ,"$8,613.00 ", N/A , N/A ,"$8,613.00 ", N/A ,"$8,700.00 ","$10,875.00 ","$13,920.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$10,440.00 ", N/A ,"$13,050.00 ","$9,604.80 ","$8,665.20 ","$9,604.80 ", N/A ,"$9,604.80 ","$9,222.00 ","$17,400.00 ","$9,222.00 ","$14,790.00 ", N/A ,"$8,613.00 ", N/A ,"$17,400.00 ","$9,761.40 ", N/A ,"$4,558.80 ","$17,400.00 ", N/A , N/A , N/A ,"$13,920.00 ","$8,613.00 ","$4,872.00 ","$15,660.00 ","$8,630.40 ","$6,090.00 ", N/A ,"$8,352.00 "
ST. MARY'S HOSPITAL - DECATUR,27801699,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T35,278,1 ,"$19,750.00 ","$14,220.00 ","$5,174.50 ","$19,750.00 ", N/A ,"$10,467.50 ","$10,862.50 ", N/A ,"$5,530.00 ","$10,329.25 ", N/A ,"$10,862.50 ", N/A ,"$9,776.25 ", N/A , N/A ,"$9,776.25 ", N/A ,"$9,875.00 ","$12,343.75 ","$15,800.00 ", N/A , N/A ,"$13,825.00 ", N/A ,"$11,850.00 ", N/A ,"$14,812.50 ","$10,902.00 ","$9,835.50 ","$10,902.00 ", N/A ,"$10,902.00 ","$10,467.50 ","$19,750.00 ","$10,467.50 ","$16,787.50 ", N/A ,"$9,776.25 ", N/A ,"$19,750.00 ","$11,079.75 ", N/A ,"$5,174.50 ","$19,750.00 ", N/A , N/A , N/A ,"$15,800.00 ","$9,776.25 ","$5,530.00 ","$17,775.00 ","$9,796.00 ","$6,912.50 ", N/A ,"$9,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27801700,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T36,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27801713,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T10,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27801720,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T17,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27801721,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T18,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801722,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T19,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801723,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T20,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27801724,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T21,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27801725,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T22,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27801726,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T23,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27801727,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T24,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27801728,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T25,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27801729,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T26,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27801730,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T27,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27801731,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T28,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27801732,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T29,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27801767,C1880,HC FILTER VENA CAVA T5,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801768,C1880,HC FILTER VENA CAVA T6,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801769,C1880,HC FILTER VENA CAVA T7,278,1 ,"$3,280.22 ","$2,361.76 ",$859.42 ,"$3,280.22 ", N/A ,"$1,738.52 ","$1,804.12 ", N/A ,$918.46 ,"$1,715.56 ", N/A ,"$1,804.12 ", N/A ,"$1,623.71 ", N/A , N/A ,"$1,623.71 ", N/A ,"$1,640.11 ","$2,050.14 ","$2,624.18 ", N/A , N/A ,"$2,296.15 ", N/A ,"$1,968.13 ", N/A ,"$2,460.17 ","$1,810.68 ","$1,633.55 ","$1,810.68 ", N/A ,"$1,810.68 ","$1,738.52 ","$3,280.22 ","$1,738.52 ","$2,788.19 ", N/A ,"$1,623.71 ", N/A ,"$3,280.22 ","$1,840.20 ", N/A ,$859.42 ,"$3,280.22 ", N/A , N/A , N/A ,"$2,624.18 ","$1,623.71 ",$918.46 ,"$2,952.20 ","$1,626.99 ","$1,148.08 ", N/A ,"$1,574.51 "
ST. MARY'S HOSPITAL - DECATUR,27801770,C1880,HC FILTER VENA CAVA T8,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27801771,C1880,HC FILTER VENA CAVA T9,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27801794,C1889,HC COIL EMBOLIZATION T1,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27801795,C1889,HC COIL EMBOLIZATION T2,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27801796,C1889,HC COIL EMBOLIZATION T3,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27801797,C1889,HC COIL EMBOLIZATION T4,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27801798,C1889,HC COIL EMBOLIZATION T5,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27801799,C1889,HC COIL EMBOLIZATION T6,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27801800,C1889,HC COIL EMBOLIZATION T7,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27801801,C1889,HC COIL EMBOLIZATION T8,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27801802,C1889,HC COIL EMBOLIZATION T9,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27801803,C1889,HC COIL EMBOLIZATION T10,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27801804,C1889,HC COIL EMBOLIZATION T11,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27801805,C1889,HC COIL EMBOLIZATION T12,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27801806,C1889,HC COIL EMBOLIZATION T13,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801807,C1889,HC COIL EMBOLIZATION T14,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801808,C1889,HC COIL EMBOLIZATION T15,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27801809,C1889,HC COIL EMBOLIZATION T16,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27801810,C1889,HC COIL EMBOLIZATION T17,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27801811,C1889,HC COIL EMBOLIZATION T18,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27801812,C1889,HC COIL EMBOLIZATION T19,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27801920,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T8,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27801922,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T10,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27801923,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T11,278,1 ,"$10,350.00 ","$7,452.00 ","$2,711.70 ","$10,350.00 ", N/A ,"$5,485.50 ","$5,692.50 ", N/A ,"$2,898.00 ","$5,413.05 ", N/A ,"$5,692.50 ", N/A ,"$5,123.25 ", N/A , N/A ,"$5,123.25 ", N/A ,"$5,175.00 ","$6,468.75 ","$8,280.00 ", N/A , N/A ,"$7,245.00 ", N/A ,"$6,210.00 ", N/A ,"$7,762.50 ","$5,713.20 ","$5,154.30 ","$5,713.20 ", N/A ,"$5,713.20 ","$5,485.50 ","$10,350.00 ","$5,485.50 ","$8,797.50 ", N/A ,"$5,123.25 ", N/A ,"$10,350.00 ","$5,806.35 ", N/A ,"$2,711.70 ","$10,350.00 ", N/A , N/A , N/A ,"$8,280.00 ","$5,123.25 ","$2,898.00 ","$9,315.00 ","$5,133.60 ","$3,622.50 ", N/A ,"$4,968.00 "
ST. MARY'S HOSPITAL - DECATUR,27801924,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T12,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27801971,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T5,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27801972,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T6,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27801973,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T7,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27801974,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T8,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27801975,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T9,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27801976,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T10,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27801991,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T5,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27801992,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T6,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27801993,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T7,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27801995,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T9,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27802021,N/A,HC IMPLANT SURGICAL T6,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27802022,N/A,HC IMPLANT SURGICAL T7,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27802027,N/A,HC IMPLANT SURGICAL T12,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27802033,N/A,HC IMPLANT SURGICAL T18,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27802055,N/A,HC IMPLANT SURGICAL T40,278,1 ,"$15,150.00 ","$10,908.00 ","$3,969.30 ","$15,150.00 ", N/A ,"$8,029.50 ","$8,332.50 ", N/A ,"$4,242.00 ","$7,923.45 ", N/A ,"$8,332.50 ", N/A ,"$7,499.25 ", N/A , N/A ,"$7,499.25 ", N/A ,"$7,575.00 ","$9,468.75 ","$12,120.00 ", N/A , N/A ,"$10,605.00 ", N/A ,"$9,090.00 ", N/A ,"$11,362.50 ","$8,362.80 ","$7,544.70 ","$8,362.80 ", N/A ,"$8,362.80 ","$8,029.50 ","$15,150.00 ","$8,029.50 ","$12,877.50 ", N/A ,"$7,499.25 ", N/A ,"$15,150.00 ","$8,499.15 ", N/A ,"$3,969.30 ","$15,150.00 ", N/A , N/A , N/A ,"$12,120.00 ","$7,499.25 ","$4,242.00 ","$13,635.00 ","$7,514.40 ","$5,302.50 ", N/A ,"$7,272.00 "
ST. MARY'S HOSPITAL - DECATUR,27802071,N/A,HC IMPLANT SURGICAL T56,278,1 ,"$27,950.00 ","$20,124.00 ","$7,322.90 ","$27,950.00 ", N/A ,"$14,813.50 ","$15,372.50 ", N/A ,"$7,826.00 ","$14,617.85 ", N/A ,"$15,372.50 ", N/A ,"$13,835.25 ", N/A , N/A ,"$13,835.25 ", N/A ,"$13,975.00 ","$17,468.75 ","$22,360.00 ", N/A , N/A ,"$19,565.00 ", N/A ,"$16,770.00 ", N/A ,"$20,962.50 ","$15,428.40 ","$13,919.10 ","$15,428.40 ", N/A ,"$15,428.40 ","$14,813.50 ","$27,950.00 ","$14,813.50 ","$23,757.50 ", N/A ,"$13,835.25 ", N/A ,"$27,950.00 ","$15,679.95 ", N/A ,"$7,322.90 ","$27,950.00 ", N/A , N/A , N/A ,"$22,360.00 ","$13,835.25 ","$7,826.00 ","$25,155.00 ","$13,863.20 ","$9,782.50 ", N/A ,"$13,416.00 "
ST. MARY'S HOSPITAL - DECATUR,27802098,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T9,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27802099,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T10,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27802103,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T14,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27802104,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T1,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 , N/A ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27802105,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T2,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ", N/A ,"$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27802106,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T3,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27802107,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T4,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ", N/A ,"$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27802108,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T5,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ", N/A ,"$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27802109,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T6,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ", N/A ,"$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27802110,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T7,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ", N/A ,"$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27802111,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T8,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ", N/A ,"$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27802112,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T9,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ", N/A ,"$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27802113,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T10,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ", N/A ,"$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27802115,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T41,278,1 ,"$25,500.00 ","$18,360.00 ","$6,681.00 ","$25,500.00 ", N/A ,"$13,515.00 ","$14,025.00 ", N/A ,"$7,140.00 ","$13,336.50 ", N/A ,"$14,025.00 ", N/A ,"$12,622.50 ", N/A , N/A ,"$12,622.50 ", N/A ,"$12,750.00 ","$15,937.50 ","$20,400.00 ", N/A , N/A ,"$17,850.00 ", N/A ,"$15,300.00 ", N/A ,"$19,125.00 ","$14,076.00 ","$12,699.00 ","$14,076.00 ", N/A ,"$14,076.00 ","$13,515.00 ","$25,500.00 ","$13,515.00 ","$21,675.00 ", N/A ,"$12,622.50 ", N/A ,"$25,500.00 ","$14,305.50 ", N/A ,"$6,681.00 ","$25,500.00 ", N/A , N/A , N/A ,"$20,400.00 ","$12,622.50 ","$7,140.00 ","$22,950.00 ","$12,648.00 ","$8,925.00 ", N/A ,"$12,240.00 "
ST. MARY'S HOSPITAL - DECATUR,27802116,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T42,278,1 ,"$27,000.00 ","$19,440.00 ","$7,074.00 ","$27,000.00 ", N/A ,"$14,310.00 ","$14,850.00 ", N/A ,"$7,560.00 ","$14,121.00 ", N/A ,"$14,850.00 ", N/A ,"$13,365.00 ", N/A , N/A ,"$13,365.00 ", N/A ,"$13,500.00 ","$16,875.00 ","$21,600.00 ", N/A , N/A ,"$18,900.00 ", N/A ,"$16,200.00 ", N/A ,"$20,250.00 ","$14,904.00 ","$13,446.00 ","$14,904.00 ", N/A ,"$14,904.00 ","$14,310.00 ","$27,000.00 ","$14,310.00 ","$22,950.00 ", N/A ,"$13,365.00 ", N/A ,"$27,000.00 ","$15,147.00 ", N/A ,"$7,074.00 ","$27,000.00 ", N/A , N/A , N/A ,"$21,600.00 ","$13,365.00 ","$7,560.00 ","$24,300.00 ","$13,392.00 ","$9,450.00 ", N/A ,"$12,960.00 "
ST. MARY'S HOSPITAL - DECATUR,27802118,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T44,278,1 ,"$30,000.00 ","$21,600.00 ","$7,860.00 ","$30,000.00 ", N/A ,"$15,900.00 ","$16,500.00 ", N/A ,"$8,400.00 ","$15,690.00 ", N/A ,"$16,500.00 ", N/A ,"$14,850.00 ", N/A , N/A ,"$14,850.00 ", N/A ,"$15,000.00 ","$18,750.00 ","$24,000.00 ", N/A , N/A ,"$21,000.00 ", N/A ,"$18,000.00 ", N/A ,"$22,500.00 ","$16,560.00 ","$14,940.00 ","$16,560.00 ", N/A ,"$16,560.00 ","$15,900.00 ","$30,000.00 ","$15,900.00 ","$25,500.00 ", N/A ,"$14,850.00 ", N/A ,"$30,000.00 ","$16,830.00 ", N/A ,"$7,860.00 ","$30,000.00 ", N/A , N/A , N/A ,"$24,000.00 ","$14,850.00 ","$8,400.00 ","$27,000.00 ","$14,880.00 ","$10,500.00 ", N/A ,"$14,400.00 "
ST. MARY'S HOSPITAL - DECATUR,27802119,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T45,278,1 ,"$31,500.00 ","$22,680.00 ","$8,253.00 ","$31,500.00 ", N/A ,"$16,695.00 ","$17,325.00 ", N/A ,"$8,820.00 ","$16,474.50 ", N/A ,"$17,325.00 ", N/A ,"$15,592.50 ", N/A , N/A ,"$15,592.50 ", N/A ,"$15,750.00 ","$19,687.50 ","$25,200.00 ", N/A , N/A ,"$22,050.00 ", N/A ,"$18,900.00 ", N/A ,"$23,625.00 ","$17,388.00 ","$15,687.00 ","$17,388.00 ", N/A ,"$17,388.00 ","$16,695.00 ","$31,500.00 ","$16,695.00 ","$26,775.00 ", N/A ,"$15,592.50 ", N/A ,"$31,500.00 ","$17,671.50 ", N/A ,"$8,253.00 ","$31,500.00 ", N/A , N/A , N/A ,"$25,200.00 ","$15,592.50 ","$8,820.00 ","$28,350.00 ","$15,624.00 ","$11,025.00 ", N/A ,"$15,120.00 "
ST. MARY'S HOSPITAL - DECATUR,27802121,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T47,278,1 ,"$34,500.00 ","$24,840.00 ","$9,039.00 ","$34,500.00 ", N/A ,"$18,285.00 ","$18,975.00 ", N/A ,"$9,660.00 ","$18,043.50 ", N/A ,"$18,975.00 ", N/A ,"$17,077.50 ", N/A , N/A ,"$17,077.50 ", N/A ,"$17,250.00 ","$21,562.50 ","$27,600.00 ", N/A , N/A ,"$24,150.00 ", N/A ,"$20,700.00 ", N/A ,"$25,875.00 ","$19,044.00 ","$17,181.00 ","$19,044.00 ", N/A ,"$19,044.00 ","$18,285.00 ","$34,500.00 ","$18,285.00 ","$29,325.00 ", N/A ,"$17,077.50 ", N/A ,"$34,500.00 ","$19,354.50 ", N/A ,"$9,039.00 ","$34,500.00 ", N/A , N/A , N/A ,"$27,600.00 ","$17,077.50 ","$9,660.00 ","$31,050.00 ","$17,112.00 ","$12,075.00 ", N/A ,"$16,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27802124,C1788,HC PORT VASCULAR ACCESS,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27802170,C1755,HC CATHETER INTRASPINAL,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 , N/A ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27802171,C1778,HC LEAD NEUROSTIMULATOR,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27802201,C1768,HC GRAFT VASCULAR T21,278,1 ,"$30,000.00 ","$21,600.00 ","$7,860.00 ","$30,000.00 ", N/A ,"$15,900.00 ","$16,500.00 ", N/A ,"$8,400.00 ","$15,690.00 ", N/A ,"$16,500.00 ", N/A ,"$14,850.00 ", N/A , N/A ,"$14,850.00 ", N/A ,"$15,000.00 ","$18,750.00 ","$24,000.00 ", N/A , N/A ,"$21,000.00 ", N/A ,"$18,000.00 ", N/A ,"$22,500.00 ","$16,560.00 ","$14,940.00 ","$16,560.00 ", N/A ,"$16,560.00 ","$15,900.00 ","$30,000.00 ","$15,900.00 ","$25,500.00 ", N/A ,"$14,850.00 ", N/A ,"$30,000.00 ","$16,830.00 ", N/A ,"$7,860.00 ","$30,000.00 ", N/A , N/A , N/A ,"$24,000.00 ","$14,850.00 ","$8,400.00 ","$27,000.00 ","$14,880.00 ","$10,500.00 ", N/A ,"$14,400.00 "
ST. MARY'S HOSPITAL - DECATUR,27802202,C1768,HC GRAFT VASCULAR T22,278,1 ,"$31,500.00 ","$22,680.00 ","$8,253.00 ","$31,500.00 ", N/A ,"$16,695.00 ","$17,325.00 ", N/A ,"$8,820.00 ","$16,474.50 ", N/A ,"$17,325.00 ", N/A ,"$15,592.50 ", N/A , N/A ,"$15,592.50 ", N/A ,"$15,750.00 ","$19,687.50 ","$25,200.00 ", N/A , N/A ,"$22,050.00 ", N/A ,"$18,900.00 ", N/A ,"$23,625.00 ","$17,388.00 ","$15,687.00 ","$17,388.00 ", N/A ,"$17,388.00 ","$16,695.00 ","$31,500.00 ","$16,695.00 ","$26,775.00 ", N/A ,"$15,592.50 ", N/A ,"$31,500.00 ","$17,671.50 ", N/A ,"$8,253.00 ","$31,500.00 ", N/A , N/A , N/A ,"$25,200.00 ","$15,592.50 ","$8,820.00 ","$28,350.00 ","$15,624.00 ","$11,025.00 ", N/A ,"$15,120.00 "
ST. MARY'S HOSPITAL - DECATUR,27802203,C1768,HC GRAFT VASCULAR T23,278,1 ,"$33,000.00 ","$23,760.00 ","$8,646.00 ","$33,000.00 ", N/A ,"$17,490.00 ","$18,150.00 ", N/A ,"$9,240.00 ","$17,259.00 ", N/A ,"$18,150.00 ", N/A ,"$16,335.00 ", N/A , N/A ,"$16,335.00 ", N/A ,"$16,500.00 ","$20,625.00 ","$26,400.00 ", N/A , N/A ,"$23,100.00 ", N/A ,"$19,800.00 ", N/A ,"$24,750.00 ","$18,216.00 ","$16,434.00 ","$18,216.00 ", N/A ,"$18,216.00 ","$17,490.00 ","$33,000.00 ","$17,490.00 ","$28,050.00 ", N/A ,"$16,335.00 ", N/A ,"$33,000.00 ","$18,513.00 ", N/A ,"$8,646.00 ","$33,000.00 ", N/A , N/A , N/A ,"$26,400.00 ","$16,335.00 ","$9,240.00 ","$29,700.00 ","$16,368.00 ","$11,550.00 ", N/A ,"$15,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27802204,C1768,HC GRAFT VASCULAR T24,278,1 ,"$34,500.00 ","$24,840.00 ","$9,039.00 ","$34,500.00 ", N/A ,"$18,285.00 ","$18,975.00 ", N/A ,"$9,660.00 ","$18,043.50 ", N/A ,"$18,975.00 ", N/A ,"$17,077.50 ", N/A , N/A ,"$17,077.50 ", N/A ,"$17,250.00 ","$21,562.50 ","$27,600.00 ", N/A , N/A ,"$24,150.00 ", N/A ,"$20,700.00 ", N/A ,"$25,875.00 ","$19,044.00 ","$17,181.00 ","$19,044.00 ", N/A ,"$19,044.00 ","$18,285.00 ","$34,500.00 ","$18,285.00 ","$29,325.00 ", N/A ,"$17,077.50 ", N/A ,"$34,500.00 ","$19,354.50 ", N/A ,"$9,039.00 ","$34,500.00 ", N/A , N/A , N/A ,"$27,600.00 ","$17,077.50 ","$9,660.00 ","$31,050.00 ","$17,112.00 ","$12,075.00 ", N/A ,"$16,560.00 "
ST. MARY'S HOSPITAL - DECATUR,27864186,Q4186,EPIFIX 5.0 X 6.0MM,278,1 ,"$17,250.00 ","$12,420.00 ",$319.13 ,"$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ",$334.32 ,$319.13 , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27868606,L8606,IMPLANT MACROPLASTIQUE UROPLASTY,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27868606,L8606,IMPLANT UROLOGICAL 1ML DURASPHERE EXP BULK AGENT INJECTABLE SYRINGE,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BASE GLENOID BIOMET 4MM MEDIUM,278,1 ,"$1,950.00 ","$1,404.00 ",$510.90 ,"$1,950.00 ", N/A ,"$1,033.50 ","$1,072.50 ", N/A ,$546.00 ,"$1,019.85 ", N/A ,"$1,072.50 ", N/A ,$965.25 , N/A , N/A ,$965.25 , N/A ,$975.00 ,"$1,218.75 ","$1,560.00 ", N/A , N/A ,"$1,365.00 ", N/A ,"$1,170.00 ", N/A ,"$1,462.50 ","$1,076.40 ",$971.10 ,"$1,076.40 ", N/A ,"$1,076.40 ","$1,033.50 ","$1,950.00 ","$1,033.50 ","$1,657.50 ", N/A ,$965.25 , N/A ,"$1,950.00 ","$1,093.95 ", N/A ,$510.90 ,"$1,950.00 ", N/A , N/A , N/A ,"$1,560.00 ",$965.25 ,$546.00 ,"$1,755.00 ",$967.20 ,$682.50 , N/A ,$936.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUTTON CABLE GOLD 2.5MM ZIMMER CABLE-READY FEMUR TI6AL4V HEXAGON DRIVE NCB POLYAXIAL LOCK PLATE PERIPROSTHETIC LARGE FRAGMENT SYSTEM STERILE LATEX FREE,278,1 ,$415.80 ,$299.38 ,$108.94 ,$415.80 , N/A , N/A ,$228.69 , N/A ,$116.42 ,$217.46 , N/A ,$228.69 , N/A ,$205.82 , N/A , N/A ,$205.82 , N/A ,$207.90 ,$259.88 ,$332.64 , N/A , N/A ,$291.06 , N/A ,$249.48 , N/A ,$311.85 ,$229.52 ,$207.07 ,$229.52 , N/A ,$229.52 ,$220.37 ,$415.80 ,$220.37 ,$353.43 , N/A ,$205.82 , N/A ,$415.80 ,$233.26 , N/A ,$108.94 ,$415.80 , N/A , N/A , N/A ,$332.64 ,$205.82 ,$116.42 ,$374.22 ,$206.24 , N/A , N/A ,$199.58 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CERAMENT BONE VOID FILLER 10 ML,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CLIP SM INT TITAN ENDO  LGT,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COUPLER LEGION OFFSET SMITH  AND  NEPHEW 6MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COUPLER LEGION OFFSET SMITH  AND  NEPHEW 4MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FEMORAL TROCH,278,1 ,"$19,500.00 ","$14,040.00 ","$5,109.00 ","$19,500.00 ", N/A ,"$10,335.00 ","$10,725.00 ", N/A ,"$5,460.00 ","$10,198.50 ", N/A ,"$10,725.00 ", N/A ,"$9,652.50 ", N/A , N/A ,"$9,652.50 ", N/A ,"$9,750.00 ","$12,187.50 ","$15,600.00 ", N/A , N/A ,"$13,650.00 ", N/A ,"$11,700.00 ", N/A ,"$14,625.00 ","$10,764.00 ","$9,711.00 ","$10,764.00 ", N/A ,"$10,764.00 ","$10,335.00 ","$19,500.00 ","$10,335.00 ","$16,575.00 ", N/A ,"$9,652.50 ", N/A ,"$19,500.00 ","$10,939.50 ", N/A ,"$5,109.00 ","$19,500.00 ", N/A , N/A , N/A ,"$15,600.00 ","$9,652.50 ","$5,460.00 ","$17,550.00 ","$9,672.00 ","$6,825.00 ", N/A ,"$9,360.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FILLER OSFERION BONE VOID ARTHREX 7 X 3 X 30 X 12MM,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ACL TIGHTROPE RT,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BN ALMX C CANC 10ML SM PTTY MLD,278,1 ,"$3,375.00 ","$2,430.00 ",$884.25 ,"$3,375.00 ", N/A ,"$1,788.75 ","$1,856.25 ", N/A ,$945.00 ,"$1,765.13 ", N/A ,"$1,856.25 ", N/A ,"$1,670.63 ", N/A , N/A ,"$1,670.63 ", N/A ,"$1,687.50 ","$2,109.38 ","$2,700.00 ", N/A , N/A ,"$2,362.50 ", N/A ,"$2,025.00 ", N/A ,"$2,531.25 ","$1,863.00 ","$1,680.75 ","$1,863.00 ", N/A ,"$1,863.00 ","$1,788.75 ","$3,375.00 ","$1,788.75 ","$2,868.75 ", N/A ,"$1,670.63 ", N/A ,"$3,375.00 ","$1,893.38 ", N/A ,$884.25 ,"$3,375.00 ", N/A , N/A , N/A ,"$2,700.00 ","$1,670.63 ",$945.00 ,"$3,037.50 ","$1,674.00 ","$1,181.25 ", N/A ,"$1,620.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE AUGMENT 3CC,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT INFUSE BONE MEDIUM,278,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ", N/A , N/A ,"$8,167.50 ", N/A ,"$8,250.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$8,745.00 ","$16,500.00 ","$8,745.00 ","$14,025.00 ", N/A ,"$8,167.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$8,184.00 ","$5,775.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT SOFT TISSUE 16MM GRAFIXPL PRIME 2SQ CM AMNIOTIC MEMBRANE ALLOGRAFT DISC LYOPRESERVE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,AXLE FEMORAL KNEE REDUCE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,AXLE TIBIAL OSS KNEE LOW FRICTION INTERFACE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CABLE ORTHOPEDIC STAINLESS STEEL 2MM HIP CLAMP ACCORD,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SYNTHETIC CARTILAGE CARTIVA,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,"INTEGRAL LONG GTR W/4 CABLES, 23 X 121MM",278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CABLE READY GTR ZIMMER SHORT W/ 2 CABLES,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COMPONENT FEMORAL 7 STANDARD KNEE RIGHT CRUCIATE RETAIN CEMENT PERSONA COCR,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COMPONENT FEMORAL 9 STANDARD KNEE RIGHT CRUCIATE RETAIN CEMENT PERSONA COCR,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,RESTRICTOR CEMENT DEPUY FEMORAL SIZE 2,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUTTON FIXATION 14MM 14MM ENDOBUTTON ACL/PCL ARTHROSCOPIC STERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,RESTRICTOR CEMENT DEPUY FEMORAL SIZE 3,278,1 ,$215.25 ,$154.98 ,$56.40 ,$215.25 , N/A , N/A ,$118.39 , N/A ,$60.27 ,$112.58 , N/A ,$118.39 , N/A ,$106.55 , N/A , N/A ,$106.55 , N/A ,$107.63 ,$134.53 ,$172.20 , N/A , N/A ,$150.68 , N/A ,$129.15 , N/A ,$161.44 ,$118.82 ,$107.19 ,$118.82 , N/A ,$118.82 ,$114.08 ,$215.25 ,$114.08 ,$182.96 , N/A ,$106.55 , N/A ,$215.25 ,$120.76 , N/A ,$56.40 ,$215.25 , N/A , N/A , N/A ,$172.20 ,$106.55 ,$60.27 ,$193.73 ,$106.76 , N/A , N/A ,$103.32 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD CHROMOLOY MEDTRONIC 90MM,278,1 ,"$1,386.00 ",$997.92 ,$363.13 ,"$1,386.00 ", N/A ,$734.58 ,$762.30 , N/A ,$388.08 ,$724.88 , N/A ,$762.30 , N/A ,$686.07 , N/A , N/A ,$686.07 , N/A ,$693.00 ,$866.25 ,"$1,108.80 ", N/A , N/A ,$970.20 , N/A ,$831.60 , N/A ,"$1,039.50 ",$765.07 ,$690.23 ,$765.07 , N/A ,$765.07 ,$734.58 ,"$1,386.00 ",$734.58 ,"$1,178.10 ", N/A ,$686.07 , N/A ,"$1,386.00 ",$777.55 , N/A ,$363.13 ,"$1,386.00 ", N/A , N/A , N/A ,"$1,108.80 ",$686.07 ,$388.08 ,"$1,247.40 ",$687.46 , N/A , N/A ,$665.28 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPNL 20MM 3.5MM VRTX SLCT CCM + PCUT,278,1 ,$843.00 ,$606.96 ,$220.87 ,$843.00 , N/A , N/A ,$463.65 , N/A ,$236.04 ,$440.89 , N/A ,$463.65 , N/A ,$417.29 , N/A , N/A ,$417.29 , N/A ,$421.50 ,$526.88 ,$674.40 , N/A , N/A ,$590.10 , N/A ,$505.80 , N/A ,$632.25 ,$465.34 ,$419.81 ,$465.34 , N/A ,$465.34 ,$446.79 ,$843.00 ,$446.79 ,$716.55 , N/A ,$417.29 , N/A ,$843.00 ,$472.92 , N/A ,$220.87 ,$843.00 , N/A , N/A , N/A ,$674.40 ,$417.29 ,$236.04 ,$758.70 ,$418.13 , N/A , N/A ,$404.64 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 350MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 100MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SYNTHES CARBON FIBER 4 X  80MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,KIT SHUNT ARGYLE CAROTID ARTERY STRAIGHT 6IN 4 TUBE BEVEL TIP RADIOPAQUE PVC 8-14FR STERILE,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD THREADED SMITH  AND  NEPHEW 200MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAGE FLANGE ACETABULAR REVISION SYSTEM ZIMMER,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FILLER BONE VOID TRIPORE HA 1-2 MM GRANULES 2CC,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE CANCELLOUS 30ML 4-10MM FREEZE DRIED CHIPS,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE CORTICAL STRUT FROZEN 20CM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 100MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 30MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 35MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 40MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 45MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 50MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 55MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 60MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 70MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 80MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD MEDTRONIC 90MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 30MM 3.5MM PRECUT,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 40MM 3.5MM PRECUT,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 50MM 3.5MM PRECUT,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 60MM 3.5MM PRECUT,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 70MM 3.5MM PRECUT,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD THREADED SMITH  AND  NEPHEW,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SHORT HEAD HOLDING PIN 25 MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUSHING FEMORAL KNEE POLYETHYLENE AUXILIARY,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CABLE ORTHOPEDIC COCR 2MM 75MM TROCHANTER CLAMP ACCORD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT GRAFTBOLT TIBIA 9MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,PUSH LOCK ARTHREX 4.5 X 18.5MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC  35MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC  50MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC  70MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SLEEVE CENTERING SMITH  AND  NEPHEW 6MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUTTON CABLE ZIMMER 2.5MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 28MMX9MM ELEVATE STANDARD PEEK TITANIUM STERILE,278,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,KIT SHUNT STRATA LUMBOPERITONAL MEDTRONIC,278,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 23MMX8MM ELEVATE STANDARD PEEK TITANIUM STERILE,278,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 23MMX9MM ELEVATE STANDARD PEEK TITANIUM STERILE,278,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 28MMX8MM ELEVATE STANDARD PEEK TITANIUM STERILE,278,1 ,"$17,250.00 ","$12,420.00 ","$4,519.50 ","$17,250.00 ", N/A ,"$9,142.50 ","$9,487.50 ", N/A ,"$4,830.00 ","$9,021.75 ", N/A ,"$9,487.50 ", N/A ,"$8,538.75 ", N/A , N/A ,"$8,538.75 ", N/A ,"$8,625.00 ","$10,781.25 ","$13,800.00 ", N/A , N/A ,"$12,075.00 ", N/A ,"$10,350.00 ", N/A ,"$12,937.50 ","$9,522.00 ","$8,590.50 ","$9,522.00 ", N/A ,"$9,522.00 ","$9,142.50 ","$17,250.00 ","$9,142.50 ","$14,662.50 ", N/A ,"$8,538.75 ", N/A ,"$17,250.00 ","$9,677.25 ", N/A ,"$4,519.50 ","$17,250.00 ", N/A , N/A , N/A ,"$13,800.00 ","$8,538.75 ","$4,830.00 ","$15,525.00 ","$8,556.00 ","$6,037.50 ", N/A ,"$8,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 28MMX7MM ELEV XLORDOTIC STRL,278,1 ,"$17,061.00 ","$12,283.92 ","$4,469.98 ","$17,061.00 ", N/A ,"$9,042.33 ","$9,383.55 ", N/A ,"$4,777.08 ","$8,922.90 ", N/A ,"$9,383.55 ", N/A ,"$8,445.20 ", N/A , N/A ,"$8,445.20 ", N/A ,"$8,530.50 ","$10,663.13 ","$13,648.80 ", N/A , N/A ,"$11,942.70 ", N/A ,"$10,236.60 ", N/A ,"$12,795.75 ","$9,417.67 ","$8,496.38 ","$9,417.67 ", N/A ,"$9,417.67 ","$9,042.33 ","$17,061.00 ","$9,042.33 ","$14,501.85 ", N/A ,"$8,445.20 ", N/A ,"$17,061.00 ","$9,571.22 ", N/A ,"$4,469.98 ","$17,061.00 ", N/A , N/A , N/A ,"$13,648.80 ","$8,445.20 ","$4,777.08 ","$15,354.90 ","$8,462.26 ","$5,971.35 ", N/A ,"$8,189.28 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 23MMX7MM ELEVATE XLORDOTIC PEEK TITANIUM STERILE,278,1 ,"$17,061.00 ","$12,283.92 ","$4,469.98 ","$17,061.00 ", N/A ,"$9,042.33 ","$9,383.55 ", N/A ,"$4,777.08 ","$8,922.90 ", N/A ,"$9,383.55 ", N/A ,"$8,445.20 ", N/A , N/A ,"$8,445.20 ", N/A ,"$8,530.50 ","$10,663.13 ","$13,648.80 ", N/A , N/A ,"$11,942.70 ", N/A ,"$10,236.60 ", N/A ,"$12,795.75 ","$9,417.67 ","$8,496.38 ","$9,417.67 ", N/A ,"$9,417.67 ","$9,042.33 ","$17,061.00 ","$9,042.33 ","$14,501.85 ", N/A ,"$8,445.20 ", N/A ,"$17,061.00 ","$9,571.22 ", N/A ,"$4,469.98 ","$17,061.00 ", N/A , N/A , N/A ,"$13,648.80 ","$8,445.20 ","$4,777.08 ","$15,354.90 ","$8,462.26 ","$5,971.35 ", N/A ,"$8,189.28 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 6MM SM FTPRNT,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT LIGAMENT PATELLAR PRE-SHAPED FROZEN ALLOSOURCE,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 0 DEG -06,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL COALITION ANT CERV DSCTMY AND FSN PLT SYS STRL,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE SPINAL SYSTEM MEDTRONIC 11MM X 26MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE SPINAL SYSTEM MEDTRONIC 8 X 26MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE SPINAL SYSTEM MEDTRONIC 9 X 26MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE VERTE-STACK VBS MEDTRONIC 10 X 26MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE VERTE-STACK VBS MEDTRONIC 12 X 26MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COALITION SPACER 12MM X 14MM 7DEG 8MM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 14X12X7MM COALITION TI ANT CERV DSCTMY AND FSN,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPHERE ZIMMER GLENOID SHLDR TM REV 40MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,DURASEAL EXACT SPINE SEAL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT SOFT TISSUE 2X3CM GRAFIX CORE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,OSS POLY TIBIAL BEARING 18MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,PATCH DURA 1X1IN CLGN MTRX DRMTRX NONFRIABLE CNFRM RSRB CRNL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,PUTTY DBM ACCELL 10CC,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 14X5MM COLONIAL 12MM LARGE CONVEX PEEK ACDF NONSTERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPINAL 14X8MM COLONIAL 12MM LARGE CONVEX PEEK ACDF NONSTERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,STRUT SMITH  AND  NEPHEW SMALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CABLE STAINLESS STEEL ZIMMER 1.8MM X 559MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT SOFT TISSUE 3X4CM GRAFIX CORE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 0 DEG -05,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 0 DEG -07,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 6 DEG -06,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 6 DEG -07,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SPINAL CIF 6 DEG -08,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,RING SMITH  AND  NEPHEW FULL FOOT CIRC 180MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 5MM SUST MED PEEK INTBDY FSN LRDTC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 5MM SUST MED PEEK INTBDY FSN PRLL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 6MM SUST O MED PEEK INTBDY FSN LRDTC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 7MM ALIF LRDTC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 7MM SUST MED PEEK INTBDY FSN PRLL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 8MM ALIF LRDTC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL 9MM ALIF LRDTC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER SPNL CLN LG CNVX ANT CERV DSCTMY AND FSN,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SYNCHROMED PUMP II,278,1 ,"$33,000.00 ","$23,760.00 ","$8,646.00 ","$33,000.00 ", N/A ,"$17,490.00 ","$18,150.00 ", N/A ,"$9,240.00 ","$17,259.00 ", N/A ,"$18,150.00 ", N/A ,"$16,335.00 ", N/A , N/A ,"$16,335.00 ", N/A ,"$16,500.00 ","$20,625.00 ","$26,400.00 ", N/A , N/A ,"$23,100.00 ", N/A ,"$19,800.00 ", N/A ,"$24,750.00 ","$18,216.00 ","$16,434.00 ","$18,216.00 ", N/A ,"$18,216.00 ","$17,490.00 ","$33,000.00 ","$17,490.00 ","$28,050.00 ", N/A ,"$16,335.00 ", N/A ,"$33,000.00 ","$18,513.00 ", N/A ,"$8,646.00 ","$33,000.00 ", N/A , N/A , N/A ,"$26,400.00 ","$16,335.00 ","$9,240.00 ","$29,700.00 ","$16,368.00 ","$11,550.00 ", N/A ,"$15,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SYSTEM BONE CEMENT HIVAC 7,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ADAPTER HEAD TITANIUM STANDARD TAPER COMPREHENSIVE VERSA-DIAL HUMERUS REVERSE SHOULDER SYSTEM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,PEG FEMORAL DISTAL VANGUARD TM BIOMET,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SYSTEM IMPLANT ACHILLES SPEEDBRIDGE ARTHREX,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IM STEM POROUS COATED BIOMET 14.5MM X 225MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,IMPLANT SEMITENDONOSIS ALLOSOURCE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SYSTEM IMPLANT MPFL BIOCOMPOSITE ARTHREX,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CAPSTONE SPINAL SYSTEM MEDTRONIC 7 X 22MM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT TENDON GRAFTLINK LIFENET,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TISSUE SURGIFLO 8ML,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BAR TIBIAL LOCKING BIOMET,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BN ALMTR DBM BCMPS 1ML PTTY INJ ALLOGENIC,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT SYNTHETIC TISSUE 24MM POLYESTER SILICONE 3MM SWANSON HUNTER ACTIVE BARIUM IMPREGNATED TENDON SPACER TENDON HAND STERILE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW SET SPINE OCCIPITOCERVICAL UPPER THORACIC FLAT CONNECTOR INFINITY NONSTERILE LATEX FREE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW SET STANDARD SPINE OCCIPITOCERVICAL UPPER THORACIC INFINITY NONSTERILE LATEX FREE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER TENDON 5MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER TENDON 6MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,STEINMAN PINS 3/19 (6/TB),278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TRAY TIBIAL FIXED BEARING ZIMMER SIZE 5,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUTTON 2CM 18FR RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP GASTROSTOMY MIC-KEY SECUR-LOK SILICONE STERILE LATEX FREE 5ML,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION 1.14MM 2.4MM SHEPARD GROMMET EAR FLUOROPLASTIC TAB,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE EAR COLLAR BUTTON,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE EAR DONALDSON,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION 1.27MM SHORT TERM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FILFRM URETH 18IN 4FR WVN DIL,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION 9.5MM 1MM JAHN HA MYRINGOTOMY STERILE,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE CANC 15ML CUBE,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE CANCELLOUS 15ML 1-10MM FREEZE DRIED CHIPS,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION BLUE 1.14MM ARMSTRONG 2 GROMMET EAR ULTRASIL BEVEL INNER FLANGE TAB MYRINGOTOMY,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BASE GLENOID ZIMMER BIOMET 4MM SMALL,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CABLE-READY CABLE ASSY CERCLAGE SST 1.8MM X 559MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,COMPONENT PATELLAR 35MM PERSONA VIVACIT-E ALL POLY KNEE STERILE LATEX FREE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT BONE ALLOMTR C CANC 5ML,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT ST TIS 2X2IN DRGN CRNL DURA BVN CLGN MTRX PTCH,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD CC+ MEDTRONIC 500MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPNL 45MM 3.5MM VRTX SLCT CCM + PCUT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC  55MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SHUNT SUNDT EXTERNAL CAR END 3 X 4 MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER ZIMMER SHLDR HUM TM REV +12 12D,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SPACER ZIMMER SHLDR HUM TM REV +9 12D,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION GREEN 1MM 1.02MM 2.5MM PAPARELLA EAR MICROGEL TAB NOTCHED INNER FLANGE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CATHETER GASTRO TUBE SZ 18 MIC,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW EXPEDIUM DEPUY,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE EAR V-T GROMMET,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE GASTRO TUBE SZ 22 MIC,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE MIC GASTROSTOMY 16FR/20CC,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION 1.14MM 5MM TOUMA GROMMET EAR ACTIVENT,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VENTILATION BLUE 5MM 1.35MM TRIUNE EAR SILICONE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,TUBE VNT 1.02MM 2.5MM PAPLA EAR SIL M-GEL,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,BUSHING TIBIAL OSS KNEE POLYETHYLENE LOW FRICTION INTERFACE,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT CARDIOVASCULAR 20CM 8MM KNIT HEMAGARD STRAIGHT,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,PATELLA ZIMMER NEXGEN ALL-POLY 9 X 35MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPINAL 240MM 3.5MM STANDARD,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD SPNL 25MM 3.5MM VRTX SLCT CCM + PCUT,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC 3.5 X 25,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ROD TI MEDTRONIC 3.5 X 50,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VALVE SHUNT DELTA CSF REGULAR PERFORMANCE LEVEL 1.5 BARIUM IMPREGNATED CATHETER OPEN END ASSEMBLY STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FILLER BONE VOID CERAMENT 5CC,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SHUNT NEUROSURGICAL DELTA REGULAR PERFORMANCE LEVEL 1,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VALVE SHUNT PROGRAMMABLE INLINE STYLET CODMAN HAKIM STAINLESS STEEL STERILE,278,1 ,"$11,700.00 ","$8,424.00 ","$3,065.40 ","$11,700.00 ", N/A ,"$6,201.00 ","$6,435.00 ", N/A ,"$3,276.00 ","$6,119.10 ", N/A ,"$6,435.00 ", N/A ,"$5,791.50 ", N/A , N/A ,"$5,791.50 ", N/A ,"$5,850.00 ","$7,312.50 ","$9,360.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$7,020.00 ", N/A ,"$8,775.00 ","$6,458.40 ","$5,826.60 ","$6,458.40 ", N/A ,"$6,458.40 ","$6,201.00 ","$11,700.00 ","$6,201.00 ","$9,945.00 ", N/A ,"$5,791.50 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$3,065.40 ","$11,700.00 ", N/A , N/A , N/A ,"$9,360.00 ","$5,791.50 ","$3,276.00 ","$10,530.00 ","$5,803.20 ","$4,095.00 ", N/A ,"$5,616.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VERSATEX 15 X 15 MESH  (3/BX),278,1 ,$300.42 ,$216.30 ,$78.71 ,$300.42 , N/A , N/A ,$165.23 , N/A ,$84.12 ,$157.12 , N/A ,$165.23 , N/A ,$148.71 , N/A , N/A ,$148.71 , N/A ,$150.21 ,$187.76 ,$240.34 , N/A , N/A ,$210.29 , N/A ,$180.25 , N/A ,$225.32 ,$165.83 ,$149.61 ,$165.83 , N/A ,$165.83 ,$159.22 ,$300.42 ,$159.22 ,$255.36 , N/A ,$148.71 , N/A ,$300.42 ,$168.54 , N/A ,$78.71 ,$300.42 , N/A , N/A , N/A ,$240.34 ,$148.71 ,$84.12 ,$270.38 ,$149.01 , N/A , N/A ,$144.20 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VERSATEX 30 X 30,278,1 ,"$1,535.64 ","$1,105.66 ",$402.34 ,"$1,535.64 ", N/A ,$813.89 ,$844.60 , N/A ,$429.98 ,$803.14 , N/A ,$844.60 , N/A ,$760.14 , N/A , N/A ,$760.14 , N/A ,$767.82 ,$959.78 ,"$1,228.51 ", N/A , N/A ,"$1,074.95 ", N/A ,$921.38 , N/A ,"$1,151.73 ",$847.67 ,$764.75 ,$847.67 , N/A ,$847.67 ,$813.89 ,"$1,535.64 ",$813.89 ,"$1,305.29 ", N/A ,$760.14 , N/A ,"$1,535.64 ",$861.49 , N/A ,$402.34 ,"$1,535.64 ", N/A , N/A , N/A ,"$1,228.51 ",$760.14 ,$429.98 ,"$1,382.08 ",$761.68 ,$537.47 , N/A ,$737.11 
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VERTE-STACK ANATOMIC PEEK MEDTRONIC 14 X 11 X 9MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,ADAPTER HEAD ZIMMER SHOULDER 45D,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,CONNECTOR ROD INFINITY SMALL SPINE ROD TO ROD STERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,FILLER BONE VOID TRIPORE HA 2-4 MM GRANULES 5CC,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,GRAFT SOFT TISSUE 2X1.5CM GRAFIXPL PRIME PLACENTAL MEMBRANE ALLOGRAFT,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW BONE 3.5MM 12MM INFINITY SPINE MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW BONE 3.5MM 14MM INFINITY SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW BONE 3.5MM 16MM INFINITY SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SCREW BONE 3.5MM 20MM INFINITY SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,SLED MEDIAL MALLEOLAR TRIMED 42MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VERTE-STACK ANATOMIC PEEK MEDTRONIC 14 X 11 X 7MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27870000,N/A,VERTE-STACK ANATOMIC PEEK MEDTRONIC 14 X 11 X 8MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx18MM,278,1 ,$495.00 ,$356.40 ,$129.69 ,$495.00 , N/A , N/A ,$272.25 , N/A ,$138.60 ,$258.89 , N/A ,$272.25 , N/A ,$245.03 , N/A , N/A ,$245.03 , N/A ,$247.50 ,$309.38 ,$396.00 , N/A , N/A ,$346.50 , N/A ,$297.00 , N/A ,$371.25 ,$273.24 ,$246.51 ,$273.24 , N/A ,$273.24 ,$262.35 ,$495.00 ,$262.35 ,$420.75 , N/A ,$245.03 , N/A ,$495.00 ,$277.70 , N/A ,$129.69 ,$495.00 , N/A , N/A , N/A ,$396.00 ,$245.03 ,$138.60 ,$445.50 ,$245.52 , N/A , N/A ,$237.60 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP ZIMMER IM NAIL FEMUR 00MM,278,1 ,$476.70 ,$343.22 ,$124.90 ,$476.70 , N/A , N/A ,$262.19 , N/A ,$133.48 ,$249.31 , N/A ,$262.19 , N/A ,$235.97 , N/A , N/A ,$235.97 , N/A ,$238.35 ,$297.94 ,$381.36 , N/A , N/A ,$333.69 , N/A ,$286.02 , N/A ,$357.53 ,$263.14 ,$237.40 ,$263.14 , N/A ,$263.14 ,$252.65 ,$476.70 ,$252.65 ,$405.20 , N/A ,$235.97 , N/A ,$476.70 ,$267.43 , N/A ,$124.90 ,$476.70 , N/A , N/A , N/A ,$381.36 ,$235.97 ,$133.48 ,$429.03 ,$236.44 , N/A , N/A ,$228.82 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT SIMPLEX HV W/GENTAMICIN,278,1 ,$477.00 ,$343.44 ,$124.97 ,$477.00 , N/A , N/A ,$262.35 , N/A ,$133.56 ,$249.47 , N/A ,$262.35 , N/A ,$236.12 , N/A , N/A ,$236.12 , N/A ,$238.50 ,$298.13 ,$381.60 , N/A , N/A ,$333.90 , N/A ,$286.20 , N/A ,$357.75 ,$263.30 ,$237.55 ,$263.30 , N/A ,$263.30 ,$252.81 ,$477.00 ,$252.81 ,$405.45 , N/A ,$236.12 , N/A ,$477.00 ,$267.60 , N/A ,$124.97 ,$477.00 , N/A , N/A , N/A ,$381.60 ,$236.12 ,$133.56 ,$429.30 ,$236.59 , N/A , N/A ,$228.96 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,INTERTAN 1.5 11.5,278,1 ,"$10,757.04 ","$7,745.07 ","$2,818.34 ","$10,757.04 ", N/A ,"$5,701.23 ","$5,916.37 ", N/A ,"$3,011.97 ","$5,625.93 ", N/A ,"$5,916.37 ", N/A ,"$5,324.73 ", N/A , N/A ,"$5,324.73 ", N/A ,"$5,378.52 ","$6,723.15 ","$8,605.63 ", N/A , N/A ,"$7,529.93 ", N/A ,"$6,454.22 ", N/A ,"$8,067.78 ","$5,937.89 ","$5,357.01 ","$5,937.89 ", N/A ,"$5,937.89 ","$5,701.23 ","$10,757.04 ","$5,701.23 ","$9,143.48 ", N/A ,"$5,324.73 ", N/A ,"$10,757.04 ","$6,034.70 ", N/A ,"$2,818.34 ","$10,757.04 ", N/A , N/A , N/A ,"$8,605.63 ","$5,324.73 ","$3,011.97 ","$9,681.34 ","$5,335.49 ","$3,764.96 ", N/A ,"$5,163.38 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,KIT ARTHREX BIOANCHOR SPEEDBRIDGE 5.5 SWIVELOCK,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE SPEEDBRIDGE ARTHREX 4.75 X 19.1MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE OLECRANON SMITH  AND  NEPHEW 6 HOLE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,MESH SYNTHES MATRIXNEURO RIGID 45MM,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,MESH SYNTHES MATRIXNEURO MALLEABLE 45MM,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE HEALIX BR MITEK W/ORTHOCORD 5.5MM,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  7 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  8 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE  SYNTHES 2.4 LC-DCP TI 4 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BN 3.6MM 14MM STD SPNE VAR ANG SLF DRL STRL,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BN 3.6MM 16MM SPNE SLFDRL VAR ANG,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL 11MM 38CM LEFT PERITROCHANTERIC INTRAMEDULLARY LONG TITANIUM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING PROXIMAL HUMERUS SMITH  AND  NEPHEW 3.5MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING SMITH  AND  NEPHEW,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE OLECRANON LOCKING SMITH  AND  NEPHEW 8 HOLE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE OLECRANON SMITH  AND  NEPHEW 10 HOLE RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE OLECRANON SMITH  AND  NEPHEW 8 HOLE LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SMITH  AND  NEPHEW 5 HOLE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE BASE TIBIAL BIOMET 14 X 63/67,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL  8.5 X 33,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,META TAN 9MM X 36CM RIGHT,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 38CM,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 36CM RIGHT,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 8.5MM X 37CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TIBIAL SMITH  AND  NEPHEW 8 HOLE,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL FEMORAL RETROGRADE SMITH  AND  NEPHEW 10MM X 26CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL FEMORAL RETROGRADE TRIGEN META-NAIL SMITH  AND  NEPHEW 11.5MM X 38CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 10MM X 38CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 11.5 X 34CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 11.5 X 36CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 11.5 X 37CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW TRIGEN META-NAIL 8.5MM X 35CM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DIS FEM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TRIGEN INTERTAN RIGHT SMITH  AND  NEPHEW  10 X 36CM,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 38CM RIGHT,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 40CM RIGHT,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 42CM RIGHT,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 13 X 40CM LEFT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,KIT INTERNAL BRACE HAND  AND  WRIST LIG AUGMENT REPAIR,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 10 X 20CM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 11.5 X 20CM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13 X 20CM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 20CM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 11.5 X 36CM RIGHT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 11.5 X 38CM LEFT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 11.5 X 38CM RIGHT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 13 X 38CM LEFT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL ZIMMER FEMORAL CEPH-MED BLUE 13 X 40CM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING PROXIMAL HUMERUS SMITH  AND  NEPHEW 11 HOLE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLANTAR LAPIDUS PLATE LEFT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 80MM TIMAX 3 HOLE HIGH ALPS BONE HUMERUS LEFT PROXIMAL NONSTERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DIS 15MM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN BUTTRESS TRIMED VOLAR 32MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ANCHOR ARTHREX BIO SWIVELOCK 4.75MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ANCHOR PUSHLOCK MINI BIO ARTHREX 2.5 X 8MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT FIXATION 8MM GRAFTBOLT TIBIA RECONSTRUCTION SCREW STERILE,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE 3MM 2 KNOTLESS SUTURETAK FIBERWIRE PEEK 12.7MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE ARTHREX BIO SWIVELOCK 5.5MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE DEPUY STRAIGHT,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 6 HOLES/36MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI T 2 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.7 T  3 HOLE 32MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  5 HOLE,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 7H SHAFT OBL RT,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 12 HOLE,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN TRACTN 250MM 4MM ORTHO,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 7 X 85MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 30-32MM TI 4.75MM SCR SOLERA MUL-SPN X10 XLNK CD HZN,278,1 ,"$2,634.00 ","$1,896.48 ",$690.11 ,"$2,634.00 ", N/A ,"$1,396.02 ","$1,448.70 ", N/A ,$737.52 ,"$1,377.58 ", N/A ,"$1,448.70 ", N/A ,"$1,303.83 ", N/A , N/A ,"$1,303.83 ", N/A ,"$1,317.00 ","$1,646.25 ","$2,107.20 ", N/A , N/A ,"$1,843.80 ", N/A ,"$1,580.40 ", N/A ,"$1,975.50 ","$1,453.97 ","$1,311.73 ","$1,453.97 ", N/A ,"$1,453.97 ","$1,396.02 ","$2,634.00 ","$1,396.02 ","$2,238.90 ", N/A ,"$1,303.83 ", N/A ,"$2,634.00 ","$1,477.67 ", N/A ,$690.11 ,"$2,634.00 ", N/A , N/A , N/A ,"$2,107.20 ","$1,303.83 ",$737.52 ,"$2,370.60 ","$1,306.46 ",$921.90 , N/A ,"$1,264.32 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING DEPUY 10 HOLE,278,1 ,$715.50 ,$515.16 ,$187.46 ,$715.50 , N/A , N/A ,$393.53 , N/A ,$200.34 ,$374.21 , N/A ,$393.53 , N/A ,$354.17 , N/A , N/A ,$354.17 , N/A ,$357.75 ,$447.19 ,$572.40 , N/A , N/A ,$500.85 , N/A ,$429.30 , N/A ,$536.63 ,$394.96 ,$356.32 ,$394.96 , N/A ,$394.96 ,$379.22 ,$715.50 ,$379.22 ,$608.18 , N/A ,$354.17 , N/A ,$715.50 ,$401.40 , N/A ,$187.46 ,$715.50 , N/A , N/A , N/A ,$572.40 ,$354.17 ,$200.34 ,$643.95 ,$354.89 , N/A , N/A ,$343.44 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE NARROW,278,1 ,"$4,587.00 ","$3,302.64 ","$1,201.79 ","$4,587.00 ", N/A ,"$2,431.11 ","$2,522.85 ", N/A ,"$1,284.36 ","$2,399.00 ", N/A ,"$2,522.85 ", N/A ,"$2,270.57 ", N/A , N/A ,"$2,270.57 ", N/A ,"$2,293.50 ","$2,866.88 ","$3,669.60 ", N/A , N/A ,"$3,210.90 ", N/A ,"$2,752.20 ", N/A ,"$3,440.25 ","$2,532.02 ","$2,284.33 ","$2,532.02 ", N/A ,"$2,532.02 ","$2,431.11 ","$4,587.00 ","$2,431.11 ","$3,898.95 ", N/A ,"$2,270.57 ", N/A ,"$4,587.00 ","$2,573.31 ", N/A ,"$1,201.79 ","$4,587.00 ", N/A , N/A , N/A ,"$3,669.60 ","$2,270.57 ","$1,284.36 ","$4,128.30 ","$2,275.15 ","$1,605.45 ", N/A ,"$2,201.76 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ACU-LOC VDR PIT NARROW L,278,1 ,"$4,587.00 ","$3,302.64 ","$1,201.79 ","$4,587.00 ", N/A ,"$2,431.11 ","$2,522.85 ", N/A ,"$1,284.36 ","$2,399.00 ", N/A ,"$2,522.85 ", N/A ,"$2,270.57 ", N/A , N/A ,"$2,270.57 ", N/A ,"$2,293.50 ","$2,866.88 ","$3,669.60 ", N/A , N/A ,"$3,210.90 ", N/A ,"$2,752.20 ", N/A ,"$3,440.25 ","$2,532.02 ","$2,284.33 ","$2,532.02 ", N/A ,"$2,532.02 ","$2,431.11 ","$4,587.00 ","$2,431.11 ","$3,898.95 ", N/A ,"$2,270.57 ", N/A ,"$4,587.00 ","$2,573.31 ", N/A ,"$1,201.79 ","$4,587.00 ", N/A , N/A , N/A ,"$3,669.60 ","$2,270.57 ","$1,284.36 ","$4,128.30 ","$2,275.15 ","$1,605.45 ", N/A ,"$2,201.76 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE STRYKER ANGLED WITH BAR 4 HOLE,278,1 ,$948.00 ,$682.56 ,$248.38 ,$948.00 , N/A , N/A ,$521.40 , N/A ,$265.44 ,$495.80 , N/A ,$521.40 , N/A ,$469.26 , N/A , N/A ,$469.26 , N/A ,$474.00 ,$592.50 ,$758.40 , N/A , N/A ,$663.60 , N/A ,$568.80 , N/A ,$711.00 ,$523.30 ,$472.10 ,$523.30 , N/A ,$523.30 ,$502.44 ,$948.00 ,$502.44 ,$805.80 , N/A ,$469.26 , N/A ,$948.00 ,$531.83 , N/A ,$248.38 ,$948.00 , N/A , N/A , N/A ,$758.40 ,$469.26 ,$265.44 ,$853.20 ,$470.21 , N/A , N/A ,$455.04 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MINI 4 HOLE 1.5,278,1 ,$948.00 ,$682.56 ,$248.38 ,$948.00 , N/A , N/A ,$521.40 , N/A ,$265.44 ,$495.80 , N/A ,$521.40 , N/A ,$469.26 , N/A , N/A ,$469.26 , N/A ,$474.00 ,$592.50 ,$758.40 , N/A , N/A ,$663.60 , N/A ,$568.80 , N/A ,$711.00 ,$523.30 ,$472.10 ,$523.30 , N/A ,$523.30 ,$502.44 ,$948.00 ,$502.44 ,$805.80 , N/A ,$469.26 , N/A ,$948.00 ,$531.83 , N/A ,$248.38 ,$948.00 , N/A , N/A , N/A ,$758.40 ,$469.26 ,$265.44 ,$853.20 ,$470.21 , N/A , N/A ,$455.04 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE STRYKER 1.5MM 4-HOLE,278,1 ,$948.00 ,$682.56 ,$248.38 ,$948.00 , N/A , N/A ,$521.40 , N/A ,$265.44 ,$495.80 , N/A ,$521.40 , N/A ,$469.26 , N/A , N/A ,$469.26 , N/A ,$474.00 ,$592.50 ,$758.40 , N/A , N/A ,$663.60 , N/A ,$568.80 , N/A ,$711.00 ,$523.30 ,$472.10 ,$523.30 , N/A ,$523.30 ,$502.44 ,$948.00 ,$502.44 ,$805.80 , N/A ,$469.26 , N/A ,$948.00 ,$531.83 , N/A ,$248.38 ,$948.00 , N/A , N/A , N/A ,$758.40 ,$469.26 ,$265.44 ,$853.20 ,$470.21 , N/A , N/A ,$455.04 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 10H 178MM,278,1 ,$649.35 ,$467.53 ,$170.13 ,$649.35 , N/A , N/A ,$357.14 , N/A ,$181.82 ,$339.61 , N/A ,$357.14 , N/A ,$321.43 , N/A , N/A ,$321.43 , N/A ,$324.68 ,$405.84 ,$519.48 , N/A , N/A ,$454.55 , N/A ,$389.61 , N/A ,$487.01 ,$358.44 ,$323.38 ,$358.44 , N/A ,$358.44 ,$344.16 ,$649.35 ,$344.16 ,$551.95 , N/A ,$321.43 , N/A ,$649.35 ,$364.29 , N/A ,$170.13 ,$649.35 , N/A , N/A , N/A ,$519.48 ,$321.43 ,$181.82 ,$584.42 ,$322.08 , N/A , N/A ,$311.69 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TIBIAL BIOMET STEMMED MAXIM INTERLOK 71MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TIBIAL OSS NON-MOD LONG 67,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE WRIGHT MEDICAL 20MM 2 HOLE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE WRIGHT MEDICAL,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE NARROW 49X21MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP PROXIMAL HUMERUS LONG 10H 232MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG BNCMNT BIO-PLG 20MM,278,1 ,$630.00 ,$453.60 ,$165.06 ,$630.00 , N/A , N/A ,$346.50 , N/A ,$176.40 ,$329.49 , N/A ,$346.50 , N/A ,$311.85 , N/A , N/A ,$311.85 , N/A ,$315.00 ,$393.75 ,$504.00 , N/A , N/A ,$441.00 , N/A ,$378.00 , N/A ,$472.50 ,$347.76 ,$313.74 ,$347.76 , N/A ,$347.76 ,$333.90 ,$630.00 ,$333.90 ,$535.50 , N/A ,$311.85 , N/A ,$630.00 ,$353.43 , N/A ,$165.06 ,$630.00 , N/A , N/A , N/A ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$312.48 , N/A , N/A ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 2.3 X 14,278,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 , N/A , N/A ,$178.20 , N/A ,$90.72 ,$169.45 , N/A ,$178.20 , N/A ,$160.38 , N/A , N/A ,$160.38 , N/A ,$162.00 ,$202.50 ,$259.20 , N/A , N/A ,$226.80 , N/A ,$194.40 , N/A ,$243.00 ,$178.85 ,$161.35 ,$178.85 , N/A ,$178.85 ,$171.72 ,$324.00 ,$171.72 ,$275.40 , N/A ,$160.38 , N/A ,$324.00 ,$181.76 , N/A ,$84.89 ,$324.00 , N/A , N/A , N/A ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$160.70 , N/A , N/A ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 2.3  X  16,278,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 , N/A , N/A ,$178.20 , N/A ,$90.72 ,$169.45 , N/A ,$178.20 , N/A ,$160.38 , N/A , N/A ,$160.38 , N/A ,$162.00 ,$202.50 ,$259.20 , N/A , N/A ,$226.80 , N/A ,$194.40 , N/A ,$243.00 ,$178.85 ,$161.35 ,$178.85 , N/A ,$178.85 ,$171.72 ,$324.00 ,$171.72 ,$275.40 , N/A ,$160.38 , N/A ,$324.00 ,$181.76 , N/A ,$84.89 ,$324.00 , N/A , N/A , N/A ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$160.70 , N/A , N/A ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 3.5 X 30,278,1 ,$258.30 ,$185.98 ,$67.67 ,$258.30 , N/A , N/A ,$142.07 , N/A ,$72.32 ,$135.09 , N/A ,$142.07 , N/A ,$127.86 , N/A , N/A ,$127.86 , N/A ,$129.15 ,$161.44 ,$206.64 , N/A , N/A ,$180.81 , N/A ,$154.98 , N/A ,$193.73 ,$142.58 ,$128.63 ,$142.58 , N/A ,$142.58 ,$136.90 ,$258.30 ,$136.90 ,$219.56 , N/A ,$127.86 , N/A ,$258.30 ,$144.91 , N/A ,$67.67 ,$258.30 , N/A , N/A , N/A ,$206.64 ,$127.86 ,$72.32 ,$232.47 ,$128.12 , N/A , N/A ,$123.98 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 55MM,278,1 ,$242.85 ,$174.85 ,$63.63 ,$242.85 , N/A , N/A ,$133.57 , N/A ,$68.00 ,$127.01 , N/A ,$133.57 , N/A ,$120.21 , N/A , N/A ,$120.21 , N/A ,$121.43 ,$151.78 ,$194.28 , N/A , N/A ,$170.00 , N/A ,$145.71 , N/A ,$182.14 ,$134.05 ,$120.94 ,$134.05 , N/A ,$134.05 ,$128.71 ,$242.85 ,$128.71 ,$206.42 , N/A ,$120.21 , N/A ,$242.85 ,$136.24 , N/A ,$63.63 ,$242.85 , N/A , N/A , N/A ,$194.28 ,$120.21 ,$68.00 ,$218.57 ,$120.45 , N/A , N/A ,$116.57 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 42MM,278,1 ,$242.85 ,$174.85 ,$63.63 ,$242.85 , N/A , N/A ,$133.57 , N/A ,$68.00 ,$127.01 , N/A ,$133.57 , N/A ,$120.21 , N/A , N/A ,$120.21 , N/A ,$121.43 ,$151.78 ,$194.28 , N/A , N/A ,$170.00 , N/A ,$145.71 , N/A ,$182.14 ,$134.05 ,$120.94 ,$134.05 , N/A ,$134.05 ,$128.71 ,$242.85 ,$128.71 ,$206.42 , N/A ,$120.21 , N/A ,$242.85 ,$136.24 , N/A ,$63.63 ,$242.85 , N/A , N/A , N/A ,$194.28 ,$120.21 ,$68.00 ,$218.57 ,$120.45 , N/A , N/A ,$116.57 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 8.5MM 25MM TITANIUM SPINE MULTIAXIAL 6.35MM ROD,278,1 ,"$14,250.00 ","$10,260.00 ","$3,733.50 ","$14,250.00 ", N/A ,"$7,552.50 ","$7,837.50 ", N/A ,"$3,990.00 ","$7,452.75 ", N/A ,"$7,837.50 ", N/A ,"$7,053.75 ", N/A , N/A ,"$7,053.75 ", N/A ,"$7,125.00 ","$8,906.25 ","$11,400.00 ", N/A , N/A ,"$9,975.00 ", N/A ,"$8,550.00 ", N/A ,"$10,687.50 ","$7,866.00 ","$7,096.50 ","$7,866.00 ", N/A ,"$7,866.00 ","$7,552.50 ","$14,250.00 ","$7,552.50 ","$12,112.50 ", N/A ,"$7,053.75 ", N/A ,"$14,250.00 ","$7,994.25 ", N/A ,"$3,733.50 ","$14,250.00 ", N/A , N/A , N/A ,"$11,400.00 ","$7,053.75 ","$3,990.00 ","$12,825.00 ","$7,068.00 ","$4,987.50 ", N/A ,"$6,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED LOCKING BIOMET 4.75 X 35MM,278,1 ,$180.00 ,$129.60 ,$47.16 ,$180.00 , N/A , N/A ,$99.00 , N/A ,$50.40 ,$94.14 , N/A ,$99.00 , N/A ,$89.10 , N/A , N/A ,$89.10 , N/A ,$90.00 ,$112.50 ,$144.00 , N/A , N/A ,$126.00 , N/A ,$108.00 , N/A ,$135.00 ,$99.36 ,$89.64 ,$99.36 , N/A ,$99.36 ,$95.40 ,$180.00 ,$95.40 ,$153.00 , N/A ,$89.10 , N/A ,$180.00 ,$100.98 , N/A ,$47.16 ,$180.00 , N/A , N/A , N/A ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$89.28 , N/A , N/A ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.7 X 40,278,1 ,$180.00 ,$129.60 ,$47.16 ,$180.00 , N/A , N/A ,$99.00 , N/A ,$50.40 ,$94.14 , N/A ,$99.00 , N/A ,$89.10 , N/A , N/A ,$89.10 , N/A ,$90.00 ,$112.50 ,$144.00 , N/A , N/A ,$126.00 , N/A ,$108.00 , N/A ,$135.00 ,$99.36 ,$89.64 ,$99.36 , N/A ,$99.36 ,$95.40 ,$180.00 ,$95.40 ,$153.00 , N/A ,$89.10 , N/A ,$180.00 ,$100.98 , N/A ,$47.16 ,$180.00 , N/A , N/A , N/A ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$89.28 , N/A , N/A ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 3.5 X 14MM,278,1 ,"$2,232.00 ","$1,607.04 ",$584.78 ,"$2,232.00 ", N/A ,"$1,182.96 ","$1,227.60 ", N/A ,$624.96 ,"$1,167.34 ", N/A ,"$1,227.60 ", N/A ,"$1,104.84 ", N/A , N/A ,"$1,104.84 ", N/A ,"$1,116.00 ","$1,395.00 ","$1,785.60 ", N/A , N/A ,"$1,562.40 ", N/A ,"$1,339.20 ", N/A ,"$1,674.00 ","$1,232.06 ","$1,111.54 ","$1,232.06 ", N/A ,"$1,232.06 ","$1,182.96 ","$2,232.00 ","$1,182.96 ","$1,897.20 ", N/A ,"$1,104.84 ", N/A ,"$2,232.00 ","$1,252.15 ", N/A ,$584.78 ,"$2,232.00 ", N/A , N/A , N/A ,"$1,785.60 ","$1,104.84 ",$624.96 ,"$2,008.80 ","$1,107.07 ",$781.20 , N/A ,"$1,071.36 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 5.5 X 50MM,278,1 ,"$2,598.00 ","$1,870.56 ",$680.68 ,"$2,598.00 ", N/A ,"$1,376.94 ","$1,428.90 ", N/A ,$727.44 ,"$1,358.75 ", N/A ,"$1,428.90 ", N/A ,"$1,286.01 ", N/A , N/A ,"$1,286.01 ", N/A ,"$1,299.00 ","$1,623.75 ","$2,078.40 ", N/A , N/A ,"$1,818.60 ", N/A ,"$1,558.80 ", N/A ,"$1,948.50 ","$1,434.10 ","$1,293.80 ","$1,434.10 ", N/A ,"$1,434.10 ","$1,376.94 ","$2,598.00 ","$1,376.94 ","$2,208.30 ", N/A ,"$1,286.01 ", N/A ,"$2,598.00 ","$1,457.48 ", N/A ,$680.68 ,"$2,598.00 ", N/A , N/A , N/A ,"$2,078.40 ","$1,286.01 ",$727.44 ,"$2,338.20 ","$1,288.61 ",$909.30 , N/A ,"$1,247.04 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING STRYKER 2.0 X 6MM,278,1 ,$417.00 ,$300.24 ,$109.25 ,$417.00 , N/A , N/A ,$229.35 , N/A ,$116.76 ,$218.09 , N/A ,$229.35 , N/A ,$206.42 , N/A , N/A ,$206.42 , N/A ,$208.50 ,$260.63 ,$333.60 , N/A , N/A ,$291.90 , N/A ,$250.20 , N/A ,$312.75 ,$230.18 ,$207.67 ,$230.18 , N/A ,$230.18 ,$221.01 ,$417.00 ,$221.01 ,$354.45 , N/A ,$206.42 , N/A ,$417.00 ,$233.94 , N/A ,$109.25 ,$417.00 , N/A , N/A , N/A ,$333.60 ,$206.42 ,$116.76 ,$375.30 ,$206.83 , N/A , N/A ,$200.16 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TI 8MM 2MM MNDB SLF DRL XPN LGT WRE BN NS MMF,278,1 ,$417.00 ,$300.24 ,$109.25 ,$417.00 , N/A , N/A ,$229.35 , N/A ,$116.76 ,$218.09 , N/A ,$229.35 , N/A ,$206.42 , N/A , N/A ,$206.42 , N/A ,$208.50 ,$260.63 ,$333.60 , N/A , N/A ,$291.90 , N/A ,$250.20 , N/A ,$312.75 ,$230.18 ,$207.67 ,$230.18 , N/A ,$230.18 ,$221.01 ,$417.00 ,$221.01 ,$354.45 , N/A ,$206.42 , N/A ,$417.00 ,$233.94 , N/A ,$109.25 ,$417.00 , N/A , N/A , N/A ,$333.60 ,$206.42 ,$116.76 ,$375.30 ,$206.83 , N/A , N/A ,$200.16 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW STRYKER BONE 2.0MM X 8MM,278,1 ,$341.28 ,$245.72 ,$89.42 ,$341.28 , N/A , N/A ,$187.70 , N/A ,$95.56 ,$178.49 , N/A ,$187.70 , N/A ,$168.93 , N/A , N/A ,$168.93 , N/A ,$170.64 ,$213.30 ,$273.02 , N/A , N/A ,$238.90 , N/A ,$204.77 , N/A ,$255.96 ,$188.39 ,$169.96 ,$188.39 , N/A ,$188.39 ,$180.88 ,$341.28 ,$180.88 ,$290.09 , N/A ,$168.93 , N/A ,$341.28 ,$191.46 , N/A ,$89.42 ,$341.28 , N/A , N/A , N/A ,$273.02 ,$168.93 ,$95.56 ,$307.15 ,$169.27 , N/A , N/A ,$163.81 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW STRYKER 2.0 X 12MM,278,1 ,$341.28 ,$245.72 ,$89.42 ,$341.28 , N/A , N/A ,$187.70 , N/A ,$95.56 ,$178.49 , N/A ,$187.70 , N/A ,$168.93 , N/A , N/A ,$168.93 , N/A ,$170.64 ,$213.30 ,$273.02 , N/A , N/A ,$238.90 , N/A ,$204.77 , N/A ,$255.96 ,$188.39 ,$169.96 ,$188.39 , N/A ,$188.39 ,$180.88 ,$341.28 ,$180.88 ,$290.09 , N/A ,$168.93 , N/A ,$341.28 ,$191.46 , N/A ,$89.42 ,$341.28 , N/A , N/A , N/A ,$273.02 ,$168.93 ,$95.56 ,$307.15 ,$169.27 , N/A , N/A ,$163.81 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 40MM BIODUR 108 P/THR,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ANCHOR BIO-FASTAK II 3.0 W/FIBERWR,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ANCHOR SUTURE BIOCORKSCREW 5.5MM W/FIBERWIRE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ARTHREX ANCHOR BIO-CORKSCREW 5.5MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION ARTHREX,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR ARTHREX BIO COMPOSITE SUTURETAK,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE QUATTRO LINK KNOTLESS STERILE SHOULDER SYSTEM ROTATOR CUFF SOLUTION,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE STRYKER SMARTLOCK HYBRID MMF,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 4 HOLES/24MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 10 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 7 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 9 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 10 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 8 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 9 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 T 3 HOLES HEAD/ 5 HOLES SHAFT-OBLIQUE ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES OBL SM L,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN NAVIGATION 100MM PERCUTANEOUS REFERENCE STERILE DISPOSABLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE  SYNTHES 2.4 TENSION BAND TI 4 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER LAG COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 85MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 3.0 X 16,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 4.5 X 25,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 4.5 X 47.5,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 5.0 X 85,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 4.5X 32.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 4.5X 57.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 4.5X 60MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 25MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 27.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 30MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 32.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 37.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 40MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 42.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 45MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 47.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 5.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 50MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 52.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 62.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 65MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 70MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 75MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ARTHREX ANCHOR CORKSCREW W/ FIBERWIRE 3.5MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE SMITH  AND  NEPHEW KNOTLESS,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 6 HOLE,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MINI 3 HOLE 2.0MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MINI 5 HOLE 2.0MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG WRIGHT MEDICAL 3.5 X 34MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 105MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 115MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 125MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 85MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER COMPRSN STNDRD THREAD VERSA-FX 12.7MM X 95MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER NATURAL NAIL 10.5 X 100,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 10MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 36MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 38MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 44MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 50MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOW PROFILE BIOMET 6.5 X 25MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MUC WRIGHT MEDICAL 3.0MM X 18MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MUC WRIGHT MEDICAL 3.0MM X 28MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW PERI-LOC SMITH  AND  NEPHEW 4.5 X 60MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW PERI-LOC SMITH  AND  NEPHEW 4.5 X 74MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L20 MM OD4.75 MM LO,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD4.75 MM VA,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD6.5 MM CEN,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CENTRAL BIOMET REVERSE SHOULDER 6.5MM X20MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED LOCKING BIOMET 4.75 X 30MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 34MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER PERILOC 4.5 X 36MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI 16MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI 18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 12MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 14MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,RASP HELICAL LONG 3.2 TPS METAL CUTTING,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,FORCEPS SURGICAL SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG FIXATION 2.3MM 16MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC NONSTERILE BRONZE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 14MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 16MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN DISTRACTION 14MM 14MM CASPAR STRAIGHT SPINE CERVICAL TITANIUM STERILE DISPOSABLE,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN EX FIX 3.2MM BGLNI/FLTW SHLDR SS THRD NS,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE 3MMx16MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx22MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ULTRA LOW PROFILE 9MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTERFERENCE CANNULATED ARTHREX 8 X 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTERFERENCE SHEATHED CANNULATED ARTHREX 7 X 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ARTHREX 3 X 10MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ARTHREX 3 X 18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING TRIMED 3.2 X 10MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING TRIMED 3.2 X 12MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE SMOOTH  2.3 X 18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE SMOOTH  2.3 X 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 22MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 24MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING 2.7X 18MM WRIGHT MEDICAL,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING 2.7X 20MM WRIGHT MEDICAL,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SET END CAP MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SET MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW LOCKING 3MM X 14MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  10MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  12MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  14MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  16MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  18MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  26MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  28MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  30MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  32MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  34MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  36MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  38MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  40MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  45MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  48MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  50MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  55MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  60MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET MDTP 2.5MM X 20MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 2.7MM 14MM LOW PROFILE SCREWS STAINLESS STEEL T10 FULL THREAD CORTEX SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 14MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 18MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED HEADED ARTHREX 7 X 25MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CANCELLOUS 50MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CANCELLOUS 70MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CANCELLOUS 75MM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,STN PIN THREADED,278,1 ,$451.50 ,$325.08 ,$118.29 ,$451.50 , N/A , N/A ,$248.33 , N/A ,$126.42 ,$236.13 , N/A ,$248.33 , N/A ,$223.49 , N/A , N/A ,$223.49 , N/A ,$225.75 ,$282.19 ,$361.20 , N/A , N/A ,$316.05 , N/A ,$270.90 , N/A ,$338.63 ,$249.23 ,$224.85 ,$249.23 , N/A ,$249.23 ,$239.30 ,$451.50 ,$239.30 ,$383.78 , N/A ,$223.49 , N/A ,$451.50 ,$253.29 , N/A ,$118.29 ,$451.50 , N/A , N/A , N/A ,$361.20 ,$223.49 ,$126.42 ,$406.35 ,$223.94 , N/A , N/A ,$216.72 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SUTURE ANCHOR MINI MITEK,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ACUMED MICRO 11MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ACUTRAK 2 MICRO 20MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 4H 80MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 4H 80MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 6H 106MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 6H 106MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE BIOMET NARROW SHORTLEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP ZIMMER NCB LOCKING 8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,DRILL BIT SMITH  AND  NEPHEW 5MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,GRAFT BONE GRAFTON PUTTY DBM 5ML,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT SYSTEM ARTHREX PROXIMAL TENODESIS,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BLADE SYNTHES 11.0MM TI HELICAL  95MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE COMPRESSION SMITH  AND  NEPHEW 3.5MM 10 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE DVRAN NARROW RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE DVRAS SHORT LEFT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE DVRAS SHORT RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE PIN COLUMN RADICAL TRIMED 3 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE PIN COLUMN RADICAL TRIMED 5 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1.5MM TI CONDYLAR 7 HOLES/36MM-LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1.5MM TI CONDYLAR 7 HOLES/36MM-RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI Y 3 HOLES HEAD 8 HOLES SHAFT/48MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI CONDYLAR 8 HOLES/57MM - RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 4 HOLES/31MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 6 HOLES/47MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 8 HOLES/63MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI T 2 HOLES HEAD/ 8 HOLES SHAFT/54MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI Y PLATE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 14 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 10 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 12 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 14 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG W/ SET SCREW ZIMMER 10.5 X 85MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG W/ SET SCREW ZIMMER 10.5 X 95MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER 10.5 X 100MMM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER 10.5 X 105MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER 10.5 X 110MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG ZIMMER 10.5 X 115MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE  SYNTHES 2.4 LC-DCP TI 5 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE  SYNTHES 2.4 LC-DCP TI CRESCENT 6 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE  SYNTHES 2.4 UNIVERSAL TI FX STR 8 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 118MM TITANIUM ALUMINUM VANADIUM PERIPROSTHETIC 8 HOLE 2 COMPRESSION HOLE STRAIGHT NARROW SHAFT SYMMETRIC NCB BONE FEMUR,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ARTHREX LOW PROFILE LAPIDUS,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE BIOMET NARROW SHORT RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 100MM TITAN ORTHO,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 105MM TITAN,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 110MM TITAN,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 85MM TITANIUM PERITROCHANTERIC LAG TELESCOPING KEYED INTRAMEDULLARY NAIL,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 95MM ORTHO LAG TLSC,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SUTURE ARTHREX KNOTLESS TIGHTROPE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER DISTAL FEMUR 5 HOLE 167MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER TIBIAL RT PROX 12 HOLE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BASEPLATE ZIMMER GLENOID SHLDR TM REV 15MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE FIBULA SMITH  AND  NEPHEW 7 HOLE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING BEARING VOLAR TRI MED LEFT 5 HOLE 5 PEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE XTAB VIPER 5 X 40 DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SUTURETAPE TIGERLINK 1.3MM WH/BLK,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW 3.5 X 20,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ACUMED 3.5 X 10MM NON-LOCKING,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE BONE BLUE .4MM MATRIXNEURO CRANIAL TITANIUM 7 HOLE LOW PROFILE ADAPTION,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COVER SYNTHES BUR HOLE MATRIXNEURO 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COVER SYNTHES BUR HOLE MATRIXNEURO 15MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COVER SYNTHES BUR HOLE MATRIXNEURO 17MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COVER SYNTHES BUR HOLE MATRIXNEURO 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,INSTRUMENT SPINAL PLATE HOLD PIN,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG FIXATION 2.5MM 14MM KNEE THREAD MULTIDIRECTIONAL DVR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG FIXATION 2.5MM 22MM RADIUS DISTAL VOLAR THREAD MULTIDIRECTIONAL COCR DVR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG FIXATION 2.5MM 24MM RADIUS DISTAL VOLAR THREAD MULTIDIRECTIONAL COCR DVR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 22MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR THREADED TRIMED 26MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR UNTHREADED TRIMED 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PEG VOLAR UNTHREADED TRIMED 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PERI CANNULATED LOCKING SCREW 3.5MM X 70MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PERI CANNULATED LOCKING SCREW 3.5MM X 80MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PERI CANNULATED LOCKING SCREW 3.5MM X 90MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PERI LOCKING SCREW 3.5MM X 85MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 1.1MM ORTHOLOC 3DI SMALL TEMPORARY DISPOSABLE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO ADAPTION 5 HOLE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO BOX 4 HOLE 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO BOX 4 HOLE 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO DBL Y 6 HOLE 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO DBL Y 6 HOLE 21MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO RIGID 4 HOLE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO Y-PLATE 5 HOLE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW HEADED ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW HEADLESS MIS ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTFR TITAN 20MM 9MM ACL,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTFR TITAN 25MM 9MM ACL,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTFR TITAN 30MM 7MM ACL,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTFR TITAN 30MM 8MM ACL,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTFR TITAN 30MM 9MM RND,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ARTHREX 3.5 X 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING TRIMED 3.2 X 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING TRIMED 3.2 X 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING TRIMED 3.2 X 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 10MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 22MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 3.5 X 44MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING ZIMMER 3.5 X 70MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NONTHREADED WRIGHT MEDICAL 2.5 X 26MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NONTHREADED WRIGHT MEDICAL 3.5 X 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SET CROSSLINK MEDTRONIC,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SET PRE-CROSSLINK MEDTRONIC,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SET VERTEX MEDTRONIC,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  6MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  8MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  9MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 10MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 11MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN KNOWLES ZIMMER 4 1/2 IN 4.0 SHAFT,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN ORTHOPEDIC BB-TAK THREAD DISPOSABLE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 4.0 X 34,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 22MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 26MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 32MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 34MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 36MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 44MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 46MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 48MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 50MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.2MM 16MM CORTICAL HEXAGONAL ANKLE FIXATION SYSTEM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 24MM T15 NONLOCK LOW PROFILE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 28MM T15 NONLOCK LOW PROFILE NONSTERILE SILVER,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 32MM T15 CORTICAL NONLOCK LOW PROFILE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 6.5MM 20MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 22MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 26MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS TRIMED 3.8 X 32MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER P/T 4.0 X 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED LOCKING ZIMMER 3.5 X 85MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER PARTIALLY THREADED 75MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ACUMED 3.5 X 10MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 4.5 SPHERICAL  HEAD,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 5 X 40MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 5.0 X 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 5.0 X 35MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 5.0 X 40MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 7.0 X 50MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 9 X 65,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY AC ROCKWOOD,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 35MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 40MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 45MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 35MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 50MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 7 X 40MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 7 X 55MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY LAG,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY LAG 50MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY LAG TK2 KEYED 105MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY LAG TK2 KEYED 85MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY MULTIDIRECTIONAL 2.5MM X 18MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 22MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 24MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 26MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 70MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 6.5 SELF TAP 25MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 15MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 20MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 30MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 35MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 40MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER BONE 50MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER CANNULATED 7.0 X 55MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER ELB FIB PERILOC 3.5 X 12MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER ELB FIB PERILOC 3.5 X 14MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER HEX HEAD COMPRESSION 4.7 X 12.7MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER PAERIARTICULAR MALE THD 3.5 X 38MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER PERILOC 3.5 X 16MM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SYSTEM FIXATION SPEEDBRIDGE ACHILLES MIDSUBSTANCE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER TIBIAL STEMMED SIZE 5,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER TIBIAL RT PROX 6 HOLE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE CERVICAL 1 LEVEL 22MM LONG,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE CERVICAL 1 LEVEL 24MM LONG,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE CERVICAL 2 LEVEL 36MM LONG,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE CERVICAL 2 LEVEL 39MM LONG,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT WRIGHT MEDICAL TOE FLEXIBLE HINGE SIZE 2S,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT WRIGHT MEDICAL TOE FLEXIBLE HINGE SIZE 3S,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT WRIGHT MEDICAL TOE FLEXIBLE HINGE SIZE 4S,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL HUMERAL VERSANAIL DEPUY 9 X 260MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,1-LEVEL 16 MM CERVICAL PLATE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,2-LEVEL 30 MM CERVICAL PLATE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE COMPRESSION TUBULAR SMITH  AND  NEPHEW 3 HOLE 24MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE FIBULA SMITH  AND  NEPHEW 4 HOLE 7MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE L1 VIP BN SPNE CERV ANT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED 3 HOLE LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED 3 HOLE RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 37.5MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 4.75 X-10 CROSSLINK 36-38MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 4.75 X-10 CROSSLINK 38-42MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 40MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 42MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MEDTRONIC 45MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4 UNIV FX ANGLE TI 4 X 4 HOLES,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4/2.7 VA LOCKING X-PLATE SMALL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4/2.7 VA-LCP FIRST MTP FUSION SM 10 DEG LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TIBIAL FIXED I BEAM BIOMET 75MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN INTEGRATED INTERLOCKING SMITH  AND  NEPHEW 110MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN SMITH  AND  NEPHEW 105MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN SMITH  AND  NEPHEW 85MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN SMITH  AND  NEPHEW 95MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 26MM L2 VIP BN SPNE CERV ANT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 28MM L2 VIP BN SPNE CERV ANT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 30MM L2 VIP BN SPNE CERV ANT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 32MM L2 VIP BN SPNE CERV ANT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ATLANTIS MEDTRONIC 19MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ATLANTIS MEDTRONIC 23MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 10MM INFINITY SPINE MULTIAXIAL NONSTANDARD STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TIGHTROPE ABS ACL ARTHREX,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN LNG THRD 20MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN LNG THRD 28MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN LNG THRD 34MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN LNG THRD 38MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN LNG THRD 40MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN SHRT THRD 16MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG CEMENT ZIMMER ALLEN MEDULLARY 24MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,POST GLENOID BIOMET,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 26MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 30MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 32MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 34MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 36MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 40MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 48MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 52MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 54MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 56MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 60MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 64MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 68MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 72MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO 1.55 SELF DRILL 3MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO 1.55 SELF DRILL 4MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO 1.55 SELF TAP EMER 4MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 32MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 20MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 22MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 24MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 26MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 30MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 34MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 36MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 40MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 48MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 52MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 54MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 56MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 60MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 64MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 68MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 72MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 20MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 22MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 24MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAN SCREW 3.8 30 MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP END 10MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP NAIL CEPHALOMEDULLARY ZIMMER,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP NAIL FEMORAL RETROGRADE ZIMMER 15MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COUNTERSINK SYNTHES FOR 1.3MM/1.5MM SCREWS,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COUNTERSINK SYNTHES FOR 2.0MM/2.4MM SCREWS,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,DISPOSABLE KIT FIBERTAK SUTURE ANCHOR,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 18MM 2.7MM PERI-LOC STAINLESS STEEL TRIAL,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO ADAPTION 20 HOLE,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 32MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 4.5 X 60MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN HLD NXGN KN HD SS SHRT 25MM NS,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN SHRT THRD 18MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN SHRT THRD 22MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN SHRT THRD 28MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.0 CANN SHRT THRD 32MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 10MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 12MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 14MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 16MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 18MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 20MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 22MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 24MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 26MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 30MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 32MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 34MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 36MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 40MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 48MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 5MM 25MM UNIFLEX TITANIUM FULL THREAD BUTTRESS CROSSLOCK HEX HEAD,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 6.5 X 55MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 7.0 X 75MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER F/T 5.0 X 45MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST 5.0 X 42.5MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 27.5MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 30MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 32.5MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 37.5MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 40MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 50MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 70MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 65MM BIODUR 108 SIRLM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 70MM BIODUR 108 HEX,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 2.7MM CORTEX SCREWS 100MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 3.5MM CORTEX SCREWS GOLD/110MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 4.0MM CANCELLOUS BONE SCREWS/110MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 4.5MM CORTEX/SHAFT SCREWS 130MM/57MM TAP DEPTH,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TIGHTROPE ARTHRES BUTTON ACL 12 X 8MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 12MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 14MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 18MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 10MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 14MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 16MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 18MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 20MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 22MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 24MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 28MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 30MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 36MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG BIO BONE BIOMET 12.5MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG BONECMNT BPLG 15MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG BONECMNT BPLG 17.5MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 32MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES CORTICAL LOCKING 3.5MM X 14MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT BONE KYPHX HV-R W/MIXER,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,HEADED SCREW,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NUT SMITH  AND  NEPHEW 10MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN 12MM VIP DSTRCT ANT CERV PLT SYS,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 508MM 3.2MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BOLT LOCKING 54MM 4.9MM FEMORAL TIBIAL STAINLESS STEEL SELF CUT TROCAR TIP HEXAGONAL NONSTERILE,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES OBLIQUE 2H 19MM RIGHT,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 2 HOLES/25MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 3 HOLES/37MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING HEXALOBE ACUMED 3.5 X 12MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOW PROFILE SELF TAPPING BIOMET 6.5 X 30,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MED SOURCE CORTICAL LOCKING 3.5 X 10MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MED SOURCE CORTICAL LOCKING 3.5 X 16MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 12MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 16MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 18MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW STRYKER LOCKING 2.0MM X 6MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW STRYKER LOCKING 2.0MM X 8MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN THREADED ZIMMER 3.2MM 508MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 2.5MM 25MM PERSONA KNEE FEMALE HEX,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 14MM TITANIUM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 6.5MM 35MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL LOCKING ACUMED 3.5 X 20MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 32MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 38MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 40MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 42MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 44MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 46MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 70MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VENUS CERVICAL SCREW VARIABLE 4.0X12MM LONG,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX 2.5MM TI CANN SELF TAP FULL TH 16MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TITANIUM BONE RADIUS LEFT DISTAL DORSAL,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TITANIUM BONE RADIUS RIGHT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CAP END MEDTRONIC 6 X 14 X 11,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CROSSLINK MEDTRONIC MEDIUM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CROSSLINK MEDTRONIC SMALL,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT SYSTEM ARTHREX DISTAL BICEP REPAIR,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,11MM TAPER POST,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BONE SCREW ARTHREX MICRO COMPRESSION 2.5MMx24MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE CONTOUR 79X10.7X2.5MM TIMAX 10 HOLE LOW PROFILE ALPS BONE ELBOW OLECRANON NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE MESH SYNTHES 100MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI CONDYLAR 7H/39MM LT,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI CONDYLAR 7H/39MM RT,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4 UNIV FX ANGLE TI 3 X 3 HOLES,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW GLOBUS 4.6 VAR ANGLE SELF DRILL 14MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW GLOBUS 4.6 VAR ANGLE SELF DRILL 16MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN INTEGRATED INTERLOCKING SMITH  AND  NEPHEW 100MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN INTEGRATED INTERLOCKING SMITH  AND  NEPHEW 90MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN SMITH  AND  NEPHEW 11MM X 80MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LAG TRIGEN INTERTAN SMITH  AND  NEPHEW 11MM X 95MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 4.0 X 12MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 5.0 X 35MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 5.5 X 25MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 5.5 X 30MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 5.5 X 35MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 5.5 X 45,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 30MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 35MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 50MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 7.5 X 55MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 8.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC 8.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC PARTIALLY THREADED 3.5 X 30MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 10MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 12MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 16MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 18MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 20MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 22MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 24MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 26MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 5.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 5.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 6.5 X 35MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 6.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 6.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW MULTIAXIAL MEDTRONIC 6.5 X 50MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX 2.5MM TI CANN SELF TAP FULL TH 22MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 18MM INFINITY SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4MM 12MM INFINITY SPINE MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4MM 24MM INFINITY SPINE MULTIAXIAL NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SELF DRILLING VARIABLE SCREW 4.0X14MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SELF DRILLING VARIABLE SCREW 4.0X16MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP 80MM 180MM CANNULATED SURGICAL 4.5MM SCREW 3.2MM DRILL BIT,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 3.5 CANNULATED SCREW,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VENUS CERVICAL SCREW VARIABLE 4.0X16MM LONG,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE WRIST FUSION STRAIGHT SYNTHES,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT MAGNIFUSE BONE GRAFT 1 X 5CM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL BIOMET 11MM 22CM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 EX ARTIC DIST HUM  8H RHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP PROX HUMERUS 6H  HEAD 3H SHAFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 3.5 LCP PROX HUMERUS 6H HEAD 5H SHAFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,STD LONG PLATE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VERSA DIAL 54 X 12X 164,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,INTERTAN 1.5 X 13 X 40,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,INTERTAN 10S 10 MM X 38,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,META RETRO FEM NAIL,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 34CM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 36CM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 38CM 125 DEGREE RIGHT,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 40CM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 42CM RIGHT,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 44CM LEFT,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,NAIL TIBIAL SMITH  AND  NEPHEW INTERTAN 13.0 X 46CM RIGHT,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES 5.5 SPIKED 13.5MM,278,1 ,$320.46 ,$230.73 ,$83.96 ,$320.46 , N/A , N/A ,$176.25 , N/A ,$89.73 ,$167.60 , N/A ,$176.25 , N/A ,$158.63 , N/A , N/A ,$158.63 , N/A ,$160.23 ,$200.29 ,$256.37 , N/A , N/A ,$224.32 , N/A ,$192.28 , N/A ,$240.35 ,$176.89 ,$159.59 ,$176.89 , N/A ,$176.89 ,$169.84 ,$320.46 ,$169.84 ,$272.39 , N/A ,$158.63 , N/A ,$320.46 ,$179.78 , N/A ,$83.96 ,$320.46 , N/A , N/A , N/A ,$256.37 ,$158.63 ,$89.73 ,$288.41 ,$158.95 , N/A , N/A ,$153.82 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES 6.5MM CANNULATED SET,278,1 ,"$2,160.00 ","$1,555.20 ",$565.92 ,"$2,160.00 ", N/A ,"$1,144.80 ","$1,188.00 ", N/A ,$604.80 ,"$1,129.68 ", N/A ,"$1,188.00 ", N/A ,"$1,069.20 ", N/A , N/A ,"$1,069.20 ", N/A ,"$1,080.00 ","$1,350.00 ","$1,728.00 ", N/A , N/A ,"$1,512.00 ", N/A ,"$1,296.00 ", N/A ,"$1,620.00 ","$1,192.32 ","$1,075.68 ","$1,192.32 ", N/A ,"$1,192.32 ","$1,144.80 ","$2,160.00 ","$1,144.80 ","$1,836.00 ", N/A ,"$1,069.20 ", N/A ,"$2,160.00 ","$1,211.76 ", N/A ,$565.92 ,"$2,160.00 ", N/A , N/A , N/A ,"$1,728.00 ","$1,069.20 ",$604.80 ,"$1,944.00 ","$1,071.36 ",$756.00 , N/A ,"$1,036.80 "
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER TRIMED 3 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TRIMED SEMI-TUBULAR,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TUBE ZIMMER 130 DEGREE 3 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE TUBE ZIMMER 135 DEGREE 3 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ANCHOR BIO-SWIVELOCK SUTURE 6.25,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE 2.9MM SHORT PUSHLOCK HIP BIOCOMPOSITE 12.5MM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE 3MM 2 SUTURETAK FIBERWIRE ARTHREX KNOTLESS CRUCIATE LIGAMENT BIOCOMPOSITE 12.7MM STERILE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK ARTHREX 5.5 X 24.5,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE COMPRESSION SMITH  AND  NEPHEW 6 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1.5MM TI T 3 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1.5MM TI T 4 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1.5MM TI Y 3 X 8 HOLES,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 8 HOLES/48MM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI STRAIGHT 12 HOLES/72MM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 2.4MM TI STRAIGHT 6 HOLES/36MM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 135D STANDARD BARREL 86MM STAINLESS STEEL 4 HOLE LOW PROFILE COMPRESSION VERSA-FX II BONE 38.1MM 12.19MM 8.7MM FEMUR PROXIMAL STERILE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX BIOTENODESIS 3MM X 8MM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,"SUTURE ANCHOR, SWIVELOCK TENODESIS, BIOCOMPOSITE 7X19.1MM",278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TIGHTROPE W/ DRILL PIN ARTHREX,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VERSA-FX II KEYLESS SHORT TUBE PLATE 135D X 4 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VERSA-FX II KEYLESS TUBE PLATE 135D X 6 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE FIXATION 2.5MM 200MM 15MM KIRSCHNER STAINLESS STEEL TROCAR POINT THREAD NONSTERILE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG CEMENT ZIMMER ALLEN MEDULLARY 16MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT ZIMMER PALACOS W/GENTAMICIN,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,KIT ARTHREX MINI SUTURE TAK DISPOSABLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,3.2 PEG 34MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,3.2 PEG 38,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,3.2 PEG 40,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,3.2 PEG 42,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,BOLT EXTERNAL FIXATION 12MM CONNECTION TAYLOR SPATIAL FRAME,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES 1/3 TUBULAR LCP W/COLLAR 6 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 10 HOLES/121MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 4 HOLES/49MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 5 HOLES/61MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 6 HOLES/73MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 7 HOLES/85MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 10 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 12 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 5 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 7 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 8 HOLE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING DEPUY 3.5 X 26MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING HEXALOBE ACUMED 3.5 X 10MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR 109X9X1MM STAINLESS STEEL 9 HOLE COLLAR BONE .5MM 12MM NONSTERILE,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 10MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 12MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 14MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 16MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 18MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 20MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 22MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 24MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 26MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 28MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 30MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 32MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 34MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 36MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 38MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 40MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 42MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 44MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 46MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 48MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 50MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 38MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 40MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED TRIMED ORTHOPEDICS,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 4.0 X 44MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX LOCKING SMITH  AND  NEPHEW 2.7 X 16MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL FINE THREAD ZIMMER 3.5 X 10MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 32MM BIODUR 108 1/3 THR,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 34MM BIODUR 108 1/3 THR,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 34MM BIODUR 108 F/THR SIRLM CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 36MM BIODUR 108 P/T,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 40,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 44,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 46,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 60,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 40MM BIODUR 108 1/3 THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 40MM BIODUR 108 F/THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 44MM BIODUR 108 F/THR SIRLM CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 46MM BIODUR 108 1/3 THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 46MM BIODUR 108 P/THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 5.5 CANN CONICAL TIB PERI 85MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 50MM BIODUR 108 1/3 THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 50MM BIODUR 108 F/THR REV CUT,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 60MM BIODUR 108 1/2 THR SIRLM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 1.5MM CORTEX SCREWS 50MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TAP SYNTHES 2.0MM CORTEX SCREWS 54MM,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SMITH  AND  NEPHEW,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6 COMPRESSION 25MM X 150MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 14MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING  6,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING  8,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 10,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 12,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 14,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 16,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 20,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 22,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 24,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 26,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 28,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 30,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 32,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 34,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 36,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 38,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 40,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 45,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 50,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 55,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 10MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 12MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 14MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 16MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 20MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 22MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 24MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 26MM F/T,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO 2.55 SELF DRILL 4MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO EMER 3MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO EMER 5MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO SELF DRILL 3MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES MTRX-NEURO SELF DRILL 4MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,HOLDER PLATE ARTHREX BB TAK,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K WIRE .045 9 IN (6/TB),278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K-WIRE 1.1 WRIGHT MEDICAL,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIX 3/16IN NEUFIELD,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION LCS SIGMA HIP THREAD HEAD STERILE,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION LCS SIGMA HIP THREAD HEADLESS STERILE,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING SMITH  AND  NEPHEW 2.7 X 28MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING SMITH  AND  NEPHEW 3.5 X 16MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING SMITH  AND  NEPHEW 3.5 X 42MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 10MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 12MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 14MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 20MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 28MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 30MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 32MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 34MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 36MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 3.5 X 60MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 10MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 22MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 26MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 36MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 38MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 40MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 42MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 46MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  6MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  7MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  8MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 6MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 8MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX CORTICAL 3.5 X 18 MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 20MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET LOW PROFILE 3.5MM X 16MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET LOW PROFILE 3.5MM X 22MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET PEG DRIVER FAST,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 14MM LOW PROFILE SCREW STAINLESS STEEL T15 FULL THREAD CORTEX NONLOCK SELF TAP ANKLE FRACTURE MANAGEMENT,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 16MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP NONLOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX NON-LOCKING SMITH  AND  NEPHEW 4.5 X 38MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX NON-LOCKING SMITH  AND  NEPHEW 4.5 X 44MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX SELF TAPPING SMITH  AND  NEPHEW 3.5 X 24MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX SELF TAPPING SMITH  AND  NEPHEW 44MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX T20 SMITH  AND  NEPHEW 26MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL ARTHREX 3.5 X 12MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTICAL LOW PROFILE DEPUY 3.5 X 18MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY 24MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ENDOFIX HAND INNOVATIONS,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 6.35 X 45MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SUTURE FIBERWIRE #2 TAPE 1.3 BRAIDED FLAT,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6 COMPRESSION 10MM X 150MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6 COMPRESSION 20MM X 150MM,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6 KIRSCHNER W/5MM THREAD TROCAR 150MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 14MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 16MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 18MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 20MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 22MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 24MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 36MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 42MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 50MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 52MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 56MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 58MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 60MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 62MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 66MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 68MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX 70MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 50,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 55,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 60,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  10,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  12,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  14,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  16,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  18,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  20,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  22,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  24,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  26,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  28,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  30,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  35,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  40,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  45,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT 50,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K-WIRE 1.6 150MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 SHAFT 20MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 SHAFT 22MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 SHAFT 28MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 SHAFT 30MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 12,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 14,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 16,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 18,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 20,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 22,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 24,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 26,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 28,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 30,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 32,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 35,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 40,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 45,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 28MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 30MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 32MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 36MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 38MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 44MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 64MM ECT CORTICAL,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER F/T 4.0 X 10MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER F/T 4.0 X 30MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER P/T 4.0 X 35MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER P/T 4.0 X 40MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS ZIMMER P/T 4.0 X 45MM,278,1 ,$50.00 ,$36.00 ,$13.10 ,$50.00 , N/A , N/A ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 , N/A , N/A ,$24.75 , N/A ,$25.00 ,$31.25 ,$40.00 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$26.50 ,$50.00 ,$26.50 ,$42.50 , N/A ,$24.75 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 , N/A , N/A , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$24.80 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 2.0 SPADE POINT REDUCTION,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLUG CEMENT ZIMMER ALLEN MEDULLARY 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  30,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  35,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  40,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  45,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  50,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  55,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  60,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  65,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  70,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  75,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  80,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  85,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  90,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  95,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 100,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 105,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 110,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 115,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 120,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 100,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 105,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 110,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 115,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 120,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 125,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 130,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 135,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 140,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 145,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 50,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 55,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 60,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 65,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 70,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 75,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 80,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 85,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 90,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 95,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 35MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW TRIGEN SMITH  AND  NEPHEW 5.0 X 60MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW VARIABLE MEDTRONIC 4.0 X 15MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 2.7 X 16MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 2.7 X 18MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COUNTERSINK SYNTHES F/1.5MM  AND  2.0MM CORTEX SCREWS,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,COUNTERSINK SYNTHES F/3.5MM CORTEX  AND  4.0MM CANCELLOUS BONE SCREWS,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,HTO IMPLANT 4.5 X 42MM ARTHREX,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ARTHREX ANCHOR BIO-CORKSCREW,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,IMPLANT ARTHREX ANCHOR CORKSCREW 5.0 X 15.5MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,7.5MM CANNULATED SCREW 16MM THD 95MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,ANCHOR SUTURE SOFT JUGGERKNOT 1.4MM SINGLE LOADED BIOMET SIZE 1,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE LC-DCP SYNTHES 6 HOLE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SMITH  AND  NEPHEW 6 HOLE 82MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO STRUT CURVE 2 X 4 HOLE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO STRUT RIGID 2 X 4 HOLE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW GLOBUS 4.6 VAR ANGLE SELF DRILL 12MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW GLOBUS 4.6 VAR ANGLE SELF TAP 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INTERFERENCE BIOCOMPOSITE 28MM 8MM DELTA TAPER SHOULDER STERILE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 10MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 12MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 14MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 16MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 18MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 20MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 2.7MM X 22MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 3.5MM X 16MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING 3.5MM X 18MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SELF TAPPING SMITH  AND  NEPHEW 38MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 18MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 24MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 26MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 28MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 30MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 36MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 46MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 2.7 X 50MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 10MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 12MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 14MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 16MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 18MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 22MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 24MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 26MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 28MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 30MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 32MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 34MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 36MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 40MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 42MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 3.5 X 44MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING T15 SMITH  AND  NEPHEW 2.7 X 16MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW LOCKING T15 SMITH  AND  NEPHEW 2.7 X 22MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING 3.5 X 22MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SELF TAPPING MEDTRONIC 4.0 X 11MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SMITH  AND  NEPHEW SELF TAPPING  3.5 X 14MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN LOCKING POLY OSS BIOMET,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR SMITH  AND  NEPHEW 7 HOLE 106MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ATLANTIS MEDTRONIC 4.0 X 13MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BASEPLATE 20MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BASEPLATE 29MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIO COMPOSITE 7MM X 23MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIO COMPOSITE 8MM X 23MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 5MM 30MM UNIFLEX TITANIUM FULL THREAD BUTTRESS CROSSLOCK HEX HEAD,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 7.5MM 8.2MM 80MM 16MM BIODUR 108 REVERSE CUT FLUTE FOOT ANKLE CANNULATED SELF DRILL SELF TAP HEX HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 7.5MM 8.2MM 85MM 16MM BIODUR 108 REVERSE CUT FLUTE FOOT ANKLE CANNULATED SELF DRILL SELF TAP HEX HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 7.5MM 8MM 70MM 16MM BIODUR 108 REVERSE CUT FLUTE FOOT ANKLE CANNULATED SELF DRILL SELF TAP HEX HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BUTTRESS TI THREAD EBI 5MM X 35MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BUTTRESS TI THREAD EBI 5MM X 85MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BUTTRESS TI THREADED EBI 5MM X 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 7.5 X 110,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANNULATED ZIMMER 7.5 X 75MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED MEDTRONIC 4.0 X 12MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED MEDTRONIC 4.0 X 14MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED MEDTRONIC 4.0 X 16MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW FIXED MEDTRONIC 4.0 X 17MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 2.7 X 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 2.7 X 24MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 2.7 X 26MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 3.5  X 20MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 3.5  X 28MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 3.5  X 34MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW WRIGHT MEDICAL 3.5  X 40MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 90MM BIODUR 108,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 90MM BIODUR 108 HEX SIRLM CUT,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SELF DRILLING VARIABLE SCREW 4.0X12MM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,TIGHTROPE BUTTON ACL ARTHREX,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VENUS CERVICAL SCREW VARIABLE 4.0X14MM LONG,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,VENUS CERVICAL SCREW VARIABLE 4.0X18MM LONG,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 2.5MM KIRSHCNER THREADED,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 14MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 24MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 26MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 30MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 32MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 34MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 36MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 44MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 50MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CORTEX SELF TAP 50MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,FIBERWIRE ARTHREX 2-0 AR-7220,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K-WIRE 0.062,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN CASPAR DISTRACTION 14MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN DISTRACTION MEDLINE 12MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO STRAIGHT 2 HOLE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX 18MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 10MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 12MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 14MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 16MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 18MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 20MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 22MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 24MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 26MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 28MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 30MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 32MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 34MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 36MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 38MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 40MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 45MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 50MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 100,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY SHORT SET,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUYTHREADED 4.5 X 48MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 35,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DISTRACTION 14MM ANCHOR AGGRESSIVE UNIVERSAL END STERILE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EVEREST ATR SET K2M,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPANSION MINI 13MM 3MM TITANIUM MAXILLOFACIAL COMPARE ORTHODONTIC LATEX FREE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 4.35 X 30MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 5 X 32.5MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 6 X 35MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 6 X 50MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 6 X 65,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW EXPEDIUM DEPUY 7.0 X 65MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 12MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 14MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 16MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 18MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 20MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 22MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 24MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES 10.0MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES 13.0MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES 7.0MM,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER SYNTHES LC-DCP 13.5MM 6MM SPIKE,278,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 , N/A , N/A ,$41.25 , N/A ,$21.00 ,$39.23 , N/A ,$41.25 , N/A ,$37.13 , N/A , N/A ,$37.13 , N/A ,$37.50 ,$46.88 ,$60.00 , N/A , N/A ,$52.50 , N/A ,$45.00 , N/A ,$56.25 ,$41.40 ,$37.35 ,$41.40 , N/A ,$41.40 ,$39.75 ,$75.00 ,$39.75 ,$63.75 , N/A ,$37.13 , N/A ,$75.00 ,$42.08 , N/A ,$19.65 ,$75.00 , N/A , N/A , N/A ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$37.20 , N/A , N/A ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES GUIDE 2.8 THREADED 450/300MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  6MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  7MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  8MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  9MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 10MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 11MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 12MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 13MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 14MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 16MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 18MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 20MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 22MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 24MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 26MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 28MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 30MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 32MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 18,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE ZIMMER 1/3 TUBULAR 9 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 28MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CANCELLOUS SCRW 4.5 X 42,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT BONE SIMPLEX SPEED SET 40G STRYKER,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT FULL DOSE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT STRYKER SPEED SET,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CEMENT ZIMMER PALACOS  R 40GM GRN,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K WIRE .028 4 INCH,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K WIRE 035 9 INCH,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 14MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 18MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 2.5MM SHOULDER TRABECULAR METAL REVERSE SYSTEM STERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 20MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 28MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 9IN 3.2MM STEINMANN,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION 9IN 3.2MM STEINMANN THREAD TOTAL SHOULDER SYSTEM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTAL RADIUS BUTTRESS 30MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 12MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 18MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 24MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 27MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 30MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 33MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 36MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 42MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW INVERSE/REVERSE ZIMMER 4.5 X 48MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING HEXALOBE ACUMED 3.5 X 12MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON-LOCKING SMITH  AND  NEPHEW 4.5 X 74MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW PINNACLE DEPUY 6.5 X 20MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW STRYKER NON LOCKING 2.5MM X 15MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.0 CORTEX SELF TAP 8MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  6MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  9MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 16MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 22MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 24MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 26MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 10 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 4 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 5 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 6 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 7 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE 1/3 TUBULAR ZIMMER 8 HOLE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 16,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 20,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 22,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 24,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 38,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 14MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 16MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 18MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 20MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 22MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 24MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 26MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 28MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 16MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 18MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 20MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 22MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 12MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 14MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 16MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 13MM TITANIUM CORTEX NONSTERILE DISTAL VOLAR RADIUS PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 3.5MM 15MM TITANIUM CORTEX NONSTERILE,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CANCELLOUS LONG HAND INNOVATIONS 2.5MM X 24MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CENTRAL BIOMET REVERSE SHOULDER 6.5MM X30MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW CORTEX NON-LOCKING SMITH  AND  NEPHEW 4.5 X 78MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY CANCELLOUS BONE 6.5MM X 25MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW DEPUY PINNACLE CANCELLOUS 6.5 X 15MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER HEX HEAD COMPRESSION 4.7 X 19,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER HEX HEAD COMPRESSION 4.7 X 32,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER PERSONA MG 48MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER 3.5MM CORTICAL LOW PROFILE ALPS ORTHOPEDIC TITANIUM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER TRIMED ORTHOPEDICS,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.8 SPADE POINT 350MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE TROCAR WRIGHT MEDICAL SINGLE 1.0MM X 150MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 16MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  6MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  7MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  8MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  9MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 10MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 11MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 12MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 13MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 14MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 16MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 18MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 20MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 22MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 24MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 26MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 28MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 30MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 32MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 20MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 25MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 30MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 35MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 45MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 50MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 55MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 60MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 100MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 105MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 110MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 30MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 35MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 45MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 50MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 55MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 60MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 65MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 70MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 75MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 80MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 85MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 90MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 95MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  45MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  50MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  55MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  60MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  65MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  70MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  75MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  80MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  85MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  90MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  95MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT 100MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT 105MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT 110MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  30MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  35MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,K WIRE 0.9 100MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,PLATE SYNTHES MATRIXNEURO STRAIGHT 4 HOLE,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING SMITH  AND  NEPHEW 4.5 X 30MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW NON LOCKING SMITH  AND  NEPHEW 4.5 X 40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SELF TAPPING CORTEX SMITH  AND  NEPHEW 3.5 X 20MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX  6MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX  7MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX  8MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX  9MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX 10MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX 11MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX 12MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 CORTEX 14MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX 10MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  6MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  7MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  8MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  9MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 10MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 11MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 13MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 14MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 16MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 18MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 20MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 22MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 24MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 35MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.5 CANN CORTEX BONE 32MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.5 CANN CORTEX BONE 40MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.5 CANN CORTEX BONE 48MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BIOMET 4.5 CORTICAL FT 52MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 10MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 12MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 14MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 16MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 18MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 28MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 56MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER ZIMMER 3.5-7.5MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WASHER ZIMMER 5.5-7.5MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE KIRSCHNER FIXATION 152MM 2MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE TROCAR 1.6 X 150MM,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE ZIMMER KIRSCHNER 2.0MM X 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,CONTAINER HISTOLOGY 10% NEUTRAL BUFFER FORMALIN PH 7 PREFILL SCREW CAP 120ML LATEX FREE,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,SCREW BONE 4.5MM 48MM STAINLESS STEEL CORTICAL NONSTERILE,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE FIXATION .7MM 102MM KIRSCHNER STAINLESS STEEL 2 END TROCAR POINT STYLE 1 NONSTERILE,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 0.6 KIRSCHNER,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 0.8 KIRSCHNER  W/TROCAR POINT 70MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.0MM KIRSCHNER  W/TROCAR POINT 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.25MM KIRSCHNER  W/TROCAR POINT 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6 KIRSCHNER W/TROCAR 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 1.6MM KIRSCHNER 150MM W/TROCAR POINT,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE SYNTHES 2.0 KIRSCHNER,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE ZIMMER KIRSCHNER 1.25MM X 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871713,C1713,WIRE ZIMMER KIRSCHNER 1.6MM X 150MM,278,1 ,$10.00 ,$7.20 ,$2.62 ,$10.00 , N/A , N/A ,$5.50 , N/A ,$2.80 ,$5.23 , N/A ,$5.50 , N/A ,$4.95 , N/A , N/A ,$4.95 , N/A ,$5.00 ,$6.25 ,$8.00 , N/A , N/A ,$7.00 , N/A ,$6.00 , N/A ,$7.50 ,$5.52 ,$4.98 ,$5.52 , N/A ,$5.52 ,$5.30 ,$10.00 ,$5.30 ,$8.50 , N/A ,$4.95 , N/A ,$10.00 ,$5.61 , N/A ,$2.62 ,$10.00 , N/A , N/A , N/A ,$8.00 ,$4.95 ,$2.80 ,$9.00 ,$4.96 , N/A , N/A ,$4.80 
ST. MARY'S HOSPITAL - DECATUR,27871750,C1750,PERITONEAL DIALYSIS CATHETER,278,1 ,$100.00 ,$72.00 ,$26.20 ,$100.00 , N/A , N/A ,$55.00 , N/A ,$28.00 ,$52.30 , N/A ,$55.00 , N/A ,$49.50 , N/A , N/A ,$49.50 , N/A ,$50.00 ,$62.50 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$53.00 ,$100.00 ,$53.00 ,$85.00 , N/A ,$49.50 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$49.60 , N/A , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,27871755,C1755,CATHETER,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ", N/A ,"$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871762,C1762,DECELLULARIZED ARTHROFLEX DERMIS LIFENET 40X70 2.5-3.5MM,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871762,C1762,GRAFT BIOCARTILAGE 1CC ARTHREX,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,GRAFT DURAGEN MATRIX 1 X 1,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,IMPLANT PELVICOL 12X8CM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,PACKING 4X4CM NASAL SINUS STENT DRESSING ABSORBENT NONWOVEN MEROCEL WHITE HYAFF OTOLOGIC,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,TISSUE DURAGEN 2 X 2,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,TISSUE DURAGEN 3 X 3,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,TISSUE DURAGEN MATRIX 1 X 3,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871763,C1763,DURAMATRIX ONLAY 3 X 3  (CDSLM33),278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871767,C1767,NEUROSTIMULATOR MEDTRONIC,278,1 ,"$36,000.00 ","$25,920.00 ","$9,432.00 ","$36,000.00 ", N/A ,"$19,080.00 ","$19,800.00 ", N/A ,"$10,080.00 ","$18,828.00 ", N/A ,"$19,800.00 ", N/A ,"$17,820.00 ", N/A , N/A ,"$17,820.00 ", N/A ,"$18,000.00 ","$22,500.00 ","$28,800.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$21,600.00 ", N/A ,"$27,000.00 ","$19,872.00 ","$17,928.00 ","$19,872.00 ", N/A ,"$19,872.00 ","$19,080.00 ","$36,000.00 ","$19,080.00 ","$30,600.00 ", N/A ,"$17,820.00 ", N/A ,"$36,000.00 ","$20,196.00 ", N/A ,"$9,432.00 ","$36,000.00 ", N/A , N/A , N/A ,"$28,800.00 ","$17,820.00 ","$10,080.00 ","$32,400.00 ","$17,856.00 ","$12,600.00 ", N/A ,"$17,280.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT  XENOSURE BIOLOGIC PATCH 2 X 9CM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT GORE PROPATEN VASCULAR 4-7MMX45CM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT GORE THINWALL 5X90,278,1 ,"$9,300.00 ","$6,696.00 ","$2,436.60 ","$9,300.00 ", N/A ,"$4,929.00 ","$5,115.00 ", N/A ,"$2,604.00 ","$4,863.90 ", N/A ,"$5,115.00 ", N/A ,"$4,603.50 ", N/A , N/A ,"$4,603.50 ", N/A ,"$4,650.00 ","$5,812.50 ","$7,440.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$5,580.00 ", N/A ,"$6,975.00 ","$5,133.60 ","$4,631.40 ","$5,133.60 ", N/A ,"$5,133.60 ","$4,929.00 ","$9,300.00 ","$4,929.00 ","$7,905.00 ", N/A ,"$4,603.50 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$2,436.60 ","$9,300.00 ", N/A , N/A , N/A ,"$7,440.00 ","$4,603.50 ","$2,604.00 ","$8,370.00 ","$4,612.80 ","$3,255.00 ", N/A ,"$4,464.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT GRAFT PROPATEN THIN WALL  8MMX50MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT HEMAGARD KNITTED ATRIUM 22MM X 11MM X 50CM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT INTERGARD KNITTED 18MM X 40CM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT INTERGARD KNITTED BIFURCATED 22 X11MMX50CM,278,1 ,"$2,454.00 ","$1,766.88 ",$642.95 ,"$2,454.00 ", N/A ,"$1,300.62 ","$1,349.70 ", N/A ,$687.12 ,"$1,283.44 ", N/A ,"$1,349.70 ", N/A ,"$1,214.73 ", N/A , N/A ,"$1,214.73 ", N/A ,"$1,227.00 ","$1,533.75 ","$1,963.20 ", N/A , N/A ,"$1,717.80 ", N/A ,"$1,472.40 ", N/A ,"$1,840.50 ","$1,354.61 ","$1,222.09 ","$1,354.61 ", N/A ,"$1,354.61 ","$1,300.62 ","$2,454.00 ","$1,300.62 ","$2,085.90 ", N/A ,"$1,214.73 ", N/A ,"$2,454.00 ","$1,376.69 ", N/A ,$642.95 ,"$2,454.00 ", N/A , N/A , N/A ,"$1,963.20 ","$1,214.73 ",$687.12 ,"$2,208.60 ","$1,217.18 ",$858.90 , N/A ,"$1,177.92 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT PROPATEN STANDARD WALL 6MM X 40CM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT PROPATEN THIN WALL REMOVABLE RING 8MM X 80CM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871768,C1768,GRAFT GORE PROPATEN VASCULAR 6MMX80CM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871771,C1771,SLING URETHRAL BLUE DESARA STAINLESS STEEL POLYPROPYLENE MONOFILAMENT LARGE PORE FLEXIBLE FEMALE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871772,C1772,PUMP PROGRAMMABLE PAIN MEDTRONIC,278,1 ,"$33,000.00 ","$23,760.00 ","$8,646.00 ","$33,000.00 ", N/A ,"$17,490.00 ","$18,150.00 ", N/A ,"$9,240.00 ","$17,259.00 ", N/A ,"$18,150.00 ", N/A ,"$16,335.00 ", N/A , N/A ,"$16,335.00 ", N/A ,"$16,500.00 ","$20,625.00 ","$26,400.00 ", N/A , N/A ,"$23,100.00 ", N/A ,"$19,800.00 ", N/A ,"$24,750.00 ","$18,216.00 ","$16,434.00 ","$18,216.00 ", N/A ,"$18,216.00 ","$17,490.00 ","$33,000.00 ","$17,490.00 ","$28,050.00 ", N/A ,"$16,335.00 ", N/A ,"$33,000.00 ","$18,513.00 ", N/A ,"$8,646.00 ","$33,000.00 ", N/A , N/A , N/A ,"$26,400.00 ","$16,335.00 ","$9,240.00 ","$29,700.00 ","$16,368.00 ","$11,550.00 ", N/A ,"$15,840.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ADAPTER HEAD OSS HIP FEMUR SEGMENT STACK,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL BIOMET 63MM,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL OSS MODULAR BIOMET 75MM,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL OSS MODULAR BIOMET 71MM,278,1 ,"$10,500.00 ","$7,560.00 ","$2,751.00 ","$10,500.00 ", N/A ,"$5,565.00 ","$5,775.00 ", N/A ,"$2,940.00 ","$5,491.50 ", N/A ,"$5,775.00 ", N/A ,"$5,197.50 ", N/A , N/A ,"$5,197.50 ", N/A ,"$5,250.00 ","$6,562.50 ","$8,400.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$6,300.00 ", N/A ,"$7,875.00 ","$5,796.00 ","$5,229.00 ","$5,796.00 ", N/A ,"$5,796.00 ","$5,565.00 ","$10,500.00 ","$5,565.00 ","$8,925.00 ", N/A ,"$5,197.50 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$2,751.00 ","$10,500.00 ", N/A , N/A , N/A ,"$8,400.00 ","$5,197.50 ","$2,940.00 ","$9,450.00 ","$5,208.00 ","$3,675.00 ", N/A ,"$5,040.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIB OSS LNG KN NMOD 63MM,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 42MM HIP MULTIHOLE OSSEOTI G7 A,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 46MM HIP MULTIHOLE OSSEOTI G7 B,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 50MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 D HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 52MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 E HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 54MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 F HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 56MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 F HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 58MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 G HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 60MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 G HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 62MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 H HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 64MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 H HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 66MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 I HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 68MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 I HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR 70MM HIP MULTIHOLE COLOR CODED OSSEOTI G7 I HEMISPHERE OFFSET STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR G7 48MM,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL OSS BIOMET 6/7MM,278,1 ,"$9,900.00 ","$7,128.00 ","$2,593.80 ","$9,900.00 ", N/A ,"$5,247.00 ","$5,445.00 ", N/A ,"$2,772.00 ","$5,177.70 ", N/A ,"$5,445.00 ", N/A ,"$4,900.50 ", N/A , N/A ,"$4,900.50 ", N/A ,"$4,950.00 ","$6,187.50 ","$7,920.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$5,940.00 ", N/A ,"$7,425.00 ","$5,464.80 ","$4,930.20 ","$5,464.80 ", N/A ,"$5,464.80 ","$5,247.00 ","$9,900.00 ","$5,247.00 ","$8,415.00 ", N/A ,"$4,900.50 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$2,593.80 ","$9,900.00 ", N/A , N/A , N/A ,"$7,920.00 ","$4,900.50 ","$2,772.00 ","$8,910.00 ","$4,910.40 ","$3,465.00 ", N/A ,"$4,752.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL PERSONA 5D G KNEE RIGHT CEMENT STEM TIVANIUM,278,1 ,"$3,417.00 ","$2,460.24 ",$895.25 ,"$3,417.00 ", N/A ,"$1,811.01 ","$1,879.35 ", N/A ,$956.76 ,"$1,787.09 ", N/A ,"$1,879.35 ", N/A ,"$1,691.42 ", N/A , N/A ,"$1,691.42 ", N/A ,"$1,708.50 ","$2,135.63 ","$2,733.60 ", N/A , N/A ,"$2,391.90 ", N/A ,"$2,050.20 ", N/A ,"$2,562.75 ","$1,886.18 ","$1,701.67 ","$1,886.18 ", N/A ,"$1,886.18 ","$1,811.01 ","$3,417.00 ","$1,811.01 ","$2,904.45 ", N/A ,"$1,691.42 ", N/A ,"$3,417.00 ","$1,916.94 ", N/A ,$895.25 ,"$3,417.00 ", N/A , N/A , N/A ,"$2,733.60 ","$1,691.42 ",$956.76 ,"$3,075.30 ","$1,694.83 ","$1,195.95 ", N/A ,"$1,640.16 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CEMENTRALIZER DEPUY 12.0MM,278,1 ,$192.00 ,$138.24 ,$50.30 ,$192.00 , N/A , N/A ,$105.60 , N/A ,$53.76 ,$100.42 , N/A ,$105.60 , N/A ,$95.04 , N/A , N/A ,$95.04 , N/A ,$96.00 ,$120.00 ,$153.60 , N/A , N/A ,$134.40 , N/A ,$115.20 , N/A ,$144.00 ,$105.98 ,$95.62 ,$105.98 , N/A ,$105.98 ,$101.76 ,$192.00 ,$101.76 ,$163.20 , N/A ,$95.04 , N/A ,$192.00 ,$107.71 , N/A ,$50.30 ,$192.00 , N/A , N/A , N/A ,$153.60 ,$95.04 ,$53.76 ,$172.80 ,$95.23 , N/A , N/A ,$92.16 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CNTRLZR STM 11MM HIP DIST PMMA PSTNR STRL,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CNTRLZR STM 9MM HIP DIST PMMA PSTNR STRL,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CENTRALIZER ZIMMER VERSYS DISTAL 10MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CENTRALIZER ZIMMER VERSYS DISTAL 12MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CENTRALIZER ZIMMER VERSYS DISTAL 14MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CENTRALIZER ZIMMER VERSYS DISTAL 15MM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMP RVS CNTRL 6.5,278,1 ,$180.00 ,$129.60 ,$47.16 ,$180.00 , N/A , N/A ,$99.00 , N/A ,$50.40 ,$94.14 , N/A ,$99.00 , N/A ,$89.10 , N/A , N/A ,$89.10 , N/A ,$90.00 ,$112.50 ,$144.00 , N/A , N/A ,$126.00 , N/A ,$108.00 , N/A ,$135.00 ,$99.36 ,$89.64 ,$99.36 , N/A ,$99.36 ,$95.40 ,$180.00 ,$95.40 ,$153.00 , N/A ,$89.10 , N/A ,$180.00 ,$100.98 , N/A ,$47.16 ,$180.00 , N/A , N/A , N/A ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$89.28 , N/A , N/A ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMP RVSR SHOULDER,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 140MM 10MM COLR CMNTLS LOPRO NK VRT GRV CRL ART/EZE,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 145MM 11MM COLR CMNTLS LOPRO NK VRT GRV CRL ART/EZE,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 150MM 12MM COLR CMNTLS LOPRO NK VRT GRV CRL ART/EZE,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 155MM 13MM COLR CMNTLS LOPRO NK VRT GRV CRL ART/EZE,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 165MM 15MM COLR CMNTLS LOPRO NK VRT GRV CRL ART/EZE,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL DEPUY CORAIL,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL DEPUY CORAIL 160MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER STD SZ 5,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 7.5,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 11,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 12.5,278,1 ,"$7,500.00 ","$5,400.00 ","$1,965.00 ","$7,500.00 ", N/A ,"$3,975.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ", N/A , N/A ,"$3,712.50 ", N/A ,"$3,750.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$3,975.00 ","$7,500.00 ","$3,975.00 ","$6,375.00 ", N/A ,"$3,712.50 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$3,720.00 ","$2,625.00 ", N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT ADAPTER NECK LENGTH ZIMMER 8MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER BIPOLAR HIP 22 ID 42/43MM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT ADAPTER NECK LENGTH ZIMMER,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 3CM KN RT RSRFC RDC  OSS,278,1 ,"$18,000.00 ","$12,960.00 ","$4,716.00 ","$18,000.00 ", N/A ,"$9,540.00 ","$9,900.00 ", N/A ,"$5,040.00 ","$9,414.00 ", N/A ,"$9,900.00 ", N/A ,"$8,910.00 ", N/A , N/A ,"$8,910.00 ", N/A ,"$9,000.00 ","$11,250.00 ","$14,400.00 ", N/A , N/A ,"$12,600.00 ", N/A ,"$10,800.00 ", N/A ,"$13,500.00 ","$9,936.00 ","$8,964.00 ","$9,936.00 ", N/A ,"$9,936.00 ","$9,540.00 ","$18,000.00 ","$9,540.00 ","$15,300.00 ", N/A ,"$8,910.00 ", N/A ,"$18,000.00 ","$10,098.00 ", N/A ,"$4,716.00 ","$18,000.00 ", N/A , N/A , N/A ,"$14,400.00 ","$8,910.00 ","$5,040.00 ","$16,200.00 ","$8,928.00 ","$6,300.00 ", N/A ,"$8,640.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 65MM KN LT CSTM SCR VNGRD TI,278,1 ,"$25,500.00 ","$18,360.00 ","$6,681.00 ","$25,500.00 ", N/A ,"$13,515.00 ","$14,025.00 ", N/A ,"$7,140.00 ","$13,336.50 ", N/A ,"$14,025.00 ", N/A ,"$12,622.50 ", N/A , N/A ,"$12,622.50 ", N/A ,"$12,750.00 ","$15,937.50 ","$20,400.00 ", N/A , N/A ,"$17,850.00 ", N/A ,"$15,300.00 ", N/A ,"$19,125.00 ","$14,076.00 ","$12,699.00 ","$14,076.00 ", N/A ,"$14,076.00 ","$13,515.00 ","$25,500.00 ","$13,515.00 ","$21,675.00 ", N/A ,"$12,622.50 ", N/A ,"$25,500.00 ","$14,305.50 ", N/A ,"$6,681.00 ","$25,500.00 ", N/A , N/A , N/A ,"$20,400.00 ","$12,622.50 ","$7,140.00 ","$22,950.00 ","$12,648.00 ","$8,925.00 ", N/A ,"$12,240.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 67.5MM KN LT VNGRD 360 POR REV SYS,278,1 ,"$3,020.55 ","$2,174.80 ",$791.38 ,"$3,020.55 ", N/A ,"$1,600.89 ","$1,661.30 ", N/A ,$845.75 ,"$1,579.75 ", N/A ,"$1,661.30 ", N/A ,"$1,495.17 ", N/A , N/A ,"$1,495.17 ", N/A ,"$1,510.28 ","$1,887.84 ","$2,416.44 ", N/A , N/A ,"$2,114.39 ", N/A ,"$1,812.33 ", N/A ,"$2,265.41 ","$1,667.34 ","$1,504.23 ","$1,667.34 ", N/A ,"$1,667.34 ","$1,600.89 ","$3,020.55 ","$1,600.89 ","$2,567.47 ", N/A ,"$1,495.17 ", N/A ,"$3,020.55 ","$1,694.53 ", N/A ,$791.38 ,"$3,020.55 ", N/A , N/A , N/A ,"$2,416.44 ","$1,495.17 ",$845.75 ,"$2,718.50 ","$1,498.19 ","$1,057.19 ", N/A ,"$1,449.86 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,AUGMENT TIB 63MMX10MM VNGRD 360 UNV KN REV SYS,278,1 ,"$3,020.55 ","$2,174.80 ",$791.38 ,"$3,020.55 ", N/A ,"$1,600.89 ","$1,661.30 ", N/A ,$845.75 ,"$1,579.75 ", N/A ,"$1,661.30 ", N/A ,"$1,495.17 ", N/A , N/A ,"$1,495.17 ", N/A ,"$1,510.28 ","$1,887.84 ","$2,416.44 ", N/A , N/A ,"$2,114.39 ", N/A ,"$1,812.33 ", N/A ,"$2,265.41 ","$1,667.34 ","$1,504.23 ","$1,667.34 ", N/A ,"$1,667.34 ","$1,600.89 ","$3,020.55 ","$1,600.89 ","$2,567.47 ", N/A ,"$1,495.17 ", N/A ,"$3,020.55 ","$1,694.53 ", N/A ,$791.38 ,"$3,020.55 ", N/A , N/A , N/A ,"$2,416.44 ","$1,495.17 ",$845.75 ,"$2,718.50 ","$1,498.19 ","$1,057.19 ", N/A ,"$1,449.86 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,AUGMENT TIB 67MMX15MM VNGRD 360 KN LT MDL RL REV SYS,278,1 ,"$3,020.55 ","$2,174.80 ",$791.38 ,"$3,020.55 ", N/A ,"$1,600.89 ","$1,661.30 ", N/A ,$845.75 ,"$1,579.75 ", N/A ,"$1,661.30 ", N/A ,"$1,495.17 ", N/A , N/A ,"$1,495.17 ", N/A ,"$1,510.28 ","$1,887.84 ","$2,416.44 ", N/A , N/A ,"$2,114.39 ", N/A ,"$1,812.33 ", N/A ,"$2,265.41 ","$1,667.34 ","$1,504.23 ","$1,667.34 ", N/A ,"$1,667.34 ","$1,600.89 ","$3,020.55 ","$1,600.89 ","$2,567.47 ", N/A ,"$1,495.17 ", N/A ,"$3,020.55 ","$1,694.53 ", N/A ,$791.38 ,"$3,020.55 ", N/A , N/A , N/A ,"$2,416.44 ","$1,495.17 ",$845.75 ,"$2,718.50 ","$1,498.19 ","$1,057.19 ", N/A ,"$1,449.86 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 67.5MMX10MM KN FEM LT MDL RL REV SYS,278,1 ,"$3,020.55 ","$2,174.80 ",$791.38 ,"$3,020.55 ", N/A ,"$1,600.89 ","$1,661.30 ", N/A ,$845.75 ,"$1,579.75 ", N/A ,"$1,661.30 ", N/A ,"$1,495.17 ", N/A , N/A ,"$1,495.17 ", N/A ,"$1,510.28 ","$1,887.84 ","$2,416.44 ", N/A , N/A ,"$2,114.39 ", N/A ,"$1,812.33 ", N/A ,"$2,265.41 ","$1,667.34 ","$1,504.23 ","$1,667.34 ", N/A ,"$1,667.34 ","$1,600.89 ","$3,020.55 ","$1,600.89 ","$2,567.47 ", N/A ,"$1,495.17 ", N/A ,"$3,020.55 ","$1,694.53 ", N/A ,$791.38 ,"$3,020.55 ", N/A , N/A , N/A ,"$2,416.44 ","$1,495.17 ",$845.75 ,"$2,718.50 ","$1,498.19 ","$1,057.19 ", N/A ,"$1,449.86 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM LG ELLIPSE 3CM KN DPHSL SEG OSS,278,1 ,"$16,500.00 ","$11,880.00 ","$4,323.00 ","$16,500.00 ", N/A ,"$8,745.00 ","$9,075.00 ", N/A ,"$4,620.00 ","$8,629.50 ", N/A ,"$9,075.00 ", N/A ,"$8,167.50 ", N/A , N/A ,"$8,167.50 ", N/A ,"$8,250.00 ","$10,312.50 ","$13,200.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$9,900.00 ", N/A ,"$12,375.00 ","$9,108.00 ","$8,217.00 ","$9,108.00 ", N/A ,"$9,108.00 ","$8,745.00 ","$16,500.00 ","$8,745.00 ","$14,025.00 ", N/A ,"$8,167.50 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$4,323.00 ","$16,500.00 ", N/A , N/A , N/A ,"$13,200.00 ","$8,167.50 ","$4,620.00 ","$14,850.00 ","$8,184.00 ","$5,775.00 ", N/A ,"$7,920.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 5CM KNEE RIGHT RESURFACE POROUS,278,1 ,"$22,500.00 ","$16,200.00 ","$5,895.00 ","$22,500.00 ", N/A ,"$11,925.00 ","$12,375.00 ", N/A ,"$6,300.00 ","$11,767.50 ", N/A ,"$12,375.00 ", N/A ,"$11,137.50 ", N/A , N/A ,"$11,137.50 ", N/A ,"$11,250.00 ","$14,062.50 ","$18,000.00 ", N/A , N/A ,"$15,750.00 ", N/A ,"$13,500.00 ", N/A ,"$16,875.00 ","$12,420.00 ","$11,205.00 ","$12,420.00 ", N/A ,"$12,420.00 ","$11,925.00 ","$22,500.00 ","$11,925.00 ","$19,125.00 ", N/A ,"$11,137.50 ", N/A ,"$22,500.00 ","$12,622.50 ", N/A ,"$5,895.00 ","$22,500.00 ", N/A , N/A , N/A ,"$18,000.00 ","$11,137.50 ","$6,300.00 ","$20,250.00 ","$11,160.00 ","$7,875.00 ", N/A ,"$10,800.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMP PRIMARY STEM,278,1 ,"$22,500.00 ","$16,200.00 ","$5,895.00 ","$22,500.00 ", N/A ,"$11,925.00 ","$12,375.00 ", N/A ,"$6,300.00 ","$11,767.50 ", N/A ,"$12,375.00 ", N/A ,"$11,137.50 ", N/A , N/A ,"$11,137.50 ", N/A ,"$11,250.00 ","$14,062.50 ","$18,000.00 ", N/A , N/A ,"$15,750.00 ", N/A ,"$13,500.00 ", N/A ,"$16,875.00 ","$12,420.00 ","$11,205.00 ","$12,420.00 ", N/A ,"$12,420.00 ","$11,925.00 ","$22,500.00 ","$11,925.00 ","$19,125.00 ", N/A ,"$11,137.50 ", N/A ,"$22,500.00 ","$12,622.50 ", N/A ,"$5,895.00 ","$22,500.00 ", N/A , N/A , N/A ,"$18,000.00 ","$11,137.50 ","$6,300.00 ","$20,250.00 ","$11,160.00 ","$7,875.00 ", N/A ,"$10,800.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMP PRIMARY STEM MICRO,278,1 ,"$22,500.00 ","$16,200.00 ","$5,895.00 ","$22,500.00 ", N/A ,"$11,925.00 ","$12,375.00 ", N/A ,"$6,300.00 ","$11,767.50 ", N/A ,"$12,375.00 ", N/A ,"$11,137.50 ", N/A , N/A ,"$11,137.50 ", N/A ,"$11,250.00 ","$14,062.50 ","$18,000.00 ", N/A , N/A ,"$15,750.00 ", N/A ,"$13,500.00 ", N/A ,"$16,875.00 ","$12,420.00 ","$11,205.00 ","$12,420.00 ", N/A ,"$12,420.00 ","$11,925.00 ","$22,500.00 ","$11,925.00 ","$19,125.00 ", N/A ,"$11,137.50 ", N/A ,"$22,500.00 ","$12,622.50 ", N/A ,"$5,895.00 ","$22,500.00 ", N/A , N/A , N/A ,"$18,000.00 ","$11,137.50 ","$6,300.00 ","$20,250.00 ","$11,160.00 ","$7,875.00 ", N/A ,"$10,800.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 7 66X44MM KNEE LEFT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,278,1 ,"$13,500.00 ","$9,720.00 ","$3,537.00 ","$13,500.00 ", N/A ,"$7,155.00 ","$7,425.00 ", N/A ,"$3,780.00 ","$7,060.50 ", N/A ,"$7,425.00 ", N/A ,"$6,682.50 ", N/A , N/A ,"$6,682.50 ", N/A ,"$6,750.00 ","$8,437.50 ","$10,800.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$8,100.00 ", N/A ,"$10,125.00 ","$7,452.00 ","$6,723.00 ","$7,452.00 ", N/A ,"$7,452.00 ","$7,155.00 ","$13,500.00 ","$7,155.00 ","$11,475.00 ", N/A ,"$6,682.50 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$3,537.00 ","$13,500.00 ", N/A , N/A , N/A ,"$10,800.00 ","$6,682.50 ","$3,780.00 ","$12,150.00 ","$6,696.00 ","$4,725.00 ", N/A ,"$6,480.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 7CM KNEE RIGHT SEGMENT OSS POROUS,278,1 ,"$24,000.00 ","$17,280.00 ","$6,288.00 ","$24,000.00 ", N/A ,"$12,720.00 ","$13,200.00 ", N/A ,"$6,720.00 ","$12,552.00 ", N/A ,"$13,200.00 ", N/A ,"$11,880.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$12,000.00 ","$15,000.00 ","$19,200.00 ", N/A , N/A ,"$16,800.00 ", N/A ,"$14,400.00 ", N/A ,"$18,000.00 ","$13,248.00 ","$11,952.00 ","$13,248.00 ", N/A ,"$13,248.00 ","$12,720.00 ","$24,000.00 ","$12,720.00 ","$20,400.00 ", N/A ,"$11,880.00 ", N/A ,"$24,000.00 ","$13,464.00 ", N/A ,"$6,288.00 ","$24,000.00 ", N/A , N/A , N/A ,"$19,200.00 ","$11,880.00 ","$6,720.00 ","$21,600.00 ","$11,904.00 ","$8,400.00 ", N/A ,"$11,520.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL SMITH  AND  NEPHEW SIZE 5 LEFT,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM 9MM,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM MINI BIOMET 8MM X 83MM,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM ELLIPSE 7CM KN LT SEG RDC  OSS,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 7CM KNEE LEFT PROXIMAL MODULAR OSS FINN,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL CONSTRAINED LEGION OXINUM SMITH  AND  NEPHEW SIZE 7 LEFT,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL CONSTRAINED LEGION SMITH  AND  NEPHEW SIZE 6 LEFT,278,1 ,"$21,000.00 ","$15,120.00 ","$5,502.00 ","$21,000.00 ", N/A ,"$11,130.00 ","$11,550.00 ", N/A ,"$5,880.00 ","$10,983.00 ", N/A ,"$11,550.00 ", N/A ,"$10,395.00 ", N/A , N/A ,"$10,395.00 ", N/A ,"$10,500.00 ","$13,125.00 ","$16,800.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$12,600.00 ", N/A ,"$15,750.00 ","$11,592.00 ","$10,458.00 ","$11,592.00 ", N/A ,"$11,592.00 ","$11,130.00 ","$21,000.00 ","$11,130.00 ","$17,850.00 ", N/A ,"$10,395.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$5,502.00 ","$21,000.00 ", N/A , N/A , N/A ,"$16,800.00 ","$10,395.00 ","$5,880.00 ","$18,900.00 ","$10,416.00 ","$7,350.00 ", N/A ,"$10,080.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR THIN 7.8MM 34MM 3 PEG WIRE VANGUARD KNEE STERILE SERIES A,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PATELLA ZIMMER NEXGEN PROLONG 29MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PATELLA ZIMMER NEXGEN PROLONG 32MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PATELLA ZIMMER PERSONA ALL POLY 38MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER BIPOLAR 47MM OD,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR 35MM PERSONA ALL POLY KNEE STERILE LATEX FREE,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR STANDARD 10MM 40MM 3 PEG WIRE VANGUARD KNEE STERILE SERIES A,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT SEG 3CM OSS TPR KN DIAPHYSIS,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 62.5MM KN LT VNGRD 360 POR REV SYS,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 65MM KN LT VNGRD 360 POR REV SYS,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 67.5MM KN RT VNGRD 360 POR REV SYS,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 70MM KN RT VNGRD 360 POR REV SYS,278,1 ,"$18,750.00 ","$13,500.00 ","$4,912.50 ","$18,750.00 ", N/A ,"$9,937.50 ","$10,312.50 ", N/A ,"$5,250.00 ","$9,806.25 ", N/A ,"$10,312.50 ", N/A ,"$9,281.25 ", N/A , N/A ,"$9,281.25 ", N/A ,"$9,375.00 ","$11,718.75 ","$15,000.00 ", N/A , N/A ,"$13,125.00 ", N/A ,"$11,250.00 ", N/A ,"$14,062.50 ","$10,350.00 ","$9,337.50 ","$10,350.00 ", N/A ,"$10,350.00 ","$9,937.50 ","$18,750.00 ","$9,937.50 ","$15,937.50 ", N/A ,"$9,281.25 ", N/A ,"$18,750.00 ","$10,518.75 ", N/A ,"$4,912.50 ","$18,750.00 ", N/A , N/A , N/A ,"$15,000.00 ","$9,281.25 ","$5,250.00 ","$16,875.00 ","$9,300.00 ","$6,562.50 ", N/A ,"$9,000.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL POSTERIOR STABILIZED NARROW SIZE 6N RIGHT ATTUNE DEPUY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 225MM 15MM CMNT OSS HIP IM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL BIOMET W/SCREW 15.5MM X 152MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM IM OSS INTERLOK BOWED BIOMET 13MM X 225MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIBIAL OSS POROUS COATED STRAIGHT BIOMET 14.5MM X 150MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 10 KN RT CMNT POST STAB ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 3 KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 3 NAR KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 4 KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 5 KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 6 KN LT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 6 NAR KN LT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 7 KN LT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 7 KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 8 KN LT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 8 KN RT POST STAB CMNT ATTUNE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 5 KNEE LEFT POSTERIOR STABILIZE CEMENT ATTUNE STERILE LATEX FREE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL POSTERIOR STABILIZED NARROW SIZE 4 LEFT ATTUNE DEPUY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL POSTERIOR STABILIZED NARROW SIZE 4N RIGHT ATTUNE DEPUY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL POSTERIOR STABILIZED NARROW SIZE 5N LEFT ATTUNE DEPUY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,493.40 ","$5,700.00 ", N/A ,"$3,021.00 ","$3,135.00 ", N/A ,"$1,596.00 ","$2,981.10 ", N/A ,"$3,135.00 ", N/A ,"$2,821.50 ", N/A , N/A ,"$2,821.50 ", N/A ,"$2,850.00 ","$3,562.50 ","$4,560.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$3,420.00 ", N/A ,"$4,275.00 ","$3,146.40 ","$2,838.60 ","$3,146.40 ", N/A ,"$3,146.40 ","$3,021.00 ","$5,700.00 ","$3,021.00 ","$4,845.00 ", N/A ,"$2,821.50 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$1,493.40 ","$5,700.00 ", N/A , N/A , N/A ,"$4,560.00 ","$2,821.50 ","$1,596.00 ","$5,130.00 ","$2,827.20 ","$1,995.00 ", N/A ,"$2,736.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 10 RIGHT,278,1 ,"$6,000.00 ","$4,320.00 ","$1,572.00 ","$6,000.00 ", N/A ,"$3,180.00 ","$3,300.00 ", N/A ,"$1,680.00 ","$3,138.00 ", N/A ,"$3,300.00 ", N/A ,"$2,970.00 ", N/A , N/A ,"$2,970.00 ", N/A ,"$3,000.00 ","$3,750.00 ","$4,800.00 ", N/A , N/A ,"$4,200.00 ", N/A ,"$3,600.00 ", N/A ,"$4,500.00 ","$3,312.00 ","$2,988.00 ","$3,312.00 ", N/A ,"$3,312.00 ","$3,180.00 ","$6,000.00 ","$3,180.00 ","$5,100.00 ", N/A ,"$2,970.00 ", N/A ,"$6,000.00 ","$3,366.00 ", N/A ,"$1,572.00 ","$6,000.00 ", N/A , N/A , N/A ,"$4,800.00 ","$2,970.00 ","$1,680.00 ","$5,400.00 ","$2,976.00 ","$2,100.00 ", N/A ,"$2,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACTB 62MM HIP MLHL MOD TI POR RGNRX RNGLC+ 25,278,1 ,"$6,000.00 ","$4,320.00 ","$1,572.00 ","$6,000.00 ", N/A ,"$3,180.00 ","$3,300.00 ", N/A ,"$1,680.00 ","$3,138.00 ", N/A ,"$3,300.00 ", N/A ,"$2,970.00 ", N/A , N/A ,"$2,970.00 ", N/A ,"$3,000.00 ","$3,750.00 ","$4,800.00 ", N/A , N/A ,"$4,200.00 ", N/A ,"$3,600.00 ", N/A ,"$4,500.00 ","$3,312.00 ","$2,988.00 ","$3,312.00 ", N/A ,"$3,312.00 ","$3,180.00 ","$6,000.00 ","$3,180.00 ","$5,100.00 ", N/A ,"$2,970.00 ", N/A ,"$6,000.00 ","$3,366.00 ", N/A ,"$1,572.00 ","$6,000.00 ", N/A , N/A , N/A ,"$4,800.00 ","$2,970.00 ","$1,680.00 ","$5,400.00 ","$2,976.00 ","$2,100.00 ", N/A ,"$2,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT ACTB 60MM RGNRX RNGLC 25 HIP MLHL,278,1 ,"$6,000.00 ","$4,320.00 ","$1,572.00 ","$6,000.00 ", N/A ,"$3,180.00 ","$3,300.00 ", N/A ,"$1,680.00 ","$3,138.00 ", N/A ,"$3,300.00 ", N/A ,"$2,970.00 ", N/A , N/A ,"$2,970.00 ", N/A ,"$3,000.00 ","$3,750.00 ","$4,800.00 ", N/A , N/A ,"$4,200.00 ", N/A ,"$3,600.00 ", N/A ,"$4,500.00 ","$3,312.00 ","$2,988.00 ","$3,312.00 ", N/A ,"$3,312.00 ","$3,180.00 ","$6,000.00 ","$3,180.00 ","$5,100.00 ", N/A ,"$2,970.00 ", N/A ,"$6,000.00 ","$3,366.00 ", N/A ,"$1,572.00 ","$6,000.00 ", N/A , N/A , N/A ,"$4,800.00 ","$2,970.00 ","$1,680.00 ","$5,400.00 ","$2,976.00 ","$2,100.00 ", N/A ,"$2,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEM 5CM KN RT RSRFC RDC  OSS,278,1 ,"$6,000.00 ","$4,320.00 ","$1,572.00 ","$6,000.00 ", N/A ,"$3,180.00 ","$3,300.00 ", N/A ,"$1,680.00 ","$3,138.00 ", N/A ,"$3,300.00 ", N/A ,"$2,970.00 ", N/A , N/A ,"$2,970.00 ", N/A ,"$3,000.00 ","$3,750.00 ","$4,800.00 ", N/A , N/A ,"$4,200.00 ", N/A ,"$3,600.00 ", N/A ,"$4,500.00 ","$3,312.00 ","$2,988.00 ","$3,312.00 ", N/A ,"$3,312.00 ","$3,180.00 ","$6,000.00 ","$3,180.00 ","$5,100.00 ", N/A ,"$2,970.00 ", N/A ,"$6,000.00 ","$3,366.00 ", N/A ,"$1,572.00 ","$6,000.00 ", N/A , N/A , N/A ,"$4,800.00 ","$2,970.00 ","$1,680.00 ","$5,400.00 ","$2,976.00 ","$2,100.00 ", N/A ,"$2,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 7 RIGHT,278,1 ,"$6,000.00 ","$4,320.00 ","$1,572.00 ","$6,000.00 ", N/A ,"$3,180.00 ","$3,300.00 ", N/A ,"$1,680.00 ","$3,138.00 ", N/A ,"$3,300.00 ", N/A ,"$2,970.00 ", N/A , N/A ,"$2,970.00 ", N/A ,"$3,000.00 ","$3,750.00 ","$4,800.00 ", N/A , N/A ,"$4,200.00 ", N/A ,"$3,600.00 ", N/A ,"$4,500.00 ","$3,312.00 ","$2,988.00 ","$3,312.00 ", N/A ,"$3,312.00 ","$3,180.00 ","$6,000.00 ","$3,180.00 ","$5,100.00 ", N/A ,"$2,970.00 ", N/A ,"$6,000.00 ","$3,366.00 ", N/A ,"$1,572.00 ","$6,000.00 ", N/A , N/A , N/A ,"$4,800.00 ","$2,970.00 ","$1,680.00 ","$5,400.00 ","$2,976.00 ","$2,100.00 ", N/A ,"$2,880.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 41 X 28,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR 11MM 39MM SYMMETRIC TRIATHLON X3 KNEE STERILE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR 29MM PERSONA VIVACIT-E ALL POLY KNEE STERILE LATEX FREE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR 32MM PERSONA VIVACIT-E ALL POLY KNEE STERILE LATEX FREE,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PTLR 10MM 41MM VIVACIT-E ALPLY KN,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PTLR 38MM MEDIALIZE DOME ATTUNE KN,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP ACETABULAR RING LOC BIOMET 28MMX 54MM,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,DOME PTLR 29MM ATTUNE KN MDL,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 50 X 28,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 46 X 28,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 47 X 28,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ZIMMER HUM SHLDR TM REV,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR ZIMMER SHOULDER HUM +3 STD 7D 36MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER SHOULDER H+0MM 40MM 7D STANDARD HUMERUS POLYETHYLENE REVERSE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER SHLDR HUM +0 OFST STD 7D 36MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER SHLDR HUM +3 STD 7D 40MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER SHLDR HUM +6 OFST STD  7D 36MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PLATE ZIMMER FEM 10 HOLE 210MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR ZIMMER UNI KNEE SIZE 2 8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER AC 5-6/GREEN 17MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD PS 12MM X 71MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PTLR 38MM PERSONA ALPLY KN LF,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD BIPOLAR DEPUY 28MM X 42MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL -6MM OFFSET 36MM HIP MODULAR TYPE 1 CONSTRAIN COCR FREEDOM STERILE LATEX FREE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACTB 58MM HIP LMT HL TI POR RGNRX RNGLC+ 24,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 48MM GG,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 50MM HH,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 52MM II,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 54MM JJ,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 56MM KK,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 58MM LL,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 60MM MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 62MM NN,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 64MM OO,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM CH 66MM PP,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM MH 50MM HH,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ZIMMER CONTINUUM TM MH 62MM NN,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL DEPUY SUMMIT CEMENTED STEM SZ 5 STD,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL DEPUY SUMMIT CEMENTED STEM SZ 8 STD,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL DEPUY SUMMIT CEMENTED SZ 3 HI,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM LEGION PRESSFIT SMITH  AND  NEPHEW STRAIGHT 12MM X 160MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM LEGION PRESSFIT SMITH  AND  NEPHEW STRAIGHT 14 X 160MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM LEGION PRESSFIT SMITH  AND  NEPHEW STRAIGHT 15MM X 160MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 120MM 12IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 120MM 13IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 120MM 17IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 80MM 12MM VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 80MM 15MM VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 115 X 14MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEMUR EXT OFFSET 11 X 145MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEMUR EXT OFFSET 13 X 145MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMUR ZIMMER NEXGEN LPS SIZE E-RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD STRYKER FEMORAL V40 COCR LFIT 28MM/+12,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PTLR 32MM MEDIALIZE DOME ATTUNE,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,DOME ATTUNE PATELLA MEDIALIZED CEMENTED 35MM AOX,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,DOME PTLR 41MM ATTUNE KN MDL,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD ZIMMER FEMORAL UNIPOLAR 46MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 32MM +5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 32MM +9,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +1.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +8.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ASPHERE 36MM -2,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ASPHERE 40MM +1.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL S-ROM 36MM -3,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL DEPUY 32MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER CERAMIC 28M 10.5 MEDIUM+,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 32MM +0,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 32MM +3.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 32MM +7,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 36MM +0,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 36MM +10.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 36MM +3.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 36MM +7,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 36MM -3.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD UNIPLR 43MM E-2 HIP ACTB COCRMO MOD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD UNIPLR 44MM E-2 HIP ACTB COCRMO MOD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD UNIPLR 46MM E-2 HIP ACTB COCRMO MOD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD UNIPLR 48MM E-2 HIP ACTB COCRMO MOD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD UNIPLR 55MM E-2 HIP ACTB COCRMO MOD,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT MODULAR HEAD BIOMET 28MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PTLR THN 31MM 3 PEG KN SER A,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 43MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 44MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 45MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 47MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 48MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 50MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 51MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 52MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 53MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 54MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 55MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 56MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT UNIPOLAR ZIMMER 57MM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL HEAD ZIMMER 32MM 6 DEGREE OLD MED,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +1.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +15.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +8.5,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 32MM +1,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT HUMERAL BEARING BIOMET,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD RADIAL EVOLVE WRIGHT MEDICAL 20MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN ASF CPS 12MM VEL 6-PEF,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM EXTENSION ZIMMER PERSONA FLUTED 10 X 130MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL 153MM CEMENT AVENIR PROTASUL-S30 5 40.91MM STANDARD OFFSET HIP,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL BIOMET W/SCREW STRAIGHT 11.5MM X 152MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 150MM 11MM OSS PROX CMNT,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER STD SZ 4,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER STD SZ 6,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 11 X 120 36MM STD,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 12 X 125 39MM STD,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 13 X 130 39MM STD,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 14 X 135 42MM STD,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 15 X 140 42MM STD V-LIGN,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS ADV CEM 16 X 145 45MM STD,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING 67MMX12MM VNGRD E1 KN ANT STAB TIB,278,1 ,"$5,100.00 ","$3,672.00 ","$1,336.20 ","$5,100.00 ", N/A ,"$2,703.00 ","$2,805.00 ", N/A ,"$1,428.00 ","$2,667.30 ", N/A ,"$2,805.00 ", N/A ,"$2,524.50 ", N/A , N/A ,"$2,524.50 ", N/A ,"$2,550.00 ","$3,187.50 ","$4,080.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$3,060.00 ", N/A ,"$3,825.00 ","$2,815.20 ","$2,539.80 ","$2,815.20 ", N/A ,"$2,815.20 ","$2,703.00 ","$5,100.00 ","$2,703.00 ","$4,335.00 ", N/A ,"$2,524.50 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$1,336.20 ","$5,100.00 ", N/A , N/A , N/A ,"$4,080.00 ","$2,524.50 ","$1,428.00 ","$4,590.00 ","$2,529.60 ","$1,785.00 ", N/A ,"$2,448.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT TOE 2 FLEX HP,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT CABLE ZIMMER CERCLAGE COCR 1.8MM X 635MM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT PATELLAR 32MM PERSONA ALL POLY KNEE STERILE LATEX FREE,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT TOE 3.0 X 13MM WRIGHT MEDICAL,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL LEGION REVISION SMITH  AND  NEPHEW SIZE 3 LEFT,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL SMITH  AND  NEPHEW LEGION SIZE 4 LEFT FEMALE,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL SMITH  AND  NEPHEW LEGION SIZE 5 LEFT FEMALE,278,1 ,"$8,700.00 ","$6,264.00 ","$2,279.40 ","$8,700.00 ", N/A ,"$4,611.00 ","$4,785.00 ", N/A ,"$2,436.00 ","$4,550.10 ", N/A ,"$4,785.00 ", N/A ,"$4,306.50 ", N/A , N/A ,"$4,306.50 ", N/A ,"$4,350.00 ","$5,437.50 ","$6,960.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$5,220.00 ", N/A ,"$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ", N/A ,"$4,802.40 ","$4,611.00 ","$8,700.00 ","$4,611.00 ","$7,395.00 ", N/A ,"$4,306.50 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$2,279.40 ","$8,700.00 ", N/A , N/A , N/A ,"$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$4,315.20 ","$3,045.00 ", N/A ,"$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT TOE 5 FLEX HP,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD LESS SCREW 2.5 X 22,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,IMPLANT TOE 4 FLEX HP,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 10MM PERSONA 10-12 GH KN RT VIVACIT-E MID LVL,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL DELTA 28MM +5,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL DELTA 28MM +8.5,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL DELTA 32MM +1,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTC 10MM 10-12 GH KN LT VIVACIT-E CONSTRAIN POST,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTC 10MM PERSONA 6-9 EF KN LT VIVACIT-E CONSTRAIN,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTC 12MM 10-12 GH KN LT VIVACIT-E CONSTRAIN POST,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 10MM X 63/67MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 10MM X 71/75MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 12MM X 63/67MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 12MM X 71/75MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 12MM X 79/83MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 14MM X 63/67MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 14MM X 71/75MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 16MM X 71/75MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 10 STANDARD KNEE LEFT POSTERIOR STABILIZE CEMENT PERSONA COCR STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 7 STANDARD KNEE RIGHT POSTERIOR STABILIZE CEMENT PERSONA COCR STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL 8 STANDARD KNEE RIGHT POSTERIOR STABILIZE CEMENT PERSONA COCR STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD PS OPEN BOX LEFT INTERLO65MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD PS OPEN BOX LEFT INTERLOK70MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD TM 65MM LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT FEMORAL ZIMMER LPS- FLEX SIZE G RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 11 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 6 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 6 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 7 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 8 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 8 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 9 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR NARROW SIZE 9 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 10 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 12 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 4 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 4 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 5 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 6 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 7 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 8 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA CR STANDARD SIZE 8 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA PS STANDARD SIZE 11 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA PS STANDARD SIZE 6 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA PS STANDARD SIZE 7 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA PS STANDARD SIZE 9 LEFT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMUR ZIMMER PERSONA PS STANDARD SIZE 9 RIGHT,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR ZIMMER KNEE REV 3-4 C-D 10MM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD DEPUY FEMORAL DELTA 36MM +1.5,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACTB FRDM 50 STD FACE 36MM ALPLY HIP CONSTRAIN,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL 107MM 4MM PRIMARY M/L TAPER TIVANIUM POROUS 12/14 35MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL 114MM 7.5MM PRIMARY M/L TAPER TIVANIUM POROUS 12/14 50MM EXTEND OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL 129MM 15MM PRIMARY M/L TAPER TIVANIUM POROUS 12/14 46MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL 132MM 16.25MM PRIMARY M/L TAPER TIVANIUM POROUS 12/14 52MM EXTEND OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL ZIMMER 12/14 NECK TAPER SIZE 13 STANDARD,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL ZIMMER 12/14 NECK TAPER SIZE 13 STANDARD BODY,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL ZIMMER 13MM 160MM FC POROUS,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL ZIMMER VERSYS SIZE 15 LM BODY,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL ZIMMER VERSYS SIZE 16 LM BODY,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM HIP ZIMMER VERSYS BEADED FULLCOAT SIZE 17,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 11,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 13.5,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 15,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 4,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM EXT M/L TAPER 9,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 10,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 13.5,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 6,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 7.5,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER FEM STD M/L TAPER 9,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL SHOULDER 12 X 110MM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER VERSYS FEM 11MM 160MM FC POROUS,278,1 ,"$6,900.00 ","$4,968.00 ","$1,807.80 ","$6,900.00 ", N/A ,"$3,657.00 ","$3,795.00 ", N/A ,"$1,932.00 ","$3,608.70 ", N/A ,"$3,795.00 ", N/A ,"$3,415.50 ", N/A , N/A ,"$3,415.50 ", N/A ,"$3,450.00 ","$4,312.50 ","$5,520.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$4,140.00 ", N/A ,"$5,175.00 ","$3,808.80 ","$3,436.20 ","$3,808.80 ", N/A ,"$3,808.80 ","$3,657.00 ","$6,900.00 ","$3,657.00 ","$5,865.00 ", N/A ,"$3,415.50 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$1,807.80 ","$6,900.00 ", N/A , N/A , N/A ,"$5,520.00 ","$3,415.50 ","$1,932.00 ","$6,210.00 ","$3,422.40 ","$2,415.00 ", N/A ,"$3,312.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 4 11MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL BIOLOX OPTION CERAMIC ZIMMER,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL BIOLOX OPTION ZIMMER,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL BIOLOX OPTION ZIMMER RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL OXINIUM SMITH  AND  NEPHEW 36MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD HUMERAL 18MM 46MM 42MM SHOULDER COMPREHENSIVE VERSA-DIAL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD HUMERAL ZIMMER OFFSETMOD 19MM X 40MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD HUMERAL ZIMMER OFFSETMOD 19MM X 52MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD HUMERAL ZIMMER OFFSETMOD 23MM X 52MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT DEPUY ROTATING PLATFORM TIBIALL SZ 3 10MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIBIAL 5 11MM KNEE X3 POSTERIOR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIBIAL 5 15MM KNEE X3 POSTERIOR STABILIZE SCORPIO-FLEX STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,JOINT TOE SWNSN 1 REG GRMT MTP,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,JOINT TOE SWNSN 4 GRT TOE SIL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,JOINT TOE SWNSN 5 SM GRMT MTP,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 NEUT 40 X 56,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PLATE ZIMMER TIBIAL STEMMED SIZE 6,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PLATE ZIMMER TIBIAL STEMMED SIZE 7,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PLATE ZIMMER TIBIALIAL NEXGEN PRECOAT PEG SZ 7,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SPHERE ZIMMER GLENOID SHLDR TM REV 36MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR 10MM PERSONA 6-9 C-D KNEE RIGHT VIVACIT-E POSTERIOR STABILIZE CONSTRAIN STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR 10MM PERSONA 6-9 E-F KNEE RIGHT TIBIA VIVACIT-E POSTERIOR STABILIZE FIX BEARING STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE C RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE D LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE E LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE E RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE F LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE F RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE G LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,AUGMENT FEMORAL AUGMENT VANGUARD BIOMET 5MM X 65MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,AUGMENT TIB 67MMX5MM VNGRD 360 UNV KN REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,AUGMENT W/BOLT FEMORAL BIOMET MAXIM RIGHT 10MM X 70MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL FIXED BEARING ATTUNE DEPUY,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL ROTATING PLATFORM ATTUNE SIZE 5 DEPUY,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE TIBIAL ROTATING PLATFORM BEARING ATTUNE SIZE 7 DEPUY,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASE ZIMMER PLATE TIBIAL SIZE 3,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIB ATTUNE 2 KN FX BRNG CMNT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIB ATTUNE 6 KN FX BRNG CMNT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIB ATTUNE 8 KN FX BRNG CMNT,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING 71MMX10MM VANGUARD E1 KNEE ANTERIOR STABILIZE TIBIAL,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL OSS BIOMET 12MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL OSS BIOMET 16MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BEARING TIBIAL OSS BIOMET14MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 62.5MMX5MM KN FEM LT MDL RL REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 67.5MMX10MM KN FEM RT MDL L/L REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 67.5MMX5MM KN FEM LT MDL RL REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 70MMX15MM KN FEM LT MDL RL REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 360 UNV 65MMX5MM KN FEM POST REV SYS,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 65MMX5MM KN FEM LT MDL RL INTLK TI,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMT VNGRD 65MMX5MM KN FEM RT MDL L/L INTLK TI,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT ZIMMER GLENOID 52MM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,FEMORAL HEAD ZIMMER BIOLOX DELTA 36MM -3.0,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,GLENOSPHERE COMPREHENSIVE BIOMET,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,YOKE OSS BIOMET,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT STRYKER TRIDENT 36MM 10 DEGREE F,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL +0MM UNIVERSAL TAPER 28MM HIP BIOLOX DELTA STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,HEAD FEMORAL +0MM UNIVERSAL TAPER 36MM HIP BIOLOX DELTA STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 6-9 C-D 14MM KN LT PST STB PE PERSONA,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 3-4 11MM KNEE POSTERIOR STABILIZE HIGH FLEXION XLPE LEGION,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR BIOMETG7 C 32MM ARCOMXL HIP HIGH WALL,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR SMITH  AND  NEPHEW 36MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 28 X 44,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 28 X 46,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 32 X 48,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 32 X 50,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 52,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 54,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 56,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 58,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 NEUT 32 X 50,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER CONTIN LONGEVITY NEUT II 32 X 52MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER CONTIN LONGEVITY NEUT KK 32 X 56MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER CONTIN LONGEVITY NEUT KK 36 X 56MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER CUP LONGEVITY 20 D ELEV 50 X 32MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER SHELL 10D 32 X 56MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER SHLDR HUM +6 STD 7D 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM C STRYKER HEMI HIP 5,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ADAPTER FEM VNGRD 360 5MM OFST KN REV SYS,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER LPS FLEX CD 1-2 10MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER LPS FLEX EF 3-4 14MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER LPS FLEX EF 3-4 17MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER LPS FLEX GH 5-6 10MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BLOCK AUGMENTATION SCORPIO 7 5MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT GLND PTSPC RVRS SHLDR LT TRB MTL,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,COMPONENT GLND PTSPC RVRS SHLDR RT TRB MTL,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 48MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 50MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 52MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 54MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 56MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,CUP HIP ACETABULAR DEPUY 58MM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,DISTAL FEMUR DISTRACTORDOWN,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 7 10MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 10-11 EF 12MM KN LT VIVACIT-E,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 10MM KN LT VIVACIT-E PERSONA STRL LF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 10MM KN VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 4-5 E-F 10MM KN LT VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTC 6-9 EF 10MM KN LT POST STAB VIVACIT-E PERSONA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICIULAR 8-11 E-F 12MM KN LT VIVACIT-E PERSONA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 E-F 10MM KN RT VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 E-F 11MM KN LT VIVACIT-E PERSONA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 E-F 11MM KN RT VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 E-F 12MM KN RT VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 G-H 10MM KN LT VIVACIT-E PERSONA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 G-H 11MM KN RT VIVACIT-E PERSONA STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT ARTICULAR 8-11 G-H 12MM KN LT VIVACIT-E PERSONA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 10 5MM KN AOX POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 3 6MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 5 6MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 5 7MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 6 7MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 7 6MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 7 7MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 8 6MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 8 7MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIB 8 8MM KN POST STAB FX BRNG ATTUNE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIBIAL FIXED BEARING POSTERIOR SIZE 4 DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIBIAL FIXED BEARING POSTERIOR SIZE 6 ATTUNE DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,INSERT TIBIAL ROTATING PLATFORM POSTERIOR SIZE 8 ATTUNE DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 C 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 D 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 D 36MM E1 HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 E 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 E 36MM E1 HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 E1 I ID32,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 F 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 F 36MM E1 HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 G 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 G 36MM E1 HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 H 32MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 H 36MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACETABULAR G7 I 36MM HIP HIGH WALL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACTB RNGLC 24 36MM E-POLY HIP HW,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACTB VIVACIT-E LL ELEV 58MM 32MM HIP CONTIN,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV GG 32 X 48,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV HH 32 X 50,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV II 32 X 52,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV II 36 X 52,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV JJ 32 X 54,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV JJ 36 X 54,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV KK 32 X 56,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV KK 36 X 56,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV LL 36 X 58,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV MM 36 X 60,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV NN 36 X 62,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E ELEV OO 36 X 64,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL GG 32 X 48,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL HH 32 X 50,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL II 32 X 52,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL JJ 32 X 54,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL JJ 36 X 54,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL KK 32 X 56,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL KK 36 X 56,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL LL 36 X 58,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL MM 36 X 60,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL NN 36 X 62,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ZIMMER VIVACIT-E NEUTRAL OO 36 X 64,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,MOLD CEMENT 65MM STAGEONE AGC UNIVERSAL KNEE TIBIAL SILICONE SPACER CRUCIATE SACRIFICE INTERNAL DEPTH GAUGE STERILE DISPOSABLE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN ASF UC 13MM VE R 9-12J,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF L 11MM 8-11 GH,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF L 12MM 6-7/EF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF L 13MM 8-11 EF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF R 11MM 4-5/CD,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF R 12MM 4-5/EF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF R 12MM 8-11 GH,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,PSN MC VE ASF R 14MM 6-7/EF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 11MM ECHO FX COCR STD OFST HIP STRL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR 10MM PERSONA MEDIAL CONGRUENT 6-7 E-F KNEE RIGHT TIBIA VIVACIT-E FIX BEARING STERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR 11MM PERSONA MEDIAL CONGRUENT 6-7 C-D KNEE LEFT VIVACIT-E CRUCIATE RETAIN STERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SURFACE ARTICULAR 13MM PERSONA MEDIAL CONGRUENT 6-7 E-F KNEE RIGHT TIBIA VIVACIT-E FIX BEARING STERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE C LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA EF 6-714MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA EF 6-714MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E CD/10MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E CD/10MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E CD/11MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E CD/12MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E EF/10MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E EF/10MM RGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E EF/11MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E EF/13MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E EF/13MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E GH/10MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E GH/10MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,ARTICULAR SURFACE ZIMMER PERSONA VIVACIT-E GH/12MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL LEGION 5 KNEE LEFT CEMENT MALE TAPER TITANIUM NONPOROUS,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL PERSONA 5D D KNEE RIGHT CEMENT STEM TIVANIUM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL SMITH  AND  NEPHEW GENESIS SIZE 3 RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,BASEPLATE TIBIAL SMITH  AND  NEPHEW SIZE 5 RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE J LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,TIBIA STEMMED BASE ZIMMER PERSONA SIZE J RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,LINER ACTB RNGLC 25 36MM E-POLY HIP HW,278,1 ,"$2,400.00 ","$1,728.00 ",$628.80 ,"$2,400.00 ", N/A ,"$1,272.00 ","$1,320.00 ", N/A ,$672.00 ,"$1,255.20 ", N/A ,"$1,320.00 ", N/A ,"$1,188.00 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,200.00 ","$1,500.00 ","$1,920.00 ", N/A , N/A ,"$1,680.00 ", N/A ,"$1,440.00 ", N/A ,"$1,800.00 ","$1,324.80 ","$1,195.20 ","$1,324.80 ", N/A ,"$1,324.80 ","$1,272.00 ","$2,400.00 ","$1,272.00 ","$2,040.00 ", N/A ,"$1,188.00 ", N/A ,"$2,400.00 ","$1,346.40 ", N/A ,$628.80 ,"$2,400.00 ", N/A , N/A , N/A ,"$1,920.00 ","$1,188.00 ",$672.00 ,"$2,160.00 ","$1,190.40 ",$840.00 , N/A ,"$1,152.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SLEEVE STRYKER ADAPTER UNIVERSAL C-TAPER +2.5MM (TI),278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SLEEVE ADAPTER +0MM OFFSET UNIVERSAL C TAPER TITANIUM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 9MM ECHO FX COCR STD OFST HIP STRL,278,1 ,"$3,000.00 ","$2,160.00 ",$786.00 ,"$3,000.00 ", N/A ,"$1,590.00 ","$1,650.00 ", N/A ,$840.00 ,"$1,569.00 ", N/A ,"$1,650.00 ", N/A ,"$1,485.00 ", N/A , N/A ,"$1,485.00 ", N/A ,"$1,500.00 ","$1,875.00 ","$2,400.00 ", N/A , N/A ,"$2,100.00 ", N/A ,"$1,800.00 ", N/A ,"$2,250.00 ","$1,656.00 ","$1,494.00 ","$1,656.00 ", N/A ,"$1,656.00 ","$1,590.00 ","$3,000.00 ","$1,590.00 ","$2,550.00 ", N/A ,"$1,485.00 ", N/A ,"$3,000.00 ","$1,683.00 ", N/A ,$786.00 ,"$3,000.00 ", N/A , N/A , N/A ,"$2,400.00 ","$1,485.00 ",$840.00 ,"$2,700.00 ","$1,488.00 ","$1,050.00 ", N/A ,"$1,440.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEM 152MM TYP 1 PRSFT RDC TPRLK PPS 133D 16 STD OFST,278,1 ,"$3,000.00 ","$2,160.00 ",$786.00 ,"$3,000.00 ", N/A ,"$1,590.00 ","$1,650.00 ", N/A ,$840.00 ,"$1,569.00 ", N/A ,"$1,650.00 ", N/A ,"$1,485.00 ", N/A , N/A ,"$1,485.00 ", N/A ,"$1,500.00 ","$1,875.00 ","$2,400.00 ", N/A , N/A ,"$2,100.00 ", N/A ,"$1,800.00 ", N/A ,"$2,250.00 ","$1,656.00 ","$1,494.00 ","$1,656.00 ", N/A ,"$1,656.00 ","$1,590.00 ","$3,000.00 ","$1,590.00 ","$2,550.00 ", N/A ,"$1,485.00 ", N/A ,"$3,000.00 ","$1,683.00 ", N/A ,$786.00 ,"$3,000.00 ", N/A , N/A , N/A ,"$2,400.00 ","$1,485.00 ",$840.00 ,"$2,700.00 ","$1,488.00 ","$1,050.00 ", N/A ,"$1,440.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 200MM 12IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$1,485.00 ","$1,069.20 ",$389.07 ,"$1,485.00 ", N/A ,$787.05 ,$816.75 , N/A ,$415.80 ,$776.66 , N/A ,$816.75 , N/A ,$735.08 , N/A , N/A ,$735.08 , N/A ,$742.50 ,$928.13 ,"$1,188.00 ", N/A , N/A ,"$1,039.50 ", N/A ,$891.00 , N/A ,"$1,113.75 ",$819.72 ,$739.53 ,$819.72 , N/A ,$819.72 ,$787.05 ,"$1,485.00 ",$787.05 ,"$1,262.25 ", N/A ,$735.08 , N/A ,"$1,485.00 ",$833.09 , N/A ,$389.07 ,"$1,485.00 ", N/A , N/A , N/A ,"$1,188.00 ",$735.08 ,$415.80 ,"$1,336.50 ",$736.56 , N/A , N/A ,$712.80 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 120MM 14IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$1,485.00 ","$1,069.20 ",$389.07 ,"$1,485.00 ", N/A ,$787.05 ,$816.75 , N/A ,$415.80 ,$776.66 , N/A ,$816.75 , N/A ,$735.08 , N/A , N/A ,$735.08 , N/A ,$742.50 ,$928.13 ,"$1,188.00 ", N/A , N/A ,"$1,039.50 ", N/A ,$891.00 , N/A ,"$1,113.75 ",$819.72 ,$739.53 ,$819.72 , N/A ,$819.72 ,$787.05 ,"$1,485.00 ",$787.05 ,"$1,262.25 ", N/A ,$735.08 , N/A ,"$1,485.00 ",$833.09 , N/A ,$389.07 ,"$1,485.00 ", N/A , N/A , N/A ,"$1,188.00 ",$735.08 ,$415.80 ,"$1,336.50 ",$736.56 , N/A , N/A ,$712.80 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 120MM 16IN VNGRD 360 KN SPLINE VRSN 2 XTN REV SYS,278,1 ,"$1,485.00 ","$1,069.20 ",$389.07 ,"$1,485.00 ", N/A ,$787.05 ,$816.75 , N/A ,$415.80 ,$776.66 , N/A ,$816.75 , N/A ,$735.08 , N/A , N/A ,$735.08 , N/A ,$742.50 ,$928.13 ,"$1,188.00 ", N/A , N/A ,"$1,039.50 ", N/A ,$891.00 , N/A ,"$1,113.75 ",$819.72 ,$739.53 ,$819.72 , N/A ,$819.72 ,$787.05 ,"$1,485.00 ",$787.05 ,"$1,262.25 ", N/A ,$735.08 , N/A ,"$1,485.00 ",$833.09 , N/A ,$389.07 ,"$1,485.00 ", N/A , N/A , N/A ,"$1,188.00 ",$735.08 ,$415.80 ,"$1,336.50 ",$736.56 , N/A , N/A ,$712.80 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM TIB 160MM 14MM VNGRD 360 BW KN SPLINE XTN REV SYS,278,1 ,"$1,485.00 ","$1,069.20 ",$389.07 ,"$1,485.00 ", N/A ,$787.05 ,$816.75 , N/A ,$415.80 ,$776.66 , N/A ,$816.75 , N/A ,$735.08 , N/A , N/A ,$735.08 , N/A ,$742.50 ,$928.13 ,"$1,188.00 ", N/A , N/A ,"$1,039.50 ", N/A ,$891.00 , N/A ,"$1,113.75 ",$819.72 ,$739.53 ,$819.72 , N/A ,$819.72 ,$787.05 ,"$1,485.00 ",$787.05 ,"$1,262.25 ", N/A ,$735.08 , N/A ,"$1,485.00 ",$833.09 , N/A ,$389.07 ,"$1,485.00 ", N/A , N/A , N/A ,"$1,188.00 ",$735.08 ,$415.80 ,"$1,336.50 ",$736.56 , N/A , N/A ,$712.80 
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 8,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,SHELL ACETABULAR ZIMMER BIOMET OSSEOTI G7 4 HOLE 58MM G,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM FEMORAL COLLAR AVENIR COMPLETE 7 HIGH OFFSET HIP STERILE LATEX FREE,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM HIP ZIMMER FITMORE 12/14 37MM SZ 1,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM HUMERAL MINI BIOMET 12MM X 83MM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM HUMERAL MINI BIOMET 13MM X 83MM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM MINI BIOMET 10MM X 83MM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM MINI BIOMET 11MM X 83MM,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM SHOULDER PRIMARY STANDARD BIOMET,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 1,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 2,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 3,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 4,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 5,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 6,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER AVENIR MULLER HA SZ 7,278,1 ,"$8,100.00 ","$5,832.00 ","$2,122.20 ","$8,100.00 ", N/A ,"$4,293.00 ","$4,455.00 ", N/A ,"$2,268.00 ","$4,236.30 ", N/A ,"$4,455.00 ", N/A ,"$4,009.50 ", N/A , N/A ,"$4,009.50 ", N/A ,"$4,050.00 ","$5,062.50 ","$6,480.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,860.00 ", N/A ,"$6,075.00 ","$4,471.20 ","$4,033.80 ","$4,471.20 ", N/A ,"$4,471.20 ","$4,293.00 ","$8,100.00 ","$4,293.00 ","$6,885.00 ", N/A ,"$4,009.50 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$2,122.20 ","$8,100.00 ", N/A , N/A , N/A ,"$6,480.00 ","$4,009.50 ","$2,268.00 ","$7,290.00 ","$4,017.60 ","$2,835.00 ", N/A ,"$3,888.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV 18 X 130MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV  8 X 130MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV 10 X 130MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV 12 X 130MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV 12 X 170MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,STEM ZIMMER HUMERAL TM REV 14 X 130MM,278,1 ,"$15,000.00 ","$10,800.00 ","$3,930.00 ","$15,000.00 ", N/A ,"$7,950.00 ","$8,250.00 ", N/A ,"$4,200.00 ","$7,845.00 ", N/A ,"$8,250.00 ", N/A ,"$7,425.00 ", N/A , N/A ,"$7,425.00 ", N/A ,"$7,500.00 ","$9,375.00 ","$12,000.00 ", N/A , N/A ,"$10,500.00 ", N/A ,"$9,000.00 ", N/A ,"$11,250.00 ","$8,280.00 ","$7,470.00 ","$8,280.00 ", N/A ,"$8,280.00 ","$7,950.00 ","$15,000.00 ","$7,950.00 ","$12,750.00 ", N/A ,"$7,425.00 ", N/A ,"$15,000.00 ","$8,415.00 ", N/A ,"$3,930.00 ","$15,000.00 ", N/A , N/A , N/A ,"$12,000.00 ","$7,425.00 ","$4,200.00 ","$13,500.00 ","$7,440.00 ","$5,250.00 ", N/A ,"$7,200.00 "
ST. MARY'S HOSPITAL - DECATUR,27871776,C1776,WIRE FIX 30CM 1.22MM LUQ LOOP,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27871778,C1778,KIT LEAD VECTRIS SURESCAN MRI MEDTRONIC,278,1 ,"$6,300.00 ","$4,536.00 ","$1,650.60 ","$6,300.00 ", N/A ,"$3,339.00 ","$3,465.00 ", N/A ,"$1,764.00 ","$3,294.90 ", N/A ,"$3,465.00 ", N/A ,"$3,118.50 ", N/A , N/A ,"$3,118.50 ", N/A ,"$3,150.00 ","$3,937.50 ","$5,040.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,780.00 ", N/A ,"$4,725.00 ","$3,477.60 ","$3,137.40 ","$3,477.60 ", N/A ,"$3,477.60 ","$3,339.00 ","$6,300.00 ","$3,339.00 ","$5,355.00 ", N/A ,"$3,118.50 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$1,650.60 ","$6,300.00 ", N/A , N/A , N/A ,"$5,040.00 ","$3,118.50 ","$1,764.00 ","$5,670.00 ","$3,124.80 ","$2,205.00 ", N/A ,"$3,024.00 "
ST. MARY'S HOSPITAL - DECATUR,27871778,C1778,LEAD NEUROSTIMULATOR 28CM INTERSTIM QUADRIPOLAR WITHOUT MRI CAPABILITY,278,1 ,"$11,100.00 ","$7,992.00 ","$2,908.20 ","$11,100.00 ", N/A ,"$5,883.00 ","$6,105.00 ", N/A ,"$3,108.00 ","$5,805.30 ", N/A ,"$6,105.00 ", N/A ,"$5,494.50 ", N/A , N/A ,"$5,494.50 ", N/A ,"$5,550.00 ","$6,937.50 ","$8,880.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$6,660.00 ", N/A ,"$8,325.00 ","$6,127.20 ","$5,527.80 ","$6,127.20 ", N/A ,"$6,127.20 ","$5,883.00 ","$11,100.00 ","$5,883.00 ","$9,435.00 ", N/A ,"$5,494.50 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$2,908.20 ","$11,100.00 ", N/A , N/A , N/A ,"$8,880.00 ","$5,494.50 ","$3,108.00 ","$9,990.00 ","$5,505.60 ","$3,885.00 ", N/A ,"$5,328.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PLUG PATCH 6CM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PLUG AND PATCH 8CM,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PROGRIP RECTANGLE 15CM X 9CM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,"MESH PHASIX BARD 20 X 25""",278,1 ,"$25,500.00 ","$18,360.00 ","$6,681.00 ","$25,500.00 ", N/A ,"$13,515.00 ","$14,025.00 ", N/A ,"$7,140.00 ","$13,336.50 ", N/A ,"$14,025.00 ", N/A ,"$12,622.50 ", N/A , N/A ,"$12,622.50 ", N/A ,"$12,750.00 ","$15,937.50 ","$20,400.00 ", N/A , N/A ,"$17,850.00 ", N/A ,"$15,300.00 ", N/A ,"$19,125.00 ","$14,076.00 ","$12,699.00 ","$14,076.00 ", N/A ,"$14,076.00 ","$13,515.00 ","$25,500.00 ","$13,515.00 ","$21,675.00 ", N/A ,"$12,622.50 ", N/A ,"$25,500.00 ","$14,305.50 ", N/A ,"$6,681.00 ","$25,500.00 ", N/A , N/A , N/A ,"$20,400.00 ","$12,622.50 ","$7,140.00 ","$22,950.00 ","$12,648.00 ","$8,925.00 ", N/A ,"$12,240.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PLUG PHASIX 2 X 1.4,278,1 ,"$1,500.00 ","$1,080.00 ",$393.00 ,"$1,500.00 ", N/A ,$795.00 ,$825.00 , N/A ,$420.00 ,$784.50 , N/A ,$825.00 , N/A ,$742.50 , N/A , N/A ,$742.50 , N/A ,$750.00 ,$937.50 ,"$1,200.00 ", N/A , N/A ,"$1,050.00 ", N/A ,$900.00 , N/A ,"$1,125.00 ",$828.00 ,$747.00 ,$828.00 , N/A ,$828.00 ,$795.00 ,"$1,500.00 ",$795.00 ,"$1,275.00 ", N/A ,$742.50 , N/A ,"$1,500.00 ",$841.50 , N/A ,$393.00 ,"$1,500.00 ", N/A , N/A , N/A ,"$1,200.00 ",$742.50 ,$420.00 ,"$1,350.00 ",$744.00 , N/A , N/A ,$720.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SURGIPRO USS 3IN X 5 IN,278,1 ,$298.41 ,$214.86 ,$78.18 ,$298.41 , N/A , N/A ,$164.13 , N/A ,$83.55 ,$156.07 , N/A ,$164.13 , N/A ,$147.71 , N/A , N/A ,$147.71 , N/A ,$149.21 ,$186.51 ,$238.73 , N/A , N/A ,$208.89 , N/A ,$179.05 , N/A ,$223.81 ,$164.72 ,$148.61 ,$164.72 , N/A ,$164.72 ,$158.16 ,$298.41 ,$158.16 ,$253.65 , N/A ,$147.71 , N/A ,$298.41 ,$167.41 , N/A ,$78.18 ,$298.41 , N/A , N/A , N/A ,$238.73 ,$147.71 ,$83.55 ,$268.57 ,$148.01 , N/A , N/A ,$143.24 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX 3.3 X 2.3MM 9CM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PROGRIP COVIDIEN 15CM X 15CM,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SURGIPRO 14X9IN HRN OPN WV NABS KNTD FLAT SHT PP UND,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX COMPOSITE 12CM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH KUGEL HERNIA MEDIUM OVAL 0010105,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PATCH 6 CM,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PROGRIP SELF FIXATING 15CM X 10CM LAP,278,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$577.50 , N/A ,$294.00 ,$549.15 , N/A ,$577.50 , N/A ,$519.75 , N/A , N/A ,$519.75 , N/A ,$525.00 ,$656.25 ,$840.00 , N/A , N/A ,$735.00 , N/A ,$630.00 , N/A ,$787.50 ,$579.60 ,$522.90 ,$579.60 , N/A ,$579.60 ,$556.50 ,"$1,050.00 ",$556.50 ,$892.50 , N/A ,$519.75 , N/A ,"$1,050.00 ",$589.05 , N/A ,$275.10 ,"$1,050.00 ", N/A , N/A , N/A ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$520.80 , N/A , N/A ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX OS 15X10CM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH ONFLEX HERNIA LARGE 4.0X 6.2,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX  15CM,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VENTRALEX SMALL 0010301,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VENTRALEX MEDIUM 0010302,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX OS 20X15CM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VENTRALIGHT ST ECHO CIRCLE 4.5,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VENTRIO MED OVAL 4.3 X 5.5 0010215,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX 30X20CM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX OS 25X20CM,278,1 ,"$3,300.00 ","$2,376.00 ",$864.60 ,"$3,300.00 ", N/A ,"$1,749.00 ","$1,815.00 ", N/A ,$924.00 ,"$1,725.90 ", N/A ,"$1,815.00 ", N/A ,"$1,633.50 ", N/A , N/A ,"$1,633.50 ", N/A ,"$1,650.00 ","$2,062.50 ","$2,640.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,980.00 ", N/A ,"$2,475.00 ","$1,821.60 ","$1,643.40 ","$1,821.60 ", N/A ,"$1,821.60 ","$1,749.00 ","$3,300.00 ","$1,749.00 ","$2,805.00 ", N/A ,"$1,633.50 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,$864.60 ,"$3,300.00 ", N/A , N/A , N/A ,"$2,640.00 ","$1,633.50 ",$924.00 ,"$2,970.00 ","$1,636.80 ","$1,155.00 ", N/A ,"$1,584.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PATCH PERI. VASC. VASCU-GUARD 0.8CM X 8CM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETENE COVIDIEN 5IN X 7.5 CM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PATCH SURG 7X5.5IN GROIN 2 LYR MFIL SELF XPD MEM,278,1 ,"$4,038.90 ","$2,908.01 ","$1,058.19 ","$4,038.90 ", N/A ,"$2,140.62 ","$2,221.40 ", N/A ,"$1,130.89 ","$2,112.34 ", N/A ,"$2,221.40 ", N/A ,"$1,999.26 ", N/A , N/A ,"$1,999.26 ", N/A ,"$2,019.45 ","$2,524.31 ","$3,231.12 ", N/A , N/A ,"$2,827.23 ", N/A ,"$2,423.34 ", N/A ,"$3,029.18 ","$2,229.47 ","$2,011.37 ","$2,229.47 ", N/A ,"$2,229.47 ","$2,140.62 ","$4,038.90 ","$2,140.62 ","$3,433.07 ", N/A ,"$1,999.26 ", N/A ,"$4,038.90 ","$2,265.82 ", N/A ,"$1,058.19 ","$4,038.90 ", N/A , N/A , N/A ,"$3,231.12 ","$1,999.26 ","$1,130.89 ","$3,635.01 ","$2,003.29 ","$1,413.62 ", N/A ,"$1,938.67 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PATCH SURGICAL 7X5.4IN VENTRAL 2 LAYER MONOFILAMENT SELF EXPAND SEAL EDGE WELD POINT VENTRIO SORBAFLEX POLYPROPYLENE EPTFE LARGE OVAL STERILE HERNIA REPAIR,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PHASIX PLUG AND PATCH,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VICRYL 12 X 12 VKM-L,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PATCH SURGICAL 4.7X3.1IN VENTRAL 2 LAYER MONOFILAMENT SELF EXPAND SEAL EDGE WELD POINT VENTRIO SORBAFLEX POLYPROPYLENE EPTFE SMALL OVAL STERILE HERNIA REPAIR,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX VENTRAL 8X6IN,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX 25X20CM,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH VENTRALEX LARGE 0010303,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PHASIX PLUG SMALL,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PARIETEX PATCH 8 CM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH PLUG PHASIX 1.9 X 1.5,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX 20X15CM,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PLUG LARGE MESH PERFIX 1.6 X 1.90,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,PATCH PARIETEX VENTRAL 4.6CM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH BARD 3D MAX INGUINAL 6 X 4 LEFT,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH BARD 3D MAX INGUINAL 6 X 4 RIGHT,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH BARD PERFIX PLUG SM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH BARD PLUG MEDIUM 0112760,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH BARD PLUG XLARGE 0112780,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH KUGEL HERNIA SMALL OVAL 0010101,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871781,C1781,MESH SYMBOTEX 15X10CM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27871787,C1787,PROGRAMMER MEDTRONIC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871788,C1788,PORT POWER BARD ACCESS 8FR,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871788,C1788,CATHETER POWER PORT MRI IMPLANTED,278,1 ,$750.00 ,$540.00 ,$196.50 ,$750.00 , N/A , N/A ,$412.50 , N/A ,$210.00 ,$392.25 , N/A ,$412.50 , N/A ,$371.25 , N/A , N/A ,$371.25 , N/A ,$375.00 ,$468.75 ,$600.00 , N/A , N/A ,$525.00 , N/A ,$450.00 , N/A ,$562.50 ,$414.00 ,$373.50 ,$414.00 , N/A ,$414.00 ,$397.50 ,$750.00 ,$397.50 ,$637.50 , N/A ,$371.25 , N/A ,$750.00 ,$420.75 , N/A ,$196.50 ,$750.00 , N/A , N/A , N/A ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$372.00 , N/A , N/A ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,EXPANDER TISSUE CPX 4 BREAST MENTOR 450CC,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,EXPANDER TISS 11.7X10CM BRST 350ML SUT TAB STY 8200 9200,278,1 ,"$12,300.00 ","$8,856.00 ","$3,222.60 ","$12,300.00 ", N/A ,"$6,519.00 ","$6,765.00 ", N/A ,"$3,444.00 ","$6,432.90 ", N/A ,"$6,765.00 ", N/A ,"$6,088.50 ", N/A , N/A ,"$6,088.50 ", N/A ,"$6,150.00 ","$7,687.50 ","$9,840.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$7,380.00 ", N/A ,"$9,225.00 ","$6,789.60 ","$6,125.40 ","$6,789.60 ", N/A ,"$6,789.60 ","$6,519.00 ","$12,300.00 ","$6,519.00 ","$10,455.00 ", N/A ,"$6,088.50 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$3,222.60 ","$12,300.00 ", N/A , N/A , N/A ,"$9,840.00 ","$6,088.50 ","$3,444.00 ","$11,070.00 ","$6,100.80 ","$4,305.00 ", N/A ,"$5,904.00 "
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,IMPLANT MAMMARY MENTOR SMOOTH ROUND GEL FILL 450ML,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,IMPLANT BREAST GEL FILLED MENTOR,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,IMPLANT BREAST MENTOR MODERATE CLASSIC PROFILE,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871789,C1789,IMPLANT BREAST MENTOR SMOOTH ROUND MODERATE GEL FILL 375ML,278,1 ,"$2,700.00 ","$1,944.00 ",$707.40 ,"$2,700.00 ", N/A ,"$1,431.00 ","$1,485.00 ", N/A ,$756.00 ,"$1,412.10 ", N/A ,"$1,485.00 ", N/A ,"$1,336.50 ", N/A , N/A ,"$1,336.50 ", N/A ,"$1,350.00 ","$1,687.50 ","$2,160.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,620.00 ", N/A ,"$2,025.00 ","$1,490.40 ","$1,344.60 ","$1,490.40 ", N/A ,"$1,490.40 ","$1,431.00 ","$2,700.00 ","$1,431.00 ","$2,295.00 ", N/A ,"$1,336.50 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,$707.40 ,"$2,700.00 ", N/A , N/A , N/A ,"$2,160.00 ","$1,336.50 ",$756.00 ,"$2,430.00 ","$1,339.20 ",$945.00 , N/A ,"$1,296.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT PRECISE PRO RX SYSTEM  9MMX40MMX135CM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT PRECISE PRO RX SYSTEM  6MMX40MMX135CM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,021.80 ","$3,900.00 ", N/A ,"$2,067.00 ","$2,145.00 ", N/A ,"$1,092.00 ","$2,039.70 ", N/A ,"$2,145.00 ", N/A ,"$1,930.50 ", N/A , N/A ,"$1,930.50 ", N/A ,"$1,950.00 ","$2,437.50 ","$3,120.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$2,340.00 ", N/A ,"$2,925.00 ","$2,152.80 ","$1,942.20 ","$2,152.80 ", N/A ,"$2,152.80 ","$2,067.00 ","$3,900.00 ","$2,067.00 ","$3,315.00 ", N/A ,"$1,930.50 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,021.80 ","$3,900.00 ", N/A , N/A , N/A ,"$3,120.00 ","$1,930.50 ","$1,092.00 ","$3,510.00 ","$1,934.40 ","$1,365.00 ", N/A ,"$1,872.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT VASCULAR 6MM 100MM 120CM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT PRECISE PRO RX SYSTEM  8MMX40MMX135CM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT PRECISE PRO RX SYSTEM  9MMX30MMX135CM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,250.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$2,385.00 ","$4,500.00 ","$2,385.00 ","$3,825.00 ", N/A ,"$2,227.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ","$2,232.00 ","$1,575.00 ", N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.75MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.0MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  3.5MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.0MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  4.5MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  5.0MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  5.0MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  5.0MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  5.0MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  5.0MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.25MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.5MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  2.75MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.0MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.25MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  3.5MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX23MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX28MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX33MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT XIENCE SIERRA DES  4.0MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT EXPRESS LD OTW  10MMX37MMX135CM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT EXPRESS LD OTW  9MMX37MMX135CM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX34MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX38MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.25MMX8MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX15MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX18MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX22MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX26MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27871876,C1876,STENT RESOLUTE ONYX DES  2.5MMX30MM,278,1 ,"$2,100.00 ","$1,512.00 ",$550.20 ,"$2,100.00 ", N/A ,"$1,113.00 ","$1,155.00 ", N/A ,$588.00 ,"$1,098.30 ", N/A ,"$1,155.00 ", N/A ,"$1,039.50 ", N/A , N/A ,"$1,039.50 ", N/A ,"$1,050.00 ","$1,312.50 ","$1,680.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,260.00 ", N/A ,"$1,575.00 ","$1,159.20 ","$1,045.80 ","$1,159.20 ", N/A ,"$1,159.20 ","$1,113.00 ","$2,100.00 ","$1,113.00 ","$1,785.00 ", N/A ,"$1,039.50 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$550.20 ,"$2,100.00 ", N/A , N/A , N/A ,"$1,680.00 ","$1,039.50 ",$588.00 ,"$1,890.00 ","$1,041.60 ",$735.00 , N/A ,"$1,008.00 "
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT SINGLE J URINARY DIV 7.0FR,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT INLAY 6FR X 20CM,278,1 ,$600.00 ,$432.00 ,$157.20 ,$600.00 , N/A , N/A ,$330.00 , N/A ,$168.00 ,$313.80 , N/A ,$330.00 , N/A ,$297.00 , N/A , N/A ,$297.00 , N/A ,$300.00 ,$375.00 ,$480.00 , N/A , N/A ,$420.00 , N/A ,$360.00 , N/A ,$450.00 ,$331.20 ,$298.80 ,$331.20 , N/A ,$331.20 ,$318.00 ,$600.00 ,$318.00 ,$510.00 , N/A ,$297.00 , N/A ,$600.00 ,$336.60 , N/A ,$157.20 ,$600.00 , N/A , N/A , N/A ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$297.60 , N/A , N/A ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL INLAY 4.7FR X 28CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT BARD OPTIMA 6FR X 30CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT BARD OPTIMA 7FR X 24CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT BARD OPTIMA 7FR X 26CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT INLAY  4.7FR X 26CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT INLAY 4.7FR X 24CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL 4.7FR 20CM 2 PIGTAIL CURVE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL 6FR 24CM 2 PIGTAIL CURVE PUSHER FLUORO MARKER LUBRICIOUS TAPER TIP BARD INLAY HYDROPHILIC STERILE LATEX FREE DISPOSABLE BLUE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL 6FR X 22CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL 6FR X 26CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL 6FR X 28CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872617,C2617,STENT URETERAL INLAY 4.7FR X 22CM,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27872625,C2625,STENT URETERAL ACMI DOUBLE J 6FR X 26CM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27872625,C2625,STENT URETERAL ACMI DOUBLE J 6FR X 22CM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27872625,C2625,STENT URETERAL ACMI DOUBLE J 6FR X 24CM,278,1 ,$375.00 ,$270.00 ,$98.25 ,$375.00 , N/A , N/A ,$206.25 , N/A ,$105.00 ,$196.13 , N/A ,$206.25 , N/A ,$185.63 , N/A , N/A ,$185.63 , N/A ,$187.50 ,$234.38 ,$300.00 , N/A , N/A ,$262.50 , N/A ,$225.00 , N/A ,$281.25 ,$207.00 ,$186.75 ,$207.00 , N/A ,$207.00 ,$198.75 ,$375.00 ,$198.75 ,$318.75 , N/A ,$185.63 , N/A ,$375.00 ,$210.38 , N/A ,$98.25 ,$375.00 , N/A , N/A , N/A ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$186.00 , N/A , N/A ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PISTON OSSICULAR 4.25MM .6MM SCHUKNECHT INCUS,278,1 ,$225.00 ,$162.00 ,$58.95 ,$225.00 , N/A , N/A ,$123.75 , N/A ,$63.00 ,$117.68 , N/A ,$123.75 , N/A ,$111.38 , N/A , N/A ,$111.38 , N/A ,$112.50 ,$140.63 ,$180.00 , N/A , N/A ,$157.50 , N/A ,$135.00 , N/A ,$168.75 ,$124.20 ,$112.05 ,$124.20 , N/A ,$124.20 ,$119.25 ,$225.00 ,$119.25 ,$191.25 , N/A ,$111.38 , N/A ,$225.00 ,$126.23 , N/A ,$58.95 ,$225.00 , N/A , N/A , N/A ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$111.60 , N/A , N/A ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PISTON OSSICULAR 4.75MM .8MM MCGEE STAINLESS STEEL,278,1 ,$150.00 ,$108.00 ,$39.30 ,$150.00 , N/A , N/A ,$82.50 , N/A ,$42.00 ,$78.45 , N/A ,$82.50 , N/A ,$74.25 , N/A , N/A ,$74.25 , N/A ,$75.00 ,$93.75 ,$120.00 , N/A , N/A ,$105.00 , N/A ,$90.00 , N/A ,$112.50 ,$82.80 ,$74.70 ,$82.80 , N/A ,$82.80 ,$79.50 ,$150.00 ,$79.50 ,$127.50 , N/A ,$74.25 , N/A ,$150.00 ,$84.15 , N/A ,$39.30 ,$150.00 , N/A , N/A , N/A ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$74.40 , N/A , N/A ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 2.5X2X1.2MM 1MM APLBM LG DNS INCDSTP HA,278,1 ,"$1,200.00 ",$864.00 ,$314.40 ,"$1,200.00 ", N/A ,$636.00 ,$660.00 , N/A ,$336.00 ,$627.60 , N/A ,$660.00 , N/A ,$594.00 , N/A , N/A ,$594.00 , N/A ,$600.00 ,$750.00 ,$960.00 , N/A , N/A ,$840.00 , N/A ,$720.00 , N/A ,$900.00 ,$662.40 ,$597.60 ,$662.40 , N/A ,$662.40 ,$636.00 ,"$1,200.00 ",$636.00 ,"$1,020.00 ", N/A ,$594.00 , N/A ,"$1,200.00 ",$673.20 , N/A ,$314.40 ,"$1,200.00 ", N/A , N/A , N/A ,$960.00 ,$594.00 ,$336.00 ,"$1,080.00 ",$595.20 , N/A , N/A ,$576.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 4.75MM 4MM 1.17MM,278,1 ,$450.00 ,$324.00 ,$117.90 ,$450.00 , N/A , N/A ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 , N/A , N/A ,$222.75 , N/A ,$225.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$238.50 ,$450.00 ,$238.50 ,$382.50 , N/A ,$222.75 , N/A ,$450.00 ,$252.45 , N/A ,$117.90 ,$450.00 , N/A , N/A , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$223.20 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 7.9MM .8MM GLDNBRG,278,1 ,"$1,350.00 ",$972.00 ,$353.70 ,"$1,350.00 ", N/A ,$715.50 ,$742.50 , N/A ,$378.00 ,$706.05 , N/A ,$742.50 , N/A ,$668.25 , N/A , N/A ,$668.25 , N/A ,$675.00 ,$843.75 ,"$1,080.00 ", N/A , N/A ,$945.00 , N/A ,$810.00 , N/A ,"$1,012.50 ",$745.20 ,$672.30 ,$745.20 , N/A ,$745.20 ,$715.50 ,"$1,350.00 ",$715.50 ,"$1,147.50 ", N/A ,$668.25 , N/A ,"$1,350.00 ",$757.35 , N/A ,$353.70 ,"$1,350.00 ", N/A , N/A , N/A ,"$1,080.00 ",$668.25 ,$378.00 ,"$1,215.00 ",$669.60 , N/A , N/A ,$648.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 8MM 4MM PSTN WIRE,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PISTON OSSICULAR 3.75MM .8MM SCHUKNECHT INCUS,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PISTON OSSICULAR 4.5MM .6MM SCHUKNECHT INCUS,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PISTON OSSICULAR 4MM .6MM SCHUKNECHT INCUS,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 4MM PSTN LOOP,278,1 ,$300.00 ,$216.00 ,$78.60 ,$300.00 , N/A , N/A ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 , N/A , N/A ,$148.50 , N/A ,$150.00 ,$187.50 ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$159.00 ,$300.00 ,$159.00 ,$255.00 , N/A ,$148.50 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$148.80 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR IMPL,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR .4MM FISCH EAR,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 2.1X3.5MM WEHRS SH,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR 2X2X1.2MM 1MM APLBM SM DNS INCDSTP HA,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27878613,L8613,PROSTHESIS OSSICULAR BLK 6.6MM 4MM 3MM,278,1 ,$900.00 ,$648.00 ,$235.80 ,$900.00 , N/A , N/A ,$495.00 , N/A ,$252.00 ,$470.70 , N/A ,$495.00 , N/A ,$445.50 , N/A , N/A ,$445.50 , N/A ,$450.00 ,$562.50 ,$720.00 , N/A , N/A ,$630.00 , N/A ,$540.00 , N/A ,$675.00 ,$496.80 ,$448.20 ,$496.80 , N/A ,$496.80 ,$477.00 ,$900.00 ,$477.00 ,$765.00 , N/A ,$445.50 , N/A ,$900.00 ,$504.90 , N/A ,$235.80 ,$900.00 , N/A , N/A , N/A ,$720.00 ,$445.50 ,$252.00 ,$810.00 ,$446.40 , N/A , N/A ,$432.00 
ST. MARY'S HOSPITAL - DECATUR,27879354,C9354,PATCH CARDIOVASCULAR 6X1CM VASCU-GUARD BOVINE PERICARDIUM CAROTID PATCHING PROFUNDAPLASTY VASCULAR RECONSTRUCTION,278,1 ,$525.00 ,$378.00 ,$137.55 ,$525.00 , N/A , N/A ,$288.75 , N/A ,$147.00 ,$274.58 , N/A ,$288.75 , N/A ,$259.88 , N/A , N/A ,$259.88 , N/A ,$262.50 ,$328.13 ,$420.00 , N/A , N/A ,$367.50 , N/A ,$315.00 , N/A ,$393.75 ,$289.80 ,$261.45 ,$289.80 , N/A ,$289.80 ,$278.25 ,$525.00 ,$278.25 ,$446.25 , N/A ,$259.88 , N/A ,$525.00 ,$294.53 , N/A ,$137.55 ,$525.00 , N/A , N/A , N/A ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$260.40 , N/A , N/A ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$34.00 ,$24.48 ,$3.55 ,$34.00 , N/A ,$18.02 ,$18.70 , N/A ,$9.52 ,$17.78 , N/A ,$18.70 , N/A ,$16.83 ,$10.00 , N/A ,$16.83 , N/A ,$23.80 , N/A ,$27.20 , N/A , N/A ,$23.80 , N/A ,$20.40 , N/A ,$25.50 ,$18.77 ,$16.93 ,$18.77 , N/A ,$18.77 ,$3.55 ,$34.00 ,$3.55 ,$28.90 , N/A ,$23.56 , N/A ,$34.00 ,$19.07 , N/A ,$8.91 , N/A , N/A , N/A , N/A ,$27.20 ,$16.83 ,$9.52 ,$30.60 ,$12.92 ,$6.28 , N/A ,$16.32 
ST. MARY'S HOSPITAL - DECATUR,30000010,36415,HC VENIPUNCTURE,300,1 ,$34.00 ,$24.48 ,$1.63 ,$34.00 ,$21.43 ,$18.02 ,$18.70 ,$8.40 ,$9.52 ,$17.78 ,$8.40 ,$18.70 ,$8.40 ,$16.83 ,$10.00 ,$8.40 ,$16.83 ,$17.31 ,$23.80 , N/A ,$27.20 ,$21.43 ,$8.40 ,$23.80 ,$8.40 ,$20.40 ,$8.57 ,$25.50 , N/A , N/A , N/A ,$8.40 , N/A ,$4.02 ,$34.00 ,$4.02 ,$28.90 ,$21.43 ,$23.56 ,$8.40 ,$3.00 ,$19.07 ,$8.40 ,$8.91 , N/A ,$1.71 ,$1.63 ,$8.82 ,$27.20 ,$16.83 ,$9.52 ,$30.60 ,$12.92 ,$6.00 ,$8.40 ,$16.32 
ST. MARY'S HOSPITAL - DECATUR,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$233.00 ,$167.76 ,$33.47 ,$272.45 ,$272.45 ,$123.49 ,$128.15 ,$106.80 ,$65.24 ,$121.86 ,$106.80 ,$128.15 ,$106.80 ,$115.34 ,$34.62 ,$106.80 ,$115.34 ,$220.13 ,$163.10 ,$145.63 ,$186.40 ,$272.44 ,$106.80 ,$163.10 ,$106.80 ,$139.80 ,$108.94 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$106.80 ,$128.62 ,$170.09 ,$233.00 ,$170.09 ,$198.05 ,$233.00 ,$161.47 ,$106.80 ,$233.00 ,$130.71 ,$106.80 ,$61.05 , N/A ,$35.07 ,$33.47 ,$112.14 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 , N/A ,$106.80 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$282.00 ,$203.04 ,$33.47 ,$282.00 ,$272.45 ,$149.46 ,$155.10 ,$106.80 ,$78.96 ,$147.49 ,$106.80 ,$155.10 ,$106.80 ,$139.59 ,$54.89 ,$106.80 ,$139.59 ,$220.13 ,$197.40 , N/A ,$225.60 ,$272.44 ,$106.80 ,$197.40 ,$106.80 ,$169.20 ,$108.94 ,$211.50 ,$155.66 ,$140.44 ,$155.66 ,$106.80 ,$155.66 ,$205.86 ,$282.00 ,$205.86 ,$239.70 ,$272.44 ,$195.43 ,$106.80 ,$282.00 ,$158.20 ,$106.80 ,$73.88 , N/A ,$35.07 ,$33.47 ,$112.14 ,$225.60 ,$139.59 ,$78.96 ,$253.80 ,$107.16 , N/A ,$106.80 ,$135.36 
ST. MARY'S HOSPITAL - DECATUR,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$120.00 ,$86.40 ,$31.44 ,$272.45 ,$272.45 ,$63.60 ,$66.00 ,$106.80 ,$33.60 ,$62.76 ,$106.80 ,$66.00 ,$106.80 ,$59.40 ,$49.05 ,$106.80 ,$59.40 ,$120.00 ,$84.00 , N/A ,$96.00 ,$272.44 ,$106.80 ,$84.00 ,$106.80 ,$72.00 ,$108.94 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$106.80 ,$66.24 ,$87.60 ,$120.00 ,$87.60 ,$102.00 ,$120.00 ,$83.16 ,$106.80 ,$120.00 ,$67.32 ,$106.80 ,$31.44 , N/A ,$35.07 ,$33.47 ,$112.14 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 , N/A ,$106.80 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$124.00 ,$89.28 ,$25.28 ,$368.98 ,$368.98 ,$31.92 ,$68.20 ,$144.64 ,$34.72 ,$64.85 ,$144.64 ,$68.20 ,$121.52 ,$61.38 ,$29.49 ,$121.52 ,$61.38 ,$124.00 ,$86.80 ,$45.78 ,$99.20 ,$368.97 ,$144.64 ,$86.80 ,$144.64 ,$74.40 ,$121.52 ,$93.00 ,$68.45 ,$61.75 ,$68.45 ,$144.64 ,$68.45 ,$25.28 ,$124.00 ,$25.28 ,$105.40 ,$124.00 ,$85.93 ,$121.52 ,$124.00 ,$69.56 ,$144.64 ,$32.49 , N/A ,$29.47 ,$28.13 ,$151.87 ,$99.20 ,$61.38 ,$34.72 ,$111.60 ,$47.12 ,$124.00 ,$144.64 ,$59.52 
ST. MARY'S HOSPITAL - DECATUR,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$210.00 ,$151.20 ,$28.13 ,$210.00 ,$79.68 ,$47.06 ,$115.50 ,$31.23 ,$58.80 ,$109.83 ,$31.23 ,$115.50 ,$31.23 ,$103.95 ,$43.98 ,$31.23 ,$103.95 ,$64.38 ,$147.00 ,$67.08 ,$168.00 ,$79.68 ,$31.23 ,$147.00 ,$31.23 ,$126.00 ,$31.86 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$31.23 ,$115.92 ,$37.70 ,$210.00 ,$37.70 ,$178.50 ,$79.68 ,$145.53 ,$31.23 ,$210.00 ,$117.81 ,$31.23 ,$55.02 , N/A ,$29.47 ,$28.13 ,$32.79 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$67.68 ,$31.23 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30000220,86971,HC RBC PRETREAT ENZYME,300,1 ,$153.00 ,$110.16 ,$28.13 ,$760.50 ,$760.50 ,$37.32 ,$84.15 ,$298.12 ,$42.84 ,$80.02 ,$298.12 ,$84.15 ,$149.94 ,$75.74 ,$35.18 ,$149.94 ,$75.74 ,$153.00 ,$107.10 ,$53.65 ,$122.40 ,$760.49 ,$298.12 ,$107.10 ,$298.12 ,$91.80 ,$149.94 ,$114.75 ,$84.46 ,$76.19 ,$84.46 ,$298.12 ,$84.46 ,$30.16 ,$153.00 ,$30.16 ,$130.05 ,$153.00 ,$106.03 ,$149.94 ,$153.00 ,$85.83 ,$298.12 ,$40.09 , N/A ,$29.47 ,$28.13 ,$313.02 ,$122.40 ,$75.74 ,$42.84 ,$137.70 ,$58.14 ,$153.00 ,$298.12 ,$73.44 
ST. MARY'S HOSPITAL - DECATUR,30000221,86999,HC TRANSFUSION UNLISTED PROCEDURE,300,1 ,$327.00 ,$235.44 ,$22.96 ,$327.00 ,$58.58 ,$166.77 ,$179.85 ,$22.96 ,$91.56 ,$171.02 ,$22.96 ,$179.85 ,$22.96 ,$161.87 ,$130.80 ,$22.96 ,$161.87 ,$47.32 ,$228.90 ,$41.00 ,$261.60 ,$58.57 ,$22.96 ,$228.90 ,$22.96 ,$196.20 ,$23.42 ,$245.25 ,$180.50 ,$162.85 ,$180.50 ,$22.96 ,$180.50 ,$238.71 ,$327.00 ,$238.71 ,$277.95 ,$58.57 ,$226.61 ,$22.96 ,$327.00 ,$183.45 ,$22.96 ,$85.67 , N/A ,$29.47 ,$28.13 ,$24.11 ,$261.60 ,$161.87 ,$91.56 ,$294.30 ,$124.26 ,$49.34 ,$22.96 ,$156.96 
ST. MARY'S HOSPITAL - DECATUR,30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$239.00 ,$172.08 ,$3.50 ,$239.00 ,$14.00 ,$9.52 ,$131.45 ,$5.49 ,$66.92 ,$28.70 ,$5.49 ,$29.90 ,$5.49 ,$118.31 ,$3.50 ,$5.49 ,$118.31 ,$11.31 ,$167.30 ,$12.63 ,$191.20 ,$14.00 ,$5.49 ,$167.30 ,$5.49 ,$143.40 ,$5.60 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$5.49 ,$131.93 ,$8.20 ,$239.00 ,$8.20 ,$203.15 ,$14.00 ,$165.63 ,$5.49 ,$239.00 ,$134.08 ,$5.49 ,$62.62 , N/A ,$23.29 ,$22.23 ,$5.76 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$11.20 ,$5.49 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$168.00 ,$120.96 ,$3.50 ,$168.00 ,$14.48 ,$9.84 ,$92.40 ,$5.67 ,$47.04 ,$24.77 ,$5.67 ,$25.80 ,$5.67 ,$83.16 ,$3.50 ,$5.67 ,$83.16 ,$11.70 ,$117.60 ,$13.43 ,$134.40 ,$14.48 ,$5.67 ,$117.60 ,$5.67 ,$100.80 ,$5.79 ,$126.00 ,$92.74 ,$83.66 ,$92.74 ,$5.67 ,$92.74 ,$7.76 ,$168.00 ,$7.76 ,$142.80 ,$14.48 ,$116.42 ,$5.67 ,$168.00 ,$94.25 ,$5.67 ,$44.02 , N/A ,$23.29 ,$22.23 ,$5.96 ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$11.58 ,$5.67 ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,30000242,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$120.00 ,$86.40 ,$31.44 ,$272.45 ,$272.45 ,$63.60 ,$66.00 ,$106.80 ,$33.60 ,$62.76 ,$106.80 ,$66.00 ,$106.80 ,$59.40 ,$49.05 ,$106.80 ,$59.40 ,$120.00 ,$84.00 , N/A ,$96.00 ,$272.44 ,$106.80 ,$84.00 ,$106.80 ,$72.00 ,$108.94 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$106.80 ,$66.24 ,$87.60 ,$120.00 ,$87.60 ,$102.00 ,$120.00 ,$83.16 ,$106.80 ,$120.00 ,$67.32 ,$106.80 ,$31.44 , N/A ,$35.07 ,$33.47 ,$112.14 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 , N/A ,$106.80 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30000245,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$157.00 ,$113.04 ,$3.50 ,$157.00 ,$10.68 ,$7.26 ,$86.35 ,$4.18 ,$43.96 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$77.72 ,$3.50 ,$4.18 ,$77.72 ,$8.63 ,$109.90 ,$9.48 ,$125.60 ,$10.68 ,$4.18 ,$109.90 ,$4.18 ,$94.20 ,$4.27 ,$117.75 ,$86.66 ,$78.19 ,$86.66 ,$4.18 ,$86.66 ,$6.37 ,$157.00 ,$6.37 ,$133.45 ,$10.68 ,$108.80 ,$4.18 ,$157.00 ,$88.08 ,$4.18 ,$41.13 , N/A ,$5.06 ,$4.83 ,$4.39 ,$125.60 ,$77.72 ,$43.96 ,$141.30 ,$59.66 ,$8.54 ,$4.18 ,$75.36 
ST. MARY'S HOSPITAL - DECATUR,30000247,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$301.00 ,$216.72 ,$5.64 ,$301.00 ,$18.33 ,$12.46 ,$165.55 ,$7.18 ,$84.28 ,$27.55 ,$7.18 ,$28.70 ,$7.18 ,$149.00 ,$5.64 ,$7.18 ,$149.00 ,$14.81 ,$210.70 ,$16.58 ,$240.80 ,$18.33 ,$7.18 ,$210.70 ,$7.18 ,$180.60 ,$7.33 ,$225.75 ,$166.15 ,$149.90 ,$166.15 ,$7.18 ,$166.15 ,$10.65 ,$301.00 ,$10.65 ,$255.85 ,$18.33 ,$208.59 ,$7.18 ,$301.00 ,$168.86 ,$7.18 ,$78.86 , N/A ,$23.29 ,$22.23 ,$7.55 ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 ,$14.66 ,$7.18 ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,30000249,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$630.00 ,$453.60 ,$3.50 ,$630.00 ,$30.78 ,$20.92 ,$346.50 ,$12.06 ,$176.40 ,$62.83 ,$12.06 ,$65.45 ,$12.06 ,$311.85 ,$3.50 ,$12.06 ,$311.85 ,$24.87 ,$441.00 ,$28.40 ,$504.00 ,$30.78 ,$12.06 ,$441.00 ,$12.06 ,$378.00 ,$12.31 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$12.06 ,$347.76 ,$17.93 ,$630.00 ,$17.93 ,$535.50 ,$30.78 ,$436.59 ,$12.06 ,$630.00 ,$353.43 ,$12.06 ,$165.06 , N/A ,$23.29 ,$22.23 ,$12.67 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$24.62 ,$12.06 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,30000250,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$30.13 ,$20.48 ,$89.10 ,$11.81 ,$45.36 ,$62.83 ,$11.81 ,$65.45 ,$11.81 ,$80.19 ,$3.50 ,$11.81 ,$80.19 ,$24.34 ,$113.40 ,$27.63 ,$129.60 ,$30.13 ,$11.81 ,$113.40 ,$11.81 ,$97.20 ,$12.04 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$11.81 ,$89.42 ,$17.93 ,$162.00 ,$17.93 ,$137.70 ,$30.13 ,$112.27 ,$11.81 ,$162.00 ,$90.88 ,$11.81 ,$42.44 , N/A ,$23.29 ,$22.23 ,$12.40 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$24.10 ,$11.81 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30000254,S3620,HC NEWBORN METABOLIC SCREEN-90,300,1 ,$371.00 ,$267.12 ,$7.66 ,$371.00 , N/A ,$7.66 ,$204.05 , N/A ,$103.88 ,$194.03 , N/A ,$204.05 , N/A ,$183.65 ,$159.00 , N/A ,$183.65 , N/A ,$259.70 ,$231.88 ,$296.80 , N/A , N/A ,$259.70 , N/A ,$222.60 , N/A ,$278.25 ,$204.79 ,$184.76 ,$204.79 , N/A ,$204.79 ,$270.83 ,$371.00 ,$270.83 ,$315.35 , N/A ,$257.10 , N/A ,$371.00 ,$208.13 , N/A ,$97.20 , N/A ,$8.15 ,$7.78 , N/A ,$296.80 ,$183.65 ,$103.88 ,$333.90 ,$140.98 , N/A , N/A ,$178.08 
ST. MARY'S HOSPITAL - DECATUR,30002032,80369,HC SKELETAL MUSCLE RELAXTANTS 1-2 -90,300,1 ,$118.00 ,$84.96 ,$0.02 ,$118.00 , N/A ,$0.02 ,$64.90 , N/A ,$33.04 , N/A , N/A , N/A , N/A ,$58.41 , N/A , N/A ,$58.41 , N/A ,$82.60 ,$73.75 ,$94.40 , N/A , N/A ,$82.60 , N/A ,$70.80 , N/A ,$88.50 ,$65.14 ,$58.76 ,$65.14 , N/A ,$65.14 ,$17.88 ,$118.00 ,$17.88 ,$100.30 , N/A ,$81.77 , N/A ,$118.00 ,$66.20 , N/A ,$30.92 , N/A ,$21.95 ,$20.95 , N/A ,$94.40 ,$58.41 ,$33.04 ,$106.20 ,$44.84 , N/A , N/A ,$56.64 
ST. MARY'S HOSPITAL - DECATUR,30002036,N/A,HC LAB HANDLING/TRANSPORT FEE,300,1 ,$23.00 ,$16.56 ,$6.03 ,$23.00 , N/A ,$12.19 ,$12.65 , N/A ,$6.44 ,$12.03 , N/A ,$12.65 , N/A ,$11.39 ,$9.20 , N/A ,$11.39 , N/A ,$16.10 ,$14.38 ,$18.40 , N/A , N/A ,$16.10 , N/A ,$13.80 , N/A ,$17.25 ,$12.70 ,$11.45 ,$12.70 , N/A ,$12.70 ,$16.79 ,$23.00 ,$16.79 ,$19.55 , N/A ,$15.94 , N/A ,$23.00 ,$12.90 , N/A ,$6.03 , N/A , N/A , N/A , N/A ,$18.40 ,$11.39 ,$6.44 ,$20.70 ,$8.74 ,$11.50 , N/A ,$11.04 
ST. MARY'S HOSPITAL - DECATUR,30002039,86999,HC TRANSFUSION UNLISTED PROCEDURE -90,300,1 ,$75.00 ,$54.00 ,$19.65 ,$75.00 ,$58.58 ,$38.25 ,$41.25 ,$22.96 ,$21.00 ,$39.23 ,$22.96 ,$41.25 ,$22.96 ,$37.13 ,$30.00 ,$22.96 ,$37.13 ,$47.32 ,$52.50 ,$41.00 ,$60.00 ,$58.57 ,$22.96 ,$52.50 ,$22.96 ,$45.00 ,$23.42 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$22.96 ,$41.40 ,$54.75 ,$75.00 ,$54.75 ,$63.75 ,$58.57 ,$51.98 ,$22.96 ,$75.00 ,$42.08 ,$22.96 ,$19.65 , N/A ,$29.47 ,$28.13 ,$24.11 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$49.34 ,$22.96 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30002046,86625,"HC CAMPYLOBACTER, ANTIBODY",300,1 ,$213.00 ,$153.36 ,$3.50 ,$213.00 ,$32.80 ,$22.30 ,$117.15 ,$12.86 ,$59.64 ,$50.54 ,$12.86 ,$52.65 ,$12.86 ,$105.44 ,$3.50 ,$12.86 ,$105.44 ,$26.50 ,$149.10 ,$29.98 ,$170.40 ,$32.80 ,$12.86 ,$149.10 ,$12.86 ,$127.80 ,$13.11 ,$159.75 ,$117.58 ,$106.07 ,$117.58 ,$12.86 ,$117.58 ,$19.52 ,$213.00 ,$19.52 ,$181.05 ,$32.80 ,$147.61 ,$12.86 ,$213.00 ,$119.49 ,$12.86 ,$55.81 , N/A ,$12.58 ,$12.01 ,$13.50 ,$170.40 ,$105.44 ,$59.64 ,$191.70 ,$80.94 ,$26.24 ,$12.86 ,$102.24 
ST. MARY'S HOSPITAL - DECATUR,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$250.00 ,$180.00 ,$3.50 ,$250.00 ,$21.15 ,$14.38 ,$137.50 ,$8.29 ,$70.00 ,$61.57 ,$8.29 ,$64.33 ,$8.29 ,$123.75 ,$3.50 ,$8.29 ,$123.75 ,$17.09 ,$175.00 ,$18.93 ,$200.00 ,$21.15 ,$8.29 ,$175.00 ,$8.29 ,$150.00 ,$8.46 ,$187.50 ,$138.00 ,$124.50 ,$138.00 ,$8.29 ,$138.00 ,$12.59 ,$250.00 ,$12.59 ,$212.50 ,$21.15 ,$173.25 ,$8.29 ,$8.46 ,$140.25 ,$8.29 ,$65.50 , N/A ,$7.44 ,$7.10 ,$8.70 ,$200.00 ,$123.75 ,$70.00 ,$225.00 ,$95.00 ,$16.92 ,$8.29 ,$120.00 
ST. MARY'S HOSPITAL - DECATUR,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$234.00 ,$168.48 ,$3.50 ,$234.00 ,$17.53 ,$11.92 ,$128.70 ,$6.87 ,$65.52 ,$51.05 ,$6.87 ,$53.34 ,$6.87 ,$115.83 ,$3.50 ,$6.87 ,$115.83 ,$14.16 ,$163.80 ,$15.78 ,$187.20 ,$17.53 ,$6.87 ,$163.80 ,$6.87 ,$140.40 ,$7.01 ,$175.50 ,$129.17 ,$116.53 ,$129.17 ,$6.87 ,$129.17 ,$10.43 ,$234.00 ,$10.43 ,$198.90 ,$17.53 ,$162.16 ,$6.87 ,$234.00 ,$131.27 ,$6.87 ,$61.31 , N/A ,$7.44 ,$7.10 ,$7.21 ,$187.20 ,$115.83 ,$65.52 ,$210.60 ,$88.92 ,$14.02 ,$6.87 ,$112.32 
ST. MARY'S HOSPITAL - DECATUR,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$211.00 ,$151.92 ,$3.50 ,$211.00 ,$26.40 ,$17.96 ,$116.05 ,$10.35 ,$59.08 ,$76.92 ,$10.35 ,$80.36 ,$10.35 ,$104.45 ,$3.50 ,$10.35 ,$104.45 ,$21.33 ,$147.70 ,$24.45 ,$168.80 ,$26.40 ,$10.35 ,$147.70 ,$10.35 ,$126.60 ,$10.55 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$10.35 ,$116.47 ,$15.72 ,$211.00 ,$15.72 ,$179.35 ,$26.40 ,$146.22 ,$10.35 ,$10.56 ,$118.37 ,$10.35 ,$55.28 , N/A ,$7.44 ,$7.10 ,$10.87 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$21.12 ,$10.35 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30100107,80061,HC LIPID PANEL,301,1 ,$313.00 ,$225.36 ,$3.50 ,$313.00 ,$33.48 ,$22.76 ,$172.15 ,$13.12 ,$87.64 ,$97.49 ,$13.12 ,$101.85 ,$13.12 ,$154.94 ,$3.50 ,$13.12 ,$154.94 ,$27.05 ,$219.10 ,$30.78 ,$250.40 ,$33.48 ,$13.12 ,$219.10 ,$13.12 ,$187.80 ,$13.39 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$13.12 ,$172.78 ,$19.92 ,$313.00 ,$19.92 ,$266.05 ,$33.48 ,$216.91 ,$13.12 ,$313.00 ,$175.59 ,$13.12 ,$82.01 , N/A ,$7.44 ,$7.10 ,$13.78 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$26.78 ,$13.12 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,30100108,80069,HC RENAL PANEL,301,1 ,$280.00 ,$201.60 ,$3.50 ,$280.00 ,$21.70 ,$14.76 ,$154.00 ,$8.51 ,$78.40 ,$45.26 ,$8.51 ,$47.15 ,$8.51 ,$138.60 ,$3.50 ,$8.51 ,$138.60 ,$17.53 ,$196.00 ,$19.73 ,$224.00 ,$21.70 ,$8.51 ,$196.00 ,$8.51 ,$168.00 ,$8.67 ,$210.00 ,$154.56 ,$139.44 ,$154.56 ,$8.51 ,$154.56 ,$12.93 ,$280.00 ,$12.93 ,$238.00 ,$21.70 ,$194.04 ,$8.51 ,$280.00 ,$157.08 ,$8.51 ,$73.36 , N/A ,$7.44 ,$7.10 ,$8.93 ,$224.00 ,$138.60 ,$78.40 ,$252.00 ,$106.40 ,$17.36 ,$8.51 ,$134.40 
ST. MARY'S HOSPITAL - DECATUR,30100109,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$976.00 ,$702.72 ,$3.50 ,$976.00 ,$119.08 ,$80.98 ,$536.80 ,$46.68 ,$273.28 ,$183.50 ,$46.68 ,$191.15 ,$46.68 ,$483.12 ,$3.50 ,$46.68 ,$483.12 ,$96.21 ,$683.20 ,$108.88 ,$780.80 ,$119.08 ,$46.68 ,$683.20 ,$46.68 ,$585.60 ,$47.61 ,$732.00 ,$538.75 ,$486.05 ,$538.75 ,$46.68 ,$538.75 ,$70.87 ,$976.00 ,$70.87 ,$829.60 ,$119.08 ,$676.37 ,$46.68 ,$976.00 ,$547.54 ,$46.68 ,$255.71 , N/A ,$7.44 ,$7.10 ,$49.01 ,$780.80 ,$483.12 ,$273.28 ,$878.40 ,$370.88 ,$95.26 ,$46.68 ,$468.48 
ST. MARY'S HOSPITAL - DECATUR,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$304.00 ,$218.88 ,$3.50 ,$304.00 ,$20.43 ,$13.88 ,$167.20 ,$8.01 ,$85.12 ,$31.49 ,$8.01 ,$32.80 ,$8.01 ,$150.48 ,$3.50 ,$8.01 ,$150.48 ,$16.50 ,$212.80 ,$18.93 ,$243.20 ,$20.43 ,$8.01 ,$212.80 ,$8.01 ,$182.40 ,$8.16 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$8.01 ,$167.81 ,$12.15 ,$304.00 ,$12.15 ,$258.40 ,$20.43 ,$210.67 ,$8.01 ,$304.00 ,$170.54 ,$8.01 ,$79.65 , N/A ,$7.44 ,$7.10 ,$8.41 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$16.34 ,$8.01 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$353.00 ,$254.16 ,$3.50 ,$353.00 ,$36.43 ,$24.76 ,$194.15 ,$14.28 ,$98.84 ,$56.11 ,$14.28 ,$58.45 ,$14.28 ,$174.74 ,$3.50 ,$14.28 ,$174.74 ,$29.43 ,$247.10 ,$33.15 ,$282.40 ,$36.43 ,$14.28 ,$247.10 ,$14.28 ,$211.80 ,$14.56 ,$264.75 ,$194.86 ,$175.79 ,$194.86 ,$14.28 ,$194.86 ,$21.66 ,$353.00 ,$21.66 ,$300.05 ,$36.43 ,$244.63 ,$14.28 ,$353.00 ,$198.03 ,$14.28 ,$92.49 , N/A ,$9.36 ,$8.94 ,$14.99 ,$282.40 ,$174.74 ,$98.84 ,$317.70 ,$134.14 ,$29.14 ,$14.28 ,$169.44 
ST. MARY'S HOSPITAL - DECATUR,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$326.00 ,$234.72 ,$3.50 ,$326.00 ,$33.20 ,$22.58 ,$179.30 ,$13.01 ,$91.28 ,$51.12 ,$13.01 ,$53.25 ,$13.01 ,$161.37 ,$3.50 ,$13.01 ,$161.37 ,$26.83 ,$228.20 ,$29.98 ,$260.80 ,$33.20 ,$13.01 ,$228.20 ,$13.01 ,$195.60 ,$13.28 ,$244.50 ,$179.95 ,$162.35 ,$179.95 ,$13.01 ,$179.95 ,$19.76 ,$326.00 ,$19.76 ,$277.10 ,$33.20 ,$225.92 ,$13.01 ,$326.00 ,$182.89 ,$13.01 ,$85.41 , N/A ,$9.36 ,$8.94 ,$13.66 ,$260.80 ,$161.37 ,$91.28 ,$293.40 ,$123.88 ,$26.56 ,$13.01 ,$156.48 
ST. MARY'S HOSPITAL - DECATUR,30100121,80164,HC VALPROIC ACID,301,1 ,$572.00 ,$411.84 ,$3.50 ,$572.00 ,$33.85 ,$23.02 ,$314.60 ,$13.27 ,$160.16 ,$52.18 ,$13.27 ,$54.35 ,$13.27 ,$283.14 ,$3.50 ,$13.27 ,$283.14 ,$27.35 ,$400.40 ,$30.78 ,$457.60 ,$33.85 ,$13.27 ,$400.40 ,$13.27 ,$343.20 ,$13.53 ,$429.00 ,$315.74 ,$284.86 ,$315.74 ,$13.27 ,$315.74 ,$20.16 ,$572.00 ,$20.16 ,$486.20 ,$33.85 ,$396.40 ,$13.27 ,$572.00 ,$320.89 ,$13.27 ,$149.86 , N/A ,$9.36 ,$8.94 ,$13.94 ,$457.60 ,$283.14 ,$160.16 ,$514.80 ,$217.36 ,$27.08 ,$13.27 ,$274.56 
ST. MARY'S HOSPITAL - DECATUR,30100124,80170,HC GENTAMICIN,301,1 ,$473.00 ,$340.56 ,$3.50 ,$473.00 ,$40.95 ,$27.84 ,$260.15 ,$16.05 ,$132.44 ,$63.07 ,$16.05 ,$65.70 ,$16.05 ,$234.14 ,$3.50 ,$16.05 ,$234.14 ,$33.09 ,$331.10 ,$37.08 ,$378.40 ,$40.95 ,$16.05 ,$331.10 ,$16.05 ,$283.80 ,$16.38 ,$354.75 ,$261.10 ,$235.55 ,$261.10 ,$16.05 ,$261.10 ,$24.37 ,$473.00 ,$24.37 ,$402.05 ,$40.95 ,$327.79 ,$16.05 ,$473.00 ,$265.35 ,$16.05 ,$123.93 , N/A ,$9.36 ,$8.94 ,$16.86 ,$378.40 ,$234.14 ,$132.44 ,$425.70 ,$179.74 ,$32.76 ,$16.05 ,$227.04 
ST. MARY'S HOSPITAL - DECATUR,30100127,80178,HC LITHIUM,301,1 ,$375.00 ,$270.00 ,$3.50 ,$375.00 ,$16.53 ,$11.24 ,$206.25 ,$6.48 ,$105.00 ,$34.46 ,$6.48 ,$35.90 ,$6.48 ,$185.63 ,$3.50 ,$6.48 ,$185.63 ,$13.35 ,$262.50 ,$15.00 ,$300.00 ,$16.53 ,$6.48 ,$262.50 ,$6.48 ,$225.00 ,$6.61 ,$281.25 ,$207.00 ,$186.75 ,$207.00 ,$6.48 ,$207.00 ,$9.85 ,$375.00 ,$9.85 ,$318.75 ,$16.53 ,$259.88 ,$6.48 ,$375.00 ,$210.38 ,$6.48 ,$98.25 , N/A ,$9.36 ,$8.94 ,$6.80 ,$300.00 ,$185.63 ,$105.00 ,$337.50 ,$142.50 ,$13.22 ,$6.48 ,$180.00 
ST. MARY'S HOSPITAL - DECATUR,30100129,80184,HC PHENOBARBITAL,301,1 ,$232.00 ,$167.04 ,$3.50 ,$232.00 ,$38.25 ,$26.02 ,$127.60 ,$14.99 ,$64.96 ,$47.76 ,$14.99 ,$49.75 ,$14.99 ,$114.84 ,$3.50 ,$14.99 ,$114.84 ,$30.91 ,$162.40 ,$34.73 ,$185.60 ,$38.25 ,$14.99 ,$162.40 ,$14.99 ,$139.20 ,$15.30 ,$174.00 ,$128.06 ,$115.54 ,$128.06 ,$14.99 ,$128.06 ,$20.49 ,$232.00 ,$20.49 ,$197.20 ,$38.25 ,$160.78 ,$14.99 ,$232.00 ,$130.15 ,$14.99 ,$60.78 , N/A ,$9.36 ,$8.94 ,$15.75 ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$30.60 ,$14.99 ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$304.00 ,$218.88 ,$3.50 ,$304.00 ,$33.13 ,$22.52 ,$167.20 ,$12.98 ,$85.12 ,$51.02 ,$12.98 ,$53.15 ,$12.98 ,$150.48 ,$3.50 ,$12.98 ,$150.48 ,$26.77 ,$212.80 ,$29.98 ,$243.20 ,$33.13 ,$12.98 ,$212.80 ,$12.98 ,$182.40 ,$13.25 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$12.98 ,$167.81 ,$19.72 ,$304.00 ,$19.72 ,$258.40 ,$33.13 ,$210.67 ,$12.98 ,$304.00 ,$170.54 ,$12.98 ,$79.65 , N/A ,$9.36 ,$8.94 ,$13.63 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$26.50 ,$12.98 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,30100138,80198,HC THEOPHYLLINE,301,1 ,$326.00 ,$234.72 ,$3.50 ,$326.00 ,$35.35 ,$24.04 ,$179.30 ,$13.86 ,$91.28 ,$54.48 ,$13.86 ,$56.75 ,$13.86 ,$161.37 ,$3.50 ,$13.86 ,$161.37 ,$28.56 ,$228.20 ,$32.35 ,$260.80 ,$35.35 ,$13.86 ,$228.20 ,$13.86 ,$195.60 ,$14.13 ,$244.50 ,$179.95 ,$162.35 ,$179.95 ,$13.86 ,$179.95 ,$21.03 ,$326.00 ,$21.03 ,$277.10 ,$35.35 ,$225.92 ,$13.86 ,$326.00 ,$182.89 ,$13.86 ,$85.41 , N/A ,$9.36 ,$8.94 ,$14.55 ,$260.80 ,$161.37 ,$91.28 ,$293.40 ,$123.88 ,$28.28 ,$13.86 ,$156.48 
ST. MARY'S HOSPITAL - DECATUR,30100139,80200,HC TOBRAMYCIN,301,1 ,$398.00 ,$286.56 ,$3.50 ,$398.00 ,$40.33 ,$27.42 ,$218.90 ,$15.81 ,$111.44 ,$62.11 ,$15.81 ,$64.70 ,$15.81 ,$197.01 ,$3.50 ,$15.81 ,$197.01 ,$32.58 ,$278.60 ,$37.08 ,$318.40 ,$40.33 ,$15.81 ,$278.60 ,$15.81 ,$238.80 ,$16.12 ,$298.50 ,$219.70 ,$198.20 ,$219.70 ,$15.81 ,$219.70 ,$24.00 ,$398.00 ,$24.00 ,$338.30 ,$40.33 ,$275.81 ,$15.81 ,$398.00 ,$223.28 ,$15.81 ,$104.28 , N/A ,$9.36 ,$8.94 ,$16.60 ,$318.40 ,$197.01 ,$111.44 ,$358.20 ,$151.24 ,$32.26 ,$15.81 ,$191.04 
ST. MARY'S HOSPITAL - DECATUR,30100141,80202,HC VANCOMYCIN,301,1 ,$354.00 ,$254.88 ,$3.50 ,$354.00 ,$33.85 ,$23.02 ,$194.70 ,$13.27 ,$99.12 ,$52.18 ,$13.27 ,$54.35 ,$13.27 ,$175.23 ,$3.50 ,$13.27 ,$175.23 ,$27.35 ,$247.80 ,$30.78 ,$283.20 ,$33.85 ,$13.27 ,$247.80 ,$13.27 ,$212.40 ,$13.53 ,$265.50 ,$195.41 ,$176.29 ,$195.41 ,$13.27 ,$195.41 ,$20.16 ,$354.00 ,$20.16 ,$300.90 ,$33.85 ,$245.32 ,$13.27 ,$354.00 ,$198.59 ,$13.27 ,$92.75 , N/A ,$9.36 ,$8.94 ,$13.94 ,$283.20 ,$175.23 ,$99.12 ,$318.60 ,$134.52 ,$27.08 ,$13.27 ,$169.92 
ST. MARY'S HOSPITAL - DECATUR,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$20.43 ,$13.88 ,$110.55 ,$8.01 ,$56.28 ,$42.62 ,$8.01 ,$44.40 ,$8.01 ,$99.50 ,$3.50 ,$8.01 ,$99.50 ,$16.50 ,$140.70 ,$18.93 ,$160.80 ,$20.43 ,$8.01 ,$140.70 ,$8.01 ,$120.60 ,$8.16 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$8.01 ,$110.95 ,$12.15 ,$201.00 ,$12.15 ,$170.85 ,$20.43 ,$139.29 ,$8.01 ,$201.00 ,$112.76 ,$8.01 ,$52.66 , N/A ,$8.15 ,$7.78 ,$8.41 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$16.34 ,$8.01 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30100165,82040,HC ALBUMIN SERUM,301,1 ,$82.00 ,$59.04 ,$3.47 ,$82.00 ,$12.38 ,$8.42 ,$45.10 ,$4.85 ,$22.96 ,$25.82 ,$4.85 ,$26.90 ,$4.85 ,$40.59 ,$3.50 ,$4.85 ,$40.59 ,$10.00 ,$57.40 ,$11.05 ,$65.60 ,$12.38 ,$4.85 ,$57.40 ,$4.85 ,$49.20 ,$4.95 ,$61.50 ,$45.26 ,$40.84 ,$45.26 ,$4.85 ,$45.26 ,$7.36 ,$82.00 ,$7.36 ,$69.70 ,$12.38 ,$56.83 ,$4.85 ,$82.00 ,$46.00 ,$4.85 ,$21.48 , N/A ,$3.63 ,$3.47 ,$5.10 ,$65.60 ,$40.59 ,$22.96 ,$73.80 ,$31.16 ,$9.90 ,$4.85 ,$39.36 
ST. MARY'S HOSPITAL - DECATUR,30100166,82042,HC ALBUMIN BODY FLUID,301,1 ,$100.00 ,$72.00 ,$3.47 ,$100.00 ,$19.45 ,$13.22 ,$55.00 ,$7.62 ,$28.00 ,$32.88 ,$7.62 ,$34.25 ,$7.62 ,$49.50 ,$3.50 ,$7.62 ,$49.50 ,$15.72 ,$70.00 ,$17.35 ,$80.00 ,$19.45 ,$7.62 ,$70.00 ,$7.62 ,$60.00 ,$7.78 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$7.62 ,$55.20 ,$10.41 ,$100.00 ,$10.41 ,$85.00 ,$19.45 ,$69.30 ,$7.62 ,$100.00 ,$56.10 ,$7.62 ,$26.20 , N/A ,$3.63 ,$3.47 ,$8.01 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$15.56 ,$7.62 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$173.00 ,$124.56 ,$2.78 ,$173.00 ,$14.45 ,$9.82 ,$95.15 ,$5.66 ,$48.44 ,$30.14 ,$5.66 ,$31.40 ,$5.66 ,$85.64 ,$3.50 ,$5.66 ,$85.64 ,$11.68 ,$121.10 ,$13.43 ,$138.40 ,$14.45 ,$5.66 ,$121.10 ,$5.66 ,$103.80 ,$5.78 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$5.66 ,$95.50 ,$8.60 ,$173.00 ,$8.60 ,$147.05 ,$14.45 ,$119.89 ,$5.66 ,$173.00 ,$97.05 ,$5.66 ,$45.33 , N/A ,$2.92 ,$2.78 ,$5.95 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 ,$11.56 ,$5.66 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,30100186,82140,HC AMMONIA,301,1 ,$220.00 ,$158.40 ,$3.50 ,$220.00 ,$36.43 ,$24.76 ,$121.00 ,$14.28 ,$61.60 ,$56.11 ,$14.28 ,$58.45 ,$14.28 ,$108.90 ,$3.50 ,$14.28 ,$108.90 ,$29.43 ,$154.00 ,$33.15 ,$176.00 ,$36.43 ,$14.28 ,$154.00 ,$14.28 ,$132.00 ,$14.56 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$14.28 ,$121.44 ,$21.68 ,$220.00 ,$21.68 ,$187.00 ,$36.43 ,$152.46 ,$14.28 ,$220.00 ,$123.42 ,$14.28 ,$57.64 , N/A ,$8.15 ,$7.78 ,$14.99 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$29.14 ,$14.28 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30100188,82150,HC AMYLASE,301,1 ,$264.00 ,$190.08 ,$3.50 ,$264.00 ,$16.20 ,$11.02 ,$145.20 ,$6.35 ,$73.92 ,$33.79 ,$6.35 ,$35.20 ,$6.35 ,$130.68 ,$3.50 ,$6.35 ,$130.68 ,$13.09 ,$184.80 ,$15.00 ,$211.20 ,$16.20 ,$6.35 ,$184.80 ,$6.35 ,$158.40 ,$6.48 ,$198.00 ,$145.73 ,$131.47 ,$145.73 ,$6.35 ,$145.73 ,$9.64 ,$264.00 ,$9.64 ,$224.40 ,$16.20 ,$182.95 ,$6.35 ,$264.00 ,$148.10 ,$6.35 ,$69.17 , N/A ,$8.15 ,$7.78 ,$6.66 ,$211.20 ,$130.68 ,$73.92 ,$237.60 ,$100.32 ,$12.96 ,$6.35 ,$126.72 
ST. MARY'S HOSPITAL - DECATUR,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$134.00 ,$96.48 ,$3.47 ,$134.00 ,$12.55 ,$8.54 ,$73.70 ,$4.92 ,$37.52 ,$26.16 ,$4.92 ,$27.25 ,$4.92 ,$66.33 ,$3.50 ,$4.92 ,$66.33 ,$10.14 ,$93.80 ,$11.83 ,$107.20 ,$12.55 ,$4.92 ,$93.80 ,$4.92 ,$80.40 ,$5.02 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.92 ,$73.97 ,$7.46 ,$134.00 ,$7.46 ,$113.90 ,$12.55 ,$92.86 ,$4.92 ,$134.00 ,$75.17 ,$4.92 ,$35.11 , N/A ,$3.63 ,$3.47 ,$5.16 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$10.04 ,$4.92 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$120.00 ,$86.40 ,$3.47 ,$120.00 ,$12.55 ,$8.54 ,$66.00 ,$4.92 ,$33.60 ,$26.16 ,$4.92 ,$27.25 ,$4.92 ,$59.40 ,$3.50 ,$4.92 ,$59.40 ,$10.14 ,$84.00 ,$11.83 ,$96.00 ,$12.55 ,$4.92 ,$84.00 ,$4.92 ,$72.00 ,$5.02 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$4.92 ,$66.24 ,$7.46 ,$120.00 ,$7.46 ,$102.00 ,$12.55 ,$83.16 ,$4.92 ,$120.00 ,$67.32 ,$4.92 ,$31.44 , N/A ,$3.63 ,$3.47 ,$5.16 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$10.04 ,$4.92 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30100207,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$80.00 ,$57.60 ,$3.47 ,$80.00 ,$10.58 ,$7.20 ,$44.00 ,$4.15 ,$22.40 ,$17.86 ,$4.15 ,$18.60 ,$4.15 ,$39.60 ,$3.50 ,$4.15 ,$39.60 ,$8.54 ,$56.00 ,$9.48 ,$64.00 ,$10.58 ,$4.15 ,$56.00 ,$4.15 ,$48.00 ,$4.22 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$4.15 ,$44.16 ,$5.67 ,$80.00 ,$5.67 ,$68.00 ,$10.58 ,$55.44 ,$4.15 ,$80.00 ,$44.88 ,$4.15 ,$20.96 , N/A ,$3.63 ,$3.47 ,$4.35 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$8.46 ,$4.15 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$110.00 ,$79.20 ,$3.50 ,$110.00 ,$74.00 ,$50.32 ,$60.50 ,$29.01 ,$30.80 ,$57.53 ,$29.01 ,$60.50 ,$29.01 ,$54.45 ,$3.50 ,$29.01 ,$54.45 ,$59.79 ,$77.00 ,$67.85 ,$88.00 ,$74.00 ,$29.01 ,$77.00 ,$29.01 ,$66.00 ,$29.59 ,$82.50 ,$60.72 ,$54.78 ,$60.72 ,$29.01 ,$60.72 ,$44.04 ,$110.00 ,$44.04 ,$93.50 ,$74.00 ,$76.23 ,$29.01 ,$110.00 ,$61.71 ,$29.01 ,$28.82 , N/A ,$21.95 ,$20.95 ,$30.46 ,$88.00 ,$54.45 ,$30.80 ,$99.00 ,$41.80 ,$59.20 ,$29.01 ,$52.80 
ST. MARY'S HOSPITAL - DECATUR,30100214,82310,HC CALCIUM,301,1 ,$168.00 ,$120.96 ,$3.47 ,$168.00 ,$12.90 ,$8.78 ,$92.40 ,$5.06 ,$47.04 ,$26.93 ,$5.06 ,$28.05 ,$5.06 ,$83.16 ,$3.50 ,$5.06 ,$83.16 ,$10.42 ,$117.60 ,$11.83 ,$134.40 ,$12.90 ,$5.06 ,$117.60 ,$5.06 ,$100.80 ,$5.15 ,$126.00 ,$92.74 ,$83.66 ,$92.74 ,$5.06 ,$92.74 ,$7.67 ,$168.00 ,$7.67 ,$142.80 ,$12.90 ,$116.42 ,$5.06 ,$168.00 ,$94.25 ,$5.06 ,$44.02 , N/A ,$3.63 ,$3.47 ,$5.31 ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$10.32 ,$5.06 ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,30100215,82330,HC CALCIUM IONIZED,301,1 ,$204.00 ,$146.88 ,$3.50 ,$204.00 ,$34.20 ,$23.26 ,$112.20 ,$13.41 ,$57.12 ,$71.28 ,$13.41 ,$74.25 ,$13.41 ,$100.98 ,$3.50 ,$13.41 ,$100.98 ,$27.63 ,$142.80 ,$31.55 ,$163.20 ,$34.20 ,$13.41 ,$142.80 ,$13.41 ,$122.40 ,$13.67 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$13.41 ,$112.61 ,$20.35 ,$204.00 ,$20.35 ,$173.40 ,$34.20 ,$141.37 ,$13.41 ,$204.00 ,$114.44 ,$13.41 ,$53.45 , N/A ,$8.15 ,$7.78 ,$14.07 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$27.36 ,$13.41 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$245.00 ,$176.40 ,$3.50 ,$245.00 ,$15.08 ,$10.26 ,$134.75 ,$5.91 ,$68.60 ,$23.23 ,$5.91 ,$24.20 ,$5.91 ,$121.28 ,$3.50 ,$5.91 ,$121.28 ,$12.18 ,$171.50 ,$13.43 ,$196.00 ,$15.08 ,$5.91 ,$171.50 ,$5.91 ,$147.00 ,$6.03 ,$183.75 ,$135.24 ,$122.01 ,$135.24 ,$5.91 ,$135.24 ,$8.97 ,$245.00 ,$8.97 ,$208.25 ,$15.08 ,$169.79 ,$5.91 ,$245.00 ,$137.45 ,$5.91 ,$64.19 , N/A ,$8.15 ,$7.78 ,$6.20 ,$196.00 ,$121.28 ,$68.60 ,$220.50 ,$93.10 ,$12.06 ,$5.91 ,$117.60 
ST. MARY'S HOSPITAL - DECATUR,30100222,82374,HC BICARBONATE,301,1 ,$127.00 ,$91.44 ,$3.47 ,$127.00 ,$12.20 ,$8.30 ,$69.85 ,$4.78 ,$35.56 ,$25.49 ,$4.78 ,$26.55 ,$4.78 ,$62.87 ,$3.50 ,$4.78 ,$62.87 ,$9.86 ,$88.90 ,$11.05 ,$101.60 ,$12.20 ,$4.78 ,$88.90 ,$4.78 ,$76.20 ,$4.88 ,$95.25 ,$70.10 ,$63.25 ,$70.10 ,$4.78 ,$70.10 ,$7.27 ,$127.00 ,$7.27 ,$107.95 ,$12.20 ,$88.01 ,$4.78 ,$127.00 ,$71.25 ,$4.78 ,$33.27 , N/A ,$3.63 ,$3.47 ,$5.02 ,$101.60 ,$62.87 ,$35.56 ,$114.30 ,$48.26 ,$9.76 ,$4.78 ,$60.96 
ST. MARY'S HOSPITAL - DECATUR,30100224,82375,HC CARBON MONOXIDE,301,1 ,$45.00 ,$32.40 ,$3.50 ,$45.00 ,$30.80 ,$20.94 ,$24.75 ,$12.07 ,$12.60 ,$23.54 ,$12.07 ,$24.75 ,$12.07 ,$22.28 ,$3.50 ,$12.07 ,$22.28 ,$24.89 ,$31.50 ,$28.40 ,$36.00 ,$30.80 ,$12.07 ,$31.50 ,$12.07 ,$27.00 ,$12.32 ,$33.75 ,$24.84 ,$22.41 ,$24.84 ,$12.07 ,$24.84 ,$18.33 ,$45.00 ,$18.33 ,$38.25 ,$30.80 ,$31.19 ,$12.07 ,$45.00 ,$25.25 ,$12.07 ,$11.79 , N/A ,$8.15 ,$7.78 ,$12.68 ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$24.64 ,$12.07 ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,30100226,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$333.00 ,$239.76 ,$3.50 ,$333.00 ,$47.40 ,$32.24 ,$183.15 ,$18.58 ,$93.24 ,$73.06 ,$18.58 ,$76.10 ,$18.58 ,$164.84 ,$3.50 ,$18.58 ,$164.84 ,$38.30 ,$233.10 ,$43.40 ,$266.40 ,$47.40 ,$18.58 ,$233.10 ,$18.58 ,$199.80 ,$18.95 ,$249.75 ,$183.82 ,$165.83 ,$183.82 ,$18.58 ,$183.82 ,$28.21 ,$333.00 ,$28.21 ,$283.05 ,$47.40 ,$230.77 ,$18.58 ,$333.00 ,$186.81 ,$18.58 ,$87.25 , N/A ,$8.15 ,$7.78 ,$19.51 ,$266.40 ,$164.84 ,$93.24 ,$299.70 ,$126.54 ,$37.92 ,$18.58 ,$159.84 
ST. MARY'S HOSPITAL - DECATUR,30100237,82435,HC CHLORIDE,301,1 ,$98.00 ,$70.56 ,$3.47 ,$98.00 ,$11.50 ,$7.82 ,$53.90 ,$4.51 ,$27.44 ,$24.00 ,$4.51 ,$25.00 ,$4.51 ,$48.51 ,$3.50 ,$4.51 ,$48.51 ,$9.29 ,$68.60 ,$10.25 ,$78.40 ,$11.50 ,$4.51 ,$68.60 ,$4.51 ,$58.80 ,$4.60 ,$73.50 ,$54.10 ,$48.80 ,$54.10 ,$4.51 ,$54.10 ,$6.84 ,$98.00 ,$6.84 ,$83.30 ,$11.50 ,$67.91 ,$4.51 ,$98.00 ,$54.98 ,$4.51 ,$25.68 , N/A ,$3.63 ,$3.47 ,$4.73 ,$78.40 ,$48.51 ,$27.44 ,$88.20 ,$37.24 ,$9.20 ,$4.51 ,$47.04 
ST. MARY'S HOSPITAL - DECATUR,30100238,82436,HC CHLORIDE URINE,301,1 ,$228.00 ,$164.16 ,$3.47 ,$228.00 ,$14.38 ,$9.78 ,$125.40 ,$5.63 ,$63.84 ,$19.39 ,$5.63 ,$20.20 ,$5.63 ,$112.86 ,$3.50 ,$5.63 ,$112.86 ,$11.62 ,$159.60 ,$13.43 ,$182.40 ,$14.38 ,$5.63 ,$159.60 ,$5.63 ,$136.80 ,$5.75 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$5.63 ,$125.86 ,$7.70 ,$228.00 ,$7.70 ,$193.80 ,$14.38 ,$158.00 ,$5.63 ,$228.00 ,$127.91 ,$5.63 ,$59.74 , N/A ,$3.63 ,$3.47 ,$5.92 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$11.50 ,$5.63 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,30100240,82438,HC CHLORIDE OTHER SOURCE,301,1 ,$203.00 ,$146.16 ,$3.47 ,$203.00 ,$12.50 ,$8.50 ,$111.65 ,$4.90 ,$56.84 ,$18.82 ,$4.90 ,$19.60 ,$4.90 ,$100.49 ,$3.50 ,$4.90 ,$100.49 ,$10.10 ,$142.10 ,$11.05 ,$162.40 ,$12.50 ,$4.90 ,$142.10 ,$4.90 ,$121.80 ,$5.00 ,$152.25 ,$112.06 ,$101.09 ,$112.06 ,$4.90 ,$112.06 ,$7.27 ,$203.00 ,$7.27 ,$172.55 ,$12.50 ,$140.68 ,$4.90 ,$203.00 ,$113.88 ,$4.90 ,$53.19 , N/A ,$3.63 ,$3.47 ,$5.14 ,$162.40 ,$100.49 ,$56.84 ,$182.70 ,$77.14 ,$10.00 ,$4.90 ,$97.44 
ST. MARY'S HOSPITAL - DECATUR,30100241,82465,HC CHOLESTEROL,301,1 ,$179.00 ,$128.88 ,$3.47 ,$179.00 ,$10.88 ,$7.40 ,$98.45 ,$4.26 ,$50.12 ,$22.70 ,$4.26 ,$23.65 ,$4.26 ,$88.61 ,$3.50 ,$4.26 ,$88.61 ,$8.79 ,$125.30 ,$10.25 ,$143.20 ,$10.88 ,$4.26 ,$125.30 ,$4.26 ,$107.40 ,$4.35 ,$134.25 ,$98.81 ,$89.14 ,$98.81 ,$4.26 ,$98.81 ,$6.48 ,$179.00 ,$6.48 ,$152.15 ,$10.88 ,$124.05 ,$4.26 ,$179.00 ,$100.42 ,$4.26 ,$46.90 , N/A ,$3.63 ,$3.47 ,$4.48 ,$143.20 ,$88.61 ,$50.12 ,$161.10 ,$68.02 ,$8.70 ,$4.26 ,$85.92 
ST. MARY'S HOSPITAL - DECATUR,30100254,82533,HC CORTISOL TOTAL,301,1 ,$271.00 ,$195.12 ,$3.50 ,$271.00 ,$40.75 ,$27.72 ,$149.05 ,$15.97 ,$75.88 ,$62.78 ,$15.97 ,$65.40 ,$15.97 ,$134.15 ,$3.50 ,$15.97 ,$134.15 ,$32.93 ,$189.70 ,$37.08 ,$216.80 ,$40.75 ,$15.97 ,$189.70 ,$15.97 ,$162.60 ,$16.30 ,$203.25 ,$149.59 ,$134.96 ,$149.59 ,$15.97 ,$149.59 ,$24.25 ,$271.00 ,$24.25 ,$230.35 ,$40.75 ,$187.80 ,$15.97 ,$271.00 ,$152.03 ,$15.97 ,$71.00 , N/A ,$19.09 ,$18.22 ,$16.78 ,$216.80 ,$134.15 ,$75.88 ,$243.90 ,$102.98 ,$32.60 ,$15.97 ,$130.08 
ST. MARY'S HOSPITAL - DECATUR,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$163.00 ,$117.36 ,$3.47 ,$163.00 ,$16.28 ,$11.06 ,$89.65 ,$6.38 ,$45.64 ,$33.98 ,$6.38 ,$35.40 ,$6.38 ,$80.69 ,$3.50 ,$6.38 ,$80.69 ,$13.15 ,$114.10 ,$15.00 ,$130.40 ,$16.28 ,$6.38 ,$114.10 ,$6.38 ,$97.80 ,$6.51 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$6.38 ,$89.98 ,$9.68 ,$163.00 ,$9.68 ,$138.55 ,$16.28 ,$112.96 ,$6.38 ,$163.00 ,$91.44 ,$6.38 ,$42.71 , N/A ,$3.63 ,$3.47 ,$6.70 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$13.02 ,$6.38 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$212.00 ,$152.64 ,$3.50 ,$212.00 ,$28.88 ,$19.64 ,$116.60 ,$11.32 ,$59.36 ,$44.50 ,$11.32 ,$46.35 ,$11.32 ,$104.94 ,$3.50 ,$11.32 ,$104.94 ,$23.33 ,$148.40 ,$26.05 ,$169.60 ,$28.88 ,$11.32 ,$148.40 ,$11.32 ,$127.20 ,$11.54 ,$159.00 ,$117.02 ,$105.58 ,$117.02 ,$11.32 ,$117.02 ,$17.18 ,$212.00 ,$17.18 ,$180.20 ,$28.88 ,$146.92 ,$11.32 ,$212.00 ,$118.93 ,$11.32 ,$55.54 , N/A ,$8.15 ,$7.78 ,$11.89 ,$169.60 ,$104.94 ,$59.36 ,$190.80 ,$80.56 ,$23.10 ,$11.32 ,$101.76 
ST. MARY'S HOSPITAL - DECATUR,30100262,82565,HC CREATININE,301,1 ,$167.00 ,$120.24 ,$3.47 ,$167.00 ,$12.80 ,$8.70 ,$91.85 ,$5.02 ,$46.76 ,$26.74 ,$5.02 ,$27.85 ,$5.02 ,$82.67 ,$3.50 ,$5.02 ,$82.67 ,$10.34 ,$116.90 ,$11.83 ,$133.60 ,$12.80 ,$5.02 ,$116.90 ,$5.02 ,$100.20 ,$5.12 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$5.02 ,$92.18 ,$7.62 ,$167.00 ,$7.62 ,$141.95 ,$12.80 ,$115.73 ,$5.02 ,$5.12 ,$93.69 ,$5.02 ,$43.75 , N/A ,$3.63 ,$3.47 ,$5.27 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$10.24 ,$5.02 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$170.00 ,$122.40 ,$3.47 ,$170.00 ,$12.95 ,$8.80 ,$93.50 ,$5.08 ,$47.60 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$84.15 ,$3.50 ,$5.08 ,$84.15 ,$10.46 ,$119.00 ,$11.83 ,$136.00 ,$12.95 ,$5.08 ,$119.00 ,$5.08 ,$102.00 ,$5.17 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$5.08 ,$93.84 ,$7.70 ,$170.00 ,$7.70 ,$144.50 ,$12.95 ,$117.81 ,$5.08 ,$170.00 ,$95.37 ,$5.08 ,$44.54 , N/A ,$3.63 ,$3.47 ,$5.33 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$10.36 ,$5.08 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$268.00 ,$192.96 ,$3.50 ,$268.00 ,$23.65 ,$16.08 ,$147.40 ,$9.27 ,$75.04 ,$36.43 ,$9.27 ,$37.95 ,$9.27 ,$132.66 ,$3.50 ,$9.27 ,$132.66 ,$19.11 ,$187.60 ,$21.30 ,$214.40 ,$23.65 ,$9.27 ,$187.60 ,$9.27 ,$160.80 ,$9.46 ,$201.00 ,$147.94 ,$133.46 ,$147.94 ,$9.27 ,$147.94 ,$14.07 ,$268.00 ,$14.07 ,$227.80 ,$23.65 ,$185.72 ,$9.27 ,$268.00 ,$150.35 ,$9.27 ,$70.22 , N/A ,$8.15 ,$7.78 ,$9.73 ,$214.40 ,$132.66 ,$75.04 ,$241.20 ,$101.84 ,$18.92 ,$9.27 ,$128.64 
ST. MARY'S HOSPITAL - DECATUR,30100269,82607,HC VITAMIN B12,301,1 ,$232.00 ,$167.04 ,$3.50 ,$232.00 ,$37.70 ,$25.64 ,$127.60 ,$14.78 ,$64.96 ,$58.08 ,$14.78 ,$60.50 ,$14.78 ,$114.84 ,$3.50 ,$14.78 ,$114.84 ,$30.46 ,$162.40 ,$34.73 ,$185.60 ,$37.70 ,$14.78 ,$162.40 ,$14.78 ,$139.20 ,$15.07 ,$174.00 ,$128.06 ,$115.54 ,$128.06 ,$14.78 ,$128.06 ,$22.43 ,$232.00 ,$22.43 ,$197.20 ,$37.70 ,$160.78 ,$14.78 ,$232.00 ,$130.15 ,$14.78 ,$60.78 , N/A ,$10.98 ,$10.48 ,$15.51 ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$30.16 ,$14.78 ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,30100290,82728,HC FERRITIN,301,1 ,$230.00 ,$165.60 ,$3.50 ,$230.00 ,$34.08 ,$23.18 ,$126.50 ,$13.36 ,$64.40 ,$52.51 ,$13.36 ,$54.70 ,$13.36 ,$113.85 ,$3.50 ,$13.36 ,$113.85 ,$27.53 ,$161.00 ,$30.78 ,$184.00 ,$34.08 ,$13.36 ,$161.00 ,$13.36 ,$138.00 ,$13.62 ,$172.50 ,$126.96 ,$114.54 ,$126.96 ,$13.36 ,$126.96 ,$20.29 ,$230.00 ,$20.29 ,$195.50 ,$34.08 ,$159.39 ,$13.36 ,$230.00 ,$129.03 ,$13.36 ,$60.26 , N/A ,$8.15 ,$7.78 ,$14.02 ,$184.00 ,$113.85 ,$64.40 ,$207.00 ,$87.40 ,$27.26 ,$13.36 ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,30100291,82731,HC FETAL FIBRONECTIN,301,1 ,$850.00 ,$612.00 ,$3.50 ,$850.00 ,$161.03 ,$109.50 ,$467.50 ,$63.12 ,$238.00 ,$335.90 ,$63.12 ,$349.90 ,$63.12 ,$420.75 ,$3.50 ,$63.12 ,$420.75 ,$130.11 ,$595.00 ,$146.75 ,$680.00 ,$161.03 ,$63.12 ,$595.00 ,$63.12 ,$510.00 ,$64.39 ,$637.50 ,$469.20 ,$423.30 ,$469.20 ,$63.12 ,$469.20 ,$95.83 ,$850.00 ,$95.83 ,$722.50 ,$161.03 ,$589.05 ,$63.12 ,$850.00 ,$476.85 ,$63.12 ,$222.70 , N/A ,$21.95 ,$20.95 ,$66.28 ,$680.00 ,$420.75 ,$238.00 ,$765.00 ,$323.00 ,$128.82 ,$63.12 ,$408.00 
ST. MARY'S HOSPITAL - DECATUR,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$204.00 ,$146.88 ,$3.50 ,$204.00 ,$36.75 ,$25.00 ,$112.20 ,$14.41 ,$57.12 ,$56.64 ,$14.41 ,$59.00 ,$14.41 ,$100.98 ,$3.50 ,$14.41 ,$100.98 ,$29.69 ,$142.80 ,$33.15 ,$163.20 ,$36.75 ,$14.41 ,$142.80 ,$14.41 ,$122.40 ,$14.69 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$14.41 ,$112.61 ,$21.88 ,$204.00 ,$21.88 ,$173.40 ,$36.75 ,$141.37 ,$14.41 ,$204.00 ,$114.44 ,$14.41 ,$53.45 , N/A ,$8.15 ,$7.78 ,$15.13 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$29.40 ,$14.41 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30100308,82810,HC BLOOD GAS O2 SAT ONLY,301,1 ,$102.00 ,$73.44 ,$3.50 ,$102.00 ,$24.43 ,$16.60 ,$56.10 ,$9.57 ,$28.56 ,$45.50 ,$9.57 ,$47.40 ,$9.57 ,$50.49 ,$3.50 ,$9.57 ,$50.49 ,$19.74 ,$71.40 ,$22.10 ,$81.60 ,$24.43 ,$9.57 ,$71.40 ,$9.57 ,$61.20 ,$9.77 ,$76.50 ,$56.30 ,$50.80 ,$56.30 ,$9.57 ,$56.30 ,$13.08 ,$102.00 ,$13.08 ,$86.70 ,$24.43 ,$70.69 ,$9.57 ,$102.00 ,$57.22 ,$9.57 ,$26.72 , N/A ,$8.15 ,$7.78 ,$10.05 ,$81.60 ,$50.49 ,$28.56 ,$91.80 ,$38.76 ,$19.54 ,$9.57 ,$48.96 
ST. MARY'S HOSPITAL - DECATUR,30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$137.00 ,$98.64 ,$3.47 ,$137.00 ,$9.83 ,$6.68 ,$75.35 ,$3.85 ,$38.36 ,$20.50 ,$3.85 ,$21.35 ,$3.85 ,$67.82 ,$3.50 ,$3.85 ,$67.82 ,$7.94 ,$95.90 ,$8.68 ,$109.60 ,$9.83 ,$3.85 ,$95.90 ,$3.85 ,$82.20 ,$3.93 ,$102.75 ,$75.62 ,$68.23 ,$75.62 ,$3.85 ,$75.62 ,$5.85 ,$137.00 ,$5.85 ,$116.45 ,$9.83 ,$94.94 ,$3.85 ,$137.00 ,$76.86 ,$3.85 ,$35.89 , N/A ,$3.63 ,$3.47 ,$4.05 ,$109.60 ,$67.82 ,$38.36 ,$123.30 ,$52.06 ,$7.86 ,$3.85 ,$65.76 
ST. MARY'S HOSPITAL - DECATUR,30100312,82947,HC GLUCOSE,301,1 ,$96.00 ,$69.12 ,$3.47 ,$96.00 ,$9.83 ,$6.68 ,$52.80 ,$3.85 ,$26.88 ,$20.50 ,$3.85 ,$21.35 ,$3.85 ,$47.52 ,$3.50 ,$3.85 ,$47.52 ,$7.94 ,$67.20 ,$8.68 ,$76.80 ,$9.83 ,$3.85 ,$67.20 ,$3.85 ,$57.60 ,$3.93 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$3.85 ,$52.99 ,$5.85 ,$96.00 ,$5.85 ,$81.60 ,$9.83 ,$66.53 ,$3.85 ,$96.00 ,$53.86 ,$3.85 ,$25.15 , N/A ,$3.63 ,$3.47 ,$4.05 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$7.86 ,$3.85 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$173.00 ,$124.56 ,$3.47 ,$173.00 ,$11.88 ,$8.08 ,$95.15 ,$4.65 ,$48.44 ,$24.77 ,$4.65 ,$25.80 ,$4.65 ,$85.64 ,$3.50 ,$4.65 ,$85.64 ,$9.60 ,$121.10 ,$11.05 ,$138.40 ,$11.88 ,$4.65 ,$121.10 ,$4.65 ,$103.80 ,$4.75 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$4.65 ,$95.50 ,$7.06 ,$173.00 ,$7.06 ,$147.05 ,$11.88 ,$119.89 ,$4.65 ,$173.00 ,$97.05 ,$4.65 ,$45.33 , N/A ,$3.63 ,$3.47 ,$4.89 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 ,$9.50 ,$4.65 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$390.00 ,$280.80 ,$3.50 ,$390.00 ,$32.18 ,$21.88 ,$214.50 ,$12.61 ,$109.20 ,$67.10 ,$12.61 ,$69.90 ,$12.61 ,$193.05 ,$3.50 ,$12.61 ,$193.05 ,$26.00 ,$273.00 ,$29.20 ,$312.00 ,$32.18 ,$12.61 ,$273.00 ,$12.61 ,$234.00 ,$12.87 ,$292.50 ,$215.28 ,$194.22 ,$215.28 ,$12.61 ,$215.28 ,$19.15 ,$390.00 ,$19.15 ,$331.50 ,$32.18 ,$270.27 ,$12.61 ,$390.00 ,$218.79 ,$12.61 ,$102.18 , N/A ,$8.15 ,$7.78 ,$13.24 ,$312.00 ,$193.05 ,$109.20 ,$351.00 ,$148.20 ,$25.74 ,$12.61 ,$187.20 
ST. MARY'S HOSPITAL - DECATUR,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$116.00 ,$83.52 ,$3.50 ,$116.00 ,$9.80 ,$6.66 ,$63.80 ,$3.84 ,$32.48 ,$20.45 ,$3.84 ,$21.30 ,$3.84 ,$57.42 ,$3.50 ,$3.84 ,$57.42 ,$7.92 ,$81.20 ,$8.68 ,$92.80 ,$9.80 ,$3.84 ,$81.20 ,$3.84 ,$69.60 ,$3.92 ,$87.00 ,$64.03 ,$57.77 ,$64.03 ,$3.84 ,$64.03 ,$5.84 ,$116.00 ,$5.84 ,$98.60 ,$9.80 ,$80.39 ,$3.84 ,$116.00 ,$65.08 ,$3.84 ,$30.39 , N/A ,$8.15 ,$7.78 ,$4.04 ,$92.80 ,$57.42 ,$32.48 ,$104.40 ,$44.08 ,$7.84 ,$3.84 ,$55.68 
ST. MARY'S HOSPITAL - DECATUR,30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$48.00 ,$34.56 ,$3.21 ,$48.00 ,$8.20 ,$5.58 ,$26.40 ,$3.21 ,$13.44 ,$13.87 ,$3.21 ,$14.45 ,$3.21 ,$23.76 ,$3.50 ,$3.21 ,$23.76 ,$6.63 ,$33.60 ,$7.10 ,$38.40 ,$8.20 ,$3.21 ,$33.60 ,$3.21 ,$28.80 ,$3.28 ,$36.00 ,$26.50 ,$23.90 ,$26.50 ,$3.21 ,$26.50 ,$4.39 ,$48.00 ,$4.39 ,$40.80 ,$8.20 ,$33.26 ,$3.21 ,$48.00 ,$26.93 ,$3.21 ,$12.58 , N/A ,$3.63 ,$3.47 ,$3.37 ,$38.40 ,$23.76 ,$13.44 ,$43.20 ,$18.24 ,$6.56 ,$3.21 ,$23.04 
ST. MARY'S HOSPITAL - DECATUR,30100319,82977,HC GGT/GGTP,301,1 ,$152.00 ,$109.44 ,$3.47 ,$152.00 ,$18.00 ,$12.24 ,$83.60 ,$7.06 ,$42.56 ,$37.54 ,$7.06 ,$39.10 ,$7.06 ,$75.24 ,$3.50 ,$7.06 ,$75.24 ,$14.54 ,$106.40 ,$16.58 ,$121.60 ,$18.00 ,$7.06 ,$106.40 ,$7.06 ,$91.20 ,$7.19 ,$114.00 ,$83.90 ,$75.70 ,$83.90 ,$7.06 ,$83.90 ,$10.71 ,$152.00 ,$10.71 ,$129.20 ,$18.00 ,$105.34 ,$7.06 ,$152.00 ,$85.27 ,$7.06 ,$39.82 , N/A ,$3.63 ,$3.47 ,$7.41 ,$121.60 ,$75.24 ,$42.56 ,$136.80 ,$57.76 ,$14.40 ,$7.06 ,$72.96 
ST. MARY'S HOSPITAL - DECATUR,30100322,83001,HC FSH,301,1 ,$277.00 ,$199.44 ,$3.50 ,$277.00 ,$46.45 ,$31.58 ,$152.35 ,$18.21 ,$77.56 ,$96.91 ,$18.21 ,$100.95 ,$18.21 ,$137.12 ,$3.50 ,$18.21 ,$137.12 ,$37.53 ,$193.90 ,$42.60 ,$221.60 ,$46.45 ,$18.21 ,$193.90 ,$18.21 ,$166.20 ,$18.57 ,$207.75 ,$152.90 ,$137.95 ,$152.90 ,$18.21 ,$152.90 ,$27.66 ,$277.00 ,$27.66 ,$235.45 ,$46.45 ,$191.96 ,$18.21 ,$277.00 ,$155.40 ,$18.21 ,$72.57 , N/A ,$19.09 ,$18.22 ,$19.12 ,$221.60 ,$137.12 ,$77.56 ,$249.30 ,$105.26 ,$37.16 ,$18.21 ,$132.96 
ST. MARY'S HOSPITAL - DECATUR,30100325,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$277.00 ,$199.44 ,$3.50 ,$277.00 ,$46.30 ,$31.48 ,$152.35 ,$18.15 ,$77.56 ,$96.58 ,$18.15 ,$100.60 ,$18.15 ,$137.12 ,$3.50 ,$18.15 ,$137.12 ,$37.41 ,$193.90 ,$42.60 ,$221.60 ,$46.30 ,$18.15 ,$193.90 ,$18.15 ,$166.20 ,$18.51 ,$207.75 ,$152.90 ,$137.95 ,$152.90 ,$18.15 ,$152.90 ,$27.54 ,$277.00 ,$27.54 ,$235.45 ,$46.30 ,$191.96 ,$18.15 ,$277.00 ,$155.40 ,$18.15 ,$72.57 , N/A ,$19.09 ,$18.22 ,$19.06 ,$221.60 ,$137.12 ,$77.56 ,$249.30 ,$105.26 ,$37.04 ,$18.15 ,$132.96 
ST. MARY'S HOSPITAL - DECATUR,30100327,83010,HC HAPTOGLOBIN,301,1 ,$126.00 ,$90.72 ,$3.50 ,$126.00 ,$31.45 ,$21.38 ,$69.30 ,$12.33 ,$35.28 ,$48.43 ,$12.33 ,$50.45 ,$12.33 ,$62.37 ,$3.50 ,$12.33 ,$62.37 ,$25.41 ,$88.20 ,$28.40 ,$100.80 ,$31.45 ,$12.33 ,$88.20 ,$12.33 ,$75.60 ,$12.57 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$12.33 ,$69.55 ,$18.70 ,$126.00 ,$18.70 ,$107.10 ,$31.45 ,$87.32 ,$12.33 ,$126.00 ,$70.69 ,$12.33 ,$33.01 , N/A ,$8.15 ,$7.78 ,$12.95 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$25.16 ,$12.33 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$155.00 ,$111.60 ,$3.50 ,$155.00 ,$24.28 ,$16.50 ,$85.25 ,$9.52 ,$43.40 ,$50.64 ,$9.52 ,$52.75 ,$9.52 ,$76.73 ,$3.50 ,$9.52 ,$76.73 ,$19.61 ,$108.50 ,$22.10 ,$124.00 ,$24.28 ,$9.52 ,$108.50 ,$9.52 ,$93.00 ,$9.70 ,$116.25 ,$85.56 ,$77.19 ,$85.56 ,$9.52 ,$85.56 ,$14.45 ,$155.00 ,$14.45 ,$131.75 ,$24.28 ,$107.42 ,$9.52 ,$155.00 ,$86.96 ,$9.52 ,$40.61 , N/A ,$8.15 ,$7.78 ,$10.00 ,$124.00 ,$76.73 ,$43.40 ,$139.50 ,$58.90 ,$19.42 ,$9.52 ,$74.40 
ST. MARY'S HOSPITAL - DECATUR,30100393,83540,HC IRON TOTAL,301,1 ,$145.00 ,$104.40 ,$3.47 ,$145.00 ,$16.18 ,$11.00 ,$79.75 ,$6.34 ,$40.60 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$71.78 ,$3.50 ,$6.34 ,$71.78 ,$13.07 ,$101.50 ,$15.00 ,$116.00 ,$16.18 ,$6.34 ,$101.50 ,$6.34 ,$87.00 ,$6.47 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$6.34 ,$80.04 ,$9.63 ,$145.00 ,$9.63 ,$123.25 ,$16.18 ,$100.49 ,$6.34 ,$145.00 ,$81.35 ,$6.34 ,$37.99 , N/A ,$3.63 ,$3.47 ,$6.65 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$12.94 ,$6.34 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$170.00 ,$122.40 ,$3.50 ,$170.00 ,$21.85 ,$14.86 ,$93.50 ,$8.57 ,$47.60 ,$33.65 ,$8.57 ,$35.05 ,$8.57 ,$84.15 ,$3.50 ,$8.57 ,$84.15 ,$17.65 ,$119.00 ,$19.73 ,$136.00 ,$21.85 ,$8.57 ,$119.00 ,$8.57 ,$102.00 ,$8.73 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$8.57 ,$93.84 ,$13.00 ,$170.00 ,$13.00 ,$144.50 ,$21.85 ,$117.81 ,$8.57 ,$170.00 ,$95.37 ,$8.57 ,$44.54 , N/A ,$8.15 ,$7.78 ,$9.00 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$17.48 ,$8.57 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$28.93 ,$19.66 ,$115.50 ,$11.34 ,$58.80 ,$55.73 ,$11.34 ,$58.05 ,$11.34 ,$103.95 ,$3.50 ,$11.34 ,$103.95 ,$23.37 ,$147.00 ,$26.05 ,$168.00 ,$28.93 ,$11.34 ,$147.00 ,$11.34 ,$126.00 ,$11.56 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$11.34 ,$115.92 ,$15.89 ,$210.00 ,$15.89 ,$178.50 ,$28.93 ,$145.53 ,$11.34 ,$210.00 ,$117.81 ,$11.34 ,$55.02 , N/A ,$8.15 ,$7.78 ,$11.91 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$23.14 ,$11.34 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$178.00 ,$128.16 ,$3.47 ,$178.00 ,$15.10 ,$10.26 ,$97.90 ,$5.92 ,$49.84 ,$23.23 ,$5.92 ,$24.20 ,$5.92 ,$88.11 ,$3.50 ,$5.92 ,$88.11 ,$12.20 ,$124.60 ,$13.43 ,$142.40 ,$15.10 ,$5.92 ,$124.60 ,$5.92 ,$106.80 ,$6.04 ,$133.50 ,$98.26 ,$88.64 ,$98.26 ,$5.92 ,$98.26 ,$8.98 ,$178.00 ,$8.98 ,$151.30 ,$15.10 ,$123.35 ,$5.92 ,$178.00 ,$99.86 ,$5.92 ,$46.64 , N/A ,$3.63 ,$3.47 ,$6.21 ,$142.40 ,$88.11 ,$49.84 ,$160.20 ,$67.64 ,$12.08 ,$5.92 ,$85.44 
ST. MARY'S HOSPITAL - DECATUR,30100409,83690,HC LIPASE,301,1 ,$223.00 ,$160.56 ,$3.47 ,$223.00 ,$17.23 ,$11.72 ,$122.65 ,$6.75 ,$62.44 ,$26.54 ,$6.75 ,$27.65 ,$6.75 ,$110.39 ,$3.50 ,$6.75 ,$110.39 ,$13.92 ,$156.10 ,$15.78 ,$178.40 ,$17.23 ,$6.75 ,$156.10 ,$6.75 ,$133.80 ,$6.89 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$6.75 ,$123.10 ,$10.25 ,$223.00 ,$10.25 ,$189.55 ,$17.23 ,$154.54 ,$6.75 ,$223.00 ,$125.10 ,$6.75 ,$58.43 , N/A ,$3.63 ,$3.47 ,$7.09 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$13.78 ,$6.75 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$20.48 ,$13.92 ,$115.50 ,$8.03 ,$58.80 ,$42.77 ,$8.03 ,$44.55 ,$8.03 ,$103.95 ,$3.50 ,$8.03 ,$103.95 ,$16.54 ,$147.00 ,$18.93 ,$168.00 ,$20.48 ,$8.03 ,$147.00 ,$8.03 ,$126.00 ,$8.18 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$8.03 ,$115.92 ,$12.18 ,$210.00 ,$12.18 ,$178.50 ,$20.48 ,$145.53 ,$8.03 ,$210.00 ,$117.81 ,$8.03 ,$55.02 , N/A ,$8.15 ,$7.78 ,$8.43 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$16.38 ,$8.03 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$115.00 ,$82.80 ,$3.50 ,$115.00 ,$26.25 ,$17.86 ,$63.25 ,$10.29 ,$32.20 ,$49.78 ,$10.29 ,$51.85 ,$10.29 ,$56.93 ,$3.50 ,$10.29 ,$56.93 ,$21.21 ,$80.50 ,$23.68 ,$92.00 ,$26.25 ,$10.29 ,$80.50 ,$10.29 ,$69.00 ,$10.50 ,$86.25 ,$63.48 ,$57.27 ,$63.48 ,$10.29 ,$63.48 ,$14.19 ,$115.00 ,$14.19 ,$97.75 ,$26.25 ,$79.70 ,$10.29 ,$115.00 ,$64.52 ,$10.29 ,$30.13 , N/A ,$8.15 ,$7.78 ,$10.81 ,$92.00 ,$56.93 ,$32.20 ,$103.50 ,$43.70 ,$21.00 ,$10.29 ,$55.20 
ST. MARY'S HOSPITAL - DECATUR,30100417,83735,HC MAGNESIUM,301,1 ,$171.00 ,$123.12 ,$3.47 ,$171.00 ,$16.75 ,$11.40 ,$94.05 ,$6.57 ,$47.88 ,$34.94 ,$6.57 ,$36.40 ,$6.57 ,$84.65 ,$3.50 ,$6.57 ,$84.65 ,$13.53 ,$119.70 ,$15.00 ,$136.80 ,$16.75 ,$6.57 ,$119.70 ,$6.57 ,$102.60 ,$6.69 ,$128.25 ,$94.39 ,$85.16 ,$94.39 ,$6.57 ,$94.39 ,$9.96 ,$171.00 ,$9.96 ,$145.35 ,$16.75 ,$118.50 ,$6.57 ,$171.00 ,$95.93 ,$6.57 ,$44.80 , N/A ,$3.63 ,$3.47 ,$6.90 ,$136.80 ,$84.65 ,$47.88 ,$153.90 ,$64.98 ,$13.40 ,$6.57 ,$82.08 
ST. MARY'S HOSPITAL - DECATUR,30100435,83874,HC MYOGLOBIN,301,1 ,$196.00 ,$141.12 ,$3.50 ,$196.00 ,$32.30 ,$21.96 ,$107.80 ,$12.66 ,$54.88 ,$49.78 ,$12.66 ,$51.85 ,$12.66 ,$97.02 ,$3.50 ,$12.66 ,$97.02 ,$26.10 ,$137.20 ,$29.20 ,$156.80 ,$32.30 ,$12.66 ,$137.20 ,$12.66 ,$117.60 ,$12.92 ,$147.00 ,$108.19 ,$97.61 ,$108.19 ,$12.66 ,$108.19 ,$19.22 ,$196.00 ,$19.22 ,$166.60 ,$32.30 ,$135.83 ,$12.66 ,$196.00 ,$109.96 ,$12.66 ,$51.35 , N/A ,$8.15 ,$7.78 ,$13.30 ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$25.84 ,$12.66 ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$354.00 ,$254.88 ,$3.50 ,$354.00 ,$98.15 ,$66.74 ,$194.70 ,$38.47 ,$99.12 ,$176.98 ,$38.47 ,$184.35 ,$38.47 ,$175.23 ,$3.50 ,$38.47 ,$175.23 ,$79.31 ,$247.80 ,$89.15 ,$283.20 ,$98.15 ,$38.47 ,$247.80 ,$38.47 ,$212.40 ,$39.25 ,$265.50 ,$195.41 ,$176.29 ,$195.41 ,$38.47 ,$195.41 ,$52.57 ,$354.00 ,$52.57 ,$300.90 ,$98.15 ,$245.32 ,$38.47 ,$354.00 ,$198.59 ,$38.47 ,$92.75 , N/A ,$21.95 ,$20.95 ,$40.40 ,$283.20 ,$175.23 ,$99.12 ,$318.60 ,$134.52 ,$78.52 ,$38.47 ,$169.92 
ST. MARY'S HOSPITAL - DECATUR,30100668,83930,HC OSMOLALITY BLOOD,301,1 ,$133.00 ,$95.76 ,$3.47 ,$133.00 ,$16.53 ,$11.24 ,$73.15 ,$6.48 ,$37.24 ,$25.44 ,$6.48 ,$26.50 ,$6.48 ,$65.84 ,$3.50 ,$6.48 ,$65.84 ,$13.35 ,$93.10 ,$15.00 ,$106.40 ,$16.53 ,$6.48 ,$93.10 ,$6.48 ,$79.80 ,$6.61 ,$99.75 ,$73.42 ,$66.23 ,$73.42 ,$6.48 ,$73.42 ,$9.85 ,$133.00 ,$9.85 ,$113.05 ,$16.53 ,$92.17 ,$6.48 ,$133.00 ,$74.61 ,$6.48 ,$34.85 , N/A ,$3.63 ,$3.47 ,$6.80 ,$106.40 ,$65.84 ,$37.24 ,$119.70 ,$50.54 ,$13.22 ,$6.48 ,$63.84 
ST. MARY'S HOSPITAL - DECATUR,30100669,83935,HC OSMOLALITY URINE,301,1 ,$126.00 ,$90.72 ,$3.47 ,$126.00 ,$17.05 ,$11.60 ,$69.30 ,$6.68 ,$35.28 ,$26.26 ,$6.68 ,$27.35 ,$6.68 ,$62.37 ,$3.50 ,$6.68 ,$62.37 ,$13.78 ,$88.20 ,$15.78 ,$100.80 ,$17.05 ,$6.68 ,$88.20 ,$6.68 ,$75.60 ,$6.82 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$6.68 ,$69.55 ,$10.14 ,$126.00 ,$10.14 ,$107.10 ,$17.05 ,$87.32 ,$6.68 ,$126.00 ,$70.69 ,$6.68 ,$33.01 , N/A ,$3.63 ,$3.47 ,$7.02 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$13.64 ,$6.68 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30100672,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$353.00 ,$254.16 ,$3.50 ,$353.00 ,$103.20 ,$70.18 ,$194.15 ,$40.45 ,$98.84 ,$158.98 ,$40.45 ,$165.60 ,$40.45 ,$174.74 ,$3.50 ,$40.45 ,$174.74 ,$83.39 ,$247.10 ,$93.90 ,$282.40 ,$103.20 ,$40.45 ,$247.10 ,$40.45 ,$211.80 ,$41.27 ,$264.75 ,$194.86 ,$175.79 ,$194.86 ,$40.45 ,$194.86 ,$61.41 ,$353.00 ,$61.41 ,$300.05 ,$103.20 ,$244.63 ,$40.45 ,$353.00 ,$198.03 ,$40.45 ,$92.49 , N/A ,$19.09 ,$18.22 ,$42.47 ,$282.40 ,$174.74 ,$98.84 ,$317.70 ,$134.14 ,$82.56 ,$40.45 ,$169.44 
ST. MARY'S HOSPITAL - DECATUR,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$120.00 ,$86.40 ,$3.47 ,$120.00 ,$12.95 ,$8.80 ,$66.00 ,$5.08 ,$33.60 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$59.40 ,$3.50 ,$5.08 ,$59.40 ,$10.46 ,$84.00 ,$11.83 ,$96.00 ,$12.95 ,$5.08 ,$84.00 ,$5.08 ,$72.00 ,$5.17 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$5.08 ,$66.24 ,$7.70 ,$120.00 ,$7.70 ,$102.00 ,$12.95 ,$83.16 ,$5.08 ,$120.00 ,$67.32 ,$5.08 ,$31.44 , N/A ,$3.63 ,$3.47 ,$5.33 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$10.36 ,$5.08 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30100684,84100,HC PHOSPHORUS,301,1 ,$156.00 ,$112.32 ,$3.47 ,$156.00 ,$11.85 ,$8.06 ,$85.80 ,$4.65 ,$43.68 ,$18.24 ,$4.65 ,$19.00 ,$4.65 ,$77.22 ,$3.50 ,$4.65 ,$77.22 ,$9.57 ,$109.20 ,$11.05 ,$124.80 ,$11.85 ,$4.65 ,$109.20 ,$4.65 ,$93.60 ,$4.73 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$4.65 ,$86.11 ,$7.06 ,$156.00 ,$7.06 ,$132.60 ,$11.85 ,$108.11 ,$4.65 ,$156.00 ,$87.52 ,$4.65 ,$40.87 , N/A ,$3.63 ,$3.47 ,$4.88 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$9.48 ,$4.65 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,30100685,84105,HC PHOSPHORUS URINE,301,1 ,$63.00 ,$45.36 ,$3.47 ,$63.00 ,$14.45 ,$9.82 ,$34.65 ,$5.66 ,$17.64 ,$19.92 ,$5.66 ,$20.75 ,$5.66 ,$31.19 ,$3.50 ,$5.66 ,$31.19 ,$11.68 ,$44.10 ,$13.43 ,$50.40 ,$14.45 ,$5.66 ,$44.10 ,$5.66 ,$37.80 ,$5.78 ,$47.25 ,$34.78 ,$31.37 ,$34.78 ,$5.66 ,$34.78 ,$7.74 ,$63.00 ,$7.74 ,$53.55 ,$14.45 ,$43.66 ,$5.66 ,$63.00 ,$35.34 ,$5.66 ,$16.51 , N/A ,$3.63 ,$3.47 ,$5.95 ,$50.40 ,$31.19 ,$17.64 ,$56.70 ,$23.94 ,$11.56 ,$5.66 ,$30.24 
ST. MARY'S HOSPITAL - DECATUR,30100691,84132,HC POTASSIUM,301,1 ,$106.00 ,$76.32 ,$3.47 ,$106.00 ,$11.90 ,$8.10 ,$58.30 ,$4.66 ,$29.68 ,$24.00 ,$4.66 ,$25.00 ,$4.66 ,$52.47 ,$3.50 ,$4.66 ,$52.47 ,$9.62 ,$74.20 ,$11.05 ,$84.80 ,$11.90 ,$4.66 ,$74.20 ,$4.66 ,$63.60 ,$4.76 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$4.66 ,$58.51 ,$6.84 ,$106.00 ,$6.84 ,$90.10 ,$11.90 ,$73.46 ,$4.66 ,$106.00 ,$59.47 ,$4.66 ,$27.77 , N/A ,$3.63 ,$3.47 ,$4.90 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$9.52 ,$4.66 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30100694,84133,HC POTASSIUM URINE,301,1 ,$96.00 ,$69.12 ,$3.47 ,$96.00 ,$11.83 ,$8.04 ,$52.80 ,$4.64 ,$26.88 ,$16.61 ,$4.64 ,$17.30 ,$4.64 ,$47.52 ,$3.50 ,$4.64 ,$47.52 ,$9.55 ,$67.20 ,$11.05 ,$76.80 ,$11.83 ,$4.64 ,$67.20 ,$4.64 ,$57.60 ,$4.72 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$4.64 ,$52.99 ,$6.42 ,$96.00 ,$6.42 ,$81.60 ,$11.83 ,$66.53 ,$4.64 ,$96.00 ,$53.86 ,$4.64 ,$25.15 , N/A ,$3.63 ,$3.47 ,$4.87 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$9.46 ,$4.64 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30100696,84144,HC PROGESTERONE,301,1 ,$184.00 ,$132.48 ,$3.50 ,$184.00 ,$52.15 ,$35.46 ,$101.20 ,$20.44 ,$51.52 ,$80.35 ,$20.44 ,$83.70 ,$20.44 ,$91.08 ,$3.50 ,$20.44 ,$91.08 ,$42.14 ,$128.80 ,$47.35 ,$147.20 ,$52.15 ,$20.44 ,$128.80 ,$20.44 ,$110.40 ,$20.85 ,$138.00 ,$101.57 ,$91.63 ,$101.57 ,$20.44 ,$101.57 ,$31.03 ,$184.00 ,$31.03 ,$156.40 ,$52.15 ,$127.51 ,$20.44 ,$184.00 ,$103.22 ,$20.44 ,$48.21 , N/A ,$10.98 ,$10.48 ,$21.46 ,$147.20 ,$91.08 ,$51.52 ,$165.60 ,$69.92 ,$41.72 ,$20.44 ,$88.32 
ST. MARY'S HOSPITAL - DECATUR,30100697,84146,HC PROLACTIN,301,1 ,$292.00 ,$210.24 ,$3.50 ,$292.00 ,$48.45 ,$32.94 ,$160.60 ,$18.99 ,$81.76 ,$74.64 ,$18.99 ,$77.75 ,$18.99 ,$144.54 ,$3.50 ,$18.99 ,$144.54 ,$39.15 ,$204.40 ,$44.18 ,$233.60 ,$48.45 ,$18.99 ,$204.40 ,$18.99 ,$175.20 ,$19.37 ,$219.00 ,$161.18 ,$145.42 ,$161.18 ,$18.99 ,$161.18 ,$28.83 ,$292.00 ,$28.83 ,$248.20 ,$48.45 ,$202.36 ,$18.99 ,$292.00 ,$163.81 ,$18.99 ,$76.50 , N/A ,$19.09 ,$18.22 ,$19.94 ,$233.60 ,$144.54 ,$81.76 ,$262.80 ,$110.96 ,$38.76 ,$18.99 ,$140.16 
ST. MARY'S HOSPITAL - DECATUR,30100698,84153,HC PSA TOTAL,301,1 ,$192.00 ,$138.24 ,$3.50 ,$192.00 ,$45.98 ,$31.26 ,$105.60 ,$18.02 ,$53.76 ,$70.85 ,$18.02 ,$73.80 ,$18.02 ,$95.04 ,$3.50 ,$18.02 ,$95.04 ,$37.15 ,$134.40 ,$41.83 ,$153.60 ,$45.98 ,$18.02 ,$134.40 ,$18.02 ,$115.20 ,$18.38 ,$144.00 ,$105.98 ,$95.62 ,$105.98 ,$18.02 ,$105.98 ,$27.37 ,$192.00 ,$27.37 ,$163.20 ,$45.98 ,$133.06 ,$18.02 ,$192.00 ,$107.71 ,$18.02 ,$50.30 , N/A ,$8.15 ,$7.78 ,$18.92 ,$153.60 ,$95.04 ,$53.76 ,$172.80 ,$72.96 ,$36.78 ,$18.02 ,$92.16 
ST. MARY'S HOSPITAL - DECATUR,30100699,84154,HC PSA FREE,301,1 ,$151.00 ,$108.72 ,$3.50 ,$151.00 ,$45.98 ,$31.26 ,$83.05 ,$18.02 ,$42.28 ,$70.85 ,$18.02 ,$73.80 ,$18.02 ,$74.75 ,$3.50 ,$18.02 ,$74.75 ,$37.15 ,$105.70 ,$41.83 ,$120.80 ,$45.98 ,$18.02 ,$105.70 ,$18.02 ,$90.60 ,$18.38 ,$113.25 ,$83.35 ,$75.20 ,$83.35 ,$18.02 ,$83.35 ,$27.37 ,$151.00 ,$27.37 ,$128.35 ,$45.98 ,$104.64 ,$18.02 ,$151.00 ,$84.71 ,$18.02 ,$39.56 , N/A ,$8.15 ,$7.78 ,$18.92 ,$120.80 ,$74.75 ,$42.28 ,$135.90 ,$57.38 ,$36.78 ,$18.02 ,$72.48 
ST. MARY'S HOSPITAL - DECATUR,30100700,84155,HC PROTEIN TOTAL,301,1 ,$93.00 ,$66.96 ,$3.47 ,$93.00 ,$9.18 ,$6.24 ,$51.15 ,$3.60 ,$26.04 ,$19.15 ,$3.60 ,$19.95 ,$3.60 ,$46.04 ,$3.50 ,$3.60 ,$46.04 ,$7.41 ,$65.10 ,$8.68 ,$74.40 ,$9.18 ,$3.60 ,$65.10 ,$3.60 ,$55.80 ,$3.67 ,$69.75 ,$51.34 ,$46.31 ,$51.34 ,$3.60 ,$51.34 ,$5.45 ,$93.00 ,$5.45 ,$79.05 ,$9.18 ,$64.45 ,$3.60 ,$93.00 ,$52.17 ,$3.60 ,$24.37 , N/A ,$3.63 ,$3.47 ,$3.77 ,$74.40 ,$46.04 ,$26.04 ,$83.70 ,$35.34 ,$7.34 ,$3.60 ,$44.64 
ST. MARY'S HOSPITAL - DECATUR,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$182.00 ,$131.04 ,$3.47 ,$182.00 ,$9.18 ,$6.24 ,$100.10 ,$3.60 ,$50.96 ,$14.11 ,$3.60 ,$14.70 ,$3.60 ,$90.09 ,$3.50 ,$3.60 ,$90.09 ,$7.41 ,$127.40 ,$8.68 ,$145.60 ,$9.18 ,$3.60 ,$127.40 ,$3.60 ,$109.20 ,$3.67 ,$136.50 ,$100.46 ,$90.64 ,$100.46 ,$3.60 ,$100.46 ,$5.45 ,$182.00 ,$5.45 ,$154.70 ,$9.18 ,$126.13 ,$3.60 ,$182.00 ,$102.10 ,$3.60 ,$47.68 , N/A ,$3.63 ,$3.47 ,$3.77 ,$145.60 ,$90.09 ,$50.96 ,$163.80 ,$69.16 ,$7.34 ,$3.60 ,$87.36 
ST. MARY'S HOSPITAL - DECATUR,30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$111.00 ,$79.92 ,$3.47 ,$111.00 ,$10.00 ,$6.80 ,$61.05 ,$3.92 ,$31.08 ,$19.15 ,$3.92 ,$19.95 ,$3.92 ,$54.95 ,$3.50 ,$3.92 ,$54.95 ,$8.08 ,$77.70 ,$9.48 ,$88.80 ,$10.00 ,$3.92 ,$77.70 ,$3.92 ,$66.60 ,$4.00 ,$83.25 ,$61.27 ,$55.28 ,$61.27 ,$3.92 ,$61.27 ,$5.45 ,$111.00 ,$5.45 ,$94.35 ,$10.00 ,$76.92 ,$3.92 ,$111.00 ,$62.27 ,$3.92 ,$29.08 , N/A ,$3.63 ,$3.47 ,$4.12 ,$88.80 ,$54.95 ,$31.08 ,$99.90 ,$42.18 ,$8.00 ,$3.92 ,$53.28 
ST. MARY'S HOSPITAL - DECATUR,30100721,84295,HC SODIUM,301,1 ,$67.00 ,$48.24 ,$3.47 ,$67.00 ,$12.03 ,$8.18 ,$36.85 ,$4.71 ,$18.76 ,$25.10 ,$4.71 ,$26.15 ,$4.71 ,$33.17 ,$3.50 ,$4.71 ,$33.17 ,$9.72 ,$46.90 ,$11.05 ,$53.60 ,$12.03 ,$4.71 ,$46.90 ,$4.71 ,$40.20 ,$4.81 ,$50.25 ,$36.98 ,$33.37 ,$36.98 ,$4.71 ,$36.98 ,$7.17 ,$67.00 ,$7.17 ,$56.95 ,$12.03 ,$46.43 ,$4.71 ,$67.00 ,$37.59 ,$4.71 ,$17.55 , N/A ,$3.63 ,$3.47 ,$4.95 ,$53.60 ,$33.17 ,$18.76 ,$60.30 ,$25.46 ,$9.62 ,$4.71 ,$32.16 
ST. MARY'S HOSPITAL - DECATUR,30100724,84300,HC SODIUM URINE,301,1 ,$167.00 ,$120.24 ,$3.47 ,$167.00 ,$12.65 ,$8.60 ,$91.85 ,$4.96 ,$46.76 ,$18.72 ,$4.96 ,$19.50 ,$4.96 ,$82.67 ,$3.50 ,$4.96 ,$82.67 ,$10.22 ,$116.90 ,$11.83 ,$133.60 ,$12.65 ,$4.96 ,$116.90 ,$4.96 ,$100.20 ,$5.06 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$4.96 ,$92.18 ,$7.23 ,$167.00 ,$7.23 ,$141.95 ,$12.65 ,$115.73 ,$4.96 ,$167.00 ,$93.69 ,$4.96 ,$43.75 , N/A ,$3.63 ,$3.47 ,$5.20 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$10.12 ,$4.96 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30100725,84302,HC SODIUM OTHER FLUID,301,1 ,$99.00 ,$71.28 ,$3.47 ,$99.00 ,$12.15 ,$8.26 ,$54.45 ,$4.76 ,$27.72 ,$18.72 ,$4.76 ,$19.50 ,$4.76 ,$49.01 ,$3.50 ,$4.76 ,$49.01 ,$9.82 ,$69.30 ,$11.05 ,$79.20 ,$12.15 ,$4.76 ,$69.30 ,$4.76 ,$59.40 ,$4.86 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$4.76 ,$54.65 ,$7.23 ,$99.00 ,$7.23 ,$84.15 ,$12.15 ,$68.61 ,$4.76 ,$99.00 ,$55.54 ,$4.76 ,$25.94 , N/A ,$3.63 ,$3.47 ,$5.00 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$9.72 ,$4.76 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30100733,84403,HC TESTOSTERONE TOTAL,301,1 ,$190.00 ,$136.80 ,$3.50 ,$190.00 ,$64.53 ,$43.88 ,$104.50 ,$25.29 ,$53.20 ,$99.37 ,$25.29 ,$103.60 ,$25.29 ,$94.05 ,$3.50 ,$25.29 ,$94.05 ,$52.14 ,$133.00 ,$59.18 ,$152.00 ,$64.53 ,$25.29 ,$133.00 ,$25.29 ,$114.00 ,$25.80 ,$142.50 ,$104.88 ,$94.62 ,$104.88 ,$25.29 ,$104.88 ,$38.40 ,$190.00 ,$38.40 ,$161.50 ,$64.53 ,$131.67 ,$25.29 ,$190.00 ,$106.59 ,$25.29 ,$49.78 , N/A ,$19.09 ,$18.22 ,$26.56 ,$152.00 ,$94.05 ,$53.20 ,$171.00 ,$72.20 ,$51.62 ,$25.29 ,$91.20 
ST. MARY'S HOSPITAL - DECATUR,30100740,84439,HC T4 FREE,301,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$22.55 ,$15.34 ,$91.85 ,$8.84 ,$46.76 ,$34.70 ,$8.84 ,$36.15 ,$8.84 ,$82.67 ,$3.50 ,$8.84 ,$82.67 ,$18.22 ,$116.90 ,$20.53 ,$133.60 ,$22.55 ,$8.84 ,$116.90 ,$8.84 ,$100.20 ,$9.02 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$8.84 ,$92.18 ,$13.42 ,$167.00 ,$13.42 ,$141.95 ,$22.55 ,$115.73 ,$8.84 ,$167.00 ,$93.69 ,$8.84 ,$43.75 , N/A ,$10.98 ,$10.48 ,$9.28 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$18.04 ,$8.84 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$255.00 ,$183.60 ,$3.50 ,$255.00 ,$42.00 ,$28.56 ,$140.25 ,$16.46 ,$71.40 ,$87.65 ,$16.46 ,$91.30 ,$16.46 ,$126.23 ,$3.50 ,$16.46 ,$126.23 ,$33.94 ,$178.50 ,$38.65 ,$204.00 ,$42.00 ,$16.46 ,$178.50 ,$16.46 ,$153.00 ,$16.80 ,$191.25 ,$140.76 ,$126.99 ,$140.76 ,$16.46 ,$140.76 ,$25.00 ,$255.00 ,$25.00 ,$216.75 ,$42.00 ,$176.72 ,$16.46 ,$255.00 ,$143.06 ,$16.46 ,$66.81 , N/A ,$10.98 ,$10.48 ,$17.29 ,$204.00 ,$126.23 ,$71.40 ,$229.50 ,$96.90 ,$33.60 ,$16.46 ,$122.40 
ST. MARY'S HOSPITAL - DECATUR,30100746,84450,HC AST,301,1 ,$204.00 ,$146.88 ,$3.47 ,$204.00 ,$12.95 ,$8.80 ,$112.20 ,$5.08 ,$57.12 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$100.98 ,$3.50 ,$5.08 ,$100.98 ,$10.46 ,$142.80 ,$11.83 ,$163.20 ,$12.95 ,$5.08 ,$142.80 ,$5.08 ,$122.40 ,$5.17 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$5.08 ,$112.61 ,$7.70 ,$204.00 ,$7.70 ,$173.40 ,$12.95 ,$141.37 ,$5.08 ,$204.00 ,$114.44 ,$5.08 ,$53.45 , N/A ,$3.63 ,$3.47 ,$5.33 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$10.36 ,$5.08 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30100747,84460,HC ALT,301,1 ,$190.00 ,$136.80 ,$3.47 ,$190.00 ,$13.25 ,$9.02 ,$104.50 ,$5.19 ,$53.20 ,$27.65 ,$5.19 ,$28.80 ,$5.19 ,$94.05 ,$3.50 ,$5.19 ,$94.05 ,$10.71 ,$133.00 ,$11.83 ,$152.00 ,$13.25 ,$5.19 ,$133.00 ,$5.19 ,$114.00 ,$5.30 ,$142.50 ,$104.88 ,$94.62 ,$104.88 ,$5.19 ,$104.88 ,$7.89 ,$190.00 ,$7.89 ,$161.50 ,$13.25 ,$131.67 ,$5.19 ,$190.00 ,$106.59 ,$5.19 ,$49.78 , N/A ,$3.63 ,$3.47 ,$5.46 ,$152.00 ,$94.05 ,$53.20 ,$171.00 ,$72.20 ,$10.60 ,$5.19 ,$91.20 
ST. MARY'S HOSPITAL - DECATUR,30100748,84466,HC TRANSFERRIN,301,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$31.90 ,$21.70 ,$58.30 ,$12.50 ,$29.68 ,$49.15 ,$12.50 ,$51.20 ,$12.50 ,$52.47 ,$3.50 ,$12.50 ,$52.47 ,$25.78 ,$74.20 ,$29.20 ,$84.80 ,$31.90 ,$12.50 ,$74.20 ,$12.50 ,$63.60 ,$12.76 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$12.50 ,$58.51 ,$18.98 ,$106.00 ,$18.98 ,$90.10 ,$31.90 ,$73.46 ,$12.50 ,$106.00 ,$59.47 ,$12.50 ,$27.77 , N/A ,$8.15 ,$7.78 ,$13.13 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$25.52 ,$12.50 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30100750,84478,HC TRIGLYCERIDES,301,1 ,$240.00 ,$172.80 ,$3.47 ,$240.00 ,$14.35 ,$9.76 ,$132.00 ,$5.63 ,$67.20 ,$29.95 ,$5.63 ,$31.20 ,$5.63 ,$118.80 ,$3.50 ,$5.63 ,$118.80 ,$11.59 ,$168.00 ,$13.43 ,$192.00 ,$14.35 ,$5.63 ,$168.00 ,$5.63 ,$144.00 ,$5.73 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$5.63 ,$132.48 ,$8.54 ,$240.00 ,$8.54 ,$204.00 ,$14.35 ,$166.32 ,$5.63 ,$240.00 ,$134.64 ,$5.63 ,$62.88 , N/A ,$3.63 ,$3.47 ,$5.91 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$11.48 ,$5.63 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30100754,84480,HC T3 TOTAL,301,1 ,$180.00 ,$129.60 ,$3.50 ,$180.00 ,$35.45 ,$24.10 ,$99.00 ,$13.90 ,$50.40 ,$54.62 ,$13.90 ,$56.90 ,$13.90 ,$89.10 ,$3.50 ,$13.90 ,$89.10 ,$28.64 ,$126.00 ,$32.35 ,$144.00 ,$35.45 ,$13.90 ,$126.00 ,$13.90 ,$108.00 ,$14.17 ,$135.00 ,$99.36 ,$89.64 ,$99.36 ,$13.90 ,$99.36 ,$21.09 ,$180.00 ,$21.09 ,$153.00 ,$35.45 ,$124.74 ,$13.90 ,$180.00 ,$100.98 ,$13.90 ,$47.16 , N/A ,$10.98 ,$10.48 ,$14.59 ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$68.40 ,$28.36 ,$13.90 ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,30100755,84481,HC T3 FREE,301,1 ,$317.00 ,$228.24 ,$3.50 ,$317.00 ,$42.35 ,$28.80 ,$174.35 ,$16.60 ,$88.76 ,$65.28 ,$16.60 ,$68.00 ,$16.60 ,$156.92 ,$3.50 ,$16.60 ,$156.92 ,$34.22 ,$221.90 ,$38.65 ,$253.60 ,$42.35 ,$16.60 ,$221.90 ,$16.60 ,$190.20 ,$16.93 ,$237.75 ,$174.98 ,$157.87 ,$174.98 ,$16.60 ,$174.98 ,$25.20 ,$317.00 ,$25.20 ,$269.45 ,$42.35 ,$219.68 ,$16.60 ,$317.00 ,$177.84 ,$16.60 ,$83.05 , N/A ,$10.98 ,$10.48 ,$17.43 ,$253.60 ,$156.92 ,$88.76 ,$285.30 ,$120.46 ,$33.88 ,$16.60 ,$152.16 
ST. MARY'S HOSPITAL - DECATUR,30100758,84484,HC TROPONIN QN,301,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$31.18 ,$21.20 ,$106.15 ,$12.22 ,$54.04 ,$38.93 ,$12.22 ,$40.55 ,$12.22 ,$95.54 ,$3.50 ,$12.22 ,$95.54 ,$25.19 ,$135.10 ,$28.40 ,$154.40 ,$31.18 ,$12.22 ,$135.10 ,$12.22 ,$115.80 ,$12.47 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$12.22 ,$106.54 ,$16.70 ,$193.00 ,$16.70 ,$164.05 ,$31.18 ,$133.75 ,$12.22 ,$193.00 ,$108.27 ,$12.22 ,$50.57 , N/A ,$8.15 ,$7.78 ,$12.83 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$24.94 ,$12.22 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30100761,84520,HC BUN,301,1 ,$84.00 ,$60.48 ,$3.47 ,$84.00 ,$9.88 ,$6.72 ,$46.20 ,$3.87 ,$23.52 ,$20.59 ,$3.87 ,$21.45 ,$3.87 ,$41.58 ,$3.50 ,$3.87 ,$41.58 ,$7.98 ,$58.80 ,$8.68 ,$67.20 ,$9.88 ,$3.87 ,$58.80 ,$3.87 ,$50.40 ,$3.95 ,$63.00 ,$46.37 ,$41.83 ,$46.37 ,$3.87 ,$46.37 ,$5.88 ,$84.00 ,$5.88 ,$71.40 ,$9.88 ,$58.21 ,$3.87 ,$3.95 ,$47.12 ,$3.87 ,$22.01 , N/A ,$3.63 ,$3.47 ,$4.07 ,$67.20 ,$41.58 ,$23.52 ,$75.60 ,$31.92 ,$7.90 ,$3.87 ,$40.32 
ST. MARY'S HOSPITAL - DECATUR,30100764,84540,HC UREA URINE,301,1 ,$80.00 ,$57.60 ,$3.47 ,$80.00 ,$13.90 ,$9.46 ,$44.00 ,$5.45 ,$22.40 ,$18.29 ,$5.45 ,$19.05 ,$5.45 ,$39.60 ,$3.50 ,$5.45 ,$39.60 ,$11.23 ,$56.00 ,$12.63 ,$64.00 ,$13.90 ,$5.45 ,$56.00 ,$5.45 ,$48.00 ,$5.56 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$5.45 ,$44.16 ,$7.45 ,$80.00 ,$7.45 ,$68.00 ,$13.90 ,$55.44 ,$5.45 ,$80.00 ,$44.88 ,$5.45 ,$20.96 , N/A ,$3.63 ,$3.47 ,$5.72 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$11.12 ,$5.45 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30100765,84550,HC URIC ACID,301,1 ,$122.00 ,$87.84 ,$3.47 ,$122.00 ,$11.30 ,$7.68 ,$67.10 ,$4.43 ,$34.16 ,$23.57 ,$4.43 ,$24.55 ,$4.43 ,$60.39 ,$3.50 ,$4.43 ,$60.39 ,$9.13 ,$85.40 ,$10.25 ,$97.60 ,$11.30 ,$4.43 ,$85.40 ,$4.43 ,$73.20 ,$4.52 ,$91.50 ,$67.34 ,$60.76 ,$67.34 ,$4.43 ,$67.34 ,$6.73 ,$122.00 ,$6.73 ,$103.70 ,$11.30 ,$84.55 ,$4.43 ,$122.00 ,$68.44 ,$4.43 ,$31.96 , N/A ,$3.63 ,$3.47 ,$4.65 ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$9.04 ,$4.43 ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,30100766,84560,HC URIC ACID OTH SRC,301,1 ,$120.00 ,$86.40 ,$3.47 ,$120.00 ,$12.70 ,$8.64 ,$66.00 ,$4.98 ,$33.60 ,$18.29 ,$4.98 ,$19.05 ,$4.98 ,$59.40 ,$3.50 ,$4.98 ,$59.40 ,$10.26 ,$84.00 ,$11.83 ,$96.00 ,$12.70 ,$4.98 ,$84.00 ,$4.98 ,$72.00 ,$5.08 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$4.98 ,$66.24 ,$7.06 ,$120.00 ,$7.06 ,$102.00 ,$12.70 ,$83.16 ,$4.98 ,$120.00 ,$67.32 ,$4.98 ,$31.44 , N/A ,$3.63 ,$3.47 ,$5.22 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$10.16 ,$4.98 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30100802,84702,HC HCG QN,301,1 ,$238.00 ,$171.36 ,$3.50 ,$238.00 ,$37.63 ,$25.58 ,$130.90 ,$14.75 ,$66.64 ,$78.53 ,$14.75 ,$81.80 ,$14.75 ,$117.81 ,$3.50 ,$14.75 ,$117.81 ,$30.40 ,$166.60 ,$33.93 ,$190.40 ,$37.63 ,$14.75 ,$166.60 ,$14.75 ,$142.80 ,$15.04 ,$178.50 ,$131.38 ,$118.52 ,$131.38 ,$14.75 ,$131.38 ,$22.40 ,$238.00 ,$22.40 ,$202.30 ,$37.63 ,$164.93 ,$14.75 ,$238.00 ,$133.52 ,$14.75 ,$62.36 , N/A ,$10.98 ,$10.48 ,$15.48 ,$190.40 ,$117.81 ,$66.64 ,$214.20 ,$90.44 ,$30.10 ,$14.75 ,$114.24 
ST. MARY'S HOSPITAL - DECATUR,30100808,84703,HC HCG QL,301,1 ,$204.00 ,$146.88 ,$3.50 ,$204.00 ,$18.80 ,$12.78 ,$112.20 ,$7.37 ,$57.12 ,$39.26 ,$7.37 ,$40.90 ,$7.37 ,$100.98 ,$3.50 ,$7.37 ,$100.98 ,$15.19 ,$142.80 ,$17.35 ,$163.20 ,$18.80 ,$7.37 ,$142.80 ,$7.37 ,$122.40 ,$7.52 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$7.37 ,$112.61 ,$11.20 ,$204.00 ,$11.20 ,$173.40 ,$18.80 ,$141.37 ,$7.37 ,$204.00 ,$114.44 ,$7.37 ,$53.45 , N/A ,$8.15 ,$7.78 ,$7.74 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$15.04 ,$7.37 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30100810,88720,HC BILICHECK TEST,301,1 ,$25.00 ,$18.00 ,$3.47 ,$25.00 ,$12.55 ,$8.54 ,$13.75 ,$4.92 ,$7.00 ,$13.08 ,$4.92 ,$13.75 ,$4.92 ,$12.38 ,$3.50 ,$4.92 ,$12.38 ,$10.14 ,$17.50 ,$11.83 ,$20.00 ,$12.55 ,$4.92 ,$17.50 ,$4.92 ,$15.00 ,$5.02 ,$18.75 ,$13.80 ,$12.45 ,$13.80 ,$4.92 ,$13.80 ,$7.46 ,$25.00 ,$7.46 ,$21.25 ,$12.55 ,$17.33 ,$4.92 ,$25.00 ,$14.03 ,$4.92 ,$6.55 , N/A ,$3.63 ,$3.47 ,$5.16 ,$20.00 ,$12.38 ,$7.00 ,$22.50 ,$9.50 ,$10.04 ,$4.92 ,$12.00 
ST. MARY'S HOSPITAL - DECATUR,30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$29.00 ,$20.88 ,$1.75 ,$29.00 ,$12.60 ,$8.56 ,$15.95 ,$4.94 ,$8.12 ,$15.17 ,$4.94 ,$15.95 ,$4.94 ,$14.36 ,$3.50 ,$4.94 ,$14.36 ,$10.18 ,$20.30 ,$11.83 ,$23.20 ,$12.60 ,$4.94 ,$20.30 ,$4.94 ,$17.40 ,$5.04 ,$21.75 ,$16.01 ,$14.44 ,$16.01 ,$4.94 ,$16.01 ,$6.75 ,$29.00 ,$6.75 ,$24.65 ,$12.60 ,$20.10 ,$4.94 ,$29.00 ,$16.27 ,$4.94 ,$7.60 , N/A ,$1.84 ,$1.75 ,$5.18 ,$23.20 ,$14.36 ,$8.12 ,$26.10 ,$11.02 ,$10.08 ,$4.94 ,$13.92 
ST. MARY'S HOSPITAL - DECATUR,30100860,84145,HC PROCALCITONIN,301,1 ,$277.00 ,$199.44 ,$3.50 ,$277.00 ,$68.05 ,$46.28 ,$152.35 ,$26.68 ,$77.56 ,$103.20 ,$26.68 ,$107.50 ,$26.68 ,$137.12 ,$3.50 ,$26.68 ,$137.12 ,$54.98 ,$193.90 ,$62.33 ,$221.60 ,$68.05 ,$26.68 ,$193.90 ,$26.68 ,$166.20 ,$27.20 ,$207.75 ,$152.90 ,$137.95 ,$152.90 ,$26.68 ,$152.90 ,$39.86 ,$277.00 ,$39.86 ,$235.45 ,$68.05 ,$191.96 ,$26.68 ,$277.00 ,$155.40 ,$26.68 ,$72.57 , N/A ,$19.09 ,$18.22 ,$28.01 ,$221.60 ,$137.12 ,$77.56 ,$249.30 ,$105.26 ,$54.44 ,$26.68 ,$132.96 
ST. MARY'S HOSPITAL - DECATUR,30100996,82075,HC ALCOHOL BREATH,301,1 ,$103.00 ,$74.16 ,$0.02 ,$103.00 ,$75.00 ,$0.02 ,$56.65 ,$29.40 ,$28.84 ,$53.87 ,$29.40 ,$56.65 ,$29.40 ,$50.99 ,$3.50 ,$29.40 ,$50.99 ,$60.60 ,$72.10 ,$68.65 ,$82.40 ,$75.00 ,$29.40 ,$72.10 ,$29.40 ,$61.80 ,$29.99 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$29.40 ,$56.86 ,$40.17 ,$103.00 ,$40.17 ,$87.55 ,$75.00 ,$71.38 ,$29.40 ,$103.00 ,$57.78 ,$29.40 ,$26.99 , N/A ,$8.15 ,$7.78 ,$30.87 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$60.00 ,$29.40 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30101001,82355,HC CALCULUS ANALYSIS QL,301,1 ,$181.00 ,$130.32 ,$3.50 ,$181.00 ,$28.95 ,$19.68 ,$99.55 ,$11.35 ,$50.68 ,$44.59 ,$11.35 ,$46.45 ,$11.35 ,$89.60 ,$3.50 ,$11.35 ,$89.60 ,$23.39 ,$126.70 ,$26.05 ,$144.80 ,$28.95 ,$11.35 ,$126.70 ,$11.35 ,$108.60 ,$11.57 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$11.35 ,$99.91 ,$17.22 ,$181.00 ,$17.22 ,$153.85 ,$28.95 ,$125.43 ,$11.35 ,$181.00 ,$101.54 ,$11.35 ,$47.42 , N/A ,$8.15 ,$7.78 ,$11.92 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$23.16 ,$11.35 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$49.25 ,$33.50 ,$75.90 ,$19.31 ,$38.64 ,$72.17 ,$19.31 ,$75.90 ,$19.31 ,$68.31 ,$3.50 ,$19.31 ,$68.31 ,$39.79 ,$96.60 ,$44.98 ,$110.40 ,$49.25 ,$19.31 ,$96.60 ,$19.31 ,$82.80 ,$19.69 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$19.31 ,$76.18 ,$29.20 ,$138.00 ,$29.20 ,$117.30 ,$49.25 ,$95.63 ,$19.31 ,$138.00 ,$77.42 ,$19.31 ,$36.16 , N/A ,$8.15 ,$7.78 ,$20.28 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$39.40 ,$19.31 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$180.00 ,$129.60 ,$7.78 ,$180.00 ,$48.28 ,$32.82 ,$99.00 ,$18.92 ,$50.40 ,$70.85 ,$18.92 ,$73.80 ,$18.92 ,$89.10 ,$14.51 ,$18.92 ,$89.10 ,$39.01 ,$126.00 ,$44.18 ,$144.00 ,$48.28 ,$18.92 ,$126.00 ,$18.92 ,$108.00 ,$19.31 ,$135.00 ,$99.36 ,$89.64 ,$99.36 ,$18.92 ,$99.36 ,$27.37 ,$180.00 ,$27.37 ,$153.00 ,$48.28 ,$124.74 ,$18.92 ,$180.00 ,$100.98 ,$18.92 ,$47.16 , N/A ,$8.15 ,$7.78 ,$19.87 ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$68.40 ,$38.62 ,$18.92 ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,30101062,83516,HC IMMUNO QL/SQ MLT - 90,301,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$28.83 ,$19.60 ,$37.40 ,$11.30 ,$19.04 ,$35.56 ,$11.30 ,$37.40 ,$11.30 ,$33.66 ,$3.50 ,$11.30 ,$33.66 ,$23.29 ,$47.60 ,$26.05 ,$54.40 ,$28.83 ,$11.30 ,$47.60 ,$11.30 ,$40.80 ,$11.52 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$11.30 ,$37.54 ,$17.15 ,$68.00 ,$17.15 ,$57.80 ,$28.83 ,$47.12 ,$11.30 ,$68.00 ,$38.15 ,$11.30 ,$17.82 , N/A ,$7.30 ,$6.97 ,$11.87 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$23.06 ,$11.30 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30101076,80050,HC GENERAL HEALTH PANEL,301,1 ,$946.00 ,$681.12 ,$3.50 ,$946.00 , N/A ,$70.32 ,$520.30 , N/A ,$264.88 ,$234.50 , N/A ,$245.00 , N/A ,$468.27 ,$3.50 , N/A ,$468.27 , N/A ,$662.20 ,$93.90 ,$756.80 , N/A , N/A ,$662.20 , N/A ,$567.60 , N/A ,$709.50 ,$522.19 ,$471.11 ,$522.19 , N/A ,$522.19 ,$58.10 ,$946.00 ,$58.10 ,$804.10 , N/A ,$655.58 , N/A ,$946.00 ,$530.71 , N/A ,$247.85 , N/A ,$7.44 ,$7.10 , N/A ,$756.80 ,$468.27 ,$264.88 ,$851.40 ,$359.48 ,$90.72 , N/A ,$454.08 
ST. MARY'S HOSPITAL - DECATUR,30101083,80061,HC LIPID PANEL - 90,301,1 ,$313.00 ,$225.36 ,$3.50 ,$313.00 ,$33.48 ,$22.76 ,$172.15 ,$13.12 ,$87.64 ,$97.49 ,$13.12 ,$101.85 ,$13.12 ,$154.94 ,$3.50 ,$13.12 ,$154.94 ,$27.05 ,$219.10 ,$30.78 ,$250.40 ,$33.48 ,$13.12 ,$219.10 ,$13.12 ,$187.80 ,$13.39 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$13.12 ,$172.78 ,$19.92 ,$313.00 ,$19.92 ,$266.05 ,$33.48 ,$216.91 ,$13.12 ,$313.00 ,$175.59 ,$13.12 ,$82.01 , N/A ,$7.44 ,$7.10 ,$13.78 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$26.78 ,$13.12 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,30101089,80150,HC AMIKACIN - 90,301,1 ,$187.00 ,$134.64 ,$3.50 ,$187.00 ,$37.70 ,$25.64 ,$102.85 ,$14.78 ,$52.36 ,$58.08 ,$14.78 ,$60.50 ,$14.78 ,$92.57 ,$3.50 ,$14.78 ,$92.57 ,$30.46 ,$130.90 ,$34.73 ,$149.60 ,$37.70 ,$14.78 ,$130.90 ,$14.78 ,$112.20 ,$15.07 ,$140.25 ,$103.22 ,$93.13 ,$103.22 ,$14.78 ,$103.22 ,$22.43 ,$187.00 ,$22.43 ,$158.95 ,$37.70 ,$129.59 ,$14.78 ,$187.00 ,$104.91 ,$14.78 ,$48.99 , N/A ,$9.36 ,$8.94 ,$15.51 ,$149.60 ,$92.57 ,$52.36 ,$168.30 ,$71.06 ,$30.16 ,$14.78 ,$89.76 
ST. MARY'S HOSPITAL - DECATUR,30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$232.00 ,$167.04 ,$3.50 ,$232.00 ,$36.43 ,$24.76 ,$127.60 ,$14.28 ,$64.96 ,$56.11 ,$14.28 ,$58.45 ,$14.28 ,$114.84 ,$3.50 ,$14.28 ,$114.84 ,$29.43 ,$162.40 ,$33.15 ,$185.60 ,$36.43 ,$14.28 ,$162.40 ,$14.28 ,$139.20 ,$14.56 ,$174.00 ,$128.06 ,$115.54 ,$128.06 ,$14.28 ,$128.06 ,$21.66 ,$232.00 ,$21.66 ,$197.20 ,$36.43 ,$160.78 ,$14.28 ,$232.00 ,$130.15 ,$14.28 ,$60.78 , N/A ,$9.36 ,$8.94 ,$14.99 ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$29.14 ,$14.28 ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$45.13 ,$30.68 ,$135.30 ,$17.69 ,$68.88 ,$69.50 ,$17.69 ,$72.40 ,$17.69 ,$121.77 ,$3.50 ,$17.69 ,$121.77 ,$36.46 ,$172.20 ,$41.03 ,$196.80 ,$45.13 ,$17.69 ,$172.20 ,$17.69 ,$147.60 ,$18.04 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$17.69 ,$135.79 ,$26.86 ,$246.00 ,$26.86 ,$209.10 ,$45.13 ,$170.48 ,$17.69 ,$246.00 ,$138.01 ,$17.69 ,$64.45 , N/A ,$9.36 ,$8.94 ,$18.57 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$36.10 ,$17.69 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30101095,80159,HC CLOZAPINE - 90,301,1 ,$151.00 ,$108.72 ,$3.50 ,$151.00 ,$50.38 ,$34.26 ,$83.05 ,$19.75 ,$42.28 ,$71.23 ,$19.75 ,$74.20 ,$19.75 ,$74.75 ,$3.50 ,$19.75 ,$74.75 ,$40.70 ,$105.70 ,$45.78 ,$120.80 ,$50.38 ,$19.75 ,$105.70 ,$19.75 ,$90.60 ,$20.14 ,$113.25 ,$83.35 ,$75.20 ,$83.35 ,$19.75 ,$83.35 ,$27.52 ,$151.00 ,$27.52 ,$128.35 ,$50.38 ,$104.64 ,$19.75 ,$151.00 ,$84.71 ,$19.75 ,$39.56 , N/A ,$9.36 ,$8.94 ,$20.74 ,$120.80 ,$74.75 ,$42.28 ,$135.90 ,$57.38 ,$40.30 ,$19.75 ,$72.48 
ST. MARY'S HOSPITAL - DECATUR,30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$239.00 ,$172.08 ,$3.50 ,$239.00 ,$40.85 ,$27.78 ,$131.45 ,$16.01 ,$66.92 ,$62.93 ,$16.01 ,$65.55 ,$16.01 ,$118.31 ,$3.50 ,$16.01 ,$118.31 ,$33.01 ,$167.30 ,$37.08 ,$191.20 ,$40.85 ,$16.01 ,$167.30 ,$16.01 ,$143.40 ,$16.34 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$16.01 ,$131.93 ,$24.31 ,$239.00 ,$24.31 ,$203.15 ,$40.85 ,$165.63 ,$16.01 ,$239.00 ,$134.08 ,$16.01 ,$62.62 , N/A ,$9.36 ,$8.94 ,$16.82 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$32.68 ,$16.01 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,30101100,80169,HC EVEROLIMUS - 90,301,1 ,$237.00 ,$170.64 ,$3.50 ,$237.00 ,$34.33 ,$23.34 ,$130.35 ,$13.46 ,$66.36 ,$52.90 ,$13.46 ,$55.10 ,$13.46 ,$117.32 ,$3.50 ,$13.46 ,$117.32 ,$27.73 ,$165.90 ,$31.55 ,$189.60 ,$34.33 ,$13.46 ,$165.90 ,$13.46 ,$142.20 ,$13.72 ,$177.75 ,$130.82 ,$118.03 ,$130.82 ,$13.46 ,$130.82 ,$20.44 ,$237.00 ,$20.44 ,$201.45 ,$34.33 ,$164.24 ,$13.46 ,$237.00 ,$132.96 ,$13.46 ,$62.09 , N/A ,$9.36 ,$8.94 ,$14.13 ,$189.60 ,$117.32 ,$66.36 ,$213.30 ,$90.06 ,$27.46 ,$13.46 ,$113.76 
ST. MARY'S HOSPITAL - DECATUR,30101102,80171,HC GABAPENTIN PLASMA - 90,301,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$54.18 ,$36.84 ,$122.10 ,$21.24 ,$62.16 ,$67.63 ,$21.24 ,$70.45 ,$21.24 ,$109.89 ,$3.50 ,$21.24 ,$109.89 ,$43.77 ,$155.40 ,$49.70 ,$177.60 ,$54.18 ,$21.24 ,$155.40 ,$21.24 ,$133.20 ,$21.66 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$21.24 ,$122.54 ,$29.02 ,$222.00 ,$29.02 ,$188.70 ,$54.18 ,$153.85 ,$21.24 ,$222.00 ,$124.54 ,$21.24 ,$58.16 , N/A ,$9.36 ,$8.94 ,$22.29 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$43.34 ,$21.24 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,30101104,80175,HC LAMOTRIGINE - 90,301,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$33.13 ,$22.52 ,$122.10 ,$12.98 ,$62.16 ,$51.02 ,$12.98 ,$53.15 ,$12.98 ,$109.89 ,$3.50 ,$12.98 ,$109.89 ,$26.77 ,$155.40 ,$29.98 ,$177.60 ,$33.13 ,$12.98 ,$155.40 ,$12.98 ,$133.20 ,$13.25 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$12.98 ,$122.54 ,$19.72 ,$222.00 ,$19.72 ,$188.70 ,$33.13 ,$153.85 ,$12.98 ,$222.00 ,$124.54 ,$12.98 ,$58.16 , N/A ,$9.36 ,$8.94 ,$13.63 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$26.50 ,$12.98 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,30101106,80177,HC LEVETIRACETAM - 90,301,1 ,$92.00 ,$66.24 ,$3.50 ,$92.00 ,$33.13 ,$22.52 ,$50.60 ,$12.98 ,$25.76 ,$48.12 ,$12.98 ,$50.60 ,$12.98 ,$45.54 ,$3.50 ,$12.98 ,$45.54 ,$26.77 ,$64.40 ,$29.98 ,$73.60 ,$33.13 ,$12.98 ,$64.40 ,$12.98 ,$55.20 ,$13.25 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$12.98 ,$50.78 ,$19.72 ,$92.00 ,$19.72 ,$78.20 ,$33.13 ,$63.76 ,$12.98 ,$92.00 ,$51.61 ,$12.98 ,$24.10 , N/A ,$9.36 ,$8.94 ,$13.63 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$26.50 ,$12.98 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30101108,80180,HC MYCOPHENOLATE/MYCOPHENOLIC ACID - 90,301,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$45.13 ,$30.68 ,$37.40 ,$17.69 ,$19.04 ,$35.56 ,$17.69 ,$37.40 ,$17.69 ,$33.66 ,$3.50 ,$17.69 ,$33.66 ,$36.46 ,$47.60 ,$41.03 ,$54.40 ,$45.13 ,$17.69 ,$47.60 ,$17.69 ,$40.80 ,$18.04 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$17.69 ,$37.54 ,$26.86 ,$68.00 ,$26.86 ,$57.80 ,$45.13 ,$47.12 ,$17.69 ,$68.00 ,$38.15 ,$17.69 ,$17.82 , N/A ,$9.36 ,$8.94 ,$18.57 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$36.10 ,$17.69 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30101109,80183,HC OXCARBAZEPINE - 90,301,1 ,$100.00 ,$72.00 ,$3.50 ,$100.00 ,$33.13 ,$22.52 ,$55.00 ,$12.98 ,$28.00 ,$51.02 ,$12.98 ,$53.15 ,$12.98 ,$49.50 ,$3.50 ,$12.98 ,$49.50 ,$26.77 ,$70.00 ,$29.98 ,$80.00 ,$33.13 ,$12.98 ,$70.00 ,$12.98 ,$60.00 ,$13.25 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$12.98 ,$55.20 ,$19.72 ,$100.00 ,$19.72 ,$85.00 ,$33.13 ,$69.30 ,$12.98 ,$100.00 ,$56.10 ,$12.98 ,$26.20 , N/A ,$9.36 ,$8.94 ,$13.63 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$26.50 ,$12.98 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$232.00 ,$167.04 ,$3.50 ,$232.00 ,$38.25 ,$26.02 ,$127.60 ,$14.99 ,$64.96 ,$47.76 ,$14.99 ,$49.75 ,$14.99 ,$114.84 ,$3.50 ,$14.99 ,$114.84 ,$30.91 ,$162.40 ,$34.73 ,$185.60 ,$38.25 ,$14.99 ,$162.40 ,$14.99 ,$139.20 ,$15.30 ,$174.00 ,$128.06 ,$115.54 ,$128.06 ,$14.99 ,$128.06 ,$20.49 ,$232.00 ,$20.49 ,$197.20 ,$38.25 ,$160.78 ,$14.99 ,$232.00 ,$130.15 ,$14.99 ,$60.78 , N/A ,$9.36 ,$8.94 ,$15.75 ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$30.60 ,$14.99 ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,30101113,80185,HC PHENYTOIN TOTAL - 90,301,1 ,$304.00 ,$218.88 ,$3.50 ,$304.00 ,$33.13 ,$22.52 ,$167.20 ,$12.98 ,$85.12 ,$51.02 ,$12.98 ,$53.15 ,$12.98 ,$150.48 ,$3.50 ,$12.98 ,$150.48 ,$26.77 ,$212.80 ,$29.98 ,$243.20 ,$33.13 ,$12.98 ,$212.80 ,$12.98 ,$182.40 ,$13.25 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$12.98 ,$167.81 ,$19.72 ,$304.00 ,$19.72 ,$258.40 ,$33.13 ,$210.67 ,$12.98 ,$304.00 ,$170.54 ,$12.98 ,$79.65 , N/A ,$9.36 ,$8.94 ,$13.63 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$26.50 ,$12.98 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$156.00 ,$112.32 ,$3.50 ,$156.00 ,$34.40 ,$23.40 ,$85.80 ,$13.48 ,$43.68 ,$52.99 ,$13.48 ,$55.20 ,$13.48 ,$77.22 ,$3.50 ,$13.48 ,$77.22 ,$27.80 ,$109.20 ,$31.55 ,$124.80 ,$34.40 ,$13.48 ,$109.20 ,$13.48 ,$93.60 ,$13.76 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$13.48 ,$86.11 ,$20.48 ,$156.00 ,$20.48 ,$132.60 ,$34.40 ,$108.11 ,$13.48 ,$156.00 ,$87.52 ,$13.48 ,$40.87 , N/A ,$9.36 ,$8.94 ,$14.16 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$27.52 ,$13.48 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,30101115,80188,HC PRIMIDONE - 90,301,1 ,$125.00 ,$90.00 ,$3.50 ,$125.00 ,$41.48 ,$28.20 ,$68.75 ,$16.26 ,$35.00 ,$63.89 ,$16.26 ,$66.55 ,$16.26 ,$61.88 ,$3.50 ,$16.26 ,$61.88 ,$33.51 ,$87.50 ,$37.88 ,$100.00 ,$41.48 ,$16.26 ,$87.50 ,$16.26 ,$75.00 ,$16.58 ,$93.75 ,$69.00 ,$62.25 ,$69.00 ,$16.26 ,$69.00 ,$24.69 ,$125.00 ,$24.69 ,$106.25 ,$41.48 ,$86.63 ,$16.26 ,$125.00 ,$70.13 ,$16.26 ,$32.75 , N/A ,$9.36 ,$8.94 ,$17.07 ,$100.00 ,$61.88 ,$35.00 ,$112.50 ,$47.50 ,$33.18 ,$16.26 ,$60.00 
ST. MARY'S HOSPITAL - DECATUR,30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$41.88 ,$28.48 ,$122.10 ,$16.41 ,$62.16 ,$64.51 ,$16.41 ,$67.20 ,$16.41 ,$109.89 ,$3.50 ,$16.41 ,$109.89 ,$33.84 ,$155.40 ,$37.88 ,$177.60 ,$41.88 ,$16.41 ,$155.40 ,$16.41 ,$133.20 ,$16.75 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$16.41 ,$122.54 ,$24.92 ,$222.00 ,$24.92 ,$188.70 ,$41.88 ,$153.85 ,$16.41 ,$222.00 ,$124.54 ,$16.41 ,$58.16 , N/A ,$9.36 ,$8.94 ,$17.24 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$33.50 ,$16.41 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,30101117,80194,HC QUINIDINE - 90,301,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$36.50 ,$24.82 ,$89.65 ,$14.31 ,$45.64 ,$56.26 ,$14.31 ,$58.60 ,$14.31 ,$80.69 ,$3.50 ,$14.31 ,$80.69 ,$29.49 ,$114.10 ,$33.15 ,$130.40 ,$36.50 ,$14.31 ,$114.10 ,$14.31 ,$97.80 ,$14.59 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$14.31 ,$89.98 ,$21.72 ,$163.00 ,$21.72 ,$138.55 ,$36.50 ,$112.96 ,$14.31 ,$163.00 ,$91.44 ,$14.31 ,$42.71 , N/A ,$9.36 ,$8.94 ,$15.02 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$29.20 ,$14.31 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101118,80195,HC RAPAMYCIN (SIROLIMUS) - 90,301,1 ,$268.00 ,$192.96 ,$3.50 ,$268.00 ,$34.33 ,$23.34 ,$147.40 ,$13.46 ,$75.04 ,$52.90 ,$13.46 ,$55.10 ,$13.46 ,$132.66 ,$3.50 ,$13.46 ,$132.66 ,$27.73 ,$187.60 ,$31.55 ,$214.40 ,$34.33 ,$13.46 ,$187.60 ,$13.46 ,$160.80 ,$13.72 ,$201.00 ,$147.94 ,$133.46 ,$147.94 ,$13.46 ,$147.94 ,$20.44 ,$268.00 ,$20.44 ,$227.80 ,$34.33 ,$185.72 ,$13.46 ,$268.00 ,$150.35 ,$13.46 ,$70.22 , N/A ,$9.36 ,$8.94 ,$14.13 ,$214.40 ,$132.66 ,$75.04 ,$241.20 ,$101.84 ,$27.46 ,$13.46 ,$128.64 
ST. MARY'S HOSPITAL - DECATUR,30101119,80197,HC TACROLIMUS - 90,301,1 ,$364.00 ,$262.08 ,$3.50 ,$364.00 ,$34.33 ,$23.34 ,$200.20 ,$13.46 ,$101.92 ,$52.90 ,$13.46 ,$55.10 ,$13.46 ,$180.18 ,$3.50 ,$13.46 ,$180.18 ,$27.73 ,$254.80 ,$31.55 ,$291.20 ,$34.33 ,$13.46 ,$254.80 ,$13.46 ,$218.40 ,$13.72 ,$273.00 ,$200.93 ,$181.27 ,$200.93 ,$13.46 ,$200.93 ,$20.44 ,$364.00 ,$20.44 ,$309.40 ,$34.33 ,$252.25 ,$13.46 ,$364.00 ,$204.20 ,$13.46 ,$95.37 , N/A ,$9.36 ,$8.94 ,$14.13 ,$291.20 ,$180.18 ,$101.92 ,$327.60 ,$138.32 ,$27.46 ,$13.46 ,$174.72 
ST. MARY'S HOSPITAL - DECATUR,30101122,80200,HC TOBRAMYCIN - 90,301,1 ,$398.00 ,$286.56 ,$3.50 ,$398.00 ,$40.33 ,$27.42 ,$218.90 ,$15.81 ,$111.44 ,$62.11 ,$15.81 ,$64.70 ,$15.81 ,$197.01 ,$3.50 ,$15.81 ,$197.01 ,$32.58 ,$278.60 ,$37.08 ,$318.40 ,$40.33 ,$15.81 ,$278.60 ,$15.81 ,$238.80 ,$16.12 ,$298.50 ,$219.70 ,$198.20 ,$219.70 ,$15.81 ,$219.70 ,$24.00 ,$398.00 ,$24.00 ,$338.30 ,$40.33 ,$275.81 ,$15.81 ,$398.00 ,$223.28 ,$15.81 ,$104.28 , N/A ,$9.36 ,$8.94 ,$16.60 ,$318.40 ,$197.01 ,$111.44 ,$358.20 ,$151.24 ,$32.26 ,$15.81 ,$191.04 
ST. MARY'S HOSPITAL - DECATUR,30101124,80201,HC TOPIRAMATE - 90,301,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$29.80 ,$20.26 ,$122.10 ,$11.68 ,$62.16 ,$45.94 ,$11.68 ,$47.85 ,$11.68 ,$109.89 ,$3.50 ,$11.68 ,$109.89 ,$24.08 ,$155.40 ,$26.83 ,$177.60 ,$29.80 ,$11.68 ,$155.40 ,$11.68 ,$133.20 ,$11.92 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$11.68 ,$122.54 ,$17.73 ,$222.00 ,$17.73 ,$188.70 ,$29.80 ,$153.85 ,$11.68 ,$222.00 ,$124.54 ,$11.68 ,$58.16 , N/A ,$9.36 ,$8.94 ,$12.27 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$23.84 ,$11.68 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,30101126,80203,HC ZONISAMIDE - 90,301,1 ,$177.00 ,$127.44 ,$3.50 ,$177.00 ,$33.13 ,$22.52 ,$97.35 ,$12.98 ,$49.56 ,$51.02 ,$12.98 ,$53.15 ,$12.98 ,$87.62 ,$3.50 ,$12.98 ,$87.62 ,$26.77 ,$123.90 ,$29.98 ,$141.60 ,$33.13 ,$12.98 ,$123.90 ,$12.98 ,$106.20 ,$13.25 ,$132.75 ,$97.70 ,$88.15 ,$97.70 ,$12.98 ,$97.70 ,$19.72 ,$177.00 ,$19.72 ,$150.45 ,$33.13 ,$122.66 ,$12.98 ,$177.00 ,$99.30 ,$12.98 ,$46.37 , N/A ,$9.36 ,$8.94 ,$13.63 ,$141.60 ,$87.62 ,$49.56 ,$159.30 ,$67.26 ,$26.50 ,$12.98 ,$84.96 
ST. MARY'S HOSPITAL - DECATUR,30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$299.00 ,$215.28 ,$3.50 ,$299.00 ,$46.60 ,$31.68 ,$164.45 ,$18.27 ,$83.72 ,$58.18 ,$18.27 ,$60.60 ,$18.27 ,$148.01 ,$3.50 ,$18.27 ,$148.01 ,$37.65 ,$209.30 ,$42.60 ,$239.20 ,$46.60 ,$18.27 ,$209.30 ,$18.27 ,$179.40 ,$18.63 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$18.27 ,$165.05 ,$24.96 ,$299.00 ,$24.96 ,$254.15 ,$46.60 ,$207.21 ,$18.27 ,$299.00 ,$167.74 ,$18.27 ,$78.34 , N/A ,$9.36 ,$8.94 ,$19.18 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$37.28 ,$18.27 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,30101134,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1,301,1 ,$443.00 ,$318.96 ,$3.50 ,$443.00 ,$155.35 ,$105.64 ,$243.65 ,$60.90 ,$124.04 ,$224.11 ,$60.90 ,$233.45 ,$60.90 ,$219.29 ,$3.50 ,$60.90 ,$219.29 ,$125.52 ,$310.10 ,$142.03 ,$354.40 ,$155.35 ,$60.90 ,$310.10 ,$60.90 ,$265.80 ,$62.11 ,$332.25 ,$244.54 ,$220.61 ,$244.54 ,$60.90 ,$244.54 ,$86.57 ,$443.00 ,$86.57 ,$376.55 ,$155.35 ,$307.00 ,$60.90 ,$443.00 ,$248.52 ,$60.90 ,$116.07 , N/A ,$21.95 ,$20.95 ,$63.94 ,$354.40 ,$219.29 ,$124.04 ,$398.70 ,$168.34 ,$124.28 ,$60.90 ,$212.64 
ST. MARY'S HOSPITAL - DECATUR,30101135,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2,301,1 ,$509.00 ,$366.48 ,$3.50 ,$509.00 ,$155.35 ,$105.64 ,$279.95 ,$60.90 ,$142.52 ,$224.11 ,$60.90 ,$233.45 ,$60.90 ,$251.96 ,$3.50 ,$60.90 ,$251.96 ,$125.52 ,$356.30 ,$142.03 ,$407.20 ,$155.35 ,$60.90 ,$356.30 ,$60.90 ,$305.40 ,$62.11 ,$381.75 ,$280.97 ,$253.48 ,$280.97 ,$60.90 ,$280.97 ,$86.57 ,$509.00 ,$86.57 ,$432.65 ,$155.35 ,$352.74 ,$60.90 ,$509.00 ,$285.55 ,$60.90 ,$133.36 , N/A ,$21.95 ,$20.95 ,$63.94 ,$407.20 ,$251.96 ,$142.52 ,$458.10 ,$193.42 ,$124.28 ,$60.90 ,$244.32 
ST. MARY'S HOSPITAL - DECATUR,30101139,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT,301,1 ,$114.00 ,$82.08 ,$3.50 ,$155.35 ,$155.35 ,$105.64 ,$62.70 ,$60.90 ,$31.92 ,$59.62 ,$60.90 ,$62.70 ,$60.90 ,$56.43 ,$3.50 ,$60.90 ,$56.43 ,$114.00 ,$79.80 ,$114.00 ,$91.20 ,$155.35 ,$60.90 ,$79.80 ,$60.90 ,$68.40 ,$62.11 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$60.90 ,$62.93 ,$86.57 ,$114.00 ,$86.57 ,$96.90 ,$114.00 ,$79.00 ,$60.90 ,$114.00 ,$63.95 ,$60.90 ,$29.87 , N/A ,$21.95 ,$20.95 ,$63.94 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$114.00 ,$60.90 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$75.00 ,$54.00 ,$3.50 ,$155.35 ,$155.35 ,$75.00 ,$41.25 ,$60.90 ,$21.00 ,$39.23 ,$60.90 ,$41.25 ,$60.90 ,$37.13 ,$3.50 ,$60.90 ,$37.13 ,$75.00 ,$52.50 ,$75.00 ,$60.00 ,$155.35 ,$60.90 ,$52.50 ,$60.90 ,$45.00 ,$62.11 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$60.90 ,$41.40 ,$75.00 ,$75.00 ,$75.00 ,$63.75 ,$75.00 ,$51.98 ,$60.90 ,$75.00 ,$42.08 ,$60.90 ,$19.65 , N/A ,$21.95 ,$20.95 ,$63.94 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$75.00 ,$60.90 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30101141,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2-90,301,1 ,$177.00 ,$127.44 ,$3.50 ,$177.00 ,$155.35 ,$105.64 ,$97.35 ,$60.90 ,$49.56 ,$92.57 ,$60.90 ,$97.35 ,$60.90 ,$87.62 ,$3.50 ,$60.90 ,$87.62 ,$125.52 ,$123.90 ,$142.03 ,$141.60 ,$155.35 ,$60.90 ,$123.90 ,$60.90 ,$106.20 ,$62.11 ,$132.75 ,$97.70 ,$88.15 ,$97.70 ,$60.90 ,$97.70 ,$86.57 ,$177.00 ,$86.57 ,$150.45 ,$155.35 ,$122.66 ,$60.90 ,$177.00 ,$99.30 ,$60.90 ,$46.37 , N/A ,$21.95 ,$20.95 ,$63.94 ,$141.60 ,$87.62 ,$49.56 ,$159.30 ,$67.26 ,$124.28 ,$60.90 ,$84.96 
ST. MARY'S HOSPITAL - DECATUR,30101142,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T3-90,301,1 ,$225.00 ,$162.00 ,$3.50 ,$225.00 ,$155.35 ,$105.64 ,$123.75 ,$60.90 ,$63.00 ,$117.68 ,$60.90 ,$123.75 ,$60.90 ,$111.38 ,$3.50 ,$60.90 ,$111.38 ,$125.52 ,$157.50 ,$142.03 ,$180.00 ,$155.35 ,$60.90 ,$157.50 ,$60.90 ,$135.00 ,$62.11 ,$168.75 ,$124.20 ,$112.05 ,$124.20 ,$60.90 ,$124.20 ,$86.57 ,$225.00 ,$86.57 ,$191.25 ,$155.35 ,$155.93 ,$60.90 ,$225.00 ,$126.23 ,$60.90 ,$58.95 , N/A ,$21.95 ,$20.95 ,$63.94 ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$124.28 ,$60.90 ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,30101143,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4-90,301,1 ,$300.00 ,$216.00 ,$3.50 ,$300.00 ,$155.35 ,$105.64 ,$165.00 ,$60.90 ,$84.00 ,$156.90 ,$60.90 ,$165.00 ,$60.90 ,$148.50 ,$3.50 ,$60.90 ,$148.50 ,$125.52 ,$210.00 ,$142.03 ,$240.00 ,$155.35 ,$60.90 ,$210.00 ,$60.90 ,$180.00 ,$62.11 ,$225.00 ,$165.60 ,$149.40 ,$165.60 ,$60.90 ,$165.60 ,$86.57 ,$300.00 ,$86.57 ,$255.00 ,$155.35 ,$207.90 ,$60.90 ,$300.00 ,$168.30 ,$60.90 ,$78.60 , N/A ,$21.95 ,$20.95 ,$63.94 ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$124.28 ,$60.90 ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,30101144,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T5-90,301,1 ,$381.00 ,$274.32 ,$3.50 ,$381.00 ,$155.35 ,$105.64 ,$209.55 ,$60.90 ,$106.68 ,$199.26 ,$60.90 ,$209.55 ,$60.90 ,$188.60 ,$3.50 ,$60.90 ,$188.60 ,$125.52 ,$266.70 ,$142.03 ,$304.80 ,$155.35 ,$60.90 ,$266.70 ,$60.90 ,$228.60 ,$62.11 ,$285.75 ,$210.31 ,$189.74 ,$210.31 ,$60.90 ,$210.31 ,$86.57 ,$381.00 ,$86.57 ,$323.85 ,$155.35 ,$264.03 ,$60.90 ,$381.00 ,$213.74 ,$60.90 ,$99.82 , N/A ,$21.95 ,$20.95 ,$63.94 ,$304.80 ,$188.60 ,$106.68 ,$342.90 ,$144.78 ,$124.28 ,$60.90 ,$182.88 
ST. MARY'S HOSPITAL - DECATUR,30101145,80320,HC ALCOHOLS - 90,301,1 ,$555.00 ,$399.60 ,$0.02 ,$555.00 , N/A ,$0.02 ,$305.25 , N/A ,$155.40 , N/A , N/A , N/A , N/A ,$274.73 , N/A , N/A ,$274.73 , N/A ,$388.50 ,$346.88 ,$444.00 , N/A , N/A ,$388.50 , N/A ,$333.00 , N/A ,$416.25 ,$306.36 ,$276.39 ,$306.36 , N/A ,$306.36 ,$15.01 ,$555.00 ,$15.01 ,$471.75 , N/A ,$384.62 , N/A ,$555.00 ,$311.36 , N/A ,$145.41 , N/A ,$8.15 ,$7.78 , N/A ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 , N/A , N/A ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,30101146,80323,HC NICOTINE - 90,301,1 ,$144.00 ,$103.68 ,$0.02 ,$144.00 , N/A ,$0.02 ,$79.20 , N/A ,$40.32 , N/A , N/A , N/A , N/A ,$71.28 , N/A , N/A ,$71.28 , N/A ,$100.80 ,$90.00 ,$115.20 , N/A , N/A ,$100.80 , N/A ,$86.40 , N/A ,$108.00 ,$79.49 ,$71.71 ,$79.49 , N/A ,$79.49 ,$27.25 ,$144.00 ,$27.25 ,$122.40 , N/A ,$99.79 , N/A ,$144.00 ,$80.78 , N/A ,$37.73 , N/A ,$21.95 ,$20.95 , N/A ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 , N/A , N/A ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30101147,80323,HC NICOTINE URINE - 90,301,1 ,$149.00 ,$107.28 ,$0.02 ,$149.00 , N/A ,$0.02 ,$81.95 , N/A ,$41.72 , N/A , N/A , N/A , N/A ,$73.76 , N/A , N/A ,$73.76 , N/A ,$104.30 ,$93.13 ,$119.20 , N/A , N/A ,$104.30 , N/A ,$89.40 , N/A ,$111.75 ,$82.25 ,$74.20 ,$82.25 , N/A ,$82.25 ,$27.25 ,$149.00 ,$27.25 ,$126.65 , N/A ,$103.26 , N/A ,$149.00 ,$83.59 , N/A ,$39.04 , N/A ,$21.95 ,$20.95 , N/A ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 , N/A , N/A ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30101148,80327,HC ANABOLIC STERIODS 1-2  - 90,301,1 ,$223.00 ,$160.56 ,$0.02 ,$223.00 , N/A ,$0.02 ,$122.65 , N/A ,$62.44 , N/A , N/A , N/A , N/A ,$110.39 , N/A , N/A ,$110.39 , N/A ,$156.10 ,$139.38 ,$178.40 , N/A , N/A ,$156.10 , N/A ,$133.80 , N/A ,$167.25 ,$123.10 ,$111.05 ,$123.10 , N/A ,$123.10 ,$29.69 ,$223.00 ,$29.69 ,$189.55 , N/A ,$154.54 , N/A ,$223.00 ,$125.10 , N/A ,$58.43 , N/A ,$21.95 ,$20.95 , N/A ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 , N/A , N/A ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,30101149,80342,HC ANTIPSYCHOTICS NOT 1-3  -90,301,1 ,$220.00 ,$158.40 ,$0.02 ,$220.00 , N/A ,$0.02 ,$121.00 , N/A ,$61.60 , N/A , N/A , N/A , N/A ,$108.90 , N/A , N/A ,$108.90 , N/A ,$154.00 ,$137.50 ,$176.00 , N/A , N/A ,$154.00 , N/A ,$132.00 , N/A ,$165.00 ,$121.44 ,$109.56 ,$121.44 , N/A ,$121.44 ,$18.75 ,$220.00 ,$18.75 ,$187.00 , N/A ,$152.46 , N/A ,$220.00 ,$123.42 , N/A ,$57.64 , N/A ,$21.95 ,$20.95 , N/A ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 , N/A , N/A ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30101150,80346,HC BENZODIAZEPINES 1-12  -90,301,1 ,$189.00 ,$136.08 ,$0.02 ,$189.00 , N/A ,$0.02 ,$103.95 , N/A ,$52.92 , N/A , N/A , N/A , N/A ,$93.56 , N/A , N/A ,$93.56 , N/A ,$132.30 ,$118.13 ,$151.20 , N/A , N/A ,$132.30 , N/A ,$113.40 , N/A ,$141.75 ,$104.33 ,$94.12 ,$104.33 , N/A ,$104.33 ,$21.57 ,$189.00 ,$21.57 ,$160.65 , N/A ,$130.98 , N/A ,$189.00 ,$106.03 , N/A ,$49.52 , N/A ,$21.95 ,$20.95 , N/A ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 , N/A , N/A ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$17.97 ,$59.00 ,$17.97 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101152,80353,HC COCAINE QN -90,301,1 ,$240.00 ,$172.80 ,$0.02 ,$240.00 , N/A ,$0.02 ,$132.00 , N/A ,$67.20 , N/A , N/A , N/A , N/A ,$118.80 , N/A , N/A ,$118.80 , N/A ,$168.00 ,$150.00 ,$192.00 , N/A , N/A ,$168.00 , N/A ,$144.00 , N/A ,$180.00 ,$132.48 ,$119.52 ,$132.48 , N/A ,$132.48 ,$16.34 ,$240.00 ,$16.34 ,$204.00 , N/A ,$166.32 , N/A ,$240.00 ,$134.64 , N/A ,$62.88 , N/A ,$8.15 ,$7.78 , N/A ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 , N/A , N/A ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30101153,80359,HC METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA -90,301,1 ,$214.00 ,$154.08 ,$0.02 ,$214.00 , N/A ,$0.02 ,$117.70 , N/A ,$59.92 , N/A , N/A , N/A , N/A ,$105.93 , N/A , N/A ,$105.93 , N/A ,$149.80 ,$133.75 ,$171.20 , N/A , N/A ,$149.80 , N/A ,$128.40 , N/A ,$160.50 ,$118.13 ,$106.57 ,$118.13 , N/A ,$118.13 ,$13.55 ,$214.00 ,$13.55 ,$181.90 , N/A ,$148.30 , N/A ,$214.00 ,$120.05 , N/A ,$56.07 , N/A ,$8.15 ,$7.78 , N/A ,$171.20 ,$105.93 ,$59.92 ,$192.60 ,$81.32 , N/A , N/A ,$102.72 
ST. MARY'S HOSPITAL - DECATUR,30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$22.76 ,$59.00 ,$22.76 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$21.95 ,$20.95 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101155,82010,HC ACETONE KETONES SERUM QN-90,301,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$20.43 ,$13.88 ,$110.55 ,$8.01 ,$56.28 ,$42.62 ,$8.01 ,$44.40 ,$8.01 ,$99.50 ,$3.50 ,$8.01 ,$99.50 ,$16.50 ,$140.70 ,$18.93 ,$160.80 ,$20.43 ,$8.01 ,$140.70 ,$8.01 ,$120.60 ,$8.16 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$8.01 ,$110.95 ,$12.15 ,$201.00 ,$12.15 ,$170.85 ,$20.43 ,$139.29 ,$8.01 ,$201.00 ,$112.76 ,$8.01 ,$52.66 , N/A ,$8.15 ,$7.78 ,$8.41 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$16.34 ,$8.01 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$283.00 ,$203.76 ,$3.50 ,$283.00 ,$42.18 ,$28.68 ,$155.65 ,$16.53 ,$79.24 ,$64.99 ,$16.53 ,$67.70 ,$16.53 ,$140.09 ,$3.50 ,$16.53 ,$140.09 ,$34.08 ,$198.10 ,$38.65 ,$226.40 ,$42.18 ,$16.53 ,$198.10 ,$16.53 ,$169.80 ,$16.87 ,$212.25 ,$156.22 ,$140.93 ,$156.22 ,$16.53 ,$156.22 ,$25.09 ,$283.00 ,$25.09 ,$240.55 ,$42.18 ,$196.12 ,$16.53 ,$283.00 ,$158.76 ,$16.53 ,$74.15 , N/A ,$8.15 ,$7.78 ,$17.36 ,$226.40 ,$140.09 ,$79.24 ,$254.70 ,$107.54 ,$33.74 ,$16.53 ,$135.84 
ST. MARY'S HOSPITAL - DECATUR,30101158,82024,HC ACTH -90,301,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$96.55 ,$65.66 ,$89.65 ,$37.85 ,$45.64 ,$85.25 ,$37.85 ,$89.65 ,$37.85 ,$80.69 ,$3.50 ,$37.85 ,$80.69 ,$78.01 ,$114.10 ,$88.38 ,$130.40 ,$96.55 ,$37.85 ,$114.10 ,$37.85 ,$97.80 ,$38.60 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$37.85 ,$89.98 ,$57.45 ,$163.00 ,$57.45 ,$138.55 ,$96.55 ,$112.96 ,$37.85 ,$163.00 ,$91.44 ,$37.85 ,$42.71 , N/A ,$19.09 ,$18.22 ,$39.74 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$77.24 ,$37.85 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101159,82040,HC ALBUMIN-90,301,1 ,$82.00 ,$59.04 ,$3.47 ,$82.00 ,$12.38 ,$8.42 ,$45.10 ,$4.85 ,$22.96 ,$25.82 ,$4.85 ,$26.90 ,$4.85 ,$40.59 ,$3.50 ,$4.85 ,$40.59 ,$10.00 ,$57.40 ,$11.05 ,$65.60 ,$12.38 ,$4.85 ,$57.40 ,$4.85 ,$49.20 ,$4.95 ,$61.50 ,$45.26 ,$40.84 ,$45.26 ,$4.85 ,$45.26 ,$7.36 ,$82.00 ,$7.36 ,$69.70 ,$12.38 ,$56.83 ,$4.85 ,$82.00 ,$46.00 ,$4.85 ,$21.48 , N/A ,$3.63 ,$3.47 ,$5.10 ,$65.60 ,$40.59 ,$22.96 ,$73.80 ,$31.16 ,$9.90 ,$4.85 ,$39.36 
ST. MARY'S HOSPITAL - DECATUR,30101160,82042,HC ALBUMIN OTHER SOURCE-90,301,1 ,$100.00 ,$72.00 ,$3.47 ,$100.00 ,$19.45 ,$13.22 ,$55.00 ,$7.62 ,$28.00 ,$32.88 ,$7.62 ,$34.25 ,$7.62 ,$49.50 ,$3.50 ,$7.62 ,$49.50 ,$15.72 ,$70.00 ,$17.35 ,$80.00 ,$19.45 ,$7.62 ,$70.00 ,$7.62 ,$60.00 ,$7.78 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$7.62 ,$55.20 ,$10.41 ,$100.00 ,$10.41 ,$85.00 ,$19.45 ,$69.30 ,$7.62 ,$100.00 ,$56.10 ,$7.62 ,$26.20 , N/A ,$3.63 ,$3.47 ,$8.01 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$15.56 ,$7.62 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30101162,82085,HC ALDOLASE-90,301,1 ,$77.00 ,$55.44 ,$3.50 ,$77.00 ,$24.28 ,$16.50 ,$42.35 ,$9.52 ,$21.56 ,$37.39 ,$9.52 ,$38.95 ,$9.52 ,$38.12 ,$3.50 ,$9.52 ,$38.12 ,$19.61 ,$53.90 ,$22.10 ,$61.60 ,$24.28 ,$9.52 ,$53.90 ,$9.52 ,$46.20 ,$9.70 ,$57.75 ,$42.50 ,$38.35 ,$42.50 ,$9.52 ,$42.50 ,$14.45 ,$77.00 ,$14.45 ,$65.45 ,$24.28 ,$53.36 ,$9.52 ,$77.00 ,$43.20 ,$9.52 ,$20.17 , N/A ,$8.15 ,$7.78 ,$10.00 ,$61.60 ,$38.12 ,$21.56 ,$69.30 ,$29.26 ,$19.42 ,$9.52 ,$36.96 
ST. MARY'S HOSPITAL - DECATUR,30101163,82088,HC ALDOSTERONE-90,301,1 ,$315.00 ,$226.80 ,$3.50 ,$315.00 ,$101.88 ,$69.28 ,$173.25 ,$39.93 ,$88.20 ,$156.96 ,$39.93 ,$163.50 ,$39.93 ,$155.93 ,$3.50 ,$39.93 ,$155.93 ,$82.32 ,$220.50 ,$93.10 ,$252.00 ,$101.88 ,$39.93 ,$220.50 ,$39.93 ,$189.00 ,$40.74 ,$236.25 ,$173.88 ,$156.87 ,$173.88 ,$39.93 ,$173.88 ,$60.63 ,$315.00 ,$60.63 ,$267.75 ,$101.88 ,$218.30 ,$39.93 ,$315.00 ,$176.72 ,$39.93 ,$82.53 , N/A ,$19.09 ,$18.22 ,$41.93 ,$252.00 ,$155.93 ,$88.20 ,$283.50 ,$119.70 ,$81.50 ,$39.93 ,$151.20 
ST. MARY'S HOSPITAL - DECATUR,30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$122.00 ,$87.84 ,$3.50 ,$122.00 ,$33.60 ,$22.84 ,$67.10 ,$13.17 ,$34.16 ,$51.74 ,$13.17 ,$53.90 ,$13.17 ,$60.39 ,$3.50 ,$13.17 ,$60.39 ,$27.15 ,$85.40 ,$30.78 ,$97.60 ,$33.60 ,$13.17 ,$85.40 ,$13.17 ,$73.20 ,$13.44 ,$91.50 ,$67.34 ,$60.76 ,$67.34 ,$13.17 ,$67.34 ,$19.99 ,$122.00 ,$19.99 ,$103.70 ,$33.60 ,$84.55 ,$13.17 ,$122.00 ,$68.44 ,$13.17 ,$31.96 , N/A ,$8.15 ,$7.78 ,$13.83 ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$26.88 ,$13.17 ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$122.00 ,$87.84 ,$3.50 ,$122.00 ,$36.15 ,$24.58 ,$67.10 ,$14.17 ,$34.16 ,$55.73 ,$14.17 ,$58.05 ,$14.17 ,$60.39 ,$3.50 ,$14.17 ,$60.39 ,$29.21 ,$85.40 ,$33.15 ,$97.60 ,$36.15 ,$14.17 ,$85.40 ,$14.17 ,$73.20 ,$14.45 ,$91.50 ,$67.34 ,$60.76 ,$67.34 ,$14.17 ,$67.34 ,$21.52 ,$122.00 ,$21.52 ,$103.70 ,$36.15 ,$84.55 ,$14.17 ,$122.00 ,$68.44 ,$14.17 ,$31.96 , N/A ,$8.15 ,$7.78 ,$14.88 ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$28.92 ,$14.17 ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$41.93 ,$28.50 ,$89.65 ,$16.43 ,$45.64 ,$64.61 ,$16.43 ,$67.30 ,$16.43 ,$80.69 ,$3.50 ,$16.43 ,$80.69 ,$33.88 ,$114.10 ,$37.88 ,$130.40 ,$41.93 ,$16.43 ,$114.10 ,$16.43 ,$97.80 ,$16.77 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$16.43 ,$89.98 ,$24.96 ,$163.00 ,$24.96 ,$138.55 ,$41.93 ,$112.96 ,$16.43 ,$163.00 ,$91.44 ,$16.43 ,$42.71 , N/A ,$8.15 ,$7.78 ,$17.26 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$33.54 ,$16.43 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101168,82106,HC ALPHA FETOPROTEIN AMNIOTIC FLUID-90,301,1 ,$143.00 ,$102.96 ,$3.50 ,$143.00 ,$42.50 ,$28.90 ,$78.65 ,$16.66 ,$40.04 ,$64.61 ,$16.66 ,$67.30 ,$16.66 ,$70.79 ,$3.50 ,$16.66 ,$70.79 ,$34.34 ,$100.10 ,$38.65 ,$114.40 ,$42.50 ,$16.66 ,$100.10 ,$16.66 ,$85.80 ,$16.99 ,$107.25 ,$78.94 ,$71.21 ,$78.94 ,$16.66 ,$78.94 ,$24.96 ,$143.00 ,$24.96 ,$121.55 ,$42.50 ,$99.10 ,$16.66 ,$143.00 ,$80.22 ,$16.66 ,$37.47 , N/A ,$8.15 ,$7.78 ,$17.49 ,$114.40 ,$70.79 ,$40.04 ,$128.70 ,$54.34 ,$34.00 ,$16.66 ,$68.64 
ST. MARY'S HOSPITAL - DECATUR,30101169,82108,HC ALUMINUM-90,301,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$63.70 ,$43.32 ,$103.95 ,$24.97 ,$52.92 ,$98.16 ,$24.97 ,$102.25 ,$24.97 ,$93.56 ,$3.50 ,$24.97 ,$93.56 ,$51.47 ,$132.30 ,$58.40 ,$151.20 ,$63.70 ,$24.97 ,$132.30 ,$24.97 ,$113.40 ,$25.47 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$24.97 ,$104.33 ,$37.90 ,$189.00 ,$37.90 ,$160.65 ,$63.70 ,$130.98 ,$24.97 ,$189.00 ,$106.03 ,$24.97 ,$49.52 , N/A ,$9.94 ,$9.49 ,$26.21 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$50.96 ,$24.97 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30101171,82128,HC AMINO ACIDS MULT QL EA SPECIMEN-90,301,1 ,$147.00 ,$105.84 ,$3.50 ,$147.00 ,$34.68 ,$23.58 ,$80.85 ,$13.59 ,$41.16 ,$53.42 ,$13.59 ,$55.65 ,$13.59 ,$72.77 ,$3.50 ,$13.59 ,$72.77 ,$28.02 ,$102.90 ,$31.55 ,$117.60 ,$34.68 ,$13.59 ,$102.90 ,$13.59 ,$88.20 ,$13.87 ,$110.25 ,$81.14 ,$73.21 ,$81.14 ,$13.59 ,$81.14 ,$20.63 ,$147.00 ,$20.63 ,$124.95 ,$34.68 ,$101.87 ,$13.59 ,$147.00 ,$82.47 ,$13.59 ,$38.51 , N/A ,$8.15 ,$7.78 ,$14.27 ,$117.60 ,$72.77 ,$41.16 ,$132.30 ,$55.86 ,$27.74 ,$13.59 ,$70.56 
ST. MARY'S HOSPITAL - DECATUR,30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$265.00 ,$190.80 ,$3.50 ,$265.00 ,$57.45 ,$39.06 ,$145.75 ,$22.52 ,$74.20 ,$71.71 ,$22.52 ,$74.70 ,$22.52 ,$131.18 ,$3.50 ,$22.52 ,$131.18 ,$46.42 ,$185.50 ,$52.08 ,$212.00 ,$57.45 ,$22.52 ,$185.50 ,$22.52 ,$159.00 ,$22.97 ,$198.75 ,$146.28 ,$131.97 ,$146.28 ,$22.52 ,$146.28 ,$30.77 ,$265.00 ,$30.77 ,$225.25 ,$57.45 ,$183.65 ,$22.52 ,$265.00 ,$148.67 ,$22.52 ,$69.43 , N/A ,$8.15 ,$7.78 ,$23.65 ,$212.00 ,$131.18 ,$74.20 ,$238.50 ,$100.70 ,$45.96 ,$22.52 ,$127.20 
ST. MARY'S HOSPITAL - DECATUR,30101173,82135,HC AMINOLEVULINIC ACID 24 HR UR-90,301,1 ,$219.00 ,$157.68 ,$3.50 ,$219.00 ,$41.13 ,$27.96 ,$120.45 ,$16.12 ,$61.32 ,$63.36 ,$16.12 ,$66.00 ,$16.12 ,$108.41 ,$3.50 ,$16.12 ,$108.41 ,$33.23 ,$153.30 ,$37.88 ,$175.20 ,$41.13 ,$16.12 ,$153.30 ,$16.12 ,$131.40 ,$16.44 ,$164.25 ,$120.89 ,$109.06 ,$120.89 ,$16.12 ,$120.89 ,$24.47 ,$219.00 ,$24.47 ,$186.15 ,$41.13 ,$151.77 ,$16.12 ,$219.00 ,$122.86 ,$16.12 ,$57.38 , N/A ,$8.15 ,$7.78 ,$16.92 ,$175.20 ,$108.41 ,$61.32 ,$197.10 ,$83.22 ,$32.90 ,$16.12 ,$105.12 
ST. MARY'S HOSPITAL - DECATUR,30101174,82136,HC AMINO ACIDS 2-5 ACIDS QN-90,301,1 ,$103.00 ,$74.16 ,$3.50 ,$103.00 ,$49.03 ,$33.34 ,$56.65 ,$19.22 ,$28.84 ,$53.87 ,$19.22 ,$56.65 ,$19.22 ,$50.99 ,$3.50 ,$19.22 ,$50.99 ,$39.61 ,$72.10 ,$44.98 ,$82.40 ,$49.03 ,$19.22 ,$72.10 ,$19.22 ,$61.80 ,$19.60 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$19.22 ,$56.86 ,$26.25 ,$103.00 ,$26.25 ,$87.55 ,$49.03 ,$71.38 ,$19.22 ,$103.00 ,$57.78 ,$19.22 ,$26.99 , N/A ,$8.15 ,$7.78 ,$20.18 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$39.22 ,$19.22 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$721.00 ,$519.12 ,$3.50 ,$721.00 ,$42.18 ,$28.68 ,$396.55 ,$16.53 ,$201.88 ,$64.99 ,$16.53 ,$67.70 ,$16.53 ,$356.90 ,$3.50 ,$16.53 ,$356.90 ,$34.08 ,$504.70 ,$38.65 ,$576.80 ,$42.18 ,$16.53 ,$504.70 ,$16.53 ,$432.60 ,$16.87 ,$540.75 ,$397.99 ,$359.06 ,$397.99 ,$16.53 ,$397.99 ,$25.09 ,$721.00 ,$25.09 ,$612.85 ,$42.18 ,$499.65 ,$16.53 ,$721.00 ,$404.48 ,$16.53 ,$188.90 , N/A ,$8.15 ,$7.78 ,$17.36 ,$576.80 ,$356.90 ,$201.88 ,$648.90 ,$273.98 ,$33.74 ,$16.53 ,$346.08 
ST. MARY'S HOSPITAL - DECATUR,30101176,82140,HC AMMONIA-90,301,1 ,$220.00 ,$158.40 ,$3.50 ,$220.00 ,$36.43 ,$24.76 ,$121.00 ,$14.28 ,$61.60 ,$56.11 ,$14.28 ,$58.45 ,$14.28 ,$108.90 ,$3.50 ,$14.28 ,$108.90 ,$29.43 ,$154.00 ,$33.15 ,$176.00 ,$36.43 ,$14.28 ,$154.00 ,$14.28 ,$132.00 ,$14.56 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$14.28 ,$121.44 ,$21.68 ,$220.00 ,$21.68 ,$187.00 ,$36.43 ,$152.46 ,$14.28 ,$220.00 ,$123.42 ,$14.28 ,$57.64 , N/A ,$8.15 ,$7.78 ,$14.99 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$29.14 ,$14.28 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30101177,82150,HC AMYLASE-90,301,1 ,$154.00 ,$110.88 ,$3.50 ,$154.00 ,$16.20 ,$11.02 ,$84.70 ,$6.35 ,$43.12 ,$33.79 ,$6.35 ,$35.20 ,$6.35 ,$76.23 ,$3.50 ,$6.35 ,$76.23 ,$13.09 ,$107.80 ,$15.00 ,$123.20 ,$16.20 ,$6.35 ,$107.80 ,$6.35 ,$92.40 ,$6.48 ,$115.50 ,$85.01 ,$76.69 ,$85.01 ,$6.35 ,$85.01 ,$9.64 ,$154.00 ,$9.64 ,$130.90 ,$16.20 ,$106.72 ,$6.35 ,$154.00 ,$86.39 ,$6.35 ,$40.35 , N/A ,$8.15 ,$7.78 ,$6.66 ,$123.20 ,$76.23 ,$43.12 ,$138.60 ,$58.52 ,$12.96 ,$6.35 ,$73.92 
ST. MARY'S HOSPITAL - DECATUR,30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$274.00 ,$197.28 ,$3.50 ,$274.00 ,$73.20 ,$49.78 ,$150.70 ,$28.69 ,$76.72 ,$112.75 ,$28.69 ,$117.45 ,$28.69 ,$135.63 ,$3.50 ,$28.69 ,$135.63 ,$59.15 ,$191.80 ,$67.08 ,$219.20 ,$73.20 ,$28.69 ,$191.80 ,$28.69 ,$164.40 ,$29.27 ,$205.50 ,$151.25 ,$136.45 ,$151.25 ,$28.69 ,$151.25 ,$43.56 ,$274.00 ,$43.56 ,$232.90 ,$73.20 ,$189.88 ,$28.69 ,$274.00 ,$153.71 ,$28.69 ,$71.79 , N/A ,$19.09 ,$18.22 ,$30.13 ,$219.20 ,$135.63 ,$76.72 ,$246.60 ,$104.12 ,$58.56 ,$28.69 ,$131.52 
ST. MARY'S HOSPITAL - DECATUR,30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$142.00 ,$102.24 ,$3.50 ,$142.00 ,$36.50 ,$24.82 ,$78.10 ,$14.31 ,$39.76 ,$56.26 ,$14.31 ,$58.60 ,$14.31 ,$70.29 ,$3.50 ,$14.31 ,$70.29 ,$29.49 ,$99.40 ,$33.15 ,$113.60 ,$36.50 ,$14.31 ,$99.40 ,$14.31 ,$85.20 ,$14.59 ,$106.50 ,$78.38 ,$70.72 ,$78.38 ,$14.31 ,$78.38 ,$21.72 ,$142.00 ,$21.72 ,$120.70 ,$36.50 ,$98.41 ,$14.31 ,$142.00 ,$79.66 ,$14.31 ,$37.20 , N/A ,$8.15 ,$7.78 ,$15.02 ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$29.20 ,$14.31 ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$111.00 ,$79.92 ,$3.50 ,$111.00 ,$52.73 ,$35.86 ,$61.05 ,$20.67 ,$31.08 ,$58.05 ,$20.67 ,$61.05 ,$20.67 ,$54.95 ,$3.50 ,$20.67 ,$54.95 ,$42.60 ,$77.70 ,$48.13 ,$88.80 ,$52.73 ,$20.67 ,$77.70 ,$20.67 ,$66.60 ,$21.08 ,$83.25 ,$61.27 ,$55.28 ,$61.27 ,$20.67 ,$61.27 ,$28.24 ,$111.00 ,$28.24 ,$94.35 ,$52.73 ,$76.92 ,$20.67 ,$111.00 ,$62.27 ,$20.67 ,$29.08 , N/A ,$8.15 ,$7.78 ,$21.70 ,$88.80 ,$54.95 ,$31.08 ,$99.90 ,$42.18 ,$42.18 ,$20.67 ,$53.28 
ST. MARY'S HOSPITAL - DECATUR,30101181,82175,HC ARSENIC-90,301,1 ,$92.00 ,$66.24 ,$3.50 ,$92.00 ,$47.43 ,$32.24 ,$50.60 ,$18.59 ,$25.76 ,$48.12 ,$18.59 ,$50.60 ,$18.59 ,$45.54 ,$3.50 ,$18.59 ,$45.54 ,$38.32 ,$64.40 ,$43.40 ,$73.60 ,$47.43 ,$18.59 ,$64.40 ,$18.59 ,$55.20 ,$18.96 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$18.59 ,$50.78 ,$28.22 ,$92.00 ,$28.22 ,$78.20 ,$47.43 ,$63.76 ,$18.59 ,$92.00 ,$51.61 ,$18.59 ,$24.10 , N/A ,$9.94 ,$9.49 ,$19.52 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$37.94 ,$18.59 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$213.00 ,$153.36 ,$3.50 ,$213.00 ,$24.73 ,$16.82 ,$117.15 ,$9.69 ,$59.64 ,$38.06 ,$9.69 ,$39.65 ,$9.69 ,$105.44 ,$3.50 ,$9.69 ,$105.44 ,$19.98 ,$149.10 ,$22.88 ,$170.40 ,$24.73 ,$9.69 ,$149.10 ,$9.69 ,$127.80 ,$9.89 ,$159.75 ,$117.58 ,$106.07 ,$117.58 ,$9.69 ,$117.58 ,$14.70 ,$213.00 ,$14.70 ,$181.05 ,$24.73 ,$147.61 ,$9.69 ,$213.00 ,$119.49 ,$9.69 ,$55.81 , N/A ,$8.15 ,$7.78 ,$10.17 ,$170.40 ,$105.44 ,$59.64 ,$191.70 ,$80.94 ,$19.78 ,$9.69 ,$102.24 
ST. MARY'S HOSPITAL - DECATUR,30101183,82190,HC ATOMIC ABSORPTION SPEC EA ANALYTE-90,301,1 ,$126.00 ,$90.72 ,$3.50 ,$126.00 ,$39.75 ,$27.04 ,$69.30 ,$15.58 ,$35.28 ,$57.46 ,$15.58 ,$59.85 ,$15.58 ,$62.37 ,$3.50 ,$15.58 ,$62.37 ,$32.12 ,$88.20 ,$36.30 ,$100.80 ,$39.75 ,$15.58 ,$88.20 ,$15.58 ,$75.60 ,$15.90 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$15.58 ,$69.55 ,$22.18 ,$126.00 ,$22.18 ,$107.10 ,$39.75 ,$87.32 ,$15.58 ,$126.00 ,$70.69 ,$15.58 ,$33.01 , N/A ,$8.15 ,$7.78 ,$16.37 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$31.80 ,$15.58 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$140.00 ,$100.80 ,$3.50 ,$140.00 ,$40.45 ,$27.50 ,$77.00 ,$15.86 ,$39.20 ,$62.30 ,$15.86 ,$64.90 ,$15.86 ,$69.30 ,$3.50 ,$15.86 ,$69.30 ,$32.68 ,$98.00 ,$37.08 ,$112.00 ,$40.45 ,$15.86 ,$98.00 ,$15.86 ,$84.00 ,$16.17 ,$105.00 ,$77.28 ,$69.72 ,$77.28 ,$15.86 ,$77.28 ,$24.06 ,$140.00 ,$24.06 ,$119.00 ,$40.45 ,$97.02 ,$15.86 ,$140.00 ,$78.54 ,$15.86 ,$36.68 , N/A ,$19.09 ,$18.22 ,$16.65 ,$112.00 ,$69.30 ,$39.20 ,$126.00 ,$53.20 ,$32.36 ,$15.86 ,$67.20 
ST. MARY'S HOSPITAL - DECATUR,30101185,82239,HC BILE ACID TOTAL-90,301,1 ,$116.00 ,$83.52 ,$3.50 ,$116.00 ,$42.80 ,$29.10 ,$63.80 ,$16.78 ,$32.48 ,$60.67 ,$16.78 ,$63.80 ,$16.78 ,$57.42 ,$3.50 ,$16.78 ,$57.42 ,$34.58 ,$81.20 ,$38.65 ,$92.80 ,$42.80 ,$16.78 ,$81.20 ,$16.78 ,$69.60 ,$17.11 ,$87.00 ,$64.03 ,$57.77 ,$64.03 ,$16.78 ,$64.03 ,$25.48 ,$116.00 ,$25.48 ,$98.60 ,$42.80 ,$80.39 ,$16.78 ,$116.00 ,$65.08 ,$16.78 ,$30.39 , N/A ,$8.15 ,$7.78 ,$17.62 ,$92.80 ,$57.42 ,$32.48 ,$104.40 ,$44.08 ,$34.24 ,$16.78 ,$55.68 
ST. MARY'S HOSPITAL - DECATUR,30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$134.00 ,$96.48 ,$3.47 ,$134.00 ,$12.55 ,$8.54 ,$73.70 ,$4.92 ,$37.52 ,$26.16 ,$4.92 ,$27.25 ,$4.92 ,$66.33 ,$3.50 ,$4.92 ,$66.33 ,$10.14 ,$93.80 ,$11.83 ,$107.20 ,$12.55 ,$4.92 ,$93.80 ,$4.92 ,$80.40 ,$5.02 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.92 ,$73.97 ,$7.46 ,$134.00 ,$7.46 ,$113.90 ,$12.55 ,$92.86 ,$4.92 ,$134.00 ,$75.17 ,$4.92 ,$35.11 , N/A ,$3.63 ,$3.47 ,$5.16 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$10.04 ,$4.92 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30101189,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$75.00 ,$54.00 ,$3.47 ,$75.00 ,$10.95 ,$7.44 ,$41.25 ,$4.29 ,$21.00 ,$18.48 ,$4.29 ,$19.25 ,$4.29 ,$37.13 ,$3.50 ,$4.29 ,$37.13 ,$8.85 ,$52.50 ,$10.25 ,$60.00 ,$10.95 ,$4.29 ,$52.50 ,$4.29 ,$45.00 ,$4.38 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$4.29 ,$41.40 ,$5.86 ,$75.00 ,$5.86 ,$63.75 ,$10.95 ,$51.98 ,$4.29 ,$75.00 ,$42.08 ,$4.29 ,$19.65 , N/A ,$3.63 ,$3.47 ,$4.51 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$8.76 ,$4.29 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30101192,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$75.00 ,$54.00 ,$3.47 ,$75.00 ,$13.30 ,$9.04 ,$41.25 ,$5.21 ,$21.00 ,$22.46 ,$5.21 ,$23.40 ,$5.21 ,$37.13 ,$3.50 ,$5.21 ,$37.13 ,$10.75 ,$52.50 ,$11.83 ,$60.00 ,$13.30 ,$5.21 ,$52.50 ,$5.21 ,$45.00 ,$5.32 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$5.21 ,$41.40 ,$7.13 ,$75.00 ,$7.13 ,$63.75 ,$13.30 ,$51.98 ,$5.21 ,$75.00 ,$42.08 ,$5.21 ,$19.65 , N/A ,$3.63 ,$3.47 ,$5.48 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$10.64 ,$5.21 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30101196,82300,HC CADMIUM-90,301,1 ,$87.00 ,$62.64 ,$3.50 ,$87.00 ,$59.10 ,$40.18 ,$47.85 ,$23.17 ,$24.36 ,$45.50 ,$23.17 ,$47.85 ,$23.17 ,$43.07 ,$3.50 ,$23.17 ,$43.07 ,$47.75 ,$60.90 ,$53.65 ,$69.60 ,$59.10 ,$23.17 ,$60.90 ,$23.17 ,$52.20 ,$23.63 ,$65.25 ,$48.02 ,$43.33 ,$48.02 ,$23.17 ,$48.02 ,$34.44 ,$87.00 ,$34.44 ,$73.95 ,$59.10 ,$60.29 ,$23.17 ,$87.00 ,$48.81 ,$23.17 ,$22.79 , N/A ,$9.94 ,$9.49 ,$24.32 ,$69.60 ,$43.07 ,$24.36 ,$78.30 ,$33.06 ,$47.28 ,$23.17 ,$41.76 
ST. MARY'S HOSPITAL - DECATUR,30101197,82306,HC VITAMIN D 25 OH-90,301,1 ,$110.00 ,$79.20 ,$3.50 ,$110.00 ,$74.00 ,$50.32 ,$60.50 ,$29.01 ,$30.80 ,$57.53 ,$29.01 ,$60.50 ,$29.01 ,$54.45 ,$3.50 ,$29.01 ,$54.45 ,$59.79 ,$77.00 ,$67.85 ,$88.00 ,$74.00 ,$29.01 ,$77.00 ,$29.01 ,$66.00 ,$29.59 ,$82.50 ,$60.72 ,$54.78 ,$60.72 ,$29.01 ,$60.72 ,$44.04 ,$110.00 ,$44.04 ,$93.50 ,$74.00 ,$76.23 ,$29.01 ,$110.00 ,$61.71 ,$29.01 ,$28.82 , N/A ,$21.95 ,$20.95 ,$30.46 ,$88.00 ,$54.45 ,$30.80 ,$99.00 ,$41.80 ,$59.20 ,$29.01 ,$52.80 
ST. MARY'S HOSPITAL - DECATUR,30101199,82308,HC CALCITONIN-90,301,1 ,$209.00 ,$150.48 ,$3.50 ,$209.00 ,$66.98 ,$45.54 ,$114.95 ,$26.25 ,$58.52 ,$103.20 ,$26.25 ,$107.50 ,$26.25 ,$103.46 ,$3.50 ,$26.25 ,$103.46 ,$54.12 ,$146.30 ,$60.75 ,$167.20 ,$66.98 ,$26.25 ,$146.30 ,$26.25 ,$125.40 ,$26.78 ,$156.75 ,$115.37 ,$104.08 ,$115.37 ,$26.25 ,$115.37 ,$39.86 ,$209.00 ,$39.86 ,$177.65 ,$66.98 ,$144.84 ,$26.25 ,$209.00 ,$117.25 ,$26.25 ,$54.76 , N/A ,$19.09 ,$18.22 ,$27.57 ,$167.20 ,$103.46 ,$58.52 ,$188.10 ,$79.42 ,$53.58 ,$26.25 ,$100.32 
ST. MARY'S HOSPITAL - DECATUR,30101200,82310,HC CALCIUM-90,301,1 ,$168.00 ,$120.96 ,$3.47 ,$168.00 ,$12.90 ,$8.78 ,$92.40 ,$5.06 ,$47.04 ,$26.93 ,$5.06 ,$28.05 ,$5.06 ,$83.16 ,$3.50 ,$5.06 ,$83.16 ,$10.42 ,$117.60 ,$11.83 ,$134.40 ,$12.90 ,$5.06 ,$117.60 ,$5.06 ,$100.80 ,$5.15 ,$126.00 ,$92.74 ,$83.66 ,$92.74 ,$5.06 ,$92.74 ,$7.67 ,$168.00 ,$7.67 ,$142.80 ,$12.90 ,$116.42 ,$5.06 ,$168.00 ,$94.25 ,$5.06 ,$44.02 , N/A ,$3.63 ,$3.47 ,$5.31 ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$10.32 ,$5.06 ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,30101203,82340,HC CALCIUM URINE QN TIMED-90,301,1 ,$245.00 ,$176.40 ,$3.50 ,$245.00 ,$15.08 ,$10.26 ,$134.75 ,$5.91 ,$68.60 ,$23.23 ,$5.91 ,$24.20 ,$5.91 ,$121.28 ,$3.50 ,$5.91 ,$121.28 ,$12.18 ,$171.50 ,$13.43 ,$196.00 ,$15.08 ,$5.91 ,$171.50 ,$5.91 ,$147.00 ,$6.03 ,$183.75 ,$135.24 ,$122.01 ,$135.24 ,$5.91 ,$135.24 ,$8.97 ,$245.00 ,$8.97 ,$208.25 ,$15.08 ,$169.79 ,$5.91 ,$245.00 ,$137.45 ,$5.91 ,$64.19 , N/A ,$8.15 ,$7.78 ,$6.20 ,$196.00 ,$121.28 ,$68.60 ,$220.50 ,$93.10 ,$12.06 ,$5.91 ,$117.60 
ST. MARY'S HOSPITAL - DECATUR,30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$105.00 ,$75.60 ,$3.50 ,$105.00 ,$32.25 ,$21.94 ,$57.75 ,$12.64 ,$29.40 ,$49.68 ,$12.64 ,$51.75 ,$12.64 ,$51.98 ,$3.50 ,$12.64 ,$51.98 ,$26.06 ,$73.50 ,$29.20 ,$84.00 ,$32.25 ,$12.64 ,$73.50 ,$12.64 ,$63.00 ,$12.90 ,$78.75 ,$57.96 ,$52.29 ,$57.96 ,$12.64 ,$57.96 ,$19.19 ,$105.00 ,$19.19 ,$89.25 ,$32.25 ,$72.77 ,$12.64 ,$105.00 ,$58.91 ,$12.64 ,$27.51 , N/A ,$8.15 ,$7.78 ,$13.28 ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$25.80 ,$12.64 ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,30101206,82373,HC CARBOHY DEFICIENT TRANSFER-90,301,1 ,$290.00 ,$208.80 ,$3.50 ,$290.00 ,$45.15 ,$30.70 ,$159.50 ,$17.70 ,$81.20 ,$69.55 ,$17.70 ,$72.45 ,$17.70 ,$143.55 ,$3.50 ,$17.70 ,$143.55 ,$36.48 ,$203.00 ,$41.03 ,$232.00 ,$45.15 ,$17.70 ,$203.00 ,$17.70 ,$174.00 ,$18.05 ,$217.50 ,$160.08 ,$144.42 ,$160.08 ,$17.70 ,$160.08 ,$26.86 ,$290.00 ,$26.86 ,$246.50 ,$45.15 ,$200.97 ,$17.70 ,$290.00 ,$162.69 ,$17.70 ,$75.98 , N/A ,$8.15 ,$7.78 ,$18.58 ,$232.00 ,$143.55 ,$81.20 ,$261.00 ,$110.20 ,$36.12 ,$17.70 ,$139.20 
ST. MARY'S HOSPITAL - DECATUR,30101208,82378,HC CARBINOEMBRYONIC AG (CEA)-90,301,1 ,$333.00 ,$239.76 ,$3.50 ,$333.00 ,$47.40 ,$32.24 ,$183.15 ,$18.58 ,$93.24 ,$73.06 ,$18.58 ,$76.10 ,$18.58 ,$164.84 ,$3.50 ,$18.58 ,$164.84 ,$38.30 ,$233.10 ,$43.40 ,$266.40 ,$47.40 ,$18.58 ,$233.10 ,$18.58 ,$199.80 ,$18.95 ,$249.75 ,$183.82 ,$165.83 ,$183.82 ,$18.58 ,$183.82 ,$28.21 ,$333.00 ,$28.21 ,$283.05 ,$47.40 ,$230.77 ,$18.58 ,$333.00 ,$186.81 ,$18.58 ,$87.25 , N/A ,$8.15 ,$7.78 ,$19.51 ,$266.40 ,$164.84 ,$93.24 ,$299.70 ,$126.54 ,$37.92 ,$18.58 ,$159.84 
ST. MARY'S HOSPITAL - DECATUR,30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$281.00 ,$202.32 ,$3.50 ,$281.00 ,$42.18 ,$28.68 ,$154.55 ,$16.53 ,$78.68 ,$64.99 ,$16.53 ,$67.70 ,$16.53 ,$139.10 ,$3.50 ,$16.53 ,$139.10 ,$34.08 ,$196.70 ,$38.65 ,$224.80 ,$42.18 ,$16.53 ,$196.70 ,$16.53 ,$168.60 ,$16.87 ,$210.75 ,$155.11 ,$139.94 ,$155.11 ,$16.53 ,$155.11 ,$25.09 ,$281.00 ,$25.09 ,$238.85 ,$42.18 ,$194.73 ,$16.53 ,$281.00 ,$157.64 ,$16.53 ,$73.62 , N/A ,$8.15 ,$7.78 ,$17.36 ,$224.80 ,$139.10 ,$78.68 ,$252.90 ,$106.78 ,$33.74 ,$16.53 ,$134.88 
ST. MARY'S HOSPITAL - DECATUR,30101210,82380,HC CAROTENE-90,301,1 ,$114.00 ,$82.08 ,$3.50 ,$114.00 ,$23.05 ,$15.68 ,$62.70 ,$9.04 ,$31.92 ,$35.52 ,$9.04 ,$37.00 ,$9.04 ,$56.43 ,$3.50 ,$9.04 ,$56.43 ,$18.62 ,$79.80 ,$21.30 ,$91.20 ,$23.05 ,$9.04 ,$79.80 ,$9.04 ,$68.40 ,$9.21 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$9.04 ,$62.93 ,$13.73 ,$114.00 ,$13.73 ,$96.90 ,$23.05 ,$79.00 ,$9.04 ,$114.00 ,$63.95 ,$9.04 ,$29.87 , N/A ,$8.15 ,$7.78 ,$9.49 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$18.44 ,$9.04 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$234.00 ,$168.48 ,$3.50 ,$234.00 ,$63.13 ,$42.92 ,$128.70 ,$24.74 ,$65.52 ,$97.30 ,$24.74 ,$101.35 ,$24.74 ,$115.83 ,$3.50 ,$24.74 ,$115.83 ,$51.01 ,$163.80 ,$57.60 ,$187.20 ,$63.13 ,$24.74 ,$163.80 ,$24.74 ,$140.40 ,$25.24 ,$175.50 ,$129.17 ,$116.53 ,$129.17 ,$24.74 ,$129.17 ,$37.57 ,$234.00 ,$37.57 ,$198.90 ,$63.13 ,$162.16 ,$24.74 ,$234.00 ,$131.27 ,$24.74 ,$61.31 , N/A ,$19.09 ,$18.22 ,$25.98 ,$187.20 ,$115.83 ,$65.52 ,$210.60 ,$88.92 ,$50.50 ,$24.74 ,$112.32 
ST. MARY'S HOSPITAL - DECATUR,30101212,82390,HC CERULOPLASMIN-90,301,1 ,$86.00 ,$61.92 ,$3.50 ,$86.00 ,$26.85 ,$18.26 ,$47.30 ,$10.53 ,$24.08 ,$41.38 ,$10.53 ,$43.10 ,$10.53 ,$42.57 ,$3.50 ,$10.53 ,$42.57 ,$21.69 ,$60.20 ,$24.45 ,$68.80 ,$26.85 ,$10.53 ,$60.20 ,$10.53 ,$51.60 ,$10.73 ,$64.50 ,$47.47 ,$42.83 ,$47.47 ,$10.53 ,$47.47 ,$15.98 ,$86.00 ,$15.98 ,$73.10 ,$26.85 ,$59.60 ,$10.53 ,$86.00 ,$48.25 ,$10.53 ,$22.53 , N/A ,$8.15 ,$7.78 ,$11.05 ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$21.48 ,$10.53 ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$289.00 ,$208.08 ,$3.50 ,$289.00 ,$35.30 ,$24.00 ,$158.95 ,$13.84 ,$80.92 ,$54.38 ,$13.84 ,$56.65 ,$13.84 ,$143.06 ,$3.50 ,$13.84 ,$143.06 ,$28.52 ,$202.30 ,$32.35 ,$231.20 ,$35.30 ,$13.84 ,$202.30 ,$13.84 ,$173.40 ,$14.11 ,$216.75 ,$159.53 ,$143.92 ,$159.53 ,$13.84 ,$159.53 ,$21.01 ,$289.00 ,$21.01 ,$245.65 ,$35.30 ,$200.28 ,$13.84 ,$289.00 ,$162.13 ,$13.84 ,$75.72 , N/A ,$8.15 ,$7.78 ,$14.53 ,$231.20 ,$143.06 ,$80.92 ,$260.10 ,$109.82 ,$28.24 ,$13.84 ,$138.72 
ST. MARY'S HOSPITAL - DECATUR,30101214,82436,HC CHLORIDE URINE -90,301,1 ,$228.00 ,$164.16 ,$3.47 ,$228.00 ,$14.38 ,$9.78 ,$125.40 ,$5.63 ,$63.84 ,$19.39 ,$5.63 ,$20.20 ,$5.63 ,$112.86 ,$3.50 ,$5.63 ,$112.86 ,$11.62 ,$159.60 ,$13.43 ,$182.40 ,$14.38 ,$5.63 ,$159.60 ,$5.63 ,$136.80 ,$5.75 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$5.63 ,$125.86 ,$7.70 ,$228.00 ,$7.70 ,$193.80 ,$14.38 ,$158.00 ,$5.63 ,$228.00 ,$127.91 ,$5.63 ,$59.74 , N/A ,$3.63 ,$3.47 ,$5.92 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$11.50 ,$5.63 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,$203.00 ,$146.16 ,$3.47 ,$203.00 ,$12.50 ,$8.50 ,$111.65 ,$4.90 ,$56.84 ,$18.82 ,$4.90 ,$19.60 ,$4.90 ,$100.49 ,$3.50 ,$4.90 ,$100.49 ,$10.10 ,$142.10 ,$11.05 ,$162.40 ,$12.50 ,$4.90 ,$142.10 ,$4.90 ,$121.80 ,$5.00 ,$152.25 ,$112.06 ,$101.09 ,$112.06 ,$4.90 ,$112.06 ,$7.27 ,$203.00 ,$7.27 ,$172.55 ,$12.50 ,$140.68 ,$4.90 ,$203.00 ,$113.88 ,$4.90 ,$53.19 , N/A ,$3.63 ,$3.47 ,$5.14 ,$162.40 ,$100.49 ,$56.84 ,$182.70 ,$77.14 ,$10.00 ,$4.90 ,$97.44 
ST. MARY'S HOSPITAL - DECATUR,30101216,82480,HC CHOLINESTERASE PSEUDO-90,301,1 ,$67.00 ,$48.24 ,$3.50 ,$67.00 ,$19.68 ,$13.38 ,$36.85 ,$7.71 ,$18.76 ,$30.34 ,$7.71 ,$31.60 ,$7.71 ,$33.17 ,$3.50 ,$7.71 ,$33.17 ,$15.90 ,$46.90 ,$18.15 ,$53.60 ,$19.68 ,$7.71 ,$46.90 ,$7.71 ,$40.20 ,$7.87 ,$50.25 ,$36.98 ,$33.37 ,$36.98 ,$7.71 ,$36.98 ,$11.72 ,$67.00 ,$11.72 ,$56.95 ,$19.68 ,$46.43 ,$7.71 ,$67.00 ,$37.59 ,$7.71 ,$17.55 , N/A ,$8.15 ,$7.78 ,$8.09 ,$53.60 ,$33.17 ,$18.76 ,$60.30 ,$25.46 ,$15.74 ,$7.71 ,$32.16 
ST. MARY'S HOSPITAL - DECATUR,30101217,82482,HC CHOLINESTERASE RBC-90,301,1 ,$67.00 ,$48.24 ,$3.50 ,$67.00 ,$24.53 ,$16.68 ,$36.85 ,$9.61 ,$18.76 ,$30.62 ,$9.61 ,$31.90 ,$9.61 ,$33.17 ,$3.50 ,$9.61 ,$33.17 ,$19.82 ,$46.90 ,$22.10 ,$53.60 ,$24.53 ,$9.61 ,$46.90 ,$9.61 ,$40.20 ,$9.81 ,$50.25 ,$36.98 ,$33.37 ,$36.98 ,$9.61 ,$36.98 ,$13.13 ,$67.00 ,$13.13 ,$56.95 ,$24.53 ,$46.43 ,$9.61 ,$67.00 ,$37.59 ,$9.61 ,$17.55 , N/A ,$8.15 ,$7.78 ,$10.09 ,$53.60 ,$33.17 ,$18.76 ,$60.30 ,$25.46 ,$19.62 ,$9.61 ,$32.16 
ST. MARY'S HOSPITAL - DECATUR,30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$50.70 ,$34.48 ,$89.10 ,$19.87 ,$45.36 ,$78.14 ,$19.87 ,$81.40 ,$19.87 ,$80.19 ,$3.50 ,$19.87 ,$80.19 ,$40.97 ,$113.40 ,$46.55 ,$129.60 ,$50.70 ,$19.87 ,$113.40 ,$19.87 ,$97.20 ,$20.28 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$19.87 ,$89.42 ,$30.17 ,$162.00 ,$30.17 ,$137.70 ,$50.70 ,$112.27 ,$19.87 ,$162.00 ,$90.88 ,$19.87 ,$42.44 , N/A ,$9.94 ,$9.49 ,$20.86 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$40.56 ,$19.87 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30101219,82507,HC CITRATE-90,301,1 ,$46.00 ,$33.12 ,$3.50 ,$69.50 ,$69.50 ,$46.00 ,$25.30 ,$27.24 ,$12.88 ,$24.06 ,$27.24 ,$25.30 ,$27.24 ,$22.77 ,$3.50 ,$27.24 ,$22.77 ,$46.00 ,$32.20 ,$46.00 ,$36.80 ,$69.50 ,$27.24 ,$32.20 ,$27.24 ,$27.60 ,$27.79 ,$34.50 ,$25.39 ,$22.91 ,$25.39 ,$27.24 ,$25.39 ,$41.36 ,$46.00 ,$41.36 ,$39.10 ,$46.00 ,$31.88 ,$27.24 ,$46.00 ,$25.81 ,$27.24 ,$12.05 , N/A ,$8.15 ,$7.78 ,$28.61 ,$36.80 ,$22.77 ,$12.88 ,$41.40 ,$17.48 ,$46.00 ,$27.24 ,$22.08 
ST. MARY'S HOSPITAL - DECATUR,30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$46.70 ,$31.76 ,$106.15 ,$18.31 ,$54.04 ,$97.44 ,$18.31 ,$101.50 ,$18.31 ,$95.54 ,$3.50 ,$18.31 ,$95.54 ,$37.73 ,$135.10 ,$42.60 ,$154.40 ,$46.70 ,$18.31 ,$135.10 ,$18.31 ,$115.80 ,$18.67 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$18.31 ,$106.54 ,$27.80 ,$193.00 ,$27.80 ,$164.05 ,$46.70 ,$133.75 ,$18.31 ,$193.00 ,$108.27 ,$18.31 ,$50.57 , N/A ,$12.58 ,$12.01 ,$19.22 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$37.36 ,$18.31 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30101221,82525,HC COPPER-90,301,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$31.03 ,$21.10 ,$54.45 ,$12.16 ,$27.72 ,$47.81 ,$12.16 ,$49.80 ,$12.16 ,$49.01 ,$3.50 ,$12.16 ,$49.01 ,$25.07 ,$69.30 ,$28.40 ,$79.20 ,$31.03 ,$12.16 ,$69.30 ,$12.16 ,$59.40 ,$12.41 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$12.16 ,$54.65 ,$18.47 ,$99.00 ,$18.47 ,$84.15 ,$31.03 ,$68.61 ,$12.16 ,$99.00 ,$55.54 ,$12.16 ,$25.94 , N/A ,$9.94 ,$9.49 ,$12.77 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$24.82 ,$12.16 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30101222,82530,HC CORTISOL FREE-90,301,1 ,$100.00 ,$72.00 ,$3.50 ,$100.00 ,$41.78 ,$28.40 ,$55.00 ,$16.38 ,$28.00 ,$52.30 ,$16.38 ,$55.00 ,$16.38 ,$49.50 ,$3.50 ,$16.38 ,$49.50 ,$33.75 ,$70.00 ,$37.88 ,$80.00 ,$41.78 ,$16.38 ,$70.00 ,$16.38 ,$60.00 ,$16.70 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$16.38 ,$55.20 ,$24.86 ,$100.00 ,$24.86 ,$85.00 ,$41.78 ,$69.30 ,$16.38 ,$100.00 ,$56.10 ,$16.38 ,$26.20 , N/A ,$8.15 ,$7.78 ,$17.20 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$33.42 ,$16.38 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$271.00 ,$195.12 ,$3.50 ,$271.00 ,$40.75 ,$27.72 ,$149.05 ,$15.97 ,$75.88 ,$62.78 ,$15.97 ,$65.40 ,$15.97 ,$134.15 ,$3.50 ,$15.97 ,$134.15 ,$32.93 ,$189.70 ,$37.08 ,$216.80 ,$40.75 ,$15.97 ,$189.70 ,$15.97 ,$162.60 ,$16.30 ,$203.25 ,$149.59 ,$134.96 ,$149.59 ,$15.97 ,$149.59 ,$24.25 ,$271.00 ,$24.25 ,$230.35 ,$40.75 ,$187.80 ,$15.97 ,$271.00 ,$152.03 ,$15.97 ,$71.00 , N/A ,$19.09 ,$18.22 ,$16.78 ,$216.80 ,$134.15 ,$75.88 ,$243.90 ,$102.98 ,$32.60 ,$15.97 ,$130.08 
ST. MARY'S HOSPITAL - DECATUR,30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$285.00 ,$205.20 ,$3.50 ,$285.00 ,$60.23 ,$40.96 ,$156.75 ,$23.61 ,$79.80 ,$75.17 ,$23.61 ,$78.30 ,$23.61 ,$141.08 ,$3.50 ,$23.61 ,$141.08 ,$48.66 ,$199.50 ,$55.23 ,$228.00 ,$60.23 ,$23.61 ,$199.50 ,$23.61 ,$171.00 ,$24.08 ,$213.75 ,$157.32 ,$141.93 ,$157.32 ,$23.61 ,$157.32 ,$32.26 ,$285.00 ,$32.26 ,$242.25 ,$60.23 ,$197.51 ,$23.61 ,$285.00 ,$159.89 ,$23.61 ,$74.67 , N/A ,$8.15 ,$7.78 ,$24.78 ,$228.00 ,$141.08 ,$79.80 ,$256.50 ,$108.30 ,$48.18 ,$23.61 ,$136.80 
ST. MARY'S HOSPITAL - DECATUR,30101225,82550,HC CREATINE KINASE (CPK) TOTAL-90,301,1 ,$163.00 ,$117.36 ,$3.47 ,$163.00 ,$16.28 ,$11.06 ,$89.65 ,$6.38 ,$45.64 ,$33.98 ,$6.38 ,$35.40 ,$6.38 ,$80.69 ,$3.50 ,$6.38 ,$80.69 ,$13.15 ,$114.10 ,$15.00 ,$130.40 ,$16.28 ,$6.38 ,$114.10 ,$6.38 ,$97.80 ,$6.51 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$6.38 ,$89.98 ,$9.68 ,$163.00 ,$9.68 ,$138.55 ,$16.28 ,$112.96 ,$6.38 ,$163.00 ,$91.44 ,$6.38 ,$42.71 , N/A ,$3.63 ,$3.47 ,$6.70 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$13.02 ,$6.38 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$128.00 ,$92.16 ,$3.50 ,$128.00 ,$33.48 ,$22.76 ,$70.40 ,$13.12 ,$35.84 ,$51.55 ,$13.12 ,$53.70 ,$13.12 ,$63.36 ,$3.50 ,$13.12 ,$63.36 ,$27.05 ,$89.60 ,$30.78 ,$102.40 ,$33.48 ,$13.12 ,$89.60 ,$13.12 ,$76.80 ,$13.39 ,$96.00 ,$70.66 ,$63.74 ,$70.66 ,$13.12 ,$70.66 ,$19.92 ,$128.00 ,$19.92 ,$108.80 ,$33.48 ,$88.70 ,$13.12 ,$128.00 ,$71.81 ,$13.12 ,$33.54 , N/A ,$8.15 ,$7.78 ,$13.78 ,$102.40 ,$63.36 ,$35.84 ,$115.20 ,$48.64 ,$26.78 ,$13.12 ,$61.44 
ST. MARY'S HOSPITAL - DECATUR,30101227,82565,HC CREATININE-QW,301,1 ,$167.00 ,$120.24 ,$3.47 ,$167.00 ,$12.80 ,$8.70 ,$91.85 ,$5.02 ,$46.76 ,$26.74 ,$5.02 ,$27.85 ,$5.02 ,$82.67 ,$3.50 ,$5.02 ,$82.67 ,$10.34 ,$116.90 ,$11.83 ,$133.60 ,$12.80 ,$5.02 ,$116.90 ,$5.02 ,$100.20 ,$5.12 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$5.02 ,$92.18 ,$7.62 ,$167.00 ,$7.62 ,$141.95 ,$12.80 ,$115.73 ,$5.02 ,$5.12 ,$93.69 ,$5.02 ,$43.75 , N/A ,$3.63 ,$3.47 ,$5.27 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$10.24 ,$5.02 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$170.00 ,$122.40 ,$3.47 ,$170.00 ,$12.95 ,$8.80 ,$93.50 ,$5.08 ,$47.60 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$84.15 ,$3.50 ,$5.08 ,$84.15 ,$10.46 ,$119.00 ,$11.83 ,$136.00 ,$12.95 ,$5.08 ,$119.00 ,$5.08 ,$102.00 ,$5.17 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$5.08 ,$93.84 ,$7.70 ,$170.00 ,$7.70 ,$144.50 ,$12.95 ,$117.81 ,$5.08 ,$170.00 ,$95.37 ,$5.08 ,$44.54 , N/A ,$3.63 ,$3.47 ,$5.33 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$10.36 ,$5.08 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30101232,82585,HC CRYOFIBRINOGEN-90,301,1 ,$80.00 ,$57.60 ,$3.50 ,$80.00 ,$35.35 ,$24.04 ,$44.00 ,$13.86 ,$22.40 ,$41.84 ,$13.86 ,$44.00 ,$13.86 ,$39.60 ,$3.50 ,$13.86 ,$39.60 ,$28.56 ,$56.00 ,$32.35 ,$64.00 ,$35.35 ,$13.86 ,$56.00 ,$13.86 ,$48.00 ,$14.13 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$13.86 ,$44.16 ,$18.93 ,$80.00 ,$18.93 ,$68.00 ,$35.35 ,$55.44 ,$13.86 ,$80.00 ,$44.88 ,$13.86 ,$20.96 , N/A ,$8.15 ,$7.78 ,$14.55 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$28.28 ,$13.86 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$80.00 ,$57.60 ,$3.50 ,$80.00 ,$16.18 ,$11.00 ,$44.00 ,$6.34 ,$22.40 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$39.60 ,$3.50 ,$6.34 ,$39.60 ,$13.07 ,$56.00 ,$15.00 ,$64.00 ,$16.18 ,$6.34 ,$56.00 ,$6.34 ,$48.00 ,$6.47 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$6.34 ,$44.16 ,$9.61 ,$80.00 ,$9.61 ,$68.00 ,$16.18 ,$55.44 ,$6.34 ,$80.00 ,$44.88 ,$6.34 ,$20.96 , N/A ,$8.15 ,$7.78 ,$6.65 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$12.94 ,$6.34 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30101234,82600,HC CYANIDE-90,301,1 ,$208.00 ,$149.76 ,$3.50 ,$208.00 ,$48.50 ,$32.98 ,$114.40 ,$19.01 ,$58.24 ,$74.74 ,$19.01 ,$77.85 ,$19.01 ,$102.96 ,$3.50 ,$19.01 ,$102.96 ,$39.19 ,$145.60 ,$44.18 ,$166.40 ,$48.50 ,$19.01 ,$145.60 ,$19.01 ,$124.80 ,$19.39 ,$156.00 ,$114.82 ,$103.58 ,$114.82 ,$19.01 ,$114.82 ,$28.86 ,$208.00 ,$28.86 ,$176.80 ,$48.50 ,$144.14 ,$19.01 ,$208.00 ,$116.69 ,$19.01 ,$54.50 , N/A ,$9.94 ,$9.49 ,$19.96 ,$166.40 ,$102.96 ,$58.24 ,$187.20 ,$79.04 ,$38.80 ,$19.01 ,$99.84 
ST. MARY'S HOSPITAL - DECATUR,30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$35.80 ,$24.34 ,$80.30 ,$14.03 ,$40.88 ,$55.15 ,$14.03 ,$57.45 ,$14.03 ,$72.27 ,$3.50 ,$14.03 ,$72.27 ,$28.93 ,$102.20 ,$32.35 ,$116.80 ,$35.80 ,$14.03 ,$102.20 ,$14.03 ,$87.60 ,$14.32 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$14.03 ,$80.59 ,$21.30 ,$146.00 ,$21.30 ,$124.10 ,$35.80 ,$101.18 ,$14.03 ,$146.00 ,$81.91 ,$14.03 ,$38.25 , N/A ,$8.15 ,$7.78 ,$14.74 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$28.64 ,$14.03 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30101237,82626,HC DHEA-90,301,1 ,$215.00 ,$154.80 ,$3.50 ,$215.00 ,$63.18 ,$42.96 ,$118.25 ,$24.76 ,$60.20 ,$97.34 ,$24.76 ,$101.40 ,$24.76 ,$106.43 ,$3.50 ,$24.76 ,$106.43 ,$51.05 ,$150.50 ,$57.60 ,$172.00 ,$63.18 ,$24.76 ,$150.50 ,$24.76 ,$129.00 ,$25.26 ,$161.25 ,$118.68 ,$107.07 ,$118.68 ,$24.76 ,$118.68 ,$37.60 ,$215.00 ,$37.60 ,$182.75 ,$63.18 ,$149.00 ,$24.76 ,$215.00 ,$120.62 ,$24.76 ,$56.33 , N/A ,$8.15 ,$7.78 ,$26.00 ,$172.00 ,$106.43 ,$60.20 ,$193.50 ,$81.70 ,$50.54 ,$24.76 ,$103.20 
ST. MARY'S HOSPITAL - DECATUR,30101238,82627,HC DHEA SULFATE-90,301,1 ,$178.00 ,$128.16 ,$3.50 ,$178.00 ,$55.58 ,$37.80 ,$97.90 ,$21.79 ,$49.84 ,$85.63 ,$21.79 ,$89.20 ,$21.79 ,$88.11 ,$3.50 ,$21.79 ,$88.11 ,$44.90 ,$124.60 ,$50.50 ,$142.40 ,$55.58 ,$21.79 ,$124.60 ,$21.79 ,$106.80 ,$22.22 ,$133.50 ,$98.26 ,$88.64 ,$98.26 ,$21.79 ,$98.26 ,$33.08 ,$178.00 ,$33.08 ,$151.30 ,$55.58 ,$123.35 ,$21.79 ,$178.00 ,$99.86 ,$21.79 ,$46.64 , N/A ,$19.09 ,$18.22 ,$22.87 ,$142.40 ,$88.11 ,$49.84 ,$160.20 ,$67.64 ,$44.46 ,$21.79 ,$85.44 
ST. MARY'S HOSPITAL - DECATUR,30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$315.00 ,$226.80 ,$3.50 ,$315.00 ,$96.25 ,$65.46 ,$173.25 ,$37.73 ,$88.20 ,$148.27 ,$37.73 ,$154.45 ,$37.73 ,$155.93 ,$3.50 ,$37.73 ,$155.93 ,$77.77 ,$220.50 ,$87.58 ,$252.00 ,$96.25 ,$37.73 ,$220.50 ,$37.73 ,$189.00 ,$38.48 ,$236.25 ,$173.88 ,$156.87 ,$173.88 ,$37.73 ,$173.88 ,$57.28 ,$315.00 ,$57.28 ,$267.75 ,$96.25 ,$218.30 ,$37.73 ,$315.00 ,$176.72 ,$37.73 ,$82.53 , N/A ,$21.95 ,$20.95 ,$39.62 ,$252.00 ,$155.93 ,$88.20 ,$283.50 ,$119.70 ,$77.00 ,$37.73 ,$151.20 
ST. MARY'S HOSPITAL - DECATUR,30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$433.00 ,$311.76 ,$3.50 ,$433.00 ,$28.83 ,$19.60 ,$238.15 ,$11.30 ,$121.24 ,$44.45 ,$11.30 ,$46.30 ,$11.30 ,$214.34 ,$3.50 ,$11.30 ,$214.34 ,$23.29 ,$303.10 ,$26.05 ,$346.40 ,$28.83 ,$11.30 ,$303.10 ,$11.30 ,$259.80 ,$11.52 ,$324.75 ,$239.02 ,$215.63 ,$239.02 ,$11.30 ,$239.02 ,$17.15 ,$433.00 ,$17.15 ,$368.05 ,$28.83 ,$300.07 ,$11.30 ,$433.00 ,$242.91 ,$11.30 ,$113.45 , N/A ,$8.15 ,$7.78 ,$11.87 ,$346.40 ,$214.34 ,$121.24 ,$389.70 ,$164.54 ,$23.06 ,$11.30 ,$207.84 
ST. MARY'S HOSPITAL - DECATUR,30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$296.00 ,$213.12 ,$3.50 ,$296.00 ,$55.43 ,$37.68 ,$162.80 ,$21.73 ,$82.88 ,$69.55 ,$21.73 ,$72.45 ,$21.73 ,$146.52 ,$3.50 ,$21.73 ,$146.52 ,$44.78 ,$207.20 ,$50.50 ,$236.80 ,$55.43 ,$21.73 ,$207.20 ,$21.73 ,$177.60 ,$22.16 ,$222.00 ,$163.39 ,$147.41 ,$163.39 ,$21.73 ,$163.39 ,$29.68 ,$296.00 ,$29.68 ,$251.60 ,$55.43 ,$205.13 ,$21.73 ,$296.00 ,$166.06 ,$21.73 ,$77.55 , N/A ,$8.15 ,$7.78 ,$22.81 ,$236.80 ,$146.52 ,$82.88 ,$266.40 ,$112.48 ,$44.34 ,$21.73 ,$142.08 
ST. MARY'S HOSPITAL - DECATUR,30101244,82664,HC ELECTROPHORETIC TEST-90,301,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$153.75 ,$104.56 ,$106.15 ,$60.27 ,$54.04 ,$100.94 ,$60.27 ,$106.15 ,$60.27 ,$95.54 ,$3.50 ,$60.27 ,$95.54 ,$124.23 ,$135.10 ,$140.45 ,$154.40 ,$153.75 ,$60.27 ,$135.10 ,$60.27 ,$115.80 ,$61.48 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$60.27 ,$106.54 ,$82.35 ,$193.00 ,$82.35 ,$164.05 ,$153.75 ,$133.75 ,$60.27 ,$193.00 ,$108.27 ,$60.27 ,$50.57 , N/A ,$21.95 ,$20.95 ,$63.29 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$123.00 ,$60.27 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$46.98 ,$31.94 ,$103.95 ,$18.41 ,$52.92 ,$72.38 ,$18.41 ,$75.40 ,$18.41 ,$93.56 ,$3.50 ,$18.41 ,$93.56 ,$37.96 ,$132.30 ,$42.60 ,$151.20 ,$46.98 ,$18.41 ,$132.30 ,$18.41 ,$113.40 ,$18.79 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$18.41 ,$104.33 ,$27.95 ,$189.00 ,$27.95 ,$160.65 ,$46.98 ,$130.98 ,$18.41 ,$189.00 ,$106.03 ,$18.41 ,$49.52 , N/A ,$8.15 ,$7.78 ,$19.34 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$37.58 ,$18.41 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30101246,82670,HC ESTRADIOL-90,301,1 ,$204.00 ,$146.88 ,$3.50 ,$204.00 ,$69.85 ,$47.50 ,$112.20 ,$27.38 ,$57.12 ,$106.69 ,$27.38 ,$112.10 ,$27.38 ,$100.98 ,$3.50 ,$27.38 ,$100.98 ,$56.44 ,$142.80 ,$63.90 ,$163.20 ,$69.85 ,$27.38 ,$142.80 ,$27.38 ,$122.40 ,$27.93 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$27.38 ,$112.61 ,$41.56 ,$204.00 ,$41.56 ,$173.40 ,$69.85 ,$141.37 ,$27.38 ,$204.00 ,$114.44 ,$27.38 ,$53.45 , N/A ,$19.09 ,$18.22 ,$28.75 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$55.88 ,$27.38 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$80.75 ,$54.92 ,$128.15 ,$31.65 ,$65.24 ,$121.86 ,$31.65 ,$128.15 ,$31.65 ,$115.34 ,$3.50 ,$31.65 ,$115.34 ,$65.25 ,$163.10 ,$73.38 ,$186.40 ,$80.75 ,$31.65 ,$163.10 ,$31.65 ,$139.80 ,$32.29 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$31.65 ,$128.62 ,$48.06 ,$233.00 ,$48.06 ,$198.05 ,$80.75 ,$161.47 ,$31.65 ,$233.00 ,$130.71 ,$31.65 ,$61.05 , N/A ,$19.09 ,$18.22 ,$33.24 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$64.60 ,$31.65 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$226.00 ,$162.72 ,$3.50 ,$226.00 ,$54.25 ,$36.90 ,$124.30 ,$21.27 ,$63.28 ,$83.57 ,$21.27 ,$87.05 ,$21.27 ,$111.87 ,$3.50 ,$21.27 ,$111.87 ,$43.83 ,$158.20 ,$49.70 ,$180.80 ,$54.25 ,$21.27 ,$158.20 ,$21.27 ,$135.60 ,$21.69 ,$169.50 ,$124.75 ,$112.55 ,$124.75 ,$21.27 ,$124.75 ,$32.28 ,$226.00 ,$32.28 ,$192.10 ,$54.25 ,$156.62 ,$21.27 ,$226.00 ,$126.79 ,$21.27 ,$59.21 , N/A ,$19.09 ,$18.22 ,$22.33 ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$43.40 ,$21.27 ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,30101250,82677,HC ESTRIOL-90,301,1 ,$83.00 ,$59.76 ,$3.50 ,$83.00 ,$60.45 ,$41.10 ,$45.65 ,$23.70 ,$23.24 ,$43.41 ,$23.70 ,$45.65 ,$23.70 ,$41.09 ,$3.50 ,$23.70 ,$41.09 ,$48.84 ,$58.10 ,$55.23 ,$66.40 ,$60.45 ,$23.70 ,$58.10 ,$23.70 ,$49.80 ,$24.17 ,$62.25 ,$45.82 ,$41.33 ,$45.82 ,$23.70 ,$45.82 ,$35.98 ,$83.00 ,$35.98 ,$70.55 ,$60.45 ,$57.52 ,$23.70 ,$83.00 ,$46.56 ,$23.70 ,$21.75 , N/A ,$19.09 ,$18.22 ,$24.88 ,$66.40 ,$41.09 ,$23.24 ,$74.70 ,$31.54 ,$48.36 ,$23.70 ,$39.84 
ST. MARY'S HOSPITAL - DECATUR,30101251,82679,HC ESTRONE-90,301,1 ,$123.00 ,$88.56 ,$3.50 ,$123.00 ,$62.38 ,$42.42 ,$67.65 ,$24.45 ,$34.44 ,$64.33 ,$24.45 ,$67.65 ,$24.45 ,$60.89 ,$3.50 ,$24.45 ,$60.89 ,$50.40 ,$86.10 ,$56.80 ,$98.40 ,$62.38 ,$24.45 ,$86.10 ,$24.45 ,$73.80 ,$24.94 ,$92.25 ,$67.90 ,$61.25 ,$67.90 ,$24.45 ,$67.90 ,$37.13 ,$123.00 ,$37.13 ,$104.55 ,$62.38 ,$85.24 ,$24.45 ,$123.00 ,$69.00 ,$24.45 ,$32.23 , N/A ,$19.09 ,$18.22 ,$25.68 ,$98.40 ,$60.89 ,$34.44 ,$110.70 ,$46.74 ,$49.90 ,$24.45 ,$59.04 
ST. MARY'S HOSPITAL - DECATUR,30101252,82693,HC ETHYLENE GLYCOL-90,301,1 ,$262.00 ,$188.64 ,$3.50 ,$262.00 ,$37.25 ,$25.34 ,$144.10 ,$14.60 ,$73.36 ,$57.41 ,$14.60 ,$59.80 ,$14.60 ,$129.69 ,$3.50 ,$14.60 ,$129.69 ,$30.10 ,$183.40 ,$33.93 ,$209.60 ,$37.25 ,$14.60 ,$183.40 ,$14.60 ,$157.20 ,$14.90 ,$196.50 ,$144.62 ,$130.48 ,$144.62 ,$14.60 ,$144.62 ,$22.18 ,$262.00 ,$22.18 ,$222.70 ,$37.25 ,$181.57 ,$14.60 ,$262.00 ,$146.98 ,$14.60 ,$68.64 , N/A ,$9.94 ,$9.49 ,$15.34 ,$209.60 ,$129.69 ,$73.36 ,$235.80 ,$99.56 ,$29.80 ,$14.60 ,$125.76 
ST. MARY'S HOSPITAL - DECATUR,30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$7.00 ,$5.04 ,$1.83 ,$12.75 ,$12.75 ,$7.00 ,$3.85 ,$5.00 ,$1.96 ,$3.66 ,$5.00 ,$3.85 ,$5.00 ,$3.47 ,$3.50 ,$5.00 ,$3.47 ,$7.00 ,$4.90 ,$7.00 ,$5.60 ,$12.75 ,$5.00 ,$4.90 ,$5.00 ,$4.20 ,$5.10 ,$5.25 ,$3.86 ,$3.49 ,$3.86 ,$5.00 ,$3.86 ,$7.00 ,$7.00 ,$7.00 ,$5.95 ,$7.00 ,$4.85 ,$5.00 ,$7.00 ,$3.93 ,$5.00 ,$1.83 , N/A ,$3.63 ,$3.47 ,$5.25 ,$5.60 ,$3.47 ,$1.96 ,$6.30 ,$2.66 ,$7.00 ,$5.00 ,$3.36 
ST. MARY'S HOSPITAL - DECATUR,30101254,82710,HC FECAL FAT QN-90,301,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$42.00 ,$28.56 ,$106.15 ,$16.46 ,$54.04 ,$64.75 ,$16.46 ,$67.45 ,$16.46 ,$95.54 ,$3.50 ,$16.46 ,$95.54 ,$33.94 ,$135.10 ,$38.65 ,$154.40 ,$42.00 ,$16.46 ,$135.10 ,$16.46 ,$115.80 ,$16.80 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$16.46 ,$106.54 ,$25.00 ,$193.00 ,$25.00 ,$164.05 ,$42.00 ,$133.75 ,$16.46 ,$193.00 ,$108.27 ,$16.46 ,$50.57 , N/A ,$8.15 ,$7.78 ,$17.29 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$33.60 ,$16.46 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30101255,82726,HC FATTY ACIDS VERY LONG CHAIN-90,301,1 ,$383.00 ,$275.76 ,$3.50 ,$383.00 ,$49.38 ,$33.58 ,$210.65 ,$19.35 ,$107.24 ,$69.55 ,$19.35 ,$72.45 ,$19.35 ,$189.59 ,$3.50 ,$19.35 ,$189.59 ,$39.90 ,$268.10 ,$44.98 ,$306.40 ,$49.38 ,$19.35 ,$268.10 ,$19.35 ,$229.80 ,$19.75 ,$287.25 ,$211.42 ,$190.73 ,$211.42 ,$19.35 ,$211.42 ,$26.86 ,$383.00 ,$26.86 ,$325.55 ,$49.38 ,$265.42 ,$19.35 ,$383.00 ,$214.86 ,$19.35 ,$100.35 , N/A ,$8.15 ,$7.78 ,$20.33 ,$306.40 ,$189.59 ,$107.24 ,$344.70 ,$145.54 ,$39.50 ,$19.35 ,$183.84 
ST. MARY'S HOSPITAL - DECATUR,30101256,82728,HC FERRITIN-90,301,1 ,$230.00 ,$165.60 ,$3.50 ,$230.00 ,$34.08 ,$23.18 ,$126.50 ,$13.36 ,$64.40 ,$52.51 ,$13.36 ,$54.70 ,$13.36 ,$113.85 ,$3.50 ,$13.36 ,$113.85 ,$27.53 ,$161.00 ,$30.78 ,$184.00 ,$34.08 ,$13.36 ,$161.00 ,$13.36 ,$138.00 ,$13.62 ,$172.50 ,$126.96 ,$114.54 ,$126.96 ,$13.36 ,$126.96 ,$20.29 ,$230.00 ,$20.29 ,$195.50 ,$34.08 ,$159.39 ,$13.36 ,$230.00 ,$129.03 ,$13.36 ,$60.26 , N/A ,$8.15 ,$7.78 ,$14.02 ,$184.00 ,$113.85 ,$64.40 ,$207.00 ,$87.40 ,$27.26 ,$13.36 ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,30101257,82731,HC FETAL FIBRONECTIN-90,301,1 ,$363.00 ,$261.36 ,$3.50 ,$363.00 ,$161.03 ,$109.50 ,$199.65 ,$63.12 ,$101.64 ,$189.85 ,$63.12 ,$199.65 ,$63.12 ,$179.69 ,$3.50 ,$63.12 ,$179.69 ,$130.11 ,$254.10 ,$146.75 ,$290.40 ,$161.03 ,$63.12 ,$254.10 ,$63.12 ,$217.80 ,$64.39 ,$272.25 ,$200.38 ,$180.77 ,$200.38 ,$63.12 ,$200.38 ,$95.83 ,$363.00 ,$95.83 ,$308.55 ,$161.03 ,$251.56 ,$63.12 ,$363.00 ,$203.64 ,$63.12 ,$95.11 , N/A ,$21.95 ,$20.95 ,$66.28 ,$290.40 ,$179.69 ,$101.64 ,$326.70 ,$137.94 ,$128.82 ,$63.12 ,$174.24 
ST. MARY'S HOSPITAL - DECATUR,30101258,82731,HC FETAL FIBRONECTIN,301,1 ,$330.00 ,$237.60 ,$3.50 ,$330.00 ,$161.03 ,$109.50 ,$181.50 ,$63.12 ,$92.40 ,$172.59 ,$63.12 ,$181.50 ,$63.12 ,$163.35 ,$3.50 ,$63.12 ,$163.35 ,$130.11 ,$231.00 ,$146.75 ,$264.00 ,$161.03 ,$63.12 ,$231.00 ,$63.12 ,$198.00 ,$64.39 ,$247.50 ,$182.16 ,$164.34 ,$182.16 ,$63.12 ,$182.16 ,$95.83 ,$330.00 ,$95.83 ,$280.50 ,$161.03 ,$228.69 ,$63.12 ,$330.00 ,$185.13 ,$63.12 ,$86.46 , N/A ,$21.95 ,$20.95 ,$66.28 ,$264.00 ,$163.35 ,$92.40 ,$297.00 ,$125.40 ,$128.82 ,$63.12 ,$158.40 
ST. MARY'S HOSPITAL - DECATUR,30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$224.00 ,$161.28 ,$3.50 ,$224.00 ,$44.13 ,$30.00 ,$123.20 ,$17.30 ,$62.72 ,$66.72 ,$17.30 ,$69.50 ,$17.30 ,$110.88 ,$3.50 ,$17.30 ,$110.88 ,$35.65 ,$156.80 ,$40.25 ,$179.20 ,$44.13 ,$17.30 ,$156.80 ,$17.30 ,$134.40 ,$17.64 ,$168.00 ,$123.65 ,$111.55 ,$123.65 ,$17.30 ,$123.65 ,$25.78 ,$224.00 ,$25.78 ,$190.40 ,$44.13 ,$155.23 ,$17.30 ,$224.00 ,$125.66 ,$17.30 ,$58.69 , N/A ,$5.06 ,$4.83 ,$18.16 ,$179.20 ,$110.88 ,$62.72 ,$201.60 ,$85.12 ,$35.30 ,$17.30 ,$107.52 
ST. MARY'S HOSPITAL - DECATUR,30101260,82757,HC SEMEN ANALYSIS FRUCTOSE-90,301,1 ,$261.00 ,$187.92 ,$3.50 ,$261.00 ,$43.35 ,$29.48 ,$143.55 ,$16.99 ,$73.08 ,$66.77 ,$16.99 ,$69.55 ,$16.99 ,$129.20 ,$3.50 ,$16.99 ,$129.20 ,$35.03 ,$182.70 ,$39.45 ,$208.80 ,$43.35 ,$16.99 ,$182.70 ,$16.99 ,$156.60 ,$17.34 ,$195.75 ,$144.07 ,$129.98 ,$144.07 ,$16.99 ,$144.07 ,$25.79 ,$261.00 ,$25.79 ,$221.85 ,$43.35 ,$180.87 ,$16.99 ,$261.00 ,$146.42 ,$16.99 ,$68.38 , N/A ,$8.15 ,$7.78 ,$17.85 ,$208.80 ,$129.20 ,$73.08 ,$234.90 ,$99.18 ,$34.68 ,$16.99 ,$125.28 
ST. MARY'S HOSPITAL - DECATUR,30101261,82775,HC GALACTOSE TRANSFERASE QN-90,301,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$52.68 ,$35.82 ,$113.85 ,$20.65 ,$57.96 ,$81.17 ,$20.65 ,$84.55 ,$20.65 ,$102.47 ,$3.50 ,$20.65 ,$102.47 ,$42.56 ,$144.90 ,$48.13 ,$165.60 ,$52.68 ,$20.65 ,$144.90 ,$20.65 ,$124.20 ,$21.06 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$20.65 ,$114.26 ,$31.34 ,$207.00 ,$31.34 ,$175.95 ,$52.68 ,$143.45 ,$20.65 ,$207.00 ,$116.13 ,$20.65 ,$54.23 , N/A ,$8.15 ,$7.78 ,$21.68 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$42.14 ,$20.65 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$87.00 ,$62.64 ,$3.50 ,$87.00 ,$23.25 ,$15.82 ,$47.85 ,$9.11 ,$24.36 ,$35.81 ,$9.11 ,$37.30 ,$9.11 ,$43.07 ,$3.50 ,$9.11 ,$43.07 ,$18.79 ,$60.90 ,$21.30 ,$69.60 ,$23.25 ,$9.11 ,$60.90 ,$9.11 ,$52.20 ,$9.30 ,$65.25 ,$48.02 ,$43.33 ,$48.02 ,$9.11 ,$48.02 ,$13.84 ,$87.00 ,$13.84 ,$73.95 ,$23.25 ,$60.29 ,$9.11 ,$87.00 ,$48.81 ,$9.11 ,$22.79 , N/A ,$8.15 ,$7.78 ,$9.57 ,$69.60 ,$43.07 ,$24.36 ,$78.30 ,$33.06 ,$18.60 ,$9.11 ,$41.76 
ST. MARY'S HOSPITAL - DECATUR,30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$119.00 ,$85.68 ,$3.50 ,$119.00 ,$41.15 ,$27.98 ,$65.45 ,$16.13 ,$33.32 ,$62.24 ,$16.13 ,$65.45 ,$16.13 ,$58.91 ,$3.50 ,$16.13 ,$58.91 ,$33.25 ,$83.30 ,$37.88 ,$95.20 ,$41.15 ,$16.13 ,$83.30 ,$16.13 ,$71.40 ,$16.45 ,$89.25 ,$65.69 ,$59.26 ,$65.69 ,$16.13 ,$65.69 ,$24.49 ,$119.00 ,$24.49 ,$101.15 ,$41.15 ,$82.47 ,$16.13 ,$119.00 ,$66.76 ,$16.13 ,$31.18 , N/A ,$8.15 ,$7.78 ,$16.93 ,$95.20 ,$58.91 ,$33.32 ,$107.10 ,$45.22 ,$32.92 ,$16.13 ,$57.12 
ST. MARY'S HOSPITAL - DECATUR,30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$87.00 ,$62.64 ,$3.50 ,$87.00 ,$20.05 ,$13.64 ,$47.85 ,$7.86 ,$24.36 ,$30.91 ,$7.86 ,$32.20 ,$7.86 ,$43.07 ,$3.50 ,$7.86 ,$43.07 ,$16.20 ,$60.90 ,$18.15 ,$69.60 ,$20.05 ,$7.86 ,$60.90 ,$7.86 ,$52.20 ,$8.02 ,$65.25 ,$48.02 ,$43.33 ,$48.02 ,$7.86 ,$48.02 ,$11.93 ,$87.00 ,$11.93 ,$73.95 ,$20.05 ,$60.29 ,$7.86 ,$87.00 ,$48.81 ,$7.86 ,$22.79 , N/A ,$12.58 ,$12.01 ,$8.25 ,$69.60 ,$43.07 ,$24.36 ,$78.30 ,$33.06 ,$16.04 ,$7.86 ,$41.76 
ST. MARY'S HOSPITAL - DECATUR,30101268,82941,HC GASTRIN-90,301,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$44.08 ,$29.98 ,$89.10 ,$17.28 ,$45.36 ,$67.92 ,$17.28 ,$70.75 ,$17.28 ,$80.19 ,$3.50 ,$17.28 ,$80.19 ,$35.61 ,$113.40 ,$40.25 ,$129.60 ,$44.08 ,$17.28 ,$113.40 ,$17.28 ,$97.20 ,$17.62 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$17.28 ,$89.42 ,$26.23 ,$162.00 ,$26.23 ,$137.70 ,$44.08 ,$112.27 ,$17.28 ,$162.00 ,$90.88 ,$17.28 ,$42.44 , N/A ,$19.09 ,$18.22 ,$18.14 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$35.26 ,$17.28 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30101269,82945,HC GLUCOSE BODY FLUID-90,301,1 ,$137.00 ,$98.64 ,$3.47 ,$137.00 ,$9.83 ,$6.68 ,$75.35 ,$3.85 ,$38.36 ,$20.50 ,$3.85 ,$21.35 ,$3.85 ,$67.82 ,$3.50 ,$3.85 ,$67.82 ,$7.94 ,$95.90 ,$8.68 ,$109.60 ,$9.83 ,$3.85 ,$95.90 ,$3.85 ,$82.20 ,$3.93 ,$102.75 ,$75.62 ,$68.23 ,$75.62 ,$3.85 ,$75.62 ,$5.85 ,$137.00 ,$5.85 ,$116.45 ,$9.83 ,$94.94 ,$3.85 ,$137.00 ,$76.86 ,$3.85 ,$35.89 , N/A ,$3.63 ,$3.47 ,$4.05 ,$109.60 ,$67.82 ,$38.36 ,$123.30 ,$52.06 ,$7.86 ,$3.85 ,$65.76 
ST. MARY'S HOSPITAL - DECATUR,30101274,82955,HC G6PD ENZYME QN-90,301,1 ,$119.00 ,$85.68 ,$3.50 ,$119.00 ,$24.25 ,$16.50 ,$65.45 ,$9.51 ,$33.32 ,$37.34 ,$9.51 ,$38.90 ,$9.51 ,$58.91 ,$3.50 ,$9.51 ,$58.91 ,$19.59 ,$83.30 ,$22.10 ,$95.20 ,$24.25 ,$9.51 ,$83.30 ,$9.51 ,$71.40 ,$9.69 ,$89.25 ,$65.69 ,$59.26 ,$65.69 ,$9.51 ,$65.69 ,$14.42 ,$119.00 ,$14.42 ,$101.15 ,$24.25 ,$82.47 ,$9.51 ,$119.00 ,$66.76 ,$9.51 ,$31.18 , N/A ,$8.15 ,$7.78 ,$9.99 ,$95.20 ,$58.91 ,$33.32 ,$107.10 ,$45.22 ,$19.40 ,$9.51 ,$57.12 
ST. MARY'S HOSPITAL - DECATUR,30101275,82977,HC GGT/GGTP-90,301,1 ,$152.00 ,$109.44 ,$3.47 ,$152.00 ,$18.00 ,$12.24 ,$83.60 ,$7.06 ,$42.56 ,$37.54 ,$7.06 ,$39.10 ,$7.06 ,$75.24 ,$3.50 ,$7.06 ,$75.24 ,$14.54 ,$106.40 ,$16.58 ,$121.60 ,$18.00 ,$7.06 ,$106.40 ,$7.06 ,$91.20 ,$7.19 ,$114.00 ,$83.90 ,$75.70 ,$83.90 ,$7.06 ,$83.90 ,$10.71 ,$152.00 ,$10.71 ,$129.20 ,$18.00 ,$105.34 ,$7.06 ,$152.00 ,$85.27 ,$7.06 ,$39.82 , N/A ,$3.63 ,$3.47 ,$7.41 ,$121.60 ,$75.24 ,$42.56 ,$136.80 ,$57.76 ,$14.40 ,$7.06 ,$72.96 
ST. MARY'S HOSPITAL - DECATUR,30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$86.00 ,$61.92 ,$3.50 ,$86.00 ,$41.90 ,$28.50 ,$47.30 ,$16.42 ,$24.08 ,$44.98 ,$16.42 ,$47.30 ,$16.42 ,$42.57 ,$3.50 ,$16.42 ,$42.57 ,$33.86 ,$60.20 ,$37.88 ,$68.80 ,$41.90 ,$16.42 ,$60.20 ,$16.42 ,$51.60 ,$16.76 ,$64.50 ,$47.47 ,$42.83 ,$47.47 ,$16.42 ,$47.47 ,$22.44 ,$86.00 ,$22.44 ,$73.10 ,$41.90 ,$59.60 ,$16.42 ,$86.00 ,$48.25 ,$16.42 ,$22.53 , N/A ,$8.15 ,$7.78 ,$17.25 ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$33.52 ,$16.42 ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,30101278,83002,HC LUTEINIZING HORMONE (LH)-90,301,1 ,$277.00 ,$199.44 ,$3.50 ,$277.00 ,$46.30 ,$31.48 ,$152.35 ,$18.15 ,$77.56 ,$96.58 ,$18.15 ,$100.60 ,$18.15 ,$137.12 ,$3.50 ,$18.15 ,$137.12 ,$37.41 ,$193.90 ,$42.60 ,$221.60 ,$46.30 ,$18.15 ,$193.90 ,$18.15 ,$166.20 ,$18.51 ,$207.75 ,$152.90 ,$137.95 ,$152.90 ,$18.15 ,$152.90 ,$27.54 ,$277.00 ,$27.54 ,$235.45 ,$46.30 ,$191.96 ,$18.15 ,$277.00 ,$155.40 ,$18.15 ,$72.57 , N/A ,$19.09 ,$18.22 ,$19.06 ,$221.60 ,$137.12 ,$77.56 ,$249.30 ,$105.26 ,$37.04 ,$18.15 ,$132.96 
ST. MARY'S HOSPITAL - DECATUR,30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$135.00 ,$97.20 ,$3.50 ,$135.00 ,$41.68 ,$28.34 ,$74.25 ,$16.34 ,$37.80 ,$64.22 ,$16.34 ,$66.90 ,$16.34 ,$66.83 ,$3.50 ,$16.34 ,$66.83 ,$33.67 ,$94.50 ,$37.88 ,$108.00 ,$41.68 ,$16.34 ,$94.50 ,$16.34 ,$81.00 ,$16.66 ,$101.25 ,$74.52 ,$67.23 ,$74.52 ,$16.34 ,$74.52 ,$24.80 ,$135.00 ,$24.80 ,$114.75 ,$41.68 ,$93.56 ,$16.34 ,$135.00 ,$75.74 ,$16.34 ,$35.37 , N/A ,$19.09 ,$18.22 ,$17.15 ,$108.00 ,$66.83 ,$37.80 ,$121.50 ,$51.30 ,$33.34 ,$16.34 ,$64.80 
ST. MARY'S HOSPITAL - DECATUR,30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$126.00 ,$90.72 ,$3.50 ,$126.00 ,$31.45 ,$21.38 ,$69.30 ,$12.33 ,$35.28 ,$48.43 ,$12.33 ,$50.45 ,$12.33 ,$62.37 ,$3.50 ,$12.33 ,$62.37 ,$25.41 ,$88.20 ,$28.40 ,$100.80 ,$31.45 ,$12.33 ,$88.20 ,$12.33 ,$75.60 ,$12.57 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$12.33 ,$69.55 ,$18.70 ,$126.00 ,$18.70 ,$107.10 ,$31.45 ,$87.32 ,$12.33 ,$126.00 ,$70.69 ,$12.33 ,$33.01 , N/A ,$8.15 ,$7.78 ,$12.95 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$25.16 ,$12.33 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$209.00 ,$150.48 ,$3.50 ,$209.00 ,$168.40 ,$114.52 ,$114.95 ,$66.01 ,$58.52 ,$109.31 ,$66.01 ,$114.95 ,$66.01 ,$103.46 ,$3.50 ,$66.01 ,$103.46 ,$136.07 ,$146.30 ,$153.85 ,$167.20 ,$168.40 ,$66.01 ,$146.30 ,$66.01 ,$125.40 ,$67.34 ,$156.75 ,$115.37 ,$104.08 ,$115.37 ,$66.01 ,$115.37 ,$100.21 ,$209.00 ,$100.21 ,$177.65 ,$168.40 ,$144.84 ,$66.01 ,$209.00 ,$117.25 ,$66.01 ,$54.76 , N/A ,$21.95 ,$20.95 ,$69.32 ,$167.20 ,$103.46 ,$58.52 ,$188.10 ,$79.42 ,$134.72 ,$66.01 ,$100.32 
ST. MARY'S HOSPITAL - DECATUR,30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$206.00 ,$148.32 ,$3.50 ,$206.00 ,$54.90 ,$37.34 ,$113.30 ,$21.52 ,$57.68 ,$84.62 ,$21.52 ,$88.15 ,$21.52 ,$101.97 ,$3.50 ,$21.52 ,$101.97 ,$44.36 ,$144.20 ,$49.70 ,$164.80 ,$54.90 ,$21.52 ,$144.20 ,$21.52 ,$123.60 ,$21.95 ,$154.50 ,$113.71 ,$102.59 ,$113.71 ,$21.52 ,$113.71 ,$32.68 ,$206.00 ,$32.68 ,$175.10 ,$54.90 ,$142.76 ,$21.52 ,$206.00 ,$115.57 ,$21.52 ,$53.97 , N/A ,$9.94 ,$9.49 ,$22.60 ,$164.80 ,$101.97 ,$57.68 ,$185.40 ,$78.28 ,$43.92 ,$21.52 ,$98.88 
ST. MARY'S HOSPITAL - DECATUR,30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$79.00 ,$56.88 ,$7.78 ,$79.00 ,$32.18 ,$21.88 ,$43.45 ,$12.61 ,$22.12 ,$41.32 ,$12.61 ,$43.45 ,$12.61 ,$39.11 ,$10.15 ,$12.61 ,$39.11 ,$26.00 ,$55.30 ,$29.20 ,$63.20 ,$32.18 ,$12.61 ,$55.30 ,$12.61 ,$47.40 ,$12.87 ,$59.25 ,$43.61 ,$39.34 ,$43.61 ,$12.61 ,$43.61 ,$19.15 ,$79.00 ,$19.15 ,$67.15 ,$32.18 ,$54.75 ,$12.61 ,$79.00 ,$44.32 ,$12.61 ,$20.70 , N/A ,$8.15 ,$7.78 ,$13.24 ,$63.20 ,$39.11 ,$22.12 ,$71.10 ,$30.02 ,$25.74 ,$12.61 ,$37.92 
ST. MARY'S HOSPITAL - DECATUR,30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$75.00 ,$54.00 ,$3.50 ,$75.00 ,$45.15 ,$30.70 ,$41.25 ,$17.70 ,$21.00 ,$39.23 ,$17.70 ,$41.25 ,$17.70 ,$37.13 ,$3.50 ,$17.70 ,$37.13 ,$36.48 ,$52.50 ,$41.03 ,$60.00 ,$45.15 ,$17.70 ,$52.50 ,$17.70 ,$45.00 ,$18.05 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$17.70 ,$41.40 ,$26.86 ,$75.00 ,$26.86 ,$63.75 ,$45.15 ,$51.98 ,$17.70 ,$75.00 ,$42.08 ,$17.70 ,$19.65 , N/A ,$7.70 ,$7.35 ,$18.58 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$36.12 ,$17.70 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30101289,83051,HC HEMOGLOBIN PLASMA-90,301,1 ,$69.00 ,$49.68 ,$3.50 ,$69.00 ,$18.28 ,$12.42 ,$37.95 ,$7.16 ,$19.32 ,$28.18 ,$7.16 ,$29.35 ,$7.16 ,$34.16 ,$3.50 ,$7.16 ,$34.16 ,$14.77 ,$48.30 ,$16.58 ,$55.20 ,$18.28 ,$7.16 ,$48.30 ,$7.16 ,$41.40 ,$7.31 ,$51.75 ,$38.09 ,$34.36 ,$38.09 ,$7.16 ,$38.09 ,$10.88 ,$69.00 ,$10.88 ,$58.65 ,$18.28 ,$47.82 ,$7.16 ,$69.00 ,$38.71 ,$7.16 ,$18.08 , N/A ,$8.15 ,$7.78 ,$7.53 ,$55.20 ,$34.16 ,$19.32 ,$62.10 ,$26.22 ,$14.62 ,$7.16 ,$33.12 
ST. MARY'S HOSPITAL - DECATUR,30101291,83088,HC HISTAMINE-90,301,1 ,$264.00 ,$190.08 ,$3.50 ,$264.00 ,$73.83 ,$50.20 ,$145.20 ,$28.94 ,$73.92 ,$113.76 ,$28.94 ,$118.50 ,$28.94 ,$130.68 ,$3.50 ,$28.94 ,$130.68 ,$59.65 ,$184.80 ,$67.08 ,$211.20 ,$73.83 ,$28.94 ,$184.80 ,$28.94 ,$158.40 ,$29.52 ,$198.00 ,$145.73 ,$131.47 ,$145.73 ,$28.94 ,$145.73 ,$43.93 ,$264.00 ,$43.93 ,$224.40 ,$73.83 ,$182.95 ,$28.94 ,$264.00 ,$148.10 ,$28.94 ,$69.17 , N/A ,$21.95 ,$20.95 ,$30.39 ,$211.20 ,$130.68 ,$73.92 ,$237.60 ,$100.32 ,$59.06 ,$28.94 ,$126.72 
ST. MARY'S HOSPITAL - DECATUR,30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$44.80 ,$30.46 ,$113.85 ,$17.56 ,$57.96 ,$64.99 ,$17.56 ,$67.70 ,$17.56 ,$102.47 ,$3.50 ,$17.56 ,$102.47 ,$36.20 ,$144.90 ,$41.03 ,$165.60 ,$44.80 ,$17.56 ,$144.90 ,$17.56 ,$124.20 ,$17.91 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$17.56 ,$114.26 ,$25.09 ,$207.00 ,$25.09 ,$175.95 ,$44.80 ,$143.45 ,$17.56 ,$207.00 ,$116.13 ,$17.56 ,$54.23 , N/A ,$19.09 ,$18.22 ,$18.44 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$35.84 ,$17.56 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30101293,83150,HC HOMOVANILLIC ACID (HVA)-90,301,1 ,$188.00 ,$135.36 ,$3.50 ,$188.00 ,$56.03 ,$38.10 ,$103.40 ,$21.96 ,$52.64 ,$74.54 ,$21.96 ,$77.65 ,$21.96 ,$93.06 ,$3.50 ,$21.96 ,$93.06 ,$45.27 ,$131.60 ,$51.28 ,$150.40 ,$56.03 ,$21.96 ,$131.60 ,$21.96 ,$112.80 ,$22.40 ,$141.00 ,$103.78 ,$93.62 ,$103.78 ,$21.96 ,$103.78 ,$30.00 ,$188.00 ,$30.00 ,$159.80 ,$56.03 ,$130.28 ,$21.96 ,$188.00 ,$105.47 ,$21.96 ,$49.26 , N/A ,$19.09 ,$18.22 ,$23.06 ,$150.40 ,$93.06 ,$52.64 ,$169.20 ,$71.44 ,$44.82 ,$21.96 ,$90.24 
ST. MARY'S HOSPITAL - DECATUR,30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$129.00 ,$92.88 ,$3.50 ,$129.00 ,$32.25 ,$21.94 ,$70.95 ,$12.64 ,$36.12 ,$49.68 ,$12.64 ,$51.75 ,$12.64 ,$63.86 ,$3.50 ,$12.64 ,$63.86 ,$26.06 ,$90.30 ,$29.20 ,$103.20 ,$32.25 ,$12.64 ,$90.30 ,$12.64 ,$77.40 ,$12.90 ,$96.75 ,$71.21 ,$64.24 ,$71.21 ,$12.64 ,$71.21 ,$19.19 ,$129.00 ,$19.19 ,$109.65 ,$32.25 ,$89.40 ,$12.64 ,$129.00 ,$72.37 ,$12.64 ,$33.80 , N/A ,$10.98 ,$10.48 ,$13.28 ,$103.20 ,$63.86 ,$36.12 ,$116.10 ,$49.02 ,$25.80 ,$12.64 ,$61.92 
ST. MARY'S HOSPITAL - DECATUR,30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$204.00 ,$146.88 ,$3.50 ,$204.00 ,$67.93 ,$46.18 ,$112.20 ,$26.63 ,$57.12 ,$104.64 ,$26.63 ,$109.00 ,$26.63 ,$100.98 ,$3.50 ,$26.63 ,$100.98 ,$54.88 ,$142.80 ,$62.33 ,$163.20 ,$67.93 ,$26.63 ,$142.80 ,$26.63 ,$122.40 ,$27.16 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$26.63 ,$112.61 ,$40.43 ,$204.00 ,$40.43 ,$173.40 ,$67.93 ,$141.37 ,$26.63 ,$204.00 ,$114.44 ,$26.63 ,$53.45 , N/A ,$19.09 ,$18.22 ,$27.96 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$54.34 ,$26.63 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$28.83 ,$19.60 ,$75.90 ,$11.30 ,$38.64 ,$60.14 ,$11.30 ,$62.65 ,$11.30 ,$68.31 ,$3.50 ,$11.30 ,$68.31 ,$23.29 ,$96.60 ,$26.05 ,$110.40 ,$28.83 ,$11.30 ,$96.60 ,$11.30 ,$82.80 ,$11.52 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$11.30 ,$76.18 ,$17.15 ,$138.00 ,$17.15 ,$117.30 ,$28.83 ,$95.63 ,$11.30 ,$138.00 ,$77.42 ,$11.30 ,$36.16 , N/A ,$7.30 ,$6.97 ,$11.87 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$23.06 ,$11.30 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30101298,82960,HC G6PD SCREEN,301,1 ,$58.00 ,$41.76 ,$3.50 ,$58.00 ,$15.13 ,$10.28 ,$31.90 ,$5.93 ,$16.24 ,$23.33 ,$5.93 ,$24.30 ,$5.93 ,$28.71 ,$3.50 ,$5.93 ,$28.71 ,$12.22 ,$40.60 ,$13.43 ,$46.40 ,$15.13 ,$5.93 ,$40.60 ,$5.93 ,$34.80 ,$6.05 ,$43.50 ,$32.02 ,$28.88 ,$32.02 ,$5.93 ,$32.02 ,$9.00 ,$58.00 ,$9.00 ,$49.30 ,$15.13 ,$40.19 ,$5.93 ,$58.00 ,$32.54 ,$5.93 ,$15.20 , N/A ,$8.15 ,$7.78 ,$6.22 ,$46.40 ,$28.71 ,$16.24 ,$52.20 ,$22.04 ,$12.10 ,$5.93 ,$27.84 
ST. MARY'S HOSPITAL - DECATUR,30101299,83516,HC MLT NON INFECT QL/SQ TTG,301,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$28.83 ,$19.60 ,$89.65 ,$11.30 ,$45.64 ,$60.14 ,$11.30 ,$62.65 ,$11.30 ,$80.69 ,$3.50 ,$11.30 ,$80.69 ,$23.29 ,$114.10 ,$26.05 ,$130.40 ,$28.83 ,$11.30 ,$114.10 ,$11.30 ,$97.80 ,$11.52 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$11.30 ,$89.98 ,$17.15 ,$163.00 ,$17.15 ,$138.55 ,$28.83 ,$112.96 ,$11.30 ,$163.00 ,$91.44 ,$11.30 ,$42.71 , N/A ,$7.30 ,$6.97 ,$11.87 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$23.06 ,$11.30 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101300,83516,HC MLT NON INFECT QL/SQ TTG-90,301,1 ,$160.00 ,$115.20 ,$3.50 ,$160.00 ,$28.83 ,$19.60 ,$88.00 ,$11.30 ,$44.80 ,$60.14 ,$11.30 ,$62.65 ,$11.30 ,$79.20 ,$3.50 ,$11.30 ,$79.20 ,$23.29 ,$112.00 ,$26.05 ,$128.00 ,$28.83 ,$11.30 ,$112.00 ,$11.30 ,$96.00 ,$11.52 ,$120.00 ,$88.32 ,$79.68 ,$88.32 ,$11.30 ,$88.32 ,$17.15 ,$160.00 ,$17.15 ,$136.00 ,$28.83 ,$110.88 ,$11.30 ,$160.00 ,$89.76 ,$11.30 ,$41.92 , N/A ,$7.30 ,$6.97 ,$11.87 ,$128.00 ,$79.20 ,$44.80 ,$144.00 ,$60.80 ,$23.06 ,$11.30 ,$76.80 
ST. MARY'S HOSPITAL - DECATUR,30101301,83516,HC MLT NON INFECT QL/SQ,301,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$28.83 ,$19.60 ,$89.65 ,$11.30 ,$45.64 ,$60.14 ,$11.30 ,$62.65 ,$11.30 ,$80.69 ,$3.50 ,$11.30 ,$80.69 ,$23.29 ,$114.10 ,$26.05 ,$130.40 ,$28.83 ,$11.30 ,$114.10 ,$11.30 ,$97.80 ,$11.52 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$11.30 ,$89.98 ,$17.15 ,$163.00 ,$17.15 ,$138.55 ,$28.83 ,$112.96 ,$11.30 ,$163.00 ,$91.44 ,$11.30 ,$42.71 , N/A ,$7.30 ,$6.97 ,$11.87 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$23.06 ,$11.30 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101302,83519,HC QN RIA-90,301,1 ,$221.00 ,$159.12 ,$3.50 ,$221.00 ,$46.00 ,$31.28 ,$121.55 ,$18.03 ,$61.88 ,$57.41 ,$18.03 ,$59.80 ,$18.03 ,$109.40 ,$3.50 ,$18.03 ,$109.40 ,$37.17 ,$154.70 ,$41.83 ,$176.80 ,$46.00 ,$18.03 ,$154.70 ,$18.03 ,$132.60 ,$18.39 ,$165.75 ,$121.99 ,$110.06 ,$121.99 ,$18.03 ,$121.99 ,$24.64 ,$221.00 ,$24.64 ,$187.85 ,$46.00 ,$153.15 ,$18.03 ,$221.00 ,$123.98 ,$18.03 ,$57.90 , N/A ,$7.30 ,$6.97 ,$18.93 ,$176.80 ,$109.40 ,$61.88 ,$198.90 ,$83.98 ,$36.80 ,$18.03 ,$106.08 
ST. MARY'S HOSPITAL - DECATUR,30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$203.00 ,$146.16 ,$3.50 ,$203.00 ,$43.18 ,$29.36 ,$111.65 ,$16.92 ,$56.84 ,$72.96 ,$16.92 ,$76.00 ,$16.92 ,$100.49 ,$3.50 ,$16.92 ,$100.49 ,$34.89 ,$142.10 ,$39.45 ,$162.40 ,$43.18 ,$16.92 ,$142.10 ,$16.92 ,$121.80 ,$17.27 ,$152.25 ,$112.06 ,$101.09 ,$112.06 ,$16.92 ,$112.06 ,$23.12 ,$203.00 ,$23.12 ,$172.55 ,$43.18 ,$140.68 ,$16.92 ,$203.00 ,$113.88 ,$16.92 ,$53.19 , N/A ,$7.30 ,$6.97 ,$17.77 ,$162.40 ,$100.49 ,$56.84 ,$182.70 ,$77.14 ,$34.54 ,$16.92 ,$97.44 
ST. MARY'S HOSPITAL - DECATUR,30101307,83525,HC INSULIN TOTAL-90,301,1 ,$120.00 ,$86.40 ,$3.50 ,$120.00 ,$28.58 ,$19.44 ,$66.00 ,$11.20 ,$33.60 ,$44.02 ,$11.20 ,$45.85 ,$11.20 ,$59.40 ,$3.50 ,$11.20 ,$59.40 ,$23.09 ,$84.00 ,$26.05 ,$96.00 ,$28.58 ,$11.20 ,$84.00 ,$11.20 ,$72.00 ,$11.43 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$11.20 ,$66.24 ,$17.01 ,$120.00 ,$17.01 ,$102.00 ,$28.58 ,$83.16 ,$11.20 ,$120.00 ,$67.32 ,$11.20 ,$31.44 , N/A ,$10.98 ,$10.48 ,$11.76 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$22.86 ,$11.20 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30101308,83527,HC INSULIN FREE-90,301,1 ,$140.00 ,$100.80 ,$3.50 ,$140.00 ,$32.38 ,$22.02 ,$77.00 ,$12.69 ,$39.20 ,$49.87 ,$12.69 ,$51.95 ,$12.69 ,$69.30 ,$3.50 ,$12.69 ,$69.30 ,$26.16 ,$98.00 ,$29.20 ,$112.00 ,$32.38 ,$12.69 ,$98.00 ,$12.69 ,$84.00 ,$12.95 ,$105.00 ,$77.28 ,$69.72 ,$77.28 ,$12.69 ,$77.28 ,$19.27 ,$140.00 ,$19.27 ,$119.00 ,$32.38 ,$97.02 ,$12.69 ,$140.00 ,$78.54 ,$12.69 ,$36.68 , N/A ,$19.09 ,$18.22 ,$13.33 ,$112.00 ,$69.30 ,$39.20 ,$126.00 ,$53.20 ,$25.90 ,$12.69 ,$67.20 
ST. MARY'S HOSPITAL - DECATUR,30101309,83540,HC IRON TOTAL-90,301,1 ,$145.00 ,$104.40 ,$3.47 ,$145.00 ,$16.18 ,$11.00 ,$79.75 ,$6.34 ,$40.60 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$71.78 ,$3.50 ,$6.34 ,$71.78 ,$13.07 ,$101.50 ,$15.00 ,$116.00 ,$16.18 ,$6.34 ,$101.50 ,$6.34 ,$87.00 ,$6.47 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$6.34 ,$80.04 ,$9.63 ,$145.00 ,$9.63 ,$123.25 ,$16.18 ,$100.49 ,$6.34 ,$145.00 ,$81.35 ,$6.34 ,$37.99 , N/A ,$3.63 ,$3.47 ,$6.65 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$12.94 ,$6.34 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30101311,83605,HC LACTATE/LACTIC ACID-90,301,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$28.93 ,$19.66 ,$115.50 ,$11.34 ,$58.80 ,$55.73 ,$11.34 ,$58.05 ,$11.34 ,$103.95 ,$3.50 ,$11.34 ,$103.95 ,$23.37 ,$147.00 ,$26.05 ,$168.00 ,$28.93 ,$11.34 ,$147.00 ,$11.34 ,$126.00 ,$11.56 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$11.34 ,$115.92 ,$15.89 ,$210.00 ,$15.89 ,$178.50 ,$28.93 ,$145.53 ,$11.34 ,$210.00 ,$117.81 ,$11.34 ,$55.02 , N/A ,$8.15 ,$7.78 ,$11.91 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$23.14 ,$11.34 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$178.00 ,$128.16 ,$3.47 ,$178.00 ,$15.10 ,$10.26 ,$97.90 ,$5.92 ,$49.84 ,$23.23 ,$5.92 ,$24.20 ,$5.92 ,$88.11 ,$3.50 ,$5.92 ,$88.11 ,$12.20 ,$124.60 ,$13.43 ,$142.40 ,$15.10 ,$5.92 ,$124.60 ,$5.92 ,$106.80 ,$6.04 ,$133.50 ,$98.26 ,$88.64 ,$98.26 ,$5.92 ,$98.26 ,$8.98 ,$178.00 ,$8.98 ,$151.30 ,$15.10 ,$123.35 ,$5.92 ,$178.00 ,$99.86 ,$5.92 ,$46.64 , N/A ,$3.63 ,$3.47 ,$6.21 ,$142.40 ,$88.11 ,$49.84 ,$160.20 ,$67.64 ,$12.08 ,$5.92 ,$85.44 
ST. MARY'S HOSPITAL - DECATUR,30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$89.00 ,$64.08 ,$3.50 ,$89.00 ,$31.98 ,$21.74 ,$48.95 ,$12.53 ,$24.92 ,$46.55 ,$12.53 ,$48.95 ,$12.53 ,$44.06 ,$3.50 ,$12.53 ,$44.06 ,$25.84 ,$62.30 ,$29.20 ,$71.20 ,$31.98 ,$12.53 ,$62.30 ,$12.53 ,$53.40 ,$12.79 ,$66.75 ,$49.13 ,$44.32 ,$49.13 ,$12.53 ,$49.13 ,$19.04 ,$89.00 ,$19.04 ,$75.65 ,$31.98 ,$61.68 ,$12.53 ,$89.00 ,$49.93 ,$12.53 ,$23.32 , N/A ,$8.15 ,$7.78 ,$13.16 ,$71.20 ,$44.06 ,$24.92 ,$80.10 ,$33.82 ,$25.58 ,$12.53 ,$42.72 
ST. MARY'S HOSPITAL - DECATUR,30101314,83630,HC LACTOGEN FECAL QL-90,301,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$49.25 ,$33.50 ,$75.90 ,$19.31 ,$38.64 ,$72.17 ,$19.31 ,$75.90 ,$19.31 ,$68.31 ,$3.50 ,$19.31 ,$68.31 ,$39.79 ,$96.60 ,$44.98 ,$110.40 ,$49.25 ,$19.31 ,$96.60 ,$19.31 ,$82.80 ,$19.69 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$19.31 ,$76.18 ,$29.20 ,$138.00 ,$29.20 ,$117.30 ,$49.25 ,$95.63 ,$19.31 ,$138.00 ,$77.42 ,$19.31 ,$36.16 , N/A ,$8.15 ,$7.78 ,$20.28 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$39.40 ,$19.31 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30101315,83632,HC LACTOGEN PLACENTAL-90,301,1 ,$143.00 ,$102.96 ,$3.50 ,$143.00 ,$50.55 ,$34.38 ,$78.65 ,$19.82 ,$40.04 ,$74.79 ,$19.82 ,$78.65 ,$19.82 ,$70.79 ,$3.50 ,$19.82 ,$70.79 ,$40.84 ,$100.10 ,$45.78 ,$114.40 ,$50.55 ,$19.82 ,$100.10 ,$19.82 ,$85.80 ,$20.21 ,$107.25 ,$78.94 ,$71.21 ,$78.94 ,$19.82 ,$78.94 ,$30.09 ,$143.00 ,$30.09 ,$121.55 ,$50.55 ,$99.10 ,$19.82 ,$143.00 ,$80.22 ,$19.82 ,$37.47 , N/A ,$8.15 ,$7.78 ,$20.81 ,$114.40 ,$70.79 ,$40.04 ,$128.70 ,$54.34 ,$40.44 ,$19.82 ,$68.64 
ST. MARY'S HOSPITAL - DECATUR,30101316,83655,HC LEAD-90,301,1 ,$105.00 ,$75.60 ,$3.50 ,$105.00 ,$30.28 ,$20.58 ,$57.75 ,$11.87 ,$29.40 ,$54.92 ,$11.87 ,$57.75 ,$11.87 ,$51.98 ,$3.50 ,$11.87 ,$51.98 ,$24.46 ,$73.50 ,$27.63 ,$84.00 ,$30.28 ,$11.87 ,$73.50 ,$11.87 ,$63.00 ,$12.10 ,$78.75 ,$57.96 ,$52.29 ,$57.96 ,$11.87 ,$57.96 ,$18.01 ,$105.00 ,$18.01 ,$89.25 ,$30.28 ,$72.77 ,$11.87 ,$105.00 ,$58.91 ,$11.87 ,$27.51 , N/A ,$9.94 ,$9.49 ,$12.47 ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$24.22 ,$11.87 ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,30101317,83661,HC FETAL LUNG MATURITY L/S RATIO-90,301,1 ,$332.00 ,$239.04 ,$3.50 ,$332.00 ,$54.98 ,$37.38 ,$182.60 ,$21.55 ,$92.96 ,$84.67 ,$21.55 ,$88.20 ,$21.55 ,$164.34 ,$3.50 ,$21.55 ,$164.34 ,$44.42 ,$232.40 ,$50.50 ,$265.60 ,$54.98 ,$21.55 ,$232.40 ,$21.55 ,$199.20 ,$21.98 ,$249.00 ,$183.26 ,$165.34 ,$183.26 ,$21.55 ,$183.26 ,$32.71 ,$332.00 ,$32.71 ,$282.20 ,$54.98 ,$230.08 ,$21.55 ,$332.00 ,$186.25 ,$21.55 ,$86.98 , N/A ,$8.15 ,$7.78 ,$22.63 ,$265.60 ,$164.34 ,$92.96 ,$298.80 ,$126.16 ,$43.98 ,$21.55 ,$159.36 
ST. MARY'S HOSPITAL - DECATUR,30101318,83690,HC LIPASE-90,301,1 ,$223.00 ,$160.56 ,$3.47 ,$223.00 ,$17.23 ,$11.72 ,$122.65 ,$6.75 ,$62.44 ,$26.54 ,$6.75 ,$27.65 ,$6.75 ,$110.39 ,$3.50 ,$6.75 ,$110.39 ,$13.92 ,$156.10 ,$15.78 ,$178.40 ,$17.23 ,$6.75 ,$156.10 ,$6.75 ,$133.80 ,$6.89 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$6.75 ,$123.10 ,$10.25 ,$223.00 ,$10.25 ,$189.55 ,$17.23 ,$154.54 ,$6.75 ,$223.00 ,$125.10 ,$6.75 ,$58.43 , N/A ,$3.63 ,$3.47 ,$7.09 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$13.78 ,$6.75 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,30101319,83695,HC LIPOPROTEIN-90,301,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$35.80 ,$24.34 ,$80.30 ,$14.03 ,$40.88 ,$49.87 ,$14.03 ,$51.95 ,$14.03 ,$72.27 ,$3.50 ,$14.03 ,$72.27 ,$28.93 ,$102.20 ,$32.35 ,$116.80 ,$35.80 ,$14.03 ,$102.20 ,$14.03 ,$87.60 ,$14.32 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$14.03 ,$80.59 ,$19.27 ,$146.00 ,$19.27 ,$124.10 ,$35.80 ,$101.18 ,$14.03 ,$146.00 ,$81.91 ,$14.03 ,$38.25 , N/A ,$8.15 ,$7.78 ,$14.74 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$28.64 ,$14.03 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30101321,83701,HC VAP CHOLESTEROL SERUM-90,301,1 ,$34.00 ,$24.48 ,$3.50 ,$84.65 ,$84.65 ,$34.00 ,$18.70 ,$33.18 ,$9.52 ,$17.78 ,$33.18 ,$18.70 ,$33.18 ,$16.83 ,$3.50 ,$33.18 ,$16.83 ,$34.00 ,$23.80 ,$34.00 ,$27.20 ,$84.65 ,$33.18 ,$23.80 ,$33.18 ,$20.40 ,$33.32 ,$25.50 ,$18.77 ,$16.93 ,$18.77 ,$33.18 ,$18.77 ,$34.00 ,$34.00 ,$34.00 ,$28.90 ,$34.00 ,$23.56 ,$33.18 ,$34.00 ,$19.07 ,$33.18 ,$8.91 , N/A ,$8.15 ,$7.78 ,$34.84 ,$27.20 ,$16.83 ,$9.52 ,$30.60 ,$12.92 ,$34.00 ,$33.18 ,$16.32 
ST. MARY'S HOSPITAL - DECATUR,30101322,83704,HC NMR LIPOPROFILE LIP-90,301,1 ,$126.00 ,$90.72 ,$3.50 ,$126.00 ,$85.48 ,$58.12 ,$69.30 ,$33.51 ,$35.28 ,$65.90 ,$33.51 ,$69.30 ,$33.51 ,$62.37 ,$3.50 ,$33.51 ,$62.37 ,$69.06 ,$88.20 ,$78.13 ,$100.80 ,$85.48 ,$33.51 ,$88.20 ,$33.51 ,$75.60 ,$34.17 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$33.51 ,$69.55 ,$46.95 ,$126.00 ,$46.95 ,$107.10 ,$85.48 ,$87.32 ,$33.51 ,$126.00 ,$70.69 ,$33.51 ,$33.01 , N/A ,$21.95 ,$20.95 ,$35.18 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$68.38 ,$33.51 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30101323,83721,HC CHOLESTEROL LDL,301,1 ,$115.00 ,$82.80 ,$3.50 ,$115.00 ,$26.25 ,$17.86 ,$63.25 ,$10.29 ,$32.20 ,$49.78 ,$10.29 ,$51.85 ,$10.29 ,$56.93 ,$3.50 ,$10.29 ,$56.93 ,$21.21 ,$80.50 ,$23.68 ,$92.00 ,$26.25 ,$10.29 ,$80.50 ,$10.29 ,$69.00 ,$10.50 ,$86.25 ,$63.48 ,$57.27 ,$63.48 ,$10.29 ,$63.48 ,$14.19 ,$115.00 ,$14.19 ,$97.75 ,$26.25 ,$79.70 ,$10.29 ,$115.00 ,$64.52 ,$10.29 ,$30.13 , N/A ,$8.15 ,$7.78 ,$10.81 ,$92.00 ,$56.93 ,$32.20 ,$103.50 ,$43.70 ,$21.00 ,$10.29 ,$55.20 
ST. MARY'S HOSPITAL - DECATUR,30101324,83727,HC GONADOTROPIN RELEASING HORM-90,301,1 ,$465.00 ,$334.80 ,$3.50 ,$465.00 ,$42.98 ,$29.22 ,$255.75 ,$16.85 ,$130.20 ,$66.19 ,$16.85 ,$68.95 ,$16.85 ,$230.18 ,$3.50 ,$16.85 ,$230.18 ,$34.72 ,$325.50 ,$39.45 ,$372.00 ,$42.98 ,$16.85 ,$325.50 ,$16.85 ,$279.00 ,$17.18 ,$348.75 ,$256.68 ,$231.57 ,$256.68 ,$16.85 ,$256.68 ,$25.57 ,$465.00 ,$25.57 ,$395.25 ,$42.98 ,$322.25 ,$16.85 ,$465.00 ,$260.87 ,$16.85 ,$121.83 , N/A ,$19.09 ,$18.22 ,$17.69 ,$372.00 ,$230.18 ,$130.20 ,$418.50 ,$176.70 ,$34.38 ,$16.85 ,$223.20 
ST. MARY'S HOSPITAL - DECATUR,30101325,80335,HC ANTIDEPRESSANTS TRYCLIC 1-2  -90,301,1 ,$211.00 ,$151.92 ,$0.02 ,$211.00 , N/A ,$0.02 ,$116.05 , N/A ,$59.08 , N/A , N/A , N/A , N/A ,$104.45 , N/A , N/A ,$104.45 , N/A ,$147.70 ,$131.88 ,$168.80 , N/A , N/A ,$147.70 , N/A ,$126.60 , N/A ,$158.25 ,$116.47 ,$105.08 ,$116.47 , N/A ,$116.47 ,$6.70 ,$211.00 ,$6.70 ,$179.35 , N/A ,$146.22 , N/A ,$211.00 ,$118.37 , N/A ,$55.28 , N/A ,$21.95 ,$20.95 , N/A ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 , N/A , N/A ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30101326,83735,HC MAGNESIUM-90,301,1 ,$171.00 ,$123.12 ,$3.47 ,$171.00 ,$16.75 ,$11.40 ,$94.05 ,$6.57 ,$47.88 ,$34.94 ,$6.57 ,$36.40 ,$6.57 ,$84.65 ,$3.50 ,$6.57 ,$84.65 ,$13.53 ,$119.70 ,$15.00 ,$136.80 ,$16.75 ,$6.57 ,$119.70 ,$6.57 ,$102.60 ,$6.69 ,$128.25 ,$94.39 ,$85.16 ,$94.39 ,$6.57 ,$94.39 ,$9.96 ,$171.00 ,$9.96 ,$145.35 ,$16.75 ,$118.50 ,$6.57 ,$171.00 ,$95.93 ,$6.57 ,$44.80 , N/A ,$3.63 ,$3.47 ,$6.90 ,$136.80 ,$84.65 ,$47.88 ,$153.90 ,$64.98 ,$13.40 ,$6.57 ,$82.08 
ST. MARY'S HOSPITAL - DECATUR,30101327,83785,HC MANGANESE-90,301,1 ,$137.00 ,$98.64 ,$3.50 ,$137.00 ,$66.63 ,$45.30 ,$75.35 ,$26.12 ,$38.36 ,$71.65 ,$26.12 ,$75.35 ,$26.12 ,$67.82 ,$3.50 ,$26.12 ,$67.82 ,$53.83 ,$95.90 ,$60.75 ,$109.60 ,$66.63 ,$26.12 ,$95.90 ,$26.12 ,$82.20 ,$26.64 ,$102.75 ,$75.62 ,$68.23 ,$75.62 ,$26.12 ,$75.62 ,$36.60 ,$137.00 ,$36.60 ,$116.45 ,$66.63 ,$94.94 ,$26.12 ,$137.00 ,$76.86 ,$26.12 ,$35.89 , N/A ,$9.94 ,$9.49 ,$27.42 ,$109.60 ,$67.82 ,$38.36 ,$123.30 ,$52.06 ,$53.30 ,$26.12 ,$65.76 
ST. MARY'S HOSPITAL - DECATUR,30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$263.00 ,$189.36 ,$3.50 ,$263.00 ,$60.28 ,$40.98 ,$144.65 ,$23.63 ,$73.64 ,$75.22 ,$23.63 ,$78.35 ,$23.63 ,$130.19 ,$3.50 ,$23.63 ,$130.19 ,$48.70 ,$184.10 ,$55.23 ,$210.40 ,$60.28 ,$23.63 ,$184.10 ,$23.63 ,$157.80 ,$24.10 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$23.63 ,$145.18 ,$32.28 ,$263.00 ,$32.28 ,$223.55 ,$60.28 ,$182.26 ,$23.63 ,$263.00 ,$147.54 ,$23.63 ,$68.91 , N/A ,$8.15 ,$7.78 ,$24.81 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$48.22 ,$23.63 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30101329,83825,HC MERCURY-90,301,1 ,$92.00 ,$66.24 ,$3.50 ,$92.00 ,$40.65 ,$27.64 ,$50.60 ,$15.93 ,$25.76 ,$48.12 ,$15.93 ,$50.60 ,$15.93 ,$45.54 ,$3.50 ,$15.93 ,$45.54 ,$32.85 ,$64.40 ,$37.08 ,$73.60 ,$40.65 ,$15.93 ,$64.40 ,$15.93 ,$55.20 ,$16.26 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$15.93 ,$50.78 ,$24.18 ,$92.00 ,$24.18 ,$78.20 ,$40.65 ,$63.76 ,$15.93 ,$92.00 ,$51.61 ,$15.93 ,$24.10 , N/A ,$9.94 ,$9.49 ,$16.73 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$32.52 ,$15.93 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30101330,83835,HC METANEPHRINES-90,301,1 ,$270.00 ,$194.40 ,$3.50 ,$270.00 ,$42.35 ,$28.80 ,$148.50 ,$16.60 ,$75.60 ,$65.28 ,$16.60 ,$68.00 ,$16.60 ,$133.65 ,$3.50 ,$16.60 ,$133.65 ,$34.22 ,$189.00 ,$38.65 ,$216.00 ,$42.35 ,$16.60 ,$189.00 ,$16.60 ,$162.00 ,$16.93 ,$202.50 ,$149.04 ,$134.46 ,$149.04 ,$16.60 ,$149.04 ,$25.20 ,$270.00 ,$25.20 ,$229.50 ,$42.35 ,$187.11 ,$16.60 ,$270.00 ,$151.47 ,$16.60 ,$70.74 , N/A ,$19.09 ,$18.22 ,$17.43 ,$216.00 ,$133.65 ,$75.60 ,$243.00 ,$102.60 ,$33.88 ,$16.60 ,$129.60 
ST. MARY'S HOSPITAL - DECATUR,30101332,83864,HC MUCOPOLYSACCHARIDES ACID QN-90,301,1 ,$173.00 ,$124.56 ,$3.50 ,$173.00 ,$71.25 ,$48.46 ,$95.15 ,$27.93 ,$48.44 ,$88.94 ,$27.93 ,$92.65 ,$27.93 ,$85.64 ,$3.50 ,$27.93 ,$85.64 ,$57.57 ,$121.10 ,$64.70 ,$138.40 ,$71.25 ,$27.93 ,$121.10 ,$27.93 ,$103.80 ,$28.49 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$27.93 ,$95.50 ,$38.16 ,$173.00 ,$38.16 ,$147.05 ,$71.25 ,$119.89 ,$27.93 ,$173.00 ,$97.05 ,$27.93 ,$45.33 , N/A ,$8.15 ,$7.78 ,$29.33 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 ,$57.00 ,$27.93 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$43.00 ,$29.24 ,$80.30 ,$16.86 ,$40.88 ,$66.29 ,$16.86 ,$69.05 ,$16.86 ,$72.27 ,$3.50 ,$16.86 ,$72.27 ,$34.74 ,$102.20 ,$39.45 ,$116.80 ,$43.00 ,$16.86 ,$102.20 ,$16.86 ,$87.60 ,$17.19 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$16.86 ,$80.59 ,$25.61 ,$146.00 ,$25.61 ,$124.10 ,$43.00 ,$101.18 ,$16.86 ,$146.00 ,$81.91 ,$16.86 ,$38.25 , N/A ,$8.15 ,$7.78 ,$17.70 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$34.40 ,$16.86 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30101334,83874,HC MYOGLOBIN-90,301,1 ,$196.00 ,$141.12 ,$3.50 ,$196.00 ,$32.30 ,$21.96 ,$107.80 ,$12.66 ,$54.88 ,$49.78 ,$12.66 ,$51.85 ,$12.66 ,$97.02 ,$3.50 ,$12.66 ,$97.02 ,$26.10 ,$137.20 ,$29.20 ,$156.80 ,$32.30 ,$12.66 ,$137.20 ,$12.66 ,$117.60 ,$12.92 ,$147.00 ,$108.19 ,$97.61 ,$108.19 ,$12.66 ,$108.19 ,$19.22 ,$196.00 ,$19.22 ,$166.60 ,$32.30 ,$135.83 ,$12.66 ,$196.00 ,$109.96 ,$12.66 ,$51.35 , N/A ,$8.15 ,$7.78 ,$13.30 ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$25.84 ,$12.66 ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,30101335,83874,HC MYOGLOBIN,301,1 ,$196.00 ,$141.12 ,$3.50 ,$196.00 ,$32.30 ,$21.96 ,$107.80 ,$12.66 ,$54.88 ,$49.78 ,$12.66 ,$51.85 ,$12.66 ,$97.02 ,$3.50 ,$12.66 ,$97.02 ,$26.10 ,$137.20 ,$29.20 ,$156.80 ,$32.30 ,$12.66 ,$137.20 ,$12.66 ,$117.60 ,$12.92 ,$147.00 ,$108.19 ,$97.61 ,$108.19 ,$12.66 ,$108.19 ,$19.22 ,$196.00 ,$19.22 ,$166.60 ,$32.30 ,$135.83 ,$12.66 ,$196.00 ,$109.96 ,$12.66 ,$51.35 , N/A ,$8.15 ,$7.78 ,$13.30 ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$25.84 ,$12.66 ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,30101336,83880,HC BNP NATRIURETIC PEPTIDE-90,301,1 ,$354.00 ,$254.88 ,$3.50 ,$354.00 ,$98.15 ,$66.74 ,$194.70 ,$38.47 ,$99.12 ,$176.98 ,$38.47 ,$184.35 ,$38.47 ,$175.23 ,$3.50 ,$38.47 ,$175.23 ,$79.31 ,$247.80 ,$89.15 ,$283.20 ,$98.15 ,$38.47 ,$247.80 ,$38.47 ,$212.40 ,$39.25 ,$265.50 ,$195.41 ,$176.29 ,$195.41 ,$38.47 ,$195.41 ,$52.57 ,$354.00 ,$52.57 ,$300.90 ,$98.15 ,$245.32 ,$38.47 ,$354.00 ,$198.59 ,$38.47 ,$92.75 , N/A ,$21.95 ,$20.95 ,$40.40 ,$283.20 ,$175.23 ,$99.12 ,$318.60 ,$134.52 ,$78.52 ,$38.47 ,$169.92 
ST. MARY'S HOSPITAL - DECATUR,30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$186.00 ,$133.92 ,$3.50 ,$186.00 ,$34.00 ,$23.12 ,$102.30 ,$13.33 ,$52.08 ,$52.37 ,$13.33 ,$54.55 ,$13.33 ,$92.07 ,$3.50 ,$13.33 ,$92.07 ,$27.47 ,$130.20 ,$30.78 ,$148.80 ,$34.00 ,$13.33 ,$130.20 ,$13.33 ,$111.60 ,$13.59 ,$139.50 ,$102.67 ,$92.63 ,$102.67 ,$13.33 ,$102.67 ,$20.23 ,$186.00 ,$20.23 ,$158.10 ,$34.00 ,$128.90 ,$13.33 ,$186.00 ,$104.35 ,$13.33 ,$48.73 , N/A ,$12.58 ,$12.01 ,$13.99 ,$148.80 ,$92.07 ,$52.08 ,$167.40 ,$70.68 ,$27.20 ,$13.33 ,$89.28 
ST. MARY'S HOSPITAL - DECATUR,30101338,83885,HC NICKEL-90,301,1 ,$228.00 ,$164.16 ,$3.50 ,$228.00 ,$61.28 ,$41.66 ,$125.40 ,$24.02 ,$63.84 ,$94.42 ,$24.02 ,$98.35 ,$24.02 ,$112.86 ,$3.50 ,$24.02 ,$112.86 ,$49.51 ,$159.60 ,$56.03 ,$182.40 ,$61.28 ,$24.02 ,$159.60 ,$24.02 ,$136.80 ,$24.50 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$24.02 ,$125.86 ,$36.46 ,$228.00 ,$36.46 ,$193.80 ,$61.28 ,$158.00 ,$24.02 ,$228.00 ,$127.91 ,$24.02 ,$59.74 , N/A ,$9.94 ,$9.49 ,$25.23 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$49.02 ,$24.02 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$107.00 ,$77.04 ,$3.50 ,$107.00 ,$27.88 ,$18.96 ,$58.85 ,$10.93 ,$29.96 ,$42.96 ,$10.93 ,$44.75 ,$10.93 ,$52.97 ,$3.50 ,$10.93 ,$52.97 ,$22.52 ,$74.90 ,$25.25 ,$85.60 ,$27.88 ,$10.93 ,$74.90 ,$10.93 ,$64.20 ,$11.14 ,$80.25 ,$59.06 ,$53.29 ,$59.06 ,$10.93 ,$59.06 ,$16.59 ,$107.00 ,$16.59 ,$90.95 ,$27.88 ,$74.15 ,$10.93 ,$107.00 ,$60.03 ,$10.93 ,$28.03 , N/A ,$8.15 ,$7.78 ,$11.48 ,$85.60 ,$52.97 ,$29.96 ,$96.30 ,$40.66 ,$22.30 ,$10.93 ,$51.36 
ST. MARY'S HOSPITAL - DECATUR,30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$145.00 ,$104.40 ,$3.50 ,$145.00 ,$68.48 ,$46.56 ,$79.75 ,$26.84 ,$40.60 ,$75.84 ,$26.84 ,$79.75 ,$26.84 ,$71.78 ,$3.50 ,$26.84 ,$71.78 ,$55.33 ,$101.50 ,$62.33 ,$116.00 ,$68.48 ,$26.84 ,$101.50 ,$26.84 ,$87.00 ,$27.38 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$26.84 ,$80.04 ,$36.68 ,$145.00 ,$36.68 ,$123.25 ,$68.48 ,$100.49 ,$26.84 ,$145.00 ,$81.35 ,$26.84 ,$37.99 , N/A ,$8.15 ,$7.78 ,$28.18 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$54.78 ,$26.84 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$468.00 ,$336.96 ,$3.50 ,$468.00 ,$59.00 ,$40.12 ,$257.40 ,$23.13 ,$131.04 ,$73.63 ,$23.13 ,$76.70 ,$23.13 ,$231.66 ,$3.50 ,$23.13 ,$231.66 ,$47.67 ,$327.60 ,$53.65 ,$374.40 ,$59.00 ,$23.13 ,$327.60 ,$23.13 ,$280.80 ,$23.59 ,$351.00 ,$258.34 ,$233.06 ,$258.34 ,$23.13 ,$258.34 ,$31.60 ,$468.00 ,$31.60 ,$397.80 ,$59.00 ,$324.32 ,$23.13 ,$468.00 ,$262.55 ,$23.13 ,$122.62 , N/A ,$9.94 ,$9.49 ,$24.28 ,$374.40 ,$231.66 ,$131.04 ,$421.20 ,$177.84 ,$47.20 ,$23.13 ,$224.64 
ST. MARY'S HOSPITAL - DECATUR,30101342,83919,HC ORGANIC ACIDS QL-90,301,1 ,$280.00 ,$201.60 ,$3.50 ,$280.00 ,$41.13 ,$27.96 ,$154.00 ,$16.12 ,$78.40 ,$63.36 ,$16.12 ,$66.00 ,$16.12 ,$138.60 ,$3.50 ,$16.12 ,$138.60 ,$33.23 ,$196.00 ,$37.88 ,$224.00 ,$41.13 ,$16.12 ,$196.00 ,$16.12 ,$168.00 ,$16.44 ,$210.00 ,$154.56 ,$139.44 ,$154.56 ,$16.12 ,$154.56 ,$24.47 ,$280.00 ,$24.47 ,$238.00 ,$41.13 ,$194.04 ,$16.12 ,$280.00 ,$157.08 ,$16.12 ,$73.36 , N/A ,$8.15 ,$7.78 ,$16.92 ,$224.00 ,$138.60 ,$78.40 ,$252.00 ,$106.40 ,$32.90 ,$16.12 ,$134.40 
ST. MARY'S HOSPITAL - DECATUR,30101343,83935,HC OSMOLALITY URINE-90,301,1 ,$126.00 ,$90.72 ,$3.47 ,$126.00 ,$17.05 ,$11.60 ,$69.30 ,$6.68 ,$35.28 ,$26.26 ,$6.68 ,$27.35 ,$6.68 ,$62.37 ,$3.50 ,$6.68 ,$62.37 ,$13.78 ,$88.20 ,$15.78 ,$100.80 ,$17.05 ,$6.68 ,$88.20 ,$6.68 ,$75.60 ,$6.82 ,$94.50 ,$69.55 ,$62.75 ,$69.55 ,$6.68 ,$69.55 ,$10.14 ,$126.00 ,$10.14 ,$107.10 ,$17.05 ,$87.32 ,$6.68 ,$126.00 ,$70.69 ,$6.68 ,$33.01 , N/A ,$3.63 ,$3.47 ,$7.02 ,$100.80 ,$62.37 ,$35.28 ,$113.40 ,$47.88 ,$13.64 ,$6.68 ,$60.48 
ST. MARY'S HOSPITAL - DECATUR,30101344,83937,HC OSTEOCALCIN-90,301,1 ,$181.00 ,$130.32 ,$3.50 ,$181.00 ,$74.63 ,$50.74 ,$99.55 ,$29.25 ,$50.68 ,$94.66 ,$29.25 ,$99.55 ,$29.25 ,$89.60 ,$3.50 ,$29.25 ,$89.60 ,$60.30 ,$126.70 ,$67.85 ,$144.80 ,$74.63 ,$29.25 ,$126.70 ,$29.25 ,$108.60 ,$29.84 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$29.25 ,$99.91 ,$44.40 ,$181.00 ,$44.40 ,$153.85 ,$74.63 ,$125.43 ,$29.25 ,$181.00 ,$101.54 ,$29.25 ,$47.42 , N/A ,$19.09 ,$18.22 ,$30.71 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$59.70 ,$29.25 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,30101345,83945,HC OXALATE-90,301,1 ,$143.00 ,$102.96 ,$3.50 ,$143.00 ,$36.13 ,$24.56 ,$78.65 ,$14.16 ,$40.04 ,$49.58 ,$14.16 ,$51.65 ,$14.16 ,$70.79 ,$3.50 ,$14.16 ,$70.79 ,$29.19 ,$100.10 ,$33.15 ,$114.40 ,$36.13 ,$14.16 ,$100.10 ,$14.16 ,$85.80 ,$14.45 ,$107.25 ,$78.94 ,$71.21 ,$78.94 ,$14.16 ,$78.94 ,$19.35 ,$143.00 ,$19.35 ,$121.55 ,$36.13 ,$99.10 ,$14.16 ,$143.00 ,$80.22 ,$14.16 ,$37.47 , N/A ,$8.15 ,$7.78 ,$14.87 ,$114.40 ,$70.79 ,$40.04 ,$128.70 ,$54.34 ,$28.90 ,$14.16 ,$68.64 
ST. MARY'S HOSPITAL - DECATUR,30101346,83950,HC ONCOPROTEIN HER-2/NEU-90,301,1 ,"$2,004.00 ","$1,442.88 ",$3.50 ,"$2,004.00 ",$161.03 ,$109.50 ,"$1,102.20 ",$63.12 ,$561.12 ,$248.11 ,$63.12 ,$258.45 ,$63.12 ,$991.98 ,$3.50 ,$63.12 ,$991.98 ,$130.11 ,"$1,402.80 ",$146.75 ,"$1,603.20 ",$161.03 ,$63.12 ,"$1,402.80 ",$63.12 ,"$1,202.40 ",$64.39 ,"$1,503.00 ","$1,106.21 ",$997.99 ,"$1,106.21 ",$63.12 ,"$1,106.21 ",$95.83 ,"$2,004.00 ",$95.83 ,"$1,703.40 ",$161.03 ,"$1,388.77 ",$63.12 ,"$2,004.00 ","$1,124.24 ",$63.12 ,$525.05 , N/A ,$25.62 ,$24.45 ,$66.28 ,"$1,603.20 ",$991.98 ,$561.12 ,"$1,803.60 ",$761.52 ,$128.82 ,$63.12 ,$961.92 
ST. MARY'S HOSPITAL - DECATUR,30101347,83970,HC PARATHYROID HORMONE (PTH)-90,301,1 ,$353.00 ,$254.16 ,$3.50 ,$353.00 ,$103.20 ,$70.18 ,$194.15 ,$40.45 ,$98.84 ,$158.98 ,$40.45 ,$165.60 ,$40.45 ,$174.74 ,$3.50 ,$40.45 ,$174.74 ,$83.39 ,$247.10 ,$93.90 ,$282.40 ,$103.20 ,$40.45 ,$247.10 ,$40.45 ,$211.80 ,$41.27 ,$264.75 ,$194.86 ,$175.79 ,$194.86 ,$40.45 ,$194.86 ,$61.41 ,$353.00 ,$61.41 ,$300.05 ,$103.20 ,$244.63 ,$40.45 ,$353.00 ,$198.03 ,$40.45 ,$92.49 , N/A ,$19.09 ,$18.22 ,$42.47 ,$282.40 ,$174.74 ,$98.84 ,$317.70 ,$134.14 ,$82.56 ,$40.45 ,$169.44 
ST. MARY'S HOSPITAL - DECATUR,30101348,83986,HC PH BODY FLUID NOT BLOOD-90,301,1 ,$63.00 ,$45.36 ,$3.47 ,$63.00 ,$8.95 ,$6.08 ,$34.65 ,$3.51 ,$17.64 ,$18.67 ,$3.51 ,$19.45 ,$3.51 ,$31.19 ,$3.50 ,$3.51 ,$31.19 ,$7.23 ,$44.10 ,$7.90 ,$50.40 ,$8.95 ,$3.51 ,$44.10 ,$3.51 ,$37.80 ,$3.58 ,$47.25 ,$34.78 ,$31.37 ,$34.78 ,$3.51 ,$34.78 ,$5.33 ,$63.00 ,$5.33 ,$53.55 ,$8.95 ,$43.66 ,$3.51 ,$63.00 ,$35.34 ,$3.51 ,$16.51 , N/A ,$3.63 ,$3.47 ,$3.68 ,$50.40 ,$31.19 ,$17.64 ,$56.70 ,$23.94 ,$7.16 ,$3.51 ,$30.24 
ST. MARY'S HOSPITAL - DECATUR,30101349,83992,HC PHENCYCLIDINE (PCP)-90,301,1 ,$163.00 ,$117.36 ,$0.02 ,$163.00 , N/A ,$0.02 ,$89.65 , N/A ,$45.64 ,$62.93 , N/A ,$65.55 , N/A ,$80.69 ,$3.50 , N/A ,$80.69 , N/A ,$114.10 ,$85.23 ,$130.40 , N/A , N/A ,$114.10 , N/A ,$97.80 , N/A ,$122.25 ,$89.98 ,$81.17 ,$89.98 , N/A ,$89.98 ,$22.50 ,$163.00 ,$22.50 ,$138.55 , N/A ,$112.96 , N/A ,$163.00 ,$91.44 , N/A ,$42.71 , N/A ,$9.94 ,$9.49 , N/A ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$83.04 , N/A ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30101350,83992,HC PHENCYCLIDINE UMB CORD-90,301,1 ,$55.00 ,$39.60 ,$0.02 ,$55.00 , N/A ,$0.02 ,$30.25 , N/A ,$15.40 ,$28.77 , N/A ,$30.25 , N/A ,$27.23 ,$3.50 , N/A ,$27.23 , N/A ,$38.50 ,$55.00 ,$44.00 , N/A , N/A ,$38.50 , N/A ,$33.00 , N/A ,$41.25 ,$30.36 ,$27.39 ,$30.36 , N/A ,$30.36 ,$22.50 ,$55.00 ,$22.50 ,$46.75 , N/A ,$38.12 , N/A ,$55.00 ,$30.86 , N/A ,$14.41 , N/A ,$9.94 ,$9.49 , N/A ,$44.00 ,$27.23 ,$15.40 ,$49.50 ,$20.90 ,$55.00 , N/A ,$26.40 
ST. MARY'S HOSPITAL - DECATUR,30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$230.00 ,$165.60 ,$3.50 ,$230.00 ,$49.08 ,$33.38 ,$126.50 ,$19.24 ,$64.40 ,$75.65 ,$19.24 ,$78.80 ,$19.24 ,$113.85 ,$3.50 ,$19.24 ,$113.85 ,$39.65 ,$161.00 ,$44.98 ,$184.00 ,$49.08 ,$19.24 ,$161.00 ,$19.24 ,$138.00 ,$19.62 ,$172.50 ,$126.96 ,$114.54 ,$126.96 ,$19.24 ,$126.96 ,$29.20 ,$230.00 ,$29.20 ,$195.50 ,$49.08 ,$159.39 ,$19.24 ,$230.00 ,$129.03 ,$19.24 ,$60.26 , N/A ,$8.15 ,$7.78 ,$20.20 ,$184.00 ,$113.85 ,$64.40 ,$207.00 ,$87.40 ,$39.26 ,$19.24 ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,30101352,84030,HC NEWBORN SCREEN PKU-90,301,1 ,$177.00 ,$127.44 ,$3.47 ,$177.00 ,$13.75 ,$9.36 ,$97.35 ,$5.39 ,$49.56 ,$28.70 ,$5.39 ,$29.90 ,$5.39 ,$87.62 ,$3.50 ,$5.39 ,$87.62 ,$11.11 ,$123.90 ,$12.63 ,$141.60 ,$13.75 ,$5.39 ,$123.90 ,$5.39 ,$106.20 ,$5.50 ,$132.75 ,$97.70 ,$88.15 ,$97.70 ,$5.39 ,$97.70 ,$8.18 ,$177.00 ,$8.18 ,$150.45 ,$13.75 ,$122.66 ,$5.39 ,$177.00 ,$99.30 ,$5.39 ,$46.37 , N/A ,$3.63 ,$3.47 ,$5.66 ,$141.60 ,$87.62 ,$49.56 ,$159.30 ,$67.26 ,$11.00 ,$5.39 ,$84.96 
ST. MARY'S HOSPITAL - DECATUR,30101353,84066,HC PHOSPHATASE ACID PROSTATIC-90,301,1 ,$108.00 ,$77.76 ,$3.50 ,$108.00 ,$24.15 ,$16.42 ,$59.40 ,$9.47 ,$30.24 ,$37.20 ,$9.47 ,$38.75 ,$9.47 ,$53.46 ,$3.50 ,$9.47 ,$53.46 ,$19.51 ,$75.60 ,$22.10 ,$86.40 ,$24.15 ,$9.47 ,$75.60 ,$9.47 ,$64.80 ,$9.65 ,$81.00 ,$59.62 ,$53.78 ,$59.62 ,$9.47 ,$59.62 ,$14.37 ,$108.00 ,$14.37 ,$91.80 ,$24.15 ,$74.84 ,$9.47 ,$108.00 ,$60.59 ,$9.47 ,$28.30 , N/A ,$8.15 ,$7.78 ,$9.94 ,$86.40 ,$53.46 ,$30.24 ,$97.20 ,$41.04 ,$19.32 ,$9.47 ,$51.84 
ST. MARY'S HOSPITAL - DECATUR,30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$120.00 ,$86.40 ,$3.47 ,$120.00 ,$12.95 ,$8.80 ,$66.00 ,$5.08 ,$33.60 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$59.40 ,$3.50 ,$5.08 ,$59.40 ,$10.46 ,$84.00 ,$11.83 ,$96.00 ,$12.95 ,$5.08 ,$84.00 ,$5.08 ,$72.00 ,$5.17 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$5.08 ,$66.24 ,$7.70 ,$120.00 ,$7.70 ,$102.00 ,$12.95 ,$83.16 ,$5.08 ,$120.00 ,$67.32 ,$5.08 ,$31.44 , N/A ,$3.63 ,$3.47 ,$5.33 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$10.36 ,$5.08 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30101355,84078,HC ALKALINE PHOSPHATASE HEAT-90,301,1 ,$103.00 ,$74.16 ,$3.47 ,$103.00 ,$20.65 ,$14.04 ,$56.65 ,$8.09 ,$28.84 ,$28.13 ,$8.09 ,$29.30 ,$8.09 ,$50.99 ,$3.50 ,$8.09 ,$50.99 ,$16.69 ,$72.10 ,$18.93 ,$82.40 ,$20.65 ,$8.09 ,$72.10 ,$8.09 ,$61.80 ,$8.26 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$8.09 ,$56.86 ,$11.06 ,$103.00 ,$11.06 ,$87.55 ,$20.65 ,$71.38 ,$8.09 ,$103.00 ,$57.78 ,$8.09 ,$26.99 , N/A ,$3.63 ,$3.47 ,$8.50 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$16.52 ,$8.09 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$80.00 ,$57.60 ,$3.50 ,$80.00 ,$36.95 ,$25.12 ,$44.00 ,$14.48 ,$22.40 ,$41.84 ,$14.48 ,$44.00 ,$14.48 ,$39.60 ,$3.50 ,$14.48 ,$39.60 ,$29.86 ,$56.00 ,$33.93 ,$64.00 ,$36.95 ,$14.48 ,$56.00 ,$14.48 ,$48.00 ,$14.78 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$14.48 ,$44.16 ,$22.00 ,$80.00 ,$22.00 ,$68.00 ,$36.95 ,$55.44 ,$14.48 ,$80.00 ,$44.88 ,$14.48 ,$20.96 , N/A ,$8.15 ,$7.78 ,$15.21 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$29.56 ,$14.48 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30101357,84081,HC PHOSPHATIDYLGLYCEROL (PG)-90,301,1 ,$202.00 ,$145.44 ,$3.50 ,$202.00 ,$41.30 ,$28.08 ,$111.10 ,$16.19 ,$56.56 ,$63.60 ,$16.19 ,$66.25 ,$16.19 ,$99.99 ,$3.50 ,$16.19 ,$99.99 ,$33.37 ,$141.40 ,$37.88 ,$161.60 ,$41.30 ,$16.19 ,$141.40 ,$16.19 ,$121.20 ,$16.51 ,$151.50 ,$111.50 ,$100.60 ,$111.50 ,$16.19 ,$111.50 ,$24.58 ,$202.00 ,$24.58 ,$171.70 ,$41.30 ,$139.99 ,$16.19 ,$202.00 ,$113.32 ,$16.19 ,$52.92 , N/A ,$8.15 ,$7.78 ,$17.00 ,$161.60 ,$99.99 ,$56.56 ,$181.80 ,$76.76 ,$33.04 ,$16.19 ,$96.96 
ST. MARY'S HOSPITAL - DECATUR,30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,$63.00 ,$45.36 ,$3.47 ,$63.00 ,$14.45 ,$9.82 ,$34.65 ,$5.66 ,$17.64 ,$19.92 ,$5.66 ,$20.75 ,$5.66 ,$31.19 ,$3.50 ,$5.66 ,$31.19 ,$11.68 ,$44.10 ,$13.43 ,$50.40 ,$14.45 ,$5.66 ,$44.10 ,$5.66 ,$37.80 ,$5.78 ,$47.25 ,$34.78 ,$31.37 ,$34.78 ,$5.66 ,$34.78 ,$7.74 ,$63.00 ,$7.74 ,$53.55 ,$14.45 ,$43.66 ,$5.66 ,$63.00 ,$35.34 ,$5.66 ,$16.51 , N/A ,$3.63 ,$3.47 ,$5.95 ,$50.40 ,$31.19 ,$17.64 ,$56.70 ,$23.94 ,$11.56 ,$5.66 ,$30.24 
ST. MARY'S HOSPITAL - DECATUR,30101359,84110,HC PORPHOBILINOGEN QN-90,301,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$21.10 ,$14.34 ,$71.50 ,$8.27 ,$36.40 ,$32.50 ,$8.27 ,$33.85 ,$8.27 ,$64.35 ,$3.50 ,$8.27 ,$64.35 ,$17.05 ,$91.00 ,$18.93 ,$104.00 ,$21.10 ,$8.27 ,$91.00 ,$8.27 ,$78.00 ,$8.44 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$8.27 ,$71.76 ,$12.56 ,$130.00 ,$12.56 ,$110.50 ,$21.10 ,$90.09 ,$8.27 ,$130.00 ,$72.93 ,$8.27 ,$34.06 , N/A ,$8.15 ,$7.78 ,$8.68 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$16.88 ,$8.27 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30101360,84112,HC EVAL C/V AMNIOTIC FLD QL EA,301,1 ,$228.00 ,$164.16 ,$3.50 ,$245.28 ,$245.28 ,$166.78 ,$125.40 ,$96.15 ,$63.84 ,$119.24 ,$96.15 ,$125.40 ,$96.15 ,$112.86 ,$3.50 ,$96.15 ,$112.86 ,$198.18 ,$159.60 ,$224.08 ,$182.40 ,$245.28 ,$96.15 ,$159.60 ,$96.15 ,$136.80 ,$98.07 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$96.15 ,$125.86 ,$131.37 ,$228.00 ,$131.37 ,$193.80 ,$228.00 ,$158.00 ,$96.15 ,$228.00 ,$127.91 ,$96.15 ,$59.74 , N/A ,$21.95 ,$20.95 ,$100.96 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$196.22 ,$96.15 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,30101361,84120,HC PORPHYRINS QN FRACT-90,301,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$36.78 ,$25.00 ,$103.95 ,$14.42 ,$52.92 ,$56.64 ,$14.42 ,$59.00 ,$14.42 ,$93.56 ,$3.50 ,$14.42 ,$93.56 ,$29.71 ,$132.30 ,$33.93 ,$151.20 ,$36.78 ,$14.42 ,$132.30 ,$14.42 ,$113.40 ,$14.70 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$14.42 ,$104.33 ,$21.90 ,$189.00 ,$21.90 ,$160.65 ,$36.78 ,$130.98 ,$14.42 ,$189.00 ,$106.03 ,$14.42 ,$49.52 , N/A ,$8.15 ,$7.78 ,$15.14 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$29.42 ,$14.42 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30101362,84126,HC PORPHYRINS FECES QN-90,301,1 ,$520.00 ,$374.40 ,$3.50 ,$520.00 ,$97.78 ,$66.48 ,$286.00 ,$38.33 ,$145.60 ,$122.02 ,$38.33 ,$127.10 ,$38.33 ,$257.40 ,$3.50 ,$38.33 ,$257.40 ,$79.00 ,$364.00 ,$89.15 ,$416.00 ,$97.78 ,$38.33 ,$364.00 ,$38.33 ,$312.00 ,$39.09 ,$390.00 ,$287.04 ,$258.96 ,$287.04 ,$38.33 ,$287.04 ,$52.37 ,$520.00 ,$52.37 ,$442.00 ,$97.78 ,$360.36 ,$38.33 ,$520.00 ,$291.72 ,$38.33 ,$136.24 , N/A ,$8.15 ,$7.78 ,$40.25 ,$416.00 ,$257.40 ,$145.60 ,$468.00 ,$197.60 ,$78.22 ,$38.33 ,$249.60 
ST. MARY'S HOSPITAL - DECATUR,30101364,84133,HC POTASSIUM URINE-90,301,1 ,$96.00 ,$69.12 ,$3.47 ,$96.00 ,$11.83 ,$8.04 ,$52.80 ,$4.64 ,$26.88 ,$16.61 ,$4.64 ,$17.30 ,$4.64 ,$47.52 ,$3.50 ,$4.64 ,$47.52 ,$9.55 ,$67.20 ,$11.05 ,$76.80 ,$11.83 ,$4.64 ,$67.20 ,$4.64 ,$57.60 ,$4.72 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$4.64 ,$52.99 ,$6.42 ,$96.00 ,$6.42 ,$81.60 ,$11.83 ,$66.53 ,$4.64 ,$96.00 ,$53.86 ,$4.64 ,$25.15 , N/A ,$3.63 ,$3.47 ,$4.87 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$9.46 ,$4.64 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30101365,84134,HC PREALBUMIN-90,301,1 ,$137.00 ,$98.64 ,$3.50 ,$137.00 ,$36.48 ,$24.80 ,$75.35 ,$14.30 ,$38.36 ,$56.21 ,$14.30 ,$58.55 ,$14.30 ,$67.82 ,$3.50 ,$14.30 ,$67.82 ,$29.47 ,$95.90 ,$33.15 ,$109.60 ,$36.48 ,$14.30 ,$95.90 ,$14.30 ,$82.20 ,$14.58 ,$102.75 ,$75.62 ,$68.23 ,$75.62 ,$14.30 ,$75.62 ,$21.70 ,$137.00 ,$21.70 ,$116.45 ,$36.48 ,$94.94 ,$14.30 ,$137.00 ,$76.86 ,$14.30 ,$35.89 , N/A ,$8.15 ,$7.78 ,$15.01 ,$109.60 ,$67.82 ,$38.36 ,$123.30 ,$52.06 ,$29.18 ,$14.30 ,$65.76 
ST. MARY'S HOSPITAL - DECATUR,30101366,84140,HC PREGNENOLONE-90,301,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$51.68 ,$35.14 ,$73.70 ,$20.26 ,$37.52 ,$70.08 ,$20.26 ,$73.70 ,$20.26 ,$66.33 ,$3.50 ,$20.26 ,$66.33 ,$41.75 ,$93.80 ,$47.35 ,$107.20 ,$51.68 ,$20.26 ,$93.80 ,$20.26 ,$80.40 ,$20.66 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$20.26 ,$73.97 ,$30.76 ,$134.00 ,$30.76 ,$113.90 ,$51.68 ,$92.86 ,$20.26 ,$134.00 ,$75.17 ,$20.26 ,$35.11 , N/A ,$19.09 ,$18.22 ,$21.27 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$41.34 ,$20.26 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30101368,84144,HC PROGESTERONE-90,301,1 ,$184.00 ,$132.48 ,$3.50 ,$184.00 ,$52.15 ,$35.46 ,$101.20 ,$20.44 ,$51.52 ,$80.35 ,$20.44 ,$83.70 ,$20.44 ,$91.08 ,$3.50 ,$20.44 ,$91.08 ,$42.14 ,$128.80 ,$47.35 ,$147.20 ,$52.15 ,$20.44 ,$128.80 ,$20.44 ,$110.40 ,$20.85 ,$138.00 ,$101.57 ,$91.63 ,$101.57 ,$20.44 ,$101.57 ,$31.03 ,$184.00 ,$31.03 ,$156.40 ,$52.15 ,$127.51 ,$20.44 ,$184.00 ,$103.22 ,$20.44 ,$48.21 , N/A ,$10.98 ,$10.48 ,$21.46 ,$147.20 ,$91.08 ,$51.52 ,$165.60 ,$69.92 ,$41.72 ,$20.44 ,$88.32 
ST. MARY'S HOSPITAL - DECATUR,30101369,84145,HC PROCALCITONIN (PCT)-90,301,1 ,$277.00 ,$199.44 ,$3.50 ,$277.00 ,$68.05 ,$46.28 ,$152.35 ,$26.68 ,$77.56 ,$103.20 ,$26.68 ,$107.50 ,$26.68 ,$137.12 ,$3.50 ,$26.68 ,$137.12 ,$54.98 ,$193.90 ,$62.33 ,$221.60 ,$68.05 ,$26.68 ,$193.90 ,$26.68 ,$166.20 ,$27.20 ,$207.75 ,$152.90 ,$137.95 ,$152.90 ,$26.68 ,$152.90 ,$39.86 ,$277.00 ,$39.86 ,$235.45 ,$68.05 ,$191.96 ,$26.68 ,$277.00 ,$155.40 ,$26.68 ,$72.57 , N/A ,$19.09 ,$18.22 ,$28.01 ,$221.60 ,$137.12 ,$77.56 ,$249.30 ,$105.26 ,$54.44 ,$26.68 ,$132.96 
ST. MARY'S HOSPITAL - DECATUR,30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$88.00 ,$63.36 ,$3.47 ,$88.00 ,$9.18 ,$6.24 ,$48.40 ,$3.60 ,$24.64 ,$19.15 ,$3.60 ,$19.95 ,$3.60 ,$43.56 ,$3.50 ,$3.60 ,$43.56 ,$7.41 ,$61.60 ,$8.68 ,$70.40 ,$9.18 ,$3.60 ,$61.60 ,$3.60 ,$52.80 ,$3.67 ,$66.00 ,$48.58 ,$43.82 ,$48.58 ,$3.60 ,$48.58 ,$5.45 ,$88.00 ,$5.45 ,$74.80 ,$9.18 ,$60.98 ,$3.60 ,$88.00 ,$49.37 ,$3.60 ,$23.06 , N/A ,$3.63 ,$3.47 ,$3.77 ,$70.40 ,$43.56 ,$24.64 ,$79.20 ,$33.44 ,$7.34 ,$3.60 ,$42.24 
ST. MARY'S HOSPITAL - DECATUR,30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$182.00 ,$131.04 ,$3.47 ,$182.00 ,$9.18 ,$6.24 ,$100.10 ,$3.60 ,$50.96 ,$14.11 ,$3.60 ,$14.70 ,$3.60 ,$90.09 ,$3.50 ,$3.60 ,$90.09 ,$7.41 ,$127.40 ,$8.68 ,$145.60 ,$9.18 ,$3.60 ,$127.40 ,$3.60 ,$109.20 ,$3.67 ,$136.50 ,$100.46 ,$90.64 ,$100.46 ,$3.60 ,$100.46 ,$5.45 ,$182.00 ,$5.45 ,$154.70 ,$9.18 ,$126.13 ,$3.60 ,$182.00 ,$102.10 ,$3.60 ,$47.68 , N/A ,$3.63 ,$3.47 ,$3.77 ,$145.60 ,$90.09 ,$50.96 ,$163.80 ,$69.16 ,$7.34 ,$3.60 ,$87.36 
ST. MARY'S HOSPITAL - DECATUR,30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$111.00 ,$79.92 ,$3.47 ,$111.00 ,$10.00 ,$6.80 ,$61.05 ,$3.92 ,$31.08 ,$19.15 ,$3.92 ,$19.95 ,$3.92 ,$54.95 ,$3.50 ,$3.92 ,$54.95 ,$8.08 ,$77.70 ,$9.48 ,$88.80 ,$10.00 ,$3.92 ,$77.70 ,$3.92 ,$66.60 ,$4.00 ,$83.25 ,$61.27 ,$55.28 ,$61.27 ,$3.92 ,$61.27 ,$5.45 ,$111.00 ,$5.45 ,$94.35 ,$10.00 ,$76.92 ,$3.92 ,$111.00 ,$62.27 ,$3.92 ,$29.08 , N/A ,$3.63 ,$3.47 ,$4.12 ,$88.80 ,$54.95 ,$31.08 ,$99.90 ,$42.18 ,$8.00 ,$3.92 ,$53.28 
ST. MARY'S HOSPITAL - DECATUR,30101375,84165,HC PROTEIN ELECTROPHORESIS-90,301,1 ,$46.00 ,$33.12 ,$7.78 ,$46.00 ,$26.85 ,$18.26 ,$25.30 ,$10.53 ,$12.88 ,$24.06 ,$10.53 ,$25.30 ,$10.53 ,$22.77 ,$8.47 ,$10.53 ,$22.77 ,$21.69 ,$32.20 ,$24.45 ,$36.80 ,$26.85 ,$10.53 ,$32.20 ,$10.53 ,$27.60 ,$10.73 ,$34.50 ,$25.39 ,$22.91 ,$25.39 ,$10.53 ,$25.39 ,$15.98 ,$46.00 ,$15.98 ,$39.10 ,$26.85 ,$31.88 ,$10.53 ,$46.00 ,$25.81 ,$10.53 ,$12.05 , N/A ,$8.15 ,$7.78 ,$11.05 ,$36.80 ,$22.77 ,$12.88 ,$41.40 ,$17.48 ,$21.48 ,$10.53 ,$22.08 
ST. MARY'S HOSPITAL - DECATUR,30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$46.00 ,$33.12 ,$7.78 ,$46.00 ,$44.58 ,$30.32 ,$25.30 ,$17.47 ,$12.88 ,$24.06 ,$17.47 ,$25.30 ,$17.47 ,$22.77 ,$14.07 ,$17.47 ,$22.77 ,$36.02 ,$32.20 ,$41.03 ,$36.80 ,$44.58 ,$17.47 ,$32.20 ,$17.47 ,$27.60 ,$17.83 ,$34.50 ,$25.39 ,$22.91 ,$25.39 ,$17.47 ,$25.39 ,$26.52 ,$46.00 ,$26.52 ,$39.10 ,$44.58 ,$31.88 ,$17.47 ,$46.00 ,$25.81 ,$17.47 ,$12.05 , N/A ,$8.15 ,$7.78 ,$18.35 ,$36.80 ,$22.77 ,$12.88 ,$41.40 ,$17.48 ,$35.66 ,$17.47 ,$22.08 
ST. MARY'S HOSPITAL - DECATUR,30101379,84181,HC PROTEIN WESTERN BLOT-90,301,1 ,$346.00 ,$249.12 ,$6.97 ,$346.00 ,$42.58 ,$28.96 ,$190.30 ,$16.69 ,$96.88 ,$65.57 ,$16.69 ,$68.30 ,$16.69 ,$171.27 ,$13.43 ,$16.69 ,$171.27 ,$34.40 ,$242.20 ,$38.65 ,$276.80 ,$42.58 ,$16.69 ,$242.20 ,$16.69 ,$207.60 ,$17.02 ,$259.50 ,$190.99 ,$172.31 ,$190.99 ,$16.69 ,$190.99 ,$25.34 ,$346.00 ,$25.34 ,$294.10 ,$42.58 ,$239.78 ,$16.69 ,$346.00 ,$194.11 ,$16.69 ,$90.65 , N/A ,$7.30 ,$6.97 ,$17.52 ,$276.80 ,$171.27 ,$96.88 ,$311.40 ,$131.48 ,$34.06 ,$16.69 ,$166.08 
ST. MARY'S HOSPITAL - DECATUR,30101380,84182,HC PROTEIN WEST BLOT BAND ID-90,301,1 ,$291.00 ,$209.52 ,$12.01 ,$291.00 ,$73.03 ,$49.66 ,$160.05 ,$28.63 ,$81.48 ,$91.15 ,$28.63 ,$94.95 ,$28.63 ,$144.05 ,$20.74 ,$28.63 ,$144.05 ,$59.00 ,$203.70 ,$66.28 ,$232.80 ,$73.03 ,$28.63 ,$203.70 ,$28.63 ,$174.60 ,$29.19 ,$218.25 ,$160.63 ,$144.92 ,$160.63 ,$28.63 ,$160.63 ,$39.11 ,$291.00 ,$39.11 ,$247.35 ,$73.03 ,$201.66 ,$28.63 ,$291.00 ,$163.25 ,$28.63 ,$76.24 , N/A ,$12.58 ,$12.01 ,$30.06 ,$232.80 ,$144.05 ,$81.48 ,$261.90 ,$110.58 ,$58.42 ,$28.63 ,$139.68 
ST. MARY'S HOSPITAL - DECATUR,30101381,84202,HC PROTOPORPHYRIN-90,301,1 ,$58.00 ,$41.76 ,$3.50 ,$58.00 ,$35.88 ,$24.40 ,$31.90 ,$14.06 ,$16.24 ,$30.33 ,$14.06 ,$31.90 ,$14.06 ,$28.71 ,$3.50 ,$14.06 ,$28.71 ,$28.99 ,$40.60 ,$32.35 ,$46.40 ,$35.88 ,$14.06 ,$40.60 ,$14.06 ,$34.80 ,$14.35 ,$43.50 ,$32.02 ,$28.88 ,$32.02 ,$14.06 ,$32.02 ,$21.34 ,$58.00 ,$21.34 ,$49.30 ,$35.88 ,$40.19 ,$14.06 ,$58.00 ,$32.54 ,$14.06 ,$15.20 , N/A ,$8.15 ,$7.78 ,$14.77 ,$46.40 ,$28.71 ,$16.24 ,$52.20 ,$22.04 ,$28.70 ,$14.06 ,$27.84 
ST. MARY'S HOSPITAL - DECATUR,30101382,84206,HC PROINSULIN-90,301,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$66.73 ,$45.38 ,$122.10 ,$26.16 ,$62.16 ,$83.28 ,$26.16 ,$86.75 ,$26.16 ,$109.89 ,$3.50 ,$26.16 ,$109.89 ,$53.91 ,$155.40 ,$60.75 ,$177.60 ,$66.73 ,$26.16 ,$155.40 ,$26.16 ,$133.20 ,$26.68 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$26.16 ,$122.54 ,$35.74 ,$222.00 ,$35.74 ,$188.70 ,$66.73 ,$153.85 ,$26.16 ,$222.00 ,$124.54 ,$26.16 ,$58.16 , N/A ,$19.09 ,$18.22 ,$27.46 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$53.38 ,$26.16 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,30101383,84207,HC VITAMIN B6-90,301,1 ,$293.00 ,$210.96 ,$3.50 ,$293.00 ,$70.25 ,$47.78 ,$161.15 ,$27.54 ,$82.04 ,$108.24 ,$27.54 ,$112.75 ,$27.54 ,$145.04 ,$3.50 ,$27.54 ,$145.04 ,$56.76 ,$205.10 ,$63.90 ,$234.40 ,$70.25 ,$27.54 ,$205.10 ,$27.54 ,$175.80 ,$28.09 ,$219.75 ,$161.74 ,$145.91 ,$161.74 ,$27.54 ,$161.74 ,$41.81 ,$293.00 ,$41.81 ,$249.05 ,$70.25 ,$203.05 ,$27.54 ,$293.00 ,$164.37 ,$27.54 ,$76.77 , N/A ,$8.15 ,$7.78 ,$28.92 ,$234.40 ,$145.04 ,$82.04 ,$263.70 ,$111.34 ,$56.20 ,$27.54 ,$140.64 
ST. MARY'S HOSPITAL - DECATUR,30101384,84210,HC PYRUVATE-90,301,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$36.20 ,$24.62 ,$89.10 ,$14.19 ,$45.36 ,$45.17 ,$14.19 ,$47.05 ,$14.19 ,$80.19 ,$3.50 ,$14.19 ,$80.19 ,$29.25 ,$113.40 ,$33.15 ,$129.60 ,$36.20 ,$14.19 ,$113.40 ,$14.19 ,$97.20 ,$14.47 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$14.19 ,$89.42 ,$19.38 ,$162.00 ,$19.38 ,$137.70 ,$36.20 ,$112.27 ,$14.19 ,$162.00 ,$90.88 ,$14.19 ,$42.44 , N/A ,$8.15 ,$7.78 ,$14.90 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$28.96 ,$14.19 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30101386,84238,HC RECEPTOR ASSAY NON ENDO-90,301,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$91.43 ,$62.16 ,$71.50 ,$35.84 ,$36.40 ,$67.99 ,$35.84 ,$71.50 ,$35.84 ,$64.35 ,$3.50 ,$35.84 ,$64.35 ,$73.87 ,$91.00 ,$83.63 ,$104.00 ,$91.43 ,$35.84 ,$91.00 ,$35.84 ,$78.00 ,$36.55 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$35.84 ,$71.76 ,$54.40 ,$130.00 ,$54.40 ,$110.50 ,$91.43 ,$90.09 ,$35.84 ,$130.00 ,$72.93 ,$35.84 ,$34.06 , N/A ,$21.95 ,$20.95 ,$37.63 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$73.14 ,$35.84 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30101387,84244,HC RENIN-90,301,1 ,$184.00 ,$132.48 ,$3.50 ,$184.00 ,$54.98 ,$37.38 ,$101.20 ,$21.55 ,$51.52 ,$84.72 ,$21.55 ,$88.25 ,$21.55 ,$91.08 ,$3.50 ,$21.55 ,$91.08 ,$44.42 ,$128.80 ,$50.50 ,$147.20 ,$54.98 ,$21.55 ,$128.80 ,$21.55 ,$110.40 ,$21.98 ,$138.00 ,$101.57 ,$91.63 ,$101.57 ,$21.55 ,$101.57 ,$32.72 ,$184.00 ,$32.72 ,$156.40 ,$54.98 ,$127.51 ,$21.55 ,$184.00 ,$103.22 ,$21.55 ,$48.21 , N/A ,$19.09 ,$18.22 ,$22.63 ,$147.20 ,$91.08 ,$51.52 ,$165.60 ,$69.92 ,$43.98 ,$21.55 ,$88.32 
ST. MARY'S HOSPITAL - DECATUR,30101388,84255,HC SELENIUM-90,301,1 ,$202.00 ,$145.44 ,$3.50 ,$202.00 ,$63.83 ,$43.40 ,$111.10 ,$25.02 ,$56.56 ,$98.35 ,$25.02 ,$102.45 ,$25.02 ,$99.99 ,$3.50 ,$25.02 ,$99.99 ,$51.57 ,$141.40 ,$58.40 ,$161.60 ,$63.83 ,$25.02 ,$141.40 ,$25.02 ,$121.20 ,$25.52 ,$151.50 ,$111.50 ,$100.60 ,$111.50 ,$25.02 ,$111.50 ,$37.99 ,$202.00 ,$37.99 ,$171.70 ,$63.83 ,$139.99 ,$25.02 ,$202.00 ,$113.32 ,$25.02 ,$52.92 , N/A ,$8.15 ,$7.78 ,$26.27 ,$161.60 ,$99.99 ,$56.56 ,$181.80 ,$76.76 ,$51.06 ,$25.02 ,$96.96 
ST. MARY'S HOSPITAL - DECATUR,30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$286.00 ,$205.92 ,$3.50 ,$286.00 ,$50.60 ,$34.40 ,$157.30 ,$19.84 ,$80.08 ,$77.95 ,$19.84 ,$81.20 ,$19.84 ,$141.57 ,$3.50 ,$19.84 ,$141.57 ,$40.88 ,$200.20 ,$45.78 ,$228.80 ,$50.60 ,$19.84 ,$200.20 ,$19.84 ,$171.60 ,$20.23 ,$214.50 ,$157.87 ,$142.43 ,$157.87 ,$19.84 ,$157.87 ,$30.12 ,$286.00 ,$30.12 ,$243.10 ,$50.60 ,$198.20 ,$19.84 ,$286.00 ,$160.45 ,$19.84 ,$74.93 , N/A ,$8.15 ,$7.78 ,$20.82 ,$228.80 ,$141.57 ,$80.08 ,$257.40 ,$108.68 ,$40.48 ,$19.84 ,$137.28 
ST. MARY'S HOSPITAL - DECATUR,30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$54.33 ,$36.94 ,$72.05 ,$21.30 ,$36.68 ,$68.51 ,$21.30 ,$72.05 ,$21.30 ,$64.85 ,$3.50 ,$21.30 ,$64.85 ,$43.89 ,$91.70 ,$49.70 ,$104.80 ,$54.33 ,$21.30 ,$91.70 ,$21.30 ,$78.60 ,$21.72 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$21.30 ,$72.31 ,$32.34 ,$131.00 ,$32.34 ,$111.35 ,$54.33 ,$90.78 ,$21.30 ,$131.00 ,$73.49 ,$21.30 ,$34.32 , N/A ,$8.15 ,$7.78 ,$22.36 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$43.46 ,$21.30 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30101391,84270,HC SEX HORMONE BIND GLOB,301,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$54.33 ,$36.94 ,$72.05 ,$21.30 ,$36.68 ,$68.51 ,$21.30 ,$72.05 ,$21.30 ,$64.85 ,$3.50 ,$21.30 ,$64.85 ,$43.89 ,$91.70 ,$49.70 ,$104.80 ,$54.33 ,$21.30 ,$91.70 ,$21.30 ,$78.60 ,$21.72 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$21.30 ,$72.31 ,$32.34 ,$131.00 ,$32.34 ,$111.35 ,$54.33 ,$90.78 ,$21.30 ,$131.00 ,$73.49 ,$21.30 ,$34.32 , N/A ,$8.15 ,$7.78 ,$22.36 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$43.46 ,$21.30 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30101392,84260,HC SEROTONIN-90,301,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$77.45 ,$52.66 ,$72.05 ,$30.36 ,$36.68 ,$68.51 ,$30.36 ,$72.05 ,$30.36 ,$64.85 ,$3.50 ,$30.36 ,$64.85 ,$62.58 ,$91.70 ,$71.00 ,$104.80 ,$77.45 ,$30.36 ,$91.70 ,$30.36 ,$78.60 ,$30.97 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$30.36 ,$72.31 ,$46.10 ,$131.00 ,$46.10 ,$111.35 ,$77.45 ,$90.78 ,$30.36 ,$131.00 ,$73.49 ,$30.36 ,$34.32 , N/A ,$19.09 ,$18.22 ,$31.88 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$61.96 ,$30.36 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30101394,84300,HC SODIUM URINE-90,301,1 ,$167.00 ,$120.24 ,$3.47 ,$167.00 ,$12.65 ,$8.60 ,$91.85 ,$4.96 ,$46.76 ,$18.72 ,$4.96 ,$19.50 ,$4.96 ,$82.67 ,$3.50 ,$4.96 ,$82.67 ,$10.22 ,$116.90 ,$11.83 ,$133.60 ,$12.65 ,$4.96 ,$116.90 ,$4.96 ,$100.20 ,$5.06 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$4.96 ,$92.18 ,$7.23 ,$167.00 ,$7.23 ,$141.95 ,$12.65 ,$115.73 ,$4.96 ,$167.00 ,$93.69 ,$4.96 ,$43.75 , N/A ,$3.63 ,$3.47 ,$5.20 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$10.12 ,$4.96 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$99.00 ,$71.28 ,$3.47 ,$99.00 ,$12.15 ,$8.26 ,$54.45 ,$4.76 ,$27.72 ,$18.72 ,$4.76 ,$19.50 ,$4.76 ,$49.01 ,$3.50 ,$4.76 ,$49.01 ,$9.82 ,$69.30 ,$11.05 ,$79.20 ,$12.15 ,$4.76 ,$69.30 ,$4.76 ,$59.40 ,$4.86 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$4.76 ,$54.65 ,$7.23 ,$99.00 ,$7.23 ,$84.15 ,$12.15 ,$68.61 ,$4.76 ,$99.00 ,$55.54 ,$4.76 ,$25.94 , N/A ,$3.63 ,$3.47 ,$5.00 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$9.72 ,$4.76 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30101396,84305,HC SOMATOMEDIN-90,301,1 ,$225.00 ,$162.00 ,$3.50 ,$225.00 ,$53.15 ,$36.14 ,$123.75 ,$20.83 ,$63.00 ,$81.89 ,$20.83 ,$85.30 ,$20.83 ,$111.38 ,$3.50 ,$20.83 ,$111.38 ,$42.95 ,$157.50 ,$48.13 ,$180.00 ,$53.15 ,$20.83 ,$157.50 ,$20.83 ,$135.00 ,$21.26 ,$168.75 ,$124.20 ,$112.05 ,$124.20 ,$20.83 ,$124.20 ,$31.64 ,$225.00 ,$31.64 ,$191.25 ,$53.15 ,$155.93 ,$20.83 ,$225.00 ,$126.23 ,$20.83 ,$58.95 , N/A ,$19.09 ,$18.22 ,$21.87 ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$42.52 ,$20.83 ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,30101397,84307,HC SOMATOSTATIN-90,301,1 ,$260.00 ,$187.20 ,$3.50 ,$260.00 ,$45.70 ,$31.08 ,$143.00 ,$17.91 ,$72.80 ,$70.37 ,$17.91 ,$73.30 ,$17.91 ,$128.70 ,$3.50 ,$17.91 ,$128.70 ,$36.93 ,$182.00 ,$41.83 ,$208.00 ,$45.70 ,$17.91 ,$182.00 ,$17.91 ,$156.00 ,$18.28 ,$195.00 ,$143.52 ,$129.48 ,$143.52 ,$17.91 ,$143.52 ,$27.19 ,$260.00 ,$27.19 ,$221.00 ,$45.70 ,$180.18 ,$17.91 ,$260.00 ,$145.86 ,$17.91 ,$68.12 , N/A ,$19.09 ,$18.22 ,$18.81 ,$208.00 ,$128.70 ,$72.80 ,$234.00 ,$98.80 ,$36.56 ,$17.91 ,$124.80 
ST. MARY'S HOSPITAL - DECATUR,30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$302.00 ,$217.44 ,$3.50 ,$302.00 ,$20.25 ,$13.78 ,$166.10 ,$7.94 ,$84.56 ,$26.93 ,$7.94 ,$28.05 ,$7.94 ,$149.49 ,$3.50 ,$7.94 ,$149.49 ,$16.36 ,$211.40 ,$18.15 ,$241.60 ,$20.25 ,$7.94 ,$211.40 ,$7.94 ,$181.20 ,$8.09 ,$226.50 ,$166.70 ,$150.40 ,$166.70 ,$7.94 ,$166.70 ,$10.85 ,$302.00 ,$10.85 ,$256.70 ,$20.25 ,$209.29 ,$7.94 ,$302.00 ,$169.42 ,$7.94 ,$79.12 , N/A ,$8.15 ,$7.78 ,$8.34 ,$241.60 ,$149.49 ,$84.56 ,$271.80 ,$114.76 ,$16.20 ,$7.94 ,$144.96 
ST. MARY'S HOSPITAL - DECATUR,30101400,84315,HC SPEC GRAVITY NON UR-90,301,1 ,$72.00 ,$51.84 ,$3.21 ,$72.00 ,$8.20 ,$5.58 ,$39.60 ,$3.21 ,$20.16 ,$10.22 ,$3.21 ,$10.65 ,$3.21 ,$35.64 ,$3.50 ,$3.21 ,$35.64 ,$6.63 ,$50.40 ,$7.10 ,$57.60 ,$8.20 ,$3.21 ,$50.40 ,$3.21 ,$43.20 ,$3.28 ,$54.00 ,$39.74 ,$35.86 ,$39.74 ,$3.21 ,$39.74 ,$4.39 ,$72.00 ,$4.39 ,$61.20 ,$8.20 ,$49.90 ,$3.21 ,$72.00 ,$40.39 ,$3.21 ,$18.86 , N/A ,$3.63 ,$3.47 ,$3.37 ,$57.60 ,$35.64 ,$20.16 ,$64.80 ,$27.36 ,$6.56 ,$3.21 ,$34.56 
ST. MARY'S HOSPITAL - DECATUR,30101401,84315,HC SPEC GRAVITY NON UR,301,1 ,$72.00 ,$51.84 ,$3.21 ,$72.00 ,$8.20 ,$5.58 ,$39.60 ,$3.21 ,$20.16 ,$10.22 ,$3.21 ,$10.65 ,$3.21 ,$35.64 ,$3.50 ,$3.21 ,$35.64 ,$6.63 ,$50.40 ,$7.10 ,$57.60 ,$8.20 ,$3.21 ,$50.40 ,$3.21 ,$43.20 ,$3.28 ,$54.00 ,$39.74 ,$35.86 ,$39.74 ,$3.21 ,$39.74 ,$4.39 ,$72.00 ,$4.39 ,$61.20 ,$8.20 ,$49.90 ,$3.21 ,$72.00 ,$40.39 ,$3.21 ,$18.86 , N/A ,$3.63 ,$3.47 ,$3.37 ,$57.60 ,$35.64 ,$20.16 ,$64.80 ,$27.36 ,$6.56 ,$3.21 ,$34.56 
ST. MARY'S HOSPITAL - DECATUR,30101402,84376,HC SUGARS SINGLE QL-90,301,1 ,$122.00 ,$87.84 ,$3.47 ,$122.00 ,$13.75 ,$9.36 ,$67.10 ,$5.39 ,$34.16 ,$21.17 ,$5.39 ,$22.05 ,$5.39 ,$60.39 ,$3.50 ,$5.39 ,$60.39 ,$11.11 ,$85.40 ,$12.63 ,$97.60 ,$13.75 ,$5.39 ,$85.40 ,$5.39 ,$73.20 ,$5.50 ,$91.50 ,$67.34 ,$60.76 ,$67.34 ,$5.39 ,$67.34 ,$8.18 ,$122.00 ,$8.18 ,$103.70 ,$13.75 ,$84.55 ,$5.39 ,$122.00 ,$68.44 ,$5.39 ,$31.96 , N/A ,$3.63 ,$3.47 ,$5.66 ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$11.00 ,$5.39 ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,30101403,84378,HC SUGARS SINGLE QN-90,301,1 ,$413.00 ,$297.36 ,$3.50 ,$413.00 ,$28.83 ,$19.60 ,$227.15 ,$11.30 ,$115.64 ,$44.40 ,$11.30 ,$46.25 ,$11.30 ,$204.44 ,$3.50 ,$11.30 ,$204.44 ,$23.29 ,$289.10 ,$26.05 ,$330.40 ,$28.83 ,$11.30 ,$289.10 ,$11.30 ,$247.80 ,$11.52 ,$309.75 ,$227.98 ,$205.67 ,$227.98 ,$11.30 ,$227.98 ,$17.15 ,$413.00 ,$17.15 ,$351.05 ,$28.83 ,$286.21 ,$11.30 ,$413.00 ,$231.69 ,$11.30 ,$108.21 , N/A ,$8.15 ,$7.78 ,$11.87 ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$23.06 ,$11.30 ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,30101405,84392,HC SULFATE URINE-90,301,1 ,$46.00 ,$33.12 ,$2.78 ,$46.00 ,$13.73 ,$9.34 ,$25.30 ,$5.38 ,$12.88 ,$18.29 ,$5.38 ,$19.05 ,$5.38 ,$22.77 ,$3.50 ,$5.38 ,$22.77 ,$11.09 ,$32.20 ,$12.63 ,$36.80 ,$13.73 ,$5.38 ,$32.20 ,$5.38 ,$27.60 ,$5.49 ,$34.50 ,$25.39 ,$22.91 ,$25.39 ,$5.38 ,$25.39 ,$7.35 ,$46.00 ,$7.35 ,$39.10 ,$13.73 ,$31.88 ,$5.38 ,$46.00 ,$25.81 ,$5.38 ,$12.05 , N/A ,$2.92 ,$2.78 ,$5.64 ,$36.80 ,$22.77 ,$12.88 ,$41.40 ,$17.48 ,$10.98 ,$5.38 ,$22.08 
ST. MARY'S HOSPITAL - DECATUR,30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$94.00 ,$67.68 ,$3.50 ,$94.00 ,$63.68 ,$43.30 ,$51.70 ,$24.96 ,$26.32 ,$49.16 ,$24.96 ,$51.70 ,$24.96 ,$46.53 ,$3.50 ,$24.96 ,$46.53 ,$51.45 ,$65.80 ,$58.40 ,$75.20 ,$63.68 ,$24.96 ,$65.80 ,$24.96 ,$56.40 ,$25.46 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$24.96 ,$51.89 ,$37.89 ,$94.00 ,$37.89 ,$79.90 ,$63.68 ,$65.14 ,$24.96 ,$94.00 ,$52.73 ,$24.96 ,$24.63 , N/A ,$19.09 ,$18.22 ,$26.21 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$50.94 ,$24.96 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$190.00 ,$136.80 ,$3.50 ,$190.00 ,$64.53 ,$43.88 ,$104.50 ,$25.29 ,$53.20 ,$99.37 ,$25.29 ,$103.60 ,$25.29 ,$94.05 ,$3.50 ,$25.29 ,$94.05 ,$52.14 ,$133.00 ,$59.18 ,$152.00 ,$64.53 ,$25.29 ,$133.00 ,$25.29 ,$114.00 ,$25.80 ,$142.50 ,$104.88 ,$94.62 ,$104.88 ,$25.29 ,$104.88 ,$38.40 ,$190.00 ,$38.40 ,$161.50 ,$64.53 ,$131.67 ,$25.29 ,$190.00 ,$106.59 ,$25.29 ,$49.78 , N/A ,$19.09 ,$18.22 ,$26.56 ,$152.00 ,$94.05 ,$53.20 ,$171.00 ,$72.20 ,$51.62 ,$25.29 ,$91.20 
ST. MARY'S HOSPITAL - DECATUR,30101408,84425,HC VITAMIN B1-90,301,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$53.08 ,$36.10 ,$80.30 ,$20.81 ,$40.88 ,$76.36 ,$20.81 ,$80.30 ,$20.81 ,$72.27 ,$3.50 ,$20.81 ,$72.27 ,$42.88 ,$102.20 ,$48.13 ,$116.80 ,$53.08 ,$20.81 ,$102.20 ,$20.81 ,$87.60 ,$21.22 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$20.81 ,$80.59 ,$31.59 ,$146.00 ,$31.59 ,$124.10 ,$53.08 ,$101.18 ,$20.81 ,$146.00 ,$81.91 ,$20.81 ,$38.25 , N/A ,$8.15 ,$7.78 ,$21.84 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$42.46 ,$20.81 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30101410,84432,HC THYROGLOBULIN-90,301,1 ,$158.00 ,$113.76 ,$3.50 ,$158.00 ,$40.15 ,$27.30 ,$86.90 ,$15.74 ,$44.24 ,$61.87 ,$15.74 ,$64.45 ,$15.74 ,$78.21 ,$3.50 ,$15.74 ,$78.21 ,$32.44 ,$110.60 ,$36.30 ,$126.40 ,$40.15 ,$15.74 ,$110.60 ,$15.74 ,$94.80 ,$16.05 ,$118.50 ,$87.22 ,$78.68 ,$87.22 ,$15.74 ,$87.22 ,$23.89 ,$158.00 ,$23.89 ,$134.30 ,$40.15 ,$109.49 ,$15.74 ,$158.00 ,$88.64 ,$15.74 ,$41.40 , N/A ,$19.09 ,$18.22 ,$16.52 ,$126.40 ,$78.21 ,$44.24 ,$142.20 ,$60.04 ,$32.12 ,$15.74 ,$75.84 
ST. MARY'S HOSPITAL - DECATUR,30101412,84436,HC THYROXINE (T-4) TOTAL-90,301,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$17.18 ,$11.68 ,$37.40 ,$6.73 ,$19.04 ,$26.45 ,$6.73 ,$27.55 ,$6.73 ,$33.66 ,$3.50 ,$6.73 ,$33.66 ,$13.88 ,$47.60 ,$15.78 ,$54.40 ,$17.18 ,$6.73 ,$47.60 ,$6.73 ,$40.80 ,$6.87 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$6.73 ,$37.54 ,$10.22 ,$68.00 ,$10.22 ,$57.80 ,$17.18 ,$47.12 ,$6.73 ,$68.00 ,$38.15 ,$6.73 ,$17.82 , N/A ,$10.98 ,$10.48 ,$7.07 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$13.74 ,$6.73 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30101413,84439,HC T4 FREE-90,301,1 ,$158.00 ,$113.76 ,$3.50 ,$158.00 ,$22.55 ,$15.34 ,$86.90 ,$8.84 ,$44.24 ,$34.70 ,$8.84 ,$36.15 ,$8.84 ,$78.21 ,$3.50 ,$8.84 ,$78.21 ,$18.22 ,$110.60 ,$20.53 ,$126.40 ,$22.55 ,$8.84 ,$110.60 ,$8.84 ,$94.80 ,$9.02 ,$118.50 ,$87.22 ,$78.68 ,$87.22 ,$8.84 ,$87.22 ,$13.42 ,$158.00 ,$13.42 ,$134.30 ,$22.55 ,$109.49 ,$8.84 ,$158.00 ,$88.64 ,$8.84 ,$41.40 , N/A ,$10.98 ,$10.48 ,$9.28 ,$126.40 ,$78.21 ,$44.24 ,$142.20 ,$60.04 ,$18.04 ,$8.84 ,$75.84 
ST. MARY'S HOSPITAL - DECATUR,30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$170.00 ,$122.40 ,$3.50 ,$170.00 ,$36.95 ,$25.12 ,$93.50 ,$14.48 ,$47.60 ,$56.93 ,$14.48 ,$59.30 ,$14.48 ,$84.15 ,$3.50 ,$14.48 ,$84.15 ,$29.86 ,$119.00 ,$33.93 ,$136.00 ,$36.95 ,$14.48 ,$119.00 ,$14.48 ,$102.00 ,$14.78 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$14.48 ,$93.84 ,$22.00 ,$170.00 ,$22.00 ,$144.50 ,$36.95 ,$117.81 ,$14.48 ,$170.00 ,$95.37 ,$14.48 ,$44.54 , N/A ,$10.98 ,$10.48 ,$15.21 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$29.56 ,$14.48 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$461.00 ,$331.92 ,$3.50 ,$461.00 ,$127.15 ,$86.46 ,$253.55 ,$49.84 ,$129.08 ,$195.89 ,$49.84 ,$204.05 ,$49.84 ,$228.20 ,$3.50 ,$49.84 ,$228.20 ,$102.74 ,$322.70 ,$115.98 ,$368.80 ,$127.15 ,$49.84 ,$322.70 ,$49.84 ,$276.60 ,$50.84 ,$345.75 ,$254.47 ,$229.58 ,$254.47 ,$49.84 ,$254.47 ,$75.66 ,$461.00 ,$75.66 ,$391.85 ,$127.15 ,$319.47 ,$49.84 ,$461.00 ,$258.62 ,$49.84 ,$120.78 , N/A ,$19.09 ,$18.22 ,$52.33 ,$368.80 ,$228.20 ,$129.08 ,$414.90 ,$175.18 ,$101.72 ,$49.84 ,$221.28 
ST. MARY'S HOSPITAL - DECATUR,30101418,84446,HC VITAMIN E-90,301,1 ,$132.00 ,$95.04 ,$3.50 ,$132.00 ,$35.45 ,$24.10 ,$72.60 ,$13.90 ,$36.96 ,$54.62 ,$13.90 ,$56.90 ,$13.90 ,$65.34 ,$3.50 ,$13.90 ,$65.34 ,$28.64 ,$92.40 ,$32.35 ,$105.60 ,$35.45 ,$13.90 ,$92.40 ,$13.90 ,$79.20 ,$14.17 ,$99.00 ,$72.86 ,$65.74 ,$72.86 ,$13.90 ,$72.86 ,$21.09 ,$132.00 ,$21.09 ,$112.20 ,$35.45 ,$91.48 ,$13.90 ,$132.00 ,$74.05 ,$13.90 ,$34.58 , N/A ,$8.15 ,$7.78 ,$14.59 ,$105.60 ,$65.34 ,$36.96 ,$118.80 ,$50.16 ,$28.36 ,$13.90 ,$63.36 
ST. MARY'S HOSPITAL - DECATUR,30101419,84460,HC ALT-90,301,1 ,$190.00 ,$136.80 ,$3.47 ,$190.00 ,$13.25 ,$9.02 ,$104.50 ,$5.19 ,$53.20 ,$27.65 ,$5.19 ,$28.80 ,$5.19 ,$94.05 ,$3.50 ,$5.19 ,$94.05 ,$10.71 ,$133.00 ,$11.83 ,$152.00 ,$13.25 ,$5.19 ,$133.00 ,$5.19 ,$114.00 ,$5.30 ,$142.50 ,$104.88 ,$94.62 ,$104.88 ,$5.19 ,$104.88 ,$7.89 ,$190.00 ,$7.89 ,$161.50 ,$13.25 ,$131.67 ,$5.19 ,$190.00 ,$106.59 ,$5.19 ,$49.78 , N/A ,$3.63 ,$3.47 ,$5.46 ,$152.00 ,$94.05 ,$53.20 ,$171.00 ,$72.20 ,$10.60 ,$5.19 ,$91.20 
ST. MARY'S HOSPITAL - DECATUR,30101420,84466,HC TRANSFERRIN-90,301,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$31.90 ,$21.70 ,$58.30 ,$12.50 ,$29.68 ,$49.15 ,$12.50 ,$51.20 ,$12.50 ,$52.47 ,$3.50 ,$12.50 ,$52.47 ,$25.78 ,$74.20 ,$29.20 ,$84.80 ,$31.90 ,$12.50 ,$74.20 ,$12.50 ,$63.60 ,$12.76 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$12.50 ,$58.51 ,$18.98 ,$106.00 ,$18.98 ,$90.10 ,$31.90 ,$73.46 ,$12.50 ,$106.00 ,$59.47 ,$12.50 ,$27.77 , N/A ,$8.15 ,$7.78 ,$13.13 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$25.52 ,$12.50 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30101421,84478,HC TRIGLYCERIDES-90,301,1 ,$240.00 ,$172.80 ,$3.47 ,$240.00 ,$14.35 ,$9.76 ,$132.00 ,$5.63 ,$67.20 ,$29.95 ,$5.63 ,$31.20 ,$5.63 ,$118.80 ,$3.50 ,$5.63 ,$118.80 ,$11.59 ,$168.00 ,$13.43 ,$192.00 ,$14.35 ,$5.63 ,$168.00 ,$5.63 ,$144.00 ,$5.73 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$5.63 ,$132.48 ,$8.54 ,$240.00 ,$8.54 ,$204.00 ,$14.35 ,$166.32 ,$5.63 ,$240.00 ,$134.64 ,$5.63 ,$62.88 , N/A ,$3.63 ,$3.47 ,$5.91 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$11.48 ,$5.63 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30101422,84479,HC T3 UPTAKE-90,301,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$16.18 ,$11.00 ,$75.90 ,$6.34 ,$38.64 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$68.31 ,$3.50 ,$6.34 ,$68.31 ,$13.07 ,$96.60 ,$15.00 ,$110.40 ,$16.18 ,$6.34 ,$96.60 ,$6.34 ,$82.80 ,$6.47 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$6.34 ,$76.18 ,$9.61 ,$138.00 ,$9.61 ,$117.30 ,$16.18 ,$95.63 ,$6.34 ,$138.00 ,$77.42 ,$6.34 ,$36.16 , N/A ,$10.98 ,$10.48 ,$6.65 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$12.94 ,$6.34 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30101425,84482,HC T3 REVERSE-90,301,1 ,$245.00 ,$176.40 ,$3.50 ,$245.00 ,$39.40 ,$26.80 ,$134.75 ,$15.44 ,$68.60 ,$60.72 ,$15.44 ,$63.25 ,$15.44 ,$121.28 ,$3.50 ,$15.44 ,$121.28 ,$31.84 ,$171.50 ,$36.30 ,$196.00 ,$39.40 ,$15.44 ,$171.50 ,$15.44 ,$147.00 ,$15.76 ,$183.75 ,$135.24 ,$122.01 ,$135.24 ,$15.44 ,$135.24 ,$23.44 ,$245.00 ,$23.44 ,$208.25 ,$39.40 ,$169.79 ,$15.44 ,$245.00 ,$137.45 ,$15.44 ,$64.19 , N/A ,$10.98 ,$10.48 ,$16.22 ,$196.00 ,$121.28 ,$68.60 ,$220.50 ,$93.10 ,$31.52 ,$15.44 ,$117.60 
ST. MARY'S HOSPITAL - DECATUR,30101426,84484,HC TROPONIN QN-90,301,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$31.18 ,$21.20 ,$106.15 ,$12.22 ,$54.04 ,$38.93 ,$12.22 ,$40.55 ,$12.22 ,$95.54 ,$3.50 ,$12.22 ,$95.54 ,$25.19 ,$135.10 ,$28.40 ,$154.40 ,$31.18 ,$12.22 ,$135.10 ,$12.22 ,$115.80 ,$12.47 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$12.22 ,$106.54 ,$16.70 ,$193.00 ,$16.70 ,$164.05 ,$31.18 ,$133.75 ,$12.22 ,$193.00 ,$108.27 ,$12.22 ,$50.57 , N/A ,$8.15 ,$7.78 ,$12.83 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$24.94 ,$12.22 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30101429,84510,HC TYROSINE-90,301,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$26.58 ,$18.08 ,$77.55 ,$10.42 ,$39.48 ,$40.08 ,$10.42 ,$41.75 ,$10.42 ,$69.80 ,$3.50 ,$10.42 ,$69.80 ,$21.47 ,$98.70 ,$24.45 ,$112.80 ,$26.58 ,$10.42 ,$98.70 ,$10.42 ,$84.60 ,$10.62 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$10.42 ,$77.83 ,$15.48 ,$141.00 ,$15.48 ,$119.85 ,$26.58 ,$97.71 ,$10.42 ,$141.00 ,$79.10 ,$10.42 ,$36.94 , N/A ,$8.15 ,$7.78 ,$10.94 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$21.26 ,$10.42 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30101430,84520,HC UREA NITROGEN QUANTITATIVE-QW,301,1 ,$84.00 ,$60.48 ,$3.47 ,$84.00 ,$9.88 ,$6.72 ,$46.20 ,$3.87 ,$23.52 ,$20.59 ,$3.87 ,$21.45 ,$3.87 ,$41.58 ,$3.50 ,$3.87 ,$41.58 ,$7.98 ,$58.80 ,$8.68 ,$67.20 ,$9.88 ,$3.87 ,$58.80 ,$3.87 ,$50.40 ,$3.95 ,$63.00 ,$46.37 ,$41.83 ,$46.37 ,$3.87 ,$46.37 ,$5.88 ,$84.00 ,$5.88 ,$71.40 ,$9.88 ,$58.21 ,$3.87 ,$3.95 ,$47.12 ,$3.87 ,$22.01 , N/A ,$3.63 ,$3.47 ,$4.07 ,$67.20 ,$41.58 ,$23.52 ,$75.60 ,$31.92 ,$7.90 ,$3.87 ,$40.32 
ST. MARY'S HOSPITAL - DECATUR,30101433,84540,HC UREA URINE-90,301,1 ,$80.00 ,$57.60 ,$3.47 ,$80.00 ,$13.90 ,$9.46 ,$44.00 ,$5.45 ,$22.40 ,$18.29 ,$5.45 ,$19.05 ,$5.45 ,$39.60 ,$3.50 ,$5.45 ,$39.60 ,$11.23 ,$56.00 ,$12.63 ,$64.00 ,$13.90 ,$5.45 ,$56.00 ,$5.45 ,$48.00 ,$5.56 ,$60.00 ,$44.16 ,$39.84 ,$44.16 ,$5.45 ,$44.16 ,$7.45 ,$80.00 ,$7.45 ,$68.00 ,$13.90 ,$55.44 ,$5.45 ,$80.00 ,$44.88 ,$5.45 ,$20.96 , N/A ,$3.63 ,$3.47 ,$5.72 ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$11.12 ,$5.45 ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$120.00 ,$86.40 ,$3.47 ,$120.00 ,$12.70 ,$8.64 ,$66.00 ,$4.98 ,$33.60 ,$18.29 ,$4.98 ,$19.05 ,$4.98 ,$59.40 ,$3.50 ,$4.98 ,$59.40 ,$10.26 ,$84.00 ,$11.83 ,$96.00 ,$12.70 ,$4.98 ,$84.00 ,$4.98 ,$72.00 ,$5.08 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$4.98 ,$66.24 ,$7.06 ,$120.00 ,$7.06 ,$102.00 ,$12.70 ,$83.16 ,$4.98 ,$120.00 ,$67.32 ,$4.98 ,$31.44 , N/A ,$3.63 ,$3.47 ,$5.22 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$10.16 ,$4.98 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$171.00 ,$123.12 ,$3.50 ,$171.00 ,$38.75 ,$26.36 ,$94.05 ,$15.19 ,$47.88 ,$59.66 ,$15.19 ,$62.15 ,$15.19 ,$84.65 ,$3.50 ,$15.19 ,$84.65 ,$31.31 ,$119.70 ,$35.50 ,$136.80 ,$38.75 ,$15.19 ,$119.70 ,$15.19 ,$102.60 ,$15.49 ,$128.25 ,$94.39 ,$85.16 ,$94.39 ,$15.19 ,$94.39 ,$23.06 ,$171.00 ,$23.06 ,$145.35 ,$38.75 ,$118.50 ,$15.19 ,$171.00 ,$95.93 ,$15.19 ,$44.80 , N/A ,$19.09 ,$18.22 ,$15.95 ,$136.80 ,$84.65 ,$47.88 ,$153.90 ,$64.98 ,$31.00 ,$15.19 ,$82.08 
ST. MARY'S HOSPITAL - DECATUR,30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$342.00 ,$246.24 ,$3.50 ,$342.00 ,$88.33 ,$60.06 ,$188.10 ,$34.62 ,$95.76 ,$136.08 ,$34.62 ,$141.75 ,$34.62 ,$169.29 ,$3.50 ,$34.62 ,$169.29 ,$71.37 ,$239.40 ,$80.48 ,$273.60 ,$88.33 ,$34.62 ,$239.40 ,$34.62 ,$205.20 ,$35.32 ,$256.50 ,$188.78 ,$170.32 ,$188.78 ,$34.62 ,$188.78 ,$52.57 ,$342.00 ,$52.57 ,$290.70 ,$88.33 ,$237.01 ,$34.62 ,$342.00 ,$191.86 ,$34.62 ,$89.60 , N/A ,$19.09 ,$18.22 ,$36.36 ,$273.60 ,$169.29 ,$95.76 ,$307.80 ,$129.96 ,$70.66 ,$34.62 ,$164.16 
ST. MARY'S HOSPITAL - DECATUR,30101437,84588,HC VASOPRESSIN (ADH)-90,301,1 ,$140.00 ,$100.80 ,$3.50 ,$140.00 ,$84.85 ,$57.70 ,$77.00 ,$33.26 ,$39.20 ,$73.22 ,$33.26 ,$77.00 ,$33.26 ,$69.30 ,$3.50 ,$33.26 ,$69.30 ,$68.56 ,$98.00 ,$77.33 ,$112.00 ,$84.85 ,$33.26 ,$98.00 ,$33.26 ,$84.00 ,$33.93 ,$105.00 ,$77.28 ,$69.72 ,$77.28 ,$33.26 ,$77.28 ,$50.49 ,$140.00 ,$50.49 ,$119.00 ,$84.85 ,$97.02 ,$33.26 ,$140.00 ,$78.54 ,$33.26 ,$36.68 , N/A ,$19.09 ,$18.22 ,$34.93 ,$112.00 ,$69.30 ,$39.20 ,$126.00 ,$53.20 ,$67.88 ,$33.26 ,$67.20 
ST. MARY'S HOSPITAL - DECATUR,30101438,84590,HC VITAMIN A-90,301,1 ,$135.00 ,$97.20 ,$3.50 ,$135.00 ,$29.03 ,$19.74 ,$74.25 ,$11.38 ,$37.80 ,$44.69 ,$11.38 ,$46.55 ,$11.38 ,$66.83 ,$3.50 ,$11.38 ,$66.83 ,$23.45 ,$94.50 ,$26.83 ,$108.00 ,$29.03 ,$11.38 ,$94.50 ,$11.38 ,$81.00 ,$11.60 ,$101.25 ,$74.52 ,$67.23 ,$74.52 ,$11.38 ,$74.52 ,$17.27 ,$135.00 ,$17.27 ,$114.75 ,$29.03 ,$93.56 ,$11.38 ,$135.00 ,$75.74 ,$11.38 ,$35.37 , N/A ,$8.15 ,$7.78 ,$11.95 ,$108.00 ,$66.83 ,$37.80 ,$121.50 ,$51.30 ,$23.22 ,$11.38 ,$64.80 
ST. MARY'S HOSPITAL - DECATUR,30101439,84591,HC VITAMIN A OTHER-90,301,1 ,$200.00 ,$144.00 ,$3.50 ,$200.00 ,$42.65 ,$29.00 ,$110.00 ,$16.72 ,$56.00 ,$53.23 ,$16.72 ,$55.45 ,$16.72 ,$99.00 ,$3.50 ,$16.72 ,$99.00 ,$34.46 ,$140.00 ,$38.65 ,$160.00 ,$42.65 ,$16.72 ,$140.00 ,$16.72 ,$120.00 ,$17.05 ,$150.00 ,$110.40 ,$99.60 ,$110.40 ,$16.72 ,$110.40 ,$22.85 ,$200.00 ,$22.85 ,$170.00 ,$42.65 ,$138.60 ,$16.72 ,$200.00 ,$112.20 ,$16.72 ,$52.40 , N/A ,$9.36 ,$8.94 ,$17.55 ,$160.00 ,$99.00 ,$56.00 ,$180.00 ,$76.00 ,$34.12 ,$16.72 ,$96.00 
ST. MARY'S HOSPITAL - DECATUR,30101440,84597,HC VITAMIN K-90,301,1 ,$101.00 ,$72.72 ,$3.50 ,$101.00 ,$34.30 ,$23.32 ,$55.55 ,$13.45 ,$28.28 ,$52.82 ,$13.45 ,$55.05 ,$13.45 ,$50.00 ,$3.50 ,$13.45 ,$50.00 ,$27.71 ,$70.70 ,$31.55 ,$80.80 ,$34.30 ,$13.45 ,$70.70 ,$13.45 ,$60.60 ,$13.71 ,$75.75 ,$55.75 ,$50.30 ,$55.75 ,$13.45 ,$55.75 ,$20.40 ,$101.00 ,$20.40 ,$85.85 ,$34.30 ,$69.99 ,$13.45 ,$101.00 ,$56.66 ,$13.45 ,$26.46 , N/A ,$8.15 ,$7.78 ,$14.12 ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$27.44 ,$13.45 ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,30101441,84600,HC VOLATILES-90,301,1 ,$149.00 ,$107.28 ,$3.50 ,$149.00 ,$42.78 ,$29.08 ,$81.95 ,$16.77 ,$41.72 ,$61.92 ,$16.77 ,$64.50 ,$16.77 ,$73.76 ,$3.50 ,$16.77 ,$73.76 ,$34.56 ,$104.30 ,$38.65 ,$119.20 ,$42.78 ,$16.77 ,$104.30 ,$16.77 ,$89.40 ,$17.10 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$16.77 ,$82.25 ,$23.93 ,$149.00 ,$23.93 ,$126.65 ,$42.78 ,$103.26 ,$16.77 ,$149.00 ,$83.59 ,$16.77 ,$39.04 , N/A ,$8.15 ,$7.78 ,$17.61 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$34.22 ,$16.77 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30101442,84630,HC ZINC-90,301,1 ,$108.00 ,$77.76 ,$3.50 ,$108.00 ,$28.48 ,$19.36 ,$59.40 ,$11.16 ,$30.24 ,$43.87 ,$11.16 ,$45.70 ,$11.16 ,$53.46 ,$3.50 ,$11.16 ,$53.46 ,$23.01 ,$75.60 ,$26.05 ,$86.40 ,$28.48 ,$11.16 ,$75.60 ,$11.16 ,$64.80 ,$11.39 ,$81.00 ,$59.62 ,$53.78 ,$59.62 ,$11.16 ,$59.62 ,$16.94 ,$108.00 ,$16.94 ,$91.80 ,$28.48 ,$74.84 ,$11.16 ,$108.00 ,$60.59 ,$11.16 ,$28.30 , N/A ,$9.94 ,$9.49 ,$11.72 ,$86.40 ,$53.46 ,$30.24 ,$97.20 ,$41.04 ,$22.78 ,$11.16 ,$51.84 
ST. MARY'S HOSPITAL - DECATUR,30101443,84681,HC C PEPTIDE-90,301,1 ,$169.00 ,$121.68 ,$3.50 ,$169.00 ,$52.03 ,$35.38 ,$92.95 ,$20.39 ,$47.32 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$83.66 ,$3.50 ,$20.39 ,$83.66 ,$42.04 ,$118.30 ,$47.35 ,$135.20 ,$52.03 ,$20.39 ,$118.30 ,$20.39 ,$101.40 ,$20.81 ,$126.75 ,$93.29 ,$84.16 ,$93.29 ,$20.39 ,$93.29 ,$30.97 ,$169.00 ,$30.97 ,$143.65 ,$52.03 ,$117.12 ,$20.39 ,$169.00 ,$94.81 ,$20.39 ,$44.28 , N/A ,$8.15 ,$7.78 ,$21.41 ,$135.20 ,$83.66 ,$47.32 ,$152.10 ,$64.22 ,$41.62 ,$20.39 ,$81.12 
ST. MARY'S HOSPITAL - DECATUR,30101444,84702,HC HCG QN-90,301,1 ,$238.00 ,$171.36 ,$3.50 ,$238.00 ,$37.63 ,$25.58 ,$130.90 ,$14.75 ,$66.64 ,$78.53 ,$14.75 ,$81.80 ,$14.75 ,$117.81 ,$3.50 ,$14.75 ,$117.81 ,$30.40 ,$166.60 ,$33.93 ,$190.40 ,$37.63 ,$14.75 ,$166.60 ,$14.75 ,$142.80 ,$15.04 ,$178.50 ,$131.38 ,$118.52 ,$131.38 ,$14.75 ,$131.38 ,$22.40 ,$238.00 ,$22.40 ,$202.30 ,$37.63 ,$164.93 ,$14.75 ,$238.00 ,$133.52 ,$14.75 ,$62.36 , N/A ,$10.98 ,$10.48 ,$15.48 ,$190.40 ,$117.81 ,$66.64 ,$214.20 ,$90.44 ,$30.10 ,$14.75 ,$114.24 
ST. MARY'S HOSPITAL - DECATUR,30101447,84830,HC OVULATION TEST VISUAL,301,1 ,$114.00 ,$82.08 ,$3.50 ,$114.00 ,$31.75 ,$21.60 ,$62.70 ,$12.45 ,$31.92 ,$53.66 ,$12.45 ,$55.90 ,$12.45 ,$56.43 ,$3.50 ,$12.45 ,$56.43 ,$25.65 ,$79.80 ,$29.20 ,$91.20 ,$31.75 ,$12.45 ,$79.80 ,$12.45 ,$68.40 ,$12.69 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$12.45 ,$62.93 ,$17.01 ,$114.00 ,$17.01 ,$96.90 ,$31.75 ,$79.00 ,$12.45 ,$114.00 ,$63.95 ,$12.45 ,$29.87 , N/A ,$19.09 ,$18.22 ,$13.07 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$25.40 ,$12.45 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,30101450,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T1,301,1 ,$201.00 ,$144.72 ,$3.50 ,$286.08 ,$286.08 ,$194.54 ,$110.55 ,$112.14 ,$56.28 ,$16.80 ,$112.14 ,$17.50 ,$112.14 ,$99.50 ,$3.50 ,$112.14 ,$99.50 ,$201.00 ,$140.70 ,$201.00 ,$160.80 ,$286.08 ,$112.14 ,$140.70 ,$112.14 ,$120.60 ,$114.39 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$112.14 ,$110.95 ,$153.22 ,$201.00 ,$153.22 ,$170.85 ,$201.00 ,$139.29 ,$112.14 ,$201.00 ,$112.76 ,$112.14 ,$52.66 , N/A ,$21.95 ,$20.95 ,$117.75 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$201.00 ,$112.14 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30101451,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T2,301,1 ,$477.00 ,$343.44 ,$3.50 ,$477.00 ,$286.08 ,$194.54 ,$262.35 ,$112.14 ,$133.56 ,$16.80 ,$112.14 ,$17.50 ,$112.14 ,$236.12 ,$3.50 ,$112.14 ,$236.12 ,$231.15 ,$333.90 ,$261.18 ,$381.60 ,$286.08 ,$112.14 ,$333.90 ,$112.14 ,$286.20 ,$114.39 ,$357.75 ,$263.30 ,$237.55 ,$263.30 ,$112.14 ,$263.30 ,$153.22 ,$477.00 ,$153.22 ,$405.45 ,$286.08 ,$330.56 ,$112.14 ,$477.00 ,$267.60 ,$112.14 ,$124.97 , N/A ,$21.95 ,$20.95 ,$117.75 ,$381.60 ,$236.12 ,$133.56 ,$429.30 ,$181.26 ,$228.86 ,$112.14 ,$228.96 
ST. MARY'S HOSPITAL - DECATUR,30101452,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T3,301,1 ,$509.00 ,$366.48 ,$3.50 ,$509.00 ,$286.08 ,$194.54 ,$279.95 ,$112.14 ,$142.52 ,$16.80 ,$112.14 ,$17.50 ,$112.14 ,$251.96 ,$3.50 ,$112.14 ,$251.96 ,$231.15 ,$356.30 ,$261.18 ,$407.20 ,$286.08 ,$112.14 ,$356.30 ,$112.14 ,$305.40 ,$114.39 ,$381.75 ,$280.97 ,$253.48 ,$280.97 ,$112.14 ,$280.97 ,$153.22 ,$509.00 ,$153.22 ,$432.65 ,$286.08 ,$352.74 ,$112.14 ,$509.00 ,$285.55 ,$112.14 ,$133.36 , N/A ,$21.95 ,$20.95 ,$117.75 ,$407.20 ,$251.96 ,$142.52 ,$458.10 ,$193.42 ,$228.86 ,$112.14 ,$244.32 
ST. MARY'S HOSPITAL - DECATUR,30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$295.00 ,$212.40 ,$3.50 ,$295.00 ,$286.08 ,$194.54 ,$162.25 ,$112.14 ,$82.60 ,$16.80 ,$112.14 ,$17.50 ,$112.14 ,$146.03 ,$3.50 ,$112.14 ,$146.03 ,$231.15 ,$206.50 ,$261.18 ,$236.00 ,$286.08 ,$112.14 ,$206.50 ,$112.14 ,$177.00 ,$114.39 ,$221.25 ,$162.84 ,$146.91 ,$162.84 ,$112.14 ,$162.84 ,$153.22 ,$295.00 ,$153.22 ,$250.75 ,$286.08 ,$204.44 ,$112.14 ,$295.00 ,$165.50 ,$112.14 ,$77.29 , N/A ,$21.95 ,$20.95 ,$117.75 ,$236.00 ,$146.03 ,$82.60 ,$265.50 ,$112.10 ,$228.86 ,$112.14 ,$141.60 
ST. MARY'S HOSPITAL - DECATUR,30101456,G0480,HC DRUG SCRN DEFNT 1-7 CLS T2-90,301,1 ,$443.00 ,$318.96 ,$3.50 ,$443.00 ,$286.08 ,$194.54 ,$243.65 ,$112.14 ,$124.04 ,$16.80 ,$112.14 ,$17.50 ,$112.14 ,$219.29 ,$3.50 ,$112.14 ,$219.29 ,$231.15 ,$310.10 ,$261.18 ,$354.40 ,$286.08 ,$112.14 ,$310.10 ,$112.14 ,$265.80 ,$114.39 ,$332.25 ,$244.54 ,$220.61 ,$244.54 ,$112.14 ,$244.54 ,$153.22 ,$443.00 ,$153.22 ,$376.55 ,$286.08 ,$307.00 ,$112.14 ,$443.00 ,$248.52 ,$112.14 ,$116.07 , N/A ,$21.95 ,$20.95 ,$117.75 ,$354.40 ,$219.29 ,$124.04 ,$398.70 ,$168.34 ,$228.86 ,$112.14 ,$212.64 
ST. MARY'S HOSPITAL - DECATUR,30101461,G0481,HC DRUG SCRN DEFINT 8-14 CLASS-90,301,1 ,$885.00 ,$637.20 ,$3.50 ,$885.00 ,$391.48 ,$266.20 ,$486.75 ,$153.46 ,$247.80 ,$16.80 ,$153.46 ,$17.50 ,$153.46 ,$438.08 ,$3.50 ,$153.46 ,$438.08 ,$316.31 ,$619.50 ,$356.65 ,$708.00 ,$391.48 ,$153.46 ,$619.50 ,$153.46 ,$531.00 ,$156.53 ,$663.75 ,$488.52 ,$440.73 ,$488.52 ,$153.46 ,$488.52 ,$209.68 ,$885.00 ,$209.68 ,$752.25 ,$391.48 ,$613.31 ,$153.46 ,$885.00 ,$496.49 ,$153.46 ,$231.87 , N/A ,$21.95 ,$20.95 ,$161.13 ,$708.00 ,$438.08 ,$247.80 ,$796.50 ,$336.30 ,$313.18 ,$153.46 ,$424.80 
ST. MARY'S HOSPITAL - DECATUR,30101462,G0482,HC DRUG SCRN DEFINT 15-21 CLS T3-90,301,1 ,"$1,328.00 ",$956.16 ,$3.50 ,"$1,328.00 ",$496.85 ,$337.86 ,$730.40 ,$194.77 ,$371.84 ,$16.80 ,$194.77 ,$17.50 ,$194.77 ,$657.36 ,$3.50 ,$194.77 ,$657.36 ,$401.45 ,$929.60 ,$452.90 ,"$1,062.40 ",$496.85 ,$194.77 ,$929.60 ,$194.77 ,$796.80 ,$198.66 ,$996.00 ,$733.06 ,$661.34 ,$733.06 ,$194.77 ,$733.06 ,$266.11 ,"$1,328.00 ",$266.11 ,"$1,128.80 ",$496.85 ,$920.30 ,$194.77 ,"$1,328.00 ",$745.01 ,$194.77 ,$347.94 , N/A ,$21.95 ,$20.95 ,$204.51 ,"$1,062.40 ",$657.36 ,$371.84 ,"$1,195.20 ",$504.64 ,$397.48 ,$194.77 ,$637.44 
ST. MARY'S HOSPITAL - DECATUR,30101463,G0483,HC DRUG SCRN DEFINT 22+ CLASS-90,301,1 ,"$1,770.00 ","$1,274.40 ",$3.50 ,"$1,770.00 ",$617.30 ,$419.76 ,$973.50 ,$241.98 ,$495.60 ,$16.80 ,$241.98 ,$17.50 ,$241.98 ,$876.15 ,$3.50 ,$241.98 ,$876.15 ,$498.78 ,"$1,239.00 ",$563.35 ,"$1,416.00 ",$617.30 ,$241.98 ,"$1,239.00 ",$241.98 ,"$1,062.00 ",$246.82 ,"$1,327.50 ",$977.04 ,$881.46 ,$977.04 ,$241.98 ,$977.04 ,$330.63 ,"$1,770.00 ",$330.63 ,"$1,504.50 ",$617.30 ,"$1,226.61 ",$241.98 ,"$1,770.00 ",$992.97 ,$241.98 ,$463.74 , N/A ,$21.95 ,$20.95 ,$254.08 ,"$1,416.00 ",$876.15 ,$495.60 ,"$1,593.00 ",$672.60 ,$493.84 ,$241.98 ,$849.60 
ST. MARY'S HOSPITAL - DECATUR,30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$270.00 ,$194.40 ,$3.50 ,$270.00 ,$53.03 ,$36.06 ,$148.50 ,$20.79 ,$75.60 ,$66.19 ,$20.79 ,$68.95 ,$20.79 ,$133.65 ,$3.50 ,$20.79 ,$133.65 ,$42.84 ,$189.00 ,$48.13 ,$216.00 ,$53.03 ,$20.79 ,$189.00 ,$20.79 ,$162.00 ,$21.20 ,$202.50 ,$149.04 ,$134.46 ,$149.04 ,$20.79 ,$149.04 ,$28.40 ,$270.00 ,$28.40 ,$229.50 ,$53.03 ,$187.11 ,$20.79 ,$270.00 ,$151.47 ,$20.79 ,$70.74 , N/A ,$8.15 ,$7.78 ,$21.82 ,$216.00 ,$133.65 ,$75.60 ,$243.00 ,$102.60 ,$42.42 ,$20.79 ,$129.60 
ST. MARY'S HOSPITAL - DECATUR,30101472,82376,HC CARBOXYHEMOGLOBIN QL,301,1 ,$302.00 ,$217.44 ,$3.50 ,$302.00 ,$35.18 ,$23.92 ,$166.10 ,$13.79 ,$84.56 ,$43.92 ,$13.79 ,$45.75 ,$13.79 ,$149.49 ,$3.50 ,$13.79 ,$149.49 ,$28.42 ,$211.40 ,$32.35 ,$241.60 ,$35.18 ,$13.79 ,$211.40 ,$13.79 ,$181.20 ,$14.06 ,$226.50 ,$166.70 ,$150.40 ,$166.70 ,$13.79 ,$166.70 ,$18.84 ,$302.00 ,$18.84 ,$256.70 ,$35.18 ,$209.29 ,$13.79 ,$302.00 ,$169.42 ,$13.79 ,$79.12 , N/A ,$8.15 ,$7.78 ,$14.47 ,$241.60 ,$149.49 ,$84.56 ,$271.80 ,$114.76 ,$28.14 ,$13.79 ,$144.96 
ST. MARY'S HOSPITAL - DECATUR,30101473,80339,HC ANTIEPILIPTICS NOS 1-3 -90,301,1 ,$236.00 ,$169.92 ,$0.02 ,$236.00 , N/A ,$0.02 ,$129.80 , N/A ,$66.08 , N/A , N/A , N/A , N/A ,$116.82 , N/A , N/A ,$116.82 , N/A ,$165.20 ,$147.50 ,$188.80 , N/A , N/A ,$165.20 , N/A ,$141.60 , N/A ,$177.00 ,$130.27 ,$117.53 ,$130.27 , N/A ,$130.27 ,$6.70 ,$236.00 ,$6.70 ,$200.60 , N/A ,$163.55 , N/A ,$236.00 ,$132.40 , N/A ,$61.83 , N/A ,$21.95 ,$20.95 , N/A ,$188.80 ,$116.82 ,$66.08 ,$212.40 ,$89.68 , N/A , N/A ,$113.28 
ST. MARY'S HOSPITAL - DECATUR,30101474,80360,HC METHYLPHENIDATE -90,301,1 ,$97.00 ,$69.84 ,$0.02 ,$97.00 , N/A ,$0.02 ,$53.35 , N/A ,$27.16 , N/A , N/A , N/A , N/A ,$48.02 , N/A , N/A ,$48.02 , N/A ,$67.90 ,$60.63 ,$77.60 , N/A , N/A ,$67.90 , N/A ,$58.20 , N/A ,$72.75 ,$53.54 ,$48.31 ,$53.54 , N/A ,$53.54 ,$14.51 ,$97.00 ,$14.51 ,$82.45 , N/A ,$67.22 , N/A ,$97.00 ,$54.42 , N/A ,$25.41 , N/A ,$8.15 ,$7.78 , N/A ,$77.60 ,$48.02 ,$27.16 ,$87.30 ,$36.86 , N/A , N/A ,$46.56 
ST. MARY'S HOSPITAL - DECATUR,30101475,80375,HC DRUG THIOPURINE METAOLITES-90,301,1 ,$274.00 ,$197.28 ,$0.02 ,$274.00 , N/A ,$0.02 ,$150.70 , N/A ,$76.72 , N/A , N/A , N/A , N/A ,$135.63 , N/A , N/A ,$135.63 , N/A ,$191.80 ,$171.25 ,$219.20 , N/A , N/A ,$191.80 , N/A ,$164.40 , N/A ,$205.50 ,$151.25 ,$136.45 ,$151.25 , N/A ,$151.25 ,$28.83 ,$274.00 ,$28.83 ,$232.90 , N/A ,$189.88 , N/A ,$274.00 ,$153.71 , N/A ,$71.79 , N/A ,$21.95 ,$20.95 , N/A ,$219.20 ,$135.63 ,$76.72 ,$246.60 ,$104.12 , N/A , N/A ,$131.52 
ST. MARY'S HOSPITAL - DECATUR,30101476,82610,HC CYSTATIN C -90,301,1 ,$166.00 ,$119.52 ,$3.50 ,$166.00 ,$46.30 ,$31.48 ,$91.30 ,$18.15 ,$46.48 ,$57.79 ,$18.15 ,$60.20 ,$18.15 ,$82.17 ,$3.50 ,$18.15 ,$82.17 ,$37.41 ,$116.20 ,$42.60 ,$132.80 ,$46.30 ,$18.15 ,$116.20 ,$18.15 ,$99.60 ,$18.51 ,$124.50 ,$91.63 ,$82.67 ,$91.63 ,$18.15 ,$91.63 ,$24.80 ,$166.00 ,$24.80 ,$141.10 ,$46.30 ,$115.04 ,$18.15 ,$166.00 ,$93.13 ,$18.15 ,$43.49 , N/A ,$8.15 ,$7.78 ,$19.06 ,$132.80 ,$82.17 ,$46.48 ,$149.40 ,$63.08 ,$37.04 ,$18.15 ,$79.68 
ST. MARY'S HOSPITAL - DECATUR,30101477,83519,HC QN RIA MUSK-90,301,1 ,"$1,124.00 ",$809.28 ,$3.50 ,"$1,124.00 ",$46.00 ,$31.28 ,$618.20 ,$18.03 ,$314.72 ,$57.41 ,$18.03 ,$59.80 ,$18.03 ,$556.38 ,$3.50 ,$18.03 ,$556.38 ,$37.17 ,$786.80 ,$41.83 ,$899.20 ,$46.00 ,$18.03 ,$786.80 ,$18.03 ,$674.40 ,$18.39 ,$843.00 ,$620.45 ,$559.75 ,$620.45 ,$18.03 ,$620.45 ,$24.64 ,"$1,124.00 ",$24.64 ,$955.40 ,$46.00 ,$778.93 ,$18.03 ,"$1,124.00 ",$630.56 ,$18.03 ,$294.49 , N/A ,$7.30 ,$6.97 ,$18.93 ,$899.20 ,$556.38 ,$314.72 ,"$1,011.60 ",$427.12 ,$36.80 ,$18.03 ,$539.52 
ST. MARY'S HOSPITAL - DECATUR,30101478,82800,HC BLOOD GAS PH,301,1 ,$156.00 ,$112.32 ,$3.50 ,$156.00 ,$27.50 ,$18.70 ,$85.80 ,$10.78 ,$43.68 ,$46.46 ,$10.78 ,$48.40 ,$10.78 ,$77.22 ,$3.50 ,$10.78 ,$77.22 ,$22.22 ,$109.20 ,$25.25 ,$124.80 ,$27.50 ,$10.78 ,$109.20 ,$10.78 ,$93.60 ,$11.00 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$10.78 ,$86.11 ,$14.73 ,$156.00 ,$14.73 ,$132.60 ,$27.50 ,$108.11 ,$10.78 ,$156.00 ,$87.52 ,$10.78 ,$40.87 , N/A ,$8.15 ,$7.78 ,$11.32 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$22.00 ,$10.78 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,30101479,82803,HC BLOOD GAS PH PO2  AND /OR PCO2,301,1 ,$297.00 ,$213.84 ,$3.50 ,$297.00 ,$65.18 ,$44.32 ,$163.35 ,$25.55 ,$83.16 ,$110.11 ,$25.55 ,$114.70 ,$25.55 ,$147.02 ,$3.50 ,$25.55 ,$147.02 ,$52.66 ,$207.90 ,$59.18 ,$237.60 ,$65.18 ,$25.55 ,$207.90 ,$25.55 ,$178.20 ,$26.06 ,$222.75 ,$163.94 ,$147.91 ,$163.94 ,$25.55 ,$163.94 ,$34.91 ,$297.00 ,$34.91 ,$252.45 ,$65.18 ,$205.82 ,$25.55 ,$297.00 ,$166.62 ,$25.55 ,$77.81 , N/A ,$8.15 ,$7.78 ,$26.82 ,$237.60 ,$147.02 ,$83.16 ,$267.30 ,$112.86 ,$52.14 ,$25.55 ,$142.56 
ST. MARY'S HOSPITAL - DECATUR,30101480,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$294.00 ,$211.68 ,$3.50 ,$294.00 ,$196.93 ,$133.90 ,$161.70 ,$77.19 ,$82.32 ,$153.76 ,$77.19 ,$161.70 ,$77.19 ,$145.53 ,$3.50 ,$77.19 ,$145.53 ,$159.12 ,$205.80 ,$179.90 ,$235.20 ,$196.93 ,$77.19 ,$205.80 ,$77.19 ,$176.40 ,$78.74 ,$220.50 ,$162.29 ,$146.41 ,$162.29 ,$77.19 ,$162.29 ,$105.47 ,$294.00 ,$105.47 ,$249.90 ,$196.93 ,$203.74 ,$77.19 ,$294.00 ,$164.93 ,$77.19 ,$77.03 , N/A ,$8.15 ,$7.78 ,$81.06 ,$235.20 ,$145.53 ,$82.32 ,$264.60 ,$111.72 ,$157.54 ,$77.19 ,$141.12 
ST. MARY'S HOSPITAL - DECATUR,30101486,82375,HC CARBON MONOXIDE QN,301,1 ,$45.00 ,$32.40 ,$3.50 ,$45.00 ,$30.80 ,$20.94 ,$24.75 ,$12.07 ,$12.60 ,$23.54 ,$12.07 ,$24.75 ,$12.07 ,$22.28 ,$3.50 ,$12.07 ,$22.28 ,$24.89 ,$31.50 ,$28.40 ,$36.00 ,$30.80 ,$12.07 ,$31.50 ,$12.07 ,$27.00 ,$12.32 ,$33.75 ,$24.84 ,$22.41 ,$24.84 ,$12.07 ,$24.84 ,$18.33 ,$45.00 ,$18.33 ,$38.25 ,$30.80 ,$31.19 ,$12.07 ,$45.00 ,$25.25 ,$12.07 ,$11.79 , N/A ,$8.15 ,$7.78 ,$12.68 ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$24.64 ,$12.07 ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,30101487,83050,HC METHEMOGLOBIN QN,301,1 ,$38.00 ,$27.36 ,$3.50 ,$38.00 ,$20.50 ,$13.94 ,$20.90 ,$8.04 ,$10.64 ,$19.87 ,$8.04 ,$20.90 ,$8.04 ,$18.81 ,$3.50 ,$8.04 ,$18.81 ,$16.56 ,$26.60 ,$18.93 ,$30.40 ,$20.50 ,$8.04 ,$26.60 ,$8.04 ,$22.80 ,$8.19 ,$28.50 ,$20.98 ,$18.92 ,$20.98 ,$8.04 ,$20.98 ,$10.98 ,$38.00 ,$10.98 ,$32.30 ,$20.50 ,$26.33 ,$8.04 ,$38.00 ,$21.32 ,$8.04 ,$9.96 , N/A ,$8.15 ,$7.78 ,$8.44 ,$30.40 ,$18.81 ,$10.64 ,$34.20 ,$14.44 ,$16.40 ,$8.04 ,$18.24 
ST. MARY'S HOSPITAL - DECATUR,30101488,83986,HC PH BODY FLUID,301,1 ,$63.00 ,$45.36 ,$3.47 ,$63.00 ,$8.95 ,$6.08 ,$34.65 ,$3.51 ,$17.64 ,$18.67 ,$3.51 ,$19.45 ,$3.51 ,$31.19 ,$3.50 ,$3.51 ,$31.19 ,$7.23 ,$44.10 ,$7.90 ,$50.40 ,$8.95 ,$3.51 ,$44.10 ,$3.51 ,$37.80 ,$3.58 ,$47.25 ,$34.78 ,$31.37 ,$34.78 ,$3.51 ,$34.78 ,$5.33 ,$63.00 ,$5.33 ,$53.55 ,$8.95 ,$43.66 ,$3.51 ,$63.00 ,$35.34 ,$3.51 ,$16.51 , N/A ,$3.63 ,$3.47 ,$3.68 ,$50.40 ,$31.19 ,$17.64 ,$56.70 ,$23.94 ,$7.16 ,$3.51 ,$30.24 
ST. MARY'S HOSPITAL - DECATUR,30101497,80373,HC TRAMADOL-90,301,1 ,$142.00 ,$102.24 ,$0.02 ,$142.00 , N/A ,$0.02 ,$78.10 , N/A ,$39.76 , N/A , N/A , N/A , N/A ,$70.29 , N/A , N/A ,$70.29 , N/A ,$99.40 ,$88.75 ,$113.60 , N/A , N/A ,$99.40 , N/A ,$85.20 , N/A ,$106.50 ,$78.38 ,$70.72 ,$78.38 , N/A ,$78.38 ,$16.47 ,$142.00 ,$16.47 ,$120.70 , N/A ,$98.41 , N/A ,$142.00 ,$79.66 , N/A ,$37.20 , N/A ,$8.15 ,$7.78 , N/A ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 , N/A , N/A ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30101498,80354,HC FENTANYL -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$20.42 ,$59.00 ,$20.42 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101499,83664,HC LAMELLAR BODY CT-90,301,1 ,$274.00 ,$197.28 ,$3.50 ,$274.00 ,$48.30 ,$32.84 ,$150.70 ,$18.93 ,$76.72 ,$72.86 ,$18.93 ,$75.90 ,$18.93 ,$135.63 ,$3.50 ,$18.93 ,$135.63 ,$39.03 ,$191.80 ,$44.18 ,$219.20 ,$48.30 ,$18.93 ,$191.80 ,$18.93 ,$164.40 ,$19.32 ,$205.50 ,$151.25 ,$136.45 ,$151.25 ,$18.93 ,$151.25 ,$28.13 ,$274.00 ,$28.13 ,$232.90 ,$48.30 ,$189.88 ,$18.93 ,$274.00 ,$153.71 ,$18.93 ,$71.79 , N/A ,$23.29 ,$22.23 ,$19.88 ,$219.20 ,$135.63 ,$76.72 ,$246.60 ,$104.12 ,$38.64 ,$18.93 ,$131.52 
ST. MARY'S HOSPITAL - DECATUR,30101500,82943,HC GLUCAGON-90,301,1 ,$158.00 ,$113.76 ,$3.50 ,$158.00 ,$35.73 ,$24.30 ,$86.90 ,$14.00 ,$44.24 ,$55.06 ,$14.00 ,$57.35 ,$14.00 ,$78.21 ,$3.50 ,$14.00 ,$78.21 ,$28.87 ,$110.60 ,$32.35 ,$126.40 ,$35.73 ,$14.00 ,$110.60 ,$14.00 ,$94.80 ,$14.29 ,$118.50 ,$87.22 ,$78.68 ,$87.22 ,$14.00 ,$87.22 ,$21.26 ,$158.00 ,$21.26 ,$134.30 ,$35.73 ,$109.49 ,$14.00 ,$158.00 ,$88.64 ,$14.00 ,$41.40 , N/A ,$19.09 ,$18.22 ,$14.70 ,$126.40 ,$78.21 ,$44.24 ,$142.20 ,$60.04 ,$28.58 ,$14.00 ,$75.84 
ST. MARY'S HOSPITAL - DECATUR,30101511,80345,HC BARBITURATE -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$14.60 ,$59.00 ,$14.60 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101512,80324,HC AMPHETAMINE 1-2 -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$20.30 ,$59.00 ,$20.30 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$21.95 ,$20.95 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101513,80365,HC OXYCODONE -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$18.98 ,$59.00 ,$18.98 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101514,80358,HC METHADONE -90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$17.57 ,$59.00 ,$17.57 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101515,80352,HC CANNABINOIDS SYNTHETIC >7 - 90,301,1 ,$354.00 ,$254.88 ,$0.02 ,$354.00 , N/A ,$0.02 ,$194.70 , N/A ,$99.12 , N/A , N/A , N/A , N/A ,$175.23 , N/A , N/A ,$175.23 , N/A ,$247.80 ,$221.25 ,$283.20 , N/A , N/A ,$247.80 , N/A ,$212.40 , N/A ,$265.50 ,$195.41 ,$176.29 ,$195.41 , N/A ,$195.41 ,$21.56 ,$354.00 ,$21.56 ,$300.90 , N/A ,$245.32 , N/A ,$354.00 ,$198.59 , N/A ,$92.75 , N/A ,$21.95 ,$20.95 , N/A ,$283.20 ,$175.23 ,$99.12 ,$318.60 ,$134.52 , N/A , N/A ,$169.92 
ST. MARY'S HOSPITAL - DECATUR,30101516,80321,HC ALCOHOL BIOMARKERS 1-2 - 90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$18.04 ,$59.00 ,$18.04 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$21.95 ,$20.95 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101517,80371,HC STIMULANTS SYNTHETIC -90,301,1 ,$92.00 ,$66.24 ,$0.02 ,$92.00 , N/A ,$0.02 ,$50.60 , N/A ,$25.76 , N/A , N/A , N/A , N/A ,$45.54 , N/A , N/A ,$45.54 , N/A ,$64.40 ,$57.50 ,$73.60 , N/A , N/A ,$64.40 , N/A ,$55.20 , N/A ,$69.00 ,$50.78 ,$45.82 ,$50.78 , N/A ,$50.78 ,$18.83 ,$92.00 ,$18.83 ,$78.20 , N/A ,$63.76 , N/A ,$92.00 ,$51.61 , N/A ,$24.10 , N/A ,$8.15 ,$7.78 , N/A ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 , N/A , N/A ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30101520,80356,HC HEROIN METABOLITE-90,301,1 ,$59.00 ,$42.48 ,$0.02 ,$59.00 , N/A ,$0.02 ,$32.45 , N/A ,$16.52 , N/A , N/A , N/A , N/A ,$29.21 , N/A , N/A ,$29.21 , N/A ,$41.30 ,$36.88 ,$47.20 , N/A , N/A ,$41.30 , N/A ,$35.40 , N/A ,$44.25 ,$32.57 ,$29.38 ,$32.57 , N/A ,$32.57 ,$21.29 ,$59.00 ,$21.29 ,$50.15 , N/A ,$40.89 , N/A ,$59.00 ,$33.10 , N/A ,$15.46 , N/A ,$8.15 ,$7.78 , N/A ,$47.20 ,$29.21 ,$16.52 ,$53.10 ,$22.42 , N/A , N/A ,$28.32 
ST. MARY'S HOSPITAL - DECATUR,30101521,84132,HC POTASSIUM -90,301,1 ,$109.00 ,$78.48 ,$3.47 ,$109.00 ,$11.90 ,$8.10 ,$59.95 ,$4.66 ,$30.52 ,$24.00 ,$4.66 ,$25.00 ,$4.66 ,$53.96 ,$3.50 ,$4.66 ,$53.96 ,$9.62 ,$76.30 ,$11.05 ,$87.20 ,$11.90 ,$4.66 ,$76.30 ,$4.66 ,$65.40 ,$4.76 ,$81.75 ,$60.17 ,$54.28 ,$60.17 ,$4.66 ,$60.17 ,$6.84 ,$109.00 ,$6.84 ,$92.65 ,$11.90 ,$75.54 ,$4.66 ,$109.00 ,$61.15 ,$4.66 ,$28.56 , N/A ,$3.63 ,$3.47 ,$4.90 ,$87.20 ,$53.96 ,$30.52 ,$98.10 ,$41.42 ,$9.52 ,$4.66 ,$52.32 
ST. MARY'S HOSPITAL - DECATUR,30101525,82465,HC CHOLESTEROL -90,301,1 ,$179.00 ,$128.88 ,$3.47 ,$179.00 ,$10.88 ,$7.40 ,$98.45 ,$4.26 ,$50.12 ,$22.70 ,$4.26 ,$23.65 ,$4.26 ,$88.61 ,$3.50 ,$4.26 ,$88.61 ,$8.79 ,$125.30 ,$10.25 ,$143.20 ,$10.88 ,$4.26 ,$125.30 ,$4.26 ,$107.40 ,$4.35 ,$134.25 ,$98.81 ,$89.14 ,$98.81 ,$4.26 ,$98.81 ,$6.48 ,$179.00 ,$6.48 ,$152.15 ,$10.88 ,$124.05 ,$4.26 ,$179.00 ,$100.42 ,$4.26 ,$46.90 , N/A ,$3.63 ,$3.47 ,$4.48 ,$143.20 ,$88.61 ,$50.12 ,$161.10 ,$68.02 ,$8.70 ,$4.26 ,$85.92 
ST. MARY'S HOSPITAL - DECATUR,30101526,82947,HC GLUCOSE -90,301,1 ,$96.00 ,$69.12 ,$3.47 ,$96.00 ,$9.83 ,$6.68 ,$52.80 ,$3.85 ,$26.88 ,$20.50 ,$3.85 ,$21.35 ,$3.85 ,$47.52 ,$3.50 ,$3.85 ,$47.52 ,$7.94 ,$67.20 ,$8.68 ,$76.80 ,$9.83 ,$3.85 ,$67.20 ,$3.85 ,$57.60 ,$3.93 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$3.85 ,$52.99 ,$5.85 ,$96.00 ,$5.85 ,$81.60 ,$9.83 ,$66.53 ,$3.85 ,$96.00 ,$53.86 ,$3.85 ,$25.15 , N/A ,$3.63 ,$3.47 ,$4.05 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$7.86 ,$3.85 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30101527,84450,HC AST -90,301,1 ,$204.00 ,$146.88 ,$3.47 ,$204.00 ,$12.95 ,$8.80 ,$112.20 ,$5.08 ,$57.12 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$100.98 ,$3.50 ,$5.08 ,$100.98 ,$10.46 ,$142.80 ,$11.83 ,$163.20 ,$12.95 ,$5.08 ,$142.80 ,$5.08 ,$122.40 ,$5.17 ,$153.00 ,$112.61 ,$101.59 ,$112.61 ,$5.08 ,$112.61 ,$7.70 ,$204.00 ,$7.70 ,$173.40 ,$12.95 ,$141.37 ,$5.08 ,$204.00 ,$114.44 ,$5.08 ,$53.45 , N/A ,$3.63 ,$3.47 ,$5.33 ,$163.20 ,$100.98 ,$57.12 ,$183.60 ,$77.52 ,$10.36 ,$5.08 ,$97.92 
ST. MARY'S HOSPITAL - DECATUR,30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$46.93 ,$31.90 ,$110.55 ,$18.39 ,$56.28 ,$58.56 ,$18.39 ,$61.00 ,$18.39 ,$99.50 ,$3.50 ,$18.39 ,$99.50 ,$37.92 ,$140.70 ,$42.60 ,$160.80 ,$46.93 ,$18.39 ,$140.70 ,$18.39 ,$120.60 ,$18.77 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$18.39 ,$110.95 ,$25.13 ,$201.00 ,$25.13 ,$170.85 ,$46.93 ,$139.29 ,$18.39 ,$201.00 ,$112.76 ,$18.39 ,$52.66 , N/A ,$8.15 ,$7.78 ,$19.32 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$37.54 ,$18.39 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30101531,82633,HC DESOXYCORTICOSTERONE 11  -90,301,1 ,$287.00 ,$206.64 ,$3.50 ,$287.00 ,$77.45 ,$52.66 ,$157.85 ,$30.36 ,$80.36 ,$119.33 ,$30.36 ,$124.30 ,$30.36 ,$142.07 ,$3.50 ,$30.36 ,$142.07 ,$62.58 ,$200.90 ,$71.00 ,$229.60 ,$77.45 ,$30.36 ,$200.90 ,$30.36 ,$172.20 ,$30.97 ,$215.25 ,$158.42 ,$142.93 ,$158.42 ,$30.36 ,$158.42 ,$46.10 ,$287.00 ,$46.10 ,$243.95 ,$77.45 ,$198.89 ,$30.36 ,$287.00 ,$161.01 ,$30.36 ,$75.19 , N/A ,$19.09 ,$18.22 ,$31.88 ,$229.60 ,$142.07 ,$80.36 ,$258.30 ,$109.06 ,$61.96 ,$30.36 ,$137.76 
ST. MARY'S HOSPITAL - DECATUR,30101534,80377,HC PANEL HYPOGLYCEMIC QL-90,301,1 ,$218.00 ,$156.96 ,$0.02 ,$218.00 , N/A ,$0.02 ,$119.90 , N/A ,$61.04 , N/A , N/A , N/A , N/A ,$107.91 , N/A , N/A ,$107.91 , N/A ,$152.60 ,$136.25 ,$174.40 , N/A , N/A ,$152.60 , N/A ,$130.80 , N/A ,$163.50 ,$120.34 ,$108.56 ,$120.34 , N/A ,$120.34 ,$10.40 ,$218.00 ,$10.40 ,$185.30 , N/A ,$151.07 , N/A ,$218.00 ,$122.30 , N/A ,$57.12 , N/A ,$21.95 ,$20.95 , N/A ,$174.40 ,$107.91 ,$61.04 ,$196.20 ,$82.84 , N/A , N/A ,$104.64 
ST. MARY'S HOSPITAL - DECATUR,30101536,84443,HC THYROID STIMULATING HORM-90,301,1 ,$255.00 ,$183.60 ,$3.50 ,$255.00 ,$42.00 ,$28.56 ,$140.25 ,$16.46 ,$71.40 ,$87.65 ,$16.46 ,$91.30 ,$16.46 ,$126.23 ,$3.50 ,$16.46 ,$126.23 ,$33.94 ,$178.50 ,$38.65 ,$204.00 ,$42.00 ,$16.46 ,$178.50 ,$16.46 ,$153.00 ,$16.80 ,$191.25 ,$140.76 ,$126.99 ,$140.76 ,$16.46 ,$140.76 ,$25.00 ,$255.00 ,$25.00 ,$216.75 ,$42.00 ,$176.72 ,$16.46 ,$255.00 ,$143.06 ,$16.46 ,$66.81 , N/A ,$10.98 ,$10.48 ,$17.29 ,$204.00 ,$126.23 ,$71.40 ,$229.50 ,$96.90 ,$33.60 ,$16.46 ,$122.40 
ST. MARY'S HOSPITAL - DECATUR,30101540,84163,HC PLASMA PROTEIN-A PREGNANCY ASSOCIATED-90,301,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$37.63 ,$25.58 ,$77.55 ,$14.75 ,$39.48 ,$57.98 ,$14.75 ,$60.40 ,$14.75 ,$69.80 ,$3.50 ,$14.75 ,$69.80 ,$30.40 ,$98.70 ,$33.93 ,$112.80 ,$37.63 ,$14.75 ,$98.70 ,$14.75 ,$84.60 ,$15.04 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$14.75 ,$77.83 ,$22.40 ,$141.00 ,$22.40 ,$119.85 ,$37.63 ,$97.71 ,$14.75 ,$141.00 ,$79.10 ,$14.75 ,$36.94 , N/A ,$8.15 ,$7.78 ,$15.48 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$30.10 ,$14.75 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30101566,82340,HC CALCIUM URINE QN TIMED,301,1 ,$240.00 ,$172.80 ,$3.50 ,$240.00 ,$15.08 ,$10.26 ,$132.00 ,$5.91 ,$67.20 ,$23.23 ,$5.91 ,$24.20 ,$5.91 ,$118.80 ,$3.50 ,$5.91 ,$118.80 ,$12.18 ,$168.00 ,$13.43 ,$192.00 ,$15.08 ,$5.91 ,$168.00 ,$5.91 ,$144.00 ,$6.03 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$5.91 ,$132.48 ,$8.97 ,$240.00 ,$8.97 ,$204.00 ,$15.08 ,$166.32 ,$5.91 ,$240.00 ,$134.64 ,$5.91 ,$62.88 , N/A ,$8.15 ,$7.78 ,$6.20 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$12.06 ,$5.91 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30101574,82670,HC ESTRADIOL,301,1 ,$81.00 ,$58.32 ,$3.50 ,$81.00 ,$69.85 ,$47.50 ,$44.55 ,$27.38 ,$22.68 ,$42.36 ,$27.38 ,$44.55 ,$27.38 ,$40.10 ,$3.50 ,$27.38 ,$40.10 ,$56.44 ,$56.70 ,$63.90 ,$64.80 ,$69.85 ,$27.38 ,$56.70 ,$27.38 ,$48.60 ,$27.93 ,$60.75 ,$44.71 ,$40.34 ,$44.71 ,$27.38 ,$44.71 ,$41.56 ,$81.00 ,$41.56 ,$68.85 ,$69.85 ,$56.13 ,$27.38 ,$81.00 ,$45.44 ,$27.38 ,$21.22 , N/A ,$19.09 ,$18.22 ,$28.75 ,$64.80 ,$40.10 ,$22.68 ,$72.90 ,$30.78 ,$55.88 ,$27.38 ,$38.88 
ST. MARY'S HOSPITAL - DECATUR,30101579,82784,HC GAMMAGLOBULIN,301,1 ,$85.00 ,$61.20 ,$3.50 ,$85.00 ,$23.25 ,$15.82 ,$46.75 ,$9.11 ,$23.80 ,$35.81 ,$9.11 ,$37.30 ,$9.11 ,$42.08 ,$3.50 ,$9.11 ,$42.08 ,$18.79 ,$59.50 ,$21.30 ,$68.00 ,$23.25 ,$9.11 ,$59.50 ,$9.11 ,$51.00 ,$9.30 ,$63.75 ,$46.92 ,$42.33 ,$46.92 ,$9.11 ,$46.92 ,$13.84 ,$85.00 ,$13.84 ,$72.25 ,$23.25 ,$58.91 ,$9.11 ,$85.00 ,$47.69 ,$9.11 ,$22.27 , N/A ,$8.15 ,$7.78 ,$9.57 ,$68.00 ,$42.08 ,$23.80 ,$76.50 ,$32.30 ,$18.60 ,$9.11 ,$40.80 
ST. MARY'S HOSPITAL - DECATUR,30101580,82785,HC GAMMAGLOBULIN IGE,301,1 ,$116.00 ,$83.52 ,$3.50 ,$116.00 ,$41.15 ,$27.98 ,$63.80 ,$16.13 ,$32.48 ,$60.67 ,$16.13 ,$63.80 ,$16.13 ,$57.42 ,$3.50 ,$16.13 ,$57.42 ,$33.25 ,$81.20 ,$37.88 ,$92.80 ,$41.15 ,$16.13 ,$81.20 ,$16.13 ,$69.60 ,$16.45 ,$87.00 ,$64.03 ,$57.77 ,$64.03 ,$16.13 ,$64.03 ,$24.49 ,$116.00 ,$24.49 ,$98.60 ,$41.15 ,$80.39 ,$16.13 ,$116.00 ,$65.08 ,$16.13 ,$30.39 , N/A ,$8.15 ,$7.78 ,$16.93 ,$92.80 ,$57.42 ,$32.48 ,$104.40 ,$44.08 ,$32.92 ,$16.13 ,$55.68 
ST. MARY'S HOSPITAL - DECATUR,30101589,83036,HC GLYCOSYLATED HGB -90,301,1 ,$152.00 ,$109.44 ,$3.50 ,$152.00 ,$24.28 ,$16.50 ,$83.60 ,$9.52 ,$42.56 ,$50.64 ,$9.52 ,$52.75 ,$9.52 ,$75.24 ,$3.50 ,$9.52 ,$75.24 ,$19.61 ,$106.40 ,$22.10 ,$121.60 ,$24.28 ,$9.52 ,$106.40 ,$9.52 ,$91.20 ,$9.70 ,$114.00 ,$83.90 ,$75.70 ,$83.90 ,$9.52 ,$83.90 ,$14.45 ,$152.00 ,$14.45 ,$129.20 ,$24.28 ,$105.34 ,$9.52 ,$152.00 ,$85.27 ,$9.52 ,$39.82 , N/A ,$8.15 ,$7.78 ,$10.00 ,$121.60 ,$75.24 ,$42.56 ,$136.80 ,$57.76 ,$19.42 ,$9.52 ,$72.96 
ST. MARY'S HOSPITAL - DECATUR,30101591,83090,HC HOMOCYSTEINE,301,1 ,$203.00 ,$146.16 ,$3.50 ,$203.00 ,$44.80 ,$30.46 ,$111.65 ,$17.56 ,$56.84 ,$64.99 ,$17.56 ,$67.70 ,$17.56 ,$100.49 ,$3.50 ,$17.56 ,$100.49 ,$36.20 ,$142.10 ,$41.03 ,$162.40 ,$44.80 ,$17.56 ,$142.10 ,$17.56 ,$121.80 ,$17.91 ,$152.25 ,$112.06 ,$101.09 ,$112.06 ,$17.56 ,$112.06 ,$25.09 ,$203.00 ,$25.09 ,$172.55 ,$44.80 ,$140.68 ,$17.56 ,$203.00 ,$113.88 ,$17.56 ,$53.19 , N/A ,$19.09 ,$18.22 ,$18.44 ,$162.40 ,$100.49 ,$56.84 ,$182.70 ,$77.14 ,$35.84 ,$17.56 ,$97.44 
ST. MARY'S HOSPITAL - DECATUR,30101602,84105,HC PHOSPHORUS UR,301,1 ,$62.00 ,$44.64 ,$3.47 ,$62.00 ,$14.45 ,$9.82 ,$34.10 ,$5.66 ,$17.36 ,$19.92 ,$5.66 ,$20.75 ,$5.66 ,$30.69 ,$3.50 ,$5.66 ,$30.69 ,$11.68 ,$43.40 ,$13.43 ,$49.60 ,$14.45 ,$5.66 ,$43.40 ,$5.66 ,$37.20 ,$5.78 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$5.66 ,$34.22 ,$7.74 ,$62.00 ,$7.74 ,$52.70 ,$14.45 ,$42.97 ,$5.66 ,$62.00 ,$34.78 ,$5.66 ,$16.24 , N/A ,$3.63 ,$3.47 ,$5.95 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$11.56 ,$5.66 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30101605,84134,HC PREALBUMIN,301,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$36.48 ,$24.80 ,$73.70 ,$14.30 ,$37.52 ,$56.21 ,$14.30 ,$58.55 ,$14.30 ,$66.33 ,$3.50 ,$14.30 ,$66.33 ,$29.47 ,$93.80 ,$33.15 ,$107.20 ,$36.48 ,$14.30 ,$93.80 ,$14.30 ,$80.40 ,$14.58 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$14.30 ,$73.97 ,$21.70 ,$134.00 ,$21.70 ,$113.90 ,$36.48 ,$92.86 ,$14.30 ,$134.00 ,$75.17 ,$14.30 ,$35.11 , N/A ,$8.15 ,$7.78 ,$15.01 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$29.18 ,$14.30 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30101614,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$45.00 ,$32.40 ,$7.78 ,$45.00 ,$26.85 ,$18.26 ,$24.75 ,$10.53 ,$12.60 ,$23.54 ,$10.53 ,$24.75 ,$10.53 ,$22.28 ,$8.47 ,$10.53 ,$22.28 ,$21.69 ,$31.50 ,$24.45 ,$36.00 ,$26.85 ,$10.53 ,$31.50 ,$10.53 ,$27.00 ,$10.73 ,$33.75 ,$24.84 ,$22.41 ,$24.84 ,$10.53 ,$24.84 ,$15.98 ,$45.00 ,$15.98 ,$38.25 ,$26.85 ,$31.19 ,$10.53 ,$45.00 ,$25.25 ,$10.53 ,$11.79 , N/A ,$8.15 ,$7.78 ,$11.05 ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$21.48 ,$10.53 ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,30101615,84166,HC PROTEIN EP OTH FLUID,301,1 ,$45.00 ,$32.40 ,$7.78 ,$45.00 ,$44.58 ,$30.32 ,$24.75 ,$17.47 ,$12.60 ,$23.54 ,$17.47 ,$24.75 ,$17.47 ,$22.28 ,$14.07 ,$17.47 ,$22.28 ,$36.02 ,$31.50 ,$41.03 ,$36.00 ,$44.58 ,$17.47 ,$31.50 ,$17.47 ,$27.00 ,$17.83 ,$33.75 ,$24.84 ,$22.41 ,$24.84 ,$17.47 ,$24.84 ,$26.52 ,$45.00 ,$26.52 ,$38.25 ,$44.58 ,$31.19 ,$17.47 ,$45.00 ,$25.25 ,$17.47 ,$11.79 , N/A ,$8.15 ,$7.78 ,$18.35 ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$35.66 ,$17.47 ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,30101620,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$67.00 ,$48.24 ,$3.50 ,$67.00 ,$17.18 ,$11.68 ,$36.85 ,$6.73 ,$18.76 ,$26.45 ,$6.73 ,$27.55 ,$6.73 ,$33.17 ,$3.50 ,$6.73 ,$33.17 ,$13.88 ,$46.90 ,$15.78 ,$53.60 ,$17.18 ,$6.73 ,$46.90 ,$6.73 ,$40.20 ,$6.87 ,$50.25 ,$36.98 ,$33.37 ,$36.98 ,$6.73 ,$36.98 ,$10.22 ,$67.00 ,$10.22 ,$56.95 ,$17.18 ,$46.43 ,$6.73 ,$67.00 ,$37.59 ,$6.73 ,$17.55 , N/A ,$10.98 ,$10.48 ,$7.07 ,$53.60 ,$33.17 ,$18.76 ,$60.30 ,$25.46 ,$13.74 ,$6.73 ,$32.16 
ST. MARY'S HOSPITAL - DECATUR,30101634,80348,HC BUPRENORPHINE -90,301,1 ,$106.00 ,$76.32 ,$0.02 ,$106.00 , N/A ,$0.02 ,$58.30 , N/A ,$29.68 , N/A , N/A , N/A , N/A ,$52.47 , N/A , N/A ,$52.47 , N/A ,$74.20 ,$66.25 ,$84.80 , N/A , N/A ,$74.20 , N/A ,$63.60 , N/A ,$79.50 ,$58.51 ,$52.79 ,$58.51 , N/A ,$58.51 ,$21.91 ,$106.00 ,$21.91 ,$90.10 , N/A ,$73.46 , N/A ,$106.00 ,$59.47 , N/A ,$27.77 , N/A ,$8.15 ,$7.78 , N/A ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 , N/A , N/A ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30101642,84999,HC OSMOLALITY FECAL-90,301,1 ,$300.00 ,$216.00 ,$7.78 ,$300.00 , N/A ,$153.00 ,$165.00 , N/A ,$84.00 ,$156.90 , N/A ,$165.00 , N/A ,$148.50 ,$120.00 , N/A ,$148.50 ,$135.00 ,$210.00 ,$57.48 ,$240.00 ,$210.00 , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$219.00 ,$300.00 ,$219.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 , N/A ,$8.15 ,$7.78 , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 , N/A , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,30101644,82540,HC CREATINE ASSAY-90,301,1 ,$94.00 ,$67.68 ,$3.47 ,$94.00 ,$11.60 ,$7.88 ,$51.70 ,$4.55 ,$26.32 ,$17.86 ,$4.55 ,$18.60 ,$4.55 ,$46.53 ,$3.50 ,$4.55 ,$46.53 ,$9.37 ,$65.80 ,$10.25 ,$75.20 ,$11.60 ,$4.55 ,$65.80 ,$4.55 ,$56.40 ,$4.64 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$4.55 ,$51.89 ,$6.90 ,$94.00 ,$6.90 ,$79.90 ,$11.60 ,$65.14 ,$4.55 ,$94.00 ,$52.73 ,$4.55 ,$24.63 , N/A ,$3.63 ,$3.47 ,$4.77 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$9.28 ,$4.55 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,30101645,83951,HC ONCOPROTEIN DCP-90,301,1 ,$350.00 ,$252.00 ,$3.50 ,$350.00 ,$161.03 ,$109.50 ,$192.50 ,$63.12 ,$98.00 ,$183.05 ,$63.12 ,$192.50 ,$63.12 ,$173.25 ,$3.50 ,$63.12 ,$173.25 ,$130.11 ,$245.00 ,$146.75 ,$280.00 ,$161.03 ,$63.12 ,$245.00 ,$63.12 ,$210.00 ,$64.39 ,$262.50 ,$193.20 ,$174.30 ,$193.20 ,$63.12 ,$193.20 ,$95.83 ,$350.00 ,$95.83 ,$297.50 ,$161.03 ,$242.55 ,$63.12 ,$350.00 ,$196.35 ,$63.12 ,$91.70 , N/A ,$25.62 ,$24.45 ,$66.28 ,$280.00 ,$173.25 ,$98.00 ,$315.00 ,$133.00 ,$128.82 ,$63.12 ,$168.00 
ST. MARY'S HOSPITAL - DECATUR,30101649,80368,HC SEDATIVE HYPNOTICS-90,301,1 ,$56.00 ,$40.32 ,$0.02 ,$56.00 , N/A ,$0.02 ,$30.80 , N/A ,$15.68 , N/A , N/A , N/A , N/A ,$27.72 , N/A , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$14.06 ,$56.00 ,$14.06 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 , N/A ,$8.15 ,$7.78 , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 , N/A , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,30101650,83516,HC MLT NON INFECT QL/SQ,301,1 ,$135.00 ,$97.20 ,$3.50 ,$135.00 ,$28.83 ,$19.60 ,$74.25 ,$11.30 ,$37.80 ,$60.14 ,$11.30 ,$62.65 ,$11.30 ,$66.83 ,$3.50 ,$11.30 ,$66.83 ,$23.29 ,$94.50 ,$26.05 ,$108.00 ,$28.83 ,$11.30 ,$94.50 ,$11.30 ,$81.00 ,$11.52 ,$101.25 ,$74.52 ,$67.23 ,$74.52 ,$11.30 ,$74.52 ,$17.15 ,$135.00 ,$17.15 ,$114.75 ,$28.83 ,$93.56 ,$11.30 ,$135.00 ,$75.74 ,$11.30 ,$35.37 , N/A ,$7.30 ,$6.97 ,$11.87 ,$108.00 ,$66.83 ,$37.80 ,$121.50 ,$51.30 ,$23.06 ,$11.30 ,$64.80 
ST. MARY'S HOSPITAL - DECATUR,30101651,84150,HC PROSTAGLANDIN-90,301,1 ,$413.00 ,$297.36 ,$3.50 ,$413.00 ,$104.43 ,$71.00 ,$227.15 ,$40.93 ,$115.64 ,$130.32 ,$40.93 ,$135.75 ,$40.93 ,$204.44 ,$3.50 ,$40.93 ,$204.44 ,$84.38 ,$289.10 ,$95.48 ,$330.40 ,$104.43 ,$40.93 ,$289.10 ,$40.93 ,$247.80 ,$41.76 ,$309.75 ,$227.98 ,$205.67 ,$227.98 ,$40.93 ,$227.98 ,$55.93 ,$413.00 ,$55.93 ,$351.05 ,$104.43 ,$286.21 ,$40.93 ,$413.00 ,$231.69 ,$40.93 ,$108.21 , N/A ,$19.09 ,$18.22 ,$42.98 ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$83.54 ,$40.93 ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,30101652,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2-90,301,1 ,$241.00 ,$173.52 ,$3.50 ,$241.00 ,$115.78 ,$78.72 ,$132.55 ,$45.38 ,$67.48 ,$126.04 ,$45.38 ,$132.55 ,$45.38 ,$119.30 ,$3.50 ,$45.38 ,$119.30 ,$93.55 ,$168.70 ,$105.73 ,$192.80 ,$115.78 ,$45.38 ,$168.70 ,$45.38 ,$144.60 ,$46.30 ,$180.75 ,$133.03 ,$120.02 ,$133.03 ,$45.38 ,$133.03 ,$62.01 ,$241.00 ,$62.01 ,$204.85 ,$115.78 ,$167.01 ,$45.38 ,$241.00 ,$135.20 ,$45.38 ,$63.14 , N/A ,$21.95 ,$20.95 ,$47.66 ,$192.80 ,$119.30 ,$67.48 ,$216.90 ,$91.58 ,$92.62 ,$45.38 ,$115.68 
ST. MARY'S HOSPITAL - DECATUR,30101653,82642,HC DIHYDROTESTOSTERONE-90,301,1 ,$181.00 ,$130.32 ,$3.50 ,$181.00 ,$73.20 ,$49.78 ,$99.55 ,$28.69 ,$50.68 ,$94.66 ,$28.69 ,$99.55 ,$28.69 ,$89.60 ,$3.50 ,$28.69 ,$89.60 ,$59.15 ,$126.70 ,$67.08 ,$144.80 ,$73.20 ,$28.69 ,$126.70 ,$28.69 ,$108.60 ,$29.27 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$28.69 ,$99.91 ,$43.56 ,$181.00 ,$43.56 ,$153.85 ,$73.20 ,$125.43 ,$28.69 ,$181.00 ,$101.54 ,$28.69 ,$47.42 , N/A ,$10.98 ,$10.48 ,$30.13 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$58.56 ,$28.69 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,30101663,83631,HC LACTOFERRIN FECAL QN-90,301,1 ,$250.00 ,$180.00 ,$3.50 ,$250.00 ,$49.08 ,$33.38 ,$137.50 ,$19.24 ,$70.00 ,$75.65 ,$19.24 ,$78.80 ,$19.24 ,$123.75 ,$3.50 ,$19.24 ,$123.75 ,$39.65 ,$175.00 ,$44.98 ,$200.00 ,$49.08 ,$19.24 ,$175.00 ,$19.24 ,$150.00 ,$19.62 ,$187.50 ,$138.00 ,$124.50 ,$138.00 ,$19.24 ,$138.00 ,$29.20 ,$250.00 ,$29.20 ,$212.50 ,$49.08 ,$173.25 ,$19.24 ,$250.00 ,$140.25 ,$19.24 ,$65.50 , N/A ,$8.15 ,$7.78 ,$20.20 ,$200.00 ,$123.75 ,$70.00 ,$225.00 ,$95.00 ,$39.26 ,$19.24 ,$120.00 
ST. MARY'S HOSPITAL - DECATUR,30101669,81500,HC ONCOLOGY OVARIAN BIOCHEMICAL ASSAY CA-125/HE4 -90,301,1 ,"$1,055.00 ",$759.60 ,$3.50 ,"$1,055.00 ",$651.25 ,$442.86 ,$580.25 ,$255.29 ,$295.40 ,$551.77 ,$255.29 ,$580.25 ,$255.29 ,$522.23 ,$3.50 ,$255.29 ,$522.23 ,$526.21 ,$738.50 ,$659.38 ,$844.00 ,$651.25 ,$255.29 ,$738.50 ,$255.29 ,$633.00 ,$260.40 ,$791.25 ,$582.36 ,$525.39 ,$582.36 ,$255.29 ,$582.36 ,$348.81 ,"$1,055.00 ",$348.81 ,$896.75 ,$651.25 ,$731.12 ,$255.29 ,"$1,055.00 ",$591.86 ,$255.29 ,$276.41 , N/A ,$28.94 ,$27.63 ,$268.06 ,$844.00 ,$522.23 ,$295.40 ,$949.50 ,$400.90 ,$521.00 ,$255.29 ,$506.40 
ST. MARY'S HOSPITAL - DECATUR,30101674,82978,HC GLUTATHIONE-90,301,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$38.63 ,$26.26 ,$103.95 ,$15.14 ,$52.92 ,$54.91 ,$15.14 ,$57.20 ,$15.14 ,$93.56 ,$3.50 ,$15.14 ,$93.56 ,$31.21 ,$132.30 ,$35.50 ,$151.20 ,$38.63 ,$15.14 ,$132.30 ,$15.14 ,$113.40 ,$15.44 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$15.14 ,$104.33 ,$21.21 ,$189.00 ,$21.21 ,$160.65 ,$38.63 ,$130.98 ,$15.14 ,$189.00 ,$106.03 ,$15.14 ,$49.52 , N/A ,$8.15 ,$7.78 ,$15.90 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$30.90 ,$15.14 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30101675,83050,HC METHEMOGLOBIN-90,301,1 ,$123.00 ,$88.56 ,$3.50 ,$123.00 ,$20.50 ,$13.94 ,$67.65 ,$8.04 ,$34.44 ,$28.22 ,$8.04 ,$29.40 ,$8.04 ,$60.89 ,$3.50 ,$8.04 ,$60.89 ,$16.56 ,$86.10 ,$18.93 ,$98.40 ,$20.50 ,$8.04 ,$86.10 ,$8.04 ,$73.80 ,$8.19 ,$92.25 ,$67.90 ,$61.25 ,$67.90 ,$8.04 ,$67.90 ,$10.98 ,$123.00 ,$10.98 ,$104.55 ,$20.50 ,$85.24 ,$8.04 ,$123.00 ,$69.00 ,$8.04 ,$32.23 , N/A ,$8.15 ,$7.78 ,$8.44 ,$98.40 ,$60.89 ,$34.44 ,$110.70 ,$46.74 ,$16.40 ,$8.04 ,$59.04 
ST. MARY'S HOSPITAL - DECATUR,30101676,82375,HC CARBON MONOXIDE-90,301,1 ,$174.00 ,$125.28 ,$3.50 ,$174.00 ,$30.80 ,$20.94 ,$95.70 ,$12.07 ,$48.72 ,$47.47 ,$12.07 ,$49.45 ,$12.07 ,$86.13 ,$3.50 ,$12.07 ,$86.13 ,$24.89 ,$121.80 ,$28.40 ,$139.20 ,$30.80 ,$12.07 ,$121.80 ,$12.07 ,$104.40 ,$12.32 ,$130.50 ,$96.05 ,$86.65 ,$96.05 ,$12.07 ,$96.05 ,$18.33 ,$174.00 ,$18.33 ,$147.90 ,$30.80 ,$120.58 ,$12.07 ,$174.00 ,$97.61 ,$12.07 ,$45.59 , N/A ,$8.15 ,$7.78 ,$12.68 ,$139.20 ,$86.13 ,$48.72 ,$156.60 ,$66.12 ,$24.64 ,$12.07 ,$83.52 
ST. MARY'S HOSPITAL - DECATUR,30101682,82963,HC GLUCOSIDASE BETA ASSAY-90,301,1 ,$325.00 ,$234.00 ,$3.50 ,$325.00 ,$53.70 ,$36.52 ,$178.75 ,$21.05 ,$91.00 ,$82.75 ,$21.05 ,$86.20 ,$21.05 ,$160.88 ,$3.50 ,$21.05 ,$160.88 ,$43.39 ,$227.50 ,$48.93 ,$260.00 ,$53.70 ,$21.05 ,$227.50 ,$21.05 ,$195.00 ,$21.47 ,$243.75 ,$179.40 ,$161.85 ,$179.40 ,$21.05 ,$179.40 ,$31.96 ,$325.00 ,$31.96 ,$276.25 ,$53.70 ,$225.23 ,$21.05 ,$325.00 ,$182.33 ,$21.05 ,$85.15 , N/A ,$8.15 ,$7.78 ,$22.10 ,$260.00 ,$160.88 ,$91.00 ,$292.50 ,$123.50 ,$42.96 ,$21.05 ,$156.00 
ST. MARY'S HOSPITAL - DECATUR,30101685,80235,HC LACOSAMIDE -90,301,1 ,$256.00 ,$184.32 ,$3.50 ,$256.00 ,$67.78 ,$46.08 ,$140.80 ,$26.57 ,$71.68 ,$133.89 ,$26.57 ,$140.80 ,$26.57 ,$126.72 ,$3.50 ,$26.57 ,$126.72 ,$54.76 ,$179.20 ,$61.55 ,$204.80 ,$67.78 ,$26.57 ,$179.20 ,$26.57 ,$153.60 ,$27.10 ,$192.00 ,$141.31 ,$127.49 ,$141.31 ,$26.57 ,$141.31 ,$36.30 ,$256.00 ,$36.30 ,$217.60 ,$67.78 ,$177.41 ,$26.57 ,$256.00 ,$143.62 ,$26.57 ,$67.07 , N/A ,$9.36 ,$8.94 ,$27.90 ,$204.80 ,$126.72 ,$71.68 ,$230.40 ,$97.28 ,$54.22 ,$26.57 ,$122.88 
ST. MARY'S HOSPITAL - DECATUR,30101690,80357,HC DRUG SCREEN KETAMINE AND NORKETAMINE-90,301,1 ,$13.00 ,$9.36 ,$0.02 ,$13.00 , N/A ,$0.02 ,$7.15 , N/A ,$3.64 , N/A , N/A , N/A , N/A ,$6.44 , N/A , N/A ,$6.44 , N/A ,$9.10 ,$8.13 ,$10.40 , N/A , N/A ,$9.10 , N/A ,$7.80 , N/A ,$9.75 ,$7.18 ,$6.47 ,$7.18 , N/A ,$7.18 ,$13.00 ,$13.00 ,$13.00 ,$11.05 , N/A ,$9.01 , N/A ,$13.00 ,$7.29 , N/A ,$3.41 , N/A ,$8.15 ,$7.78 , N/A ,$10.40 ,$6.44 ,$3.64 ,$11.70 ,$4.94 , N/A , N/A ,$6.24 
ST. MARY'S HOSPITAL - DECATUR,30101691,80330,HC DRUG SCREEN ANALGESICS NON-OPIOID 3-5-90,301,1 ,$76.00 ,$54.72 ,$0.02 ,$76.00 , N/A ,$0.02 ,$41.80 , N/A ,$21.28 , N/A , N/A , N/A , N/A ,$37.62 , N/A , N/A ,$37.62 , N/A ,$53.20 ,$47.50 ,$60.80 , N/A , N/A ,$53.20 , N/A ,$45.60 , N/A ,$57.00 ,$41.95 ,$37.85 ,$41.95 , N/A ,$41.95 ,$6.83 ,$76.00 ,$6.83 ,$64.60 , N/A ,$52.67 , N/A ,$76.00 ,$42.64 , N/A ,$19.91 , N/A ,$21.95 ,$20.95 , N/A ,$60.80 ,$37.62 ,$21.28 ,$68.40 ,$28.88 , N/A , N/A ,$36.48 
ST. MARY'S HOSPITAL - DECATUR,30101692,80366,HC DRUG SCREEN PREGABALIN-90,301,1 ,$133.00 ,$95.76 ,$0.02 ,$133.00 , N/A ,$0.02 ,$73.15 , N/A ,$37.24 , N/A , N/A , N/A , N/A ,$65.84 , N/A , N/A ,$65.84 , N/A ,$93.10 ,$83.13 ,$106.40 , N/A , N/A ,$93.10 , N/A ,$79.80 , N/A ,$99.75 ,$73.42 ,$66.23 ,$73.42 , N/A ,$73.42 ,$11.05 ,$133.00 ,$11.05 ,$113.05 , N/A ,$92.17 , N/A ,$133.00 ,$74.61 , N/A ,$34.85 , N/A ,$8.15 ,$7.78 , N/A ,$106.40 ,$65.84 ,$37.24 ,$119.70 ,$50.54 , N/A , N/A ,$63.84 
ST. MARY'S HOSPITAL - DECATUR,30101693,80326,HC DRUG SCREEN QUANT AMPHETAMINES >5-90,301,1 ,$111.00 ,$79.92 ,$0.02 ,$111.00 , N/A ,$0.02 ,$61.05 , N/A ,$31.08 , N/A , N/A , N/A , N/A ,$54.95 , N/A , N/A ,$54.95 , N/A ,$77.70 ,$69.38 ,$88.80 , N/A , N/A ,$77.70 , N/A ,$66.60 , N/A ,$83.25 ,$61.27 ,$55.28 ,$61.27 , N/A ,$61.27 ,$12.36 ,$111.00 ,$12.36 ,$94.35 , N/A ,$76.92 , N/A ,$111.00 ,$62.27 , N/A ,$29.08 , N/A ,$21.95 ,$20.95 , N/A ,$88.80 ,$54.95 ,$31.08 ,$99.90 ,$42.18 , N/A , N/A ,$53.28 
ST. MARY'S HOSPITAL - DECATUR,30101694,80370,HC DRUG SCREEN SKEL MUSCLE RELAXANTS >3-90,301,1 ,$13.00 ,$9.36 ,$0.02 ,$20.95 , N/A ,$0.02 ,$7.15 , N/A ,$3.64 , N/A , N/A , N/A , N/A ,$6.44 , N/A , N/A ,$6.44 , N/A ,$9.10 ,$8.13 ,$10.40 , N/A , N/A ,$9.10 , N/A ,$7.80 , N/A ,$9.75 ,$7.18 ,$6.47 ,$7.18 , N/A ,$7.18 ,$13.00 ,$13.00 ,$13.00 ,$11.05 , N/A ,$9.01 , N/A ,$13.00 ,$7.29 , N/A ,$3.41 , N/A ,$13.00 ,$20.95 , N/A ,$10.40 ,$6.44 ,$3.64 ,$11.70 ,$4.94 , N/A , N/A ,$6.24 
ST. MARY'S HOSPITAL - DECATUR,30101695,80344,HC ANTIPSYCHOTICS NOS >7-90,301,1 ,$12.00 ,$8.64 ,$0.02 ,$20.95 , N/A ,$0.02 ,$6.60 , N/A ,$3.36 , N/A , N/A , N/A , N/A ,$5.94 , N/A , N/A ,$5.94 , N/A ,$8.40 ,$7.50 ,$9.60 , N/A , N/A ,$8.40 , N/A ,$7.20 , N/A ,$9.00 ,$6.62 ,$5.98 ,$6.62 , N/A ,$6.62 ,$11.05 ,$12.00 ,$11.05 ,$10.20 , N/A ,$8.32 , N/A ,$12.00 ,$6.73 , N/A ,$3.14 , N/A ,$12.00 ,$20.95 , N/A ,$9.60 ,$5.94 ,$3.36 ,$10.80 ,$4.56 , N/A , N/A ,$5.76 
ST. MARY'S HOSPITAL - DECATUR,30101696,80338,HC ANTIDEPRESSANT NOS-90,301,1 ,$73.00 ,$52.56 ,$0.02 ,$73.00 , N/A ,$0.02 ,$40.15 , N/A ,$20.44 , N/A , N/A , N/A , N/A ,$36.14 , N/A , N/A ,$36.14 , N/A ,$51.10 ,$45.63 ,$58.40 , N/A , N/A ,$51.10 , N/A ,$43.80 , N/A ,$54.75 ,$40.30 ,$36.35 ,$40.30 , N/A ,$40.30 ,$17.08 ,$73.00 ,$17.08 ,$62.05 , N/A ,$50.59 , N/A ,$73.00 ,$40.95 , N/A ,$19.13 , N/A ,$8.15 ,$7.78 , N/A ,$58.40 ,$36.14 ,$20.44 ,$65.70 ,$27.74 , N/A , N/A ,$35.04 
ST. MARY'S HOSPITAL - DECATUR,30101697,80367,HC DRUG SCREEN PROPOXYPHENE-90,301,1 ,$65.00 ,$46.80 ,$0.02 ,$65.00 , N/A ,$0.02 ,$35.75 , N/A ,$18.20 , N/A , N/A , N/A , N/A ,$32.18 , N/A , N/A ,$32.18 , N/A ,$45.50 ,$40.63 ,$52.00 , N/A , N/A ,$45.50 , N/A ,$39.00 , N/A ,$48.75 ,$35.88 ,$32.37 ,$35.88 , N/A ,$35.88 ,$16.75 ,$65.00 ,$16.75 ,$55.25 , N/A ,$45.05 , N/A ,$65.00 ,$36.47 , N/A ,$17.03 , N/A ,$8.15 ,$7.78 , N/A ,$52.00 ,$32.18 ,$18.20 ,$58.50 ,$24.70 , N/A , N/A ,$31.20 
ST. MARY'S HOSPITAL - DECATUR,30101698,80372,HC DRUG SCREEN TAPENTADOL-90,301,1 ,$22.00 ,$15.84 ,$0.02 ,$22.00 , N/A ,$0.02 ,$12.10 , N/A ,$6.16 , N/A , N/A , N/A , N/A ,$10.89 , N/A , N/A ,$10.89 , N/A ,$15.40 ,$13.75 ,$17.60 , N/A , N/A ,$15.40 , N/A ,$13.20 , N/A ,$16.50 ,$12.14 ,$10.96 ,$12.14 , N/A ,$12.14 ,$16.92 ,$22.00 ,$16.92 ,$18.70 , N/A ,$15.25 , N/A ,$22.00 ,$12.34 , N/A ,$5.76 , N/A ,$8.15 ,$7.78 , N/A ,$17.60 ,$10.89 ,$6.16 ,$19.80 ,$8.36 , N/A , N/A ,$10.56 
ST. MARY'S HOSPITAL - DECATUR,30101699,80355,HC DRUG SCREEN GABAPENTIN NON-BLOOD-90,301,1 ,$96.00 ,$69.12 ,$0.02 ,$96.00 , N/A ,$0.02 ,$52.80 , N/A ,$26.88 , N/A , N/A , N/A , N/A ,$47.52 , N/A , N/A ,$47.52 , N/A ,$67.20 ,$60.00 ,$76.80 , N/A , N/A ,$67.20 , N/A ,$57.60 , N/A ,$72.00 ,$52.99 ,$47.81 ,$52.99 , N/A ,$52.99 ,$12.29 ,$96.00 ,$12.29 ,$81.60 , N/A ,$66.53 , N/A ,$96.00 ,$53.86 , N/A ,$25.15 , N/A ,$8.15 ,$7.78 , N/A ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 , N/A , N/A ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30101700,80337,HC ANTIDEPRESSANTS TRICYCLIC OTH CYCLICALS >6-90,301,1 ,$124.00 ,$89.28 ,$0.02 ,$124.00 , N/A ,$0.02 ,$68.20 , N/A ,$34.72 , N/A , N/A , N/A , N/A ,$61.38 , N/A , N/A ,$61.38 , N/A ,$86.80 ,$77.50 ,$99.20 , N/A , N/A ,$86.80 , N/A ,$74.40 , N/A ,$93.00 ,$68.45 ,$61.75 ,$68.45 , N/A ,$68.45 ,$13.86 ,$124.00 ,$13.86 ,$105.40 , N/A ,$85.93 , N/A ,$124.00 ,$69.56 , N/A ,$32.49 , N/A ,$21.95 ,$20.95 , N/A ,$99.20 ,$61.38 ,$34.72 ,$111.60 ,$47.12 , N/A , N/A ,$59.52 
ST. MARY'S HOSPITAL - DECATUR,30101701,80333,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5-90,301,1 ,$155.00 ,$111.60 ,$0.02 ,$155.00 , N/A ,$0.02 ,$85.25 , N/A ,$43.40 , N/A , N/A , N/A , N/A ,$76.73 , N/A , N/A ,$76.73 , N/A ,$108.50 ,$96.88 ,$124.00 , N/A , N/A ,$108.50 , N/A ,$93.00 , N/A ,$116.25 ,$85.56 ,$77.19 ,$85.56 , N/A ,$85.56 ,$19.95 ,$155.00 ,$19.95 ,$131.75 , N/A ,$107.42 , N/A ,$155.00 ,$86.96 , N/A ,$40.61 , N/A ,$21.95 ,$20.95 , N/A ,$124.00 ,$76.73 ,$43.40 ,$139.50 ,$58.90 , N/A , N/A ,$74.40 
ST. MARY'S HOSPITAL - DECATUR,30101705,80145,HC DRUG ASSAY ADALIMUMAB -90,301,1 ,$450.00 ,$324.00 ,$3.50 ,$450.00 ,$96.43 ,$65.56 ,$247.50 ,$37.80 ,$126.00 ,$235.35 ,$37.80 ,$247.50 ,$37.80 ,$222.75 ,$3.50 ,$37.80 ,$222.75 ,$77.91 ,$315.00 ,$87.58 ,$360.00 ,$96.43 ,$37.80 ,$315.00 ,$37.80 ,$270.00 ,$38.55 ,$337.50 ,$248.40 ,$224.10 ,$248.40 ,$37.80 ,$248.40 ,$51.64 ,$450.00 ,$51.64 ,$382.50 ,$96.43 ,$311.85 ,$37.80 ,$450.00 ,$252.45 ,$37.80 ,$117.90 , N/A ,$9.36 ,$8.94 ,$39.69 ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 ,$77.14 ,$37.80 ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,30101706,80230,HC DRUG ASSAY INFLIXIMAB-90,301,1 ,$412.00 ,$296.64 ,$3.50 ,$412.00 ,$96.43 ,$65.56 ,$226.60 ,$37.80 ,$115.36 ,$215.48 ,$37.80 ,$226.60 ,$37.80 ,$203.94 ,$3.50 ,$37.80 ,$203.94 ,$77.91 ,$288.40 ,$87.58 ,$329.60 ,$96.43 ,$37.80 ,$288.40 ,$37.80 ,$247.20 ,$38.55 ,$309.00 ,$227.42 ,$205.18 ,$227.42 ,$37.80 ,$227.42 ,$51.64 ,$412.00 ,$51.64 ,$350.20 ,$96.43 ,$285.52 ,$37.80 ,$412.00 ,$231.13 ,$37.80 ,$107.94 , N/A ,$9.36 ,$8.94 ,$39.69 ,$329.60 ,$203.94 ,$115.36 ,$370.80 ,$156.56 ,$77.14 ,$37.80 ,$197.76 
ST. MARY'S HOSPITAL - DECATUR,30101714,80374,HC METHAMPHETAMINE- 90,301,1 ,$301.00 ,$216.72 ,$0.02 ,$301.00 , N/A ,$0.02 ,$165.55 , N/A ,$84.28 , N/A , N/A , N/A , N/A ,$149.00 , N/A , N/A ,$149.00 , N/A ,$210.70 ,$188.13 ,$240.80 , N/A , N/A ,$210.70 , N/A ,$180.60 , N/A ,$225.75 ,$166.15 ,$149.90 ,$166.15 , N/A ,$166.15 ,$15.80 ,$301.00 ,$15.80 ,$255.85 , N/A ,$208.59 , N/A ,$301.00 ,$168.86 , N/A ,$78.86 , N/A ,$8.15 ,$7.78 , N/A ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 , N/A , N/A ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,30101739,80280,HC DRUG ASSAY VEDOLIZUMAB-90,301,1 ,$487.00 ,$350.64 ,$3.50 ,$487.00 ,$96.43 ,$65.56 ,$267.85 ,$37.80 ,$136.36 ,$254.70 ,$37.80 ,$267.85 ,$37.80 ,$241.07 ,$3.50 ,$37.80 ,$241.07 ,$77.91 ,$340.90 ,$87.58 ,$389.60 ,$96.43 ,$37.80 ,$340.90 ,$37.80 ,$292.20 ,$38.55 ,$365.25 ,$268.82 ,$242.53 ,$268.82 ,$37.80 ,$268.82 ,$51.64 ,$487.00 ,$51.64 ,$413.95 ,$96.43 ,$337.49 ,$37.80 ,$487.00 ,$273.21 ,$37.80 ,$127.59 , N/A ,$9.36 ,$8.94 ,$39.69 ,$389.60 ,$241.07 ,$136.36 ,$438.30 ,$185.06 ,$77.14 ,$37.80 ,$233.76 
ST. MARY'S HOSPITAL - DECATUR,30101745,81277,HC CYTOGENOMIC NEO MICRORA ALYS- 90,301,1 ,"$3,949.00 ","$2,843.28 ",$3.50 ,"$3,949.00 ","$2,900.00 ","$1,972.00 ","$2,171.95 ","$1,136.80 ","$1,105.72 ","$2,065.33 ","$1,136.80 ","$2,171.95 ","$1,136.80 ","$1,954.76 ",$3.50 ,"$1,136.80 ","$1,954.76 ","$2,343.20 ","$2,764.30 ","$2,644.80 ","$3,159.20 ","$2,900.00 ","$1,136.80 ","$2,764.30 ","$1,136.80 ","$2,369.40 ","$1,159.54 ","$2,961.75 ","$2,179.85 ","$1,966.60 ","$2,179.85 ","$1,136.80 ","$2,179.85 ","$1,553.24 ","$3,949.00 ","$1,553.24 ","$3,356.65 ","$2,900.00 ","$2,736.66 ","$1,136.80 ","$3,949.00 ","$2,215.39 ","$1,136.80 ","$1,034.64 ", N/A ,$267.32 ,$255.17 ,"$1,193.64 ","$3,159.20 ","$1,954.76 ","$1,105.72 ","$3,554.10 ","$1,500.62 ","$2,320.00 ","$1,136.80 ","$1,895.52 "
ST. MARY'S HOSPITAL - DECATUR,30101760,80362,HC OPIOIDS  AND  OPIATE ANALOGS 1/2-90,301,1 ,$108.00 ,$77.76 ,$0.02 ,$108.00 , N/A ,$0.02 ,$59.40 , N/A ,$30.24 , N/A , N/A , N/A , N/A ,$53.46 , N/A , N/A ,$53.46 , N/A ,$75.60 ,$67.50 ,$86.40 , N/A , N/A ,$75.60 , N/A ,$64.80 , N/A ,$81.00 ,$59.62 ,$53.78 ,$59.62 , N/A ,$59.62 ,$18.48 ,$108.00 ,$18.48 ,$91.80 , N/A ,$74.84 , N/A ,$108.00 ,$60.59 , N/A ,$28.30 , N/A ,$21.95 ,$20.95 , N/A ,$86.40 ,$53.46 ,$30.24 ,$97.20 ,$41.04 , N/A , N/A ,$51.84 
ST. MARY'S HOSPITAL - DECATUR,30101765,83872,HC ASSAY SYNOVIAL FLUID MUCIN- 90,301,1 ,$62.00 ,$44.64 ,$3.47 ,$62.00 ,$14.65 ,$9.96 ,$34.10 ,$5.74 ,$17.36 ,$22.61 ,$5.74 ,$23.55 ,$5.74 ,$30.69 ,$3.50 ,$5.74 ,$30.69 ,$11.84 ,$43.40 ,$13.43 ,$49.60 ,$14.65 ,$5.74 ,$43.40 ,$5.74 ,$37.20 ,$5.86 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$5.74 ,$34.22 ,$8.71 ,$62.00 ,$8.71 ,$52.70 ,$14.65 ,$42.97 ,$5.74 ,$62.00 ,$34.78 ,$5.74 ,$16.24 , N/A ,$3.63 ,$3.47 ,$6.03 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$11.72 ,$5.74 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$169.00 ,$121.68 ,$7.78 ,$169.00 ,$43.18 ,$29.36 ,$92.95 ,$16.92 ,$47.32 ,$88.39 ,$16.92 ,$92.95 ,$16.92 ,$83.66 ,$67.60 ,$16.92 ,$83.66 ,$34.89 ,$118.30 ,$28.08 ,$135.20 ,$43.18 ,$16.92 ,$118.30 ,$16.92 ,$101.40 ,$17.27 ,$126.75 ,$93.29 ,$84.16 ,$93.29 ,$16.92 ,$93.29 ,$23.12 ,$169.00 ,$23.12 ,$143.65 ,$43.18 ,$117.12 ,$16.92 ,$169.00 ,$94.81 ,$16.92 ,$44.28 , N/A ,$8.15 ,$7.78 ,$17.77 ,$135.20 ,$83.66 ,$47.32 ,$152.10 ,$64.22 ,$34.54 ,$16.92 ,$81.12 
ST. MARY'S HOSPITAL - DECATUR,30101776,80051,HC ELECTROLYTE PANEL- 90,301,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$17.53 ,$11.92 ,$91.85 ,$6.87 ,$46.76 ,$51.05 ,$6.87 ,$53.34 ,$6.87 ,$82.67 ,$3.50 ,$6.87 ,$82.67 ,$14.16 ,$116.90 ,$15.78 ,$133.60 ,$17.53 ,$6.87 ,$116.90 ,$6.87 ,$100.20 ,$7.01 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$6.87 ,$92.18 ,$10.43 ,$167.00 ,$10.43 ,$141.95 ,$17.53 ,$115.73 ,$6.87 ,$167.00 ,$93.69 ,$6.87 ,$43.75 , N/A ,$7.44 ,$7.10 ,$7.21 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$14.02 ,$6.87 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30101793,83518,HC IMMUNOSAY DIPSTICK- 90,301,1 ,$569.00 ,$409.68 ,$3.50 ,$569.00 ,$24.10 ,$16.38 ,$312.95 ,$9.45 ,$159.32 ,$44.21 ,$9.45 ,$46.05 ,$9.45 ,$281.66 ,$3.50 ,$9.45 ,$281.66 ,$19.47 ,$398.30 ,$22.10 ,$455.20 ,$24.10 ,$9.45 ,$398.30 ,$9.45 ,$341.40 ,$9.63 ,$426.75 ,$314.09 ,$283.36 ,$314.09 ,$9.45 ,$314.09 ,$12.91 ,$569.00 ,$12.91 ,$483.65 ,$24.10 ,$394.32 ,$9.45 ,$569.00 ,$319.21 ,$9.45 ,$149.08 , N/A ,$7.30 ,$6.97 ,$9.92 ,$455.20 ,$281.66 ,$159.32 ,$512.10 ,$216.22 ,$19.28 ,$9.45 ,$273.12 
ST. MARY'S HOSPITAL - DECATUR,30101794,84311,HC SPECHTROPHOTOMETRY ANLY,301,1 ,$302.00 ,$217.44 ,$3.50 ,$302.00 ,$20.25 ,$13.78 ,$166.10 ,$7.94 ,$84.56 ,$26.93 ,$7.94 ,$28.05 ,$7.94 ,$149.49 ,$3.50 ,$7.94 ,$149.49 ,$16.36 ,$211.40 ,$18.15 ,$241.60 ,$20.25 ,$7.94 ,$211.40 ,$7.94 ,$181.20 ,$8.09 ,$226.50 ,$166.70 ,$150.40 ,$166.70 ,$7.94 ,$166.70 ,$10.85 ,$302.00 ,$10.85 ,$256.70 ,$20.25 ,$209.29 ,$7.94 ,$302.00 ,$169.42 ,$7.94 ,$79.12 , N/A ,$8.15 ,$7.78 ,$8.34 ,$241.60 ,$149.49 ,$84.56 ,$271.80 ,$114.76 ,$16.20 ,$7.94 ,$144.96 
ST. MARY'S HOSPITAL - DECATUR,30101803,84110,HC ASSAY OF PORPHOBILINOGEN-90,301,1 ,$72.00 ,$51.84 ,$3.50 ,$72.00 ,$21.10 ,$14.34 ,$39.60 ,$8.27 ,$20.16 ,$32.50 ,$8.27 ,$33.85 ,$8.27 ,$35.64 ,$3.50 ,$8.27 ,$35.64 ,$17.05 ,$50.40 ,$18.93 ,$57.60 ,$21.10 ,$8.27 ,$50.40 ,$8.27 ,$43.20 ,$8.44 ,$54.00 ,$39.74 ,$35.86 ,$39.74 ,$8.27 ,$39.74 ,$12.56 ,$72.00 ,$12.56 ,$61.20 ,$21.10 ,$49.90 ,$8.27 ,$72.00 ,$40.39 ,$8.27 ,$18.86 , N/A ,$8.15 ,$7.78 ,$8.68 ,$57.60 ,$35.64 ,$20.16 ,$64.80 ,$27.36 ,$16.88 ,$8.27 ,$34.56 
ST. MARY'S HOSPITAL - DECATUR,30101821,82542,HC BETA-AMYLOID AD-DETECT-90,301,1 ,$950.00 ,$684.00 ,$3.50 ,$950.00 ,$60.23 ,$40.96 ,$522.50 ,$23.61 ,$266.00 ,$75.17 ,$23.61 ,$78.30 ,$23.61 ,$470.25 ,$3.50 ,$23.61 ,$470.25 ,$48.66 ,$665.00 ,$55.23 ,$760.00 ,$60.23 ,$23.61 ,$665.00 ,$23.61 ,$570.00 ,$24.08 ,$712.50 ,$524.40 ,$473.10 ,$524.40 ,$23.61 ,$524.40 ,$32.26 ,$950.00 ,$32.26 ,$807.50 ,$60.23 ,$658.35 ,$23.61 ,$950.00 ,$532.95 ,$23.61 ,$248.90 , N/A ,$8.15 ,$7.78 ,$24.78 ,$760.00 ,$470.25 ,$266.00 ,$855.00 ,$361.00 ,$48.18 ,$23.61 ,$456.00 
ST. MARY'S HOSPITAL - DECATUR,30101823,G0482,HC DRUG SCRN DEFINT 15-21 CLS T1 -90,301,1 ,$300.00 ,$216.00 ,$3.50 ,$496.85 ,$496.85 ,$300.00 ,$165.00 ,$194.77 ,$84.00 ,$16.80 ,$194.77 ,$17.50 ,$194.77 ,$148.50 ,$3.50 ,$194.77 ,$148.50 ,$300.00 ,$210.00 ,$300.00 ,$240.00 ,$496.85 ,$194.77 ,$210.00 ,$194.77 ,$180.00 ,$198.66 ,$225.00 ,$165.60 ,$149.40 ,$165.60 ,$194.77 ,$165.60 ,$266.11 ,$300.00 ,$266.11 ,$255.00 ,$300.00 ,$207.90 ,$194.77 ,$300.00 ,$168.30 ,$194.77 ,$78.60 , N/A ,$21.95 ,$20.95 ,$204.51 ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$300.00 ,$194.77 ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,30101824,G0482,HC DRUG SCRN DEFINT 15-21 CLS T2 -90,301,1 ,$850.00 ,$612.00 ,$3.50 ,$850.00 ,$496.85 ,$337.86 ,$467.50 ,$194.77 ,$238.00 ,$16.80 ,$194.77 ,$17.50 ,$194.77 ,$420.75 ,$3.50 ,$194.77 ,$420.75 ,$401.45 ,$595.00 ,$452.90 ,$680.00 ,$496.85 ,$194.77 ,$595.00 ,$194.77 ,$510.00 ,$198.66 ,$637.50 ,$469.20 ,$423.30 ,$469.20 ,$194.77 ,$469.20 ,$266.11 ,$850.00 ,$266.11 ,$722.50 ,$496.85 ,$589.05 ,$194.77 ,$850.00 ,$476.85 ,$194.77 ,$222.70 , N/A ,$21.95 ,$20.95 ,$204.51 ,$680.00 ,$420.75 ,$238.00 ,$765.00 ,$323.00 ,$397.48 ,$194.77 ,$408.00 
ST. MARY'S HOSPITAL - DECATUR,30101826,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$75.00 ,$54.00 ,$3.47 ,$75.00 ,$13.30 ,$9.04 ,$41.25 ,$5.21 ,$21.00 ,$22.46 ,$5.21 ,$23.40 ,$5.21 ,$37.13 ,$3.50 ,$5.21 ,$37.13 ,$10.75 ,$52.50 ,$11.83 ,$60.00 ,$13.30 ,$5.21 ,$52.50 ,$5.21 ,$45.00 ,$5.32 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$5.21 ,$41.40 ,$7.13 ,$75.00 ,$7.13 ,$63.75 ,$13.30 ,$51.98 ,$5.21 ,$75.00 ,$42.08 ,$5.21 ,$19.65 , N/A ,$3.63 ,$3.47 ,$5.48 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$10.64 ,$5.21 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30101827,80069,HC RENAL FUNCTION PANEL - 90,301,1 ,$280.00 ,$201.60 ,$3.50 ,$280.00 ,$21.70 ,$14.76 ,$154.00 ,$8.51 ,$78.40 ,$45.26 ,$8.51 ,$47.15 ,$8.51 ,$138.60 ,$3.50 ,$8.51 ,$138.60 ,$17.53 ,$196.00 ,$19.73 ,$224.00 ,$21.70 ,$8.51 ,$196.00 ,$8.51 ,$168.00 ,$8.67 ,$210.00 ,$154.56 ,$139.44 ,$154.56 ,$8.51 ,$154.56 ,$12.93 ,$280.00 ,$12.93 ,$238.00 ,$21.70 ,$194.04 ,$8.51 ,$280.00 ,$157.08 ,$8.51 ,$73.36 , N/A ,$7.44 ,$7.10 ,$8.93 ,$224.00 ,$138.60 ,$78.40 ,$252.00 ,$106.40 ,$17.36 ,$8.51 ,$134.40 
ST. MARY'S HOSPITAL - DECATUR,30200119,86038,HC ANA SCREEN,302,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$30.23 ,$20.56 ,$135.30 ,$11.85 ,$68.88 ,$46.56 ,$11.85 ,$48.50 ,$11.85 ,$121.77 ,$3.50 ,$11.85 ,$121.77 ,$24.42 ,$172.20 ,$27.63 ,$196.80 ,$30.23 ,$11.85 ,$172.20 ,$11.85 ,$147.60 ,$12.08 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$11.85 ,$135.79 ,$17.98 ,$246.00 ,$17.98 ,$209.10 ,$30.23 ,$170.48 ,$11.85 ,$246.00 ,$138.01 ,$11.85 ,$64.45 , N/A ,$7.30 ,$6.97 ,$12.44 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$24.18 ,$11.85 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30200137,86225,HC DNA DOUBLE STRAND AB,302,1 ,$142.00 ,$102.24 ,$3.50 ,$142.00 ,$34.35 ,$23.36 ,$78.10 ,$13.47 ,$39.76 ,$52.94 ,$13.47 ,$55.15 ,$13.47 ,$70.29 ,$3.50 ,$13.47 ,$70.29 ,$27.75 ,$99.40 ,$31.55 ,$113.60 ,$34.35 ,$13.47 ,$99.40 ,$13.47 ,$85.20 ,$13.73 ,$106.50 ,$78.38 ,$70.72 ,$78.38 ,$13.47 ,$78.38 ,$20.45 ,$142.00 ,$20.45 ,$120.70 ,$34.35 ,$98.41 ,$13.47 ,$142.00 ,$79.66 ,$13.47 ,$37.20 , N/A ,$7.30 ,$6.97 ,$14.14 ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$27.48 ,$13.47 ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30200138,86235,HC ENA AB,302,1 ,$168.00 ,$120.96 ,$3.50 ,$168.00 ,$44.83 ,$30.48 ,$92.40 ,$17.57 ,$47.04 ,$69.07 ,$17.57 ,$71.95 ,$17.57 ,$83.16 ,$3.50 ,$17.57 ,$83.16 ,$36.22 ,$117.60 ,$41.03 ,$134.40 ,$44.83 ,$17.57 ,$117.60 ,$17.57 ,$100.80 ,$17.92 ,$126.00 ,$92.74 ,$83.66 ,$92.74 ,$17.57 ,$92.74 ,$26.69 ,$168.00 ,$26.69 ,$142.80 ,$44.83 ,$116.42 ,$17.57 ,$168.00 ,$94.25 ,$17.57 ,$44.02 , N/A ,$12.58 ,$12.01 ,$18.45 ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$35.86 ,$17.57 ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,30200158,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$175.00 ,$126.00 ,$3.50 ,$175.00 ,$52.03 ,$35.38 ,$96.25 ,$20.39 ,$49.00 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$86.63 ,$3.50 ,$20.39 ,$86.63 ,$42.04 ,$122.50 ,$47.35 ,$140.00 ,$52.03 ,$20.39 ,$122.50 ,$20.39 ,$105.00 ,$20.81 ,$131.25 ,$96.60 ,$87.15 ,$96.60 ,$20.39 ,$96.60 ,$30.97 ,$175.00 ,$30.97 ,$148.75 ,$52.03 ,$121.28 ,$20.39 ,$175.00 ,$98.18 ,$20.39 ,$45.85 , N/A ,$19.35 ,$18.47 ,$21.41 ,$140.00 ,$86.63 ,$49.00 ,$157.50 ,$66.50 ,$41.62 ,$20.39 ,$84.00 
ST. MARY'S HOSPITAL - DECATUR,30200164,86316,HC TUMOR AG OTHER AG QN,302,1 ,$299.00 ,$215.28 ,$3.50 ,$299.00 ,$52.03 ,$35.38 ,$164.45 ,$20.39 ,$83.72 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$148.01 ,$3.50 ,$20.39 ,$148.01 ,$42.04 ,$209.30 ,$47.35 ,$239.20 ,$52.03 ,$20.39 ,$209.30 ,$20.39 ,$179.40 ,$20.81 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$20.39 ,$165.05 ,$30.97 ,$299.00 ,$30.97 ,$254.15 ,$52.03 ,$207.21 ,$20.39 ,$299.00 ,$167.74 ,$20.39 ,$78.34 , N/A ,$8.15 ,$7.78 ,$21.41 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$41.62 ,$20.39 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,30200197,86430,HC RHEUMATOID FACTOR,302,1 ,$316.00 ,$227.52 ,$3.50 ,$316.00 ,$15.35 ,$10.44 ,$173.80 ,$6.02 ,$88.48 ,$21.84 ,$6.02 ,$22.75 ,$6.02 ,$156.42 ,$3.50 ,$6.02 ,$156.42 ,$12.40 ,$221.20 ,$14.20 ,$252.80 ,$15.35 ,$6.02 ,$221.20 ,$6.02 ,$189.60 ,$6.13 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$6.02 ,$174.43 ,$8.44 ,$316.00 ,$8.44 ,$268.60 ,$15.35 ,$218.99 ,$6.02 ,$316.00 ,$177.28 ,$6.02 ,$82.79 , N/A ,$7.30 ,$6.97 ,$6.32 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$12.28 ,$6.02 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,30200198,86431,HC RHEUMATOID FACTOR QN,302,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$14.18 ,$9.64 ,$75.90 ,$5.56 ,$38.64 ,$21.84 ,$5.56 ,$22.75 ,$5.56 ,$68.31 ,$3.50 ,$5.56 ,$68.31 ,$11.45 ,$96.60 ,$12.63 ,$110.40 ,$14.18 ,$5.56 ,$96.60 ,$5.56 ,$82.80 ,$5.66 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$5.56 ,$76.18 ,$8.44 ,$138.00 ,$8.44 ,$117.30 ,$14.18 ,$95.63 ,$5.56 ,$138.00 ,$77.42 ,$5.56 ,$36.16 , N/A ,$7.30 ,$6.97 ,$5.83 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$11.34 ,$5.56 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30200199,86480,HC TB QUANTIFERON GOLD,302,1 ,$317.00 ,$228.24 ,$3.50 ,$317.00 ,$154.95 ,$105.36 ,$174.35 ,$60.74 ,$88.76 ,$165.79 ,$60.74 ,$174.35 ,$60.74 ,$156.92 ,$3.50 ,$60.74 ,$156.92 ,$125.20 ,$221.90 ,$141.23 ,$253.60 ,$154.95 ,$60.74 ,$221.90 ,$60.74 ,$190.20 ,$61.96 ,$237.75 ,$174.98 ,$157.87 ,$174.98 ,$60.74 ,$174.98 ,$92.22 ,$317.00 ,$92.22 ,$269.45 ,$154.95 ,$219.68 ,$60.74 ,$317.00 ,$177.84 ,$60.74 ,$83.05 , N/A ,$12.58 ,$12.01 ,$63.78 ,$253.60 ,$156.92 ,$88.76 ,$285.30 ,$120.46 ,$123.96 ,$60.74 ,$152.16 
ST. MARY'S HOSPITAL - DECATUR,30200201,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$10.68 ,$7.26 ,$73.70 ,$4.18 ,$37.52 ,$16.46 ,$4.18 ,$17.15 ,$4.18 ,$66.33 ,$3.50 ,$4.18 ,$66.33 ,$8.63 ,$93.80 ,$9.48 ,$107.20 ,$10.68 ,$4.18 ,$93.80 ,$4.18 ,$80.40 ,$4.27 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.18 ,$73.97 ,$6.37 ,$134.00 ,$6.37 ,$113.90 ,$10.68 ,$92.86 ,$4.18 ,$134.00 ,$75.17 ,$4.18 ,$35.11 , N/A ,$7.30 ,$6.97 ,$4.39 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$8.54 ,$4.18 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30200204,86593,HC SYPHILIS VDRL RPR QN,302,1 ,$95.00 ,$68.40 ,$3.50 ,$95.00 ,$11.00 ,$7.48 ,$52.25 ,$4.31 ,$26.60 ,$16.99 ,$4.31 ,$17.70 ,$4.31 ,$47.03 ,$3.50 ,$4.31 ,$47.03 ,$8.89 ,$66.50 ,$10.25 ,$76.00 ,$11.00 ,$4.31 ,$66.50 ,$4.31 ,$57.00 ,$4.40 ,$71.25 ,$52.44 ,$47.31 ,$52.44 ,$4.31 ,$52.44 ,$6.55 ,$95.00 ,$6.55 ,$80.75 ,$11.00 ,$65.84 ,$4.31 ,$95.00 ,$53.30 ,$4.31 ,$24.89 , N/A ,$7.30 ,$6.97 ,$4.53 ,$76.00 ,$47.03 ,$26.60 ,$85.50 ,$36.10 ,$8.80 ,$4.31 ,$45.60 
ST. MARY'S HOSPITAL - DECATUR,30200214,86612,HC BLASTOMYCES AB (CF/ID),302,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$32.25 ,$21.94 ,$54.45 ,$12.64 ,$27.72 ,$49.68 ,$12.64 ,$51.75 ,$12.64 ,$49.01 ,$3.50 ,$12.64 ,$49.01 ,$26.06 ,$69.30 ,$29.20 ,$79.20 ,$32.25 ,$12.64 ,$69.30 ,$12.64 ,$59.40 ,$12.90 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$12.64 ,$54.65 ,$19.20 ,$99.00 ,$19.20 ,$84.15 ,$32.25 ,$68.61 ,$12.64 ,$99.00 ,$55.54 ,$12.64 ,$25.94 , N/A ,$12.58 ,$12.01 ,$13.28 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$25.80 ,$12.64 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30200219,86618,HC LYME AB,302,1 ,$209.00 ,$150.48 ,$3.50 ,$209.00 ,$42.58 ,$28.96 ,$114.95 ,$16.69 ,$58.52 ,$88.80 ,$16.69 ,$92.50 ,$16.69 ,$103.46 ,$3.50 ,$16.69 ,$103.46 ,$34.40 ,$146.30 ,$38.65 ,$167.20 ,$42.58 ,$16.69 ,$146.30 ,$16.69 ,$125.40 ,$17.02 ,$156.75 ,$115.37 ,$104.08 ,$115.37 ,$16.69 ,$115.37 ,$25.34 ,$209.00 ,$25.34 ,$177.65 ,$42.58 ,$144.84 ,$16.69 ,$209.00 ,$117.25 ,$16.69 ,$54.76 , N/A ,$12.58 ,$12.01 ,$17.52 ,$167.20 ,$103.46 ,$58.52 ,$188.10 ,$79.42 ,$34.06 ,$16.69 ,$100.32 
ST. MARY'S HOSPITAL - DECATUR,30200270,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$353.00 ,$254.16 ,$3.50 ,$353.00 ,$34.28 ,$23.30 ,$194.15 ,$13.44 ,$98.84 ,$71.47 ,$13.44 ,$74.45 ,$13.44 ,$174.74 ,$3.50 ,$13.44 ,$174.74 ,$27.69 ,$247.10 ,$31.55 ,$282.40 ,$34.28 ,$13.44 ,$247.10 ,$13.44 ,$211.80 ,$13.70 ,$264.75 ,$194.86 ,$175.79 ,$194.86 ,$13.44 ,$194.86 ,$20.39 ,$353.00 ,$20.39 ,$300.05 ,$34.28 ,$244.63 ,$13.44 ,$353.00 ,$198.03 ,$13.44 ,$92.49 , N/A ,$7.30 ,$6.97 ,$14.11 ,$282.40 ,$174.74 ,$98.84 ,$317.70 ,$134.14 ,$27.42 ,$13.44 ,$169.44 
ST. MARY'S HOSPITAL - DECATUR,30200273,86706,HC HEP B SURFACE AB,302,1 ,$331.00 ,$238.32 ,$3.50 ,$331.00 ,$26.85 ,$18.26 ,$182.05 ,$10.53 ,$92.68 ,$41.38 ,$10.53 ,$43.10 ,$10.53 ,$163.85 ,$3.50 ,$10.53 ,$163.85 ,$21.69 ,$231.70 ,$24.45 ,$264.80 ,$26.85 ,$10.53 ,$231.70 ,$10.53 ,$198.60 ,$10.73 ,$248.25 ,$182.71 ,$164.84 ,$182.71 ,$10.53 ,$182.71 ,$15.98 ,$331.00 ,$15.98 ,$281.35 ,$26.85 ,$229.38 ,$10.53 ,$331.00 ,$185.69 ,$10.53 ,$86.72 , N/A ,$7.30 ,$6.97 ,$11.05 ,$264.80 ,$163.85 ,$92.68 ,$297.90 ,$125.78 ,$21.48 ,$10.53 ,$158.88 
ST. MARY'S HOSPITAL - DECATUR,30200277,86709,HC HEP A AB IGM,302,1 ,$211.00 ,$151.92 ,$3.50 ,$211.00 ,$28.15 ,$19.14 ,$116.05 ,$11.03 ,$59.08 ,$43.39 ,$11.03 ,$45.20 ,$11.03 ,$104.45 ,$3.50 ,$11.03 ,$104.45 ,$22.75 ,$147.70 ,$26.05 ,$168.80 ,$28.15 ,$11.03 ,$147.70 ,$11.03 ,$126.60 ,$11.26 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$11.03 ,$116.47 ,$16.75 ,$211.00 ,$16.75 ,$179.35 ,$28.15 ,$146.22 ,$11.03 ,$211.00 ,$118.37 ,$11.03 ,$55.28 , N/A ,$7.30 ,$6.97 ,$11.58 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$22.52 ,$11.03 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30200282,86735,HC MUMPS AB,302,1 ,$199.00 ,$143.28 ,$3.50 ,$199.00 ,$32.63 ,$22.18 ,$109.45 ,$12.79 ,$55.72 ,$50.26 ,$12.79 ,$52.35 ,$12.79 ,$98.51 ,$3.50 ,$12.79 ,$98.51 ,$26.36 ,$139.30 ,$29.98 ,$159.20 ,$32.63 ,$12.79 ,$139.30 ,$12.79 ,$119.40 ,$13.04 ,$149.25 ,$109.85 ,$99.10 ,$109.85 ,$12.79 ,$109.85 ,$19.42 ,$199.00 ,$19.42 ,$169.15 ,$32.63 ,$137.91 ,$12.79 ,$199.00 ,$111.64 ,$12.79 ,$52.14 , N/A ,$7.30 ,$6.97 ,$13.43 ,$159.20 ,$98.51 ,$55.72 ,$179.10 ,$75.62 ,$26.10 ,$12.79 ,$95.52 
ST. MARY'S HOSPITAL - DECATUR,30200288,86762,HC RUBELLA AB,302,1 ,$170.00 ,$122.40 ,$3.50 ,$170.00 ,$35.98 ,$24.46 ,$93.50 ,$14.10 ,$47.60 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$84.15 ,$3.50 ,$14.10 ,$84.15 ,$29.07 ,$119.00 ,$33.15 ,$136.00 ,$35.98 ,$14.10 ,$119.00 ,$14.10 ,$102.00 ,$14.39 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$14.10 ,$93.84 ,$21.41 ,$170.00 ,$21.41 ,$144.50 ,$35.98 ,$117.81 ,$14.10 ,$170.00 ,$95.37 ,$14.10 ,$44.54 , N/A ,$7.30 ,$6.97 ,$14.81 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$28.78 ,$14.10 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30200291,86765,HC RUBEOLA AB,302,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$32.20 ,$21.90 ,$103.95 ,$12.62 ,$52.92 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$93.56 ,$3.50 ,$12.62 ,$93.56 ,$26.02 ,$132.30 ,$29.20 ,$151.20 ,$32.20 ,$12.62 ,$132.30 ,$12.62 ,$113.40 ,$12.88 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$12.62 ,$104.33 ,$19.16 ,$189.00 ,$19.16 ,$160.65 ,$32.20 ,$130.98 ,$12.62 ,$189.00 ,$106.03 ,$12.62 ,$49.52 , N/A ,$7.30 ,$6.97 ,$13.25 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$25.76 ,$12.62 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30200298,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$127.00 ,$91.44 ,$3.50 ,$127.00 ,$33.10 ,$22.50 ,$69.85 ,$12.98 ,$35.56 ,$66.42 ,$12.98 ,$69.85 ,$12.98 ,$62.87 ,$3.50 ,$12.98 ,$62.87 ,$26.74 ,$88.90 ,$29.98 ,$101.60 ,$33.10 ,$12.98 ,$88.90 ,$12.98 ,$76.20 ,$13.23 ,$95.25 ,$70.10 ,$63.25 ,$70.10 ,$12.98 ,$70.10 ,$19.69 ,$127.00 ,$19.69 ,$107.95 ,$33.10 ,$88.01 ,$12.98 ,$127.00 ,$71.25 ,$12.98 ,$33.27 , N/A ,$12.58 ,$12.01 ,$13.62 ,$101.60 ,$62.87 ,$35.56 ,$114.30 ,$48.26 ,$26.48 ,$12.98 ,$60.96 
ST. MARY'S HOSPITAL - DECATUR,30200314,86803,HC HEP C AB,302,1 ,$452.00 ,$325.44 ,$3.50 ,$452.00 ,$35.68 ,$24.26 ,$248.60 ,$13.98 ,$126.56 ,$74.40 ,$13.98 ,$77.50 ,$13.98 ,$223.74 ,$3.50 ,$13.98 ,$223.74 ,$28.83 ,$316.40 ,$32.35 ,$361.60 ,$35.68 ,$13.98 ,$316.40 ,$13.98 ,$271.20 ,$14.27 ,$339.00 ,$249.50 ,$225.10 ,$249.50 ,$13.98 ,$249.50 ,$21.23 ,$452.00 ,$21.23 ,$384.20 ,$35.68 ,$313.24 ,$13.98 ,$452.00 ,$253.57 ,$13.98 ,$118.42 , N/A ,$12.58 ,$12.01 ,$14.68 ,$361.60 ,$223.74 ,$126.56 ,$406.80 ,$171.76 ,$28.54 ,$13.98 ,$216.96 
ST. MARY'S HOSPITAL - DECATUR,30200343,86891,HC BLOOD SALVAGE AUTOLOOUS INTRA,302,1 ,$339.00 ,$244.08 ,$28.13 ,"$1,822.00 ","$1,822.00 ",$225.04 ,$186.45 ,$714.22 ,$94.92 ,$177.30 ,$714.22 ,$186.45 ,$332.22 ,$167.81 ,$210.06 ,$332.22 ,$167.81 ,$339.00 ,$237.30 ,$322.70 ,$271.20 ,"$1,822.00 ",$714.22 ,$237.30 ,$714.22 ,$203.40 ,$332.22 ,$254.25 ,$187.13 ,$168.82 ,$187.13 ,$714.22 ,$187.13 ,$180.05 ,$339.00 ,$180.05 ,$288.15 ,$339.00 ,$234.93 ,$332.22 ,$339.00 ,$190.18 ,$714.22 ,$88.82 , N/A ,$29.47 ,$28.13 ,$749.94 ,$271.20 ,$167.81 ,$94.92 ,$305.10 ,$128.82 ,$339.00 ,$714.22 ,$162.72 
ST. MARY'S HOSPITAL - DECATUR,30200507,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$206.00 ,$148.32 ,$3.50 ,$206.00 ,$32.38 ,$22.02 ,$113.30 ,$12.69 ,$57.68 ,$49.87 ,$12.69 ,$51.95 ,$12.69 ,$101.97 ,$3.50 ,$12.69 ,$101.97 ,$26.16 ,$144.20 ,$29.20 ,$164.80 ,$32.38 ,$12.69 ,$144.20 ,$12.69 ,$123.60 ,$12.95 ,$154.50 ,$113.71 ,$102.59 ,$113.71 ,$12.69 ,$113.71 ,$19.27 ,$206.00 ,$19.27 ,$175.10 ,$32.38 ,$142.76 ,$12.69 ,$206.00 ,$115.57 ,$12.69 ,$53.97 , N/A ,$7.30 ,$6.97 ,$13.33 ,$164.80 ,$101.97 ,$57.68 ,$185.40 ,$78.28 ,$25.90 ,$12.69 ,$98.88 
ST. MARY'S HOSPITAL - DECATUR,30200515,86304,HC TUMOR AG CA 125,302,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$52.03 ,$35.38 ,$178.20 ,$20.39 ,$90.72 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$160.38 ,$3.50 ,$20.39 ,$160.38 ,$42.04 ,$226.80 ,$47.35 ,$259.20 ,$52.03 ,$20.39 ,$226.80 ,$20.39 ,$194.40 ,$20.81 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$20.39 ,$178.85 ,$30.97 ,$324.00 ,$30.97 ,$275.40 ,$52.03 ,$224.53 ,$20.39 ,$324.00 ,$181.76 ,$20.39 ,$84.89 , N/A ,$19.35 ,$18.47 ,$21.41 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$41.62 ,$20.39 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30200543,86704,HC HEP CORE AB,302,1 ,$144.00 ,$103.68 ,$3.50 ,$144.00 ,$30.13 ,$20.48 ,$79.20 ,$11.81 ,$40.32 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$71.28 ,$3.50 ,$11.81 ,$71.28 ,$24.34 ,$100.80 ,$27.63 ,$115.20 ,$30.13 ,$11.81 ,$100.80 ,$11.81 ,$86.40 ,$12.04 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$11.81 ,$79.49 ,$17.93 ,$144.00 ,$17.93 ,$122.40 ,$30.13 ,$99.79 ,$11.81 ,$144.00 ,$80.78 ,$11.81 ,$37.73 , N/A ,$7.30 ,$6.97 ,$12.40 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$24.10 ,$11.81 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30200547,86708,HC HEP A AB TOTAL,302,1 ,$158.00 ,$113.76 ,$3.50 ,$158.00 ,$30.98 ,$21.06 ,$86.90 ,$12.14 ,$44.24 ,$47.71 ,$12.14 ,$49.70 ,$12.14 ,$78.21 ,$3.50 ,$12.14 ,$78.21 ,$25.03 ,$110.60 ,$28.40 ,$126.40 ,$30.98 ,$12.14 ,$110.60 ,$12.14 ,$94.80 ,$12.39 ,$118.50 ,$87.22 ,$78.68 ,$87.22 ,$12.14 ,$87.22 ,$18.43 ,$158.00 ,$18.43 ,$134.30 ,$30.98 ,$109.49 ,$12.14 ,$158.00 ,$88.64 ,$12.14 ,$41.40 , N/A ,$7.30 ,$6.97 ,$12.75 ,$126.40 ,$78.21 ,$44.24 ,$142.20 ,$60.04 ,$24.78 ,$12.14 ,$75.84 
ST. MARY'S HOSPITAL - DECATUR,30200559,86850,HC AB SCREEN,302,1 ,$144.00 ,$103.68 ,$6.94 ,$144.00 ,$117.65 ,$16.60 ,$79.20 ,$46.12 ,$40.32 ,$30.48 ,$46.12 ,$31.75 ,$46.12 ,$71.28 ,$6.94 ,$46.12 ,$71.28 ,$95.06 ,$100.80 ,$22.10 ,$115.20 ,$117.65 ,$46.12 ,$100.80 ,$46.12 ,$86.40 ,$47.04 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$46.12 ,$79.49 ,$13.08 ,$144.00 ,$13.08 ,$122.40 ,$117.65 ,$99.79 ,$46.12 ,$144.00 ,$80.78 ,$46.12 ,$37.73 , N/A ,$7.30 ,$6.97 ,$48.42 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$19.54 ,$46.12 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30200560,86860,HC ELUTION,302,1 ,$260.00 ,$187.20 ,$6.97 ,$368.98 ,$368.98 ,$50.86 ,$143.00 ,$144.64 ,$72.80 ,$135.98 ,$144.64 ,$143.00 ,$144.64 ,$128.70 ,$47.08 ,$144.64 ,$128.70 ,$260.00 ,$182.00 ,$72.60 ,$208.00 ,$368.97 ,$144.64 ,$182.00 ,$144.64 ,$156.00 ,$147.53 ,$195.00 ,$143.52 ,$129.48 ,$143.52 ,$144.64 ,$143.52 ,$40.36 ,$260.00 ,$40.36 ,$221.00 ,$260.00 ,$180.18 ,$144.64 ,$260.00 ,$145.86 ,$144.64 ,$68.12 , N/A ,$7.30 ,$6.97 ,$151.87 ,$208.00 ,$128.70 ,$72.80 ,$234.00 ,$98.80 ,$260.00 ,$144.64 ,$124.80 
ST. MARY'S HOSPITAL - DECATUR,30200561,86870,HC RBC AB ID PANEL,302,1 ,$281.00 ,$202.32 ,$6.97 ,$760.50 ,$760.50 ,$69.24 ,$154.55 ,$298.12 ,$78.68 ,$146.96 ,$298.12 ,$154.55 ,$275.38 ,$139.10 ,$64.67 ,$275.38 ,$139.10 ,$281.00 ,$196.70 ,$99.43 ,$224.80 ,$760.49 ,$298.12 ,$196.70 ,$298.12 ,$168.60 ,$275.38 ,$210.75 ,$155.11 ,$139.94 ,$155.11 ,$298.12 ,$155.11 ,$55.43 ,$281.00 ,$55.43 ,$238.85 ,$281.00 ,$194.73 ,$275.38 ,$281.00 ,$157.64 ,$298.12 ,$73.62 , N/A ,$7.30 ,$6.97 ,$313.02 ,$224.80 ,$139.10 ,$78.68 ,$252.90 ,$106.78 ,$281.00 ,$298.12 ,$134.88 
ST. MARY'S HOSPITAL - DECATUR,30200562,86880,HC COOMBS DIRECT,302,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$134.88 ,$9.16 ,$77.55 ,$52.87 ,$39.48 ,$20.74 ,$52.87 ,$21.60 ,$52.87 ,$69.80 ,$3.50 ,$52.87 ,$69.80 ,$108.98 ,$98.70 ,$12.63 ,$112.80 ,$134.87 ,$52.87 ,$98.70 ,$52.87 ,$84.60 ,$53.93 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$52.87 ,$77.83 ,$8.02 ,$141.00 ,$8.02 ,$119.85 ,$134.87 ,$97.71 ,$52.87 ,$141.00 ,$79.10 ,$52.87 ,$36.94 , N/A ,$7.30 ,$6.97 ,$55.52 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$10.78 ,$52.87 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30200564,86890,HC AUTOLOGOUS PROCESSING FEE,302,1 ,$444.00 ,$319.68 ,$28.13 ,$444.00 ,$368.98 ,$159.58 ,$244.20 ,$144.64 ,$124.32 ,$232.21 ,$144.64 ,$244.20 ,$144.64 ,$219.78 ,$148.49 ,$144.64 ,$219.78 ,$298.13 ,$310.80 ,$228.83 ,$355.20 ,$368.97 ,$144.64 ,$310.80 ,$144.64 ,$266.40 ,$147.53 ,$333.00 ,$245.09 ,$221.11 ,$245.09 ,$144.64 ,$245.09 ,$127.28 ,$444.00 ,$127.28 ,$377.40 ,$368.97 ,$307.69 ,$144.64 ,$444.00 ,$249.08 ,$144.64 ,$116.33 , N/A ,$29.47 ,$28.13 ,$151.87 ,$355.20 ,$219.78 ,$124.32 ,$399.60 ,$168.72 ,$298.32 ,$144.64 ,$213.12 
ST. MARY'S HOSPITAL - DECATUR,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$103.00 ,$74.16 ,$3.50 ,$272.45 ,$272.45 ,$5.08 ,$56.65 ,$106.80 ,$28.84 ,$11.52 ,$106.80 ,$12.00 ,$100.94 ,$50.99 ,$3.50 ,$100.94 ,$50.99 ,$103.00 ,$72.10 ,$7.10 ,$82.40 ,$272.44 ,$106.80 ,$72.10 ,$106.80 ,$61.80 ,$100.94 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$106.80 ,$56.86 ,$4.45 ,$103.00 ,$4.45 ,$87.55 ,$103.00 ,$71.38 ,$100.94 ,$103.00 ,$57.78 ,$106.80 ,$26.99 , N/A ,$4.52 ,$4.32 ,$112.14 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$5.98 ,$106.80 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30200566,86901,HC BLOOD TYPING RH,302,1 ,$91.00 ,$65.52 ,$3.50 ,$91.00 ,$79.68 ,$5.08 ,$50.05 ,$31.23 ,$25.48 ,$11.52 ,$31.23 ,$12.00 ,$31.23 ,$45.05 ,$3.50 ,$31.23 ,$45.05 ,$64.38 ,$63.70 ,$7.10 ,$72.80 ,$79.68 ,$31.23 ,$63.70 ,$31.23 ,$54.60 ,$31.86 ,$68.25 ,$50.23 ,$45.32 ,$50.23 ,$31.23 ,$50.23 ,$4.45 ,$91.00 ,$4.45 ,$77.35 ,$79.68 ,$63.06 ,$31.23 ,$91.00 ,$51.05 ,$31.23 ,$23.84 , N/A ,$4.52 ,$4.32 ,$32.79 ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$5.98 ,$31.23 ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$154.00 ,$110.88 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$84.70 ,$298.12 ,$43.12 ,$19.82 ,$298.12 ,$20.65 ,$150.92 ,$76.23 ,$3.50 ,$150.92 ,$76.23 ,$154.00 ,$107.80 ,$14.20 ,$123.20 ,$760.49 ,$298.12 ,$107.80 ,$298.12 ,$92.40 ,$150.92 ,$115.50 ,$85.01 ,$76.69 ,$85.01 ,$298.12 ,$85.01 ,$8.51 ,$154.00 ,$8.51 ,$130.90 ,$154.00 ,$106.72 ,$150.92 ,$154.00 ,$86.39 ,$298.12 ,$40.35 , N/A ,$4.52 ,$4.32 ,$313.02 ,$123.20 ,$76.23 ,$43.12 ,$138.60 ,$58.52 ,$12.70 ,$298.12 ,$73.92 
ST. MARY'S HOSPITAL - DECATUR,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$146.00 ,$105.12 ,$3.50 ,$760.50 ,$760.50 ,$6.52 ,$80.30 ,$298.12 ,$40.88 ,$14.74 ,$298.12 ,$15.35 ,$143.08 ,$72.27 ,$3.50 ,$143.08 ,$72.27 ,$146.00 ,$102.20 ,$8.68 ,$116.80 ,$760.49 ,$298.12 ,$102.20 ,$298.12 ,$87.60 ,$143.08 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$298.12 ,$80.59 ,$5.70 ,$146.00 ,$5.70 ,$124.10 ,$146.00 ,$101.18 ,$143.08 ,$146.00 ,$81.91 ,$298.12 ,$38.25 , N/A ,$4.52 ,$4.32 ,$313.02 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$7.66 ,$298.12 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$263.00 ,$189.36 ,$4.32 ,$368.98 ,$368.98 ,$56.26 ,$144.65 ,$144.64 ,$73.64 ,$137.55 ,$144.64 ,$144.65 ,$144.64 ,$130.19 ,$52.26 ,$144.64 ,$130.19 ,$263.00 ,$184.10 ,$80.48 ,$210.40 ,$368.97 ,$144.64 ,$184.10 ,$144.64 ,$157.80 ,$147.53 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$144.64 ,$145.18 ,$44.79 ,$263.00 ,$44.79 ,$223.55 ,$263.00 ,$182.26 ,$144.64 ,$263.00 ,$147.54 ,$144.64 ,$68.91 , N/A ,$4.52 ,$4.32 ,$151.87 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$263.00 ,$144.64 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30200571,86922,HC CROSSMATCH AHG,302,1 ,$201.00 ,$144.72 ,$28.13 ,$368.98 ,$368.98 ,$60.04 ,$110.55 ,$144.64 ,$56.28 ,$105.12 ,$144.64 ,$110.55 ,$144.64 ,$99.50 ,$55.88 ,$144.64 ,$99.50 ,$201.00 ,$140.70 ,$86.00 ,$160.80 ,$368.97 ,$144.64 ,$140.70 ,$144.64 ,$120.60 ,$147.53 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$144.64 ,$110.95 ,$47.90 ,$201.00 ,$47.90 ,$170.85 ,$201.00 ,$139.29 ,$144.64 ,$201.00 ,$112.76 ,$144.64 ,$52.66 , N/A ,$29.47 ,$28.13 ,$151.87 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$201.00 ,$144.64 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30200572,86923,HC CROSSMATCH ELECTRONIC,302,1 ,$62.00 ,$44.64 ,$16.24 ,$368.98 ,$368.98 ,$44.90 ,$34.10 ,$144.64 ,$17.36 ,$32.43 ,$144.64 ,$34.10 ,$60.76 ,$30.69 ,$41.91 ,$60.76 ,$30.69 ,$62.00 ,$43.40 ,$62.00 ,$49.60 ,$368.97 ,$144.64 ,$43.40 ,$144.64 ,$37.20 ,$60.76 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$144.64 ,$34.22 ,$35.93 ,$62.00 ,$35.93 ,$52.70 ,$62.00 ,$42.97 ,$60.76 ,$62.00 ,$34.78 ,$144.64 ,$16.24 , N/A ,$29.47 ,$28.13 ,$151.87 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$62.00 ,$144.64 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$291.00 ,$209.52 ,$4.32 ,$291.00 ,$79.68 ,$56.26 ,$160.05 ,$31.23 ,$81.48 ,$152.19 ,$31.23 ,$160.05 ,$31.23 ,$144.05 ,$52.26 ,$31.23 ,$144.05 ,$64.38 ,$203.70 ,$80.48 ,$232.80 ,$79.68 ,$31.23 ,$203.70 ,$31.23 ,$174.60 ,$31.86 ,$218.25 ,$160.63 ,$144.92 ,$160.63 ,$31.23 ,$160.63 ,$44.79 ,$291.00 ,$44.79 ,$247.35 ,$79.68 ,$201.66 ,$31.23 ,$291.00 ,$163.25 ,$31.23 ,$76.24 , N/A ,$4.52 ,$4.32 ,$32.79 ,$232.80 ,$144.05 ,$81.48 ,$261.90 ,$110.58 ,$67.68 ,$31.23 ,$139.68 
ST. MARY'S HOSPITAL - DECATUR,30200575,87801,HC INFECT MLT  ORG AMP,302,1 ,$267.00 ,$192.24 ,$3.50 ,$267.00 ,$175.50 ,$119.34 ,$146.85 ,$68.80 ,$74.76 ,$139.64 ,$68.80 ,$146.85 ,$68.80 ,$132.17 ,$3.50 ,$68.80 ,$132.17 ,$141.80 ,$186.90 ,$160.18 ,$213.60 ,$175.50 ,$68.80 ,$186.90 ,$68.80 ,$160.20 ,$70.17 ,$200.25 ,$147.38 ,$132.97 ,$147.38 ,$68.80 ,$147.38 ,$104.43 ,$267.00 ,$104.43 ,$226.95 ,$175.50 ,$185.03 ,$68.80 ,$267.00 ,$149.79 ,$68.80 ,$69.95 , N/A ,$5.82 ,$5.55 ,$72.24 ,$213.60 ,$132.17 ,$74.76 ,$240.30 ,$101.46 ,$140.40 ,$68.80 ,$128.16 
ST. MARY'S HOSPITAL - DECATUR,30200822,86705,HC HEP B CORE IGM,302,1 ,$372.00 ,$267.84 ,$3.50 ,$372.00 ,$29.43 ,$20.00 ,$204.60 ,$11.53 ,$104.16 ,$45.36 ,$11.53 ,$47.25 ,$11.53 ,$184.14 ,$3.50 ,$11.53 ,$184.14 ,$23.78 ,$260.40 ,$26.83 ,$297.60 ,$29.43 ,$11.53 ,$260.40 ,$11.53 ,$223.20 ,$11.77 ,$279.00 ,$205.34 ,$185.26 ,$205.34 ,$11.53 ,$205.34 ,$17.51 ,$372.00 ,$17.51 ,$316.20 ,$29.43 ,$257.80 ,$11.53 ,$372.00 ,$208.69 ,$11.53 ,$97.46 , N/A ,$7.30 ,$6.97 ,$12.11 ,$297.60 ,$184.14 ,$104.16 ,$334.80 ,$141.36 ,$23.54 ,$11.53 ,$178.56 
ST. MARY'S HOSPITAL - DECATUR,30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$231.00 ,$166.32 ,$3.50 ,$231.00 ,$17.45 ,$11.86 ,$127.05 ,$6.84 ,$64.68 ,$26.88 ,$6.84 ,$28.00 ,$6.84 ,$114.35 ,$3.50 ,$6.84 ,$114.35 ,$14.10 ,$161.70 ,$15.78 ,$184.80 ,$17.45 ,$6.84 ,$161.70 ,$6.84 ,$138.60 ,$6.98 ,$173.25 ,$127.51 ,$115.04 ,$127.51 ,$6.84 ,$127.51 ,$10.39 ,$231.00 ,$10.39 ,$196.35 ,$17.45 ,$160.08 ,$6.84 ,$231.00 ,$129.59 ,$6.84 ,$60.52 , N/A ,$7.30 ,$6.97 ,$7.18 ,$184.80 ,$114.35 ,$64.68 ,$207.90 ,$87.78 ,$13.96 ,$6.84 ,$110.88 
ST. MARY'S HOSPITAL - DECATUR,30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$53.00 ,$38.16 ,$3.50 ,$53.00 ,$19.55 ,$13.30 ,$29.15 ,$7.66 ,$14.84 ,$24.38 ,$7.66 ,$25.40 ,$7.66 ,$26.24 ,$3.50 ,$7.66 ,$26.24 ,$15.80 ,$37.10 ,$18.15 ,$42.40 ,$19.55 ,$7.66 ,$37.10 ,$7.66 ,$31.80 ,$7.82 ,$39.75 ,$29.26 ,$26.39 ,$29.26 ,$7.66 ,$29.26 ,$10.48 ,$53.00 ,$10.48 ,$45.05 ,$19.55 ,$36.73 ,$7.66 ,$53.00 ,$29.73 ,$7.66 ,$13.89 , N/A ,$7.30 ,$6.97 ,$8.05 ,$42.40 ,$26.24 ,$14.84 ,$47.70 ,$20.14 ,$15.64 ,$7.66 ,$25.44 
ST. MARY'S HOSPITAL - DECATUR,30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$13.05 ,$8.88 ,$61.60 ,$5.12 ,$31.36 ,$20.11 ,$5.12 ,$20.95 ,$5.12 ,$55.44 ,$3.50 ,$5.12 ,$55.44 ,$10.54 ,$78.40 ,$11.83 ,$89.60 ,$13.05 ,$5.12 ,$78.40 ,$5.12 ,$67.20 ,$5.21 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$5.12 ,$61.82 ,$7.77 ,$112.00 ,$7.77 ,$95.20 ,$13.05 ,$77.62 ,$5.12 ,$112.00 ,$62.83 ,$5.12 ,$29.34 , N/A ,$7.30 ,$6.97 ,$5.37 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$10.44 ,$5.12 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30200847,86021,HC LEUKO AB ID-90,302,1 ,$401.00 ,$288.72 ,$3.50 ,$401.00 ,$37.63 ,$25.58 ,$220.55 ,$14.75 ,$112.28 ,$57.98 ,$14.75 ,$60.40 ,$14.75 ,$198.50 ,$3.50 ,$14.75 ,$198.50 ,$30.40 ,$280.70 ,$33.93 ,$320.80 ,$37.63 ,$14.75 ,$280.70 ,$14.75 ,$240.60 ,$15.04 ,$300.75 ,$221.35 ,$199.70 ,$221.35 ,$14.75 ,$221.35 ,$22.40 ,$401.00 ,$22.40 ,$340.85 ,$37.63 ,$277.89 ,$14.75 ,$401.00 ,$224.96 ,$14.75 ,$105.06 , N/A ,$7.30 ,$6.97 ,$15.48 ,$320.80 ,$198.50 ,$112.28 ,$360.90 ,$152.38 ,$30.10 ,$14.75 ,$192.48 
ST. MARY'S HOSPITAL - DECATUR,30200851,86022,HC PLATELET AB ID-90,302,1 ,$507.00 ,$365.04 ,$3.50 ,$507.00 ,$45.93 ,$31.22 ,$278.85 ,$18.00 ,$141.96 ,$70.75 ,$18.00 ,$73.70 ,$18.00 ,$250.97 ,$3.50 ,$18.00 ,$250.97 ,$37.11 ,$354.90 ,$41.83 ,$405.60 ,$45.93 ,$18.00 ,$354.90 ,$18.00 ,$304.20 ,$18.37 ,$380.25 ,$279.86 ,$252.49 ,$279.86 ,$18.00 ,$279.86 ,$27.33 ,$507.00 ,$27.33 ,$430.95 ,$45.93 ,$351.35 ,$18.00 ,$507.00 ,$284.43 ,$18.00 ,$132.83 , N/A ,$7.30 ,$6.97 ,$18.90 ,$405.60 ,$250.97 ,$141.96 ,$456.30 ,$192.66 ,$36.74 ,$18.00 ,$243.36 
ST. MARY'S HOSPITAL - DECATUR,30200856,86022,HC PLATELET CROSSMATCH,302,1 ,$507.00 ,$365.04 ,$3.50 ,$507.00 ,$45.93 ,$31.22 ,$278.85 ,$18.00 ,$141.96 ,$70.75 ,$18.00 ,$73.70 ,$18.00 ,$250.97 ,$3.50 ,$18.00 ,$250.97 ,$37.11 ,$354.90 ,$41.83 ,$405.60 ,$45.93 ,$18.00 ,$354.90 ,$18.00 ,$304.20 ,$18.37 ,$380.25 ,$279.86 ,$252.49 ,$279.86 ,$18.00 ,$279.86 ,$27.33 ,$507.00 ,$27.33 ,$430.95 ,$45.93 ,$351.35 ,$18.00 ,$507.00 ,$284.43 ,$18.00 ,$132.83 , N/A ,$7.30 ,$6.97 ,$18.90 ,$405.60 ,$250.97 ,$141.96 ,$456.30 ,$192.66 ,$36.74 ,$18.00 ,$243.36 
ST. MARY'S HOSPITAL - DECATUR,30200857,86023,HC PLATELET ASSOC AB ID IGG-90,302,1 ,$341.00 ,$245.52 ,$3.50 ,$341.00 ,$31.15 ,$21.18 ,$187.55 ,$12.21 ,$95.48 ,$48.00 ,$12.21 ,$50.00 ,$12.21 ,$168.80 ,$3.50 ,$12.21 ,$168.80 ,$25.17 ,$238.70 ,$28.40 ,$272.80 ,$31.15 ,$12.21 ,$238.70 ,$12.21 ,$204.60 ,$12.46 ,$255.75 ,$188.23 ,$169.82 ,$188.23 ,$12.21 ,$188.23 ,$18.53 ,$341.00 ,$18.53 ,$289.85 ,$31.15 ,$236.31 ,$12.21 ,$341.00 ,$191.30 ,$12.21 ,$89.34 , N/A ,$7.30 ,$6.97 ,$12.82 ,$272.80 ,$168.80 ,$95.48 ,$306.90 ,$129.58 ,$24.92 ,$12.21 ,$163.68 
ST. MARY'S HOSPITAL - DECATUR,30200858,86038,HC ANA SCREEN-90,302,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$30.23 ,$20.56 ,$135.30 ,$11.85 ,$68.88 ,$46.56 ,$11.85 ,$48.50 ,$11.85 ,$121.77 ,$3.50 ,$11.85 ,$121.77 ,$24.42 ,$172.20 ,$27.63 ,$196.80 ,$30.23 ,$11.85 ,$172.20 ,$11.85 ,$147.60 ,$12.08 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$11.85 ,$135.79 ,$17.98 ,$246.00 ,$17.98 ,$209.10 ,$30.23 ,$170.48 ,$11.85 ,$246.00 ,$138.01 ,$11.85 ,$64.45 , N/A ,$7.30 ,$6.97 ,$12.44 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$24.18 ,$11.85 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30200859,86039,HC ANA TITER-90,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$27.90 ,$18.98 ,$89.10 ,$10.94 ,$45.36 ,$43.01 ,$10.94 ,$44.80 ,$10.94 ,$80.19 ,$3.50 ,$10.94 ,$80.19 ,$22.54 ,$113.40 ,$25.25 ,$129.60 ,$27.90 ,$10.94 ,$113.40 ,$10.94 ,$97.20 ,$11.15 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$10.94 ,$89.42 ,$16.60 ,$162.00 ,$16.60 ,$137.70 ,$27.90 ,$112.27 ,$10.94 ,$162.00 ,$90.88 ,$10.94 ,$42.44 , N/A ,$7.30 ,$6.97 ,$11.49 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$22.32 ,$10.94 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30200860,86060,HC ASO-90,302,1 ,$94.00 ,$67.68 ,$3.50 ,$94.00 ,$18.25 ,$12.42 ,$51.70 ,$7.15 ,$26.32 ,$28.13 ,$7.15 ,$29.30 ,$7.15 ,$46.53 ,$3.50 ,$7.15 ,$46.53 ,$14.75 ,$65.80 ,$16.58 ,$75.20 ,$18.25 ,$7.15 ,$65.80 ,$7.15 ,$56.40 ,$7.30 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$7.15 ,$51.89 ,$10.86 ,$94.00 ,$10.86 ,$79.90 ,$18.25 ,$65.14 ,$7.15 ,$94.00 ,$52.73 ,$7.15 ,$24.63 , N/A ,$7.30 ,$6.97 ,$7.52 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$14.60 ,$7.15 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,30200861,86140,HC C-REACTIVE PROTEIN-90,302,1 ,$119.00 ,$85.68 ,$3.50 ,$119.00 ,$12.95 ,$8.80 ,$65.45 ,$5.08 ,$33.32 ,$19.92 ,$5.08 ,$20.75 ,$5.08 ,$58.91 ,$3.50 ,$5.08 ,$58.91 ,$10.46 ,$83.30 ,$11.83 ,$95.20 ,$12.95 ,$5.08 ,$83.30 ,$5.08 ,$71.40 ,$5.17 ,$89.25 ,$65.69 ,$59.26 ,$65.69 ,$5.08 ,$65.69 ,$7.70 ,$119.00 ,$7.70 ,$101.15 ,$12.95 ,$82.47 ,$5.08 ,$119.00 ,$66.76 ,$5.08 ,$31.18 , N/A ,$7.30 ,$6.97 ,$5.33 ,$95.20 ,$58.91 ,$33.32 ,$107.10 ,$45.22 ,$10.36 ,$5.08 ,$57.12 
ST. MARY'S HOSPITAL - DECATUR,30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$169.00 ,$121.68 ,$3.50 ,$169.00 ,$12.95 ,$8.80 ,$92.95 ,$5.08 ,$47.32 ,$19.92 ,$5.08 ,$20.75 ,$5.08 ,$83.66 ,$3.50 ,$5.08 ,$83.66 ,$10.46 ,$118.30 ,$11.83 ,$135.20 ,$12.95 ,$5.08 ,$118.30 ,$5.08 ,$101.40 ,$5.17 ,$126.75 ,$93.29 ,$84.16 ,$93.29 ,$5.08 ,$93.29 ,$7.70 ,$169.00 ,$7.70 ,$143.65 ,$12.95 ,$117.12 ,$5.08 ,$169.00 ,$94.81 ,$5.08 ,$44.28 , N/A ,$7.30 ,$6.97 ,$5.33 ,$135.20 ,$83.66 ,$47.32 ,$152.10 ,$64.22 ,$10.36 ,$5.08 ,$81.12 
ST. MARY'S HOSPITAL - DECATUR,30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$63.63 ,$43.26 ,$77.55 ,$24.94 ,$39.48 ,$73.74 ,$24.94 ,$77.55 ,$24.94 ,$69.80 ,$3.50 ,$24.94 ,$69.80 ,$51.41 ,$98.70 ,$58.40 ,$112.80 ,$63.63 ,$24.94 ,$98.70 ,$24.94 ,$84.60 ,$25.44 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$24.94 ,$77.83 ,$37.86 ,$141.00 ,$37.86 ,$119.85 ,$63.63 ,$97.71 ,$24.94 ,$141.00 ,$79.10 ,$24.94 ,$36.94 , N/A ,$8.15 ,$7.78 ,$26.19 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$50.90 ,$24.94 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$63.63 ,$43.26 ,$89.10 ,$24.94 ,$45.36 ,$84.73 ,$24.94 ,$89.10 ,$24.94 ,$80.19 ,$3.50 ,$24.94 ,$80.19 ,$51.41 ,$113.40 ,$58.40 ,$129.60 ,$63.63 ,$24.94 ,$113.40 ,$24.94 ,$97.20 ,$25.44 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$24.94 ,$89.42 ,$37.86 ,$162.00 ,$37.86 ,$137.70 ,$63.63 ,$112.27 ,$24.94 ,$162.00 ,$90.88 ,$24.94 ,$42.44 , N/A ,$12.58 ,$12.01 ,$26.19 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$50.90 ,$24.94 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$79.00 ,$56.88 ,$3.50 ,$79.00 ,$40.18 ,$27.32 ,$43.45 ,$15.75 ,$22.12 ,$41.32 ,$15.75 ,$43.45 ,$15.75 ,$39.11 ,$3.50 ,$15.75 ,$39.11 ,$32.46 ,$55.30 ,$36.30 ,$63.20 ,$40.18 ,$15.75 ,$55.30 ,$15.75 ,$47.40 ,$16.06 ,$59.25 ,$43.61 ,$39.34 ,$43.61 ,$15.75 ,$43.61 ,$23.91 ,$79.00 ,$23.91 ,$67.15 ,$40.18 ,$54.75 ,$15.75 ,$79.00 ,$44.32 ,$15.75 ,$20.70 , N/A ,$8.15 ,$7.78 ,$16.53 ,$63.20 ,$39.11 ,$22.12 ,$71.10 ,$30.02 ,$32.14 ,$15.75 ,$37.92 
ST. MARY'S HOSPITAL - DECATUR,30200867,86156,HC COLD AGGLUTININ SCREEN-90,302,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$20.18 ,$13.72 ,$73.70 ,$7.91 ,$37.52 ,$25.82 ,$7.91 ,$26.90 ,$7.91 ,$66.33 ,$3.50 ,$7.91 ,$66.33 ,$16.30 ,$93.80 ,$18.15 ,$107.20 ,$20.18 ,$7.91 ,$93.80 ,$7.91 ,$80.40 ,$8.07 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$7.91 ,$73.97 ,$10.80 ,$134.00 ,$10.80 ,$113.90 ,$20.18 ,$92.86 ,$7.91 ,$134.00 ,$75.17 ,$7.91 ,$35.11 , N/A ,$7.30 ,$6.97 ,$8.30 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$16.14 ,$7.91 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$171.00 ,$123.12 ,$3.50 ,$171.00 ,$20.15 ,$13.70 ,$94.05 ,$7.90 ,$47.88 ,$31.06 ,$7.90 ,$32.35 ,$7.90 ,$84.65 ,$3.50 ,$7.90 ,$84.65 ,$16.28 ,$119.70 ,$18.15 ,$136.80 ,$20.15 ,$7.90 ,$119.70 ,$7.90 ,$102.60 ,$8.06 ,$128.25 ,$94.39 ,$85.16 ,$94.39 ,$7.90 ,$94.39 ,$12.00 ,$171.00 ,$12.00 ,$145.35 ,$20.15 ,$118.50 ,$7.90 ,$171.00 ,$95.93 ,$7.90 ,$44.80 , N/A ,$7.30 ,$6.97 ,$8.29 ,$136.80 ,$84.65 ,$47.88 ,$153.90 ,$64.98 ,$16.12 ,$7.90 ,$82.08 
ST. MARY'S HOSPITAL - DECATUR,30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$30.00 ,$20.40 ,$75.90 ,$11.76 ,$38.64 ,$46.22 ,$11.76 ,$48.15 ,$11.76 ,$68.31 ,$3.50 ,$11.76 ,$68.31 ,$24.24 ,$96.60 ,$27.63 ,$110.40 ,$30.00 ,$11.76 ,$96.60 ,$11.76 ,$82.80 ,$12.00 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$11.76 ,$76.18 ,$17.85 ,$138.00 ,$17.85 ,$117.30 ,$30.00 ,$95.63 ,$11.76 ,$138.00 ,$77.42 ,$11.76 ,$36.16 , N/A ,$7.30 ,$6.97 ,$12.35 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$24.00 ,$11.76 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$225.00 ,$162.00 ,$3.50 ,$225.00 ,$30.00 ,$20.40 ,$123.75 ,$11.76 ,$63.00 ,$46.22 ,$11.76 ,$48.15 ,$11.76 ,$111.38 ,$3.50 ,$11.76 ,$111.38 ,$24.24 ,$157.50 ,$27.63 ,$180.00 ,$30.00 ,$11.76 ,$157.50 ,$11.76 ,$135.00 ,$12.00 ,$168.75 ,$124.20 ,$112.05 ,$124.20 ,$11.76 ,$124.20 ,$17.85 ,$225.00 ,$17.85 ,$191.25 ,$30.00 ,$155.93 ,$11.76 ,$225.00 ,$126.23 ,$11.76 ,$58.95 , N/A ,$7.30 ,$6.97 ,$12.35 ,$180.00 ,$111.38 ,$63.00 ,$202.50 ,$85.50 ,$24.00 ,$11.76 ,$108.00 
ST. MARY'S HOSPITAL - DECATUR,30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$259.00 ,$186.48 ,$3.50 ,$259.00 ,$50.80 ,$34.54 ,$142.45 ,$19.91 ,$72.52 ,$78.29 ,$19.91 ,$81.55 ,$19.91 ,$128.21 ,$3.50 ,$19.91 ,$128.21 ,$41.05 ,$181.30 ,$46.55 ,$207.20 ,$50.80 ,$19.91 ,$181.30 ,$19.91 ,$155.40 ,$20.32 ,$194.25 ,$142.97 ,$128.98 ,$142.97 ,$19.91 ,$142.97 ,$30.23 ,$259.00 ,$30.23 ,$220.15 ,$50.80 ,$179.49 ,$19.91 ,$259.00 ,$145.30 ,$19.91 ,$67.86 , N/A ,$7.30 ,$6.97 ,$20.91 ,$207.20 ,$128.21 ,$72.52 ,$233.10 ,$98.42 ,$40.64 ,$19.91 ,$124.32 
ST. MARY'S HOSPITAL - DECATUR,30200873,86200,HC CCP AB-90,302,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$32.38 ,$22.02 ,$113.85 ,$12.69 ,$57.96 ,$49.87 ,$12.69 ,$51.95 ,$12.69 ,$102.47 ,$3.50 ,$12.69 ,$102.47 ,$26.16 ,$144.90 ,$29.20 ,$165.60 ,$32.38 ,$12.69 ,$144.90 ,$12.69 ,$124.20 ,$12.95 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$12.69 ,$114.26 ,$19.27 ,$207.00 ,$19.27 ,$175.95 ,$32.38 ,$143.45 ,$12.69 ,$207.00 ,$116.13 ,$12.69 ,$54.23 , N/A ,$7.30 ,$6.97 ,$13.33 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$25.90 ,$12.69 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$87.00 ,$62.64 ,$3.50 ,$87.00 ,$33.13 ,$22.52 ,$47.85 ,$12.98 ,$24.36 ,$45.50 ,$12.98 ,$47.85 ,$12.98 ,$43.07 ,$3.50 ,$12.98 ,$43.07 ,$26.77 ,$60.90 ,$29.98 ,$69.60 ,$33.13 ,$12.98 ,$60.90 ,$12.98 ,$52.20 ,$13.25 ,$65.25 ,$48.02 ,$43.33 ,$48.02 ,$12.98 ,$48.02 ,$19.71 ,$87.00 ,$19.71 ,$73.95 ,$33.13 ,$60.29 ,$12.98 ,$87.00 ,$48.81 ,$12.98 ,$22.79 , N/A ,$7.30 ,$6.97 ,$13.63 ,$69.60 ,$43.07 ,$24.36 ,$78.30 ,$33.06 ,$26.50 ,$12.98 ,$41.76 
ST. MARY'S HOSPITAL - DECATUR,30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$142.00 ,$102.24 ,$3.50 ,$142.00 ,$34.35 ,$23.36 ,$78.10 ,$13.47 ,$39.76 ,$52.94 ,$13.47 ,$55.15 ,$13.47 ,$70.29 ,$3.50 ,$13.47 ,$70.29 ,$27.75 ,$99.40 ,$31.55 ,$113.60 ,$34.35 ,$13.47 ,$99.40 ,$13.47 ,$85.20 ,$13.73 ,$106.50 ,$78.38 ,$70.72 ,$78.38 ,$13.47 ,$78.38 ,$20.45 ,$142.00 ,$20.45 ,$120.70 ,$34.35 ,$98.41 ,$13.47 ,$142.00 ,$79.66 ,$13.47 ,$37.20 , N/A ,$7.30 ,$6.97 ,$14.14 ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$27.48 ,$13.47 ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30200876,86226,HC DNA SINGLE STRAND AB-90,302,1 ,$95.00 ,$68.40 ,$3.50 ,$95.00 ,$30.28 ,$20.58 ,$52.25 ,$11.87 ,$26.60 ,$46.66 ,$11.87 ,$48.60 ,$11.87 ,$47.03 ,$3.50 ,$11.87 ,$47.03 ,$24.46 ,$66.50 ,$27.63 ,$76.00 ,$30.28 ,$11.87 ,$66.50 ,$11.87 ,$57.00 ,$12.10 ,$71.25 ,$52.44 ,$47.31 ,$52.44 ,$11.87 ,$52.44 ,$18.01 ,$95.00 ,$18.01 ,$80.75 ,$30.28 ,$65.84 ,$11.87 ,$95.00 ,$53.30 ,$11.87 ,$24.89 , N/A ,$7.30 ,$6.97 ,$12.47 ,$76.00 ,$47.03 ,$26.60 ,$85.50 ,$36.10 ,$24.22 ,$11.87 ,$45.60 
ST. MARY'S HOSPITAL - DECATUR,30200877,86235,HC ENA AB-90,302,1 ,$161.00 ,$115.92 ,$3.50 ,$161.00 ,$44.83 ,$30.48 ,$88.55 ,$17.57 ,$45.08 ,$69.07 ,$17.57 ,$71.95 ,$17.57 ,$79.70 ,$3.50 ,$17.57 ,$79.70 ,$36.22 ,$112.70 ,$41.03 ,$128.80 ,$44.83 ,$17.57 ,$112.70 ,$17.57 ,$96.60 ,$17.92 ,$120.75 ,$88.87 ,$80.18 ,$88.87 ,$17.57 ,$88.87 ,$26.69 ,$161.00 ,$26.69 ,$136.85 ,$44.83 ,$111.57 ,$17.57 ,$161.00 ,$90.32 ,$17.57 ,$42.18 , N/A ,$12.58 ,$12.01 ,$18.45 ,$128.80 ,$79.70 ,$45.08 ,$144.90 ,$61.18 ,$35.86 ,$17.57 ,$77.28 
ST. MARY'S HOSPITAL - DECATUR,30200878,86255,HC FLUOR AB SCR-90,302,1 ,$405.00 ,$291.60 ,$9.51 ,$405.00 ,$30.13 ,$20.48 ,$222.75 ,$11.81 ,$113.40 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$200.48 ,$9.51 ,$11.81 ,$200.48 ,$24.34 ,$283.50 ,$27.63 ,$324.00 ,$30.13 ,$11.81 ,$283.50 ,$11.81 ,$243.00 ,$12.04 ,$303.75 ,$223.56 ,$201.69 ,$223.56 ,$11.81 ,$223.56 ,$17.93 ,$405.00 ,$17.93 ,$344.25 ,$30.13 ,$280.67 ,$11.81 ,$405.00 ,$227.21 ,$11.81 ,$106.11 , N/A ,$12.58 ,$12.01 ,$12.40 ,$324.00 ,$200.48 ,$113.40 ,$364.50 ,$153.90 ,$24.10 ,$11.81 ,$194.40 
ST. MARY'S HOSPITAL - DECATUR,30200879,86256,HC FLUOR AB TITER-90,302,1 ,$228.00 ,$164.16 ,$9.51 ,$228.00 ,$30.13 ,$20.48 ,$125.40 ,$11.81 ,$63.84 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$112.86 ,$9.51 ,$11.81 ,$112.86 ,$24.34 ,$159.60 ,$27.63 ,$182.40 ,$30.13 ,$11.81 ,$159.60 ,$11.81 ,$136.80 ,$12.04 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$11.81 ,$125.86 ,$17.93 ,$228.00 ,$17.93 ,$193.80 ,$30.13 ,$158.00 ,$11.81 ,$228.00 ,$127.91 ,$11.81 ,$59.74 , N/A ,$12.58 ,$12.01 ,$12.40 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$24.10 ,$11.81 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$175.00 ,$126.00 ,$3.50 ,$175.00 ,$52.03 ,$35.38 ,$96.25 ,$20.39 ,$49.00 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$86.63 ,$3.50 ,$20.39 ,$86.63 ,$42.04 ,$122.50 ,$47.35 ,$140.00 ,$52.03 ,$20.39 ,$122.50 ,$20.39 ,$105.00 ,$20.81 ,$131.25 ,$96.60 ,$87.15 ,$96.60 ,$20.39 ,$96.60 ,$30.97 ,$175.00 ,$30.97 ,$148.75 ,$52.03 ,$121.28 ,$20.39 ,$175.00 ,$98.18 ,$20.39 ,$45.85 , N/A ,$19.35 ,$18.47 ,$21.41 ,$140.00 ,$86.63 ,$49.00 ,$157.50 ,$66.50 ,$41.62 ,$20.39 ,$84.00 
ST. MARY'S HOSPITAL - DECATUR,30200881,86301,HC TUMOR AG CA 19-9  -90,302,1 ,$202.00 ,$145.44 ,$3.50 ,$202.00 ,$52.03 ,$35.38 ,$111.10 ,$20.39 ,$56.56 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$99.99 ,$3.50 ,$20.39 ,$99.99 ,$42.04 ,$141.40 ,$47.35 ,$161.60 ,$52.03 ,$20.39 ,$141.40 ,$20.39 ,$121.20 ,$20.81 ,$151.50 ,$111.50 ,$100.60 ,$111.50 ,$20.39 ,$111.50 ,$30.97 ,$202.00 ,$30.97 ,$171.70 ,$52.03 ,$139.99 ,$20.39 ,$202.00 ,$113.32 ,$20.39 ,$52.92 , N/A ,$19.35 ,$18.47 ,$21.41 ,$161.60 ,$99.99 ,$56.56 ,$181.80 ,$76.76 ,$41.62 ,$20.39 ,$96.96 
ST. MARY'S HOSPITAL - DECATUR,30200883,86305,HC HE4 OVARIAN CANCER-90,302,1 ,$251.00 ,$180.72 ,$3.50 ,$251.00 ,$52.03 ,$35.38 ,$138.05 ,$20.39 ,$70.28 ,$80.21 ,$20.39 ,$83.55 ,$20.39 ,$124.25 ,$3.50 ,$20.39 ,$124.25 ,$42.04 ,$175.70 ,$47.35 ,$200.80 ,$52.03 ,$20.39 ,$175.70 ,$20.39 ,$150.60 ,$20.81 ,$188.25 ,$138.55 ,$125.00 ,$138.55 ,$20.39 ,$138.55 ,$30.97 ,$251.00 ,$30.97 ,$213.35 ,$52.03 ,$173.94 ,$20.39 ,$251.00 ,$140.81 ,$20.39 ,$65.76 , N/A ,$19.35 ,$18.47 ,$21.41 ,$200.80 ,$124.25 ,$70.28 ,$225.90 ,$95.38 ,$41.62 ,$20.39 ,$120.48 
ST. MARY'S HOSPITAL - DECATUR,30200885,86308,HC HETEROPHILE SCR MONO,302,1 ,$263.00 ,$189.36 ,$3.50 ,$263.00 ,$12.95 ,$8.80 ,$144.65 ,$5.08 ,$73.64 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$130.19 ,$3.50 ,$5.08 ,$130.19 ,$10.46 ,$184.10 ,$11.83 ,$210.40 ,$12.95 ,$5.08 ,$184.10 ,$5.08 ,$157.80 ,$5.17 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$5.08 ,$145.18 ,$7.70 ,$263.00 ,$7.70 ,$223.55 ,$12.95 ,$182.26 ,$5.08 ,$263.00 ,$147.54 ,$5.08 ,$68.91 , N/A ,$7.30 ,$6.97 ,$5.33 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$10.36 ,$5.08 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30200886,86632,HC CHLAMYDIA AB IGM-90,302,1 ,$54.00 ,$38.88 ,$3.50 ,$54.00 ,$31.70 ,$21.56 ,$29.70 ,$12.43 ,$15.12 ,$28.24 ,$12.43 ,$29.70 ,$12.43 ,$26.73 ,$3.50 ,$12.43 ,$26.73 ,$25.61 ,$37.80 ,$29.20 ,$43.20 ,$31.70 ,$12.43 ,$37.80 ,$12.43 ,$32.40 ,$12.67 ,$40.50 ,$29.81 ,$26.89 ,$29.81 ,$12.43 ,$29.81 ,$18.87 ,$54.00 ,$18.87 ,$45.90 ,$31.70 ,$37.42 ,$12.43 ,$54.00 ,$30.29 ,$12.43 ,$14.15 , N/A ,$5.82 ,$5.55 ,$13.04 ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 ,$25.36 ,$12.43 ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$28.68 ,$19.50 ,$54.45 ,$11.24 ,$27.72 ,$44.21 ,$11.24 ,$46.05 ,$11.24 ,$49.01 ,$3.50 ,$11.24 ,$49.01 ,$23.17 ,$69.30 ,$26.05 ,$79.20 ,$28.68 ,$11.24 ,$69.30 ,$11.24 ,$59.40 ,$11.47 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$11.24 ,$54.65 ,$17.08 ,$99.00 ,$17.08 ,$84.15 ,$28.68 ,$68.61 ,$11.24 ,$99.00 ,$55.54 ,$11.24 ,$25.94 , N/A ,$12.58 ,$12.01 ,$11.80 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$22.94 ,$11.24 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30200888,86638,HC Q FEVER AB-90,302,1 ,$205.00 ,$147.60 ,$3.50 ,$205.00 ,$30.30 ,$20.60 ,$112.75 ,$11.88 ,$57.40 ,$46.70 ,$11.88 ,$48.65 ,$11.88 ,$101.48 ,$3.50 ,$11.88 ,$101.48 ,$24.48 ,$143.50 ,$27.63 ,$164.00 ,$30.30 ,$11.88 ,$143.50 ,$11.88 ,$123.00 ,$12.11 ,$153.75 ,$113.16 ,$102.09 ,$113.16 ,$11.88 ,$113.16 ,$18.04 ,$205.00 ,$18.04 ,$174.25 ,$30.30 ,$142.07 ,$11.88 ,$205.00 ,$115.01 ,$11.88 ,$53.71 , N/A ,$12.58 ,$12.01 ,$12.48 ,$164.00 ,$101.48 ,$57.40 ,$184.50 ,$77.90 ,$24.24 ,$11.88 ,$98.40 
ST. MARY'S HOSPITAL - DECATUR,30200889,86641,HC CRYPTOCOCCAL AB-90,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$36.03 ,$24.50 ,$89.10 ,$14.12 ,$45.36 ,$55.49 ,$14.12 ,$57.80 ,$14.12 ,$80.19 ,$3.50 ,$14.12 ,$80.19 ,$29.11 ,$113.40 ,$33.15 ,$129.60 ,$36.03 ,$14.12 ,$113.40 ,$14.12 ,$97.20 ,$14.41 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$14.12 ,$89.42 ,$21.43 ,$162.00 ,$21.43 ,$137.70 ,$36.03 ,$112.27 ,$14.12 ,$162.00 ,$90.88 ,$14.12 ,$42.44 , N/A ,$12.58 ,$12.01 ,$14.83 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$28.82 ,$14.12 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30200890,86644,HC CMV AB-90,302,1 ,$243.00 ,$174.96 ,$3.50 ,$243.00 ,$35.98 ,$24.46 ,$133.65 ,$14.10 ,$68.04 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$120.29 ,$3.50 ,$14.10 ,$120.29 ,$29.07 ,$170.10 ,$33.15 ,$194.40 ,$35.98 ,$14.10 ,$170.10 ,$14.10 ,$145.80 ,$14.39 ,$182.25 ,$134.14 ,$121.01 ,$134.14 ,$14.10 ,$134.14 ,$21.41 ,$243.00 ,$21.41 ,$206.55 ,$35.98 ,$168.40 ,$14.10 ,$243.00 ,$136.32 ,$14.10 ,$63.67 , N/A ,$12.58 ,$12.01 ,$14.81 ,$194.40 ,$120.29 ,$68.04 ,$218.70 ,$92.34 ,$28.78 ,$14.10 ,$116.64 
ST. MARY'S HOSPITAL - DECATUR,30200891,86645,HC CMV AB IGM-90,302,1 ,$243.00 ,$174.96 ,$3.50 ,$243.00 ,$42.13 ,$28.64 ,$133.65 ,$16.51 ,$68.04 ,$64.90 ,$16.51 ,$67.60 ,$16.51 ,$120.29 ,$3.50 ,$16.51 ,$120.29 ,$34.04 ,$170.10 ,$38.65 ,$194.40 ,$42.13 ,$16.51 ,$170.10 ,$16.51 ,$145.80 ,$16.85 ,$182.25 ,$134.14 ,$121.01 ,$134.14 ,$16.51 ,$134.14 ,$25.07 ,$243.00 ,$25.07 ,$206.55 ,$42.13 ,$168.40 ,$16.51 ,$243.00 ,$136.32 ,$16.51 ,$63.67 , N/A ,$12.58 ,$12.01 ,$17.34 ,$194.40 ,$120.29 ,$68.04 ,$218.70 ,$92.34 ,$33.70 ,$16.51 ,$116.64 
ST. MARY'S HOSPITAL - DECATUR,30200892,86648,HC DIPTHERIA-90,302,1 ,$188.00 ,$135.36 ,$3.50 ,$188.00 ,$38.03 ,$25.86 ,$103.40 ,$14.91 ,$52.64 ,$58.56 ,$14.91 ,$61.00 ,$14.91 ,$93.06 ,$3.50 ,$14.91 ,$93.06 ,$30.72 ,$131.60 ,$34.73 ,$150.40 ,$38.03 ,$14.91 ,$131.60 ,$14.91 ,$112.80 ,$15.20 ,$141.00 ,$103.78 ,$93.62 ,$103.78 ,$14.91 ,$103.78 ,$22.63 ,$188.00 ,$22.63 ,$159.80 ,$38.03 ,$130.28 ,$14.91 ,$188.00 ,$105.47 ,$14.91 ,$49.26 , N/A ,$12.58 ,$12.01 ,$15.65 ,$150.40 ,$93.06 ,$52.64 ,$169.20 ,$71.44 ,$30.42 ,$14.91 ,$90.24 
ST. MARY'S HOSPITAL - DECATUR,30200893,86651,HC ENCEPHALITIS CALIFORNIA AB-90,302,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$32.98 ,$22.42 ,$37.40 ,$12.93 ,$19.04 ,$35.56 ,$12.93 ,$37.40 ,$12.93 ,$33.66 ,$3.50 ,$12.93 ,$33.66 ,$26.64 ,$47.60 ,$29.98 ,$54.40 ,$32.98 ,$12.93 ,$47.60 ,$12.93 ,$40.80 ,$13.18 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$12.93 ,$37.54 ,$19.62 ,$68.00 ,$19.62 ,$57.80 ,$32.98 ,$47.12 ,$12.93 ,$68.00 ,$38.15 ,$12.93 ,$17.82 , N/A ,$12.58 ,$12.01 ,$13.57 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$26.38 ,$12.93 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30200894,86652,HC ENCEPHALITIS EAST EQUINE AB-90,302,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$32.98 ,$22.42 ,$37.40 ,$12.93 ,$19.04 ,$35.56 ,$12.93 ,$37.40 ,$12.93 ,$33.66 ,$3.50 ,$12.93 ,$33.66 ,$26.64 ,$47.60 ,$29.98 ,$54.40 ,$32.98 ,$12.93 ,$47.60 ,$12.93 ,$40.80 ,$13.18 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$12.93 ,$37.54 ,$19.62 ,$68.00 ,$19.62 ,$57.80 ,$32.98 ,$47.12 ,$12.93 ,$68.00 ,$38.15 ,$12.93 ,$17.82 , N/A ,$12.58 ,$12.01 ,$13.57 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$26.38 ,$12.93 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30200895,86653,HC ENCEPHALITIS ST LOUIS AB-90,302,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$32.98 ,$22.42 ,$37.40 ,$12.93 ,$19.04 ,$35.56 ,$12.93 ,$37.40 ,$12.93 ,$33.66 ,$3.50 ,$12.93 ,$33.66 ,$26.64 ,$47.60 ,$29.98 ,$54.40 ,$32.98 ,$12.93 ,$47.60 ,$12.93 ,$40.80 ,$13.18 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$12.93 ,$37.54 ,$19.62 ,$68.00 ,$19.62 ,$57.80 ,$32.98 ,$47.12 ,$12.93 ,$68.00 ,$38.15 ,$12.93 ,$17.82 , N/A ,$12.58 ,$12.01 ,$13.57 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$26.38 ,$12.93 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30200896,86654,HC ENCEPHALITIS WEST EQUINE AB-90,302,1 ,$68.00 ,$48.96 ,$3.50 ,$68.00 ,$32.98 ,$22.42 ,$37.40 ,$12.93 ,$19.04 ,$35.56 ,$12.93 ,$37.40 ,$12.93 ,$33.66 ,$3.50 ,$12.93 ,$33.66 ,$26.64 ,$47.60 ,$29.98 ,$54.40 ,$32.98 ,$12.93 ,$47.60 ,$12.93 ,$40.80 ,$13.18 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$12.93 ,$37.54 ,$19.62 ,$68.00 ,$19.62 ,$57.80 ,$32.98 ,$47.12 ,$12.93 ,$68.00 ,$38.15 ,$12.93 ,$17.82 , N/A ,$12.58 ,$12.01 ,$13.57 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$26.38 ,$12.93 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$23.00 ,$16.56 ,$3.50 ,$32.58 ,$32.58 ,$22.16 ,$12.65 ,$12.77 ,$6.44 ,$12.03 ,$12.77 ,$12.65 ,$12.77 ,$11.39 ,$3.50 ,$12.77 ,$11.39 ,$23.00 ,$16.10 ,$23.00 ,$18.40 ,$32.58 ,$12.77 ,$16.10 ,$12.77 ,$13.80 ,$13.02 ,$17.25 ,$12.70 ,$11.45 ,$12.70 ,$12.77 ,$12.70 ,$19.37 ,$23.00 ,$19.37 ,$19.55 ,$23.00 ,$15.94 ,$12.77 ,$23.00 ,$12.90 ,$12.77 ,$6.03 , N/A ,$12.58 ,$12.01 ,$13.41 ,$18.40 ,$11.39 ,$6.44 ,$20.70 ,$8.74 ,$23.00 ,$12.77 ,$11.04 
ST. MARY'S HOSPITAL - DECATUR,30200898,86663,HC EBV EARLY AG-90,302,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$32.80 ,$22.30 ,$58.30 ,$12.86 ,$29.68 ,$50.54 ,$12.86 ,$52.65 ,$12.86 ,$52.47 ,$3.50 ,$12.86 ,$52.47 ,$26.50 ,$74.20 ,$29.98 ,$84.80 ,$32.80 ,$12.86 ,$74.20 ,$12.86 ,$63.60 ,$13.11 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$12.86 ,$58.51 ,$19.52 ,$106.00 ,$19.52 ,$90.10 ,$32.80 ,$73.46 ,$12.86 ,$106.00 ,$59.47 ,$12.86 ,$27.77 , N/A ,$12.58 ,$12.01 ,$13.50 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$26.24 ,$12.86 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$38.23 ,$26.00 ,$89.10 ,$14.98 ,$45.36 ,$58.90 ,$14.98 ,$61.35 ,$14.98 ,$80.19 ,$3.50 ,$14.98 ,$80.19 ,$30.89 ,$113.40 ,$34.73 ,$129.60 ,$38.23 ,$14.98 ,$113.40 ,$14.98 ,$97.20 ,$15.29 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$14.98 ,$89.42 ,$22.75 ,$162.00 ,$22.75 ,$137.70 ,$38.23 ,$112.27 ,$14.98 ,$162.00 ,$90.88 ,$14.98 ,$42.44 , N/A ,$12.58 ,$12.01 ,$15.73 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$30.58 ,$14.98 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$45.35 ,$30.84 ,$89.10 ,$17.78 ,$45.36 ,$69.89 ,$17.78 ,$72.80 ,$17.78 ,$80.19 ,$3.50 ,$17.78 ,$80.19 ,$36.64 ,$113.40 ,$41.03 ,$129.60 ,$45.35 ,$17.78 ,$113.40 ,$17.78 ,$97.20 ,$18.13 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$17.78 ,$89.42 ,$27.00 ,$162.00 ,$27.00 ,$137.70 ,$45.35 ,$112.27 ,$17.78 ,$162.00 ,$90.88 ,$17.78 ,$42.44 , N/A ,$12.58 ,$12.01 ,$18.67 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$36.28 ,$17.78 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30200901,86666,HC EHRLICHIA AB-90,302,1 ,$220.00 ,$158.40 ,$3.50 ,$220.00 ,$25.45 ,$17.30 ,$121.00 ,$9.98 ,$61.60 ,$39.17 ,$9.98 ,$40.80 ,$9.98 ,$108.90 ,$3.50 ,$9.98 ,$108.90 ,$20.56 ,$154.00 ,$22.88 ,$176.00 ,$25.45 ,$9.98 ,$154.00 ,$9.98 ,$132.00 ,$10.17 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$9.98 ,$121.44 ,$15.14 ,$220.00 ,$15.14 ,$187.00 ,$25.45 ,$152.46 ,$9.98 ,$220.00 ,$123.42 ,$9.98 ,$57.64 , N/A ,$12.58 ,$12.01 ,$10.48 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$20.36 ,$9.98 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30200902,86668,HC FRANCISELLA AB-90,302,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$35.40 ,$24.08 ,$110.55 ,$13.88 ,$56.28 ,$44.16 ,$13.88 ,$46.00 ,$13.88 ,$99.50 ,$3.50 ,$13.88 ,$99.50 ,$28.60 ,$140.70 ,$32.35 ,$160.80 ,$35.40 ,$13.88 ,$140.70 ,$13.88 ,$120.60 ,$14.15 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$13.88 ,$110.95 ,$18.96 ,$201.00 ,$18.96 ,$170.85 ,$35.40 ,$139.29 ,$13.88 ,$201.00 ,$112.76 ,$13.88 ,$52.66 , N/A ,$12.58 ,$12.01 ,$14.57 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$28.32 ,$13.88 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$136.00 ,$97.92 ,$3.50 ,$136.00 ,$30.63 ,$20.82 ,$74.80 ,$12.00 ,$38.08 ,$47.18 ,$12.00 ,$49.15 ,$12.00 ,$67.32 ,$3.50 ,$12.00 ,$67.32 ,$24.75 ,$95.20 ,$27.63 ,$108.80 ,$30.63 ,$12.00 ,$95.20 ,$12.00 ,$81.60 ,$12.25 ,$102.00 ,$75.07 ,$67.73 ,$75.07 ,$12.00 ,$75.07 ,$18.24 ,$136.00 ,$18.24 ,$115.60 ,$30.63 ,$94.25 ,$12.00 ,$136.00 ,$76.30 ,$12.00 ,$35.63 , N/A ,$7.30 ,$6.97 ,$12.60 ,$108.80 ,$67.32 ,$38.08 ,$122.40 ,$51.68 ,$24.50 ,$12.00 ,$65.28 
ST. MARY'S HOSPITAL - DECATUR,30200904,86674,HC GIARDIA LAMBLIA AB-90,302,1 ,$184.00 ,$132.48 ,$3.50 ,$184.00 ,$36.80 ,$25.02 ,$101.20 ,$14.43 ,$51.52 ,$56.69 ,$14.43 ,$59.05 ,$14.43 ,$91.08 ,$3.50 ,$14.43 ,$91.08 ,$29.73 ,$128.80 ,$33.93 ,$147.20 ,$36.80 ,$14.43 ,$128.80 ,$14.43 ,$110.40 ,$14.71 ,$138.00 ,$101.57 ,$91.63 ,$101.57 ,$14.43 ,$101.57 ,$21.90 ,$184.00 ,$21.90 ,$156.40 ,$36.80 ,$127.51 ,$14.43 ,$184.00 ,$103.22 ,$14.43 ,$48.21 , N/A ,$7.30 ,$6.97 ,$15.15 ,$147.20 ,$91.08 ,$51.52 ,$165.60 ,$69.92 ,$29.44 ,$14.43 ,$88.32 
ST. MARY'S HOSPITAL - DECATUR,30200905,86677,HC H PYLORI AB-90,302,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$42.13 ,$28.64 ,$106.15 ,$16.51 ,$54.04 ,$55.87 ,$16.51 ,$58.20 ,$16.51 ,$95.54 ,$3.50 ,$16.51 ,$95.54 ,$34.04 ,$135.10 ,$38.65 ,$154.40 ,$42.13 ,$16.51 ,$135.10 ,$16.51 ,$115.80 ,$16.85 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$16.51 ,$106.54 ,$22.57 ,$193.00 ,$22.57 ,$164.05 ,$42.13 ,$133.75 ,$16.51 ,$193.00 ,$108.27 ,$16.51 ,$50.57 , N/A ,$12.58 ,$12.01 ,$17.34 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$33.70 ,$16.51 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30200906,86682,HC HELMINTH ANTIBODY-90,302,1 ,$304.00 ,$218.88 ,$3.50 ,$304.00 ,$32.53 ,$22.12 ,$167.20 ,$12.75 ,$85.12 ,$50.11 ,$12.75 ,$52.20 ,$12.75 ,$150.48 ,$3.50 ,$12.75 ,$150.48 ,$26.28 ,$212.80 ,$29.98 ,$243.20 ,$32.53 ,$12.75 ,$212.80 ,$12.75 ,$182.40 ,$13.00 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$12.75 ,$167.81 ,$19.35 ,$304.00 ,$19.35 ,$258.40 ,$32.53 ,$210.67 ,$12.75 ,$304.00 ,$170.54 ,$12.75 ,$79.65 , N/A ,$7.30 ,$6.97 ,$13.39 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$26.02 ,$12.75 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$175.00 ,$126.00 ,$3.50 ,$175.00 ,$39.60 ,$26.92 ,$96.25 ,$15.52 ,$49.00 ,$61.01 ,$15.52 ,$63.55 ,$15.52 ,$86.63 ,$3.50 ,$15.52 ,$86.63 ,$32.00 ,$122.50 ,$36.30 ,$140.00 ,$39.60 ,$15.52 ,$122.50 ,$15.52 ,$105.00 ,$15.84 ,$131.25 ,$96.60 ,$87.15 ,$96.60 ,$15.52 ,$96.60 ,$23.57 ,$175.00 ,$23.57 ,$148.75 ,$39.60 ,$121.28 ,$15.52 ,$175.00 ,$98.18 ,$15.52 ,$45.85 , N/A ,$7.30 ,$6.97 ,$16.30 ,$140.00 ,$86.63 ,$49.00 ,$157.50 ,$66.50 ,$31.68 ,$15.52 ,$84.00 
ST. MARY'S HOSPITAL - DECATUR,30200908,86687,HC HTLV I AB-90,302,1 ,$163.00 ,$117.36 ,$3.50 ,$163.00 ,$22.73 ,$15.46 ,$89.65 ,$8.91 ,$45.64 ,$32.30 ,$8.91 ,$33.65 ,$8.91 ,$80.69 ,$3.50 ,$8.91 ,$80.69 ,$18.36 ,$114.10 ,$20.53 ,$130.40 ,$22.73 ,$8.91 ,$114.10 ,$8.91 ,$97.80 ,$9.08 ,$122.25 ,$89.98 ,$81.17 ,$89.98 ,$8.91 ,$89.98 ,$12.48 ,$163.00 ,$12.48 ,$138.55 ,$22.73 ,$112.96 ,$8.91 ,$163.00 ,$91.44 ,$8.91 ,$42.71 , N/A ,$7.30 ,$6.97 ,$9.35 ,$130.40 ,$80.69 ,$45.64 ,$146.70 ,$61.94 ,$18.18 ,$8.91 ,$78.24 
ST. MARY'S HOSPITAL - DECATUR,30200909,86689,HC HTLV OR HIV AB CONF-90,302,1 ,$305.00 ,$219.60 ,$3.50 ,$305.00 ,$48.38 ,$32.90 ,$167.75 ,$18.96 ,$85.40 ,$74.59 ,$18.96 ,$77.70 ,$18.96 ,$150.98 ,$3.50 ,$18.96 ,$150.98 ,$39.09 ,$213.50 ,$44.18 ,$244.00 ,$48.38 ,$18.96 ,$213.50 ,$18.96 ,$183.00 ,$19.35 ,$228.75 ,$168.36 ,$151.89 ,$168.36 ,$18.96 ,$168.36 ,$28.80 ,$305.00 ,$28.80 ,$259.25 ,$48.38 ,$211.37 ,$18.96 ,$305.00 ,$171.11 ,$18.96 ,$79.91 , N/A ,$12.58 ,$12.01 ,$19.91 ,$244.00 ,$150.98 ,$85.40 ,$274.50 ,$115.90 ,$38.70 ,$18.96 ,$146.40 
ST. MARY'S HOSPITAL - DECATUR,30200910,86692,HC HEPATITIS D AB-90,302,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$42.90 ,$29.18 ,$113.85 ,$16.82 ,$57.96 ,$66.10 ,$16.82 ,$68.85 ,$16.82 ,$102.47 ,$3.50 ,$16.82 ,$102.47 ,$34.66 ,$144.90 ,$39.45 ,$165.60 ,$42.90 ,$16.82 ,$144.90 ,$16.82 ,$124.20 ,$17.15 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$16.82 ,$114.26 ,$25.53 ,$207.00 ,$25.53 ,$175.95 ,$42.90 ,$143.45 ,$16.82 ,$207.00 ,$116.13 ,$16.82 ,$54.23 , N/A ,$7.30 ,$6.97 ,$17.66 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$34.32 ,$16.82 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30200911,86694,HC HERPES SIMPLEX AB-90,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$35.98 ,$24.46 ,$61.60 ,$14.10 ,$31.36 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$55.44 ,$3.50 ,$14.10 ,$55.44 ,$29.07 ,$78.40 ,$33.15 ,$89.60 ,$35.98 ,$14.10 ,$78.40 ,$14.10 ,$67.20 ,$14.39 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$14.10 ,$61.82 ,$21.41 ,$112.00 ,$21.41 ,$95.20 ,$35.98 ,$77.62 ,$14.10 ,$112.00 ,$62.83 ,$14.10 ,$29.34 , N/A ,$12.58 ,$12.01 ,$14.81 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$28.78 ,$14.10 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$32.98 ,$22.42 ,$61.60 ,$12.93 ,$31.36 ,$50.78 ,$12.93 ,$52.90 ,$12.93 ,$55.44 ,$3.50 ,$12.93 ,$55.44 ,$26.64 ,$78.40 ,$29.98 ,$89.60 ,$32.98 ,$12.93 ,$78.40 ,$12.93 ,$67.20 ,$13.18 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$12.93 ,$61.82 ,$19.62 ,$112.00 ,$19.62 ,$95.20 ,$32.98 ,$77.62 ,$12.93 ,$112.00 ,$62.83 ,$12.93 ,$29.34 , N/A ,$12.58 ,$12.01 ,$13.57 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$26.38 ,$12.93 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$48.38 ,$32.90 ,$61.60 ,$18.96 ,$31.36 ,$58.58 ,$18.96 ,$61.60 ,$18.96 ,$55.44 ,$3.50 ,$18.96 ,$55.44 ,$39.09 ,$78.40 ,$44.18 ,$89.60 ,$48.38 ,$18.96 ,$78.40 ,$18.96 ,$67.20 ,$19.35 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$18.96 ,$61.82 ,$28.80 ,$112.00 ,$28.80 ,$95.20 ,$48.38 ,$77.62 ,$18.96 ,$112.00 ,$62.83 ,$18.96 ,$29.34 , N/A ,$7.30 ,$6.97 ,$19.91 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$38.70 ,$18.96 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$34.48 ,$23.44 ,$54.45 ,$13.51 ,$27.72 ,$48.14 ,$13.51 ,$50.15 ,$13.51 ,$49.01 ,$3.50 ,$13.51 ,$49.01 ,$27.86 ,$69.30 ,$31.55 ,$79.20 ,$34.48 ,$13.51 ,$69.30 ,$13.51 ,$59.40 ,$13.79 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$13.51 ,$54.65 ,$18.58 ,$99.00 ,$18.58 ,$84.15 ,$34.48 ,$68.61 ,$13.51 ,$99.00 ,$55.54 ,$13.51 ,$25.94 , N/A ,$12.58 ,$12.01 ,$14.19 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$27.58 ,$13.51 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30200915,86701,HC HIV-1 AB-90,302,1 ,$199.00 ,$143.28 ,$3.50 ,$199.00 ,$22.23 ,$15.12 ,$109.45 ,$8.71 ,$55.72 ,$46.32 ,$8.71 ,$48.25 ,$8.71 ,$98.51 ,$3.50 ,$8.71 ,$98.51 ,$17.96 ,$139.30 ,$20.53 ,$159.20 ,$22.23 ,$8.71 ,$139.30 ,$8.71 ,$119.40 ,$8.89 ,$149.25 ,$109.85 ,$99.10 ,$109.85 ,$8.71 ,$109.85 ,$13.21 ,$199.00 ,$13.21 ,$169.15 ,$22.23 ,$137.91 ,$8.71 ,$199.00 ,$111.64 ,$8.71 ,$52.14 , N/A ,$7.30 ,$6.97 ,$9.14 ,$159.20 ,$98.51 ,$55.72 ,$179.10 ,$75.62 ,$17.78 ,$8.71 ,$95.52 
ST. MARY'S HOSPITAL - DECATUR,30200918,86702,HC HIV-2 AB-90,302,1 ,$218.00 ,$156.96 ,$3.50 ,$218.00 ,$33.80 ,$22.98 ,$119.90 ,$13.25 ,$61.04 ,$52.08 ,$13.25 ,$54.25 ,$13.25 ,$107.91 ,$3.50 ,$13.25 ,$107.91 ,$27.31 ,$152.60 ,$30.78 ,$174.40 ,$33.80 ,$13.25 ,$152.60 ,$13.25 ,$130.80 ,$13.51 ,$163.50 ,$120.34 ,$108.56 ,$120.34 ,$13.25 ,$120.34 ,$20.12 ,$218.00 ,$20.12 ,$185.30 ,$33.80 ,$151.07 ,$13.25 ,$218.00 ,$122.30 ,$13.25 ,$57.12 , N/A ,$7.30 ,$6.97 ,$13.92 ,$174.40 ,$107.91 ,$61.04 ,$196.20 ,$82.84 ,$27.04 ,$13.25 ,$104.64 
ST. MARY'S HOSPITAL - DECATUR,30200919,86704,HC HEP CORE AB-90,302,1 ,$144.00 ,$103.68 ,$3.50 ,$144.00 ,$30.13 ,$20.48 ,$79.20 ,$11.81 ,$40.32 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$71.28 ,$3.50 ,$11.81 ,$71.28 ,$24.34 ,$100.80 ,$27.63 ,$115.20 ,$30.13 ,$11.81 ,$100.80 ,$11.81 ,$86.40 ,$12.04 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$11.81 ,$79.49 ,$17.93 ,$144.00 ,$17.93 ,$122.40 ,$30.13 ,$99.79 ,$11.81 ,$144.00 ,$80.78 ,$11.81 ,$37.73 , N/A ,$7.30 ,$6.97 ,$12.40 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$24.10 ,$11.81 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30200923,86707,HC HEP B E AB-90,302,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$28.93 ,$19.66 ,$72.05 ,$11.34 ,$36.68 ,$44.54 ,$11.34 ,$46.40 ,$11.34 ,$64.85 ,$3.50 ,$11.34 ,$64.85 ,$23.37 ,$91.70 ,$26.05 ,$104.80 ,$28.93 ,$11.34 ,$91.70 ,$11.34 ,$78.60 ,$11.56 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$11.34 ,$72.31 ,$17.21 ,$131.00 ,$17.21 ,$111.35 ,$28.93 ,$90.78 ,$11.34 ,$131.00 ,$73.49 ,$11.34 ,$34.32 , N/A ,$7.30 ,$6.97 ,$11.91 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$23.14 ,$11.34 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$159.00 ,$114.48 ,$3.50 ,$159.00 ,$30.98 ,$21.06 ,$87.45 ,$12.14 ,$44.52 ,$47.71 ,$12.14 ,$49.70 ,$12.14 ,$78.71 ,$3.50 ,$12.14 ,$78.71 ,$25.03 ,$111.30 ,$28.40 ,$127.20 ,$30.98 ,$12.14 ,$111.30 ,$12.14 ,$95.40 ,$12.39 ,$119.25 ,$87.77 ,$79.18 ,$87.77 ,$12.14 ,$87.77 ,$18.43 ,$159.00 ,$18.43 ,$135.15 ,$30.98 ,$110.19 ,$12.14 ,$159.00 ,$89.20 ,$12.14 ,$41.66 , N/A ,$7.30 ,$6.97 ,$12.75 ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$24.78 ,$12.14 ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,30200925,86709,HC HEP A AB IGM-90,302,1 ,$211.00 ,$151.92 ,$3.50 ,$211.00 ,$28.15 ,$19.14 ,$116.05 ,$11.03 ,$59.08 ,$43.39 ,$11.03 ,$45.20 ,$11.03 ,$104.45 ,$3.50 ,$11.03 ,$104.45 ,$22.75 ,$147.70 ,$26.05 ,$168.80 ,$28.15 ,$11.03 ,$147.70 ,$11.03 ,$126.60 ,$11.26 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$11.03 ,$116.47 ,$16.75 ,$211.00 ,$16.75 ,$179.35 ,$28.15 ,$146.22 ,$11.03 ,$211.00 ,$118.37 ,$11.03 ,$55.28 , N/A ,$7.30 ,$6.97 ,$11.58 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$22.52 ,$11.03 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30200926,86710,HC INFLUENZA AB-90,302,1 ,$127.00 ,$91.44 ,$3.50 ,$127.00 ,$33.88 ,$23.04 ,$69.85 ,$13.28 ,$35.56 ,$66.42 ,$13.28 ,$69.85 ,$13.28 ,$62.87 ,$3.50 ,$13.28 ,$62.87 ,$27.37 ,$88.90 ,$30.78 ,$101.60 ,$33.88 ,$13.28 ,$88.90 ,$13.28 ,$76.20 ,$13.54 ,$95.25 ,$70.10 ,$63.25 ,$70.10 ,$13.28 ,$70.10 ,$20.17 ,$127.00 ,$20.17 ,$107.95 ,$33.88 ,$88.01 ,$13.28 ,$127.00 ,$71.25 ,$13.28 ,$33.27 , N/A ,$7.30 ,$6.97 ,$13.95 ,$101.60 ,$62.87 ,$35.56 ,$114.30 ,$48.26 ,$27.10 ,$13.28 ,$60.96 
ST. MARY'S HOSPITAL - DECATUR,30200927,86713,HC LEGIONELLA AB-90,302,1 ,$196.00 ,$141.12 ,$3.50 ,$196.00 ,$38.25 ,$26.02 ,$107.80 ,$14.99 ,$54.88 ,$58.94 ,$14.99 ,$61.40 ,$14.99 ,$97.02 ,$3.50 ,$14.99 ,$97.02 ,$30.91 ,$137.20 ,$34.73 ,$156.80 ,$38.25 ,$14.99 ,$137.20 ,$14.99 ,$117.60 ,$15.30 ,$147.00 ,$108.19 ,$97.61 ,$108.19 ,$14.99 ,$108.19 ,$22.76 ,$196.00 ,$22.76 ,$166.60 ,$38.25 ,$135.83 ,$14.99 ,$196.00 ,$109.96 ,$14.99 ,$51.35 , N/A ,$12.58 ,$12.01 ,$15.75 ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$30.60 ,$14.99 ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,30200928,86717,HC LESISHMANIA AB-90,302,1 ,$254.00 ,$182.88 ,$3.50 ,$254.00 ,$30.63 ,$20.82 ,$139.70 ,$12.00 ,$71.12 ,$47.18 ,$12.00 ,$49.15 ,$12.00 ,$125.73 ,$3.50 ,$12.00 ,$125.73 ,$24.75 ,$177.80 ,$27.63 ,$203.20 ,$30.63 ,$12.00 ,$177.80 ,$12.00 ,$152.40 ,$12.25 ,$190.50 ,$140.21 ,$126.49 ,$140.21 ,$12.00 ,$140.21 ,$18.22 ,$254.00 ,$18.22 ,$215.90 ,$30.63 ,$176.02 ,$12.00 ,$254.00 ,$142.49 ,$12.00 ,$66.55 , N/A ,$12.58 ,$12.01 ,$12.60 ,$203.20 ,$125.73 ,$71.12 ,$228.60 ,$96.52 ,$24.50 ,$12.00 ,$121.92 
ST. MARY'S HOSPITAL - DECATUR,30200929,86720,HC LEPTOSPIRA AB-90,302,1 ,$173.00 ,$124.56 ,$3.50 ,$173.00 ,$40.50 ,$27.54 ,$95.15 ,$15.88 ,$48.44 ,$50.78 ,$15.88 ,$52.90 ,$15.88 ,$85.64 ,$3.50 ,$15.88 ,$85.64 ,$32.72 ,$121.10 ,$37.08 ,$138.40 ,$40.50 ,$15.88 ,$121.10 ,$15.88 ,$103.80 ,$16.19 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$15.88 ,$95.50 ,$21.69 ,$173.00 ,$21.69 ,$147.05 ,$40.50 ,$119.89 ,$15.88 ,$173.00 ,$97.05 ,$15.88 ,$45.33 , N/A ,$12.58 ,$12.01 ,$16.67 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 ,$32.40 ,$15.88 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,30200930,86727,HC LYMPH CHORIOMENINGITIS AB-90,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$32.18 ,$21.88 ,$61.60 ,$12.61 ,$31.36 ,$49.58 ,$12.61 ,$51.65 ,$12.61 ,$55.44 ,$3.50 ,$12.61 ,$55.44 ,$26.00 ,$78.40 ,$29.20 ,$89.60 ,$32.18 ,$12.61 ,$78.40 ,$12.61 ,$67.20 ,$12.87 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$12.61 ,$61.82 ,$19.15 ,$112.00 ,$19.15 ,$95.20 ,$32.18 ,$77.62 ,$12.61 ,$112.00 ,$62.83 ,$12.61 ,$29.34 , N/A ,$12.58 ,$12.01 ,$13.24 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$25.74 ,$12.61 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30200931,86735,HC MUMPS AB-90,302,1 ,$199.00 ,$143.28 ,$3.50 ,$199.00 ,$32.63 ,$22.18 ,$109.45 ,$12.79 ,$55.72 ,$50.26 ,$12.79 ,$52.35 ,$12.79 ,$98.51 ,$3.50 ,$12.79 ,$98.51 ,$26.36 ,$139.30 ,$29.98 ,$159.20 ,$32.63 ,$12.79 ,$139.30 ,$12.79 ,$119.40 ,$13.04 ,$149.25 ,$109.85 ,$99.10 ,$109.85 ,$12.79 ,$109.85 ,$19.42 ,$199.00 ,$19.42 ,$169.15 ,$32.63 ,$137.91 ,$12.79 ,$199.00 ,$111.64 ,$12.79 ,$52.14 , N/A ,$7.30 ,$6.97 ,$13.43 ,$159.20 ,$98.51 ,$55.72 ,$179.10 ,$75.62 ,$26.10 ,$12.79 ,$95.52 
ST. MARY'S HOSPITAL - DECATUR,30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$129.00 ,$92.88 ,$3.50 ,$129.00 ,$33.10 ,$22.50 ,$70.95 ,$12.98 ,$36.12 ,$50.98 ,$12.98 ,$53.10 ,$12.98 ,$63.86 ,$3.50 ,$12.98 ,$63.86 ,$26.74 ,$90.30 ,$29.98 ,$103.20 ,$33.10 ,$12.98 ,$90.30 ,$12.98 ,$77.40 ,$13.23 ,$96.75 ,$71.21 ,$64.24 ,$71.21 ,$12.98 ,$71.21 ,$19.69 ,$129.00 ,$19.69 ,$109.65 ,$33.10 ,$89.40 ,$12.98 ,$129.00 ,$72.37 ,$12.98 ,$33.80 , N/A ,$12.58 ,$12.01 ,$13.62 ,$103.20 ,$63.86 ,$36.12 ,$116.10 ,$49.02 ,$26.48 ,$12.98 ,$61.92 
ST. MARY'S HOSPITAL - DECATUR,30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$37.58 ,$25.56 ,$72.05 ,$14.73 ,$36.68 ,$57.89 ,$14.73 ,$60.30 ,$14.73 ,$64.85 ,$3.50 ,$14.73 ,$64.85 ,$30.36 ,$91.70 ,$33.93 ,$104.80 ,$37.58 ,$14.73 ,$91.70 ,$14.73 ,$78.60 ,$15.02 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$14.73 ,$72.31 ,$22.36 ,$131.00 ,$22.36 ,$111.35 ,$37.58 ,$90.78 ,$14.73 ,$131.00 ,$73.49 ,$14.73 ,$34.32 , N/A ,$12.58 ,$12.01 ,$15.46 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$30.06 ,$14.73 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30200937,86753,HC PROTOZOA AB-90,302,1 ,$186.00 ,$133.92 ,$3.50 ,$186.00 ,$30.98 ,$21.06 ,$102.30 ,$12.14 ,$52.08 ,$47.71 ,$12.14 ,$49.70 ,$12.14 ,$92.07 ,$3.50 ,$12.14 ,$92.07 ,$25.03 ,$130.20 ,$28.40 ,$148.80 ,$30.98 ,$12.14 ,$130.20 ,$12.14 ,$111.60 ,$12.39 ,$139.50 ,$102.67 ,$92.63 ,$102.67 ,$12.14 ,$102.67 ,$18.43 ,$186.00 ,$18.43 ,$158.10 ,$30.98 ,$128.90 ,$12.14 ,$186.00 ,$104.35 ,$12.14 ,$48.73 , N/A ,$7.30 ,$6.97 ,$12.75 ,$148.80 ,$92.07 ,$52.08 ,$167.40 ,$70.68 ,$24.78 ,$12.14 ,$89.28 
ST. MARY'S HOSPITAL - DECATUR,30200938,86756,HC RSV AB-90,302,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$39.73 ,$27.02 ,$77.55 ,$15.57 ,$39.48 ,$49.63 ,$15.57 ,$51.70 ,$15.57 ,$69.80 ,$3.50 ,$15.57 ,$69.80 ,$32.10 ,$98.70 ,$36.30 ,$112.80 ,$39.73 ,$15.57 ,$98.70 ,$15.57 ,$84.60 ,$15.89 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$15.57 ,$77.83 ,$21.28 ,$141.00 ,$21.28 ,$119.85 ,$39.73 ,$97.71 ,$15.57 ,$141.00 ,$79.10 ,$15.57 ,$36.94 , N/A ,$12.58 ,$12.01 ,$16.35 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$31.78 ,$15.57 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30200939,86757,HC RICKETTSIA AB-90,302,1 ,$69.00 ,$49.68 ,$3.50 ,$69.00 ,$48.38 ,$32.90 ,$37.95 ,$18.96 ,$19.32 ,$36.09 ,$18.96 ,$37.95 ,$18.96 ,$34.16 ,$3.50 ,$18.96 ,$34.16 ,$39.09 ,$48.30 ,$44.18 ,$55.20 ,$48.38 ,$18.96 ,$48.30 ,$18.96 ,$41.40 ,$19.35 ,$51.75 ,$38.09 ,$34.36 ,$38.09 ,$18.96 ,$38.09 ,$28.80 ,$69.00 ,$28.80 ,$58.65 ,$48.38 ,$47.82 ,$18.96 ,$69.00 ,$38.71 ,$18.96 ,$18.08 , N/A ,$12.58 ,$12.01 ,$19.91 ,$55.20 ,$34.16 ,$19.32 ,$62.10 ,$26.22 ,$38.70 ,$18.96 ,$33.12 
ST. MARY'S HOSPITAL - DECATUR,30200940,86762,HC RUBELLA AB-90,302,1 ,$170.00 ,$122.40 ,$3.50 ,$170.00 ,$35.98 ,$24.46 ,$93.50 ,$14.10 ,$47.60 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$84.15 ,$3.50 ,$14.10 ,$84.15 ,$29.07 ,$119.00 ,$33.15 ,$136.00 ,$35.98 ,$14.10 ,$119.00 ,$14.10 ,$102.00 ,$14.39 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$14.10 ,$93.84 ,$21.41 ,$170.00 ,$21.41 ,$144.50 ,$35.98 ,$117.81 ,$14.10 ,$170.00 ,$95.37 ,$14.10 ,$44.54 , N/A ,$7.30 ,$6.97 ,$14.81 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$28.78 ,$14.10 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30200941,86765,HC RUBEOLA AB-90,302,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$32.20 ,$21.90 ,$103.95 ,$12.62 ,$52.92 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$93.56 ,$3.50 ,$12.62 ,$93.56 ,$26.02 ,$132.30 ,$29.20 ,$151.20 ,$32.20 ,$12.62 ,$132.30 ,$12.62 ,$113.40 ,$12.88 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$12.62 ,$104.33 ,$19.16 ,$189.00 ,$19.16 ,$160.65 ,$32.20 ,$130.98 ,$12.62 ,$189.00 ,$106.03 ,$12.62 ,$49.52 , N/A ,$7.30 ,$6.97 ,$13.25 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$25.76 ,$12.62 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30200942,86768,HC SALMONELLA-90,302,1 ,$122.00 ,$87.84 ,$3.50 ,$122.00 ,$32.98 ,$22.42 ,$67.10 ,$12.93 ,$34.16 ,$50.78 ,$12.93 ,$52.90 ,$12.93 ,$60.39 ,$3.50 ,$12.93 ,$60.39 ,$26.64 ,$85.40 ,$29.98 ,$97.60 ,$32.98 ,$12.93 ,$85.40 ,$12.93 ,$73.20 ,$13.18 ,$91.50 ,$67.34 ,$60.76 ,$67.34 ,$12.93 ,$67.34 ,$19.62 ,$122.00 ,$19.62 ,$103.70 ,$32.98 ,$84.55 ,$12.93 ,$122.00 ,$68.44 ,$12.93 ,$31.96 , N/A ,$12.58 ,$12.01 ,$13.57 ,$97.60 ,$60.39 ,$34.16 ,$109.80 ,$46.36 ,$26.38 ,$12.93 ,$58.56 
ST. MARY'S HOSPITAL - DECATUR,30200943,86774,HC TETANUS AB-90,302,1 ,$198.00 ,$142.56 ,$3.50 ,$198.00 ,$37.00 ,$25.16 ,$108.90 ,$14.50 ,$55.44 ,$57.02 ,$14.50 ,$59.40 ,$14.50 ,$98.01 ,$3.50 ,$14.50 ,$98.01 ,$29.90 ,$138.60 ,$33.93 ,$158.40 ,$37.00 ,$14.50 ,$138.60 ,$14.50 ,$118.80 ,$14.80 ,$148.50 ,$109.30 ,$98.60 ,$109.30 ,$14.50 ,$109.30 ,$22.01 ,$198.00 ,$22.01 ,$168.30 ,$37.00 ,$137.21 ,$14.50 ,$198.00 ,$111.08 ,$14.50 ,$51.88 , N/A ,$12.58 ,$12.01 ,$15.23 ,$158.40 ,$98.01 ,$55.44 ,$178.20 ,$75.24 ,$29.60 ,$14.50 ,$95.04 
ST. MARY'S HOSPITAL - DECATUR,30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$144.00 ,$103.68 ,$3.50 ,$144.00 ,$35.98 ,$24.46 ,$79.20 ,$14.10 ,$40.32 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$71.28 ,$3.50 ,$14.10 ,$71.28 ,$29.07 ,$100.80 ,$33.15 ,$115.20 ,$35.98 ,$14.10 ,$100.80 ,$14.10 ,$86.40 ,$14.39 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$14.10 ,$79.49 ,$21.41 ,$144.00 ,$21.41 ,$122.40 ,$35.98 ,$99.79 ,$14.10 ,$144.00 ,$80.78 ,$14.10 ,$37.73 , N/A ,$12.58 ,$12.01 ,$14.81 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$28.78 ,$14.10 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$200.00 ,$144.00 ,$3.50 ,$200.00 ,$36.03 ,$24.50 ,$110.00 ,$14.12 ,$56.00 ,$55.49 ,$14.12 ,$57.80 ,$14.12 ,$99.00 ,$3.50 ,$14.12 ,$99.00 ,$29.11 ,$140.00 ,$33.15 ,$160.00 ,$36.03 ,$14.12 ,$140.00 ,$14.12 ,$120.00 ,$14.41 ,$150.00 ,$110.40 ,$99.60 ,$110.40 ,$14.12 ,$110.40 ,$21.43 ,$200.00 ,$21.43 ,$170.00 ,$36.03 ,$138.60 ,$14.12 ,$200.00 ,$112.20 ,$14.12 ,$52.40 , N/A ,$12.58 ,$12.01 ,$14.83 ,$160.00 ,$99.00 ,$56.00 ,$180.00 ,$76.00 ,$28.82 ,$14.12 ,$96.00 
ST. MARY'S HOSPITAL - DECATUR,30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$378.00 ,$272.16 ,$3.50 ,$378.00 ,$33.10 ,$22.50 ,$207.90 ,$12.98 ,$105.84 ,$69.02 ,$12.98 ,$71.90 ,$12.98 ,$187.11 ,$3.50 ,$12.98 ,$187.11 ,$26.74 ,$264.60 ,$29.98 ,$302.40 ,$33.10 ,$12.98 ,$264.60 ,$12.98 ,$226.80 ,$13.23 ,$283.50 ,$208.66 ,$188.24 ,$208.66 ,$12.98 ,$208.66 ,$19.69 ,$378.00 ,$19.69 ,$321.30 ,$33.10 ,$261.95 ,$12.98 ,$378.00 ,$212.06 ,$12.98 ,$99.04 , N/A ,$12.58 ,$12.01 ,$13.62 ,$302.40 ,$187.11 ,$105.84 ,$340.20 ,$143.64 ,$26.48 ,$12.98 ,$181.44 
ST. MARY'S HOSPITAL - DECATUR,30200947,86784,HC TRICHANELLA AB-90,302,1 ,$190.00 ,$136.80 ,$3.50 ,$190.00 ,$31.40 ,$21.36 ,$104.50 ,$12.31 ,$53.20 ,$48.38 ,$12.31 ,$50.40 ,$12.31 ,$94.05 ,$3.50 ,$12.31 ,$94.05 ,$25.37 ,$133.00 ,$28.40 ,$152.00 ,$31.40 ,$12.31 ,$133.00 ,$12.31 ,$114.00 ,$12.55 ,$142.50 ,$104.88 ,$94.62 ,$104.88 ,$12.31 ,$104.88 ,$18.69 ,$190.00 ,$18.69 ,$161.50 ,$31.40 ,$131.67 ,$12.31 ,$190.00 ,$106.59 ,$12.31 ,$49.78 , N/A ,$12.58 ,$12.01 ,$12.93 ,$152.00 ,$94.05 ,$53.20 ,$171.00 ,$72.20 ,$25.12 ,$12.31 ,$91.20 
ST. MARY'S HOSPITAL - DECATUR,30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$176.00 ,$126.72 ,$3.50 ,$176.00 ,$32.20 ,$21.90 ,$96.80 ,$12.62 ,$49.28 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$87.12 ,$3.50 ,$12.62 ,$87.12 ,$26.02 ,$123.20 ,$29.20 ,$140.80 ,$32.20 ,$12.62 ,$123.20 ,$12.62 ,$105.60 ,$12.88 ,$132.00 ,$97.15 ,$87.65 ,$97.15 ,$12.62 ,$97.15 ,$19.16 ,$176.00 ,$19.16 ,$149.60 ,$32.20 ,$121.97 ,$12.62 ,$176.00 ,$98.74 ,$12.62 ,$46.11 , N/A ,$7.30 ,$6.97 ,$13.25 ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$25.76 ,$12.62 ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$42.13 ,$28.64 ,$71.50 ,$16.51 ,$36.40 ,$64.90 ,$16.51 ,$67.60 ,$16.51 ,$64.35 ,$3.50 ,$16.51 ,$64.35 ,$34.04 ,$91.00 ,$38.65 ,$104.00 ,$42.13 ,$16.51 ,$91.00 ,$16.51 ,$78.00 ,$16.85 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$16.51 ,$71.76 ,$25.07 ,$130.00 ,$25.07 ,$110.50 ,$42.13 ,$90.09 ,$16.51 ,$130.00 ,$72.93 ,$16.51 ,$34.06 , N/A ,$12.58 ,$12.01 ,$17.34 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$33.70 ,$16.51 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30200950,86789,HC WEST NILE AB-90,302,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$35.98 ,$24.46 ,$71.50 ,$14.10 ,$36.40 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$64.35 ,$3.50 ,$14.10 ,$64.35 ,$29.07 ,$91.00 ,$33.15 ,$104.00 ,$35.98 ,$14.10 ,$91.00 ,$14.10 ,$78.00 ,$14.39 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$14.10 ,$71.76 ,$21.41 ,$130.00 ,$21.41 ,$110.50 ,$35.98 ,$90.09 ,$14.10 ,$130.00 ,$72.93 ,$14.10 ,$34.06 , N/A ,$12.58 ,$12.01 ,$14.81 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$28.78 ,$14.10 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$32.20 ,$21.90 ,$91.85 ,$12.62 ,$46.76 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$82.67 ,$3.50 ,$12.62 ,$82.67 ,$26.02 ,$116.90 ,$29.20 ,$133.60 ,$32.20 ,$12.62 ,$116.90 ,$12.62 ,$100.20 ,$12.88 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$12.62 ,$92.18 ,$19.16 ,$167.00 ,$19.16 ,$141.95 ,$32.20 ,$115.73 ,$12.62 ,$167.00 ,$93.69 ,$12.62 ,$43.75 , N/A ,$7.30 ,$6.97 ,$13.25 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$25.76 ,$12.62 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30200952,86793,HC YERSINA-90,302,1 ,$148.00 ,$106.56 ,$3.50 ,$148.00 ,$32.98 ,$22.42 ,$81.40 ,$12.93 ,$41.44 ,$50.78 ,$12.93 ,$52.90 ,$12.93 ,$73.26 ,$3.50 ,$12.93 ,$73.26 ,$26.64 ,$103.60 ,$29.98 ,$118.40 ,$32.98 ,$12.93 ,$103.60 ,$12.93 ,$88.80 ,$13.18 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$12.93 ,$81.70 ,$19.62 ,$148.00 ,$19.62 ,$125.80 ,$32.98 ,$102.56 ,$12.93 ,$148.00 ,$83.03 ,$12.93 ,$38.78 , N/A ,$12.58 ,$12.01 ,$13.57 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$26.38 ,$12.93 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$176.00 ,$126.72 ,$3.50 ,$176.00 ,$39.78 ,$27.04 ,$96.80 ,$15.59 ,$49.28 ,$61.30 ,$15.59 ,$63.85 ,$15.59 ,$87.12 ,$3.50 ,$15.59 ,$87.12 ,$32.14 ,$123.20 ,$36.30 ,$140.80 ,$39.78 ,$15.59 ,$123.20 ,$15.59 ,$105.60 ,$15.91 ,$132.00 ,$97.15 ,$87.65 ,$97.15 ,$15.59 ,$97.15 ,$23.66 ,$176.00 ,$23.66 ,$149.60 ,$39.78 ,$121.97 ,$15.59 ,$176.00 ,$98.74 ,$15.59 ,$46.11 , N/A ,$19.09 ,$18.22 ,$16.38 ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$31.82 ,$15.59 ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,30200954,86803,HC HEP C AB-90,302,1 ,$452.00 ,$325.44 ,$3.50 ,$452.00 ,$35.68 ,$24.26 ,$248.60 ,$13.98 ,$126.56 ,$74.40 ,$13.98 ,$77.50 ,$13.98 ,$223.74 ,$3.50 ,$13.98 ,$223.74 ,$28.83 ,$316.40 ,$32.35 ,$361.60 ,$35.68 ,$13.98 ,$316.40 ,$13.98 ,$271.20 ,$14.27 ,$339.00 ,$249.50 ,$225.10 ,$249.50 ,$13.98 ,$249.50 ,$21.23 ,$452.00 ,$21.23 ,$384.20 ,$35.68 ,$313.24 ,$13.98 ,$452.00 ,$253.57 ,$13.98 ,$118.42 , N/A ,$12.58 ,$12.01 ,$14.68 ,$361.60 ,$223.74 ,$126.56 ,$406.80 ,$171.76 ,$28.54 ,$13.98 ,$216.96 
ST. MARY'S HOSPITAL - DECATUR,30200958,86807,HC CYTOTOXIC PRA STND-90,302,1 ,"$1,021.00 ",$735.12 ,$3.50 ,"$1,021.00 ",$196.63 ,$133.70 ,$561.55 ,$77.08 ,$285.88 ,$245.38 ,$77.08 ,$255.60 ,$77.08 ,$505.40 ,$3.50 ,$77.08 ,$505.40 ,$158.87 ,$714.70 ,$179.10 ,$816.80 ,$196.63 ,$77.08 ,$714.70 ,$77.08 ,$612.60 ,$78.62 ,$765.75 ,$563.59 ,$508.46 ,$563.59 ,$77.08 ,$563.59 ,$105.32 ,"$1,021.00 ",$105.32 ,$867.85 ,$196.63 ,$707.55 ,$77.08 ,"$1,021.00 ",$572.78 ,$77.08 ,$267.50 , N/A ,$29.47 ,$28.13 ,$80.93 ,$816.80 ,$505.40 ,$285.88 ,$918.90 ,$387.98 ,$157.30 ,$77.08 ,$490.08 
ST. MARY'S HOSPITAL - DECATUR,30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$240.00 ,$172.80 ,$3.50 ,$240.00 ,$64.53 ,$43.88 ,$132.00 ,$25.29 ,$67.20 ,$99.41 ,$25.29 ,$103.55 ,$25.29 ,$118.80 ,$3.50 ,$25.29 ,$118.80 ,$52.14 ,$168.00 ,$59.18 ,$192.00 ,$64.53 ,$25.29 ,$168.00 ,$25.29 ,$144.00 ,$25.80 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$25.29 ,$132.48 ,$38.39 ,$240.00 ,$38.39 ,$204.00 ,$64.53 ,$166.32 ,$25.29 ,$240.00 ,$134.64 ,$25.29 ,$62.88 , N/A ,$29.47 ,$28.13 ,$26.56 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$51.62 ,$25.29 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30200962,86816,HC HLA TYPING SINGLE DR/DQ-90,302,1 ,$582.00 ,$419.04 ,$3.50 ,$582.00 ,$75.43 ,$51.28 ,$320.10 ,$29.57 ,$162.96 ,$107.28 ,$29.57 ,$111.75 ,$29.57 ,$288.09 ,$3.50 ,$29.57 ,$288.09 ,$60.94 ,$407.40 ,$68.65 ,$465.60 ,$75.43 ,$29.57 ,$407.40 ,$29.57 ,$349.20 ,$30.15 ,$436.50 ,$321.26 ,$289.84 ,$321.26 ,$29.57 ,$321.26 ,$41.45 ,$582.00 ,$41.45 ,$494.70 ,$75.43 ,$403.33 ,$29.57 ,$582.00 ,$326.50 ,$29.57 ,$152.48 , N/A ,$29.47 ,$28.13 ,$31.05 ,$465.60 ,$288.09 ,$162.96 ,$523.80 ,$221.16 ,$60.34 ,$29.57 ,$279.36 
ST. MARY'S HOSPITAL - DECATUR,30200966,86850,HC AB SCREEN-90,302,1 ,$144.00 ,$103.68 ,$6.94 ,$144.00 ,$117.65 ,$16.60 ,$79.20 ,$46.12 ,$40.32 ,$30.48 ,$46.12 ,$31.75 ,$46.12 ,$71.28 ,$6.94 ,$46.12 ,$71.28 ,$95.06 ,$100.80 ,$22.10 ,$115.20 ,$117.65 ,$46.12 ,$100.80 ,$46.12 ,$86.40 ,$47.04 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$46.12 ,$79.49 ,$13.08 ,$144.00 ,$13.08 ,$122.40 ,$117.65 ,$99.79 ,$46.12 ,$144.00 ,$80.78 ,$46.12 ,$37.73 , N/A ,$7.30 ,$6.97 ,$48.42 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$19.54 ,$46.12 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30200970,86860,HC ELUTION-90,302,1 ,$260.00 ,$187.20 ,$6.97 ,$368.98 ,$368.98 ,$50.86 ,$143.00 ,$144.64 ,$72.80 ,$135.98 ,$144.64 ,$143.00 ,$144.64 ,$128.70 ,$47.08 ,$144.64 ,$128.70 ,$260.00 ,$182.00 ,$72.60 ,$208.00 ,$368.97 ,$144.64 ,$182.00 ,$144.64 ,$156.00 ,$147.53 ,$195.00 ,$143.52 ,$129.48 ,$143.52 ,$144.64 ,$143.52 ,$40.36 ,$260.00 ,$40.36 ,$221.00 ,$260.00 ,$180.18 ,$144.64 ,$260.00 ,$145.86 ,$144.64 ,$68.12 , N/A ,$7.30 ,$6.97 ,$151.87 ,$208.00 ,$128.70 ,$72.80 ,$234.00 ,$98.80 ,$260.00 ,$144.64 ,$124.80 
ST. MARY'S HOSPITAL - DECATUR,30200974,86870,HC RBC AB ID PANEL-90,302,1 ,$357.00 ,$257.04 ,$6.97 ,$760.50 ,$760.50 ,$69.24 ,$196.35 ,$298.12 ,$99.96 ,$186.71 ,$298.12 ,$196.35 ,$298.12 ,$176.72 ,$64.67 ,$298.12 ,$176.72 ,$357.00 ,$249.90 ,$99.43 ,$285.60 ,$760.49 ,$298.12 ,$249.90 ,$298.12 ,$214.20 ,$304.07 ,$267.75 ,$197.06 ,$177.79 ,$197.06 ,$298.12 ,$197.06 ,$55.43 ,$357.00 ,$55.43 ,$303.45 ,$357.00 ,$247.40 ,$298.12 ,$357.00 ,$200.28 ,$298.12 ,$93.53 , N/A ,$7.30 ,$6.97 ,$313.02 ,$285.60 ,$176.72 ,$99.96 ,$321.30 ,$135.66 ,$357.00 ,$298.12 ,$171.36 
ST. MARY'S HOSPITAL - DECATUR,30200976,86880,HC COOMBS DIRECT-90,302,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$134.88 ,$9.16 ,$77.55 ,$52.87 ,$39.48 ,$20.74 ,$52.87 ,$21.60 ,$52.87 ,$69.80 ,$3.50 ,$52.87 ,$69.80 ,$108.98 ,$98.70 ,$12.63 ,$112.80 ,$134.87 ,$52.87 ,$98.70 ,$52.87 ,$84.60 ,$53.93 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$52.87 ,$77.83 ,$8.02 ,$141.00 ,$8.02 ,$119.85 ,$134.87 ,$97.71 ,$52.87 ,$141.00 ,$79.10 ,$52.87 ,$36.94 , N/A ,$7.30 ,$6.97 ,$55.52 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$10.78 ,$52.87 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30200978,86886,HC INDIRECT TITER-90,302,1 ,$215.00 ,$154.80 ,$3.50 ,$368.98 ,$368.98 ,$8.80 ,$118.25 ,$144.64 ,$60.20 ,$19.92 ,$144.64 ,$20.75 ,$144.64 ,$106.43 ,$3.50 ,$144.64 ,$106.43 ,$215.00 ,$150.50 ,$11.83 ,$172.00 ,$368.97 ,$144.64 ,$150.50 ,$144.64 ,$129.00 ,$147.53 ,$161.25 ,$118.68 ,$107.07 ,$118.68 ,$144.64 ,$118.68 ,$7.70 ,$215.00 ,$7.70 ,$182.75 ,$215.00 ,$149.00 ,$144.64 ,$215.00 ,$120.62 ,$144.64 ,$56.33 , N/A ,$7.30 ,$6.97 ,$151.87 ,$172.00 ,$106.43 ,$60.20 ,$193.50 ,$81.70 ,$10.36 ,$144.64 ,$103.20 
ST. MARY'S HOSPITAL - DECATUR,30200979,86886,HC INDIRECT TITER,302,1 ,$215.00 ,$154.80 ,$3.50 ,$368.98 ,$368.98 ,$8.80 ,$118.25 ,$144.64 ,$60.20 ,$19.92 ,$144.64 ,$20.75 ,$144.64 ,$106.43 ,$3.50 ,$144.64 ,$106.43 ,$215.00 ,$150.50 ,$11.83 ,$172.00 ,$368.97 ,$144.64 ,$150.50 ,$144.64 ,$129.00 ,$147.53 ,$161.25 ,$118.68 ,$107.07 ,$118.68 ,$144.64 ,$118.68 ,$7.70 ,$215.00 ,$7.70 ,$182.75 ,$215.00 ,$149.00 ,$144.64 ,$215.00 ,$120.62 ,$144.64 ,$56.33 , N/A ,$7.30 ,$6.97 ,$151.87 ,$172.00 ,$106.43 ,$60.20 ,$193.50 ,$81.70 ,$10.36 ,$144.64 ,$103.20 
ST. MARY'S HOSPITAL - DECATUR,30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$103.00 ,$74.16 ,$3.50 ,$272.45 ,$272.45 ,$5.08 ,$56.65 ,$106.80 ,$28.84 ,$11.52 ,$106.80 ,$12.00 ,$100.94 ,$50.99 ,$3.50 ,$100.94 ,$50.99 ,$103.00 ,$72.10 ,$7.10 ,$82.40 ,$272.44 ,$106.80 ,$72.10 ,$106.80 ,$61.80 ,$100.94 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$106.80 ,$56.86 ,$4.45 ,$103.00 ,$4.45 ,$87.55 ,$103.00 ,$71.38 ,$100.94 ,$103.00 ,$57.78 ,$106.80 ,$26.99 , N/A ,$4.52 ,$4.32 ,$112.14 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$5.98 ,$106.80 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30200982,86901,HC BLOOD TYPING RH-90,302,1 ,$91.00 ,$65.52 ,$3.50 ,$91.00 ,$79.68 ,$5.08 ,$50.05 ,$31.23 ,$25.48 ,$11.52 ,$31.23 ,$12.00 ,$31.23 ,$45.05 ,$3.50 ,$31.23 ,$45.05 ,$64.38 ,$63.70 ,$7.10 ,$72.80 ,$79.68 ,$31.23 ,$63.70 ,$31.23 ,$54.60 ,$31.86 ,$68.25 ,$50.23 ,$45.32 ,$50.23 ,$31.23 ,$50.23 ,$4.45 ,$91.00 ,$4.45 ,$77.35 ,$79.68 ,$63.06 ,$31.23 ,$91.00 ,$51.05 ,$31.23 ,$23.84 , N/A ,$4.52 ,$4.32 ,$32.79 ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$5.98 ,$31.23 ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$91.00 ,$65.52 ,$3.50 ,$91.00 ,$79.68 ,$5.08 ,$50.05 ,$31.23 ,$25.48 ,$11.52 ,$31.23 ,$12.00 ,$31.23 ,$45.05 ,$3.50 ,$31.23 ,$45.05 ,$64.38 ,$63.70 ,$7.10 ,$72.80 ,$79.68 ,$31.23 ,$63.70 ,$31.23 ,$54.60 ,$31.86 ,$68.25 ,$50.23 ,$45.32 ,$50.23 ,$31.23 ,$50.23 ,$4.45 ,$91.00 ,$4.45 ,$77.35 ,$79.68 ,$63.06 ,$31.23 ,$91.00 ,$51.05 ,$31.23 ,$23.84 , N/A ,$4.52 ,$4.32 ,$32.79 ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$5.98 ,$31.23 ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,30200984,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$149.00 ,$107.28 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$81.95 ,$298.12 ,$41.72 ,$19.82 ,$298.12 ,$20.65 ,$146.02 ,$73.76 ,$3.50 ,$146.02 ,$73.76 ,$149.00 ,$104.30 ,$14.20 ,$119.20 ,$760.49 ,$298.12 ,$104.30 ,$298.12 ,$89.40 ,$146.02 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$298.12 ,$82.25 ,$8.51 ,$149.00 ,$8.51 ,$126.65 ,$149.00 ,$103.26 ,$146.02 ,$149.00 ,$83.59 ,$298.12 ,$39.04 , N/A ,$4.52 ,$4.32 ,$313.02 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$12.70 ,$298.12 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30200986,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$149.00 ,$107.28 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$81.95 ,$298.12 ,$41.72 ,$19.82 ,$298.12 ,$20.65 ,$146.02 ,$73.76 ,$3.50 ,$146.02 ,$73.76 ,$149.00 ,$104.30 ,$14.20 ,$119.20 ,$760.49 ,$298.12 ,$104.30 ,$298.12 ,$89.40 ,$146.02 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$298.12 ,$82.25 ,$8.51 ,$149.00 ,$8.51 ,$126.65 ,$149.00 ,$103.26 ,$146.02 ,$149.00 ,$83.59 ,$298.12 ,$39.04 , N/A ,$4.52 ,$4.32 ,$313.02 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$12.70 ,$298.12 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30200987,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$149.00 ,$107.28 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$81.95 ,$298.12 ,$41.72 ,$19.82 ,$298.12 ,$20.65 ,$146.02 ,$73.76 ,$3.50 ,$146.02 ,$73.76 ,$149.00 ,$104.30 ,$14.20 ,$119.20 ,$760.49 ,$298.12 ,$104.30 ,$298.12 ,$89.40 ,$146.02 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$298.12 ,$82.25 ,$8.51 ,$149.00 ,$8.51 ,$126.65 ,$149.00 ,$103.26 ,$146.02 ,$149.00 ,$83.59 ,$298.12 ,$39.04 , N/A ,$4.52 ,$4.32 ,$313.02 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$12.70 ,$298.12 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30200990,86904,HC RBC AG SCR PAT SERUM-90,302,1 ,$149.00 ,$107.28 ,$3.50 ,$149.00 ,$79.68 ,$27.78 ,$81.95 ,$31.23 ,$41.72 ,$50.98 ,$31.23 ,$53.10 ,$31.23 ,$73.76 ,$3.50 ,$31.23 ,$73.76 ,$64.38 ,$104.30 ,$37.08 ,$119.20 ,$79.68 ,$31.23 ,$104.30 ,$31.23 ,$89.40 ,$31.86 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$31.23 ,$82.25 ,$21.88 ,$149.00 ,$21.88 ,$126.65 ,$79.68 ,$103.26 ,$31.23 ,$149.00 ,$83.59 ,$31.23 ,$39.04 , N/A ,$4.52 ,$4.32 ,$32.79 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$32.68 ,$31.23 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30200991,86904,HC RBC AG SCR PAT SERUM,302,1 ,$149.00 ,$107.28 ,$3.50 ,$149.00 ,$79.68 ,$27.78 ,$81.95 ,$31.23 ,$41.72 ,$50.98 ,$31.23 ,$53.10 ,$31.23 ,$73.76 ,$3.50 ,$31.23 ,$73.76 ,$64.38 ,$104.30 ,$37.08 ,$119.20 ,$79.68 ,$31.23 ,$104.30 ,$31.23 ,$89.40 ,$31.86 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$31.23 ,$82.25 ,$21.88 ,$149.00 ,$21.88 ,$126.65 ,$79.68 ,$103.26 ,$31.23 ,$149.00 ,$83.59 ,$31.23 ,$39.04 , N/A ,$4.52 ,$4.32 ,$32.79 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$32.68 ,$31.23 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$79.68 ,$13.18 ,$107.25 ,$31.23 ,$54.60 ,$29.86 ,$31.23 ,$31.10 ,$31.23 ,$96.53 ,$3.50 ,$31.23 ,$96.53 ,$64.38 ,$136.50 ,$17.35 ,$156.00 ,$79.68 ,$31.23 ,$136.50 ,$31.23 ,$117.00 ,$31.86 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$31.23 ,$107.64 ,$11.53 ,$195.00 ,$11.53 ,$165.75 ,$79.68 ,$135.14 ,$31.23 ,$195.00 ,$109.40 ,$31.23 ,$51.09 , N/A ,$4.52 ,$4.32 ,$32.79 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$15.50 ,$31.23 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30200999,86906,HC RH PHENOTYPE COMPLETE,302,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$79.68 ,$13.18 ,$107.25 ,$31.23 ,$54.60 ,$29.86 ,$31.23 ,$31.10 ,$31.23 ,$96.53 ,$3.50 ,$31.23 ,$96.53 ,$64.38 ,$136.50 ,$17.35 ,$156.00 ,$79.68 ,$31.23 ,$136.50 ,$31.23 ,$117.00 ,$31.86 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$31.23 ,$107.64 ,$11.53 ,$195.00 ,$11.53 ,$165.75 ,$79.68 ,$135.14 ,$31.23 ,$195.00 ,$109.40 ,$31.23 ,$51.09 , N/A ,$4.52 ,$4.32 ,$32.79 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$15.50 ,$31.23 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30201000,86922,HC CROSSMATCH AHG-90,302,1 ,$201.00 ,$144.72 ,$28.13 ,$368.98 ,$368.98 ,$60.04 ,$110.55 ,$144.64 ,$56.28 ,$105.12 ,$144.64 ,$110.55 ,$144.64 ,$99.50 ,$55.88 ,$144.64 ,$99.50 ,$201.00 ,$140.70 ,$86.00 ,$160.80 ,$368.97 ,$144.64 ,$140.70 ,$144.64 ,$120.60 ,$147.53 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$144.64 ,$110.95 ,$47.90 ,$201.00 ,$47.90 ,$170.85 ,$201.00 ,$139.29 ,$144.64 ,$201.00 ,$112.76 ,$144.64 ,$52.66 , N/A ,$29.47 ,$28.13 ,$151.87 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$201.00 ,$144.64 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30201001,86940,HC HEOLYSIN AGG AUTO SCREEN-90,302,1 ,$53.00 ,$38.16 ,$3.50 ,$53.00 ,$21.93 ,$14.90 ,$29.15 ,$8.59 ,$14.84 ,$27.72 ,$8.59 ,$29.15 ,$8.59 ,$26.24 ,$3.50 ,$8.59 ,$26.24 ,$17.72 ,$37.10 ,$19.73 ,$42.40 ,$21.93 ,$8.59 ,$37.10 ,$8.59 ,$31.80 ,$8.77 ,$39.75 ,$29.26 ,$26.39 ,$29.26 ,$8.59 ,$29.26 ,$12.20 ,$53.00 ,$12.20 ,$45.05 ,$21.93 ,$36.73 ,$8.59 ,$53.00 ,$29.73 ,$8.59 ,$13.89 , N/A ,$12.58 ,$12.01 ,$9.03 ,$42.40 ,$26.24 ,$14.84 ,$47.70 ,$20.14 ,$17.54 ,$8.59 ,$25.44 
ST. MARY'S HOSPITAL - DECATUR,30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$210.00 ,$151.20 ,$28.13 ,$210.00 ,$79.68 ,$47.06 ,$115.50 ,$31.23 ,$58.80 ,$109.83 ,$31.23 ,$115.50 ,$31.23 ,$103.95 ,$43.98 ,$31.23 ,$103.95 ,$64.38 ,$147.00 ,$67.08 ,$168.00 ,$79.68 ,$31.23 ,$147.00 ,$31.23 ,$126.00 ,$31.86 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$31.23 ,$115.92 ,$37.70 ,$210.00 ,$37.70 ,$178.50 ,$79.68 ,$145.53 ,$31.23 ,$210.00 ,$117.81 ,$31.23 ,$55.02 , N/A ,$29.47 ,$28.13 ,$32.79 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$67.68 ,$31.23 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$153.00 ,$110.16 ,$28.13 ,$760.50 ,$760.50 ,$37.32 ,$84.15 ,$298.12 ,$42.84 ,$80.02 ,$298.12 ,$84.15 ,$149.94 ,$75.74 ,$35.18 ,$149.94 ,$75.74 ,$153.00 ,$107.10 ,$53.65 ,$122.40 ,$760.49 ,$298.12 ,$107.10 ,$298.12 ,$91.80 ,$149.94 ,$114.75 ,$84.46 ,$76.19 ,$84.46 ,$298.12 ,$84.46 ,$30.16 ,$153.00 ,$30.16 ,$130.05 ,$153.00 ,$106.03 ,$149.94 ,$153.00 ,$85.83 ,$298.12 ,$40.09 , N/A ,$29.47 ,$28.13 ,$313.02 ,$122.40 ,$75.74 ,$42.84 ,$137.70 ,$58.14 ,$153.00 ,$298.12 ,$73.44 
ST. MARY'S HOSPITAL - DECATUR,30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$283.00 ,$203.76 ,$28.13 ,$368.98 ,$368.98 ,$65.46 ,$155.65 ,$144.64 ,$79.24 ,$148.01 ,$144.64 ,$155.65 ,$144.64 ,$140.09 ,$61.05 ,$144.64 ,$140.09 ,$283.00 ,$198.10 ,$93.90 ,$226.40 ,$368.97 ,$144.64 ,$198.10 ,$144.64 ,$169.80 ,$147.53 ,$212.25 ,$156.22 ,$140.93 ,$156.22 ,$144.64 ,$156.22 ,$52.32 ,$283.00 ,$52.32 ,$240.55 ,$283.00 ,$196.12 ,$144.64 ,$283.00 ,$158.76 ,$144.64 ,$74.15 , N/A ,$29.47 ,$28.13 ,$151.87 ,$226.40 ,$140.09 ,$79.24 ,$254.70 ,$107.54 ,$283.00 ,$144.64 ,$135.84 
ST. MARY'S HOSPITAL - DECATUR,30201008,86972,HC RBC PRETREAT DENSITY SEP,302,1 ,$283.00 ,$203.76 ,$28.13 ,$368.98 ,$368.98 ,$65.46 ,$155.65 ,$144.64 ,$79.24 ,$148.01 ,$144.64 ,$155.65 ,$144.64 ,$140.09 ,$61.05 ,$144.64 ,$140.09 ,$283.00 ,$198.10 ,$93.90 ,$226.40 ,$368.97 ,$144.64 ,$198.10 ,$144.64 ,$169.80 ,$147.53 ,$212.25 ,$156.22 ,$140.93 ,$156.22 ,$144.64 ,$156.22 ,$52.32 ,$283.00 ,$52.32 ,$240.55 ,$283.00 ,$196.12 ,$144.64 ,$283.00 ,$158.76 ,$144.64 ,$74.15 , N/A ,$29.47 ,$28.13 ,$151.87 ,$226.40 ,$140.09 ,$79.24 ,$254.70 ,$107.54 ,$283.00 ,$144.64 ,$135.84 
ST. MARY'S HOSPITAL - DECATUR,30201010,86975,HC INCUBATION OF SERUM W/DRUG-90,302,1 ,$279.00 ,$200.88 ,$28.13 ,$885.93 ,$885.93 ,$50.86 ,$153.45 ,$347.28 ,$78.12 ,$145.92 ,$347.28 ,$153.45 ,$273.42 ,$138.11 ,$47.08 ,$273.42 ,$138.11 ,$279.00 ,$195.30 ,$72.60 ,$223.20 ,$885.93 ,$347.28 ,$195.30 ,$347.28 ,$167.40 ,$273.42 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,$347.28 ,$154.01 ,$40.36 ,$279.00 ,$40.36 ,$237.15 ,$279.00 ,$193.35 ,$273.42 ,$279.00 ,$156.52 ,$347.28 ,$73.10 , N/A ,$29.47 ,$28.13 ,$364.65 ,$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$279.00 ,$347.28 ,$133.92 
ST. MARY'S HOSPITAL - DECATUR,30201012,86976,HC RBC PRETREAT SERUM DIL-90,302,1 ,$28.00 ,$20.16 ,$7.34 ,$58.58 ,$58.58 ,$28.00 ,$15.40 ,$22.96 ,$7.84 ,$14.64 ,$22.96 ,$15.40 ,$22.96 ,$13.86 ,$28.00 ,$22.96 ,$13.86 ,$28.00 ,$19.60 ,$28.00 ,$22.40 ,$58.57 ,$22.96 ,$19.60 ,$22.96 ,$16.80 ,$23.42 ,$21.00 ,$15.46 ,$13.94 ,$15.46 ,$22.96 ,$15.46 ,$28.00 ,$28.00 ,$28.00 ,$23.80 ,$28.00 ,$19.40 ,$22.96 ,$28.00 ,$15.71 ,$22.96 ,$7.34 , N/A ,$28.00 ,$28.13 ,$24.11 ,$22.40 ,$13.86 ,$7.84 ,$25.20 ,$10.64 ,$28.00 ,$22.96 ,$13.44 
ST. MARY'S HOSPITAL - DECATUR,30201017,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT,302,1 ,$206.00 ,$148.32 ,$28.13 ,$368.98 ,$368.98 ,$56.26 ,$113.30 ,$144.64 ,$57.68 ,$107.74 ,$144.64 ,$113.30 ,$144.64 ,$101.97 ,$52.26 ,$144.64 ,$101.97 ,$206.00 ,$144.20 ,$80.48 ,$164.80 ,$368.97 ,$144.64 ,$144.20 ,$144.64 ,$123.60 ,$147.53 ,$154.50 ,$113.71 ,$102.59 ,$113.71 ,$144.64 ,$113.71 ,$44.79 ,$206.00 ,$44.79 ,$175.10 ,$206.00 ,$142.76 ,$144.64 ,$206.00 ,$115.57 ,$144.64 ,$53.97 , N/A ,$29.47 ,$28.13 ,$151.87 ,$164.80 ,$101.97 ,$57.68 ,$185.40 ,$78.28 ,$206.00 ,$144.64 ,$98.88 
ST. MARY'S HOSPITAL - DECATUR,30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$291.00 ,$209.52 ,$4.32 ,$291.00 ,$79.68 ,$56.26 ,$160.05 ,$31.23 ,$81.48 ,$152.19 ,$31.23 ,$160.05 ,$31.23 ,$144.05 ,$52.26 ,$31.23 ,$144.05 ,$64.38 ,$203.70 ,$80.48 ,$232.80 ,$79.68 ,$31.23 ,$203.70 ,$31.23 ,$174.60 ,$31.86 ,$218.25 ,$160.63 ,$144.92 ,$160.63 ,$31.23 ,$160.63 ,$44.79 ,$291.00 ,$44.79 ,$247.35 ,$79.68 ,$201.66 ,$31.23 ,$291.00 ,$163.25 ,$31.23 ,$76.24 , N/A ,$4.52 ,$4.32 ,$32.79 ,$232.80 ,$144.05 ,$81.48 ,$261.90 ,$110.58 ,$67.68 ,$31.23 ,$139.68 
ST. MARY'S HOSPITAL - DECATUR,30201022,87801,HC INFECT MLT  ORG AMP-90,302,1 ,$469.00 ,$337.68 ,$3.50 ,$469.00 ,$175.50 ,$119.34 ,$257.95 ,$68.80 ,$131.32 ,$245.29 ,$68.80 ,$257.95 ,$68.80 ,$232.16 ,$3.50 ,$68.80 ,$232.16 ,$141.80 ,$328.30 ,$160.18 ,$375.20 ,$175.50 ,$68.80 ,$328.30 ,$68.80 ,$281.40 ,$70.17 ,$351.75 ,$258.89 ,$233.56 ,$258.89 ,$68.80 ,$258.89 ,$104.43 ,$469.00 ,$104.43 ,$398.65 ,$175.50 ,$325.02 ,$68.80 ,$469.00 ,$263.11 ,$68.80 ,$122.88 , N/A ,$5.82 ,$5.55 ,$72.24 ,$375.20 ,$232.16 ,$131.32 ,$422.10 ,$178.22 ,$140.40 ,$68.80 ,$225.12 
ST. MARY'S HOSPITAL - DECATUR,30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$27.00 ,$19.44 ,$3.50 ,$52.03 ,$52.03 ,$27.00 ,$14.85 ,$20.39 ,$7.56 ,$14.12 ,$20.39 ,$14.85 ,$20.39 ,$13.37 ,$3.50 ,$20.39 ,$13.37 ,$27.00 ,$18.90 ,$27.00 ,$21.60 ,$52.03 ,$20.39 ,$18.90 ,$20.39 ,$16.20 ,$20.81 ,$20.25 ,$14.90 ,$13.45 ,$14.90 ,$20.39 ,$14.90 ,$27.00 ,$27.00 ,$27.00 ,$22.95 ,$27.00 ,$18.71 ,$20.39 ,$27.00 ,$15.15 ,$20.39 ,$7.07 , N/A ,$8.15 ,$7.78 ,$21.41 ,$21.60 ,$13.37 ,$7.56 ,$24.30 ,$10.26 ,$27.00 ,$20.39 ,$12.96 
ST. MARY'S HOSPITAL - DECATUR,30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$41.00 ,$29.52 ,$3.50 ,$41.00 ,$37.48 ,$25.48 ,$22.55 ,$14.69 ,$11.48 ,$21.44 ,$14.69 ,$22.55 ,$14.69 ,$20.30 ,$3.50 ,$14.69 ,$20.30 ,$30.28 ,$28.70 ,$33.93 ,$32.80 ,$37.48 ,$14.69 ,$28.70 ,$14.69 ,$24.60 ,$14.98 ,$30.75 ,$22.63 ,$20.42 ,$22.63 ,$14.69 ,$22.63 ,$22.30 ,$41.00 ,$22.30 ,$34.85 ,$37.48 ,$28.41 ,$14.69 ,$41.00 ,$23.00 ,$14.69 ,$10.74 , N/A ,$12.58 ,$12.01 ,$15.43 ,$32.80 ,$20.30 ,$11.48 ,$36.90 ,$15.58 ,$29.98 ,$14.69 ,$19.68 
ST. MARY'S HOSPITAL - DECATUR,30201028,86329,HC IMMUNODIFFUSION NOS-90,302,1 ,$142.00 ,$102.24 ,$3.50 ,$142.00 ,$35.13 ,$23.88 ,$78.10 ,$13.77 ,$39.76 ,$54.10 ,$13.77 ,$56.35 ,$13.77 ,$70.29 ,$3.50 ,$13.77 ,$70.29 ,$28.38 ,$99.40 ,$32.35 ,$113.60 ,$35.13 ,$13.77 ,$99.40 ,$13.77 ,$85.20 ,$14.04 ,$106.50 ,$78.38 ,$70.72 ,$78.38 ,$13.77 ,$78.38 ,$20.90 ,$142.00 ,$20.90 ,$120.70 ,$35.13 ,$98.41 ,$13.77 ,$142.00 ,$79.66 ,$13.77 ,$37.20 , N/A ,$12.58 ,$12.01 ,$14.45 ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$28.10 ,$13.77 ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30201029,86331,HC IMMUNODIFF EL EA AG AB QL-90,302,1 ,$114.00 ,$82.08 ,$3.50 ,$114.00 ,$29.95 ,$20.36 ,$62.70 ,$11.74 ,$31.92 ,$46.13 ,$11.74 ,$48.05 ,$11.74 ,$56.43 ,$3.50 ,$11.74 ,$56.43 ,$24.20 ,$79.80 ,$27.63 ,$91.20 ,$29.95 ,$11.74 ,$79.80 ,$11.74 ,$68.40 ,$11.98 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$11.74 ,$62.93 ,$17.82 ,$114.00 ,$17.82 ,$96.90 ,$29.95 ,$79.00 ,$11.74 ,$114.00 ,$63.95 ,$11.74 ,$29.87 , N/A ,$12.58 ,$12.01 ,$12.33 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$23.96 ,$11.74 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,30201030,86332,HC IMMUNE COMPLEX ASSAY-90,302,1 ,$144.00 ,$103.68 ,$3.50 ,$144.00 ,$60.93 ,$41.42 ,$79.20 ,$23.88 ,$40.32 ,$75.31 ,$23.88 ,$79.20 ,$23.88 ,$71.28 ,$3.50 ,$23.88 ,$71.28 ,$49.23 ,$100.80 ,$55.23 ,$115.20 ,$60.93 ,$23.88 ,$100.80 ,$23.88 ,$86.40 ,$24.36 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$23.88 ,$79.49 ,$36.26 ,$144.00 ,$36.26 ,$122.40 ,$60.93 ,$99.79 ,$23.88 ,$144.00 ,$80.78 ,$23.88 ,$37.73 , N/A ,$12.58 ,$12.01 ,$25.08 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$48.74 ,$23.88 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$240.00 ,$172.80 ,$12.01 ,$240.00 ,$55.85 ,$37.98 ,$132.00 ,$21.89 ,$67.20 ,$86.06 ,$21.89 ,$89.65 ,$21.89 ,$118.80 ,$17.63 ,$21.89 ,$118.80 ,$45.13 ,$168.00 ,$51.28 ,$192.00 ,$55.85 ,$21.89 ,$168.00 ,$21.89 ,$144.00 ,$22.33 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$21.89 ,$132.48 ,$33.25 ,$240.00 ,$33.25 ,$204.00 ,$55.85 ,$166.32 ,$21.89 ,$240.00 ,$134.64 ,$21.89 ,$62.88 , N/A ,$12.58 ,$12.01 ,$22.99 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$44.68 ,$21.89 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$138.00 ,$99.36 ,$12.01 ,$138.00 ,$73.38 ,$49.90 ,$75.90 ,$28.76 ,$38.64 ,$72.17 ,$28.76 ,$75.90 ,$28.76 ,$68.31 ,$23.15 ,$28.76 ,$68.31 ,$59.29 ,$96.60 ,$67.08 ,$110.40 ,$73.38 ,$28.76 ,$96.60 ,$28.76 ,$82.80 ,$29.34 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$28.76 ,$76.18 ,$43.66 ,$138.00 ,$43.66 ,$117.30 ,$73.38 ,$95.63 ,$28.76 ,$138.00 ,$77.42 ,$28.76 ,$36.16 , N/A ,$12.58 ,$12.01 ,$30.20 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$58.70 ,$28.76 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30201033,86336,HC INHIBIN A-90,302,1 ,$113.00 ,$81.36 ,$3.50 ,$113.00 ,$38.98 ,$26.50 ,$62.15 ,$15.28 ,$31.64 ,$59.10 ,$15.28 ,$62.15 ,$15.28 ,$55.94 ,$3.50 ,$15.28 ,$55.94 ,$31.49 ,$79.10 ,$35.50 ,$90.40 ,$38.98 ,$15.28 ,$79.10 ,$15.28 ,$67.80 ,$15.58 ,$84.75 ,$62.38 ,$56.27 ,$62.38 ,$15.28 ,$62.38 ,$23.20 ,$113.00 ,$23.20 ,$96.05 ,$38.98 ,$78.31 ,$15.28 ,$113.00 ,$63.39 ,$15.28 ,$29.61 , N/A ,$8.15 ,$7.78 ,$16.04 ,$90.40 ,$55.94 ,$31.64 ,$101.70 ,$42.94 ,$31.18 ,$15.28 ,$54.24 
ST. MARY'S HOSPITAL - DECATUR,30201034,86337,HC INSULIN AB-90,302,1 ,$299.00 ,$215.28 ,$3.50 ,$299.00 ,$53.53 ,$36.40 ,$164.45 ,$20.98 ,$83.72 ,$82.46 ,$20.98 ,$85.90 ,$20.98 ,$148.01 ,$3.50 ,$20.98 ,$148.01 ,$43.25 ,$209.30 ,$48.93 ,$239.20 ,$53.53 ,$20.98 ,$209.30 ,$20.98 ,$179.40 ,$21.40 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$20.98 ,$165.05 ,$31.86 ,$299.00 ,$31.86 ,$254.15 ,$53.53 ,$207.21 ,$20.98 ,$299.00 ,$167.74 ,$20.98 ,$78.34 , N/A ,$19.09 ,$18.22 ,$22.03 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$42.82 ,$20.98 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$215.00 ,$154.80 ,$3.50 ,$215.00 ,$37.70 ,$25.64 ,$118.25 ,$14.78 ,$60.20 ,$58.08 ,$14.78 ,$60.50 ,$14.78 ,$106.43 ,$3.50 ,$14.78 ,$106.43 ,$30.46 ,$150.50 ,$34.73 ,$172.00 ,$37.70 ,$14.78 ,$150.50 ,$14.78 ,$129.00 ,$15.07 ,$161.25 ,$118.68 ,$107.07 ,$118.68 ,$14.78 ,$118.68 ,$22.43 ,$215.00 ,$22.43 ,$182.75 ,$37.70 ,$149.00 ,$14.78 ,$215.00 ,$120.62 ,$14.78 ,$56.33 , N/A ,$19.09 ,$18.22 ,$15.51 ,$172.00 ,$106.43 ,$60.20 ,$193.50 ,$81.70 ,$30.16 ,$14.78 ,$103.20 
ST. MARY'S HOSPITAL - DECATUR,30201036,86341,HC ISLET CELL AB-90,302,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$58.93 ,$40.06 ,$178.20 ,$23.10 ,$90.72 ,$76.22 ,$23.10 ,$79.40 ,$23.10 ,$160.38 ,$3.50 ,$23.10 ,$160.38 ,$47.61 ,$226.80 ,$53.65 ,$259.20 ,$58.93 ,$23.10 ,$226.80 ,$23.10 ,$194.40 ,$23.56 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$23.10 ,$178.85 ,$31.56 ,$324.00 ,$31.56 ,$275.40 ,$58.93 ,$224.53 ,$23.10 ,$324.00 ,$181.76 ,$23.10 ,$84.89 , N/A ,$12.58 ,$12.01 ,$24.25 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$47.14 ,$23.10 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30201038,86352,HC CELL FUNC W/BIOMARKER-90,302,1 ,$626.00 ,$450.72 ,$3.50 ,$626.00 ,$339.65 ,$230.96 ,$344.30 ,$133.14 ,$175.28 ,$327.40 ,$133.14 ,$344.30 ,$133.14 ,$309.87 ,$3.50 ,$133.14 ,$309.87 ,$274.44 ,$438.20 ,$310.08 ,$500.80 ,$339.65 ,$133.14 ,$438.20 ,$133.14 ,$375.60 ,$135.81 ,$469.50 ,$345.55 ,$311.75 ,$345.55 ,$133.14 ,$345.55 ,$202.14 ,$626.00 ,$202.14 ,$532.10 ,$339.65 ,$433.82 ,$133.14 ,$626.00 ,$351.19 ,$133.14 ,$164.01 , N/A ,$12.58 ,$12.01 ,$139.80 ,$500.80 ,$309.87 ,$175.28 ,$563.40 ,$237.88 ,$271.72 ,$133.14 ,$300.48 
ST. MARY'S HOSPITAL - DECATUR,30201039,86353,HC LYMPHOCYTE TRANFORM MITOGENS-90,302,1 ,"$1,173.00 ",$844.56 ,$3.50 ,"$1,173.00 ",$122.58 ,$83.36 ,$645.15 ,$48.05 ,$328.44 ,$188.83 ,$48.05 ,$196.70 ,$48.05 ,$580.64 ,$3.50 ,$48.05 ,$580.64 ,$99.04 ,$821.10 ,$112.05 ,$938.40 ,$122.58 ,$48.05 ,$821.10 ,$48.05 ,$703.80 ,$49.01 ,$879.75 ,$647.50 ,$584.15 ,$647.50 ,$48.05 ,$647.50 ,$72.93 ,"$1,173.00 ",$72.93 ,$997.05 ,$122.58 ,$812.89 ,$48.05 ,"$1,173.00 ",$658.05 ,$48.05 ,$307.33 , N/A ,$12.58 ,$12.01 ,$50.45 ,$938.40 ,$580.64 ,$328.44 ,"$1,055.70 ",$445.74 ,$98.06 ,$48.05 ,$563.04 
ST. MARY'S HOSPITAL - DECATUR,30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$148.00 ,$106.56 ,$3.50 ,$148.00 ,$94.33 ,$64.14 ,$81.40 ,$36.98 ,$41.44 ,$77.40 ,$36.98 ,$81.40 ,$36.98 ,$73.26 ,$3.50 ,$36.98 ,$73.26 ,$76.21 ,$103.60 ,$86.00 ,$118.40 ,$94.33 ,$36.98 ,$103.60 ,$36.98 ,$88.80 ,$37.71 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$36.98 ,$81.70 ,$56.14 ,$148.00 ,$56.14 ,$125.80 ,$94.33 ,$102.56 ,$36.98 ,$148.00 ,$83.03 ,$36.98 ,$38.78 , N/A ,$12.58 ,$12.01 ,$38.83 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$75.46 ,$36.98 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,30201041,86356,HC MOL ANTIGEN QN EA-90,302,1 ,$148.00 ,$106.56 ,$3.50 ,$148.00 ,$66.95 ,$45.52 ,$81.40 ,$26.24 ,$41.44 ,$77.40 ,$26.24 ,$81.40 ,$26.24 ,$73.26 ,$3.50 ,$26.24 ,$73.26 ,$54.10 ,$103.60 ,$60.75 ,$118.40 ,$66.95 ,$26.24 ,$103.60 ,$26.24 ,$88.80 ,$26.77 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$26.24 ,$81.70 ,$39.84 ,$148.00 ,$39.84 ,$125.80 ,$66.95 ,$102.56 ,$26.24 ,$148.00 ,$83.03 ,$26.24 ,$38.78 , N/A ,$12.58 ,$12.01 ,$27.56 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$53.56 ,$26.24 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$148.00 ,$106.56 ,$3.50 ,$148.00 ,$94.33 ,$64.14 ,$81.40 ,$36.98 ,$41.44 ,$77.40 ,$36.98 ,$81.40 ,$36.98 ,$73.26 ,$3.50 ,$36.98 ,$73.26 ,$76.21 ,$103.60 ,$86.00 ,$118.40 ,$94.33 ,$36.98 ,$103.60 ,$36.98 ,$88.80 ,$37.71 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$36.98 ,$81.70 ,$56.14 ,$148.00 ,$56.14 ,$125.80 ,$94.33 ,$102.56 ,$36.98 ,$148.00 ,$83.03 ,$36.98 ,$38.78 , N/A ,$12.58 ,$12.01 ,$38.83 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$75.46 ,$36.98 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$94.33 ,$64.14 ,$75.90 ,$36.98 ,$38.64 ,$72.17 ,$36.98 ,$75.90 ,$36.98 ,$68.31 ,$3.50 ,$36.98 ,$68.31 ,$76.21 ,$96.60 ,$86.00 ,$110.40 ,$94.33 ,$36.98 ,$96.60 ,$36.98 ,$82.80 ,$37.71 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$36.98 ,$76.18 ,$56.14 ,$138.00 ,$56.14 ,$117.30 ,$94.33 ,$95.63 ,$36.98 ,$138.00 ,$77.42 ,$36.98 ,$36.16 , N/A ,$12.58 ,$12.01 ,$38.83 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$75.46 ,$36.98 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$117.45 ,$79.86 ,$110.55 ,$46.04 ,$56.28 ,$105.12 ,$46.04 ,$110.55 ,$46.04 ,$99.50 ,$3.50 ,$46.04 ,$99.50 ,$94.90 ,$140.70 ,$107.30 ,$160.80 ,$117.45 ,$46.04 ,$140.70 ,$46.04 ,$120.60 ,$46.96 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$46.04 ,$110.95 ,$69.90 ,$201.00 ,$69.90 ,$170.85 ,$117.45 ,$139.29 ,$46.04 ,$201.00 ,$112.76 ,$46.04 ,$52.66 , N/A ,$12.58 ,$12.01 ,$48.34 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$93.96 ,$46.04 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30201047,86376,HC MICROSOMAL AB-90,302,1 ,$160.00 ,$115.20 ,$3.50 ,$160.00 ,$36.38 ,$24.74 ,$88.00 ,$14.26 ,$44.80 ,$56.02 ,$14.26 ,$58.35 ,$14.26 ,$79.20 ,$3.50 ,$14.26 ,$79.20 ,$29.39 ,$112.00 ,$33.15 ,$128.00 ,$36.38 ,$14.26 ,$112.00 ,$14.26 ,$96.00 ,$14.54 ,$120.00 ,$88.32 ,$79.68 ,$88.32 ,$14.26 ,$88.32 ,$21.65 ,$160.00 ,$21.65 ,$136.00 ,$36.38 ,$110.88 ,$14.26 ,$160.00 ,$89.76 ,$14.26 ,$41.92 , N/A ,$19.09 ,$18.22 ,$14.97 ,$128.00 ,$79.20 ,$44.80 ,$144.00 ,$60.80 ,$29.10 ,$14.26 ,$76.80 
ST. MARY'S HOSPITAL - DECATUR,30201048,86382,HC NEUTRALIZATION TEST VIRAL-90,302,1 ,$205.00 ,$147.60 ,$3.50 ,$205.00 ,$42.28 ,$28.74 ,$112.75 ,$16.57 ,$57.40 ,$65.14 ,$16.57 ,$67.85 ,$16.57 ,$101.48 ,$3.50 ,$16.57 ,$101.48 ,$34.16 ,$143.50 ,$38.65 ,$164.00 ,$42.28 ,$16.57 ,$143.50 ,$16.57 ,$123.00 ,$16.90 ,$153.75 ,$113.16 ,$102.09 ,$113.16 ,$16.57 ,$113.16 ,$25.16 ,$205.00 ,$25.16 ,$174.25 ,$42.28 ,$142.07 ,$16.57 ,$205.00 ,$115.01 ,$16.57 ,$53.71 , N/A ,$12.58 ,$12.01 ,$17.40 ,$164.00 ,$101.48 ,$57.40 ,$184.50 ,$77.90 ,$33.82 ,$16.57 ,$98.40 
ST. MARY'S HOSPITAL - DECATUR,30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$224.00 ,$161.28 ,$3.50 ,$224.00 ,$28.85 ,$19.62 ,$123.20 ,$11.31 ,$62.72 ,$53.14 ,$11.31 ,$55.35 ,$11.31 ,$110.88 ,$3.50 ,$11.31 ,$110.88 ,$23.31 ,$156.80 ,$26.05 ,$179.20 ,$28.85 ,$11.31 ,$156.80 ,$11.31 ,$134.40 ,$11.53 ,$168.00 ,$123.65 ,$111.55 ,$123.65 ,$11.31 ,$123.65 ,$15.45 ,$224.00 ,$15.45 ,$190.40 ,$28.85 ,$155.23 ,$11.31 ,$224.00 ,$125.66 ,$11.31 ,$58.69 , N/A ,$7.30 ,$6.97 ,$11.88 ,$179.20 ,$110.88 ,$62.72 ,$201.60 ,$85.12 ,$23.08 ,$11.31 ,$107.52 
ST. MARY'S HOSPITAL - DECATUR,30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$151.00 ,$108.72 ,$3.50 ,$151.00 ,$26.60 ,$18.08 ,$83.05 ,$10.43 ,$42.28 ,$40.94 ,$10.43 ,$42.65 ,$10.43 ,$74.75 ,$3.50 ,$10.43 ,$74.75 ,$21.49 ,$105.70 ,$24.45 ,$120.80 ,$26.60 ,$10.43 ,$105.70 ,$10.43 ,$90.60 ,$10.63 ,$113.25 ,$83.35 ,$75.20 ,$83.35 ,$10.43 ,$83.35 ,$15.83 ,$151.00 ,$15.83 ,$128.35 ,$26.60 ,$104.64 ,$10.43 ,$151.00 ,$84.71 ,$10.43 ,$39.56 , N/A ,$7.30 ,$6.97 ,$10.95 ,$120.80 ,$74.75 ,$42.28 ,$135.90 ,$57.38 ,$21.28 ,$10.43 ,$72.48 
ST. MARY'S HOSPITAL - DECATUR,30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$14.18 ,$9.64 ,$75.90 ,$5.56 ,$38.64 ,$21.84 ,$5.56 ,$22.75 ,$5.56 ,$68.31 ,$3.50 ,$5.56 ,$68.31 ,$11.45 ,$96.60 ,$12.63 ,$110.40 ,$14.18 ,$5.56 ,$96.60 ,$5.56 ,$82.80 ,$5.66 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$5.56 ,$76.18 ,$8.44 ,$138.00 ,$8.44 ,$117.30 ,$14.18 ,$95.63 ,$5.56 ,$138.00 ,$77.42 ,$5.56 ,$36.16 , N/A ,$7.30 ,$6.97 ,$5.83 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$11.34 ,$5.56 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30201053,86480,HC TB QUANTIFERON GOLD-90,302,1 ,$350.00 ,$252.00 ,$3.50 ,$350.00 ,$154.95 ,$105.36 ,$192.50 ,$60.74 ,$98.00 ,$183.05 ,$60.74 ,$192.50 ,$60.74 ,$173.25 ,$3.50 ,$60.74 ,$173.25 ,$125.20 ,$245.00 ,$141.23 ,$280.00 ,$154.95 ,$60.74 ,$245.00 ,$60.74 ,$210.00 ,$61.96 ,$262.50 ,$193.20 ,$174.30 ,$193.20 ,$60.74 ,$193.20 ,$92.22 ,$350.00 ,$92.22 ,$297.50 ,$154.95 ,$242.55 ,$60.74 ,$350.00 ,$196.35 ,$60.74 ,$91.70 , N/A ,$12.58 ,$12.01 ,$63.78 ,$280.00 ,$173.25 ,$98.00 ,$315.00 ,$133.00 ,$123.96 ,$60.74 ,$168.00 
ST. MARY'S HOSPITAL - DECATUR,30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$10.68 ,$7.26 ,$73.70 ,$4.18 ,$37.52 ,$16.46 ,$4.18 ,$17.15 ,$4.18 ,$66.33 ,$3.50 ,$4.18 ,$66.33 ,$8.63 ,$93.80 ,$9.48 ,$107.20 ,$10.68 ,$4.18 ,$93.80 ,$4.18 ,$80.40 ,$4.27 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.18 ,$73.97 ,$6.37 ,$134.00 ,$6.37 ,$113.90 ,$10.68 ,$92.86 ,$4.18 ,$134.00 ,$75.17 ,$4.18 ,$35.11 , N/A ,$7.30 ,$6.97 ,$4.39 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$8.54 ,$4.18 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$166.00 ,$119.52 ,$3.50 ,$166.00 ,$32.18 ,$21.88 ,$91.30 ,$12.61 ,$46.48 ,$49.58 ,$12.61 ,$51.65 ,$12.61 ,$82.17 ,$3.50 ,$12.61 ,$82.17 ,$26.00 ,$116.20 ,$29.20 ,$132.80 ,$32.18 ,$12.61 ,$116.20 ,$12.61 ,$99.60 ,$12.87 ,$124.50 ,$91.63 ,$82.67 ,$91.63 ,$12.61 ,$91.63 ,$19.15 ,$166.00 ,$19.15 ,$141.10 ,$32.18 ,$115.04 ,$12.61 ,$166.00 ,$93.13 ,$12.61 ,$43.49 , N/A ,$12.58 ,$12.01 ,$13.24 ,$132.80 ,$82.17 ,$46.48 ,$149.40 ,$63.08 ,$25.74 ,$12.61 ,$79.68 
ST. MARY'S HOSPITAL - DECATUR,30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$137.00 ,$98.64 ,$3.50 ,$137.00 ,$37.63 ,$25.58 ,$75.35 ,$14.75 ,$38.36 ,$57.98 ,$14.75 ,$60.40 ,$14.75 ,$67.82 ,$3.50 ,$14.75 ,$67.82 ,$30.40 ,$95.90 ,$33.93 ,$109.60 ,$37.63 ,$14.75 ,$95.90 ,$14.75 ,$82.20 ,$15.04 ,$102.75 ,$75.62 ,$68.23 ,$75.62 ,$14.75 ,$75.62 ,$22.40 ,$137.00 ,$22.40 ,$116.45 ,$37.63 ,$94.94 ,$14.75 ,$137.00 ,$76.86 ,$14.75 ,$35.89 , N/A ,$12.58 ,$12.01 ,$15.48 ,$109.60 ,$67.82 ,$38.36 ,$123.30 ,$52.06 ,$30.10 ,$14.75 ,$65.76 
ST. MARY'S HOSPITAL - DECATUR,30201057,86609,HC BACTERIUM AB NOS-90,302,1 ,$176.00 ,$126.72 ,$3.50 ,$176.00 ,$32.20 ,$21.90 ,$96.80 ,$12.62 ,$49.28 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$87.12 ,$3.50 ,$12.62 ,$87.12 ,$26.02 ,$123.20 ,$29.20 ,$140.80 ,$32.20 ,$12.62 ,$123.20 ,$12.62 ,$105.60 ,$12.88 ,$132.00 ,$97.15 ,$87.65 ,$97.15 ,$12.62 ,$97.15 ,$19.16 ,$176.00 ,$19.16 ,$149.60 ,$32.20 ,$121.97 ,$12.62 ,$176.00 ,$98.74 ,$12.62 ,$46.11 , N/A ,$19.35 ,$18.47 ,$13.25 ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$25.76 ,$12.62 ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$62.00 ,$44.64 ,$3.50 ,$62.00 ,$25.45 ,$17.30 ,$34.10 ,$9.98 ,$17.36 ,$32.43 ,$9.98 ,$34.10 ,$9.98 ,$30.69 ,$3.50 ,$9.98 ,$30.69 ,$20.56 ,$43.40 ,$22.88 ,$49.60 ,$25.45 ,$9.98 ,$43.40 ,$9.98 ,$37.20 ,$10.17 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$9.98 ,$34.22 ,$15.14 ,$62.00 ,$15.14 ,$52.70 ,$25.45 ,$42.97 ,$9.98 ,$62.00 ,$34.78 ,$9.98 ,$16.24 , N/A ,$12.58 ,$12.01 ,$10.48 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$20.36 ,$9.98 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30201059,86611,HC BARTONELLA SCREEN AB IGG-90,302,1 ,$65.00 ,$46.80 ,$3.50 ,$65.00 ,$25.45 ,$17.30 ,$35.75 ,$9.98 ,$18.20 ,$34.00 ,$9.98 ,$35.75 ,$9.98 ,$32.18 ,$3.50 ,$9.98 ,$32.18 ,$20.56 ,$45.50 ,$22.88 ,$52.00 ,$25.45 ,$9.98 ,$45.50 ,$9.98 ,$39.00 ,$10.17 ,$48.75 ,$35.88 ,$32.37 ,$35.88 ,$9.98 ,$35.88 ,$15.14 ,$65.00 ,$15.14 ,$55.25 ,$25.45 ,$45.05 ,$9.98 ,$65.00 ,$36.47 ,$9.98 ,$17.03 , N/A ,$12.58 ,$12.01 ,$10.48 ,$52.00 ,$32.18 ,$18.20 ,$58.50 ,$24.70 ,$20.36 ,$9.98 ,$31.20 
ST. MARY'S HOSPITAL - DECATUR,30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$32.25 ,$21.94 ,$54.45 ,$12.64 ,$27.72 ,$49.68 ,$12.64 ,$51.75 ,$12.64 ,$49.01 ,$3.50 ,$12.64 ,$49.01 ,$26.06 ,$69.30 ,$29.20 ,$79.20 ,$32.25 ,$12.64 ,$69.30 ,$12.64 ,$59.40 ,$12.90 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$12.64 ,$54.65 ,$19.20 ,$99.00 ,$19.20 ,$84.15 ,$32.25 ,$68.61 ,$12.64 ,$99.00 ,$55.54 ,$12.64 ,$25.94 , N/A ,$12.58 ,$12.01 ,$13.28 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$25.80 ,$12.64 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30201061,86615,HC BORDETELLA AB-90,302,1 ,$139.00 ,$100.08 ,$3.50 ,$139.00 ,$32.98 ,$22.42 ,$76.45 ,$12.93 ,$38.92 ,$50.78 ,$12.93 ,$52.90 ,$12.93 ,$68.81 ,$3.50 ,$12.93 ,$68.81 ,$26.64 ,$97.30 ,$29.98 ,$111.20 ,$32.98 ,$12.93 ,$97.30 ,$12.93 ,$83.40 ,$13.18 ,$104.25 ,$76.73 ,$69.22 ,$76.73 ,$12.93 ,$76.73 ,$19.62 ,$139.00 ,$19.62 ,$118.15 ,$32.98 ,$96.33 ,$12.93 ,$139.00 ,$77.98 ,$12.93 ,$36.42 , N/A ,$12.58 ,$12.01 ,$13.57 ,$111.20 ,$68.81 ,$38.92 ,$125.10 ,$52.82 ,$26.38 ,$12.93 ,$66.72 
ST. MARY'S HOSPITAL - DECATUR,30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$141.00 ,$101.52 ,$3.50 ,$141.00 ,$38.73 ,$26.34 ,$77.55 ,$15.18 ,$39.48 ,$59.66 ,$15.18 ,$62.15 ,$15.18 ,$69.80 ,$3.50 ,$15.18 ,$69.80 ,$31.29 ,$98.70 ,$35.50 ,$112.80 ,$38.73 ,$15.18 ,$98.70 ,$15.18 ,$84.60 ,$15.48 ,$105.75 ,$77.83 ,$70.22 ,$77.83 ,$15.18 ,$77.83 ,$23.04 ,$141.00 ,$23.04 ,$119.85 ,$38.73 ,$97.71 ,$15.18 ,$141.00 ,$79.10 ,$15.18 ,$36.94 , N/A ,$12.58 ,$12.01 ,$15.93 ,$112.80 ,$69.80 ,$39.48 ,$126.90 ,$53.58 ,$30.98 ,$15.18 ,$67.68 
ST. MARY'S HOSPITAL - DECATUR,30201063,86618,HC LYME AB-90,302,1 ,$209.00 ,$150.48 ,$3.50 ,$209.00 ,$42.58 ,$28.96 ,$114.95 ,$16.69 ,$58.52 ,$88.80 ,$16.69 ,$92.50 ,$16.69 ,$103.46 ,$3.50 ,$16.69 ,$103.46 ,$34.40 ,$146.30 ,$38.65 ,$167.20 ,$42.58 ,$16.69 ,$146.30 ,$16.69 ,$125.40 ,$17.02 ,$156.75 ,$115.37 ,$104.08 ,$115.37 ,$16.69 ,$115.37 ,$25.34 ,$209.00 ,$25.34 ,$177.65 ,$42.58 ,$144.84 ,$16.69 ,$209.00 ,$117.25 ,$16.69 ,$54.76 , N/A ,$12.58 ,$12.01 ,$17.52 ,$167.20 ,$103.46 ,$58.52 ,$188.10 ,$79.42 ,$34.06 ,$16.69 ,$100.32 
ST. MARY'S HOSPITAL - DECATUR,30201064,86619,HC BORRELIA AB-90,302,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$33.45 ,$22.74 ,$71.50 ,$13.11 ,$36.40 ,$51.55 ,$13.11 ,$53.70 ,$13.11 ,$64.35 ,$3.50 ,$13.11 ,$64.35 ,$27.03 ,$91.00 ,$30.78 ,$104.00 ,$33.45 ,$13.11 ,$91.00 ,$13.11 ,$78.00 ,$13.38 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$13.11 ,$71.76 ,$19.90 ,$130.00 ,$19.90 ,$110.50 ,$33.45 ,$90.09 ,$13.11 ,$130.00 ,$72.93 ,$13.11 ,$34.06 , N/A ,$12.58 ,$12.01 ,$13.77 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$26.76 ,$13.11 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30201065,86622,HC BRUCELLA AB-90,302,1 ,$109.00 ,$78.48 ,$3.50 ,$109.00 ,$22.33 ,$15.18 ,$59.95 ,$8.75 ,$30.52 ,$34.42 ,$8.75 ,$35.85 ,$8.75 ,$53.96 ,$3.50 ,$8.75 ,$53.96 ,$18.04 ,$76.30 ,$20.53 ,$87.20 ,$22.33 ,$8.75 ,$76.30 ,$8.75 ,$65.40 ,$8.93 ,$81.75 ,$60.17 ,$54.28 ,$60.17 ,$8.75 ,$60.17 ,$13.29 ,$109.00 ,$13.29 ,$92.65 ,$22.33 ,$75.54 ,$8.75 ,$109.00 ,$61.15 ,$8.75 ,$28.56 , N/A ,$12.58 ,$12.01 ,$9.19 ,$87.20 ,$53.96 ,$30.52 ,$98.10 ,$41.42 ,$17.86 ,$8.75 ,$52.32 
ST. MARY'S HOSPITAL - DECATUR,30201066,86628,HC CANDIDA AB-90,302,1 ,$54.00 ,$38.88 ,$3.50 ,$54.00 ,$30.03 ,$20.42 ,$29.70 ,$11.77 ,$15.12 ,$28.24 ,$11.77 ,$29.70 ,$11.77 ,$26.73 ,$3.50 ,$11.77 ,$26.73 ,$24.26 ,$37.80 ,$27.63 ,$43.20 ,$30.03 ,$11.77 ,$37.80 ,$11.77 ,$32.40 ,$12.00 ,$40.50 ,$29.81 ,$26.89 ,$29.81 ,$11.77 ,$29.81 ,$17.86 ,$54.00 ,$17.86 ,$45.90 ,$30.03 ,$37.42 ,$11.77 ,$54.00 ,$30.29 ,$11.77 ,$14.15 , N/A ,$5.82 ,$5.55 ,$12.36 ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 ,$24.02 ,$11.77 ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,30201067,86631,HC CHLAMYDIA AB-90,302,1 ,$54.00 ,$38.88 ,$3.50 ,$54.00 ,$29.55 ,$20.10 ,$29.70 ,$11.58 ,$15.12 ,$28.24 ,$11.58 ,$29.70 ,$11.58 ,$26.73 ,$3.50 ,$11.58 ,$26.73 ,$23.88 ,$37.80 ,$26.83 ,$43.20 ,$29.55 ,$11.58 ,$37.80 ,$11.58 ,$32.40 ,$11.82 ,$40.50 ,$29.81 ,$26.89 ,$29.81 ,$11.58 ,$29.81 ,$17.59 ,$54.00 ,$17.59 ,$45.90 ,$29.55 ,$37.42 ,$11.58 ,$54.00 ,$30.29 ,$11.58 ,$14.15 , N/A ,$5.82 ,$5.55 ,$12.16 ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 ,$23.64 ,$11.58 ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,30201068,G0472,HC HEPATITIS C SCREEN HIGH RISK,302,1 ,$593.00 ,$426.96 ,$7.78 ,$593.00 ,$115.88 ,$78.80 ,$326.15 ,$45.42 ,$166.04 ,$195.79 ,$45.42 ,$203.95 ,$45.42 ,$293.54 ,$44.03 ,$45.42 ,$293.54 ,$93.63 ,$415.10 ,$105.73 ,$474.40 ,$115.88 ,$45.42 ,$415.10 ,$45.42 ,$355.80 ,$46.33 ,$444.75 ,$327.34 ,$295.31 ,$327.34 ,$45.42 ,$327.34 ,$62.07 ,$593.00 ,$62.07 ,$504.05 ,$115.88 ,$410.95 ,$45.42 ,$593.00 ,$332.67 ,$45.42 ,$155.37 , N/A ,$8.15 ,$7.78 ,$47.70 ,$474.40 ,$293.54 ,$166.04 ,$533.70 ,$225.34 ,$92.70 ,$45.42 ,$284.64 
ST. MARY'S HOSPITAL - DECATUR,30201079,86711,HC AB JOHN CUNNINGHAM VIRUS-90,302,1 ,"$1,607.00 ","$1,157.04 ",$3.50 ,"$1,607.00 ",$42.23 ,$28.72 ,$883.85 ,$16.55 ,$449.96 ,$55.44 ,$16.55 ,$57.75 ,$16.55 ,$795.47 ,$3.50 ,$16.55 ,$795.47 ,$34.12 ,"$1,124.90 ",$38.65 ,"$1,285.60 ",$42.23 ,$16.55 ,"$1,124.90 ",$16.55 ,$964.20 ,$16.89 ,"$1,205.25 ",$887.06 ,$800.29 ,$887.06 ,$16.55 ,$887.06 ,$22.62 ,"$1,607.00 ",$22.62 ,"$1,365.95 ",$42.23 ,"$1,113.65 ",$16.55 ,"$1,607.00 ",$901.53 ,$16.55 ,$421.03 , N/A ,$7.30 ,$6.97 ,$17.38 ,"$1,285.60 ",$795.47 ,$449.96 ,"$1,446.30 ",$610.66 ,$33.78 ,$16.55 ,$771.36 
ST. MARY'S HOSPITAL - DECATUR,30201080,G0472,HC HEPATITIS C SCREEN HIGH RISK,302,1 ,$246.00 ,$177.12 ,$7.78 ,$246.00 ,$115.88 ,$78.80 ,$135.30 ,$45.42 ,$68.88 ,$128.66 ,$45.42 ,$135.30 ,$45.42 ,$121.77 ,$44.03 ,$45.42 ,$121.77 ,$93.63 ,$172.20 ,$105.73 ,$196.80 ,$115.88 ,$45.42 ,$172.20 ,$45.42 ,$147.60 ,$46.33 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$45.42 ,$135.79 ,$62.07 ,$246.00 ,$62.07 ,$209.10 ,$115.88 ,$170.48 ,$45.42 ,$246.00 ,$138.01 ,$45.42 ,$64.45 , N/A ,$8.15 ,$7.78 ,$47.70 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$92.70 ,$45.42 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30201086,86703,HC HIV 1 HIV 2 AB SGL ASSAY-90,302,1 ,$12.00 ,$8.64 ,$3.14 ,$30.00 ,$30.00 ,$12.00 ,$6.60 ,$11.76 ,$3.36 ,$6.28 ,$11.76 ,$6.60 ,$11.76 ,$5.94 ,$3.50 ,$11.76 ,$5.94 ,$12.00 ,$8.40 ,$12.00 ,$9.60 ,$30.00 ,$11.76 ,$8.40 ,$11.76 ,$7.20 ,$11.76 ,$9.00 ,$6.62 ,$5.98 ,$6.62 ,$11.76 ,$6.62 ,$12.00 ,$12.00 ,$12.00 ,$10.20 ,$12.00 ,$8.32 ,$11.76 ,$12.00 ,$6.73 ,$11.76 ,$3.14 , N/A ,$7.30 ,$6.97 ,$12.35 ,$9.60 ,$5.94 ,$3.36 ,$10.80 ,$4.56 ,$12.00 ,$11.76 ,$5.76 
ST. MARY'S HOSPITAL - DECATUR,30201088,86008,HC ALLERGEN IGE QN/SEMI-QN RECOMB/COMP EA-90,302,1 ,$27.00 ,$19.44 ,$3.50 ,$44.83 ,$44.83 ,$27.00 ,$14.85 ,$17.57 ,$7.56 ,$14.12 ,$17.57 ,$14.85 ,$17.57 ,$13.37 ,$3.50 ,$17.57 ,$13.37 ,$27.00 ,$18.90 ,$27.00 ,$21.60 ,$44.83 ,$17.57 ,$18.90 ,$17.57 ,$16.20 ,$17.92 ,$20.25 ,$14.90 ,$13.45 ,$14.90 ,$17.57 ,$14.90 ,$26.69 ,$27.00 ,$26.69 ,$22.95 ,$27.00 ,$18.71 ,$17.57 ,$27.00 ,$15.15 ,$17.57 ,$7.07 , N/A ,$7.30 ,$6.97 ,$18.45 ,$21.60 ,$13.37 ,$7.56 ,$24.30 ,$10.26 ,$27.00 ,$17.57 ,$12.96 
ST. MARY'S HOSPITAL - DECATUR,30201091,86794,HC ZIKA VIRUS AB IGM-90,302,1 ,$356.00 ,$256.32 ,$3.50 ,$356.00 ,$42.13 ,$28.64 ,$195.80 ,$16.51 ,$99.68 ,$64.90 ,$16.51 ,$67.60 ,$16.51 ,$176.22 ,$3.50 ,$16.51 ,$176.22 ,$34.04 ,$249.20 ,$38.65 ,$284.80 ,$42.13 ,$16.51 ,$249.20 ,$16.51 ,$213.60 ,$16.85 ,$267.00 ,$196.51 ,$177.29 ,$196.51 ,$16.51 ,$196.51 ,$25.07 ,$356.00 ,$25.07 ,$302.60 ,$42.13 ,$246.71 ,$16.51 ,$356.00 ,$199.72 ,$16.51 ,$93.27 , N/A ,$7.30 ,$6.97 ,$17.34 ,$284.80 ,$176.22 ,$99.68 ,$320.40 ,$135.28 ,$33.70 ,$16.51 ,$170.88 
ST. MARY'S HOSPITAL - DECATUR,30201092,86593,HC SYPHILIS VDRL RPR QN-90,302,1 ,$88.00 ,$63.36 ,$3.50 ,$88.00 ,$11.00 ,$7.48 ,$48.40 ,$4.31 ,$24.64 ,$16.99 ,$4.31 ,$17.70 ,$4.31 ,$43.56 ,$3.50 ,$4.31 ,$43.56 ,$8.89 ,$61.60 ,$10.25 ,$70.40 ,$11.00 ,$4.31 ,$61.60 ,$4.31 ,$52.80 ,$4.40 ,$66.00 ,$48.58 ,$43.82 ,$48.58 ,$4.31 ,$48.58 ,$6.55 ,$88.00 ,$6.55 ,$74.80 ,$11.00 ,$60.98 ,$4.31 ,$88.00 ,$49.37 ,$4.31 ,$23.06 , N/A ,$7.30 ,$6.97 ,$4.53 ,$70.40 ,$43.56 ,$24.64 ,$79.20 ,$33.44 ,$8.80 ,$4.31 ,$42.24 
ST. MARY'S HOSPITAL - DECATUR,30201093,86003,HC ALLERGEN IGE QN EA,302,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$13.05 ,$8.88 ,$61.60 ,$5.12 ,$31.36 ,$20.11 ,$5.12 ,$20.95 ,$5.12 ,$55.44 ,$3.50 ,$5.12 ,$55.44 ,$10.54 ,$78.40 ,$11.83 ,$89.60 ,$13.05 ,$5.12 ,$78.40 ,$5.12 ,$67.20 ,$5.21 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$5.12 ,$61.82 ,$7.77 ,$112.00 ,$7.77 ,$95.20 ,$13.05 ,$77.62 ,$5.12 ,$112.00 ,$62.83 ,$5.12 ,$29.34 , N/A ,$7.30 ,$6.97 ,$5.37 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$10.44 ,$5.12 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30201094,86038,HC ANA SCREEN,302,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$30.23 ,$20.56 ,$135.30 ,$11.85 ,$68.88 ,$46.56 ,$11.85 ,$48.50 ,$11.85 ,$121.77 ,$3.50 ,$11.85 ,$121.77 ,$24.42 ,$172.20 ,$27.63 ,$196.80 ,$30.23 ,$11.85 ,$172.20 ,$11.85 ,$147.60 ,$12.08 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$11.85 ,$135.79 ,$17.98 ,$246.00 ,$17.98 ,$209.10 ,$30.23 ,$170.48 ,$11.85 ,$246.00 ,$138.01 ,$11.85 ,$64.45 , N/A ,$7.30 ,$6.97 ,$12.44 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$24.18 ,$11.85 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30201097,86147,HC CARDIOLIPIN AB EA,302,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$63.63 ,$43.26 ,$89.10 ,$24.94 ,$45.36 ,$84.73 ,$24.94 ,$89.10 ,$24.94 ,$80.19 ,$3.50 ,$24.94 ,$80.19 ,$51.41 ,$113.40 ,$58.40 ,$129.60 ,$63.63 ,$24.94 ,$113.40 ,$24.94 ,$97.20 ,$25.44 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$24.94 ,$89.42 ,$37.86 ,$162.00 ,$37.86 ,$137.70 ,$63.63 ,$112.27 ,$24.94 ,$162.00 ,$90.88 ,$24.94 ,$42.44 , N/A ,$12.58 ,$12.01 ,$26.19 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$50.90 ,$24.94 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,30201098,86225,HC DNA DOUBLE STRAND AB,302,1 ,$142.00 ,$102.24 ,$3.50 ,$142.00 ,$34.35 ,$23.36 ,$78.10 ,$13.47 ,$39.76 ,$52.94 ,$13.47 ,$55.15 ,$13.47 ,$70.29 ,$3.50 ,$13.47 ,$70.29 ,$27.75 ,$99.40 ,$31.55 ,$113.60 ,$34.35 ,$13.47 ,$99.40 ,$13.47 ,$85.20 ,$13.73 ,$106.50 ,$78.38 ,$70.72 ,$78.38 ,$13.47 ,$78.38 ,$20.45 ,$142.00 ,$20.45 ,$120.70 ,$34.35 ,$98.41 ,$13.47 ,$142.00 ,$79.66 ,$13.47 ,$37.20 , N/A ,$7.30 ,$6.97 ,$14.14 ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$27.48 ,$13.47 ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,30201099,86235,HC ENA AB,302,1 ,$161.00 ,$115.92 ,$3.50 ,$161.00 ,$44.83 ,$30.48 ,$88.55 ,$17.57 ,$45.08 ,$69.07 ,$17.57 ,$71.95 ,$17.57 ,$79.70 ,$3.50 ,$17.57 ,$79.70 ,$36.22 ,$112.70 ,$41.03 ,$128.80 ,$44.83 ,$17.57 ,$112.70 ,$17.57 ,$96.60 ,$17.92 ,$120.75 ,$88.87 ,$80.18 ,$88.87 ,$17.57 ,$88.87 ,$26.69 ,$161.00 ,$26.69 ,$136.85 ,$44.83 ,$111.57 ,$17.57 ,$161.00 ,$90.32 ,$17.57 ,$42.18 , N/A ,$12.58 ,$12.01 ,$18.45 ,$128.80 ,$79.70 ,$45.08 ,$144.90 ,$61.18 ,$35.86 ,$17.57 ,$77.28 
ST. MARY'S HOSPITAL - DECATUR,30201102,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$240.00 ,$172.80 ,$12.01 ,$240.00 ,$55.85 ,$37.98 ,$132.00 ,$21.89 ,$67.20 ,$86.06 ,$21.89 ,$89.65 ,$21.89 ,$118.80 ,$17.63 ,$21.89 ,$118.80 ,$45.13 ,$168.00 ,$51.28 ,$192.00 ,$55.85 ,$21.89 ,$168.00 ,$21.89 ,$144.00 ,$22.33 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$21.89 ,$132.48 ,$33.25 ,$240.00 ,$33.25 ,$204.00 ,$55.85 ,$166.32 ,$21.89 ,$240.00 ,$134.64 ,$21.89 ,$62.88 , N/A ,$12.58 ,$12.01 ,$22.99 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$44.68 ,$21.89 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30201103,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$138.00 ,$99.36 ,$12.01 ,$138.00 ,$73.38 ,$49.90 ,$75.90 ,$28.76 ,$38.64 ,$72.17 ,$28.76 ,$75.90 ,$28.76 ,$68.31 ,$23.15 ,$28.76 ,$68.31 ,$59.29 ,$96.60 ,$67.08 ,$110.40 ,$73.38 ,$28.76 ,$96.60 ,$28.76 ,$82.80 ,$29.34 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$28.76 ,$76.18 ,$43.66 ,$138.00 ,$43.66 ,$117.30 ,$73.38 ,$95.63 ,$28.76 ,$138.00 ,$77.42 ,$28.76 ,$36.16 , N/A ,$12.58 ,$12.01 ,$30.20 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$58.70 ,$28.76 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30201106,86376,HC MICROSOMAL AB,302,1 ,$160.00 ,$115.20 ,$3.50 ,$160.00 ,$36.38 ,$24.74 ,$88.00 ,$14.26 ,$44.80 ,$56.02 ,$14.26 ,$58.35 ,$14.26 ,$79.20 ,$3.50 ,$14.26 ,$79.20 ,$29.39 ,$112.00 ,$33.15 ,$128.00 ,$36.38 ,$14.26 ,$112.00 ,$14.26 ,$96.00 ,$14.54 ,$120.00 ,$88.32 ,$79.68 ,$88.32 ,$14.26 ,$88.32 ,$21.65 ,$160.00 ,$21.65 ,$136.00 ,$36.38 ,$110.88 ,$14.26 ,$160.00 ,$89.76 ,$14.26 ,$41.92 , N/A ,$19.09 ,$18.22 ,$14.97 ,$128.00 ,$79.20 ,$44.80 ,$144.00 ,$60.80 ,$29.10 ,$14.26 ,$76.80 
ST. MARY'S HOSPITAL - DECATUR,30201117,86644,HC CMV AB,302,1 ,$243.00 ,$174.96 ,$3.50 ,$243.00 ,$35.98 ,$24.46 ,$133.65 ,$14.10 ,$68.04 ,$55.44 ,$14.10 ,$57.75 ,$14.10 ,$120.29 ,$3.50 ,$14.10 ,$120.29 ,$29.07 ,$170.10 ,$33.15 ,$194.40 ,$35.98 ,$14.10 ,$170.10 ,$14.10 ,$145.80 ,$14.39 ,$182.25 ,$134.14 ,$121.01 ,$134.14 ,$14.10 ,$134.14 ,$21.41 ,$243.00 ,$21.41 ,$206.55 ,$35.98 ,$168.40 ,$14.10 ,$243.00 ,$136.32 ,$14.10 ,$63.67 , N/A ,$12.58 ,$12.01 ,$14.81 ,$194.40 ,$120.29 ,$68.04 ,$218.70 ,$92.34 ,$28.78 ,$14.10 ,$116.64 
ST. MARY'S HOSPITAL - DECATUR,30201118,86645,HC CMV AB IGM,302,1 ,$243.00 ,$174.96 ,$3.50 ,$243.00 ,$42.13 ,$28.64 ,$133.65 ,$16.51 ,$68.04 ,$64.90 ,$16.51 ,$67.60 ,$16.51 ,$120.29 ,$3.50 ,$16.51 ,$120.29 ,$34.04 ,$170.10 ,$38.65 ,$194.40 ,$42.13 ,$16.51 ,$170.10 ,$16.51 ,$145.80 ,$16.85 ,$182.25 ,$134.14 ,$121.01 ,$134.14 ,$16.51 ,$134.14 ,$25.07 ,$243.00 ,$25.07 ,$206.55 ,$42.13 ,$168.40 ,$16.51 ,$243.00 ,$136.32 ,$16.51 ,$63.67 , N/A ,$12.58 ,$12.01 ,$17.34 ,$194.40 ,$120.29 ,$68.04 ,$218.70 ,$92.34 ,$33.70 ,$16.51 ,$116.64 
ST. MARY'S HOSPITAL - DECATUR,30201119,86677,HC H PYLORI AB,302,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$42.13 ,$28.64 ,$106.15 ,$16.51 ,$54.04 ,$55.87 ,$16.51 ,$58.20 ,$16.51 ,$95.54 ,$3.50 ,$16.51 ,$95.54 ,$34.04 ,$135.10 ,$38.65 ,$154.40 ,$42.13 ,$16.51 ,$135.10 ,$16.51 ,$115.80 ,$16.85 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$16.51 ,$106.54 ,$22.57 ,$193.00 ,$22.57 ,$164.05 ,$42.13 ,$133.75 ,$16.51 ,$193.00 ,$108.27 ,$16.51 ,$50.57 , N/A ,$12.58 ,$12.01 ,$17.34 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$33.70 ,$16.51 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30201121,86704,HC HEP CORE AB,302,1 ,$155.00 ,$111.60 ,$3.50 ,$155.00 ,$30.13 ,$20.48 ,$85.25 ,$11.81 ,$43.40 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$76.73 ,$3.50 ,$11.81 ,$76.73 ,$24.34 ,$108.50 ,$27.63 ,$124.00 ,$30.13 ,$11.81 ,$108.50 ,$11.81 ,$93.00 ,$12.04 ,$116.25 ,$85.56 ,$77.19 ,$85.56 ,$11.81 ,$85.56 ,$17.93 ,$155.00 ,$17.93 ,$131.75 ,$30.13 ,$107.42 ,$11.81 ,$155.00 ,$86.96 ,$11.81 ,$40.61 , N/A ,$7.30 ,$6.97 ,$12.40 ,$124.00 ,$76.73 ,$43.40 ,$139.50 ,$58.90 ,$24.10 ,$11.81 ,$74.40 
ST. MARY'S HOSPITAL - DECATUR,30201130,86787,HC VARICELLA ZOSTER AB,302,1 ,$176.00 ,$126.72 ,$3.50 ,$176.00 ,$32.20 ,$21.90 ,$96.80 ,$12.62 ,$49.28 ,$49.63 ,$12.62 ,$51.70 ,$12.62 ,$87.12 ,$3.50 ,$12.62 ,$87.12 ,$26.02 ,$123.20 ,$29.20 ,$140.80 ,$32.20 ,$12.62 ,$123.20 ,$12.62 ,$105.60 ,$12.88 ,$132.00 ,$97.15 ,$87.65 ,$97.15 ,$12.62 ,$97.15 ,$19.16 ,$176.00 ,$19.16 ,$149.60 ,$32.20 ,$121.97 ,$12.62 ,$176.00 ,$98.74 ,$12.62 ,$46.11 , N/A ,$7.30 ,$6.97 ,$13.25 ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$25.76 ,$12.62 ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,30201131,86800,HC THYROGLOBULIN AB,302,1 ,$176.00 ,$126.72 ,$3.50 ,$176.00 ,$39.78 ,$27.04 ,$96.80 ,$15.59 ,$49.28 ,$61.30 ,$15.59 ,$63.85 ,$15.59 ,$87.12 ,$3.50 ,$15.59 ,$87.12 ,$32.14 ,$123.20 ,$36.30 ,$140.80 ,$39.78 ,$15.59 ,$123.20 ,$15.59 ,$105.60 ,$15.91 ,$132.00 ,$97.15 ,$87.65 ,$97.15 ,$15.59 ,$97.15 ,$23.66 ,$176.00 ,$23.66 ,$149.60 ,$39.78 ,$121.97 ,$15.59 ,$176.00 ,$98.74 ,$15.59 ,$46.11 , N/A ,$19.09 ,$18.22 ,$16.38 ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$31.82 ,$15.59 ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,30201134,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$103.00 ,$74.16 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$56.65 ,$298.12 ,$28.84 ,$19.82 ,$298.12 ,$20.65 ,$100.94 ,$50.99 ,$3.50 ,$100.94 ,$50.99 ,$103.00 ,$72.10 ,$14.20 ,$82.40 ,$760.49 ,$298.12 ,$72.10 ,$298.12 ,$61.80 ,$100.94 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$298.12 ,$56.86 ,$8.51 ,$103.00 ,$8.51 ,$87.55 ,$103.00 ,$71.38 ,$100.94 ,$103.00 ,$57.78 ,$298.12 ,$26.99 , N/A ,$4.52 ,$4.32 ,$313.02 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$12.70 ,$298.12 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$182.00 ,$131.04 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$100.10 ,$298.12 ,$50.96 ,$19.82 ,$298.12 ,$20.65 ,$178.36 ,$90.09 ,$3.50 ,$178.36 ,$90.09 ,$182.00 ,$127.40 ,$14.20 ,$145.60 ,$760.49 ,$298.12 ,$127.40 ,$298.12 ,$109.20 ,$178.36 ,$136.50 ,$100.46 ,$90.64 ,$100.46 ,$298.12 ,$100.46 ,$8.51 ,$182.00 ,$8.51 ,$154.70 ,$182.00 ,$126.13 ,$178.36 ,$182.00 ,$102.10 ,$298.12 ,$47.68 , N/A ,$4.52 ,$4.32 ,$313.02 ,$145.60 ,$90.09 ,$50.96 ,$163.80 ,$69.16 ,$12.70 ,$298.12 ,$87.36 
ST. MARY'S HOSPITAL - DECATUR,30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$235.00 ,$169.20 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$129.25 ,$298.12 ,$65.80 ,$19.82 ,$298.12 ,$20.65 ,$230.30 ,$116.33 ,$3.50 ,$230.30 ,$116.33 ,$235.00 ,$164.50 ,$14.20 ,$188.00 ,$760.49 ,$298.12 ,$164.50 ,$298.12 ,$141.00 ,$230.30 ,$176.25 ,$129.72 ,$117.03 ,$129.72 ,$298.12 ,$129.72 ,$8.51 ,$235.00 ,$8.51 ,$199.75 ,$235.00 ,$162.86 ,$230.30 ,$235.00 ,$131.84 ,$298.12 ,$61.57 , N/A ,$4.52 ,$4.32 ,$313.02 ,$188.00 ,$116.33 ,$65.80 ,$211.50 ,$89.30 ,$12.70 ,$298.12 ,$112.80 
ST. MARY'S HOSPITAL - DECATUR,30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$289.00 ,$208.08 ,$3.50 ,$760.50 ,$760.50 ,$10.80 ,$158.95 ,$298.12 ,$80.92 ,$19.82 ,$298.12 ,$20.65 ,$283.22 ,$143.06 ,$3.50 ,$283.22 ,$143.06 ,$289.00 ,$202.30 ,$14.20 ,$231.20 ,$760.49 ,$298.12 ,$202.30 ,$298.12 ,$173.40 ,$283.22 ,$216.75 ,$159.53 ,$143.92 ,$159.53 ,$298.12 ,$159.53 ,$8.51 ,$289.00 ,$8.51 ,$245.65 ,$289.00 ,$200.28 ,$283.22 ,$289.00 ,$162.13 ,$298.12 ,$75.72 , N/A ,$4.52 ,$4.32 ,$313.02 ,$231.20 ,$143.06 ,$80.92 ,$260.10 ,$109.82 ,$12.70 ,$298.12 ,$138.72 
ST. MARY'S HOSPITAL - DECATUR,30201138,86905,HC RBC AG TYPING NON ABO/RH T1-90,302,1 ,$128.00 ,$92.16 ,$3.50 ,$760.50 ,$760.50 ,$6.52 ,$70.40 ,$298.12 ,$35.84 ,$14.74 ,$298.12 ,$15.35 ,$125.44 ,$63.36 ,$3.50 ,$125.44 ,$63.36 ,$128.00 ,$89.60 ,$8.68 ,$102.40 ,$760.49 ,$298.12 ,$89.60 ,$298.12 ,$76.80 ,$125.44 ,$96.00 ,$70.66 ,$63.74 ,$70.66 ,$298.12 ,$70.66 ,$5.70 ,$128.00 ,$5.70 ,$108.80 ,$128.00 ,$88.70 ,$125.44 ,$128.00 ,$71.81 ,$298.12 ,$33.54 , N/A ,$4.52 ,$4.32 ,$313.02 ,$102.40 ,$63.36 ,$35.84 ,$115.20 ,$48.64 ,$7.66 ,$298.12 ,$61.44 
ST. MARY'S HOSPITAL - DECATUR,30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$160.00 ,$115.20 ,$3.50 ,$760.50 ,$760.50 ,$6.52 ,$88.00 ,$298.12 ,$44.80 ,$14.74 ,$298.12 ,$15.35 ,$156.80 ,$79.20 ,$3.50 ,$156.80 ,$79.20 ,$160.00 ,$112.00 ,$8.68 ,$128.00 ,$760.49 ,$298.12 ,$112.00 ,$298.12 ,$96.00 ,$156.80 ,$120.00 ,$88.32 ,$79.68 ,$88.32 ,$298.12 ,$88.32 ,$5.70 ,$160.00 ,$5.70 ,$136.00 ,$160.00 ,$110.88 ,$156.80 ,$160.00 ,$89.76 ,$298.12 ,$41.92 , N/A ,$4.52 ,$4.32 ,$313.02 ,$128.00 ,$79.20 ,$44.80 ,$144.00 ,$60.80 ,$7.66 ,$298.12 ,$76.80 
ST. MARY'S HOSPITAL - DECATUR,30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$272.00 ,$195.84 ,$3.50 ,$760.50 ,$760.50 ,$6.52 ,$149.60 ,$298.12 ,$76.16 ,$14.74 ,$298.12 ,$15.35 ,$266.56 ,$134.64 ,$3.50 ,$266.56 ,$134.64 ,$272.00 ,$190.40 ,$8.68 ,$217.60 ,$760.49 ,$298.12 ,$190.40 ,$298.12 ,$163.20 ,$266.56 ,$204.00 ,$150.14 ,$135.46 ,$150.14 ,$298.12 ,$150.14 ,$5.70 ,$272.00 ,$5.70 ,$231.20 ,$272.00 ,$188.50 ,$266.56 ,$272.00 ,$152.59 ,$298.12 ,$71.26 , N/A ,$4.52 ,$4.32 ,$313.02 ,$217.60 ,$134.64 ,$76.16 ,$244.80 ,$103.36 ,$7.66 ,$298.12 ,$130.56 
ST. MARY'S HOSPITAL - DECATUR,30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$289.00 ,$208.08 ,$3.50 ,$760.50 ,$760.50 ,$6.52 ,$158.95 ,$298.12 ,$80.92 ,$14.74 ,$298.12 ,$15.35 ,$283.22 ,$143.06 ,$3.50 ,$283.22 ,$143.06 ,$289.00 ,$202.30 ,$8.68 ,$231.20 ,$760.49 ,$298.12 ,$202.30 ,$298.12 ,$173.40 ,$283.22 ,$216.75 ,$159.53 ,$143.92 ,$159.53 ,$298.12 ,$159.53 ,$5.70 ,$289.00 ,$5.70 ,$245.65 ,$289.00 ,$200.28 ,$283.22 ,$289.00 ,$162.13 ,$298.12 ,$75.72 , N/A ,$4.52 ,$4.32 ,$313.02 ,$231.20 ,$143.06 ,$80.92 ,$260.10 ,$109.82 ,$7.66 ,$298.12 ,$138.72 
ST. MARY'S HOSPITAL - DECATUR,30201157,86255,HC FLUOR AB SCR PARANEOPLASTIC-90,302,1 ,$133.00 ,$95.76 ,$9.51 ,$133.00 ,$30.13 ,$20.48 ,$73.15 ,$11.81 ,$37.24 ,$46.42 ,$11.81 ,$48.35 ,$11.81 ,$65.84 ,$9.51 ,$11.81 ,$65.84 ,$24.34 ,$93.10 ,$27.63 ,$106.40 ,$30.13 ,$11.81 ,$93.10 ,$11.81 ,$79.80 ,$12.04 ,$99.75 ,$73.42 ,$66.23 ,$73.42 ,$11.81 ,$73.42 ,$17.93 ,$133.00 ,$17.93 ,$113.05 ,$30.13 ,$92.17 ,$11.81 ,$133.00 ,$74.61 ,$11.81 ,$34.85 , N/A ,$12.58 ,$12.01 ,$12.40 ,$106.40 ,$65.84 ,$37.24 ,$119.70 ,$50.54 ,$24.10 ,$11.81 ,$63.84 
ST. MARY'S HOSPITAL - DECATUR,30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$135.00 ,$97.20 ,$3.50 ,$135.00 ,$29.95 ,$20.36 ,$74.25 ,$11.74 ,$37.80 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$66.83 ,$3.50 ,$11.74 ,$66.83 ,$24.20 ,$94.50 ,$27.63 ,$108.00 ,$29.95 ,$11.74 ,$94.50 ,$11.74 ,$81.00 ,$11.98 ,$101.25 ,$74.52 ,$67.23 ,$74.52 ,$11.74 ,$74.52 ,$17.84 ,$135.00 ,$17.84 ,$114.75 ,$29.95 ,$93.56 ,$11.74 ,$135.00 ,$75.74 ,$11.74 ,$35.37 , N/A ,$7.30 ,$6.97 ,$12.33 ,$108.00 ,$66.83 ,$37.80 ,$121.50 ,$51.30 ,$23.96 ,$11.74 ,$64.80 
ST. MARY'S HOSPITAL - DECATUR,30201180,86940,HC HEMOLYSINS AGGLUTININS AUTO- 90,302,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$21.93 ,$14.90 ,$80.30 ,$8.59 ,$40.88 ,$31.58 ,$8.59 ,$32.90 ,$8.59 ,$72.27 ,$3.50 ,$8.59 ,$72.27 ,$17.72 ,$102.20 ,$19.73 ,$116.80 ,$21.93 ,$8.59 ,$102.20 ,$8.59 ,$87.60 ,$8.77 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$8.59 ,$80.59 ,$12.20 ,$146.00 ,$12.20 ,$124.10 ,$21.93 ,$101.18 ,$8.59 ,$146.00 ,$81.91 ,$8.59 ,$38.25 , N/A ,$12.58 ,$12.01 ,$9.03 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$17.54 ,$8.59 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30201181,86328,HC IA NFCT AB SARSCOV2- 90,302,1 ,$150.00 ,$108.00 ,$6.97 ,$150.00 ,$113.20 ,$90.46 ,$82.50 ,$44.37 ,$42.00 ,$45.23 ,$44.37 ,$45.23 ,$44.37 ,$74.25 ,$60.00 ,$44.37 ,$74.25 ,$91.47 ,$105.00 ,$45.23 ,$120.00 ,$113.20 ,$44.37 ,$105.00 ,$44.37 ,$90.00 ,$45.27 ,$112.50 ,$82.80 ,$74.70 ,$82.80 ,$44.37 ,$82.80 ,$60.63 ,$150.00 ,$60.63 ,$127.50 ,$113.20 ,$103.95 ,$44.37 ,$150.00 ,$84.15 ,$44.37 ,$39.30 , N/A ,$7.30 ,$6.97 ,$46.59 ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$90.56 ,$44.37 ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$121.00 ,$87.12 ,$6.97 ,$121.00 ,$30.13 ,$19.60 ,$66.55 ,$11.81 ,$33.88 ,$63.28 ,$11.81 ,$66.55 ,$11.81 ,$59.90 ,$48.40 ,$11.81 ,$59.90 ,$24.34 ,$84.70 ,$18.73 ,$96.80 ,$30.13 ,$11.81 ,$84.70 ,$11.81 ,$72.60 ,$12.04 ,$90.75 ,$66.79 ,$60.26 ,$66.79 ,$11.81 ,$66.79 ,$15.44 ,$121.00 ,$15.44 ,$102.85 ,$30.13 ,$83.85 ,$11.81 ,$121.00 ,$67.88 ,$11.81 ,$31.70 , N/A ,$7.30 ,$6.97 ,$12.40 ,$96.80 ,$59.90 ,$33.88 ,$108.90 ,$45.98 ,$23.06 ,$11.81 ,$58.08 
ST. MARY'S HOSPITAL - DECATUR,30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$170.00 ,$122.40 ,$6.97 ,$170.00 ,$30.13 ,$20.48 ,$93.50 ,$11.81 ,$47.60 ,$88.91 ,$11.81 ,$93.50 ,$11.81 ,$84.15 ,$68.00 ,$11.81 ,$84.15 ,$24.34 ,$119.00 ,$19.58 ,$136.00 ,$30.13 ,$11.81 ,$119.00 ,$11.81 ,$102.00 ,$12.04 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$11.81 ,$93.84 ,$16.14 ,$170.00 ,$16.14 ,$144.50 ,$30.13 ,$117.81 ,$11.81 ,$170.00 ,$95.37 ,$11.81 ,$44.54 , N/A ,$7.30 ,$6.97 ,$12.40 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$24.10 ,$11.81 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$195.00 ,$140.40 ,$6.97 ,$195.00 ,$63.63 ,$43.26 ,$107.25 ,$24.94 ,$54.60 ,$101.99 ,$24.94 ,$107.25 ,$24.94 ,$96.53 ,$78.00 ,$24.94 ,$96.53 ,$51.41 ,$136.50 ,$29.23 ,$156.00 ,$63.63 ,$24.94 ,$136.50 ,$24.94 ,$117.00 ,$25.44 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$24.94 ,$107.64 ,$34.08 ,$195.00 ,$34.08 ,$165.75 ,$63.63 ,$135.14 ,$24.94 ,$195.00 ,$109.40 ,$24.94 ,$51.09 , N/A ,$7.30 ,$6.97 ,$26.19 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$50.90 ,$24.94 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30201201,86596,HC VOLTAGE GTG CALCIUM CHNL- 90,302,1 ,$140.00 ,$100.80 ,$6.97 ,$140.00 ,$30.13 ,$31.28 ,$77.00 ,$11.81 ,$39.20 ,$73.22 ,$11.81 ,$77.00 ,$11.81 ,$69.30 ,$56.00 ,$11.81 ,$69.30 ,$24.34 ,$98.00 ,$29.90 ,$112.00 ,$30.13 ,$11.81 ,$98.00 ,$11.81 ,$84.00 ,$12.04 ,$105.00 ,$77.28 ,$69.72 ,$77.28 ,$11.81 ,$77.28 ,$24.64 ,$140.00 ,$24.64 ,$119.00 ,$30.13 ,$97.02 ,$11.81 ,$140.00 ,$78.54 ,$11.81 ,$36.68 , N/A ,$7.30 ,$6.97 ,$12.40 ,$112.00 ,$69.30 ,$39.20 ,$126.00 ,$53.20 ,$36.80 ,$11.81 ,$67.20 
ST. MARY'S HOSPITAL - DECATUR,30201202,86052,HC AQUAPORIN 4- 90,302,1 ,$525.00 ,$378.00 ,$6.97 ,$525.00 ,$30.13 ,$20.48 ,$288.75 ,$11.81 ,$147.00 ,$274.58 ,$11.81 ,$288.75 ,$11.81 ,$259.88 ,$210.00 ,$11.81 ,$259.88 ,$24.34 ,$367.50 ,$19.58 ,$420.00 ,$30.13 ,$11.81 ,$367.50 ,$11.81 ,$315.00 ,$12.04 ,$393.75 ,$289.80 ,$261.45 ,$289.80 ,$11.81 ,$289.80 ,$16.14 ,$525.00 ,$16.14 ,$446.25 ,$30.13 ,$363.83 ,$11.81 ,$525.00 ,$294.53 ,$11.81 ,$137.55 , N/A ,$7.30 ,$6.97 ,$12.40 ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$24.10 ,$11.81 ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,30201211,86235,HC NUCLEAR ANTIGEN ANTIBODY-90,302,1 ,$14.00 ,$10.08 ,$3.50 ,$35.00 ,$35.00 ,$14.00 ,$7.70 ,$13.72 ,$3.92 ,$7.32 ,$13.72 ,$7.70 ,$13.72 ,$6.93 ,$3.50 ,$13.72 ,$6.93 ,$14.00 ,$9.80 ,$14.00 ,$11.20 ,$35.00 ,$13.72 ,$9.80 ,$13.72 ,$8.40 ,$13.72 ,$10.50 ,$7.73 ,$6.97 ,$7.73 ,$13.72 ,$7.73 ,$14.00 ,$14.00 ,$14.00 ,$11.90 ,$14.00 ,$9.70 ,$13.72 ,$14.00 ,$7.85 ,$13.72 ,$3.67 , N/A ,$12.58 ,$12.01 ,$14.41 ,$11.20 ,$6.93 ,$3.92 ,$12.60 ,$5.32 ,$14.00 ,$13.72 ,$6.72 
ST. MARY'S HOSPITAL - DECATUR,30201225,86711,HC JOHN CUNNINGHAM ANTIBODY-90,302,1 ,"$2,726.00 ","$1,962.72 ",$3.50 ,"$2,726.00 ",$42.23 ,$28.72 ,"$1,499.30 ",$16.55 ,$763.28 ,$55.44 ,$16.55 ,$57.75 ,$16.55 ,"$1,349.37 ",$3.50 ,$16.55 ,"$1,349.37 ",$34.12 ,"$1,908.20 ",$38.65 ,"$2,180.80 ",$42.23 ,$16.55 ,"$1,908.20 ",$16.55 ,"$1,635.60 ",$16.89 ,"$2,044.50 ","$1,504.75 ","$1,357.55 ","$1,504.75 ",$16.55 ,"$1,504.75 ",$22.62 ,"$2,726.00 ",$22.62 ,"$2,317.10 ",$42.23 ,"$1,889.12 ",$16.55 ,"$2,726.00 ","$1,529.29 ",$16.55 ,$714.21 , N/A ,$7.30 ,$6.97 ,$17.38 ,"$2,180.80 ","$1,349.37 ",$763.28 ,"$2,453.40 ","$1,035.88 ",$33.78 ,$16.55 ,"$1,308.48 "
ST. MARY'S HOSPITAL - DECATUR,30201240,86362,HC MOG-IGG1 ANTB CBA IMFLUOR ASSAY EACH-90,302,1 ,"$1,780.00 ","$1,281.60 ",$6.97 ,"$1,780.00 ",$30.13 ,$20.48 ,$979.00 ,$11.81 ,$498.40 ,$930.94 ,$11.81 ,$979.00 ,$11.81 ,$881.10 ,$712.00 ,$11.81 ,$881.10 ,$24.34 ,"$1,246.00 ",$30.48 ,"$1,424.00 ",$30.13 ,$11.81 ,"$1,246.00 ",$11.81 ,"$1,068.00 ",$12.04 ,"$1,335.00 ",$982.56 ,$886.44 ,$982.56 ,$11.81 ,$982.56 ,$16.14 ,"$1,780.00 ",$16.14 ,"$1,513.00 ",$30.13 ,"$1,233.54 ",$11.81 ,"$1,780.00 ",$998.58 ,$11.81 ,$466.36 , N/A ,$7.30 ,$6.97 ,$12.40 ,"$1,424.00 ",$881.10 ,$498.40 ,"$1,602.00 ",$676.40 ,$24.10 ,$11.81 ,$854.40 
ST. MARY'S HOSPITAL - DECATUR,30201246,86308,HC HETEROPHILE SCR MONO,302,1 ,$263.00 ,$189.36 ,$3.50 ,$263.00 ,$12.95 ,$8.80 ,$144.65 ,$5.08 ,$73.64 ,$26.98 ,$5.08 ,$28.10 ,$5.08 ,$130.19 ,$3.50 ,$5.08 ,$130.19 ,$10.46 ,$184.10 ,$11.83 ,$210.40 ,$12.95 ,$5.08 ,$184.10 ,$5.08 ,$157.80 ,$5.17 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$5.08 ,$145.18 ,$7.70 ,$263.00 ,$7.70 ,$223.55 ,$12.95 ,$182.26 ,$5.08 ,$263.00 ,$147.54 ,$5.08 ,$68.91 , N/A ,$7.30 ,$6.97 ,$5.33 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$10.36 ,$5.08 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30201250,86705,HC HEP B CORE IGM - 90,302,1 ,$372.00 ,$267.84 ,$3.50 ,$372.00 ,$29.43 ,$20.00 ,$204.60 ,$11.53 ,$104.16 ,$45.36 ,$11.53 ,$47.25 ,$11.53 ,$184.14 ,$3.50 ,$11.53 ,$184.14 ,$23.78 ,$260.40 ,$26.83 ,$297.60 ,$29.43 ,$11.53 ,$260.40 ,$11.53 ,$223.20 ,$11.77 ,$279.00 ,$205.34 ,$185.26 ,$205.34 ,$11.53 ,$205.34 ,$17.51 ,$372.00 ,$17.51 ,$316.20 ,$29.43 ,$257.80 ,$11.53 ,$372.00 ,$208.69 ,$11.53 ,$97.46 , N/A ,$7.30 ,$6.97 ,$12.11 ,$297.60 ,$184.14 ,$104.16 ,$334.80 ,$141.36 ,$23.54 ,$11.53 ,$178.56 
ST. MARY'S HOSPITAL - DECATUR,30240178,86341,HC ISLET CELL AB-REF,302,1 ,$16.00 ,$11.52 ,$3.50 ,$40.00 ,$40.00 ,$16.00 ,$8.80 ,$15.68 ,$4.48 ,$8.37 ,$15.68 ,$8.80 ,$15.68 ,$7.92 ,$3.50 ,$15.68 ,$7.92 ,$16.00 ,$11.20 ,$16.00 ,$12.80 ,$40.00 ,$15.68 ,$11.20 ,$15.68 ,$9.60 ,$15.68 ,$12.00 ,$8.83 ,$7.97 ,$8.83 ,$15.68 ,$8.83 ,$16.00 ,$16.00 ,$16.00 ,$13.60 ,$16.00 ,$11.09 ,$15.68 ,$16.00 ,$8.98 ,$15.68 ,$4.19 , N/A ,$12.58 ,$12.01 ,$16.46 ,$12.80 ,$7.92 ,$4.48 ,$14.40 ,$6.08 ,$16.00 ,$15.68 ,$7.68 
ST. MARY'S HOSPITAL - DECATUR,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$136.00 ,$97.92 ,$3.50 ,$136.00 ,$9.50 ,$6.46 ,$74.80 ,$3.72 ,$38.08 ,$17.90 ,$3.72 ,$18.65 ,$3.72 ,$67.32 ,$3.50 ,$3.72 ,$67.32 ,$7.68 ,$95.20 ,$8.68 ,$108.80 ,$9.50 ,$3.72 ,$95.20 ,$3.72 ,$81.60 ,$3.80 ,$102.00 ,$75.07 ,$67.73 ,$75.07 ,$3.72 ,$75.07 ,$5.12 ,$136.00 ,$5.12 ,$115.60 ,$9.50 ,$94.25 ,$3.72 ,$136.00 ,$76.30 ,$3.72 ,$35.63 , N/A ,$5.06 ,$4.83 ,$3.91 ,$108.80 ,$67.32 ,$38.08 ,$122.40 ,$51.68 ,$7.60 ,$3.72 ,$65.28 
ST. MARY'S HOSPITAL - DECATUR,30500104,85014,HC HEMATOCRIT,305,1 ,$75.00 ,$54.00 ,$2.32 ,$75.00 ,$5.93 ,$4.02 ,$41.25 ,$2.32 ,$21.00 ,$12.38 ,$2.32 ,$12.90 ,$2.32 ,$37.13 ,$3.50 ,$2.32 ,$37.13 ,$4.79 ,$52.50 ,$5.53 ,$60.00 ,$5.93 ,$2.32 ,$52.50 ,$2.32 ,$45.00 ,$2.37 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$2.32 ,$41.40 ,$3.52 ,$75.00 ,$3.52 ,$63.75 ,$5.93 ,$51.98 ,$2.32 ,$2.37 ,$42.08 ,$2.32 ,$19.65 , N/A ,$5.06 ,$4.83 ,$2.44 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$4.74 ,$2.32 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30500106,85018,HC HGB,305,1 ,$75.00 ,$54.00 ,$2.32 ,$75.00 ,$5.93 ,$4.02 ,$41.25 ,$2.32 ,$21.00 ,$12.38 ,$2.32 ,$12.90 ,$2.32 ,$37.13 ,$3.50 ,$2.32 ,$37.13 ,$4.79 ,$52.50 ,$5.53 ,$60.00 ,$5.93 ,$2.32 ,$52.50 ,$2.32 ,$45.00 ,$2.37 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$2.32 ,$41.40 ,$3.52 ,$75.00 ,$3.52 ,$63.75 ,$5.93 ,$51.98 ,$2.32 ,$2.37 ,$42.08 ,$2.32 ,$19.65 , N/A ,$5.06 ,$4.83 ,$2.44 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$4.74 ,$2.32 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$19.43 ,$13.20 ,$71.50 ,$7.61 ,$36.40 ,$40.51 ,$7.61 ,$42.20 ,$7.61 ,$64.35 ,$3.50 ,$7.61 ,$64.35 ,$15.70 ,$91.00 ,$17.35 ,$104.00 ,$19.43 ,$7.61 ,$91.00 ,$7.61 ,$78.00 ,$7.77 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$7.61 ,$71.76 ,$11.56 ,$130.00 ,$11.56 ,$110.50 ,$19.43 ,$90.09 ,$7.61 ,$7.77 ,$72.93 ,$7.61 ,$34.06 , N/A ,$5.06 ,$4.83 ,$8.00 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$15.54 ,$7.61 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30500108,85027,HC CBC W/O DIFF,305,1 ,$132.00 ,$95.04 ,$3.50 ,$132.00 ,$16.18 ,$11.00 ,$72.60 ,$6.34 ,$36.96 ,$33.70 ,$6.34 ,$35.10 ,$6.34 ,$65.34 ,$3.50 ,$6.34 ,$65.34 ,$13.07 ,$92.40 ,$15.00 ,$105.60 ,$16.18 ,$6.34 ,$92.40 ,$6.34 ,$79.20 ,$6.47 ,$99.00 ,$72.86 ,$65.74 ,$72.86 ,$6.34 ,$72.86 ,$9.61 ,$132.00 ,$9.61 ,$112.20 ,$16.18 ,$91.48 ,$6.34 ,$6.47 ,$74.05 ,$6.34 ,$34.58 , N/A ,$5.06 ,$4.83 ,$6.65 ,$105.60 ,$65.34 ,$36.96 ,$118.80 ,$50.16 ,$12.94 ,$6.34 ,$63.36 
ST. MARY'S HOSPITAL - DECATUR,30500111,85045,HC RETIC COUNT AUTO,305,1 ,$128.00 ,$92.16 ,$3.50 ,$128.00 ,$9.98 ,$6.78 ,$70.40 ,$3.91 ,$35.84 ,$20.83 ,$3.91 ,$21.70 ,$3.91 ,$63.36 ,$3.50 ,$3.91 ,$63.36 ,$8.06 ,$89.60 ,$9.48 ,$102.40 ,$9.98 ,$3.91 ,$89.60 ,$3.91 ,$76.80 ,$3.99 ,$96.00 ,$70.66 ,$63.74 ,$70.66 ,$3.91 ,$70.66 ,$5.94 ,$128.00 ,$5.94 ,$108.80 ,$9.98 ,$88.70 ,$3.91 ,$128.00 ,$71.81 ,$3.91 ,$33.54 , N/A ,$5.06 ,$4.83 ,$4.11 ,$102.40 ,$63.36 ,$35.84 ,$115.20 ,$48.64 ,$7.98 ,$3.91 ,$61.44 
ST. MARY'S HOSPITAL - DECATUR,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$98.00 ,$70.56 ,$2.49 ,$98.00 ,$6.35 ,$4.32 ,$53.90 ,$2.49 ,$27.44 ,$13.20 ,$2.49 ,$13.75 ,$2.49 ,$48.51 ,$3.50 ,$2.49 ,$48.51 ,$5.13 ,$68.60 ,$5.53 ,$78.40 ,$6.35 ,$2.49 ,$68.60 ,$2.49 ,$58.80 ,$2.54 ,$73.50 ,$54.10 ,$48.80 ,$54.10 ,$2.49 ,$54.10 ,$3.78 ,$98.00 ,$3.78 ,$83.30 ,$6.35 ,$67.91 ,$2.49 ,$98.00 ,$54.98 ,$2.49 ,$25.68 , N/A ,$5.06 ,$4.83 ,$2.62 ,$78.40 ,$48.51 ,$27.44 ,$88.20 ,$37.24 ,$5.08 ,$2.49 ,$47.04 
ST. MARY'S HOSPITAL - DECATUR,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$185.00 ,$133.20 ,$3.50 ,$185.00 ,$11.20 ,$7.62 ,$101.75 ,$4.39 ,$51.80 ,$23.38 ,$4.39 ,$24.35 ,$4.39 ,$91.58 ,$3.50 ,$4.39 ,$91.58 ,$9.05 ,$129.50 ,$10.25 ,$148.00 ,$11.20 ,$4.39 ,$129.50 ,$4.39 ,$111.00 ,$4.48 ,$138.75 ,$102.12 ,$92.13 ,$102.12 ,$4.39 ,$102.12 ,$6.65 ,$185.00 ,$6.65 ,$157.25 ,$11.20 ,$128.21 ,$4.39 ,$185.00 ,$103.79 ,$4.39 ,$48.47 , N/A ,$5.06 ,$4.83 ,$4.61 ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$8.96 ,$4.39 ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,30500115,85060,HC BLOOD SMEAR INTERP,305,1 ,$333.00 ,$239.76 ,$33.08 ,$333.00 , N/A ,$41.40 ,$183.15 , N/A ,$93.24 ,$154.99 , N/A ,$161.45 , N/A ,$164.84 ,$38.77 , N/A ,$164.84 , N/A ,$233.10 ,$39.93 ,$266.40 , N/A , N/A ,$233.10 , N/A ,$199.80 , N/A ,$249.75 ,$183.82 ,$165.83 ,$183.82 , N/A ,$183.82 ,$33.08 ,$333.00 ,$33.08 ,$283.05 , N/A ,$230.77 , N/A ,$333.00 ,$186.81 , N/A ,$87.25 , N/A , N/A , N/A , N/A ,$266.40 ,$164.84 ,$93.24 ,$299.70 ,$126.54 ,$49.54 , N/A ,$159.84 
ST. MARY'S HOSPITAL - DECATUR,30500116,85097,HC BONE MARROW SMEAR INTERP,305,1 ,$333.00 ,$239.76 ,$22.23 ,"$1,822.00 ","$1,822.00 ",$81.98 ,$183.15 ,$714.22 ,$93.24 ,$174.16 ,$714.22 ,$183.15 ,$326.34 ,$164.84 ,$78.92 ,$326.34 ,$164.84 ,$333.00 ,$233.10 ,$78.73 ,$266.40 ,"$1,822.00 ",$714.22 ,$233.10 ,$714.22 ,$199.80 ,$326.34 ,$249.75 ,$183.82 ,$165.83 ,$183.82 ,$714.22 ,$183.82 ,$97.95 ,$333.00 ,$97.95 ,$283.05 ,$333.00 ,$230.77 ,$326.34 ,$333.00 ,$186.81 ,$714.22 ,$87.25 , N/A ,$23.29 ,$22.23 ,$749.94 ,$266.40 ,$164.84 ,$93.24 ,$299.70 ,$126.54 ,$333.00 ,$714.22 ,$159.84 
ST. MARY'S HOSPITAL - DECATUR,30500168,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$177.00 ,$127.44 ,$2.82 ,$177.00 ,$10.70 ,$7.28 ,$97.35 ,$4.19 ,$49.56 ,$16.42 ,$4.19 ,$17.10 ,$4.19 ,$87.62 ,$3.50 ,$4.19 ,$87.62 ,$8.65 ,$123.90 ,$9.48 ,$141.60 ,$10.70 ,$4.19 ,$123.90 ,$4.19 ,$106.20 ,$4.28 ,$132.75 ,$97.70 ,$88.15 ,$97.70 ,$4.19 ,$97.70 ,$6.33 ,$177.00 ,$6.33 ,$150.45 ,$10.70 ,$122.66 ,$4.19 ,$177.00 ,$99.30 ,$4.19 ,$46.37 , N/A ,$2.96 ,$2.82 ,$4.40 ,$141.60 ,$87.62 ,$49.56 ,$159.30 ,$67.26 ,$8.56 ,$4.19 ,$84.96 
ST. MARY'S HOSPITAL - DECATUR,30500174,85362,HC FDP/FSP AGGLUT SQ,305,1 ,$229.00 ,$164.88 ,$2.82 ,$229.00 ,$17.23 ,$11.72 ,$125.95 ,$6.75 ,$64.12 ,$26.54 ,$6.75 ,$27.65 ,$6.75 ,$113.36 ,$3.50 ,$6.75 ,$113.36 ,$13.92 ,$160.30 ,$15.78 ,$183.20 ,$17.23 ,$6.75 ,$160.30 ,$6.75 ,$137.40 ,$6.89 ,$171.75 ,$126.41 ,$114.04 ,$126.41 ,$6.75 ,$126.41 ,$10.25 ,$229.00 ,$10.25 ,$194.65 ,$17.23 ,$158.70 ,$6.75 ,$229.00 ,$128.47 ,$6.75 ,$60.00 , N/A ,$2.96 ,$2.82 ,$7.09 ,$183.20 ,$113.36 ,$64.12 ,$206.10 ,$87.02 ,$13.78 ,$6.75 ,$109.92 
ST. MARY'S HOSPITAL - DECATUR,30500175,85379,HC D DIMER QN,305,1 ,$227.00 ,$163.44 ,$3.50 ,$227.00 ,$25.45 ,$17.30 ,$124.85 ,$9.98 ,$63.56 ,$39.17 ,$9.98 ,$40.80 ,$9.98 ,$112.37 ,$3.50 ,$9.98 ,$112.37 ,$20.56 ,$158.90 ,$22.88 ,$181.60 ,$25.45 ,$9.98 ,$158.90 ,$9.98 ,$136.20 ,$10.17 ,$170.25 ,$125.30 ,$113.05 ,$125.30 ,$9.98 ,$125.30 ,$15.14 ,$227.00 ,$15.14 ,$192.95 ,$25.45 ,$157.31 ,$9.98 ,$227.00 ,$127.35 ,$9.98 ,$59.47 , N/A ,$8.78 ,$8.38 ,$10.48 ,$181.60 ,$112.37 ,$63.56 ,$204.30 ,$86.26 ,$20.36 ,$9.98 ,$108.96 
ST. MARY'S HOSPITAL - DECATUR,30500176,85384,HC FIBRINOGEN,305,1 ,$227.00 ,$163.44 ,$2.82 ,$227.00 ,$24.30 ,$16.52 ,$124.85 ,$9.53 ,$63.56 ,$32.74 ,$9.53 ,$34.10 ,$9.53 ,$112.37 ,$3.50 ,$9.53 ,$112.37 ,$19.63 ,$158.90 ,$22.10 ,$181.60 ,$24.30 ,$9.53 ,$158.90 ,$9.53 ,$136.20 ,$9.71 ,$170.25 ,$125.30 ,$113.05 ,$125.30 ,$9.53 ,$125.30 ,$13.02 ,$227.00 ,$13.02 ,$192.95 ,$24.30 ,$157.31 ,$9.53 ,$227.00 ,$127.35 ,$9.53 ,$59.47 , N/A ,$2.96 ,$2.82 ,$10.01 ,$181.60 ,$112.37 ,$63.56 ,$204.30 ,$86.26 ,$19.44 ,$9.53 ,$108.96 
ST. MARY'S HOSPITAL - DECATUR,30500185,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$311.00 ,$223.92 ,$3.50 ,$311.00 ,$19.33 ,$13.14 ,$171.05 ,$7.58 ,$87.08 ,$29.81 ,$7.58 ,$31.05 ,$7.58 ,$153.95 ,$3.50 ,$7.58 ,$153.95 ,$15.61 ,$217.70 ,$17.35 ,$248.80 ,$19.33 ,$7.58 ,$217.70 ,$7.58 ,$186.60 ,$7.72 ,$233.25 ,$171.67 ,$154.88 ,$171.67 ,$7.58 ,$171.67 ,$11.51 ,$311.00 ,$11.51 ,$264.35 ,$19.33 ,$215.52 ,$7.58 ,$311.00 ,$174.47 ,$7.58 ,$81.48 , N/A ,$7.70 ,$7.35 ,$7.96 ,$248.80 ,$153.95 ,$87.08 ,$279.90 ,$118.18 ,$15.46 ,$7.58 ,$149.28 
ST. MARY'S HOSPITAL - DECATUR,30500187,85520,HC HEPARIN ASSAY,305,1 ,$389.00 ,$280.08 ,$3.50 ,$389.00 ,$32.73 ,$22.26 ,$213.95 ,$12.83 ,$108.92 ,$50.40 ,$12.83 ,$52.50 ,$12.83 ,$192.56 ,$3.50 ,$12.83 ,$192.56 ,$26.44 ,$272.30 ,$29.98 ,$311.20 ,$32.73 ,$12.83 ,$272.30 ,$12.83 ,$233.40 ,$13.08 ,$291.75 ,$214.73 ,$193.72 ,$214.73 ,$12.83 ,$214.73 ,$19.49 ,$389.00 ,$19.49 ,$330.65 ,$32.73 ,$269.58 ,$12.83 ,$389.00 ,$218.23 ,$12.83 ,$101.92 , N/A ,$8.78 ,$8.38 ,$13.47 ,$311.20 ,$192.56 ,$108.92 ,$350.10 ,$147.82 ,$26.18 ,$12.83 ,$186.72 
ST. MARY'S HOSPITAL - DECATUR,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$232.00 ,$167.04 ,$8.38 ,$232.00 ,$62.28 ,$42.34 ,$127.60 ,$24.41 ,$64.96 ,$112.03 ,$24.41 ,$116.70 ,$24.41 ,$114.84 ,$23.66 ,$24.41 ,$114.84 ,$50.32 ,$162.40 ,$56.80 ,$185.60 ,$62.28 ,$24.41 ,$162.40 ,$24.41 ,$139.20 ,$24.90 ,$174.00 ,$128.06 ,$115.54 ,$128.06 ,$24.41 ,$128.06 ,$33.35 ,$232.00 ,$33.35 ,$197.20 ,$62.28 ,$160.78 ,$24.41 ,$232.00 ,$130.15 ,$24.41 ,$60.78 , N/A ,$8.78 ,$8.38 ,$25.64 ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$49.82 ,$24.41 ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$136.00 ,$97.92 ,$2.82 ,$136.00 ,$10.73 ,$7.30 ,$74.80 ,$4.20 ,$38.08 ,$20.50 ,$4.20 ,$21.35 ,$4.20 ,$67.32 ,$3.50 ,$4.20 ,$67.32 ,$8.67 ,$95.20 ,$9.48 ,$108.80 ,$10.73 ,$4.20 ,$95.20 ,$4.20 ,$81.60 ,$4.29 ,$102.00 ,$75.07 ,$67.73 ,$75.07 ,$4.20 ,$75.07 ,$5.85 ,$136.00 ,$5.85 ,$115.60 ,$10.73 ,$94.25 ,$4.20 ,$136.00 ,$76.30 ,$4.20 ,$35.63 , N/A ,$2.96 ,$2.82 ,$4.41 ,$108.80 ,$67.32 ,$38.08 ,$122.40 ,$51.68 ,$8.58 ,$4.20 ,$65.28 
ST. MARY'S HOSPITAL - DECATUR,30500202,85613,HC RUSSELL VIPER VENOM DIL,305,1 ,$229.00 ,$164.88 ,$3.50 ,$229.00 ,$23.95 ,$16.28 ,$125.95 ,$9.39 ,$64.12 ,$36.91 ,$9.39 ,$38.45 ,$9.39 ,$113.36 ,$3.50 ,$9.39 ,$113.36 ,$19.35 ,$160.30 ,$22.10 ,$183.20 ,$23.95 ,$9.39 ,$160.30 ,$9.39 ,$137.40 ,$9.57 ,$171.75 ,$126.41 ,$114.04 ,$126.41 ,$9.39 ,$126.41 ,$14.24 ,$229.00 ,$14.24 ,$194.65 ,$23.95 ,$158.70 ,$9.39 ,$229.00 ,$128.47 ,$9.39 ,$60.00 , N/A ,$8.78 ,$8.38 ,$9.86 ,$183.20 ,$113.36 ,$64.12 ,$206.10 ,$87.02 ,$19.16 ,$9.39 ,$109.92 
ST. MARY'S HOSPITAL - DECATUR,30500205,85652,HC SED RATE AUTO,305,1 ,$177.00 ,$127.44 ,$2.65 ,$177.00 ,$6.75 ,$4.60 ,$97.35 ,$2.65 ,$49.56 ,$14.06 ,$2.65 ,$14.65 ,$2.65 ,$87.62 ,$3.50 ,$2.65 ,$87.62 ,$5.45 ,$123.90 ,$6.30 ,$141.60 ,$6.75 ,$2.65 ,$123.90 ,$2.65 ,$106.20 ,$2.69 ,$132.75 ,$97.70 ,$88.15 ,$97.70 ,$2.65 ,$97.70 ,$4.02 ,$177.00 ,$4.02 ,$150.45 ,$6.75 ,$122.66 ,$2.65 ,$177.00 ,$99.30 ,$2.65 ,$46.37 , N/A ,$5.06 ,$4.83 ,$2.78 ,$141.60 ,$87.62 ,$49.56 ,$159.30 ,$67.26 ,$5.40 ,$2.65 ,$84.96 
ST. MARY'S HOSPITAL - DECATUR,30500206,85660,HC SICKLE CELL RBC,305,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$13.78 ,$9.36 ,$80.30 ,$5.40 ,$40.88 ,$21.22 ,$5.40 ,$22.10 ,$5.40 ,$72.27 ,$3.50 ,$5.40 ,$72.27 ,$11.13 ,$102.20 ,$12.63 ,$116.80 ,$13.78 ,$5.40 ,$102.20 ,$5.40 ,$87.60 ,$5.51 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$5.40 ,$80.59 ,$8.20 ,$146.00 ,$8.20 ,$124.10 ,$13.78 ,$101.18 ,$5.40 ,$146.00 ,$81.91 ,$5.40 ,$38.25 , N/A ,$5.06 ,$4.83 ,$5.67 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$11.02 ,$5.40 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30500211,85730,HC PTT,305,1 ,$207.00 ,$149.04 ,$2.82 ,$207.00 ,$15.03 ,$10.22 ,$113.85 ,$5.89 ,$57.96 ,$31.34 ,$5.89 ,$32.65 ,$5.89 ,$102.47 ,$3.50 ,$5.89 ,$102.47 ,$12.14 ,$144.90 ,$13.43 ,$165.60 ,$15.03 ,$5.89 ,$144.90 ,$5.89 ,$124.20 ,$6.01 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$5.89 ,$114.26 ,$8.93 ,$207.00 ,$8.93 ,$175.95 ,$15.03 ,$143.45 ,$5.89 ,$207.00 ,$116.13 ,$5.89 ,$54.23 , N/A ,$2.96 ,$2.82 ,$6.18 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$12.02 ,$5.89 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30500213,85732,HC PTT MIXING STUDY,305,1 ,$187.00 ,$134.64 ,$2.82 ,$187.00 ,$16.18 ,$11.00 ,$102.85 ,$6.34 ,$52.36 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$92.57 ,$3.50 ,$6.34 ,$92.57 ,$13.07 ,$130.90 ,$15.00 ,$149.60 ,$16.18 ,$6.34 ,$130.90 ,$6.34 ,$112.20 ,$6.47 ,$140.25 ,$103.22 ,$93.13 ,$103.22 ,$6.34 ,$103.22 ,$9.61 ,$187.00 ,$9.61 ,$158.95 ,$16.18 ,$129.59 ,$6.34 ,$187.00 ,$104.91 ,$6.34 ,$48.99 , N/A ,$2.96 ,$2.82 ,$6.65 ,$149.60 ,$92.57 ,$52.36 ,$168.30 ,$71.06 ,$12.94 ,$6.34 ,$89.76 
ST. MARY'S HOSPITAL - DECATUR,30500234,85014,HC HEMATOCRIT-90,305,1 ,$68.00 ,$48.96 ,$2.32 ,$68.00 ,$5.93 ,$4.02 ,$37.40 ,$2.32 ,$19.04 ,$12.38 ,$2.32 ,$12.90 ,$2.32 ,$33.66 ,$3.50 ,$2.32 ,$33.66 ,$4.79 ,$47.60 ,$5.53 ,$54.40 ,$5.93 ,$2.32 ,$47.60 ,$2.32 ,$40.80 ,$2.37 ,$51.00 ,$37.54 ,$33.86 ,$37.54 ,$2.32 ,$37.54 ,$3.52 ,$68.00 ,$3.52 ,$57.80 ,$5.93 ,$47.12 ,$2.32 ,$2.37 ,$38.15 ,$2.32 ,$17.82 , N/A ,$5.06 ,$4.83 ,$2.44 ,$54.40 ,$33.66 ,$19.04 ,$61.20 ,$25.84 ,$4.74 ,$2.32 ,$32.64 
ST. MARY'S HOSPITAL - DECATUR,30500238,85018,HC HGB-90,305,1 ,$62.00 ,$44.64 ,$2.32 ,$62.00 ,$5.93 ,$4.02 ,$34.10 ,$2.32 ,$17.36 ,$12.38 ,$2.32 ,$12.90 ,$2.32 ,$30.69 ,$3.50 ,$2.32 ,$30.69 ,$4.79 ,$43.40 ,$5.53 ,$49.60 ,$5.93 ,$2.32 ,$43.40 ,$2.32 ,$37.20 ,$2.37 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$2.32 ,$34.22 ,$3.52 ,$62.00 ,$3.52 ,$52.70 ,$5.93 ,$42.97 ,$2.32 ,$2.37 ,$34.78 ,$2.32 ,$16.24 , N/A ,$5.06 ,$4.83 ,$2.44 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$4.74 ,$2.32 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30500239,85025,HC CBC AUTO W/AUTO DIFF-90,305,1 ,$183.00 ,$131.76 ,$3.50 ,$183.00 ,$19.43 ,$13.20 ,$100.65 ,$7.61 ,$51.24 ,$40.51 ,$7.61 ,$42.20 ,$7.61 ,$90.59 ,$3.50 ,$7.61 ,$90.59 ,$15.70 ,$128.10 ,$17.35 ,$146.40 ,$19.43 ,$7.61 ,$128.10 ,$7.61 ,$109.80 ,$7.77 ,$137.25 ,$101.02 ,$91.13 ,$101.02 ,$7.61 ,$101.02 ,$11.56 ,$183.00 ,$11.56 ,$155.55 ,$19.43 ,$126.82 ,$7.61 ,$7.77 ,$102.66 ,$7.61 ,$47.95 , N/A ,$5.06 ,$4.83 ,$8.00 ,$146.40 ,$90.59 ,$51.24 ,$164.70 ,$69.54 ,$15.54 ,$7.61 ,$87.84 
ST. MARY'S HOSPITAL - DECATUR,30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$92.00 ,$66.24 ,$2.96 ,$92.00 ,$7.55 ,$5.14 ,$50.60 ,$2.96 ,$25.76 ,$15.74 ,$2.96 ,$16.40 ,$2.96 ,$45.54 ,$3.50 ,$2.96 ,$45.54 ,$6.10 ,$64.40 ,$7.10 ,$73.60 ,$7.55 ,$2.96 ,$64.40 ,$2.96 ,$55.20 ,$3.02 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$2.96 ,$50.78 ,$4.49 ,$92.00 ,$4.49 ,$78.20 ,$7.55 ,$63.76 ,$2.96 ,$92.00 ,$51.61 ,$2.96 ,$24.10 , N/A ,$5.06 ,$4.83 ,$3.11 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$6.04 ,$2.96 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30500247,85097,HC BONE MARROW SMEAR INTERP,305,1 ,$290.00 ,$208.80 ,$22.23 ,"$1,822.00 ","$1,822.00 ",$81.98 ,$159.50 ,$714.22 ,$81.20 ,$151.67 ,$714.22 ,$159.50 ,$284.20 ,$143.55 ,$78.92 ,$284.20 ,$143.55 ,$290.00 ,$203.00 ,$78.73 ,$232.00 ,"$1,822.00 ",$714.22 ,$203.00 ,$714.22 ,$174.00 ,$284.20 ,$217.50 ,$160.08 ,$144.42 ,$160.08 ,$714.22 ,$160.08 ,$97.95 ,$290.00 ,$97.95 ,$246.50 ,$290.00 ,$200.97 ,$284.20 ,$290.00 ,$162.69 ,$714.22 ,$75.98 , N/A ,$23.29 ,$22.23 ,$749.94 ,$232.00 ,$143.55 ,$81.20 ,$261.00 ,$110.20 ,$290.00 ,$714.22 ,$139.20 
ST. MARY'S HOSPITAL - DECATUR,30500249,85210,HC FACTOR II PROTHROM SPEC-90,305,1 ,$473.00 ,$340.56 ,$2.82 ,$473.00 ,$32.45 ,$22.06 ,$260.15 ,$12.72 ,$132.44 ,$67.73 ,$12.72 ,$70.55 ,$12.72 ,$234.14 ,$3.50 ,$12.72 ,$234.14 ,$26.22 ,$331.10 ,$29.98 ,$378.40 ,$32.45 ,$12.72 ,$331.10 ,$12.72 ,$283.80 ,$12.98 ,$354.75 ,$261.10 ,$235.55 ,$261.10 ,$12.72 ,$261.10 ,$19.32 ,$473.00 ,$19.32 ,$402.05 ,$32.45 ,$327.79 ,$12.72 ,$473.00 ,$265.35 ,$12.72 ,$123.93 , N/A ,$2.96 ,$2.82 ,$13.36 ,$378.40 ,$234.14 ,$132.44 ,$425.70 ,$179.74 ,$25.96 ,$12.72 ,$227.04 
ST. MARY'S HOSPITAL - DECATUR,30500250,85220,HC FACTOR V CLOTTING FACTOR-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$44.13 ,$30.00 ,$235.95 ,$17.30 ,$120.12 ,$67.97 ,$17.30 ,$70.80 ,$17.30 ,$212.36 ,$3.50 ,$17.30 ,$212.36 ,$35.65 ,$300.30 ,$40.25 ,$343.20 ,$44.13 ,$17.30 ,$300.30 ,$17.30 ,$257.40 ,$17.64 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$17.30 ,$236.81 ,$26.25 ,$429.00 ,$26.25 ,$364.65 ,$44.13 ,$297.30 ,$17.30 ,$429.00 ,$240.67 ,$17.30 ,$112.40 , N/A ,$8.78 ,$8.38 ,$18.16 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$35.30 ,$17.30 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500251,85230,HC FACTOR VII PROCONVERTIN-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$44.75 ,$30.44 ,$235.95 ,$17.54 ,$120.12 ,$68.98 ,$17.54 ,$71.85 ,$17.54 ,$212.36 ,$3.50 ,$17.54 ,$212.36 ,$36.16 ,$300.30 ,$41.03 ,$343.20 ,$44.75 ,$17.54 ,$300.30 ,$17.54 ,$257.40 ,$17.89 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$17.54 ,$236.81 ,$26.64 ,$429.00 ,$26.64 ,$364.65 ,$44.75 ,$297.30 ,$17.54 ,$429.00 ,$240.67 ,$17.54 ,$112.40 , N/A ,$8.78 ,$8.38 ,$18.42 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$35.80 ,$17.54 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500252,85240,HC FACTOR VIII AHG 1 STAGE-90,305,1 ,$370.00 ,$266.40 ,$3.50 ,$370.00 ,$44.75 ,$30.44 ,$203.50 ,$17.54 ,$103.60 ,$68.98 ,$17.54 ,$71.85 ,$17.54 ,$183.15 ,$3.50 ,$17.54 ,$183.15 ,$36.16 ,$259.00 ,$41.03 ,$296.00 ,$44.75 ,$17.54 ,$259.00 ,$17.54 ,$222.00 ,$17.89 ,$277.50 ,$204.24 ,$184.26 ,$204.24 ,$17.54 ,$204.24 ,$26.64 ,$370.00 ,$26.64 ,$314.50 ,$44.75 ,$256.41 ,$17.54 ,$370.00 ,$207.57 ,$17.54 ,$96.94 , N/A ,$8.78 ,$8.38 ,$18.42 ,$296.00 ,$183.15 ,$103.60 ,$333.00 ,$140.60 ,$35.80 ,$17.54 ,$177.60 
ST. MARY'S HOSPITAL - DECATUR,30500253,85245,HC FACTOR VIII VW RISTOCTN-90,305,1 ,$313.00 ,$225.36 ,$3.50 ,$313.00 ,$57.35 ,$39.00 ,$172.15 ,$22.48 ,$87.64 ,$88.37 ,$22.48 ,$92.05 ,$22.48 ,$154.94 ,$3.50 ,$22.48 ,$154.94 ,$46.34 ,$219.10 ,$52.08 ,$250.40 ,$57.35 ,$22.48 ,$219.10 ,$22.48 ,$187.80 ,$22.93 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$22.48 ,$172.78 ,$34.13 ,$313.00 ,$34.13 ,$266.05 ,$57.35 ,$216.91 ,$22.48 ,$313.00 ,$175.59 ,$22.48 ,$82.01 , N/A ,$8.78 ,$8.38 ,$23.61 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$45.88 ,$22.48 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,30500254,85246,HC FACTOR VIII VW ANTIGEN-90,305,1 ,$330.00 ,$237.60 ,$3.50 ,$330.00 ,$57.35 ,$39.00 ,$181.50 ,$22.48 ,$92.40 ,$88.37 ,$22.48 ,$92.05 ,$22.48 ,$163.35 ,$3.50 ,$22.48 ,$163.35 ,$46.34 ,$231.00 ,$52.08 ,$264.00 ,$57.35 ,$22.48 ,$231.00 ,$22.48 ,$198.00 ,$22.93 ,$247.50 ,$182.16 ,$164.34 ,$182.16 ,$22.48 ,$182.16 ,$34.13 ,$330.00 ,$34.13 ,$280.50 ,$57.35 ,$228.69 ,$22.48 ,$330.00 ,$185.13 ,$22.48 ,$86.46 , N/A ,$8.78 ,$8.38 ,$23.61 ,$264.00 ,$163.35 ,$92.40 ,$297.00 ,$125.40 ,$45.88 ,$22.48 ,$158.40 
ST. MARY'S HOSPITAL - DECATUR,30500255,85247,HC FACTOR VIII VW MULTIM ANALY-90,305,1 ,$442.00 ,$318.24 ,$3.50 ,$442.00 ,$57.35 ,$39.00 ,$243.10 ,$22.48 ,$123.76 ,$88.37 ,$22.48 ,$92.05 ,$22.48 ,$218.79 ,$3.50 ,$22.48 ,$218.79 ,$46.34 ,$309.40 ,$52.08 ,$353.60 ,$57.35 ,$22.48 ,$309.40 ,$22.48 ,$265.20 ,$22.93 ,$331.50 ,$243.98 ,$220.12 ,$243.98 ,$22.48 ,$243.98 ,$34.13 ,$442.00 ,$34.13 ,$375.70 ,$57.35 ,$306.31 ,$22.48 ,$442.00 ,$247.96 ,$22.48 ,$115.80 , N/A ,$8.78 ,$8.38 ,$23.61 ,$353.60 ,$218.79 ,$123.76 ,$397.80 ,$167.96 ,$45.88 ,$22.48 ,$212.16 
ST. MARY'S HOSPITAL - DECATUR,30500256,85250,HC FACTOR IX (PTC OR CHRISTMAS)-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$47.60 ,$32.36 ,$235.95 ,$18.66 ,$120.12 ,$73.34 ,$18.66 ,$76.40 ,$18.66 ,$212.36 ,$3.50 ,$18.66 ,$212.36 ,$38.46 ,$300.30 ,$43.40 ,$343.20 ,$47.60 ,$18.66 ,$300.30 ,$18.66 ,$257.40 ,$19.03 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$18.66 ,$236.81 ,$28.34 ,$429.00 ,$28.34 ,$364.65 ,$47.60 ,$297.30 ,$18.66 ,$429.00 ,$240.67 ,$18.66 ,$112.40 , N/A ,$8.78 ,$8.38 ,$19.59 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$38.08 ,$18.66 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500257,85260,HC FACTOR X (STUART-POWER)-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$44.75 ,$30.44 ,$235.95 ,$17.54 ,$120.12 ,$68.98 ,$17.54 ,$71.85 ,$17.54 ,$212.36 ,$3.50 ,$17.54 ,$212.36 ,$36.16 ,$300.30 ,$41.03 ,$343.20 ,$44.75 ,$17.54 ,$300.30 ,$17.54 ,$257.40 ,$17.89 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$17.54 ,$236.81 ,$26.64 ,$429.00 ,$26.64 ,$364.65 ,$44.75 ,$297.30 ,$17.54 ,$429.00 ,$240.67 ,$17.54 ,$112.40 , N/A ,$8.78 ,$8.38 ,$18.42 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$35.80 ,$17.54 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500258,85270,HC FACTOR XI (PTA)-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$44.75 ,$30.44 ,$235.95 ,$17.54 ,$120.12 ,$68.98 ,$17.54 ,$71.85 ,$17.54 ,$212.36 ,$3.50 ,$17.54 ,$212.36 ,$36.16 ,$300.30 ,$41.03 ,$343.20 ,$44.75 ,$17.54 ,$300.30 ,$17.54 ,$257.40 ,$17.89 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$17.54 ,$236.81 ,$26.64 ,$429.00 ,$26.64 ,$364.65 ,$44.75 ,$297.30 ,$17.54 ,$429.00 ,$240.67 ,$17.54 ,$112.40 , N/A ,$8.78 ,$8.38 ,$18.42 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$35.80 ,$17.54 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500259,85280,HC FACTOR XII HAGEMAN-90,305,1 ,$429.00 ,$308.88 ,$3.50 ,$429.00 ,$48.38 ,$32.90 ,$235.95 ,$18.96 ,$120.12 ,$74.54 ,$18.96 ,$77.65 ,$18.96 ,$212.36 ,$3.50 ,$18.96 ,$212.36 ,$39.09 ,$300.30 ,$44.18 ,$343.20 ,$48.38 ,$18.96 ,$300.30 ,$18.96 ,$257.40 ,$19.35 ,$321.75 ,$236.81 ,$213.64 ,$236.81 ,$18.96 ,$236.81 ,$28.79 ,$429.00 ,$28.79 ,$364.65 ,$48.38 ,$297.30 ,$18.96 ,$429.00 ,$240.67 ,$18.96 ,$112.40 , N/A ,$8.78 ,$8.38 ,$19.91 ,$343.20 ,$212.36 ,$120.12 ,$386.10 ,$163.02 ,$38.70 ,$18.96 ,$205.92 
ST. MARY'S HOSPITAL - DECATUR,30500260,85291,HC FACTOR XIII FIBRIN SCRN-90,305,1 ,$115.00 ,$82.80 ,$3.50 ,$115.00 ,$22.78 ,$15.48 ,$63.25 ,$8.93 ,$32.20 ,$34.27 ,$8.93 ,$35.70 ,$8.93 ,$56.93 ,$3.50 ,$8.93 ,$56.93 ,$18.40 ,$80.50 ,$20.53 ,$92.00 ,$22.78 ,$8.93 ,$80.50 ,$8.93 ,$69.00 ,$9.10 ,$86.25 ,$63.48 ,$57.27 ,$63.48 ,$8.93 ,$63.48 ,$13.23 ,$115.00 ,$13.23 ,$97.75 ,$22.78 ,$79.70 ,$8.93 ,$115.00 ,$64.52 ,$8.93 ,$30.13 , N/A ,$8.78 ,$8.38 ,$9.38 ,$92.00 ,$56.93 ,$32.20 ,$103.50 ,$43.70 ,$18.22 ,$8.93 ,$55.20 
ST. MARY'S HOSPITAL - DECATUR,30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$307.00 ,$221.04 ,$3.50 ,$307.00 ,$29.63 ,$20.14 ,$168.85 ,$11.61 ,$85.96 ,$45.65 ,$11.61 ,$47.55 ,$11.61 ,$151.97 ,$3.50 ,$11.61 ,$151.97 ,$23.94 ,$214.90 ,$26.83 ,$245.60 ,$29.63 ,$11.61 ,$214.90 ,$11.61 ,$184.20 ,$11.85 ,$230.25 ,$169.46 ,$152.89 ,$169.46 ,$11.61 ,$169.46 ,$17.63 ,$307.00 ,$17.63 ,$260.95 ,$29.63 ,$212.75 ,$11.61 ,$307.00 ,$172.23 ,$11.61 ,$80.43 , N/A ,$8.78 ,$8.38 ,$12.19 ,$245.60 ,$151.97 ,$85.96 ,$276.30 ,$116.66 ,$23.70 ,$11.61 ,$147.36 
ST. MARY'S HOSPITAL - DECATUR,30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$261.00 ,$187.92 ,$3.50 ,$261.00 ,$27.03 ,$18.38 ,$143.55 ,$10.59 ,$73.08 ,$41.66 ,$10.59 ,$43.40 ,$10.59 ,$129.20 ,$3.50 ,$10.59 ,$129.20 ,$21.84 ,$182.70 ,$24.45 ,$208.80 ,$27.03 ,$10.59 ,$182.70 ,$10.59 ,$156.60 ,$10.81 ,$195.75 ,$144.07 ,$129.98 ,$144.07 ,$10.59 ,$144.07 ,$16.08 ,$261.00 ,$16.08 ,$221.85 ,$27.03 ,$180.87 ,$10.59 ,$261.00 ,$146.42 ,$10.59 ,$68.38 , N/A ,$8.78 ,$8.38 ,$11.12 ,$208.80 ,$129.20 ,$73.08 ,$234.90 ,$99.18 ,$21.62 ,$10.59 ,$125.28 
ST. MARY'S HOSPITAL - DECATUR,30500263,85302,HC PROTEIN C AG-90,305,1 ,$354.00 ,$254.88 ,$3.50 ,$354.00 ,$30.03 ,$20.42 ,$194.70 ,$11.77 ,$99.12 ,$46.27 ,$11.77 ,$48.20 ,$11.77 ,$175.23 ,$3.50 ,$11.77 ,$175.23 ,$24.26 ,$247.80 ,$27.63 ,$283.20 ,$30.03 ,$11.77 ,$247.80 ,$11.77 ,$212.40 ,$12.00 ,$265.50 ,$195.41 ,$176.29 ,$195.41 ,$11.77 ,$195.41 ,$17.88 ,$354.00 ,$17.88 ,$300.90 ,$30.03 ,$245.32 ,$11.77 ,$354.00 ,$198.59 ,$11.77 ,$92.75 , N/A ,$8.78 ,$8.38 ,$12.36 ,$283.20 ,$175.23 ,$99.12 ,$318.60 ,$134.52 ,$24.02 ,$11.77 ,$169.92 
ST. MARY'S HOSPITAL - DECATUR,30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$379.00 ,$272.88 ,$3.50 ,$379.00 ,$34.60 ,$23.52 ,$208.45 ,$13.56 ,$106.12 ,$53.28 ,$13.56 ,$55.50 ,$13.56 ,$187.61 ,$3.50 ,$13.56 ,$187.61 ,$27.96 ,$265.30 ,$31.55 ,$303.20 ,$34.60 ,$13.56 ,$265.30 ,$13.56 ,$227.40 ,$13.84 ,$284.25 ,$209.21 ,$188.74 ,$209.21 ,$13.56 ,$209.21 ,$20.58 ,$379.00 ,$20.58 ,$322.15 ,$34.60 ,$262.65 ,$13.56 ,$379.00 ,$212.62 ,$13.56 ,$99.30 , N/A ,$8.78 ,$8.38 ,$14.24 ,$303.20 ,$187.61 ,$106.12 ,$341.10 ,$144.02 ,$27.68 ,$13.56 ,$181.92 
ST. MARY'S HOSPITAL - DECATUR,30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$178.00 ,$128.16 ,$3.50 ,$178.00 ,$29.03 ,$19.74 ,$97.90 ,$11.38 ,$49.84 ,$44.69 ,$11.38 ,$46.55 ,$11.38 ,$88.11 ,$3.50 ,$11.38 ,$88.11 ,$23.45 ,$124.60 ,$26.83 ,$142.40 ,$29.03 ,$11.38 ,$124.60 ,$11.38 ,$106.80 ,$11.60 ,$133.50 ,$98.26 ,$88.64 ,$98.26 ,$11.38 ,$98.26 ,$17.27 ,$178.00 ,$17.27 ,$151.30 ,$29.03 ,$123.35 ,$11.38 ,$178.00 ,$99.86 ,$11.38 ,$46.64 , N/A ,$8.78 ,$8.38 ,$11.95 ,$142.40 ,$88.11 ,$49.84 ,$160.20 ,$67.64 ,$23.22 ,$11.38 ,$85.44 
ST. MARY'S HOSPITAL - DECATUR,30500266,85306,HC PROTEIN S FREE-90,305,1 ,$359.00 ,$258.48 ,$3.50 ,$359.00 ,$38.30 ,$26.04 ,$197.45 ,$15.01 ,$100.52 ,$59.04 ,$15.01 ,$61.50 ,$15.01 ,$177.71 ,$3.50 ,$15.01 ,$177.71 ,$30.95 ,$251.30 ,$34.73 ,$287.20 ,$38.30 ,$15.01 ,$251.30 ,$15.01 ,$215.40 ,$15.32 ,$269.25 ,$198.17 ,$178.78 ,$198.17 ,$15.01 ,$198.17 ,$22.80 ,$359.00 ,$22.80 ,$305.15 ,$38.30 ,$248.79 ,$15.01 ,$359.00 ,$201.40 ,$15.01 ,$94.06 , N/A ,$8.78 ,$8.38 ,$15.77 ,$287.20 ,$177.71 ,$100.52 ,$323.10 ,$136.42 ,$30.64 ,$15.01 ,$172.32 
ST. MARY'S HOSPITAL - DECATUR,30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$456.00 ,$328.32 ,$3.50 ,$456.00 ,$38.30 ,$26.04 ,$250.80 ,$15.01 ,$127.68 ,$59.04 ,$15.01 ,$61.50 ,$15.01 ,$225.72 ,$3.50 ,$15.01 ,$225.72 ,$30.95 ,$319.20 ,$34.73 ,$364.80 ,$38.30 ,$15.01 ,$319.20 ,$15.01 ,$273.60 ,$15.32 ,$342.00 ,$251.71 ,$227.09 ,$251.71 ,$15.01 ,$251.71 ,$22.80 ,$456.00 ,$22.80 ,$387.60 ,$38.30 ,$316.01 ,$15.01 ,$456.00 ,$255.82 ,$15.01 ,$119.47 , N/A ,$8.15 ,$7.78 ,$15.77 ,$364.80 ,$225.72 ,$127.68 ,$410.40 ,$173.28 ,$30.64 ,$15.01 ,$218.88 
ST. MARY'S HOSPITAL - DECATUR,30500268,85335,HC FACTOR INHIBITOR-90,305,1 ,$464.00 ,$334.08 ,$3.50 ,$464.00 ,$32.18 ,$21.88 ,$255.20 ,$12.61 ,$129.92 ,$49.58 ,$12.61 ,$51.65 ,$12.61 ,$229.68 ,$3.50 ,$12.61 ,$229.68 ,$26.00 ,$324.80 ,$29.20 ,$371.20 ,$32.18 ,$12.61 ,$324.80 ,$12.61 ,$278.40 ,$12.87 ,$348.00 ,$256.13 ,$231.07 ,$256.13 ,$12.61 ,$256.13 ,$19.15 ,$464.00 ,$19.15 ,$394.40 ,$32.18 ,$321.55 ,$12.61 ,$464.00 ,$260.30 ,$12.61 ,$121.57 , N/A ,$8.78 ,$8.38 ,$13.24 ,$371.20 ,$229.68 ,$129.92 ,$417.60 ,$176.32 ,$25.74 ,$12.61 ,$222.72 
ST. MARY'S HOSPITAL - DECATUR,30500272,85379,HC D DIMER QN-90,305,1 ,$227.00 ,$163.44 ,$3.50 ,$227.00 ,$25.45 ,$17.30 ,$124.85 ,$9.98 ,$63.56 ,$39.17 ,$9.98 ,$40.80 ,$9.98 ,$112.37 ,$3.50 ,$9.98 ,$112.37 ,$20.56 ,$158.90 ,$22.88 ,$181.60 ,$25.45 ,$9.98 ,$158.90 ,$9.98 ,$136.20 ,$10.17 ,$170.25 ,$125.30 ,$113.05 ,$125.30 ,$9.98 ,$125.30 ,$15.14 ,$227.00 ,$15.14 ,$192.95 ,$25.45 ,$157.31 ,$9.98 ,$227.00 ,$127.35 ,$9.98 ,$59.47 , N/A ,$8.78 ,$8.38 ,$10.48 ,$181.60 ,$112.37 ,$63.56 ,$204.30 ,$86.26 ,$20.36 ,$9.98 ,$108.96 
ST. MARY'S HOSPITAL - DECATUR,30500273,85384,HC FIBRINOGEN-90,305,1 ,$227.00 ,$163.44 ,$2.82 ,$227.00 ,$24.30 ,$16.52 ,$124.85 ,$9.53 ,$63.56 ,$32.74 ,$9.53 ,$34.10 ,$9.53 ,$112.37 ,$3.50 ,$9.53 ,$112.37 ,$19.63 ,$158.90 ,$22.10 ,$181.60 ,$24.30 ,$9.53 ,$158.90 ,$9.53 ,$136.20 ,$9.71 ,$170.25 ,$125.30 ,$113.05 ,$125.30 ,$9.53 ,$125.30 ,$13.02 ,$227.00 ,$13.02 ,$192.95 ,$24.30 ,$157.31 ,$9.53 ,$227.00 ,$127.35 ,$9.53 ,$59.47 , N/A ,$2.96 ,$2.82 ,$10.01 ,$181.60 ,$112.37 ,$63.56 ,$204.30 ,$86.26 ,$19.44 ,$9.53 ,$108.96 
ST. MARY'S HOSPITAL - DECATUR,30500275,85390,HC FIBRINOLYSIS EPL/LY30 W/REP-90,305,1 ,$203.00 ,$146.16 ,$2.82 ,$203.00 ,$38.70 ,$26.32 ,$111.65 ,$15.17 ,$56.84 ,$48.29 ,$15.17 ,$50.30 ,$15.17 ,$100.49 ,$10.99 ,$15.17 ,$100.49 ,$31.27 ,$142.10 ,$35.50 ,$162.40 ,$38.70 ,$15.17 ,$142.10 ,$15.17 ,$121.80 ,$15.47 ,$152.25 ,$112.06 ,$101.09 ,$112.06 ,$15.17 ,$112.06 ,$20.72 ,$203.00 ,$20.72 ,$172.55 ,$38.70 ,$140.68 ,$15.17 ,$203.00 ,$113.88 ,$15.17 ,$53.19 , N/A ,$2.96 ,$2.82 ,$15.92 ,$162.40 ,$100.49 ,$56.84 ,$182.70 ,$77.14 ,$30.96 ,$15.17 ,$97.44 
ST. MARY'S HOSPITAL - DECATUR,30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$573.00 ,$412.56 ,$3.50 ,$573.00 ,$77.15 ,$52.46 ,$315.15 ,$30.24 ,$160.44 ,$96.29 ,$30.24 ,$100.30 ,$30.24 ,$283.64 ,$3.50 ,$30.24 ,$283.64 ,$62.34 ,$401.10 ,$70.23 ,$458.40 ,$77.15 ,$30.24 ,$401.10 ,$30.24 ,$343.80 ,$30.85 ,$429.75 ,$316.30 ,$285.35 ,$316.30 ,$30.24 ,$316.30 ,$41.32 ,$573.00 ,$41.32 ,$487.05 ,$77.15 ,$397.09 ,$30.24 ,$573.00 ,$321.45 ,$30.24 ,$150.13 , N/A ,$8.78 ,$8.38 ,$31.75 ,$458.40 ,$283.64 ,$160.44 ,$515.70 ,$217.74 ,$61.72 ,$30.24 ,$275.04 
ST. MARY'S HOSPITAL - DECATUR,30500277,85415,HC PLASMINGEN ACTIVATOR INHIB-90,305,1 ,$291.00 ,$209.52 ,$3.50 ,$291.00 ,$42.98 ,$29.22 ,$160.05 ,$16.85 ,$81.48 ,$66.19 ,$16.85 ,$68.95 ,$16.85 ,$144.05 ,$3.50 ,$16.85 ,$144.05 ,$34.72 ,$203.70 ,$39.45 ,$232.80 ,$42.98 ,$16.85 ,$203.70 ,$16.85 ,$174.60 ,$17.18 ,$218.25 ,$160.63 ,$144.92 ,$160.63 ,$16.85 ,$160.63 ,$25.57 ,$291.00 ,$25.57 ,$247.35 ,$42.98 ,$201.66 ,$16.85 ,$291.00 ,$163.25 ,$16.85 ,$76.24 , N/A ,$8.78 ,$8.38 ,$17.69 ,$232.80 ,$144.05 ,$81.48 ,$261.90 ,$110.58 ,$34.38 ,$16.85 ,$139.68 
ST. MARY'S HOSPITAL - DECATUR,30500282,85461,HC FETAL HGB ROSETTE,305,1 ,$191.00 ,$137.52 ,$3.50 ,$191.00 ,$23.40 ,$15.92 ,$105.05 ,$9.17 ,$53.48 ,$29.18 ,$9.17 ,$30.40 ,$9.17 ,$94.55 ,$3.50 ,$9.17 ,$94.55 ,$18.91 ,$133.70 ,$21.30 ,$152.80 ,$23.40 ,$9.17 ,$133.70 ,$9.17 ,$114.60 ,$9.36 ,$143.25 ,$105.43 ,$95.12 ,$105.43 ,$9.17 ,$105.43 ,$12.54 ,$191.00 ,$12.54 ,$162.35 ,$23.40 ,$132.36 ,$9.17 ,$191.00 ,$107.15 ,$9.17 ,$50.04 , N/A ,$5.06 ,$4.83 ,$9.63 ,$152.80 ,$94.55 ,$53.48 ,$171.90 ,$72.58 ,$18.72 ,$9.17 ,$91.68 
ST. MARY'S HOSPITAL - DECATUR,30500283,85520,HC HEPARIN ASSAY-90,305,1 ,$389.00 ,$280.08 ,$3.50 ,$389.00 ,$32.73 ,$22.26 ,$213.95 ,$12.83 ,$108.92 ,$50.40 ,$12.83 ,$52.50 ,$12.83 ,$192.56 ,$3.50 ,$12.83 ,$192.56 ,$26.44 ,$272.30 ,$29.98 ,$311.20 ,$32.73 ,$12.83 ,$272.30 ,$12.83 ,$233.40 ,$13.08 ,$291.75 ,$214.73 ,$193.72 ,$214.73 ,$12.83 ,$214.73 ,$19.49 ,$389.00 ,$19.49 ,$330.65 ,$32.73 ,$269.58 ,$12.83 ,$389.00 ,$218.23 ,$12.83 ,$101.92 , N/A ,$8.78 ,$8.38 ,$13.47 ,$311.20 ,$192.56 ,$108.92 ,$350.10 ,$147.82 ,$26.18 ,$12.83 ,$186.72 
ST. MARY'S HOSPITAL - DECATUR,30500284,85536,HC IRON STAIN PERIPHERAL BLOOD,305,1 ,$149.00 ,$107.28 ,$3.50 ,$149.00 ,$17.20 ,$11.70 ,$81.95 ,$6.74 ,$41.72 ,$24.91 ,$6.74 ,$25.95 ,$6.74 ,$73.76 ,$3.50 ,$6.74 ,$73.76 ,$13.90 ,$104.30 ,$15.78 ,$119.20 ,$17.20 ,$6.74 ,$104.30 ,$6.74 ,$89.40 ,$6.88 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$6.74 ,$82.25 ,$9.61 ,$149.00 ,$9.61 ,$126.65 ,$17.20 ,$103.26 ,$6.74 ,$149.00 ,$83.59 ,$6.74 ,$39.04 , N/A ,$5.06 ,$4.83 ,$7.08 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$13.76 ,$6.74 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30500285,85536,HC IRON STAIN PERIPHERAL BLOOD,305,1 ,$149.00 ,$107.28 ,$3.50 ,$149.00 ,$17.20 ,$11.70 ,$81.95 ,$6.74 ,$41.72 ,$24.91 ,$6.74 ,$25.95 ,$6.74 ,$73.76 ,$3.50 ,$6.74 ,$73.76 ,$13.90 ,$104.30 ,$15.78 ,$119.20 ,$17.20 ,$6.74 ,$104.30 ,$6.74 ,$89.40 ,$6.88 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$6.74 ,$82.25 ,$9.61 ,$149.00 ,$9.61 ,$126.65 ,$17.20 ,$103.26 ,$6.74 ,$149.00 ,$83.59 ,$6.74 ,$39.04 , N/A ,$5.06 ,$4.83 ,$7.08 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$13.76 ,$6.74 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30500287,85549,HC MURAMIDASE-90,305,1 ,$279.00 ,$200.88 ,$3.50 ,$279.00 ,$46.88 ,$31.88 ,$153.45 ,$18.37 ,$78.12 ,$72.24 ,$18.37 ,$75.25 ,$18.37 ,$138.11 ,$3.50 ,$18.37 ,$138.11 ,$37.88 ,$195.30 ,$42.60 ,$223.20 ,$46.88 ,$18.37 ,$195.30 ,$18.37 ,$167.40 ,$18.75 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,$18.37 ,$154.01 ,$27.89 ,$279.00 ,$27.89 ,$237.15 ,$46.88 ,$193.35 ,$18.37 ,$279.00 ,$156.52 ,$18.37 ,$73.10 , N/A ,$8.15 ,$7.78 ,$19.30 ,$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$37.50 ,$18.37 ,$133.92 
ST. MARY'S HOSPITAL - DECATUR,30500288,85557,HC OSMOTIC FRAG RBC INCUB-90,305,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$33.40 ,$22.72 ,$178.20 ,$13.09 ,$90.72 ,$51.46 ,$13.09 ,$53.60 ,$13.09 ,$160.38 ,$3.50 ,$13.09 ,$160.38 ,$26.99 ,$226.80 ,$30.78 ,$259.20 ,$33.40 ,$13.09 ,$226.80 ,$13.09 ,$194.40 ,$13.36 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$13.09 ,$178.85 ,$19.87 ,$324.00 ,$19.87 ,$275.40 ,$33.40 ,$224.53 ,$13.09 ,$324.00 ,$181.76 ,$13.09 ,$84.89 , N/A ,$7.70 ,$7.35 ,$13.75 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$26.72 ,$13.09 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$300.00 ,$216.00 ,$3.50 ,$300.00 ,$44.95 ,$30.56 ,$165.00 ,$17.62 ,$84.00 ,$69.22 ,$17.62 ,$72.10 ,$17.62 ,$148.50 ,$3.50 ,$17.62 ,$148.50 ,$36.32 ,$210.00 ,$41.03 ,$240.00 ,$44.95 ,$17.62 ,$210.00 ,$17.62 ,$180.00 ,$17.97 ,$225.00 ,$165.60 ,$149.40 ,$165.60 ,$17.62 ,$165.60 ,$26.74 ,$300.00 ,$26.74 ,$255.00 ,$44.95 ,$207.90 ,$17.62 ,$300.00 ,$168.30 ,$17.62 ,$78.60 , N/A ,$8.78 ,$8.38 ,$18.50 ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$35.96 ,$17.62 ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$193.00 ,$138.96 ,$3.50 ,$193.00 ,$44.95 ,$30.56 ,$106.15 ,$17.62 ,$54.04 ,$69.22 ,$17.62 ,$72.10 ,$17.62 ,$95.54 ,$3.50 ,$17.62 ,$95.54 ,$36.32 ,$135.10 ,$41.03 ,$154.40 ,$44.95 ,$17.62 ,$135.10 ,$17.62 ,$115.80 ,$17.97 ,$144.75 ,$106.54 ,$96.11 ,$106.54 ,$17.62 ,$106.54 ,$26.74 ,$193.00 ,$26.74 ,$164.05 ,$44.95 ,$133.75 ,$17.62 ,$193.00 ,$108.27 ,$17.62 ,$50.57 , N/A ,$8.78 ,$8.38 ,$18.50 ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$35.96 ,$17.62 ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,30500292,85610,HC PROTHROMBIN TIME (PT)-90,305,1 ,$136.00 ,$97.92 ,$2.82 ,$136.00 ,$10.73 ,$7.30 ,$74.80 ,$4.20 ,$38.08 ,$20.50 ,$4.20 ,$21.35 ,$4.20 ,$67.32 ,$3.50 ,$4.20 ,$67.32 ,$8.67 ,$95.20 ,$9.48 ,$108.80 ,$10.73 ,$4.20 ,$95.20 ,$4.20 ,$81.60 ,$4.29 ,$102.00 ,$75.07 ,$67.73 ,$75.07 ,$4.20 ,$75.07 ,$5.85 ,$136.00 ,$5.85 ,$115.60 ,$10.73 ,$94.25 ,$4.20 ,$136.00 ,$76.30 ,$4.20 ,$35.63 , N/A ,$2.96 ,$2.82 ,$4.41 ,$108.80 ,$67.32 ,$38.08 ,$122.40 ,$51.68 ,$8.58 ,$4.20 ,$65.28 
ST. MARY'S HOSPITAL - DECATUR,30500295,85611,HC PT MIX STUDY-90,305,1 ,$149.00 ,$107.28 ,$2.82 ,$149.00 ,$9.85 ,$6.70 ,$81.95 ,$3.86 ,$41.72 ,$15.22 ,$3.86 ,$15.85 ,$3.86 ,$73.76 ,$3.50 ,$3.86 ,$73.76 ,$7.96 ,$104.30 ,$8.68 ,$119.20 ,$9.85 ,$3.86 ,$104.30 ,$3.86 ,$89.40 ,$3.94 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$3.86 ,$82.25 ,$5.86 ,$149.00 ,$5.86 ,$126.65 ,$9.85 ,$103.26 ,$3.86 ,$149.00 ,$83.59 ,$3.86 ,$39.04 , N/A ,$2.96 ,$2.82 ,$4.06 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$7.88 ,$3.86 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30500296,85611,HC PT MIX STUDY,305,1 ,$149.00 ,$107.28 ,$2.82 ,$149.00 ,$9.85 ,$6.70 ,$81.95 ,$3.86 ,$41.72 ,$15.22 ,$3.86 ,$15.85 ,$3.86 ,$73.76 ,$3.50 ,$3.86 ,$73.76 ,$7.96 ,$104.30 ,$8.68 ,$119.20 ,$9.85 ,$3.86 ,$104.30 ,$3.86 ,$89.40 ,$3.94 ,$111.75 ,$82.25 ,$74.20 ,$82.25 ,$3.86 ,$82.25 ,$5.86 ,$149.00 ,$5.86 ,$126.65 ,$9.85 ,$103.26 ,$3.86 ,$149.00 ,$83.59 ,$3.86 ,$39.04 , N/A ,$2.96 ,$2.82 ,$4.06 ,$119.20 ,$73.76 ,$41.72 ,$134.10 ,$56.62 ,$7.88 ,$3.86 ,$71.52 
ST. MARY'S HOSPITAL - DECATUR,30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$229.00 ,$164.88 ,$3.50 ,$229.00 ,$23.95 ,$16.28 ,$125.95 ,$9.39 ,$64.12 ,$36.91 ,$9.39 ,$38.45 ,$9.39 ,$113.36 ,$3.50 ,$9.39 ,$113.36 ,$19.35 ,$160.30 ,$22.10 ,$183.20 ,$23.95 ,$9.39 ,$160.30 ,$9.39 ,$137.40 ,$9.57 ,$171.75 ,$126.41 ,$114.04 ,$126.41 ,$9.39 ,$126.41 ,$14.24 ,$229.00 ,$14.24 ,$194.65 ,$23.95 ,$158.70 ,$9.39 ,$229.00 ,$128.47 ,$9.39 ,$60.00 , N/A ,$8.78 ,$8.38 ,$9.86 ,$183.20 ,$113.36 ,$64.12 ,$206.10 ,$87.02 ,$19.16 ,$9.39 ,$109.92 
ST. MARY'S HOSPITAL - DECATUR,30500300,85635,HC REPTILASE TEST-90,305,1 ,$79.00 ,$56.88 ,$3.50 ,$79.00 ,$24.63 ,$16.74 ,$43.45 ,$9.65 ,$22.12 ,$37.92 ,$9.65 ,$39.50 ,$9.65 ,$39.11 ,$3.50 ,$9.65 ,$39.11 ,$19.90 ,$55.30 ,$22.10 ,$63.20 ,$24.63 ,$9.65 ,$55.30 ,$9.65 ,$47.40 ,$9.85 ,$59.25 ,$43.61 ,$39.34 ,$43.61 ,$9.65 ,$43.61 ,$14.65 ,$79.00 ,$14.65 ,$67.15 ,$24.63 ,$54.75 ,$9.65 ,$79.00 ,$44.32 ,$9.65 ,$20.70 , N/A ,$7.70 ,$7.35 ,$10.13 ,$63.20 ,$39.11 ,$22.12 ,$71.10 ,$30.02 ,$19.70 ,$9.65 ,$37.92 
ST. MARY'S HOSPITAL - DECATUR,30500301,85660,HC SICKLE CELL RBC-90,305,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$13.78 ,$9.36 ,$80.30 ,$5.40 ,$40.88 ,$21.22 ,$5.40 ,$22.10 ,$5.40 ,$72.27 ,$3.50 ,$5.40 ,$72.27 ,$11.13 ,$102.20 ,$12.63 ,$116.80 ,$13.78 ,$5.40 ,$102.20 ,$5.40 ,$87.60 ,$5.51 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$5.40 ,$80.59 ,$8.20 ,$146.00 ,$8.20 ,$124.10 ,$13.78 ,$101.18 ,$5.40 ,$146.00 ,$81.91 ,$5.40 ,$38.25 , N/A ,$5.06 ,$4.83 ,$5.67 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$11.02 ,$5.40 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30500302,85660,HC SICKLE CELL RBC-90,305,1 ,$146.00 ,$105.12 ,$3.50 ,$146.00 ,$13.78 ,$9.36 ,$80.30 ,$5.40 ,$40.88 ,$21.22 ,$5.40 ,$22.10 ,$5.40 ,$72.27 ,$3.50 ,$5.40 ,$72.27 ,$11.13 ,$102.20 ,$12.63 ,$116.80 ,$13.78 ,$5.40 ,$102.20 ,$5.40 ,$87.60 ,$5.51 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$5.40 ,$80.59 ,$8.20 ,$146.00 ,$8.20 ,$124.10 ,$13.78 ,$101.18 ,$5.40 ,$146.00 ,$81.91 ,$5.40 ,$38.25 , N/A ,$5.06 ,$4.83 ,$5.67 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$11.02 ,$5.40 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,30500303,85660,HC SICKLE CELL RBC,305,1 ,$127.00 ,$91.44 ,$3.50 ,$127.00 ,$13.78 ,$9.36 ,$69.85 ,$5.40 ,$35.56 ,$21.22 ,$5.40 ,$22.10 ,$5.40 ,$62.87 ,$3.50 ,$5.40 ,$62.87 ,$11.13 ,$88.90 ,$12.63 ,$101.60 ,$13.78 ,$5.40 ,$88.90 ,$5.40 ,$76.20 ,$5.51 ,$95.25 ,$70.10 ,$63.25 ,$70.10 ,$5.40 ,$70.10 ,$8.20 ,$127.00 ,$8.20 ,$107.95 ,$13.78 ,$88.01 ,$5.40 ,$127.00 ,$71.25 ,$5.40 ,$33.27 , N/A ,$5.06 ,$4.83 ,$5.67 ,$101.60 ,$62.87 ,$35.56 ,$114.30 ,$48.26 ,$11.02 ,$5.40 ,$60.96 
ST. MARY'S HOSPITAL - DECATUR,30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$97.00 ,$69.84 ,$2.82 ,$97.00 ,$14.43 ,$9.80 ,$53.35 ,$5.65 ,$27.16 ,$22.22 ,$5.65 ,$23.15 ,$5.65 ,$48.02 ,$3.50 ,$5.65 ,$48.02 ,$11.66 ,$67.90 ,$13.43 ,$77.60 ,$14.43 ,$5.65 ,$67.90 ,$5.65 ,$58.20 ,$5.77 ,$72.75 ,$53.54 ,$48.31 ,$53.54 ,$5.65 ,$53.54 ,$8.58 ,$97.00 ,$8.58 ,$82.45 ,$14.43 ,$67.22 ,$5.65 ,$97.00 ,$54.42 ,$5.65 ,$25.41 , N/A ,$2.96 ,$2.82 ,$5.94 ,$77.60 ,$48.02 ,$27.16 ,$87.30 ,$36.86 ,$11.54 ,$5.65 ,$46.56 
ST. MARY'S HOSPITAL - DECATUR,30500305,85730,HC PTT-90,305,1 ,$207.00 ,$149.04 ,$2.82 ,$207.00 ,$15.03 ,$10.22 ,$113.85 ,$5.89 ,$57.96 ,$31.34 ,$5.89 ,$32.65 ,$5.89 ,$102.47 ,$3.50 ,$5.89 ,$102.47 ,$12.14 ,$144.90 ,$13.43 ,$165.60 ,$15.03 ,$5.89 ,$144.90 ,$5.89 ,$124.20 ,$6.01 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$5.89 ,$114.26 ,$8.93 ,$207.00 ,$8.93 ,$175.95 ,$15.03 ,$143.45 ,$5.89 ,$207.00 ,$116.13 ,$5.89 ,$54.23 , N/A ,$2.96 ,$2.82 ,$6.18 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$12.02 ,$5.89 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30500307,85732,HC PTT MIXING STUDY T1-90,305,1 ,$187.00 ,$134.64 ,$2.82 ,$187.00 ,$16.18 ,$11.00 ,$102.85 ,$6.34 ,$52.36 ,$24.91 ,$6.34 ,$25.95 ,$6.34 ,$92.57 ,$3.50 ,$6.34 ,$92.57 ,$13.07 ,$130.90 ,$15.00 ,$149.60 ,$16.18 ,$6.34 ,$130.90 ,$6.34 ,$112.20 ,$6.47 ,$140.25 ,$103.22 ,$93.13 ,$103.22 ,$6.34 ,$103.22 ,$9.61 ,$187.00 ,$9.61 ,$158.95 ,$16.18 ,$129.59 ,$6.34 ,$187.00 ,$104.91 ,$6.34 ,$48.99 , N/A ,$2.96 ,$2.82 ,$6.65 ,$149.60 ,$92.57 ,$52.36 ,$168.30 ,$71.06 ,$12.94 ,$6.34 ,$89.76 
ST. MARY'S HOSPITAL - DECATUR,30500310,85810,HC VISCOSITY-90,305,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$29.18 ,$19.84 ,$113.85 ,$11.44 ,$57.96 ,$44.98 ,$11.44 ,$46.85 ,$11.44 ,$102.47 ,$3.50 ,$11.44 ,$102.47 ,$23.57 ,$144.90 ,$26.83 ,$165.60 ,$29.18 ,$11.44 ,$144.90 ,$11.44 ,$124.20 ,$11.66 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$11.44 ,$114.26 ,$17.37 ,$207.00 ,$17.37 ,$175.95 ,$29.18 ,$143.45 ,$11.44 ,$207.00 ,$116.13 ,$11.44 ,$54.23 , N/A ,$7.70 ,$7.35 ,$12.00 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$23.34 ,$11.44 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30500311,89331,HC SPERM EVAL URINE,305,1 ,$263.00 ,$189.36 ,$3.50 ,$263.00 ,$48.98 ,$33.30 ,$144.65 ,$19.20 ,$73.64 ,$75.46 ,$19.20 ,$78.60 ,$19.20 ,$130.19 ,$3.50 ,$19.20 ,$130.19 ,$39.57 ,$184.10 ,$44.98 ,$210.40 ,$48.98 ,$19.20 ,$184.10 ,$19.20 ,$157.80 ,$19.58 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$19.20 ,$145.18 ,$29.14 ,$263.00 ,$29.14 ,$223.55 ,$48.98 ,$182.26 ,$19.20 ,$263.00 ,$147.54 ,$19.20 ,$68.91 , N/A ,$23.29 ,$22.23 ,$20.16 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$39.18 ,$19.20 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30500325,85013,HC BLOOD COUNT SPUN MICROHEMATOCRIT,305,1 ,$56.00 ,$40.32 ,$3.50 ,$56.00 ,$17.50 ,$11.90 ,$30.80 ,$6.86 ,$15.68 ,$29.29 ,$6.86 ,$30.80 ,$6.86 ,$27.72 ,$3.50 ,$6.86 ,$27.72 ,$14.14 ,$39.20 ,$15.78 ,$44.80 ,$17.50 ,$6.86 ,$39.20 ,$6.86 ,$33.60 ,$7.00 ,$42.00 ,$30.91 ,$27.89 ,$30.91 ,$6.86 ,$30.91 ,$9.37 ,$56.00 ,$9.37 ,$47.60 ,$17.50 ,$38.81 ,$6.86 ,$56.00 ,$31.42 ,$6.86 ,$14.67 , N/A ,$5.06 ,$4.83 ,$7.20 ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$14.00 ,$6.86 ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,30500342,85597,HC PLATELET NEUTRALIZATION,305,1 ,$300.00 ,$216.00 ,$3.50 ,$300.00 ,$44.95 ,$30.56 ,$165.00 ,$17.62 ,$84.00 ,$69.22 ,$17.62 ,$72.10 ,$17.62 ,$148.50 ,$3.50 ,$17.62 ,$148.50 ,$36.32 ,$210.00 ,$41.03 ,$240.00 ,$44.95 ,$17.62 ,$210.00 ,$17.62 ,$180.00 ,$17.97 ,$225.00 ,$165.60 ,$149.40 ,$165.60 ,$17.62 ,$165.60 ,$26.74 ,$300.00 ,$26.74 ,$255.00 ,$44.95 ,$207.90 ,$17.62 ,$300.00 ,$168.30 ,$17.62 ,$78.60 , N/A ,$8.78 ,$8.38 ,$18.50 ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$35.96 ,$17.62 ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,30500847,85048,HC BLOOD COUNT LEUKO AUTO-90,305,1 ,$86.00 ,$61.92 ,$2.49 ,$86.00 ,$6.35 ,$4.32 ,$47.30 ,$2.49 ,$24.08 ,$13.20 ,$2.49 ,$13.75 ,$2.49 ,$42.57 ,$3.50 ,$2.49 ,$42.57 ,$5.13 ,$60.20 ,$5.53 ,$68.80 ,$6.35 ,$2.49 ,$60.20 ,$2.49 ,$51.60 ,$2.54 ,$64.50 ,$47.47 ,$42.83 ,$47.47 ,$2.49 ,$47.47 ,$3.78 ,$86.00 ,$3.78 ,$73.10 ,$6.35 ,$59.60 ,$2.49 ,$86.00 ,$48.25 ,$2.49 ,$22.53 , N/A ,$5.06 ,$4.83 ,$2.62 ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$5.08 ,$2.49 ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,30500848,85004,HC WBC W/AUTO DIFFERENTIAL-90,305,1 ,$484.00 ,$348.48 ,$3.50 ,$484.00 ,$16.18 ,$11.00 ,$266.20 ,$6.34 ,$135.52 ,$33.70 ,$6.34 ,$35.10 ,$6.34 ,$239.58 ,$3.50 ,$6.34 ,$239.58 ,$13.07 ,$338.80 ,$15.00 ,$387.20 ,$16.18 ,$6.34 ,$338.80 ,$6.34 ,$290.40 ,$6.47 ,$363.00 ,$267.17 ,$241.03 ,$267.17 ,$6.34 ,$267.17 ,$9.61 ,$484.00 ,$9.61 ,$411.40 ,$16.18 ,$335.41 ,$6.34 ,$484.00 ,$271.52 ,$6.34 ,$126.81 , N/A ,$5.06 ,$4.83 ,$6.65 ,$387.20 ,$239.58 ,$135.52 ,$435.60 ,$183.92 ,$12.94 ,$6.34 ,$232.32 
ST. MARY'S HOSPITAL - DECATUR,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$16.70 ,$11.36 ,$58.30 ,$6.55 ,$29.68 ,$25.73 ,$6.55 ,$26.80 ,$6.55 ,$52.47 ,$3.50 ,$6.55 ,$52.47 ,$13.49 ,$74.20 ,$15.00 ,$84.80 ,$16.70 ,$6.55 ,$74.20 ,$6.55 ,$63.60 ,$6.67 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$6.55 ,$58.51 ,$9.94 ,$106.00 ,$9.94 ,$90.10 ,$16.70 ,$73.46 ,$6.55 ,$106.00 ,$59.47 ,$6.55 ,$27.77 , N/A ,$5.82 ,$5.55 ,$6.87 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$13.36 ,$6.55 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30600102,87040,HC BLOOD CULTURE,306,1 ,$461.00 ,$331.92 ,$3.50 ,$461.00 ,$25.80 ,$17.54 ,$253.55 ,$10.11 ,$129.08 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$228.20 ,$3.50 ,$10.11 ,$228.20 ,$20.85 ,$322.70 ,$23.68 ,$368.80 ,$25.80 ,$10.11 ,$322.70 ,$10.11 ,$276.60 ,$10.32 ,$345.75 ,$254.47 ,$229.58 ,$254.47 ,$10.11 ,$254.47 ,$15.36 ,$461.00 ,$15.36 ,$391.85 ,$25.80 ,$319.47 ,$10.11 ,$461.00 ,$258.62 ,$10.11 ,$120.78 , N/A ,$19.35 ,$18.47 ,$10.62 ,$368.80 ,$228.20 ,$129.08 ,$414.90 ,$175.18 ,$20.64 ,$10.11 ,$221.28 
ST. MARY'S HOSPITAL - DECATUR,30600109,87070,HC BODY FLUID CULTURE,306,1 ,$403.00 ,$290.16 ,$3.50 ,$403.00 ,$21.55 ,$14.66 ,$221.65 ,$8.45 ,$112.84 ,$44.93 ,$8.45 ,$46.80 ,$8.45 ,$199.49 ,$3.50 ,$8.45 ,$199.49 ,$17.41 ,$282.10 ,$19.73 ,$322.40 ,$21.55 ,$8.45 ,$282.10 ,$8.45 ,$241.80 ,$8.61 ,$302.25 ,$222.46 ,$200.69 ,$222.46 ,$8.45 ,$222.46 ,$12.81 ,$403.00 ,$12.81 ,$342.55 ,$21.55 ,$279.28 ,$8.45 ,$403.00 ,$226.08 ,$8.45 ,$105.59 , N/A ,$5.82 ,$5.55 ,$8.87 ,$322.40 ,$199.49 ,$112.84 ,$362.70 ,$153.14 ,$17.24 ,$8.45 ,$193.44 
ST. MARY'S HOSPITAL - DECATUR,30600119,87075,HC CULTURE ANAEROBIC,306,1 ,$402.00 ,$289.44 ,$3.50 ,$402.00 ,$23.68 ,$16.10 ,$221.10 ,$9.28 ,$112.56 ,$36.48 ,$9.28 ,$38.00 ,$9.28 ,$198.99 ,$3.50 ,$9.28 ,$198.99 ,$19.13 ,$281.40 ,$21.30 ,$321.60 ,$23.68 ,$9.28 ,$281.40 ,$9.28 ,$241.20 ,$9.47 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$9.28 ,$221.90 ,$14.09 ,$402.00 ,$14.09 ,$341.70 ,$23.68 ,$278.59 ,$9.28 ,$402.00 ,$225.52 ,$9.28 ,$105.32 , N/A ,$5.82 ,$5.55 ,$9.74 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$18.94 ,$9.28 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,30600121,87076,HC CULTURE ANAEROBIC ID,306,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$20.20 ,$13.74 ,$91.85 ,$7.92 ,$46.76 ,$31.10 ,$7.92 ,$32.40 ,$7.92 ,$82.67 ,$3.50 ,$7.92 ,$82.67 ,$16.32 ,$116.90 ,$18.15 ,$133.60 ,$20.20 ,$7.92 ,$116.90 ,$7.92 ,$100.20 ,$8.08 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$7.92 ,$92.18 ,$12.01 ,$167.00 ,$12.01 ,$141.95 ,$20.20 ,$115.73 ,$7.92 ,$167.00 ,$93.69 ,$7.92 ,$43.75 , N/A ,$5.82 ,$5.55 ,$8.31 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$16.16 ,$7.92 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30600134,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$20.18 ,$13.72 ,$103.95 ,$7.91 ,$52.92 ,$42.05 ,$7.91 ,$43.80 ,$7.91 ,$93.56 ,$3.50 ,$7.91 ,$93.56 ,$16.30 ,$132.30 ,$18.15 ,$151.20 ,$20.18 ,$7.91 ,$132.30 ,$7.91 ,$113.40 ,$8.07 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$7.91 ,$104.33 ,$12.01 ,$189.00 ,$12.01 ,$160.65 ,$20.18 ,$130.98 ,$7.91 ,$189.00 ,$106.03 ,$7.91 ,$49.52 , N/A ,$5.82 ,$5.55 ,$8.30 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$16.14 ,$7.91 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30600135,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$461.00 ,$331.92 ,$3.50 ,$461.00 ,$20.23 ,$13.76 ,$253.55 ,$7.93 ,$129.08 ,$42.19 ,$7.93 ,$43.95 ,$7.93 ,$228.20 ,$3.50 ,$7.93 ,$228.20 ,$16.34 ,$322.70 ,$18.15 ,$368.80 ,$20.23 ,$7.93 ,$322.70 ,$7.93 ,$276.60 ,$8.08 ,$345.75 ,$254.47 ,$229.58 ,$254.47 ,$7.93 ,$254.47 ,$12.04 ,$461.00 ,$12.04 ,$391.85 ,$20.23 ,$319.47 ,$7.93 ,$461.00 ,$258.62 ,$7.93 ,$120.78 , N/A ,$5.82 ,$5.55 ,$8.32 ,$368.80 ,$228.20 ,$129.08 ,$414.90 ,$175.18 ,$16.18 ,$7.93 ,$221.28 
ST. MARY'S HOSPITAL - DECATUR,30600138,87102,HC CULTURE FUNGUS OTHER,306,1 ,$463.00 ,$333.36 ,$3.50 ,$463.00 ,$21.03 ,$14.30 ,$254.65 ,$8.24 ,$129.64 ,$32.40 ,$8.24 ,$33.75 ,$8.24 ,$229.19 ,$3.50 ,$8.24 ,$229.19 ,$16.99 ,$324.10 ,$18.93 ,$370.40 ,$21.03 ,$8.24 ,$324.10 ,$8.24 ,$277.80 ,$8.41 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$8.24 ,$255.58 ,$12.50 ,$463.00 ,$12.50 ,$393.55 ,$21.03 ,$320.86 ,$8.24 ,$463.00 ,$259.74 ,$8.24 ,$121.31 , N/A ,$5.82 ,$5.55 ,$8.65 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$16.82 ,$8.24 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,30600140,87103,HC CULTURE FUNGUS BLOOD,306,1 ,$472.00 ,$339.84 ,$3.50 ,$472.00 ,$51.15 ,$34.78 ,$259.60 ,$20.05 ,$132.16 ,$63.84 ,$20.05 ,$66.50 ,$20.05 ,$233.64 ,$3.50 ,$20.05 ,$233.64 ,$41.33 ,$330.40 ,$46.55 ,$377.60 ,$51.15 ,$20.05 ,$330.40 ,$20.05 ,$283.20 ,$20.45 ,$354.00 ,$260.54 ,$235.06 ,$260.54 ,$20.05 ,$260.54 ,$27.40 ,$472.00 ,$27.40 ,$401.20 ,$51.15 ,$327.10 ,$20.05 ,$472.00 ,$264.79 ,$20.05 ,$123.66 , N/A ,$19.35 ,$18.47 ,$21.05 ,$377.60 ,$233.64 ,$132.16 ,$424.80 ,$179.36 ,$40.92 ,$20.05 ,$226.56 
ST. MARY'S HOSPITAL - DECATUR,30600142,87106,HC CULTURE FUNGUS ID,306,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$25.80 ,$17.54 ,$178.20 ,$10.11 ,$90.72 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$160.38 ,$3.50 ,$10.11 ,$160.38 ,$20.85 ,$226.80 ,$23.68 ,$259.20 ,$25.80 ,$10.11 ,$226.80 ,$10.11 ,$194.40 ,$10.32 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$10.11 ,$178.85 ,$15.36 ,$324.00 ,$15.36 ,$275.40 ,$25.80 ,$224.53 ,$10.11 ,$324.00 ,$181.76 ,$10.11 ,$84.89 , N/A ,$5.82 ,$5.55 ,$10.62 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$20.64 ,$10.11 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30600148,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$262.00 ,$188.64 ,$3.50 ,$262.00 ,$27.00 ,$18.36 ,$144.10 ,$10.58 ,$73.36 ,$41.62 ,$10.58 ,$43.35 ,$10.58 ,$129.69 ,$3.50 ,$10.58 ,$129.69 ,$21.82 ,$183.40 ,$24.45 ,$209.60 ,$27.00 ,$10.58 ,$183.40 ,$10.58 ,$157.20 ,$10.80 ,$196.50 ,$144.62 ,$130.48 ,$144.62 ,$10.58 ,$144.62 ,$16.07 ,$262.00 ,$16.07 ,$222.70 ,$27.00 ,$181.57 ,$10.58 ,$262.00 ,$146.98 ,$10.58 ,$68.64 , N/A ,$19.35 ,$18.47 ,$11.11 ,$209.60 ,$129.69 ,$73.36 ,$235.80 ,$99.56 ,$21.60 ,$10.58 ,$125.76 
ST. MARY'S HOSPITAL - DECATUR,30600160,87150,HC ID NUCLEAR ACID PROBE,306,1 ,$267.00 ,$192.24 ,$3.50 ,$267.00 ,$87.73 ,$59.66 ,$146.85 ,$34.39 ,$74.76 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$132.17 ,$3.50 ,$34.39 ,$132.17 ,$70.88 ,$186.90 ,$79.70 ,$213.60 ,$87.73 ,$34.39 ,$186.90 ,$34.39 ,$160.20 ,$35.07 ,$200.25 ,$147.38 ,$132.97 ,$147.38 ,$34.39 ,$147.38 ,$52.21 ,$267.00 ,$52.21 ,$226.95 ,$87.73 ,$185.03 ,$34.39 ,$267.00 ,$149.79 ,$34.39 ,$69.95 , N/A ,$5.82 ,$5.55 ,$36.10 ,$213.60 ,$132.17 ,$74.76 ,$240.30 ,$101.46 ,$70.18 ,$34.39 ,$128.16 
ST. MARY'S HOSPITAL - DECATUR,30600161,87168,HC EXAM ARTHROPOD,306,1 ,$99.00 ,$71.28 ,$3.50 ,$99.00 ,$10.68 ,$7.26 ,$54.45 ,$4.18 ,$27.72 ,$16.46 ,$4.18 ,$17.15 ,$4.18 ,$49.01 ,$3.50 ,$4.18 ,$49.01 ,$8.63 ,$69.30 ,$9.48 ,$79.20 ,$10.68 ,$4.18 ,$69.30 ,$4.18 ,$59.40 ,$4.27 ,$74.25 ,$54.65 ,$49.30 ,$54.65 ,$4.18 ,$54.65 ,$6.37 ,$99.00 ,$6.37 ,$84.15 ,$10.68 ,$68.61 ,$4.18 ,$99.00 ,$55.54 ,$4.18 ,$25.94 , N/A ,$5.82 ,$5.55 ,$4.39 ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$8.54 ,$4.18 ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,30600162,87169,HC PARASITE ID,306,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$10.78 ,$7.32 ,$135.30 ,$4.22 ,$68.88 ,$16.46 ,$4.22 ,$17.15 ,$4.22 ,$121.77 ,$3.50 ,$4.22 ,$121.77 ,$8.71 ,$172.20 ,$9.48 ,$196.80 ,$10.78 ,$4.22 ,$172.20 ,$4.22 ,$147.60 ,$4.31 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$4.22 ,$135.79 ,$6.37 ,$246.00 ,$6.37 ,$209.10 ,$10.78 ,$170.48 ,$4.22 ,$246.00 ,$138.01 ,$4.22 ,$64.45 , N/A ,$5.82 ,$5.55 ,$4.44 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$8.62 ,$4.22 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30600163,87172,HC PINWORM EXAM,306,1 ,$288.00 ,$207.36 ,$3.50 ,$288.00 ,$10.68 ,$7.26 ,$158.40 ,$4.18 ,$80.64 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$142.56 ,$3.50 ,$4.18 ,$142.56 ,$8.63 ,$201.60 ,$9.48 ,$230.40 ,$10.68 ,$4.18 ,$201.60 ,$4.18 ,$172.80 ,$4.27 ,$216.00 ,$158.98 ,$143.42 ,$158.98 ,$4.18 ,$158.98 ,$6.37 ,$288.00 ,$6.37 ,$244.80 ,$10.68 ,$199.58 ,$4.18 ,$288.00 ,$161.57 ,$4.18 ,$75.46 , N/A ,$5.82 ,$5.55 ,$4.39 ,$230.40 ,$142.56 ,$80.64 ,$259.20 ,$109.44 ,$8.54 ,$4.18 ,$138.24 
ST. MARY'S HOSPITAL - DECATUR,30600166,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$96.00 ,$69.12 ,$3.50 ,$96.00 ,$11.88 ,$8.08 ,$52.80 ,$4.65 ,$26.88 ,$24.77 ,$4.65 ,$25.80 ,$4.65 ,$47.52 ,$3.50 ,$4.65 ,$47.52 ,$9.60 ,$67.20 ,$11.05 ,$76.80 ,$11.88 ,$4.65 ,$67.20 ,$4.65 ,$57.60 ,$4.75 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$4.65 ,$52.99 ,$7.06 ,$96.00 ,$7.06 ,$81.60 ,$11.88 ,$66.53 ,$4.65 ,$96.00 ,$53.86 ,$4.65 ,$25.15 , N/A ,$5.82 ,$5.55 ,$4.89 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$9.50 ,$4.65 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30600169,87184,HC SENSITIVITY DISK KB,306,1 ,$297.00 ,$213.84 ,$3.50 ,$297.00 ,$18.70 ,$12.72 ,$163.35 ,$7.33 ,$83.16 ,$35.95 ,$7.33 ,$37.45 ,$7.33 ,$147.02 ,$3.50 ,$7.33 ,$147.02 ,$15.11 ,$207.90 ,$17.35 ,$237.60 ,$18.70 ,$7.33 ,$207.90 ,$7.33 ,$178.20 ,$7.48 ,$222.75 ,$163.94 ,$147.91 ,$163.94 ,$7.33 ,$163.94 ,$10.26 ,$297.00 ,$10.26 ,$252.45 ,$18.70 ,$205.82 ,$7.33 ,$297.00 ,$166.62 ,$7.33 ,$77.81 , N/A ,$5.82 ,$5.55 ,$7.69 ,$237.60 ,$147.02 ,$83.16 ,$267.30 ,$112.86 ,$14.96 ,$7.33 ,$142.56 
ST. MARY'S HOSPITAL - DECATUR,30600171,87185,HC BETA LACTAMASE,306,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$11.88 ,$8.08 ,$73.70 ,$4.65 ,$37.52 ,$18.29 ,$4.65 ,$19.05 ,$4.65 ,$66.33 ,$3.50 ,$4.65 ,$66.33 ,$9.60 ,$93.80 ,$11.05 ,$107.20 ,$11.88 ,$4.65 ,$93.80 ,$4.65 ,$80.40 ,$4.75 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.65 ,$73.97 ,$7.06 ,$134.00 ,$7.06 ,$113.90 ,$11.88 ,$92.86 ,$4.65 ,$134.00 ,$75.17 ,$4.65 ,$35.11 , N/A ,$5.82 ,$5.55 ,$4.89 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$9.50 ,$4.65 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30600172,87186,HC SENSITIVITY MIC,306,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$21.63 ,$14.70 ,$107.25 ,$8.48 ,$54.60 ,$33.31 ,$8.48 ,$34.70 ,$8.48 ,$96.53 ,$3.50 ,$8.48 ,$96.53 ,$17.47 ,$136.50 ,$19.73 ,$156.00 ,$21.63 ,$8.48 ,$136.50 ,$8.48 ,$117.00 ,$8.64 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$8.48 ,$107.64 ,$12.86 ,$195.00 ,$12.86 ,$165.75 ,$21.63 ,$135.14 ,$8.48 ,$195.00 ,$109.40 ,$8.48 ,$51.09 , N/A ,$5.82 ,$5.55 ,$8.90 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$17.30 ,$8.48 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$10.68 ,$7.26 ,$115.50 ,$4.18 ,$58.80 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$103.95 ,$3.50 ,$4.18 ,$103.95 ,$8.63 ,$147.00 ,$9.48 ,$168.00 ,$10.68 ,$4.18 ,$147.00 ,$4.18 ,$126.00 ,$4.27 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$4.18 ,$115.92 ,$6.37 ,$210.00 ,$6.37 ,$178.50 ,$10.68 ,$145.53 ,$4.18 ,$210.00 ,$117.81 ,$4.18 ,$55.02 , N/A ,$5.82 ,$5.55 ,$4.39 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$8.54 ,$4.18 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30600176,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$82.00 ,$59.04 ,$3.50 ,$82.00 ,$13.48 ,$9.16 ,$45.10 ,$5.28 ,$22.96 ,$28.08 ,$5.28 ,$29.25 ,$5.28 ,$40.59 ,$3.50 ,$5.28 ,$40.59 ,$10.89 ,$57.40 ,$12.63 ,$65.60 ,$13.48 ,$5.28 ,$57.40 ,$5.28 ,$49.20 ,$5.39 ,$61.50 ,$45.26 ,$40.84 ,$45.26 ,$5.28 ,$45.26 ,$8.02 ,$82.00 ,$8.02 ,$69.70 ,$13.48 ,$56.83 ,$5.28 ,$82.00 ,$46.00 ,$5.28 ,$21.48 , N/A ,$5.82 ,$5.55 ,$5.55 ,$65.60 ,$40.59 ,$22.96 ,$73.80 ,$31.16 ,$10.78 ,$5.28 ,$39.36 
ST. MARY'S HOSPITAL - DECATUR,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$14.55 ,$9.90 ,$128.15 ,$5.70 ,$65.24 ,$24.58 ,$5.70 ,$25.60 ,$5.70 ,$115.34 ,$3.50 ,$5.70 ,$115.34 ,$11.76 ,$163.10 ,$13.43 ,$186.40 ,$14.55 ,$5.70 ,$163.10 ,$5.70 ,$139.80 ,$5.82 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$5.70 ,$128.62 ,$7.80 ,$233.00 ,$7.80 ,$198.05 ,$14.55 ,$161.47 ,$5.70 ,$233.00 ,$130.71 ,$5.70 ,$61.05 , N/A ,$5.82 ,$5.55 ,$5.99 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$11.64 ,$5.70 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600185,87220,HC TISSUE KOH PREP,306,1 ,$153.00 ,$110.16 ,$3.50 ,$153.00 ,$10.68 ,$7.26 ,$84.15 ,$4.18 ,$42.84 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$75.74 ,$3.50 ,$4.18 ,$75.74 ,$8.63 ,$107.10 ,$9.48 ,$122.40 ,$10.68 ,$4.18 ,$107.10 ,$4.18 ,$91.80 ,$4.27 ,$114.75 ,$84.46 ,$76.19 ,$84.46 ,$4.18 ,$84.46 ,$6.37 ,$153.00 ,$6.37 ,$130.05 ,$10.68 ,$106.03 ,$4.18 ,$153.00 ,$85.83 ,$4.18 ,$40.09 , N/A ,$5.82 ,$5.55 ,$4.39 ,$122.40 ,$75.74 ,$42.84 ,$137.70 ,$58.14 ,$8.54 ,$4.18 ,$73.44 
ST. MARY'S HOSPITAL - DECATUR,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$448.00 ,$322.56 ,$3.50 ,$448.00 ,$29.95 ,$20.36 ,$246.40 ,$11.74 ,$125.44 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$221.76 ,$3.50 ,$11.74 ,$221.76 ,$24.20 ,$313.60 ,$27.63 ,$358.40 ,$29.95 ,$11.74 ,$313.60 ,$11.74 ,$268.80 ,$11.98 ,$336.00 ,$247.30 ,$223.10 ,$247.30 ,$11.74 ,$247.30 ,$17.84 ,$448.00 ,$17.84 ,$380.80 ,$29.95 ,$310.46 ,$11.74 ,$448.00 ,$251.33 ,$11.74 ,$117.38 , N/A ,$7.30 ,$6.97 ,$12.33 ,$358.40 ,$221.76 ,$125.44 ,$403.20 ,$170.24 ,$23.96 ,$11.74 ,$215.04 
ST. MARY'S HOSPITAL - DECATUR,30600215,87328,HC EIA QL CRYPTOSPORIDIUM AG,306,1 ,$239.00 ,$172.08 ,$3.50 ,$239.00 ,$34.55 ,$23.50 ,$131.45 ,$13.54 ,$66.92 ,$46.18 ,$13.54 ,$48.10 ,$13.54 ,$118.31 ,$3.50 ,$13.54 ,$118.31 ,$27.92 ,$167.30 ,$31.55 ,$191.20 ,$34.55 ,$13.54 ,$167.30 ,$13.54 ,$143.40 ,$13.82 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$13.54 ,$131.93 ,$18.51 ,$239.00 ,$18.51 ,$203.15 ,$34.55 ,$165.63 ,$13.54 ,$239.00 ,$134.08 ,$13.54 ,$62.62 , N/A ,$7.30 ,$6.97 ,$14.22 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$27.64 ,$13.54 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,30600216,87329,HC EIA QL GIARDIA AG,306,1 ,$297.00 ,$213.84 ,$3.50 ,$297.00 ,$29.95 ,$20.36 ,$163.35 ,$11.74 ,$83.16 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$147.02 ,$3.50 ,$11.74 ,$147.02 ,$24.20 ,$207.90 ,$27.63 ,$237.60 ,$29.95 ,$11.74 ,$207.90 ,$11.74 ,$178.20 ,$11.98 ,$222.75 ,$163.94 ,$147.91 ,$163.94 ,$11.74 ,$163.94 ,$17.84 ,$297.00 ,$17.84 ,$252.45 ,$29.95 ,$205.82 ,$11.74 ,$297.00 ,$166.62 ,$11.74 ,$77.81 , N/A ,$7.30 ,$6.97 ,$12.33 ,$237.60 ,$147.02 ,$83.16 ,$267.30 ,$112.86 ,$23.96 ,$11.74 ,$142.56 
ST. MARY'S HOSPITAL - DECATUR,30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$289.00 ,$208.08 ,$3.50 ,$289.00 ,$35.33 ,$24.02 ,$158.95 ,$13.85 ,$80.92 ,$62.50 ,$13.85 ,$65.10 ,$13.85 ,$143.06 ,$3.50 ,$13.85 ,$143.06 ,$28.54 ,$202.30 ,$32.35 ,$231.20 ,$35.33 ,$13.85 ,$202.30 ,$13.85 ,$173.40 ,$14.12 ,$216.75 ,$159.53 ,$143.92 ,$159.53 ,$13.85 ,$159.53 ,$18.92 ,$289.00 ,$18.92 ,$245.65 ,$35.33 ,$200.28 ,$13.85 ,$289.00 ,$162.13 ,$13.85 ,$75.72 , N/A ,$12.58 ,$12.01 ,$14.54 ,$231.20 ,$143.06 ,$80.92 ,$260.10 ,$109.82 ,$28.26 ,$13.85 ,$138.72 
ST. MARY'S HOSPITAL - DECATUR,30600226,87420,HC RSV AG QL,306,1 ,$350.00 ,$252.00 ,$3.50 ,$350.00 ,$34.78 ,$23.64 ,$192.50 ,$13.63 ,$98.00 ,$46.18 ,$13.63 ,$48.10 ,$13.63 ,$173.25 ,$3.50 ,$13.63 ,$173.25 ,$28.10 ,$245.00 ,$31.55 ,$280.00 ,$34.78 ,$13.63 ,$245.00 ,$13.63 ,$210.00 ,$13.91 ,$262.50 ,$193.20 ,$174.30 ,$193.20 ,$13.63 ,$193.20 ,$18.62 ,$350.00 ,$18.62 ,$297.50 ,$34.78 ,$242.55 ,$13.63 ,$350.00 ,$196.35 ,$13.63 ,$91.70 , N/A ,$19.35 ,$18.47 ,$14.32 ,$280.00 ,$173.25 ,$98.00 ,$315.00 ,$133.00 ,$27.82 ,$13.63 ,$168.00 
ST. MARY'S HOSPITAL - DECATUR,30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$288.00 ,$207.36 ,$3.50 ,$288.00 ,$29.95 ,$20.36 ,$158.40 ,$11.74 ,$80.64 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$142.56 ,$3.50 ,$11.74 ,$142.56 ,$24.20 ,$201.60 ,$27.63 ,$230.40 ,$29.95 ,$11.74 ,$201.60 ,$11.74 ,$172.80 ,$11.98 ,$216.00 ,$158.98 ,$143.42 ,$158.98 ,$11.74 ,$158.98 ,$17.84 ,$288.00 ,$17.84 ,$244.80 ,$29.95 ,$199.58 ,$11.74 ,$288.00 ,$161.57 ,$11.74 ,$75.46 , N/A ,$7.30 ,$6.97 ,$12.33 ,$230.40 ,$142.56 ,$80.64 ,$259.20 ,$109.44 ,$23.96 ,$11.74 ,$138.24 
ST. MARY'S HOSPITAL - DECATUR,30600228,87430,HC RAPID STREP,306,1 ,$220.00 ,$158.40 ,$3.50 ,$220.00 ,$42.03 ,$28.58 ,$121.00 ,$16.47 ,$61.60 ,$70.99 ,$16.47 ,$73.95 ,$16.47 ,$108.90 ,$3.50 ,$16.47 ,$108.90 ,$33.96 ,$154.00 ,$38.65 ,$176.00 ,$42.03 ,$16.47 ,$154.00 ,$16.47 ,$132.00 ,$16.81 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$16.47 ,$121.44 ,$22.51 ,$220.00 ,$22.51 ,$187.00 ,$42.03 ,$152.46 ,$16.47 ,$220.00 ,$123.42 ,$16.47 ,$57.64 , N/A ,$7.30 ,$6.97 ,$17.30 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$33.62 ,$16.47 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30600236,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$301.00 ,$216.72 ,$3.50 ,$301.00 ,$87.73 ,$59.66 ,$165.55 ,$34.39 ,$84.28 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$149.00 ,$3.50 ,$34.39 ,$149.00 ,$70.88 ,$210.70 ,$79.70 ,$240.80 ,$87.73 ,$34.39 ,$210.70 ,$34.39 ,$180.60 ,$35.07 ,$225.75 ,$166.15 ,$149.90 ,$166.15 ,$34.39 ,$166.15 ,$52.21 ,$301.00 ,$52.21 ,$255.85 ,$87.73 ,$208.59 ,$34.39 ,$301.00 ,$168.86 ,$34.39 ,$78.86 , N/A ,$7.30 ,$6.97 ,$36.10 ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 ,$70.18 ,$34.39 ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$526.00 ,$378.72 ,$3.50 ,$526.00 ,$93.18 ,$63.36 ,$289.30 ,$36.52 ,$147.28 ,$135.17 ,$36.52 ,$140.80 ,$36.52 ,$260.37 ,$3.50 ,$36.52 ,$260.37 ,$75.29 ,$368.20 ,$85.23 ,$420.80 ,$93.18 ,$36.52 ,$368.20 ,$36.52 ,$315.60 ,$37.26 ,$394.50 ,$290.35 ,$261.95 ,$290.35 ,$36.52 ,$290.35 ,$52.21 ,$526.00 ,$52.21 ,$447.10 ,$93.18 ,$364.52 ,$36.52 ,$526.00 ,$295.09 ,$36.52 ,$137.81 , N/A ,$7.30 ,$6.97 ,$38.35 ,$420.80 ,$260.37 ,$147.28 ,$473.40 ,$199.88 ,$74.54 ,$36.52 ,$252.48 
ST. MARY'S HOSPITAL - DECATUR,30600249,87591,HC NEISSERIA AMP,306,1 ,$266.00 ,$191.52 ,$3.50 ,$266.00 ,$87.73 ,$59.66 ,$146.30 ,$34.39 ,$74.48 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$131.67 ,$3.50 ,$34.39 ,$131.67 ,$70.88 ,$186.20 ,$79.70 ,$212.80 ,$87.73 ,$34.39 ,$186.20 ,$34.39 ,$159.60 ,$35.07 ,$199.50 ,$146.83 ,$132.47 ,$146.83 ,$34.39 ,$146.83 ,$52.21 ,$266.00 ,$52.21 ,$226.10 ,$87.73 ,$184.34 ,$34.39 ,$266.00 ,$149.23 ,$34.39 ,$69.69 , N/A ,$19.35 ,$18.47 ,$36.10 ,$212.80 ,$131.67 ,$74.48 ,$239.40 ,$101.08 ,$70.18 ,$34.39 ,$127.68 
ST. MARY'S HOSPITAL - DECATUR,30600250,87624,HC HPV AMP,306,1 ,$62.00 ,$44.64 ,$3.50 ,$87.73 ,$87.73 ,$59.66 ,$34.10 ,$34.39 ,$17.36 ,$32.43 ,$34.39 ,$34.10 ,$34.39 ,$30.69 ,$3.50 ,$34.39 ,$30.69 ,$62.00 ,$43.40 ,$62.00 ,$49.60 ,$87.73 ,$34.39 ,$43.40 ,$34.39 ,$37.20 ,$35.07 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$34.39 ,$34.22 ,$52.21 ,$62.00 ,$52.21 ,$52.70 ,$62.00 ,$42.97 ,$34.39 ,$35.09 ,$34.78 ,$34.39 ,$16.24 , N/A ,$19.35 ,$18.47 ,$36.10 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$62.00 ,$34.39 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,30600252,87624,HC HPV AMP,306,1 ,$81.00 ,$58.32 ,$3.50 ,$87.73 ,$87.73 ,$59.66 ,$44.55 ,$34.39 ,$22.68 ,$42.36 ,$34.39 ,$44.55 ,$34.39 ,$40.10 ,$3.50 ,$34.39 ,$40.10 ,$70.88 ,$56.70 ,$79.70 ,$64.80 ,$87.73 ,$34.39 ,$56.70 ,$34.39 ,$48.60 ,$35.07 ,$60.75 ,$44.71 ,$40.34 ,$44.71 ,$34.39 ,$44.71 ,$52.21 ,$81.00 ,$52.21 ,$68.85 ,$81.00 ,$56.13 ,$34.39 ,$35.09 ,$45.44 ,$34.39 ,$21.22 , N/A ,$19.35 ,$18.47 ,$36.10 ,$64.80 ,$40.10 ,$22.68 ,$72.90 ,$30.78 ,$70.18 ,$34.39 ,$38.88 
ST. MARY'S HOSPITAL - DECATUR,30600255,87641,HC MRSA AMP,306,1 ,$388.00 ,$279.36 ,$3.50 ,$388.00 ,$87.73 ,$59.66 ,$213.40 ,$34.39 ,$108.64 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$192.06 ,$3.50 ,$34.39 ,$192.06 ,$70.88 ,$271.60 ,$79.70 ,$310.40 ,$87.73 ,$34.39 ,$271.60 ,$34.39 ,$232.80 ,$35.07 ,$291.00 ,$214.18 ,$193.22 ,$214.18 ,$34.39 ,$214.18 ,$52.21 ,$388.00 ,$52.21 ,$329.80 ,$87.73 ,$268.88 ,$34.39 ,$388.00 ,$217.67 ,$34.39 ,$101.66 , N/A ,$19.35 ,$18.47 ,$36.10 ,$310.40 ,$192.06 ,$108.64 ,$349.20 ,$147.44 ,$70.18 ,$34.39 ,$186.24 
ST. MARY'S HOSPITAL - DECATUR,30600257,87653,HC INFECT AMP (GRP B STREP),306,1 ,$287.00 ,$206.64 ,$3.50 ,$287.00 ,$87.73 ,$59.66 ,$157.85 ,$34.39 ,$80.36 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$142.07 ,$3.50 ,$34.39 ,$142.07 ,$70.88 ,$200.90 ,$79.70 ,$229.60 ,$87.73 ,$34.39 ,$200.90 ,$34.39 ,$172.20 ,$35.07 ,$215.25 ,$158.42 ,$142.93 ,$158.42 ,$34.39 ,$158.42 ,$52.21 ,$287.00 ,$52.21 ,$243.95 ,$87.73 ,$198.89 ,$34.39 ,$287.00 ,$161.01 ,$34.39 ,$75.19 , N/A ,$19.35 ,$18.47 ,$36.10 ,$229.60 ,$142.07 ,$80.36 ,$258.30 ,$109.06 ,$70.18 ,$34.39 ,$137.76 
ST. MARY'S HOSPITAL - DECATUR,30600267,87799,HC INFECT AGENT QN,306,1 ,$664.00 ,$478.08 ,$3.50 ,$664.00 ,$107.10 ,$72.82 ,$365.20 ,$41.98 ,$185.92 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$328.68 ,$3.50 ,$41.98 ,$328.68 ,$86.54 ,$464.80 ,$97.85 ,$531.20 ,$107.10 ,$41.98 ,$464.80 ,$41.98 ,$398.40 ,$42.83 ,$498.00 ,$366.53 ,$330.67 ,$366.53 ,$41.98 ,$366.53 ,$63.74 ,$664.00 ,$63.74 ,$564.40 ,$107.10 ,$460.15 ,$41.98 ,$664.00 ,$372.50 ,$41.98 ,$173.97 , N/A ,$19.35 ,$18.47 ,$44.08 ,$531.20 ,$328.68 ,$185.92 ,$597.60 ,$252.32 ,$85.68 ,$41.98 ,$318.72 
ST. MARY'S HOSPITAL - DECATUR,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$130.00 ,$93.60 ,$3.50 ,$130.00 ,$40.18 ,$27.32 ,$71.50 ,$15.75 ,$36.40 ,$67.87 ,$15.75 ,$70.70 ,$15.75 ,$64.35 ,$3.50 ,$15.75 ,$64.35 ,$32.46 ,$91.00 ,$36.30 ,$104.00 ,$40.18 ,$15.75 ,$91.00 ,$15.75 ,$78.00 ,$16.06 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$15.75 ,$71.76 ,$21.52 ,$130.00 ,$21.52 ,$110.50 ,$40.18 ,$90.09 ,$15.75 ,$130.00 ,$72.93 ,$15.75 ,$34.06 , N/A ,$5.82 ,$5.55 ,$16.53 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$32.14 ,$15.75 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30600283,87804,HC QL INFLUENZA A/B,306,1 ,$201.00 ,$144.72 ,$3.50 ,$201.00 ,$41.38 ,$28.14 ,$110.55 ,$16.22 ,$56.28 ,$69.89 ,$16.22 ,$72.80 ,$16.22 ,$99.50 ,$3.50 ,$16.22 ,$99.50 ,$33.43 ,$140.70 ,$37.88 ,$160.80 ,$41.38 ,$16.22 ,$140.70 ,$16.22 ,$120.60 ,$16.54 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$16.22 ,$110.95 ,$22.17 ,$201.00 ,$22.17 ,$170.85 ,$41.38 ,$139.29 ,$16.22 ,$201.00 ,$112.76 ,$16.22 ,$52.66 , N/A ,$5.82 ,$5.55 ,$17.03 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$33.10 ,$16.22 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$100.00 ,$72.00 ,$3.50 ,$100.00 ,$14.70 ,$10.00 ,$55.00 ,$5.76 ,$28.00 ,$22.66 ,$5.76 ,$23.60 ,$5.76 ,$49.50 ,$3.50 ,$5.76 ,$49.50 ,$11.88 ,$70.00 ,$13.43 ,$80.00 ,$14.70 ,$5.76 ,$70.00 ,$5.76 ,$60.00 ,$5.88 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$5.76 ,$55.20 ,$8.76 ,$100.00 ,$8.76 ,$85.00 ,$14.70 ,$69.30 ,$5.76 ,$100.00 ,$56.10 ,$5.76 ,$26.20 , N/A ,$5.82 ,$5.55 ,$6.05 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$11.76 ,$5.76 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30600314,87340,HC EIA QL HEPATITIS B AG,306,1 ,$330.00 ,$237.60 ,$3.50 ,$330.00 ,$25.83 ,$17.56 ,$181.50 ,$10.12 ,$92.40 ,$39.79 ,$10.12 ,$41.45 ,$10.12 ,$163.35 ,$3.50 ,$10.12 ,$163.35 ,$20.87 ,$231.00 ,$23.68 ,$264.00 ,$25.83 ,$10.12 ,$231.00 ,$10.12 ,$198.00 ,$10.33 ,$247.50 ,$182.16 ,$164.34 ,$182.16 ,$10.12 ,$182.16 ,$15.37 ,$330.00 ,$15.37 ,$280.50 ,$25.83 ,$228.69 ,$10.12 ,$330.00 ,$185.13 ,$10.12 ,$86.46 , N/A ,$7.30 ,$6.97 ,$10.63 ,$264.00 ,$163.35 ,$92.40 ,$297.00 ,$125.40 ,$20.66 ,$10.12 ,$158.40 
ST. MARY'S HOSPITAL - DECATUR,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$240.00 ,$172.80 ,$3.50 ,$240.00 ,$29.95 ,$20.36 ,$132.00 ,$11.74 ,$67.20 ,$62.50 ,$11.74 ,$65.10 ,$11.74 ,$118.80 ,$3.50 ,$11.74 ,$118.80 ,$24.20 ,$168.00 ,$27.63 ,$192.00 ,$29.95 ,$11.74 ,$168.00 ,$11.74 ,$144.00 ,$11.98 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$11.74 ,$132.48 ,$17.84 ,$240.00 ,$17.84 ,$204.00 ,$29.95 ,$166.32 ,$11.74 ,$240.00 ,$134.64 ,$11.74 ,$62.88 , N/A ,$7.30 ,$6.97 ,$12.33 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$23.96 ,$11.74 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$213.00 ,$153.36 ,$3.50 ,$213.00 ,$87.73 ,$59.66 ,$117.15 ,$34.39 ,$59.64 ,$111.40 ,$34.39 ,$117.15 ,$34.39 ,$105.44 ,$3.50 ,$34.39 ,$105.44 ,$70.88 ,$149.10 ,$79.70 ,$170.40 ,$87.73 ,$34.39 ,$149.10 ,$34.39 ,$127.80 ,$35.07 ,$159.75 ,$117.58 ,$106.07 ,$117.58 ,$34.39 ,$117.58 ,$52.21 ,$213.00 ,$52.21 ,$181.05 ,$87.73 ,$147.61 ,$34.39 ,$213.00 ,$119.49 ,$34.39 ,$55.81 , N/A ,$19.35 ,$18.47 ,$36.10 ,$170.40 ,$105.44 ,$59.64 ,$191.70 ,$80.94 ,$70.18 ,$34.39 ,$102.24 
ST. MARY'S HOSPITAL - DECATUR,30600338,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,"$2,082.00 ","$1,499.04 ",$3.50 ,"$2,082.00 ",$87.73 ,$59.66 ,"$1,145.10 ",$34.39 ,$582.96 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,"$1,030.59 ",$3.50 ,$34.39 ,"$1,030.59 ",$70.88 ,"$1,457.40 ",$79.70 ,"$1,665.60 ",$87.73 ,$34.39 ,"$1,457.40 ",$34.39 ,"$1,249.20 ",$35.07 ,"$1,561.50 ","$1,149.26 ","$1,036.84 ","$1,149.26 ",$34.39 ,"$1,149.26 ",$52.21 ,"$2,082.00 ",$52.21 ,"$1,769.70 ",$87.73 ,"$1,442.83 ",$34.39 ,"$2,082.00 ","$1,168.00 ",$34.39 ,$545.48 , N/A ,$19.35 ,$18.47 ,$36.10 ,"$1,665.60 ","$1,030.59 ",$582.96 ,"$1,873.80 ",$791.16 ,$70.18 ,$34.39 ,$999.36 
ST. MARY'S HOSPITAL - DECATUR,30600339,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,$498.00 ,$358.56 ,$3.50 ,"$1,041.95 ","$1,041.95 ",$498.00 ,$273.90 ,$408.44 ,$139.44 ,$260.45 ,$408.44 ,$273.90 ,$408.44 ,$246.51 ,$3.50 ,$408.44 ,$246.51 ,$498.00 ,$348.60 ,$498.00 ,$398.40 ,"$1,041.95 ",$408.44 ,$348.60 ,$408.44 ,$298.80 ,$416.62 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,$408.44 ,$274.90 ,$498.00 ,$498.00 ,$498.00 ,$423.30 ,$498.00 ,$345.11 ,$408.44 ,$498.00 ,$279.38 ,$408.44 ,$130.48 , N/A ,$19.35 ,$18.47 ,$428.87 ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$189.24 ,$498.00 ,$408.44 ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$2,082.00 ","$1,499.04 ",$3.50 ,"$2,082.00 ","$1,041.95 ",$708.52 ,"$1,145.10 ",$408.44 ,$582.96 ,"$1,088.89 ",$408.44 ,"$1,145.10 ",$408.44 ,"$1,030.59 ",$3.50 ,$408.44 ,"$1,030.59 ",$841.90 ,"$1,457.40 ",$949.98 ,"$1,665.60 ","$1,041.95 ",$408.44 ,"$1,457.40 ",$408.44 ,"$1,249.20 ",$416.62 ,"$1,561.50 ","$1,149.26 ","$1,036.84 ","$1,149.26 ",$408.44 ,"$1,149.26 ",$620.08 ,"$2,082.00 ",$620.08 ,"$1,769.70 ","$1,041.95 ","$1,442.83 ",$408.44 ,"$2,082.00 ","$1,168.00 ",$408.44 ,$545.48 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,665.60 ","$1,030.59 ",$582.96 ,"$1,873.80 ",$791.16 ,$833.56 ,$408.44 ,$999.36 
ST. MARY'S HOSPITAL - DECATUR,30600352,87563,"HC INFECT AMP (MYCOPLASMA/UREAPLASMA PNL, PCR)",306,1 ,$267.00 ,$192.24 ,$3.50 ,$267.00 ,$87.73 ,$59.66 ,$146.85 ,$34.39 ,$74.76 ,$139.64 ,$34.39 ,$146.85 ,$34.39 ,$132.17 ,$3.50 ,$34.39 ,$132.17 ,$70.88 ,$186.90 ,$79.70 ,$213.60 ,$87.73 ,$34.39 ,$186.90 ,$34.39 ,$160.20 ,$35.07 ,$200.25 ,$147.38 ,$132.97 ,$147.38 ,$34.39 ,$147.38 ,$46.99 ,$267.00 ,$46.99 ,$226.95 ,$87.73 ,$185.03 ,$34.39 ,$267.00 ,$149.79 ,$34.39 ,$69.95 , N/A ,$19.35 ,$18.47 ,$36.10 ,$213.60 ,$132.17 ,$74.76 ,$240.30 ,$101.46 ,$70.18 ,$34.39 ,$128.16 
ST. MARY'S HOSPITAL - DECATUR,30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$16.70 ,$11.36 ,$58.30 ,$6.55 ,$29.68 ,$25.73 ,$6.55 ,$26.80 ,$6.55 ,$52.47 ,$3.50 ,$6.55 ,$52.47 ,$13.49 ,$74.20 ,$15.00 ,$84.80 ,$16.70 ,$6.55 ,$74.20 ,$6.55 ,$63.60 ,$6.67 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$6.55 ,$58.51 ,$9.94 ,$106.00 ,$9.94 ,$90.10 ,$16.70 ,$73.46 ,$6.55 ,$106.00 ,$59.47 ,$6.55 ,$27.77 , N/A ,$5.82 ,$5.55 ,$6.87 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$13.36 ,$6.55 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30600355,87076,HC CULTURE ANAEROBIC ID-90,306,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$20.20 ,$13.74 ,$91.85 ,$7.92 ,$46.76 ,$31.10 ,$7.92 ,$32.40 ,$7.92 ,$82.67 ,$3.50 ,$7.92 ,$82.67 ,$16.32 ,$116.90 ,$18.15 ,$133.60 ,$20.20 ,$7.92 ,$116.90 ,$7.92 ,$100.20 ,$8.08 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$7.92 ,$92.18 ,$12.01 ,$167.00 ,$12.01 ,$141.95 ,$20.20 ,$115.73 ,$7.92 ,$167.00 ,$93.69 ,$7.92 ,$43.75 , N/A ,$5.82 ,$5.55 ,$8.31 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$16.16 ,$7.92 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30600356,87077,HC CULTURE AEROBIC ID ADDL-90,306,1 ,$214.00 ,$154.08 ,$3.50 ,$214.00 ,$20.20 ,$13.74 ,$117.70 ,$7.92 ,$59.92 ,$42.10 ,$7.92 ,$43.85 ,$7.92 ,$105.93 ,$3.50 ,$7.92 ,$105.93 ,$16.32 ,$149.80 ,$18.15 ,$171.20 ,$20.20 ,$7.92 ,$149.80 ,$7.92 ,$128.40 ,$8.08 ,$160.50 ,$118.13 ,$106.57 ,$118.13 ,$7.92 ,$118.13 ,$12.01 ,$214.00 ,$12.01 ,$181.90 ,$20.20 ,$148.30 ,$7.92 ,$214.00 ,$120.05 ,$7.92 ,$56.07 , N/A ,$5.82 ,$5.55 ,$8.31 ,$171.20 ,$105.93 ,$59.92 ,$192.60 ,$81.32 ,$16.16 ,$7.92 ,$102.72 
ST. MARY'S HOSPITAL - DECATUR,30600357,87077,HC CULTURE AEROBIC ID ADDL T1,306,1 ,$214.00 ,$154.08 ,$3.50 ,$214.00 ,$20.20 ,$13.74 ,$117.70 ,$7.92 ,$59.92 ,$42.10 ,$7.92 ,$43.85 ,$7.92 ,$105.93 ,$3.50 ,$7.92 ,$105.93 ,$16.32 ,$149.80 ,$18.15 ,$171.20 ,$20.20 ,$7.92 ,$149.80 ,$7.92 ,$128.40 ,$8.08 ,$160.50 ,$118.13 ,$106.57 ,$118.13 ,$7.92 ,$118.13 ,$12.01 ,$214.00 ,$12.01 ,$181.90 ,$20.20 ,$148.30 ,$7.92 ,$214.00 ,$120.05 ,$7.92 ,$56.07 , N/A ,$5.82 ,$5.55 ,$8.31 ,$171.20 ,$105.93 ,$59.92 ,$192.60 ,$81.32 ,$16.16 ,$7.92 ,$102.72 
ST. MARY'S HOSPITAL - DECATUR,30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$16.58 ,$11.28 ,$128.15 ,$6.50 ,$65.24 ,$34.56 ,$6.50 ,$36.00 ,$6.50 ,$115.34 ,$3.50 ,$6.50 ,$115.34 ,$13.39 ,$163.10 ,$15.00 ,$186.40 ,$16.58 ,$6.50 ,$163.10 ,$6.50 ,$139.80 ,$6.62 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$6.50 ,$128.62 ,$9.86 ,$233.00 ,$9.86 ,$198.05 ,$16.58 ,$161.47 ,$6.50 ,$233.00 ,$130.71 ,$6.50 ,$61.05 , N/A ,$5.82 ,$5.55 ,$6.82 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$13.26 ,$6.50 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$16.58 ,$11.28 ,$128.15 ,$6.50 ,$65.24 ,$34.56 ,$6.50 ,$36.00 ,$6.50 ,$115.34 ,$3.50 ,$6.50 ,$115.34 ,$13.39 ,$163.10 ,$15.00 ,$186.40 ,$16.58 ,$6.50 ,$163.10 ,$6.50 ,$139.80 ,$6.62 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$6.50 ,$128.62 ,$9.86 ,$233.00 ,$9.86 ,$198.05 ,$16.58 ,$161.47 ,$6.50 ,$233.00 ,$130.71 ,$6.50 ,$61.05 , N/A ,$5.82 ,$5.55 ,$6.82 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$13.26 ,$6.50 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600361,87081,HC CULTURE SCR PRESUMP PATHOGENS T2,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$16.58 ,$11.28 ,$128.15 ,$6.50 ,$65.24 ,$34.56 ,$6.50 ,$36.00 ,$6.50 ,$115.34 ,$3.50 ,$6.50 ,$115.34 ,$13.39 ,$163.10 ,$15.00 ,$186.40 ,$16.58 ,$6.50 ,$163.10 ,$6.50 ,$139.80 ,$6.62 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$6.50 ,$128.62 ,$9.86 ,$233.00 ,$9.86 ,$198.05 ,$16.58 ,$161.47 ,$6.50 ,$233.00 ,$130.71 ,$6.50 ,$61.05 , N/A ,$5.82 ,$5.55 ,$6.82 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$13.26 ,$6.50 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600363,87103,HC CULTURE FUNGUS BLOOD-90,306,1 ,$231.00 ,$166.32 ,$3.50 ,$231.00 ,$51.15 ,$34.78 ,$127.05 ,$20.05 ,$64.68 ,$63.84 ,$20.05 ,$66.50 ,$20.05 ,$114.35 ,$3.50 ,$20.05 ,$114.35 ,$41.33 ,$161.70 ,$46.55 ,$184.80 ,$51.15 ,$20.05 ,$161.70 ,$20.05 ,$138.60 ,$20.45 ,$173.25 ,$127.51 ,$115.04 ,$127.51 ,$20.05 ,$127.51 ,$27.40 ,$231.00 ,$27.40 ,$196.35 ,$51.15 ,$160.08 ,$20.05 ,$231.00 ,$129.59 ,$20.05 ,$60.52 , N/A ,$19.35 ,$18.47 ,$21.05 ,$184.80 ,$114.35 ,$64.68 ,$207.90 ,$87.78 ,$40.92 ,$20.05 ,$110.88 
ST. MARY'S HOSPITAL - DECATUR,30600364,87106,HC CULTURE FUNGUS ID YEAST-90,306,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$25.80 ,$17.54 ,$178.20 ,$10.11 ,$90.72 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$160.38 ,$3.50 ,$10.11 ,$160.38 ,$20.85 ,$226.80 ,$23.68 ,$259.20 ,$25.80 ,$10.11 ,$226.80 ,$10.11 ,$194.40 ,$10.32 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$10.11 ,$178.85 ,$15.36 ,$324.00 ,$15.36 ,$275.40 ,$25.80 ,$224.53 ,$10.11 ,$324.00 ,$181.76 ,$10.11 ,$84.89 , N/A ,$5.82 ,$5.55 ,$10.62 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$20.64 ,$10.11 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30600365,87107,HC CULTURE FUNGUS ID MOLD-90,306,1 ,$132.00 ,$95.04 ,$3.50 ,$132.00 ,$25.80 ,$17.54 ,$72.60 ,$10.11 ,$36.96 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$65.34 ,$3.50 ,$10.11 ,$65.34 ,$20.85 ,$92.40 ,$23.68 ,$105.60 ,$25.80 ,$10.11 ,$92.40 ,$10.11 ,$79.20 ,$10.32 ,$99.00 ,$72.86 ,$65.74 ,$72.86 ,$10.11 ,$72.86 ,$15.36 ,$132.00 ,$15.36 ,$112.20 ,$25.80 ,$91.48 ,$10.11 ,$132.00 ,$74.05 ,$10.11 ,$34.58 , N/A ,$19.35 ,$18.47 ,$10.62 ,$105.60 ,$65.34 ,$36.96 ,$118.80 ,$50.16 ,$20.64 ,$10.11 ,$63.36 
ST. MARY'S HOSPITAL - DECATUR,30600367,87110,HC CULTURE CHLAMYDIA-90,306,1 ,$96.00 ,$69.12 ,$3.50 ,$96.00 ,$49.00 ,$33.32 ,$52.80 ,$19.21 ,$26.88 ,$50.21 ,$19.21 ,$52.80 ,$19.21 ,$47.52 ,$3.50 ,$19.21 ,$47.52 ,$39.59 ,$67.20 ,$44.98 ,$76.80 ,$49.00 ,$19.21 ,$67.20 ,$19.21 ,$57.60 ,$19.59 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$19.21 ,$52.99 ,$29.15 ,$96.00 ,$29.15 ,$81.60 ,$49.00 ,$66.53 ,$19.21 ,$96.00 ,$53.86 ,$19.21 ,$25.15 , N/A ,$5.82 ,$5.55 ,$20.17 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$39.20 ,$19.21 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$114.00 ,$82.08 ,$3.50 ,$114.00 ,$27.00 ,$18.36 ,$62.70 ,$10.58 ,$31.92 ,$41.62 ,$10.58 ,$43.35 ,$10.58 ,$56.43 ,$3.50 ,$10.58 ,$56.43 ,$21.82 ,$79.80 ,$24.45 ,$91.20 ,$27.00 ,$10.58 ,$79.80 ,$10.58 ,$68.40 ,$10.80 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$10.58 ,$62.93 ,$16.07 ,$114.00 ,$16.07 ,$96.90 ,$27.00 ,$79.00 ,$10.58 ,$114.00 ,$63.95 ,$10.58 ,$29.87 , N/A ,$19.35 ,$18.47 ,$11.11 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$21.60 ,$10.58 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$103.00 ,$74.16 ,$3.50 ,$103.00 ,$13.93 ,$9.46 ,$56.65 ,$5.46 ,$28.84 ,$21.46 ,$5.46 ,$22.35 ,$5.46 ,$50.99 ,$3.50 ,$5.46 ,$50.99 ,$11.25 ,$72.10 ,$12.63 ,$82.40 ,$13.93 ,$5.46 ,$72.10 ,$5.46 ,$61.80 ,$5.57 ,$77.25 ,$56.86 ,$51.29 ,$56.86 ,$5.46 ,$56.86 ,$8.29 ,$103.00 ,$8.29 ,$87.55 ,$13.93 ,$71.38 ,$5.46 ,$103.00 ,$57.78 ,$5.46 ,$26.99 , N/A ,$19.35 ,$18.47 ,$5.73 ,$82.40 ,$50.99 ,$28.84 ,$92.70 ,$39.14 ,$11.14 ,$5.46 ,$49.44 
ST. MARY'S HOSPITAL - DECATUR,30600372,87147,HC CULTURE TYPE SEROLOGIC-90,306,1 ,$89.00 ,$64.08 ,$3.50 ,$89.00 ,$12.95 ,$8.80 ,$48.95 ,$5.08 ,$24.92 ,$19.92 ,$5.08 ,$20.75 ,$5.08 ,$44.06 ,$3.50 ,$5.08 ,$44.06 ,$10.46 ,$62.30 ,$11.83 ,$71.20 ,$12.95 ,$5.08 ,$62.30 ,$5.08 ,$53.40 ,$5.17 ,$66.75 ,$49.13 ,$44.32 ,$49.13 ,$5.08 ,$49.13 ,$7.70 ,$89.00 ,$7.70 ,$75.65 ,$12.95 ,$61.68 ,$5.08 ,$89.00 ,$49.93 ,$5.08 ,$23.32 , N/A ,$5.82 ,$5.55 ,$5.33 ,$71.20 ,$44.06 ,$24.92 ,$80.10 ,$33.82 ,$10.36 ,$5.08 ,$42.72 
ST. MARY'S HOSPITAL - DECATUR,30600375,87149,HC CULTURE TYPING ID NUCLEIC ACID-90,306,1 ,$132.00 ,$95.04 ,$3.50 ,$132.00 ,$50.13 ,$34.08 ,$72.60 ,$19.65 ,$36.96 ,$69.04 ,$19.65 ,$72.60 ,$19.65 ,$65.34 ,$3.50 ,$19.65 ,$65.34 ,$40.50 ,$92.40 ,$45.78 ,$105.60 ,$50.13 ,$19.65 ,$92.40 ,$19.65 ,$79.20 ,$20.04 ,$99.00 ,$72.86 ,$65.74 ,$72.86 ,$19.65 ,$72.86 ,$29.83 ,$132.00 ,$29.83 ,$112.20 ,$50.13 ,$91.48 ,$19.65 ,$132.00 ,$74.05 ,$19.65 ,$34.58 , N/A ,$5.82 ,$5.55 ,$20.63 ,$105.60 ,$65.34 ,$36.96 ,$118.80 ,$50.16 ,$40.10 ,$19.65 ,$63.36 
ST. MARY'S HOSPITAL - DECATUR,30600376,87153,HC ID NUCLEAR ACID SEQ METH PROF-90,306,1 ,$150.00 ,$108.00 ,$3.50 ,$288.40 ,$288.40 ,$150.00 ,$82.50 ,$113.05 ,$42.00 ,$78.45 ,$113.05 ,$82.50 ,$113.05 ,$74.25 ,$3.50 ,$113.05 ,$74.25 ,$150.00 ,$105.00 ,$150.00 ,$120.00 ,$288.40 ,$113.05 ,$105.00 ,$113.05 ,$90.00 ,$115.32 ,$112.50 ,$82.80 ,$74.70 ,$82.80 ,$113.05 ,$82.80 ,$150.00 ,$150.00 ,$150.00 ,$127.50 ,$150.00 ,$103.95 ,$113.05 ,$150.00 ,$84.15 ,$113.05 ,$39.30 , N/A ,$19.35 ,$18.47 ,$118.71 ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$150.00 ,$113.05 ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,30600379,87176,HC HOMOGENIZATION TISSUE-90,306,1 ,$100.00 ,$72.00 ,$3.50 ,$100.00 ,$14.70 ,$10.00 ,$55.00 ,$5.76 ,$28.00 ,$22.66 ,$5.76 ,$23.60 ,$5.76 ,$49.50 ,$3.50 ,$5.76 ,$49.50 ,$11.88 ,$70.00 ,$13.43 ,$80.00 ,$14.70 ,$5.76 ,$70.00 ,$5.76 ,$60.00 ,$5.88 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$5.76 ,$55.20 ,$8.76 ,$100.00 ,$8.76 ,$85.00 ,$14.70 ,$69.30 ,$5.76 ,$100.00 ,$56.10 ,$5.76 ,$26.20 , N/A ,$5.82 ,$5.55 ,$6.05 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$11.76 ,$5.76 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$92.00 ,$66.24 ,$3.50 ,$92.00 ,$22.25 ,$15.14 ,$50.60 ,$8.72 ,$25.76 ,$46.42 ,$8.72 ,$48.35 ,$8.72 ,$45.54 ,$3.50 ,$8.72 ,$45.54 ,$17.98 ,$64.40 ,$20.53 ,$73.60 ,$22.25 ,$8.72 ,$64.40 ,$8.72 ,$55.20 ,$8.90 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$8.72 ,$50.78 ,$13.25 ,$92.00 ,$13.25 ,$78.20 ,$22.25 ,$63.76 ,$8.72 ,$92.00 ,$51.61 ,$8.72 ,$24.10 , N/A ,$5.82 ,$5.55 ,$9.16 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$17.80 ,$8.72 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,30600381,87181,HC SENSITIVITY STUDY AGAR-90,306,1 ,$101.00 ,$72.72 ,$3.50 ,$101.00 ,$11.88 ,$8.08 ,$55.55 ,$4.65 ,$28.28 ,$24.77 ,$4.65 ,$25.80 ,$4.65 ,$50.00 ,$3.50 ,$4.65 ,$50.00 ,$9.60 ,$70.70 ,$11.05 ,$80.80 ,$11.88 ,$4.65 ,$70.70 ,$4.65 ,$60.60 ,$4.75 ,$75.75 ,$55.75 ,$50.30 ,$55.75 ,$4.65 ,$55.75 ,$7.06 ,$101.00 ,$7.06 ,$85.85 ,$11.88 ,$69.99 ,$4.65 ,$101.00 ,$56.66 ,$4.65 ,$26.46 , N/A ,$5.82 ,$5.55 ,$4.89 ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$9.50 ,$4.65 ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,30600382,87184,HC SENSITIVITY DISK KB-90,306,1 ,$297.00 ,$213.84 ,$3.50 ,$297.00 ,$18.70 ,$12.72 ,$163.35 ,$7.33 ,$83.16 ,$35.95 ,$7.33 ,$37.45 ,$7.33 ,$147.02 ,$3.50 ,$7.33 ,$147.02 ,$15.11 ,$207.90 ,$17.35 ,$237.60 ,$18.70 ,$7.33 ,$207.90 ,$7.33 ,$178.20 ,$7.48 ,$222.75 ,$163.94 ,$147.91 ,$163.94 ,$7.33 ,$163.94 ,$10.26 ,$297.00 ,$10.26 ,$252.45 ,$18.70 ,$205.82 ,$7.33 ,$297.00 ,$166.62 ,$7.33 ,$77.81 , N/A ,$5.82 ,$5.55 ,$7.69 ,$237.60 ,$147.02 ,$83.16 ,$267.30 ,$112.86 ,$14.96 ,$7.33 ,$142.56 
ST. MARY'S HOSPITAL - DECATUR,30600383,87185,HC BETA LACTAMASE-90,306,1 ,$134.00 ,$96.48 ,$3.50 ,$134.00 ,$11.88 ,$8.08 ,$73.70 ,$4.65 ,$37.52 ,$18.29 ,$4.65 ,$19.05 ,$4.65 ,$66.33 ,$3.50 ,$4.65 ,$66.33 ,$9.60 ,$93.80 ,$11.05 ,$107.20 ,$11.88 ,$4.65 ,$93.80 ,$4.65 ,$80.40 ,$4.75 ,$100.50 ,$73.97 ,$66.73 ,$73.97 ,$4.65 ,$73.97 ,$7.06 ,$134.00 ,$7.06 ,$113.90 ,$11.88 ,$92.86 ,$4.65 ,$134.00 ,$75.17 ,$4.65 ,$35.11 , N/A ,$5.82 ,$5.55 ,$4.89 ,$107.20 ,$66.33 ,$37.52 ,$120.60 ,$50.92 ,$9.50 ,$4.65 ,$64.32 
ST. MARY'S HOSPITAL - DECATUR,30600384,87186,HC SENSITIVITY MIC 15DG/MLTPLT-90,306,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$21.63 ,$14.70 ,$107.25 ,$8.48 ,$54.60 ,$33.31 ,$8.48 ,$34.70 ,$8.48 ,$96.53 ,$3.50 ,$8.48 ,$96.53 ,$17.47 ,$136.50 ,$19.73 ,$156.00 ,$21.63 ,$8.48 ,$136.50 ,$8.48 ,$117.00 ,$8.64 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$8.48 ,$107.64 ,$12.86 ,$195.00 ,$12.86 ,$165.75 ,$21.63 ,$135.14 ,$8.48 ,$195.00 ,$109.40 ,$8.48 ,$51.09 , N/A ,$5.82 ,$5.55 ,$8.90 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$17.30 ,$8.48 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30600387,87186,HC SENSITIVITY MIC 20DG/SGLPLT-90,306,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$21.63 ,$14.70 ,$107.25 ,$8.48 ,$54.60 ,$33.31 ,$8.48 ,$34.70 ,$8.48 ,$96.53 ,$3.50 ,$8.48 ,$96.53 ,$17.47 ,$136.50 ,$19.73 ,$156.00 ,$21.63 ,$8.48 ,$136.50 ,$8.48 ,$117.00 ,$8.64 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$8.48 ,$107.64 ,$12.86 ,$195.00 ,$12.86 ,$165.75 ,$21.63 ,$135.14 ,$8.48 ,$195.00 ,$109.40 ,$8.48 ,$51.09 , N/A ,$5.82 ,$5.55 ,$8.90 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$17.30 ,$8.48 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30600390,87188,HC MACROTUBE DIL METH EA AGNT-90,306,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$16.60 ,$11.28 ,$75.90 ,$6.51 ,$38.64 ,$25.58 ,$6.51 ,$26.65 ,$6.51 ,$68.31 ,$3.50 ,$6.51 ,$68.31 ,$13.41 ,$96.60 ,$15.00 ,$110.40 ,$16.60 ,$6.51 ,$96.60 ,$6.51 ,$82.80 ,$6.63 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$6.51 ,$76.18 ,$9.88 ,$138.00 ,$9.88 ,$117.30 ,$16.60 ,$95.63 ,$6.51 ,$138.00 ,$77.42 ,$6.51 ,$36.16 , N/A ,$5.82 ,$5.55 ,$6.83 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$13.28 ,$6.51 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30600392,87190,HC SENSITIVITY AFB-90,306,1 ,$131.00 ,$94.32 ,$3.50 ,$131.00 ,$18.28 ,$12.42 ,$72.05 ,$7.16 ,$36.68 ,$22.80 ,$7.16 ,$23.75 ,$7.16 ,$64.85 ,$3.50 ,$7.16 ,$64.85 ,$14.77 ,$91.70 ,$16.58 ,$104.80 ,$18.28 ,$7.16 ,$91.70 ,$7.16 ,$78.60 ,$7.31 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$7.16 ,$72.31 ,$9.79 ,$131.00 ,$9.79 ,$111.35 ,$18.28 ,$90.78 ,$7.16 ,$131.00 ,$73.49 ,$7.16 ,$34.32 , N/A ,$5.82 ,$5.55 ,$7.53 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$14.62 ,$7.16 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$82.00 ,$59.04 ,$3.50 ,$82.00 ,$13.48 ,$9.16 ,$45.10 ,$5.28 ,$22.96 ,$28.08 ,$5.28 ,$29.25 ,$5.28 ,$40.59 ,$3.50 ,$5.28 ,$40.59 ,$10.89 ,$57.40 ,$12.63 ,$65.60 ,$13.48 ,$5.28 ,$57.40 ,$5.28 ,$49.20 ,$5.39 ,$61.50 ,$45.26 ,$40.84 ,$45.26 ,$5.28 ,$45.26 ,$8.02 ,$82.00 ,$8.02 ,$69.70 ,$13.48 ,$56.83 ,$5.28 ,$82.00 ,$46.00 ,$5.28 ,$21.48 , N/A ,$5.82 ,$5.55 ,$5.55 ,$65.60 ,$40.59 ,$22.96 ,$73.80 ,$31.16 ,$10.78 ,$5.28 ,$39.36 
ST. MARY'S HOSPITAL - DECATUR,30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$170.00 ,$122.40 ,$4.73 ,$170.00 ,$14.98 ,$10.18 ,$93.50 ,$5.87 ,$47.60 ,$23.09 ,$5.87 ,$24.05 ,$5.87 ,$84.15 ,$4.73 ,$5.87 ,$84.15 ,$12.10 ,$119.00 ,$13.43 ,$136.00 ,$14.98 ,$5.87 ,$119.00 ,$5.87 ,$102.00 ,$5.99 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$5.87 ,$93.84 ,$8.92 ,$170.00 ,$8.92 ,$144.50 ,$14.98 ,$117.81 ,$5.87 ,$170.00 ,$95.37 ,$5.87 ,$44.54 , N/A ,$5.82 ,$5.55 ,$6.16 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$11.98 ,$5.87 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30600398,87207,HC SPECIAL STAIN INCL BODIES/PARASITES,306,1 ,$170.00 ,$122.40 ,$4.73 ,$170.00 ,$14.98 ,$10.18 ,$93.50 ,$5.87 ,$47.60 ,$23.09 ,$5.87 ,$24.05 ,$5.87 ,$84.15 ,$4.73 ,$5.87 ,$84.15 ,$12.10 ,$119.00 ,$13.43 ,$136.00 ,$14.98 ,$5.87 ,$119.00 ,$5.87 ,$102.00 ,$5.99 ,$127.50 ,$93.84 ,$84.66 ,$93.84 ,$5.87 ,$93.84 ,$8.92 ,$170.00 ,$8.92 ,$144.50 ,$14.98 ,$117.81 ,$5.87 ,$170.00 ,$95.37 ,$5.87 ,$44.54 , N/A ,$5.82 ,$5.55 ,$6.16 ,$136.00 ,$84.15 ,$47.60 ,$153.00 ,$64.60 ,$11.98 ,$5.87 ,$81.60 
ST. MARY'S HOSPITAL - DECATUR,30600399,87209,HC OVA  AND  PARASITE W/STAIN-90,306,1 ,$144.00 ,$103.68 ,$3.50 ,$144.00 ,$44.95 ,$30.56 ,$79.20 ,$17.62 ,$40.32 ,$69.22 ,$17.62 ,$72.10 ,$17.62 ,$71.28 ,$3.50 ,$17.62 ,$71.28 ,$36.32 ,$100.80 ,$41.03 ,$115.20 ,$44.95 ,$17.62 ,$100.80 ,$17.62 ,$86.40 ,$17.97 ,$108.00 ,$79.49 ,$71.71 ,$79.49 ,$17.62 ,$79.49 ,$26.74 ,$144.00 ,$26.74 ,$122.40 ,$44.95 ,$99.79 ,$17.62 ,$144.00 ,$80.78 ,$17.62 ,$37.73 , N/A ,$19.35 ,$18.47 ,$18.50 ,$115.20 ,$71.28 ,$40.32 ,$129.60 ,$54.72 ,$35.96 ,$17.62 ,$69.12 
ST. MARY'S HOSPITAL - DECATUR,30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$409.00 ,$294.48 ,$3.50 ,$409.00 ,$65.18 ,$44.32 ,$224.95 ,$25.55 ,$114.52 ,$100.42 ,$25.55 ,$104.60 ,$25.55 ,$202.46 ,$3.50 ,$25.55 ,$202.46 ,$52.66 ,$286.30 ,$59.18 ,$327.20 ,$65.18 ,$25.55 ,$286.30 ,$25.55 ,$245.40 ,$26.06 ,$306.75 ,$225.77 ,$203.68 ,$225.77 ,$25.55 ,$225.77 ,$38.79 ,$409.00 ,$38.79 ,$347.65 ,$65.18 ,$283.44 ,$25.55 ,$409.00 ,$229.45 ,$25.55 ,$107.16 , N/A ,$19.35 ,$18.47 ,$26.82 ,$327.20 ,$202.46 ,$114.52 ,$368.10 ,$155.42 ,$52.14 ,$25.55 ,$196.32 
ST. MARY'S HOSPITAL - DECATUR,30600403,87253,HC CULTURE VIRUS ID ADDL EA-90,306,1 ,$257.00 ,$185.04 ,$3.50 ,$257.00 ,$50.50 ,$34.34 ,$141.35 ,$19.80 ,$71.96 ,$77.81 ,$19.80 ,$81.05 ,$19.80 ,$127.22 ,$3.50 ,$19.80 ,$127.22 ,$40.80 ,$179.90 ,$45.78 ,$205.60 ,$50.50 ,$19.80 ,$179.90 ,$19.80 ,$154.20 ,$20.19 ,$192.75 ,$141.86 ,$127.99 ,$141.86 ,$19.80 ,$141.86 ,$30.07 ,$257.00 ,$30.07 ,$218.45 ,$50.50 ,$178.10 ,$19.80 ,$257.00 ,$144.18 ,$19.80 ,$67.33 , N/A ,$19.35 ,$18.47 ,$20.79 ,$205.60 ,$127.22 ,$71.96 ,$231.30 ,$97.66 ,$40.40 ,$19.80 ,$123.36 
ST. MARY'S HOSPITAL - DECATUR,30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$48.90 ,$33.26 ,$128.15 ,$19.17 ,$65.24 ,$75.36 ,$19.17 ,$78.50 ,$19.17 ,$115.34 ,$3.50 ,$19.17 ,$115.34 ,$39.51 ,$163.10 ,$44.98 ,$186.40 ,$48.90 ,$19.17 ,$163.10 ,$19.17 ,$139.80 ,$19.55 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$19.17 ,$128.62 ,$29.10 ,$233.00 ,$29.10 ,$198.05 ,$48.90 ,$161.47 ,$19.17 ,$233.00 ,$130.71 ,$19.17 ,$61.05 , N/A ,$19.35 ,$18.47 ,$20.13 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$39.12 ,$19.17 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600409,87271,HC IF CMV AG-90,306,1 ,$116.00 ,$83.52 ,$3.50 ,$116.00 ,$33.55 ,$22.82 ,$63.80 ,$13.15 ,$32.48 ,$46.18 ,$13.15 ,$48.10 ,$13.15 ,$57.42 ,$3.50 ,$13.15 ,$57.42 ,$27.11 ,$81.20 ,$30.78 ,$92.80 ,$33.55 ,$13.15 ,$81.20 ,$13.15 ,$69.60 ,$13.42 ,$87.00 ,$64.03 ,$57.77 ,$64.03 ,$13.15 ,$64.03 ,$17.97 ,$116.00 ,$17.97 ,$98.60 ,$33.55 ,$80.39 ,$13.15 ,$116.00 ,$65.08 ,$13.15 ,$30.39 , N/A ,$7.30 ,$6.97 ,$13.81 ,$92.80 ,$57.42 ,$32.48 ,$104.40 ,$44.08 ,$26.84 ,$13.15 ,$55.68 
ST. MARY'S HOSPITAL - DECATUR,30600412,87280,HC IF RSV AG-90,306,1 ,$138.00 ,$99.36 ,$3.50 ,$138.00 ,$33.55 ,$22.82 ,$75.90 ,$13.15 ,$38.64 ,$46.18 ,$13.15 ,$48.10 ,$13.15 ,$68.31 ,$3.50 ,$13.15 ,$68.31 ,$27.11 ,$96.60 ,$30.78 ,$110.40 ,$33.55 ,$13.15 ,$96.60 ,$13.15 ,$82.80 ,$13.42 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$13.15 ,$76.18 ,$17.97 ,$138.00 ,$17.97 ,$117.30 ,$33.55 ,$95.63 ,$13.15 ,$138.00 ,$77.42 ,$13.15 ,$36.16 , N/A ,$7.30 ,$6.97 ,$13.81 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$26.84 ,$13.15 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$150.00 ,$108.00 ,$3.50 ,$150.00 ,$40.25 ,$27.38 ,$82.50 ,$15.78 ,$42.00 ,$50.26 ,$15.78 ,$52.35 ,$15.78 ,$74.25 ,$3.50 ,$15.78 ,$74.25 ,$32.52 ,$105.00 ,$37.08 ,$120.00 ,$40.25 ,$15.78 ,$105.00 ,$15.78 ,$90.00 ,$16.09 ,$112.50 ,$82.80 ,$74.70 ,$82.80 ,$15.78 ,$82.80 ,$21.56 ,$150.00 ,$21.56 ,$127.50 ,$40.25 ,$103.95 ,$15.78 ,$150.00 ,$84.15 ,$15.78 ,$39.30 , N/A ,$7.30 ,$6.97 ,$16.57 ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$32.20 ,$15.78 ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,30600415,87305,HC EIA QL ASPERGILLUS AG-90,306,1 ,$240.00 ,$172.80 ,$3.50 ,$240.00 ,$29.95 ,$20.36 ,$132.00 ,$11.74 ,$67.20 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$118.80 ,$3.50 ,$11.74 ,$118.80 ,$24.20 ,$168.00 ,$27.63 ,$192.00 ,$29.95 ,$11.74 ,$168.00 ,$11.74 ,$144.00 ,$11.98 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$11.74 ,$132.48 ,$17.84 ,$240.00 ,$17.84 ,$204.00 ,$29.95 ,$166.32 ,$11.74 ,$240.00 ,$134.64 ,$11.74 ,$62.88 , N/A ,$5.82 ,$5.55 ,$12.33 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$23.96 ,$11.74 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30600416,87327,HC EIA QL CRYPTOCOCCUS AG-90,306,1 ,$153.00 ,$110.16 ,$3.50 ,$153.00 ,$33.55 ,$22.82 ,$84.15 ,$13.15 ,$42.84 ,$46.18 ,$13.15 ,$48.10 ,$13.15 ,$75.74 ,$3.50 ,$13.15 ,$75.74 ,$27.11 ,$107.10 ,$30.78 ,$122.40 ,$33.55 ,$13.15 ,$107.10 ,$13.15 ,$91.80 ,$13.42 ,$114.75 ,$84.46 ,$76.19 ,$84.46 ,$13.15 ,$84.46 ,$17.97 ,$153.00 ,$17.97 ,$130.05 ,$33.55 ,$106.03 ,$13.15 ,$153.00 ,$85.83 ,$13.15 ,$40.09 , N/A ,$7.30 ,$6.97 ,$13.81 ,$122.40 ,$75.74 ,$42.84 ,$137.70 ,$58.14 ,$26.84 ,$13.15 ,$73.44 
ST. MARY'S HOSPITAL - DECATUR,30600418,87328,HC EIA QL CRYPTOSPORIDIUM AG-90,306,1 ,$239.00 ,$172.08 ,$3.50 ,$239.00 ,$34.55 ,$23.50 ,$131.45 ,$13.54 ,$66.92 ,$46.18 ,$13.54 ,$48.10 ,$13.54 ,$118.31 ,$3.50 ,$13.54 ,$118.31 ,$27.92 ,$167.30 ,$31.55 ,$191.20 ,$34.55 ,$13.54 ,$167.30 ,$13.54 ,$143.40 ,$13.82 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$13.54 ,$131.93 ,$18.51 ,$239.00 ,$18.51 ,$203.15 ,$34.55 ,$165.63 ,$13.54 ,$239.00 ,$134.08 ,$13.54 ,$62.62 , N/A ,$7.30 ,$6.97 ,$14.22 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$27.64 ,$13.54 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,30600419,87338,HC EIA QL H PYLORI AG STOOL-90,306,1 ,$312.00 ,$224.64 ,$3.50 ,$312.00 ,$35.95 ,$24.44 ,$171.60 ,$14.09 ,$87.36 ,$75.02 ,$14.09 ,$78.15 ,$14.09 ,$154.44 ,$3.50 ,$14.09 ,$154.44 ,$29.05 ,$218.40 ,$33.15 ,$249.60 ,$35.95 ,$14.09 ,$218.40 ,$14.09 ,$187.20 ,$14.38 ,$234.00 ,$172.22 ,$155.38 ,$172.22 ,$14.09 ,$172.22 ,$21.39 ,$312.00 ,$21.39 ,$265.20 ,$35.95 ,$216.22 ,$14.09 ,$312.00 ,$175.03 ,$14.09 ,$81.74 , N/A ,$7.30 ,$6.97 ,$14.80 ,$249.60 ,$154.44 ,$87.36 ,$280.80 ,$118.56 ,$28.76 ,$14.09 ,$149.76 
ST. MARY'S HOSPITAL - DECATUR,30600421,87340,HC EIA QL HEPATITIS B AG-90,306,1 ,$330.00 ,$237.60 ,$3.50 ,$330.00 ,$25.83 ,$17.56 ,$181.50 ,$10.12 ,$92.40 ,$39.79 ,$10.12 ,$41.45 ,$10.12 ,$163.35 ,$3.50 ,$10.12 ,$163.35 ,$20.87 ,$231.00 ,$23.68 ,$264.00 ,$25.83 ,$10.12 ,$231.00 ,$10.12 ,$198.00 ,$10.33 ,$247.50 ,$182.16 ,$164.34 ,$182.16 ,$10.12 ,$182.16 ,$15.37 ,$330.00 ,$15.37 ,$280.50 ,$25.83 ,$228.69 ,$10.12 ,$330.00 ,$185.13 ,$10.12 ,$86.46 , N/A ,$7.30 ,$6.97 ,$10.63 ,$264.00 ,$163.35 ,$92.40 ,$297.00 ,$125.40 ,$20.66 ,$10.12 ,$158.40 
ST. MARY'S HOSPITAL - DECATUR,30600423,87341,HC EIA QL HEPATITIS B AG NEUT-90,306,1 ,$161.00 ,$115.92 ,$3.50 ,$161.00 ,$25.83 ,$17.56 ,$88.55 ,$10.12 ,$45.08 ,$39.79 ,$10.12 ,$41.45 ,$10.12 ,$79.70 ,$3.50 ,$10.12 ,$79.70 ,$20.87 ,$112.70 ,$23.68 ,$128.80 ,$25.83 ,$10.12 ,$112.70 ,$10.12 ,$96.60 ,$10.33 ,$120.75 ,$88.87 ,$80.18 ,$88.87 ,$10.12 ,$88.87 ,$15.37 ,$161.00 ,$15.37 ,$136.85 ,$25.83 ,$111.57 ,$10.12 ,$161.00 ,$90.32 ,$10.12 ,$42.18 , N/A ,$7.30 ,$6.97 ,$10.63 ,$128.80 ,$79.70 ,$45.08 ,$144.90 ,$61.18 ,$20.66 ,$10.12 ,$77.28 
ST. MARY'S HOSPITAL - DECATUR,30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$120.00 ,$86.40 ,$3.50 ,$120.00 ,$28.83 ,$19.60 ,$66.00 ,$11.30 ,$33.60 ,$44.40 ,$11.30 ,$46.25 ,$11.30 ,$59.40 ,$3.50 ,$11.30 ,$59.40 ,$23.29 ,$84.00 ,$26.05 ,$96.00 ,$28.83 ,$11.30 ,$84.00 ,$11.30 ,$72.00 ,$11.52 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$11.30 ,$66.24 ,$17.15 ,$120.00 ,$17.15 ,$102.00 ,$28.83 ,$83.16 ,$11.30 ,$120.00 ,$67.32 ,$11.30 ,$31.44 , N/A ,$7.30 ,$6.97 ,$11.87 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$23.06 ,$11.30 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$172.00 ,$123.84 ,$3.50 ,$172.00 ,$33.13 ,$22.52 ,$94.60 ,$12.98 ,$48.16 ,$46.18 ,$12.98 ,$48.10 ,$12.98 ,$85.14 ,$3.50 ,$12.98 ,$85.14 ,$26.77 ,$120.40 ,$29.98 ,$137.60 ,$33.13 ,$12.98 ,$120.40 ,$12.98 ,$103.20 ,$13.25 ,$129.00 ,$94.94 ,$85.66 ,$94.94 ,$12.98 ,$94.94 ,$17.84 ,$172.00 ,$17.84 ,$146.20 ,$33.13 ,$119.20 ,$12.98 ,$172.00 ,$96.49 ,$12.98 ,$45.06 , N/A ,$7.30 ,$6.97 ,$13.63 ,$137.60 ,$85.14 ,$48.16 ,$154.80 ,$65.36 ,$26.50 ,$12.98 ,$82.56 
ST. MARY'S HOSPITAL - DECATUR,30600427,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB,306,1 ,$346.00 ,$249.12 ,$3.50 ,$346.00 ,$60.20 ,$40.94 ,$190.30 ,$23.60 ,$96.88 ,$125.57 ,$23.60 ,$130.80 ,$23.60 ,$171.27 ,$3.50 ,$23.60 ,$171.27 ,$48.64 ,$242.20 ,$55.23 ,$276.80 ,$60.20 ,$23.60 ,$242.20 ,$23.60 ,$207.60 ,$24.07 ,$259.50 ,$190.99 ,$172.31 ,$190.99 ,$23.60 ,$190.99 ,$35.82 ,$346.00 ,$35.82 ,$294.10 ,$60.20 ,$239.78 ,$23.60 ,$346.00 ,$194.11 ,$23.60 ,$90.65 , N/A ,$7.30 ,$6.97 ,$24.77 ,$276.80 ,$171.27 ,$96.88 ,$311.40 ,$131.48 ,$48.16 ,$23.60 ,$166.08 
ST. MARY'S HOSPITAL - DECATUR,30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$263.00 ,$189.36 ,$3.50 ,$263.00 ,$29.95 ,$20.36 ,$144.65 ,$11.74 ,$73.64 ,$62.50 ,$11.74 ,$65.10 ,$11.74 ,$130.19 ,$3.50 ,$11.74 ,$130.19 ,$24.20 ,$184.10 ,$27.63 ,$210.40 ,$29.95 ,$11.74 ,$184.10 ,$11.74 ,$157.80 ,$11.98 ,$197.25 ,$145.18 ,$130.97 ,$145.18 ,$11.74 ,$145.18 ,$17.84 ,$263.00 ,$17.84 ,$223.55 ,$29.95 ,$182.26 ,$11.74 ,$263.00 ,$147.54 ,$11.74 ,$68.91 , N/A ,$7.30 ,$6.97 ,$12.33 ,$210.40 ,$130.19 ,$73.64 ,$236.70 ,$99.94 ,$23.96 ,$11.74 ,$126.24 
ST. MARY'S HOSPITAL - DECATUR,30600433,87450,HC EIA QL SGL AG-90,306,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 , N/A ,$96.39 ,$103.95 , N/A ,$52.92 ,$36.96 , N/A ,$38.50 , N/A ,$93.56 ,$3.50 , N/A ,$93.56 , N/A ,$132.30 ,$118.13 ,$151.20 , N/A , N/A ,$132.30 , N/A ,$113.40 , N/A ,$141.75 ,$104.33 ,$94.12 ,$104.33 , N/A ,$104.33 ,$137.97 ,$189.00 ,$137.97 ,$160.65 , N/A ,$130.98 , N/A ,$189.00 ,$106.03 , N/A ,$49.52 , N/A , N/A , N/A , N/A ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$94.50 , N/A ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30600436,87471,HC INF AGT BARTONELLA HENSELAE-90,306,1 ,$581.00 ,$418.32 ,$3.50 ,$581.00 ,$87.73 ,$59.66 ,$319.55 ,$34.39 ,$162.68 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$287.60 ,$3.50 ,$34.39 ,$287.60 ,$70.88 ,$406.70 ,$79.70 ,$464.80 ,$87.73 ,$34.39 ,$406.70 ,$34.39 ,$348.60 ,$35.07 ,$435.75 ,$320.71 ,$289.34 ,$320.71 ,$34.39 ,$320.71 ,$52.21 ,$581.00 ,$52.21 ,$493.85 ,$87.73 ,$402.63 ,$34.39 ,$581.00 ,$325.94 ,$34.39 ,$152.22 , N/A ,$19.35 ,$18.47 ,$36.10 ,$464.80 ,$287.60 ,$162.68 ,$522.90 ,$220.78 ,$70.18 ,$34.39 ,$278.88 
ST. MARY'S HOSPITAL - DECATUR,30600437,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$65.00 ,$46.80 ,$3.50 ,$87.73 ,$87.73 ,$59.66 ,$35.75 ,$34.39 ,$18.20 ,$34.00 ,$34.39 ,$35.75 ,$34.39 ,$32.18 ,$3.50 ,$34.39 ,$32.18 ,$65.00 ,$45.50 ,$65.00 ,$52.00 ,$87.73 ,$34.39 ,$45.50 ,$34.39 ,$39.00 ,$35.07 ,$48.75 ,$35.88 ,$32.37 ,$35.88 ,$34.39 ,$35.88 ,$52.21 ,$65.00 ,$52.21 ,$55.25 ,$65.00 ,$45.05 ,$34.39 ,$65.00 ,$36.47 ,$34.39 ,$17.03 , N/A ,$19.35 ,$18.47 ,$36.10 ,$52.00 ,$32.18 ,$18.20 ,$58.50 ,$24.70 ,$65.00 ,$34.39 ,$31.20 
ST. MARY'S HOSPITAL - DECATUR,30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$301.00 ,$216.72 ,$3.50 ,$301.00 ,$87.73 ,$59.66 ,$165.55 ,$34.39 ,$84.28 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$149.00 ,$3.50 ,$34.39 ,$149.00 ,$70.88 ,$210.70 ,$79.70 ,$240.80 ,$87.73 ,$34.39 ,$210.70 ,$34.39 ,$180.60 ,$35.07 ,$225.75 ,$166.15 ,$149.90 ,$166.15 ,$34.39 ,$166.15 ,$52.21 ,$301.00 ,$52.21 ,$255.85 ,$87.73 ,$208.59 ,$34.39 ,$301.00 ,$168.86 ,$34.39 ,$78.86 , N/A ,$7.30 ,$6.97 ,$36.10 ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 ,$70.18 ,$34.39 ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,30600440,87493,HC CLOSTRIDUM DIFFICILE-90,306,1 ,$526.00 ,$378.72 ,$3.50 ,$526.00 ,$93.18 ,$63.36 ,$289.30 ,$36.52 ,$147.28 ,$135.17 ,$36.52 ,$140.80 ,$36.52 ,$260.37 ,$3.50 ,$36.52 ,$260.37 ,$75.29 ,$368.20 ,$85.23 ,$420.80 ,$93.18 ,$36.52 ,$368.20 ,$36.52 ,$315.60 ,$37.26 ,$394.50 ,$290.35 ,$261.95 ,$290.35 ,$36.52 ,$290.35 ,$52.21 ,$526.00 ,$52.21 ,$447.10 ,$93.18 ,$364.52 ,$36.52 ,$526.00 ,$295.09 ,$36.52 ,$137.81 , N/A ,$7.30 ,$6.97 ,$38.35 ,$420.80 ,$260.37 ,$147.28 ,$473.40 ,$199.88 ,$74.54 ,$36.52 ,$252.48 
ST. MARY'S HOSPITAL - DECATUR,30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$433.00 ,$311.76 ,$3.50 ,$433.00 ,$87.73 ,$59.66 ,$238.15 ,$34.39 ,$121.24 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$214.34 ,$3.50 ,$34.39 ,$214.34 ,$70.88 ,$303.10 ,$79.70 ,$346.40 ,$87.73 ,$34.39 ,$303.10 ,$34.39 ,$259.80 ,$35.07 ,$324.75 ,$239.02 ,$215.63 ,$239.02 ,$34.39 ,$239.02 ,$52.21 ,$433.00 ,$52.21 ,$368.05 ,$87.73 ,$300.07 ,$34.39 ,$433.00 ,$242.91 ,$34.39 ,$113.45 , N/A ,$19.35 ,$18.47 ,$36.10 ,$346.40 ,$214.34 ,$121.24 ,$389.70 ,$164.54 ,$70.18 ,$34.39 ,$207.84 
ST. MARY'S HOSPITAL - DECATUR,30600443,87497,HC CMV QN-90,306,1 ,$619.00 ,$445.68 ,$3.50 ,$619.00 ,$107.10 ,$72.82 ,$340.45 ,$41.98 ,$173.32 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$306.41 ,$3.50 ,$41.98 ,$306.41 ,$86.54 ,$433.30 ,$97.85 ,$495.20 ,$107.10 ,$41.98 ,$433.30 ,$41.98 ,$371.40 ,$42.83 ,$464.25 ,$341.69 ,$308.26 ,$341.69 ,$41.98 ,$341.69 ,$63.74 ,$619.00 ,$63.74 ,$526.15 ,$107.10 ,$428.97 ,$41.98 ,$619.00 ,$347.26 ,$41.98 ,$162.18 , N/A ,$19.35 ,$18.47 ,$44.08 ,$495.20 ,$306.41 ,$173.32 ,$557.10 ,$235.22 ,$85.68 ,$41.98 ,$297.12 
ST. MARY'S HOSPITAL - DECATUR,30600444,87498,HC ENTEROVIRUS AMP PROBE-90,306,1 ,$494.00 ,$355.68 ,$3.50 ,$494.00 ,$87.73 ,$59.66 ,$271.70 ,$34.39 ,$138.32 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$244.53 ,$3.50 ,$34.39 ,$244.53 ,$70.88 ,$345.80 ,$79.70 ,$395.20 ,$87.73 ,$34.39 ,$345.80 ,$34.39 ,$296.40 ,$35.07 ,$370.50 ,$272.69 ,$246.01 ,$272.69 ,$34.39 ,$272.69 ,$52.21 ,$494.00 ,$52.21 ,$419.90 ,$87.73 ,$342.34 ,$34.39 ,$494.00 ,$277.13 ,$34.39 ,$129.43 , N/A ,$19.35 ,$18.47 ,$36.10 ,$395.20 ,$244.53 ,$138.32 ,$444.60 ,$187.72 ,$70.18 ,$34.39 ,$237.12 
ST. MARY'S HOSPITAL - DECATUR,30600446,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA-90,306,1 ,$408.00 ,$293.76 ,$3.50 ,$408.00 ,$239.50 ,$162.86 ,$224.40 ,$93.88 ,$114.24 ,$213.38 ,$93.88 ,$224.40 ,$93.88 ,$201.96 ,$3.50 ,$93.88 ,$201.96 ,$193.52 ,$285.60 ,$218.55 ,$326.40 ,$239.50 ,$93.88 ,$285.60 ,$93.88 ,$244.80 ,$95.77 ,$306.00 ,$225.22 ,$203.18 ,$225.22 ,$93.88 ,$225.22 ,$128.28 ,$408.00 ,$128.28 ,$346.80 ,$239.50 ,$282.74 ,$93.88 ,$408.00 ,$228.89 ,$93.88 ,$106.90 , N/A ,$12.58 ,$12.01 ,$98.58 ,$326.40 ,$201.96 ,$114.24 ,$367.20 ,$155.04 ,$191.60 ,$93.88 ,$195.84 
ST. MARY'S HOSPITAL - DECATUR,30600448,87517,HC HEPATITIS B QN-90,306,1 ,$409.00 ,$294.48 ,$3.50 ,$409.00 ,$107.10 ,$72.82 ,$224.95 ,$41.98 ,$114.52 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$202.46 ,$3.50 ,$41.98 ,$202.46 ,$86.54 ,$286.30 ,$97.85 ,$327.20 ,$107.10 ,$41.98 ,$286.30 ,$41.98 ,$245.40 ,$42.83 ,$306.75 ,$225.77 ,$203.68 ,$225.77 ,$41.98 ,$225.77 ,$63.74 ,$409.00 ,$63.74 ,$347.65 ,$107.10 ,$283.44 ,$41.98 ,$409.00 ,$229.45 ,$41.98 ,$107.16 , N/A ,$19.35 ,$18.47 ,$44.08 ,$327.20 ,$202.46 ,$114.52 ,$368.10 ,$155.42 ,$85.68 ,$41.98 ,$196.32 
ST. MARY'S HOSPITAL - DECATUR,30600449,87521,HC HEPATITIS C PROBE AND RVRS TRNSC-90,306,1 ,$433.00 ,$311.76 ,$3.50 ,$433.00 ,$87.73 ,$59.66 ,$238.15 ,$34.39 ,$121.24 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$214.34 ,$3.50 ,$34.39 ,$214.34 ,$70.88 ,$303.10 ,$79.70 ,$346.40 ,$87.73 ,$34.39 ,$303.10 ,$34.39 ,$259.80 ,$35.07 ,$324.75 ,$239.02 ,$215.63 ,$239.02 ,$34.39 ,$239.02 ,$52.21 ,$433.00 ,$52.21 ,$368.05 ,$87.73 ,$300.07 ,$34.39 ,$433.00 ,$242.91 ,$34.39 ,$113.45 , N/A ,$19.35 ,$18.47 ,$36.10 ,$346.40 ,$214.34 ,$121.24 ,$389.70 ,$164.54 ,$70.18 ,$34.39 ,$207.84 
ST. MARY'S HOSPITAL - DECATUR,30600451,87522,HC HEPATITIS C QN-90,306,1 ,$808.00 ,$581.76 ,$3.50 ,$808.00 ,$107.10 ,$72.82 ,$444.40 ,$41.98 ,$226.24 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$399.96 ,$3.50 ,$41.98 ,$399.96 ,$86.54 ,$565.60 ,$97.85 ,$646.40 ,$107.10 ,$41.98 ,$565.60 ,$41.98 ,$484.80 ,$42.83 ,$606.00 ,$446.02 ,$402.38 ,$446.02 ,$41.98 ,$446.02 ,$63.74 ,$808.00 ,$63.74 ,$686.80 ,$107.10 ,$559.94 ,$41.98 ,$808.00 ,$453.29 ,$41.98 ,$211.70 , N/A ,$19.35 ,$18.47 ,$44.08 ,$646.40 ,$399.96 ,$226.24 ,$727.20 ,$307.04 ,$85.68 ,$41.98 ,$387.84 
ST. MARY'S HOSPITAL - DECATUR,30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$433.00 ,$311.76 ,$3.50 ,$433.00 ,$87.73 ,$59.66 ,$238.15 ,$34.39 ,$121.24 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$214.34 ,$3.50 ,$34.39 ,$214.34 ,$70.88 ,$303.10 ,$79.70 ,$346.40 ,$87.73 ,$34.39 ,$303.10 ,$34.39 ,$259.80 ,$35.07 ,$324.75 ,$239.02 ,$215.63 ,$239.02 ,$34.39 ,$239.02 ,$52.21 ,$433.00 ,$52.21 ,$368.05 ,$87.73 ,$300.07 ,$34.39 ,$433.00 ,$242.91 ,$34.39 ,$113.45 , N/A ,$19.35 ,$18.47 ,$36.10 ,$346.40 ,$214.34 ,$121.24 ,$389.70 ,$164.54 ,$70.18 ,$34.39 ,$207.84 
ST. MARY'S HOSPITAL - DECATUR,30600454,87530,HC HSV QUANT-90,306,1 ,$409.00 ,$294.48 ,$3.50 ,$409.00 ,$107.10 ,$72.82 ,$224.95 ,$41.98 ,$114.52 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$202.46 ,$3.50 ,$41.98 ,$202.46 ,$86.54 ,$286.30 ,$97.85 ,$327.20 ,$107.10 ,$41.98 ,$286.30 ,$41.98 ,$245.40 ,$42.83 ,$306.75 ,$225.77 ,$203.68 ,$225.77 ,$41.98 ,$225.77 ,$63.74 ,$409.00 ,$63.74 ,$347.65 ,$107.10 ,$283.44 ,$41.98 ,$409.00 ,$229.45 ,$41.98 ,$107.16 , N/A ,$19.35 ,$18.47 ,$44.08 ,$327.20 ,$202.46 ,$114.52 ,$368.10 ,$155.42 ,$85.68 ,$41.98 ,$196.32 
ST. MARY'S HOSPITAL - DECATUR,30600455,87532,HC INFECT AMP (HHSV6) MENI-90,306,1 ,$491.00 ,$353.52 ,$3.50 ,$491.00 ,$87.73 ,$59.66 ,$270.05 ,$34.39 ,$137.48 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$243.05 ,$3.50 ,$34.39 ,$243.05 ,$70.88 ,$343.70 ,$79.70 ,$392.80 ,$87.73 ,$34.39 ,$343.70 ,$34.39 ,$294.60 ,$35.07 ,$368.25 ,$271.03 ,$244.52 ,$271.03 ,$34.39 ,$271.03 ,$52.21 ,$491.00 ,$52.21 ,$417.35 ,$87.73 ,$340.26 ,$34.39 ,$491.00 ,$275.45 ,$34.39 ,$128.64 , N/A ,$19.35 ,$18.47 ,$36.10 ,$392.80 ,$243.05 ,$137.48 ,$441.90 ,$186.58 ,$70.18 ,$34.39 ,$235.68 
ST. MARY'S HOSPITAL - DECATUR,30600456,87535,HC PROBE HIV-1 AMP-90,306,1 ,$316.00 ,$227.52 ,$3.50 ,$316.00 ,$87.73 ,$59.66 ,$173.80 ,$34.39 ,$88.48 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$156.42 ,$3.50 ,$34.39 ,$156.42 ,$70.88 ,$221.20 ,$79.70 ,$252.80 ,$87.73 ,$34.39 ,$221.20 ,$34.39 ,$189.60 ,$35.07 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$34.39 ,$174.43 ,$52.21 ,$316.00 ,$52.21 ,$268.60 ,$87.73 ,$218.99 ,$34.39 ,$316.00 ,$177.28 ,$34.39 ,$82.79 , N/A ,$19.35 ,$18.47 ,$36.10 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$70.18 ,$34.39 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,30600458,87536,HC HIV-1 QN-90,306,1 ,$715.00 ,$514.80 ,$3.50 ,$715.00 ,$212.75 ,$144.68 ,$393.25 ,$83.40 ,$200.20 ,$327.79 ,$83.40 ,$341.45 ,$83.40 ,$353.93 ,$3.50 ,$83.40 ,$353.93 ,$171.90 ,$500.50 ,$194.10 ,$572.00 ,$212.75 ,$83.40 ,$500.50 ,$83.40 ,$429.00 ,$85.06 ,$536.25 ,$394.68 ,$356.07 ,$394.68 ,$83.40 ,$394.68 ,$126.61 ,$715.00 ,$126.61 ,$607.75 ,$212.75 ,$495.50 ,$83.40 ,$715.00 ,$401.12 ,$83.40 ,$187.33 , N/A ,$19.35 ,$18.47 ,$87.57 ,$572.00 ,$353.93 ,$200.20 ,$643.50 ,$271.70 ,$170.20 ,$83.40 ,$343.20 
ST. MARY'S HOSPITAL - DECATUR,30600459,87556,HC MTB COMPLEX PCR-90,306,1 ,$255.00 ,$183.60 ,$3.50 ,$255.00 ,$104.20 ,$70.86 ,$140.25 ,$40.85 ,$71.40 ,$133.37 ,$40.85 ,$140.25 ,$40.85 ,$126.23 ,$3.50 ,$40.85 ,$126.23 ,$84.19 ,$178.50 ,$94.68 ,$204.00 ,$104.20 ,$40.85 ,$178.50 ,$40.85 ,$153.00 ,$41.66 ,$191.25 ,$140.76 ,$126.99 ,$140.76 ,$40.85 ,$140.76 ,$55.81 ,$255.00 ,$55.81 ,$216.75 ,$104.20 ,$176.72 ,$40.85 ,$255.00 ,$143.06 ,$40.85 ,$66.81 , N/A ,$19.35 ,$18.47 ,$42.88 ,$204.00 ,$126.23 ,$71.40 ,$229.50 ,$96.90 ,$83.36 ,$40.85 ,$122.40 
ST. MARY'S HOSPITAL - DECATUR,30600460,87591,HC NEISSERIA AMP-90,306,1 ,$266.00 ,$191.52 ,$3.50 ,$266.00 ,$87.73 ,$59.66 ,$146.30 ,$34.39 ,$74.48 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$131.67 ,$3.50 ,$34.39 ,$131.67 ,$70.88 ,$186.20 ,$79.70 ,$212.80 ,$87.73 ,$34.39 ,$186.20 ,$34.39 ,$159.60 ,$35.07 ,$199.50 ,$146.83 ,$132.47 ,$146.83 ,$34.39 ,$146.83 ,$52.21 ,$266.00 ,$52.21 ,$226.10 ,$87.73 ,$184.34 ,$34.39 ,$266.00 ,$149.23 ,$34.39 ,$69.69 , N/A ,$19.35 ,$18.47 ,$36.10 ,$212.80 ,$131.67 ,$74.48 ,$239.40 ,$101.08 ,$70.18 ,$34.39 ,$127.68 
ST. MARY'S HOSPITAL - DECATUR,30600464,87631,HC RESP VIRUS AMP 3-5 TARGETS-90,306,1 ,$339.00 ,$244.08 ,$3.50 ,$356.58 ,$356.58 ,$242.48 ,$186.45 ,$139.78 ,$94.92 ,$177.30 ,$139.78 ,$186.45 ,$139.78 ,$167.81 ,$3.50 ,$139.78 ,$167.81 ,$288.11 ,$237.30 ,$325.08 ,$271.20 ,$356.58 ,$139.78 ,$237.30 ,$139.78 ,$203.40 ,$142.57 ,$254.25 ,$187.13 ,$168.82 ,$187.13 ,$139.78 ,$187.13 ,$190.98 ,$339.00 ,$190.98 ,$288.15 ,$339.00 ,$234.93 ,$139.78 ,$339.00 ,$190.18 ,$139.78 ,$88.82 , N/A ,$19.35 ,$18.47 ,$146.76 ,$271.20 ,$167.81 ,$94.92 ,$305.10 ,$128.82 ,$285.26 ,$139.78 ,$162.72 
ST. MARY'S HOSPITAL - DECATUR,30600465,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS-90,306,1 ,"$1,936.00 ","$1,393.92 ",$3.50 ,"$1,936.00 ","$1,041.95 ",$708.52 ,"$1,064.80 ",$408.44 ,$542.08 ,"$1,012.53 ",$408.44 ,"$1,064.80 ",$408.44 ,$958.32 ,$3.50 ,$408.44 ,$958.32 ,$841.90 ,"$1,355.20 ",$949.98 ,"$1,548.80 ","$1,041.95 ",$408.44 ,"$1,355.20 ",$408.44 ,"$1,161.60 ",$416.62 ,"$1,452.00 ","$1,068.67 ",$964.13 ,"$1,068.67 ",$408.44 ,"$1,068.67 ",$620.08 ,"$1,936.00 ",$620.08 ,"$1,645.60 ","$1,041.95 ","$1,341.65 ",$408.44 ,"$1,936.00 ","$1,086.10 ",$408.44 ,$507.23 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,548.80 ",$958.32 ,$542.08 ,"$1,742.40 ",$735.68 ,$833.56 ,$408.44 ,$929.28 
ST. MARY'S HOSPITAL - DECATUR,30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$220.00 ,$158.40 ,$3.50 ,$220.00 ,$87.73 ,$59.66 ,$121.00 ,$34.39 ,$61.60 ,$115.06 ,$34.39 ,$121.00 ,$34.39 ,$108.90 ,$3.50 ,$34.39 ,$108.90 ,$70.88 ,$154.00 ,$79.70 ,$176.00 ,$87.73 ,$34.39 ,$154.00 ,$34.39 ,$132.00 ,$35.07 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$34.39 ,$121.44 ,$52.21 ,$220.00 ,$52.21 ,$187.00 ,$87.73 ,$152.46 ,$34.39 ,$220.00 ,$123.42 ,$34.39 ,$57.64 , N/A ,$19.35 ,$18.47 ,$36.10 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$70.18 ,$34.39 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,30600471,87798,HC INFECT AMP-90,306,1 ,$496.00 ,$357.12 ,$3.50 ,$496.00 ,$87.73 ,$59.66 ,$272.80 ,$34.39 ,$138.88 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$245.52 ,$3.50 ,$34.39 ,$245.52 ,$70.88 ,$347.20 ,$79.70 ,$396.80 ,$87.73 ,$34.39 ,$347.20 ,$34.39 ,$297.60 ,$35.07 ,$372.00 ,$273.79 ,$247.01 ,$273.79 ,$34.39 ,$273.79 ,$52.21 ,$496.00 ,$52.21 ,$421.60 ,$87.73 ,$343.73 ,$34.39 ,$496.00 ,$278.26 ,$34.39 ,$129.95 , N/A ,$19.35 ,$18.47 ,$36.10 ,$396.80 ,$245.52 ,$138.88 ,$446.40 ,$188.48 ,$70.18 ,$34.39 ,$238.08 
ST. MARY'S HOSPITAL - DECATUR,30600477,87798,HC INFECT AMP T2,306,1 ,$84.00 ,$60.48 ,$3.50 ,$87.73 ,$87.73 ,$59.66 ,$46.20 ,$34.39 ,$23.52 ,$43.93 ,$34.39 ,$46.20 ,$34.39 ,$41.58 ,$3.50 ,$34.39 ,$41.58 ,$70.88 ,$58.80 ,$79.70 ,$67.20 ,$87.73 ,$34.39 ,$58.80 ,$34.39 ,$50.40 ,$35.07 ,$63.00 ,$46.37 ,$41.83 ,$46.37 ,$34.39 ,$46.37 ,$52.21 ,$84.00 ,$52.21 ,$71.40 ,$84.00 ,$58.21 ,$34.39 ,$84.00 ,$47.12 ,$34.39 ,$22.01 , N/A ,$19.35 ,$18.47 ,$36.10 ,$67.20 ,$41.58 ,$23.52 ,$75.60 ,$31.92 ,$70.18 ,$34.39 ,$40.32 
ST. MARY'S HOSPITAL - DECATUR,30600478,87799,HC INFECT AGENT QN-90,306,1 ,$546.00 ,$393.12 ,$3.50 ,$546.00 ,$107.10 ,$72.82 ,$300.30 ,$41.98 ,$152.88 ,$164.98 ,$41.98 ,$171.85 ,$41.98 ,$270.27 ,$3.50 ,$41.98 ,$270.27 ,$86.54 ,$382.20 ,$97.85 ,$436.80 ,$107.10 ,$41.98 ,$382.20 ,$41.98 ,$327.60 ,$42.83 ,$409.50 ,$301.39 ,$271.91 ,$301.39 ,$41.98 ,$301.39 ,$63.74 ,$546.00 ,$63.74 ,$464.10 ,$107.10 ,$378.38 ,$41.98 ,$546.00 ,$306.31 ,$41.98 ,$143.05 , N/A ,$19.35 ,$18.47 ,$44.08 ,$436.80 ,$270.27 ,$152.88 ,$491.40 ,$207.48 ,$85.68 ,$41.98 ,$262.08 
ST. MARY'S HOSPITAL - DECATUR,30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$112.00 ,$80.64 ,$3.50 ,$112.00 ,$40.18 ,$27.32 ,$61.60 ,$15.75 ,$31.36 ,$58.58 ,$15.75 ,$61.60 ,$15.75 ,$55.44 ,$3.50 ,$15.75 ,$55.44 ,$32.46 ,$78.40 ,$36.30 ,$89.60 ,$40.18 ,$15.75 ,$78.40 ,$15.75 ,$67.20 ,$16.06 ,$84.00 ,$61.82 ,$55.78 ,$61.82 ,$15.75 ,$61.82 ,$21.52 ,$112.00 ,$21.52 ,$95.20 ,$40.18 ,$77.62 ,$15.75 ,$112.00 ,$62.83 ,$15.75 ,$29.34 , N/A ,$5.82 ,$5.55 ,$16.53 ,$89.60 ,$55.44 ,$31.36 ,$100.80 ,$42.56 ,$32.14 ,$15.75 ,$53.76 
ST. MARY'S HOSPITAL - DECATUR,30600481,87900,HC PHENOTYPE INFCT AGT DRG SUS-90,306,1 ,$712.00 ,$512.64 ,$3.50 ,$712.00 ,$325.88 ,$221.60 ,$391.60 ,$127.74 ,$199.36 ,$372.38 ,$127.74 ,$391.60 ,$127.74 ,$352.44 ,$3.50 ,$127.74 ,$352.44 ,$263.31 ,$498.40 ,$297.45 ,$569.60 ,$325.88 ,$127.74 ,$498.40 ,$127.74 ,$427.20 ,$130.30 ,$534.00 ,$393.02 ,$354.58 ,$393.02 ,$127.74 ,$393.02 ,$193.93 ,$712.00 ,$193.93 ,$605.20 ,$325.88 ,$493.42 ,$127.74 ,$712.00 ,$399.43 ,$127.74 ,$186.54 , N/A ,$19.35 ,$18.47 ,$134.13 ,$569.60 ,$352.44 ,$199.36 ,$640.80 ,$270.56 ,$260.70 ,$127.74 ,$341.76 
ST. MARY'S HOSPITAL - DECATUR,30600482,87901,HC GENOTYPE HIV 1-90,306,1 ,"$1,588.00 ","$1,143.36 ",$3.50 ,"$1,588.00 ",$643.63 ,$437.66 ,$873.40 ,$252.30 ,$444.64 ,$830.52 ,$252.30 ,$873.40 ,$252.30 ,$786.06 ,$3.50 ,$252.30 ,$786.06 ,$520.05 ,"$1,111.60 ",$587.03 ,"$1,270.40 ",$643.63 ,$252.30 ,"$1,111.60 ",$252.30 ,$952.80 ,$257.35 ,"$1,191.00 ",$876.58 ,$790.82 ,$876.58 ,$252.30 ,$876.58 ,$383.03 ,"$1,588.00 ",$383.03 ,"$1,349.80 ",$643.63 ,"$1,100.48 ",$252.30 ,"$1,588.00 ",$890.87 ,$252.30 ,$416.06 , N/A ,$19.35 ,$18.47 ,$264.91 ,"$1,270.40 ",$786.06 ,$444.64 ,"$1,429.20 ",$603.44 ,$514.90 ,$252.30 ,$762.24 
ST. MARY'S HOSPITAL - DECATUR,30600483,87902,HC GENTOYPE HEP C-90,306,1 ,"$1,278.00 ",$920.16 ,$3.50 ,"$1,278.00 ",$643.63 ,$437.66 ,$702.90 ,$252.30 ,$357.84 ,$668.39 ,$252.30 ,$702.90 ,$252.30 ,$632.61 ,$3.50 ,$252.30 ,$632.61 ,$520.05 ,$894.60 ,$587.03 ,"$1,022.40 ",$643.63 ,$252.30 ,$894.60 ,$252.30 ,$766.80 ,$257.35 ,$958.50 ,$705.46 ,$636.44 ,$705.46 ,$252.30 ,$705.46 ,$383.03 ,"$1,278.00 ",$383.03 ,"$1,086.30 ",$643.63 ,$885.65 ,$252.30 ,"$1,278.00 ",$716.96 ,$252.30 ,$334.84 , N/A ,$19.35 ,$18.47 ,$264.91 ,"$1,022.40 ",$632.61 ,$357.84 ,"$1,150.20 ",$485.64 ,$514.90 ,$252.30 ,$613.44 
ST. MARY'S HOSPITAL - DECATUR,30600484,87903,HC HIV 1 1-10 DRUGS-90,306,1 ,$207.00 ,$149.04 ,$3.50 ,$517.50 ,$517.50 ,$207.00 ,$113.85 ,$202.86 ,$57.96 ,$108.26 ,$202.86 ,$113.85 ,$202.86 ,$102.47 ,$3.50 ,$202.86 ,$102.47 ,$207.00 ,$144.90 ,$207.00 ,$165.60 ,$517.50 ,$202.86 ,$144.90 ,$202.86 ,$124.20 ,$202.86 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$202.86 ,$114.26 ,$207.00 ,$207.00 ,$207.00 ,$175.95 ,$207.00 ,$143.45 ,$202.86 ,$207.00 ,$116.13 ,$202.86 ,$54.23 , N/A ,$19.35 ,$18.47 ,$213.00 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$207.00 ,$202.86 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30600485,87904,HC HIV 1 EA ADDL DRUG-90,306,1 ,$207.00 ,$149.04 ,$3.50 ,$207.00 ,$65.18 ,$44.32 ,$113.85 ,$25.55 ,$57.96 ,$100.42 ,$25.55 ,$104.60 ,$25.55 ,$102.47 ,$3.50 ,$25.55 ,$102.47 ,$52.66 ,$144.90 ,$59.18 ,$165.60 ,$65.18 ,$25.55 ,$144.90 ,$25.55 ,$124.20 ,$26.06 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$25.55 ,$114.26 ,$38.79 ,$207.00 ,$38.79 ,$175.95 ,$65.18 ,$143.45 ,$25.55 ,$207.00 ,$116.13 ,$25.55 ,$54.23 , N/A ,$19.35 ,$18.47 ,$26.82 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$52.14 ,$25.55 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,30600486,87906,HC GENOTYPE DNA/RNA HIV1-90,306,1 ,"$1,118.00 ",$804.96 ,$3.50 ,"$1,118.00 ",$321.83 ,$218.84 ,$614.90 ,$126.16 ,$313.04 ,$495.84 ,$126.16 ,$516.50 ,$126.16 ,$553.41 ,$3.50 ,$126.16 ,$553.41 ,$260.03 ,$782.60 ,$293.53 ,$894.40 ,$321.83 ,$126.16 ,$782.60 ,$126.16 ,$670.80 ,$128.67 ,$838.50 ,$617.14 ,$556.76 ,$617.14 ,$126.16 ,$617.14 ,$191.52 ,"$1,118.00 ",$191.52 ,$950.30 ,$321.83 ,$774.77 ,$126.16 ,"$1,118.00 ",$627.20 ,$126.16 ,$292.92 , N/A ,$12.58 ,$12.01 ,$132.47 ,$894.40 ,$553.41 ,$313.04 ,"$1,006.20 ",$424.84 ,$257.46 ,$126.16 ,$536.64 
ST. MARY'S HOSPITAL - DECATUR,30600487,87999,HC TROFILE CORECEPT TROPSM ASY-90,306,1 ,"$3,645.00 ","$2,624.40 ",$5.55 ,"$3,645.00 ", N/A ,"$1,858.95 ","$2,004.75 ", N/A ,"$1,020.60 ","$1,906.34 ", N/A ,"$2,004.75 ", N/A ,"$1,804.28 ","$1,458.00 ", N/A ,"$1,804.28 ","$1,640.25 ","$2,551.50 ",$57.48 ,"$2,916.00 ","$2,551.50 ", N/A ,"$2,551.50 ", N/A ,"$2,187.00 ", N/A ,"$2,733.75 ","$2,012.04 ","$1,815.21 ","$2,012.04 ", N/A ,"$2,012.04 ","$2,660.85 ","$3,645.00 ","$2,660.85 ","$3,098.25 ", N/A ,"$2,525.99 ", N/A ,"$3,645.00 ","$2,044.85 ", N/A ,$954.99 , N/A ,$5.82 ,$5.55 , N/A ,"$2,916.00 ","$1,804.28 ","$1,020.60 ","$3,280.50 ","$1,385.10 ", N/A , N/A ,"$1,749.60 "
ST. MARY'S HOSPITAL - DECATUR,30600489,87210,HC SMEAR WET MOUNT-QW,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$14.55 ,$9.90 ,$128.15 ,$5.70 ,$65.24 ,$24.58 ,$5.70 ,$25.60 ,$5.70 ,$115.34 ,$3.50 ,$5.70 ,$115.34 ,$11.76 ,$163.10 ,$13.43 ,$186.40 ,$14.55 ,$5.70 ,$163.10 ,$5.70 ,$139.80 ,$5.82 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$5.70 ,$128.62 ,$7.80 ,$233.00 ,$7.80 ,$198.05 ,$14.55 ,$161.47 ,$5.70 ,$233.00 ,$130.71 ,$5.70 ,$61.05 , N/A ,$5.82 ,$5.55 ,$5.99 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$11.64 ,$5.70 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600490,87272,HC IF CRYPTOSPORIDIUM AG-90,306,1 ,$155.00 ,$111.60 ,$3.50 ,$155.00 ,$29.95 ,$20.36 ,$85.25 ,$11.74 ,$43.40 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$76.73 ,$3.50 ,$11.74 ,$76.73 ,$24.20 ,$108.50 ,$27.63 ,$124.00 ,$29.95 ,$11.74 ,$108.50 ,$11.74 ,$93.00 ,$11.98 ,$116.25 ,$85.56 ,$77.19 ,$85.56 ,$11.74 ,$85.56 ,$17.84 ,$155.00 ,$17.84 ,$131.75 ,$29.95 ,$107.42 ,$11.74 ,$155.00 ,$86.96 ,$11.74 ,$40.61 , N/A ,$7.30 ,$6.97 ,$12.33 ,$124.00 ,$76.73 ,$43.40 ,$139.50 ,$58.90 ,$23.96 ,$11.74 ,$74.40 
ST. MARY'S HOSPITAL - DECATUR,30600491,87337,HC EIA QL ENTAMOEBA HISTOLYTICA-90,306,1 ,$156.00 ,$112.32 ,$3.50 ,$156.00 ,$29.95 ,$20.36 ,$85.80 ,$11.74 ,$43.68 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$77.22 ,$3.50 ,$11.74 ,$77.22 ,$24.20 ,$109.20 ,$27.63 ,$124.80 ,$29.95 ,$11.74 ,$109.20 ,$11.74 ,$93.60 ,$11.98 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$11.74 ,$86.11 ,$17.84 ,$156.00 ,$17.84 ,$132.60 ,$29.95 ,$108.11 ,$11.74 ,$156.00 ,$87.52 ,$11.74 ,$40.87 , N/A ,$7.30 ,$6.97 ,$12.33 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$23.96 ,$11.74 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,30600492,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS-90,306,1 ,"$1,462.00 ","$1,052.64 ",$3.50 ,"$1,462.00 ","$1,041.95 ",$708.52 ,$804.10 ,$408.44 ,$409.36 ,$764.63 ,$408.44 ,$804.10 ,$408.44 ,$723.69 ,$3.50 ,$408.44 ,$723.69 ,$841.90 ,"$1,023.40 ",$949.98 ,"$1,169.60 ","$1,041.95 ",$408.44 ,"$1,023.40 ",$408.44 ,$877.20 ,$416.62 ,"$1,096.50 ",$807.02 ,$728.08 ,$807.02 ,$408.44 ,$807.02 ,$620.08 ,"$1,462.00 ",$620.08 ,"$1,242.70 ","$1,041.95 ","$1,013.17 ",$408.44 ,"$1,462.00 ",$820.18 ,$408.44 ,$383.04 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,169.60 ",$723.69 ,$409.36 ,"$1,315.80 ",$555.56 ,$833.56 ,$408.44 ,$701.76 
ST. MARY'S HOSPITAL - DECATUR,30600494,87301,HC IF POLYVALENT MULT ORG AG-90,306,1 ,$169.00 ,$121.68 ,$3.50 ,$169.00 ,$29.95 ,$20.36 ,$92.95 ,$11.74 ,$47.32 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$83.66 ,$3.50 ,$11.74 ,$83.66 ,$24.20 ,$118.30 ,$27.63 ,$135.20 ,$29.95 ,$11.74 ,$118.30 ,$11.74 ,$101.40 ,$11.98 ,$126.75 ,$93.29 ,$84.16 ,$93.29 ,$11.74 ,$93.29 ,$17.84 ,$169.00 ,$17.84 ,$143.65 ,$29.95 ,$117.12 ,$11.74 ,$169.00 ,$94.81 ,$11.74 ,$44.28 , N/A ,$7.30 ,$6.97 ,$12.33 ,$135.20 ,$83.66 ,$47.32 ,$152.10 ,$64.22 ,$23.96 ,$11.74 ,$81.12 
ST. MARY'S HOSPITAL - DECATUR,30600503,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB-90,306,1 ,$346.00 ,$249.12 ,$3.50 ,$346.00 ,$60.20 ,$40.94 ,$190.30 ,$23.60 ,$96.88 ,$125.57 ,$23.60 ,$130.80 ,$23.60 ,$171.27 ,$3.50 ,$23.60 ,$171.27 ,$48.64 ,$242.20 ,$55.23 ,$276.80 ,$60.20 ,$23.60 ,$242.20 ,$23.60 ,$207.60 ,$24.07 ,$259.50 ,$190.99 ,$172.31 ,$190.99 ,$23.60 ,$190.99 ,$35.82 ,$346.00 ,$35.82 ,$294.10 ,$60.20 ,$239.78 ,$23.60 ,$346.00 ,$194.11 ,$23.60 ,$90.65 , N/A ,$7.30 ,$6.97 ,$24.77 ,$276.80 ,$171.27 ,$96.88 ,$311.40 ,$131.48 ,$48.16 ,$23.60 ,$166.08 
ST. MARY'S HOSPITAL - DECATUR,30600504,87046,HC STOOL CULTURE ADD ISO-90,306,1 ,$113.00 ,$81.36 ,$3.50 ,$113.00 ,$23.60 ,$16.04 ,$62.15 ,$9.25 ,$31.64 ,$36.38 ,$9.25 ,$37.90 ,$9.25 ,$55.94 ,$3.50 ,$9.25 ,$55.94 ,$19.07 ,$79.10 ,$21.30 ,$90.40 ,$23.60 ,$9.25 ,$79.10 ,$9.25 ,$67.80 ,$9.44 ,$84.75 ,$62.38 ,$56.27 ,$62.38 ,$9.25 ,$62.38 ,$14.05 ,$113.00 ,$14.05 ,$96.05 ,$23.60 ,$78.31 ,$9.25 ,$113.00 ,$63.39 ,$9.25 ,$29.61 , N/A ,$5.82 ,$5.55 ,$9.71 ,$90.40 ,$55.94 ,$31.64 ,$101.70 ,$42.94 ,$18.88 ,$9.25 ,$54.24 
ST. MARY'S HOSPITAL - DECATUR,30600505,87329,HC EIA QL GIARDIA AG-90,306,1 ,$166.00 ,$119.52 ,$3.50 ,$166.00 ,$29.95 ,$20.36 ,$91.30 ,$11.74 ,$46.48 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$82.17 ,$3.50 ,$11.74 ,$82.17 ,$24.20 ,$116.20 ,$27.63 ,$132.80 ,$29.95 ,$11.74 ,$116.20 ,$11.74 ,$99.60 ,$11.98 ,$124.50 ,$91.63 ,$82.67 ,$91.63 ,$11.74 ,$91.63 ,$17.84 ,$166.00 ,$17.84 ,$141.10 ,$29.95 ,$115.04 ,$11.74 ,$166.00 ,$93.13 ,$11.74 ,$43.49 , N/A ,$7.30 ,$6.97 ,$12.33 ,$132.80 ,$82.17 ,$46.48 ,$149.40 ,$63.08 ,$23.96 ,$11.74 ,$79.68 
ST. MARY'S HOSPITAL - DECATUR,30600508,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$273.00 ,$196.56 ,$3.50 ,$273.00 ,$101.38 ,$68.94 ,$150.15 ,$39.74 ,$76.44 ,$135.17 ,$39.74 ,$140.80 ,$39.74 ,$135.14 ,$3.50 ,$39.74 ,$135.14 ,$81.91 ,$191.10 ,$92.33 ,$218.40 ,$101.38 ,$39.74 ,$191.10 ,$39.74 ,$163.80 ,$40.53 ,$204.75 ,$150.70 ,$135.95 ,$150.70 ,$39.74 ,$150.70 ,$54.30 ,$273.00 ,$54.30 ,$232.05 ,$101.38 ,$189.19 ,$39.74 ,$40.55 ,$153.15 ,$39.74 ,$71.53 , N/A ,$19.35 ,$18.47 ,$41.73 ,$218.40 ,$135.14 ,$76.44 ,$245.70 ,$103.74 ,$81.10 ,$39.74 ,$131.04 
ST. MARY'S HOSPITAL - DECATUR,30600509,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$249.00 ,$179.28 ,$3.50 ,$249.00 ,$87.73 ,$59.66 ,$136.95 ,$34.39 ,$69.72 ,$130.23 ,$34.39 ,$136.95 ,$34.39 ,$123.26 ,$3.50 ,$34.39 ,$123.26 ,$70.88 ,$174.30 ,$79.70 ,$199.20 ,$87.73 ,$34.39 ,$174.30 ,$34.39 ,$149.40 ,$35.07 ,$186.75 ,$137.45 ,$124.00 ,$137.45 ,$34.39 ,$137.45 ,$52.21 ,$249.00 ,$52.21 ,$211.65 ,$87.73 ,$172.56 ,$34.39 ,$249.00 ,$139.69 ,$34.39 ,$65.24 , N/A ,$19.35 ,$18.47 ,$36.10 ,$199.20 ,$123.26 ,$69.72 ,$224.10 ,$94.62 ,$70.18 ,$34.39 ,$119.52 
ST. MARY'S HOSPITAL - DECATUR,30600513,87533,HC HHV-6 DNA QUANT-90,306,1 ,$728.00 ,$524.16 ,$3.50 ,$728.00 ,$104.40 ,$71.00 ,$400.40 ,$40.92 ,$203.84 ,$160.85 ,$40.92 ,$167.55 ,$40.92 ,$360.36 ,$3.50 ,$40.92 ,$360.36 ,$84.36 ,$509.60 ,$95.48 ,$582.40 ,$104.40 ,$40.92 ,$509.60 ,$40.92 ,$436.80 ,$41.75 ,$546.00 ,$401.86 ,$362.54 ,$401.86 ,$40.92 ,$401.86 ,$62.13 ,$728.00 ,$62.13 ,$618.80 ,$104.40 ,$504.50 ,$40.92 ,$728.00 ,$408.41 ,$40.92 ,$190.74 , N/A ,$19.35 ,$18.47 ,$42.97 ,$582.40 ,$360.36 ,$203.84 ,$655.20 ,$276.64 ,$83.52 ,$40.92 ,$349.44 
ST. MARY'S HOSPITAL - DECATUR,30600514,87476,HC LYMES DNA DETECT PCR-90,306,1 ,$423.00 ,$304.56 ,$3.50 ,$423.00 ,$87.73 ,$59.66 ,$232.65 ,$34.39 ,$118.44 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$209.39 ,$3.50 ,$34.39 ,$209.39 ,$70.88 ,$296.10 ,$79.70 ,$338.40 ,$87.73 ,$34.39 ,$296.10 ,$34.39 ,$253.80 ,$35.07 ,$317.25 ,$233.50 ,$210.65 ,$233.50 ,$34.39 ,$233.50 ,$52.21 ,$423.00 ,$52.21 ,$359.55 ,$87.73 ,$293.14 ,$34.39 ,$423.00 ,$237.30 ,$34.39 ,$110.83 , N/A ,$19.35 ,$18.47 ,$36.10 ,$338.40 ,$209.39 ,$118.44 ,$380.70 ,$160.74 ,$70.18 ,$34.39 ,$203.04 
ST. MARY'S HOSPITAL - DECATUR,30600515,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$106.00 ,$76.32 ,$3.50 ,$106.00 ,$16.70 ,$11.36 ,$58.30 ,$6.55 ,$29.68 ,$25.73 ,$6.55 ,$26.80 ,$6.55 ,$52.47 ,$3.50 ,$6.55 ,$52.47 ,$13.49 ,$74.20 ,$15.00 ,$84.80 ,$16.70 ,$6.55 ,$74.20 ,$6.55 ,$63.60 ,$6.67 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$6.55 ,$58.51 ,$9.94 ,$106.00 ,$9.94 ,$90.10 ,$16.70 ,$73.46 ,$6.55 ,$106.00 ,$59.47 ,$6.55 ,$27.77 , N/A ,$5.82 ,$5.55 ,$6.87 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$13.36 ,$6.55 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30600519,87070,HC BODY FLUID CULTURE,306,1 ,$403.00 ,$290.16 ,$3.50 ,$403.00 ,$21.55 ,$14.66 ,$221.65 ,$8.45 ,$112.84 ,$44.93 ,$8.45 ,$46.80 ,$8.45 ,$199.49 ,$3.50 ,$8.45 ,$199.49 ,$17.41 ,$282.10 ,$19.73 ,$322.40 ,$21.55 ,$8.45 ,$282.10 ,$8.45 ,$241.80 ,$8.61 ,$302.25 ,$222.46 ,$200.69 ,$222.46 ,$8.45 ,$222.46 ,$12.81 ,$403.00 ,$12.81 ,$342.55 ,$21.55 ,$279.28 ,$8.45 ,$403.00 ,$226.08 ,$8.45 ,$105.59 , N/A ,$5.82 ,$5.55 ,$8.87 ,$322.40 ,$199.49 ,$112.84 ,$362.70 ,$153.14 ,$17.24 ,$8.45 ,$193.44 
ST. MARY'S HOSPITAL - DECATUR,30600522,87075,HC CULTURE ANAEROBIC,306,1 ,$402.00 ,$289.44 ,$3.50 ,$402.00 ,$23.68 ,$16.10 ,$221.10 ,$9.28 ,$112.56 ,$36.48 ,$9.28 ,$38.00 ,$9.28 ,$198.99 ,$3.50 ,$9.28 ,$198.99 ,$19.13 ,$281.40 ,$21.30 ,$321.60 ,$23.68 ,$9.28 ,$281.40 ,$9.28 ,$241.20 ,$9.47 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$9.28 ,$221.90 ,$14.09 ,$402.00 ,$14.09 ,$341.70 ,$23.68 ,$278.59 ,$9.28 ,$402.00 ,$225.52 ,$9.28 ,$105.32 , N/A ,$5.82 ,$5.55 ,$9.74 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$18.94 ,$9.28 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$167.00 ,$120.24 ,$3.50 ,$167.00 ,$20.20 ,$13.74 ,$91.85 ,$7.92 ,$46.76 ,$31.10 ,$7.92 ,$32.40 ,$7.92 ,$82.67 ,$3.50 ,$7.92 ,$82.67 ,$16.32 ,$116.90 ,$18.15 ,$133.60 ,$20.20 ,$7.92 ,$116.90 ,$7.92 ,$100.20 ,$8.08 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$7.92 ,$92.18 ,$12.01 ,$167.00 ,$12.01 ,$141.95 ,$20.20 ,$115.73 ,$7.92 ,$167.00 ,$93.69 ,$7.92 ,$43.75 , N/A ,$5.82 ,$5.55 ,$8.31 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$16.16 ,$7.92 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$205.00 ,$147.60 ,$3.50 ,$205.00 ,$20.20 ,$13.74 ,$112.75 ,$7.92 ,$57.40 ,$42.10 ,$7.92 ,$43.85 ,$7.92 ,$101.48 ,$3.50 ,$7.92 ,$101.48 ,$16.32 ,$143.50 ,$18.15 ,$164.00 ,$20.20 ,$7.92 ,$143.50 ,$7.92 ,$123.00 ,$8.08 ,$153.75 ,$113.16 ,$102.09 ,$113.16 ,$7.92 ,$113.16 ,$12.01 ,$205.00 ,$12.01 ,$174.25 ,$20.20 ,$142.07 ,$7.92 ,$205.00 ,$115.01 ,$7.92 ,$53.71 , N/A ,$5.82 ,$5.55 ,$8.31 ,$164.00 ,$101.48 ,$57.40 ,$184.50 ,$77.90 ,$16.16 ,$7.92 ,$98.40 
ST. MARY'S HOSPITAL - DECATUR,30600526,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$16.58 ,$11.28 ,$128.15 ,$6.50 ,$65.24 ,$34.56 ,$6.50 ,$36.00 ,$6.50 ,$115.34 ,$3.50 ,$6.50 ,$115.34 ,$13.39 ,$163.10 ,$15.00 ,$186.40 ,$16.58 ,$6.50 ,$163.10 ,$6.50 ,$139.80 ,$6.62 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$6.50 ,$128.62 ,$9.86 ,$233.00 ,$9.86 ,$198.05 ,$16.58 ,$161.47 ,$6.50 ,$233.00 ,$130.71 ,$6.50 ,$61.05 , N/A ,$5.82 ,$5.55 ,$6.82 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$13.26 ,$6.50 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600527,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$189.00 ,$136.08 ,$3.50 ,$189.00 ,$20.18 ,$13.72 ,$103.95 ,$7.91 ,$52.92 ,$42.05 ,$7.91 ,$43.80 ,$7.91 ,$93.56 ,$3.50 ,$7.91 ,$93.56 ,$16.30 ,$132.30 ,$18.15 ,$151.20 ,$20.18 ,$7.91 ,$132.30 ,$7.91 ,$113.40 ,$8.07 ,$141.75 ,$104.33 ,$94.12 ,$104.33 ,$7.91 ,$104.33 ,$12.01 ,$189.00 ,$12.01 ,$160.65 ,$20.18 ,$130.98 ,$7.91 ,$189.00 ,$106.03 ,$7.91 ,$49.52 , N/A ,$5.82 ,$5.55 ,$8.30 ,$151.20 ,$93.56 ,$52.92 ,$170.10 ,$71.82 ,$16.14 ,$7.91 ,$90.72 
ST. MARY'S HOSPITAL - DECATUR,30600528,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$432.00 ,$311.04 ,$3.50 ,$432.00 ,$20.23 ,$13.76 ,$237.60 ,$7.93 ,$120.96 ,$42.19 ,$7.93 ,$43.95 ,$7.93 ,$213.84 ,$3.50 ,$7.93 ,$213.84 ,$16.34 ,$302.40 ,$18.15 ,$345.60 ,$20.23 ,$7.93 ,$302.40 ,$7.93 ,$259.20 ,$8.08 ,$324.00 ,$238.46 ,$215.14 ,$238.46 ,$7.93 ,$238.46 ,$12.04 ,$432.00 ,$12.04 ,$367.20 ,$20.23 ,$299.38 ,$7.93 ,$432.00 ,$242.35 ,$7.93 ,$113.18 , N/A ,$5.82 ,$5.55 ,$8.32 ,$345.60 ,$213.84 ,$120.96 ,$388.80 ,$164.16 ,$16.18 ,$7.93 ,$207.36 
ST. MARY'S HOSPITAL - DECATUR,30600529,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL -90,306,1 ,$278.00 ,$200.16 ,$3.50 ,$278.00 ,$19.28 ,$13.10 ,$152.90 ,$7.56 ,$77.84 ,$29.66 ,$7.56 ,$30.90 ,$7.56 ,$137.61 ,$3.50 ,$7.56 ,$137.61 ,$15.57 ,$194.60 ,$17.35 ,$222.40 ,$19.28 ,$7.56 ,$194.60 ,$7.56 ,$166.80 ,$7.70 ,$208.50 ,$153.46 ,$138.44 ,$153.46 ,$7.56 ,$153.46 ,$11.46 ,$278.00 ,$11.46 ,$236.30 ,$19.28 ,$192.65 ,$7.56 ,$278.00 ,$155.96 ,$7.56 ,$72.84 , N/A ,$5.82 ,$5.55 ,$7.94 ,$222.40 ,$137.61 ,$77.84 ,$250.20 ,$105.64 ,$15.42 ,$7.56 ,$133.44 
ST. MARY'S HOSPITAL - DECATUR,30600530,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$463.00 ,$333.36 ,$3.50 ,$463.00 ,$19.28 ,$13.10 ,$254.65 ,$7.56 ,$129.64 ,$29.66 ,$7.56 ,$30.90 ,$7.56 ,$229.19 ,$3.50 ,$7.56 ,$229.19 ,$15.57 ,$324.10 ,$17.35 ,$370.40 ,$19.28 ,$7.56 ,$324.10 ,$7.56 ,$277.80 ,$7.70 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$7.56 ,$255.58 ,$11.46 ,$463.00 ,$11.46 ,$393.55 ,$19.28 ,$320.86 ,$7.56 ,$463.00 ,$259.74 ,$7.56 ,$121.31 , N/A ,$5.82 ,$5.55 ,$7.94 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$15.42 ,$7.56 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,30600532,87103,HC CULTURE FUNGUS BLOOD,306,1 ,$472.00 ,$339.84 ,$3.50 ,$472.00 ,$51.15 ,$34.78 ,$259.60 ,$20.05 ,$132.16 ,$63.84 ,$20.05 ,$66.50 ,$20.05 ,$233.64 ,$3.50 ,$20.05 ,$233.64 ,$41.33 ,$330.40 ,$46.55 ,$377.60 ,$51.15 ,$20.05 ,$330.40 ,$20.05 ,$283.20 ,$20.45 ,$354.00 ,$260.54 ,$235.06 ,$260.54 ,$20.05 ,$260.54 ,$27.40 ,$472.00 ,$27.40 ,$401.20 ,$51.15 ,$327.10 ,$20.05 ,$472.00 ,$264.79 ,$20.05 ,$123.66 , N/A ,$19.35 ,$18.47 ,$21.05 ,$377.60 ,$233.64 ,$132.16 ,$424.80 ,$179.36 ,$40.92 ,$20.05 ,$226.56 
ST. MARY'S HOSPITAL - DECATUR,30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$324.00 ,$233.28 ,$3.50 ,$324.00 ,$25.80 ,$17.54 ,$178.20 ,$10.11 ,$90.72 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$160.38 ,$3.50 ,$10.11 ,$160.38 ,$20.85 ,$226.80 ,$23.68 ,$259.20 ,$25.80 ,$10.11 ,$226.80 ,$10.11 ,$194.40 ,$10.32 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$10.11 ,$178.85 ,$15.36 ,$324.00 ,$15.36 ,$275.40 ,$25.80 ,$224.53 ,$10.11 ,$324.00 ,$181.76 ,$10.11 ,$84.89 , N/A ,$5.82 ,$5.55 ,$10.62 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$20.64 ,$10.11 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,30600534,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$111.00 ,$79.92 ,$3.50 ,$111.00 ,$25.80 ,$17.54 ,$61.05 ,$10.11 ,$31.08 ,$39.74 ,$10.11 ,$41.40 ,$10.11 ,$54.95 ,$3.50 ,$10.11 ,$54.95 ,$20.85 ,$77.70 ,$23.68 ,$88.80 ,$25.80 ,$10.11 ,$77.70 ,$10.11 ,$66.60 ,$10.32 ,$83.25 ,$61.27 ,$55.28 ,$61.27 ,$10.11 ,$61.27 ,$15.36 ,$111.00 ,$15.36 ,$94.35 ,$25.80 ,$76.92 ,$10.11 ,$111.00 ,$62.27 ,$10.11 ,$29.08 , N/A ,$19.35 ,$18.47 ,$10.62 ,$88.80 ,$54.95 ,$31.08 ,$99.90 ,$42.18 ,$20.64 ,$10.11 ,$53.28 
ST. MARY'S HOSPITAL - DECATUR,30600535,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$261.00 ,$187.92 ,$3.50 ,$261.00 ,$27.00 ,$18.36 ,$143.55 ,$10.58 ,$73.08 ,$41.62 ,$10.58 ,$43.35 ,$10.58 ,$129.20 ,$3.50 ,$10.58 ,$129.20 ,$21.82 ,$182.70 ,$24.45 ,$208.80 ,$27.00 ,$10.58 ,$182.70 ,$10.58 ,$156.60 ,$10.80 ,$195.75 ,$144.07 ,$129.98 ,$144.07 ,$10.58 ,$144.07 ,$16.07 ,$261.00 ,$16.07 ,$221.85 ,$27.00 ,$180.87 ,$10.58 ,$261.00 ,$146.42 ,$10.58 ,$68.38 , N/A ,$19.35 ,$18.47 ,$11.11 ,$208.80 ,$129.20 ,$73.08 ,$234.90 ,$99.18 ,$21.60 ,$10.58 ,$125.28 
ST. MARY'S HOSPITAL - DECATUR,30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$64.00 ,$46.08 ,$3.50 ,$64.00 ,$12.95 ,$8.80 ,$35.20 ,$5.08 ,$17.92 ,$19.92 ,$5.08 ,$20.75 ,$5.08 ,$31.68 ,$3.50 ,$5.08 ,$31.68 ,$10.46 ,$44.80 ,$11.83 ,$51.20 ,$12.95 ,$5.08 ,$44.80 ,$5.08 ,$38.40 ,$5.17 ,$48.00 ,$35.33 ,$31.87 ,$35.33 ,$5.08 ,$35.33 ,$7.70 ,$64.00 ,$7.70 ,$54.40 ,$12.95 ,$44.35 ,$5.08 ,$64.00 ,$35.90 ,$5.08 ,$16.77 , N/A ,$5.82 ,$5.55 ,$5.33 ,$51.20 ,$31.68 ,$17.92 ,$57.60 ,$24.32 ,$10.36 ,$5.08 ,$30.72 
ST. MARY'S HOSPITAL - DECATUR,30600537,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$249.00 ,$179.28 ,$3.50 ,$249.00 ,$50.13 ,$34.08 ,$136.95 ,$19.65 ,$69.72 ,$77.23 ,$19.65 ,$80.45 ,$19.65 ,$123.26 ,$3.50 ,$19.65 ,$123.26 ,$40.50 ,$174.30 ,$45.78 ,$199.20 ,$50.13 ,$19.65 ,$174.30 ,$19.65 ,$149.40 ,$20.04 ,$186.75 ,$137.45 ,$124.00 ,$137.45 ,$19.65 ,$137.45 ,$29.83 ,$249.00 ,$29.83 ,$211.65 ,$50.13 ,$172.56 ,$19.65 ,$249.00 ,$139.69 ,$19.65 ,$65.24 , N/A ,$5.82 ,$5.55 ,$20.63 ,$199.20 ,$123.26 ,$69.72 ,$224.10 ,$94.62 ,$40.10 ,$19.65 ,$119.52 
ST. MARY'S HOSPITAL - DECATUR,30600538,87153,HC ID NUCLEAR ACID SEQ METH PROF,306,1 ,"$1,106.00 ",$796.32 ,$3.50 ,"$1,106.00 ",$288.40 ,$196.12 ,$608.30 ,$113.05 ,$309.68 ,$444.34 ,$113.05 ,$462.85 ,$113.05 ,$547.47 ,$3.50 ,$113.05 ,$547.47 ,$233.03 ,$774.20 ,$262.75 ,$884.80 ,$288.40 ,$113.05 ,$774.20 ,$113.05 ,$663.60 ,$115.32 ,$829.50 ,$610.51 ,$550.79 ,$610.51 ,$113.05 ,$610.51 ,$171.62 ,"$1,106.00 ",$171.62 ,$940.10 ,$288.40 ,$766.46 ,$113.05 ,"$1,106.00 ",$620.47 ,$113.05 ,$289.77 , N/A ,$19.35 ,$18.47 ,$118.71 ,$884.80 ,$547.47 ,$309.68 ,$995.40 ,$420.28 ,$230.72 ,$113.05 ,$530.88 
ST. MARY'S HOSPITAL - DECATUR,30600539,87153,HC ID NUCLEAR ACID SEQ METH ID,306,1 ,"$1,106.00 ",$796.32 ,$3.50 ,"$1,106.00 ",$288.40 ,$196.12 ,$608.30 ,$113.05 ,$309.68 ,$444.34 ,$113.05 ,$462.85 ,$113.05 ,$547.47 ,$3.50 ,$113.05 ,$547.47 ,$233.03 ,$774.20 ,$262.75 ,$884.80 ,$288.40 ,$113.05 ,$774.20 ,$113.05 ,$663.60 ,$115.32 ,$829.50 ,$610.51 ,$550.79 ,$610.51 ,$113.05 ,$610.51 ,$171.62 ,"$1,106.00 ",$171.62 ,$940.10 ,$288.40 ,$766.46 ,$113.05 ,"$1,106.00 ",$620.47 ,$113.05 ,$289.77 , N/A ,$19.35 ,$18.47 ,$118.71 ,$884.80 ,$547.47 ,$309.68 ,$995.40 ,$420.28 ,$230.72 ,$113.05 ,$530.88 
ST. MARY'S HOSPITAL - DECATUR,30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$11.88 ,$8.08 ,$107.25 ,$4.65 ,$54.60 ,$24.77 ,$4.65 ,$25.80 ,$4.65 ,$96.53 ,$3.50 ,$4.65 ,$96.53 ,$9.60 ,$136.50 ,$11.05 ,$156.00 ,$11.88 ,$4.65 ,$136.50 ,$4.65 ,$117.00 ,$4.75 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$4.65 ,$107.64 ,$7.06 ,$195.00 ,$7.06 ,$165.75 ,$11.88 ,$135.14 ,$4.65 ,$195.00 ,$109.40 ,$4.65 ,$51.09 , N/A ,$5.82 ,$5.55 ,$4.89 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$9.50 ,$4.65 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30600545,87184,HC SENSITIVITY DISK KB,306,1 ,$297.00 ,$213.84 ,$3.50 ,$297.00 ,$18.70 ,$12.72 ,$163.35 ,$7.33 ,$83.16 ,$35.95 ,$7.33 ,$37.45 ,$7.33 ,$147.02 ,$3.50 ,$7.33 ,$147.02 ,$15.11 ,$207.90 ,$17.35 ,$237.60 ,$18.70 ,$7.33 ,$207.90 ,$7.33 ,$178.20 ,$7.48 ,$222.75 ,$163.94 ,$147.91 ,$163.94 ,$7.33 ,$163.94 ,$10.26 ,$297.00 ,$10.26 ,$252.45 ,$18.70 ,$205.82 ,$7.33 ,$297.00 ,$166.62 ,$7.33 ,$77.81 , N/A ,$5.82 ,$5.55 ,$7.69 ,$237.60 ,$147.02 ,$83.16 ,$267.30 ,$112.86 ,$14.96 ,$7.33 ,$142.56 
ST. MARY'S HOSPITAL - DECATUR,30600547,87186,HC SENSITIVITY MIC,306,1 ,$195.00 ,$140.40 ,$3.50 ,$195.00 ,$21.63 ,$14.70 ,$107.25 ,$8.48 ,$54.60 ,$33.31 ,$8.48 ,$34.70 ,$8.48 ,$96.53 ,$3.50 ,$8.48 ,$96.53 ,$17.47 ,$136.50 ,$19.73 ,$156.00 ,$21.63 ,$8.48 ,$136.50 ,$8.48 ,$117.00 ,$8.64 ,$146.25 ,$107.64 ,$97.11 ,$107.64 ,$8.48 ,$107.64 ,$12.86 ,$195.00 ,$12.86 ,$165.75 ,$21.63 ,$135.14 ,$8.48 ,$195.00 ,$109.40 ,$8.48 ,$51.09 , N/A ,$5.82 ,$5.55 ,$8.90 ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$17.30 ,$8.48 ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,30600548,87188,HC MACROTUBE DIL METH 4DRG PNL,306,1 ,$212.00 ,$152.64 ,$3.50 ,$212.00 ,$16.60 ,$11.28 ,$116.60 ,$6.51 ,$59.36 ,$25.58 ,$6.51 ,$26.65 ,$6.51 ,$104.94 ,$3.50 ,$6.51 ,$104.94 ,$13.41 ,$148.40 ,$15.00 ,$169.60 ,$16.60 ,$6.51 ,$148.40 ,$6.51 ,$127.20 ,$6.63 ,$159.00 ,$117.02 ,$105.58 ,$117.02 ,$6.51 ,$117.02 ,$9.88 ,$212.00 ,$9.88 ,$180.20 ,$16.60 ,$146.92 ,$6.51 ,$212.00 ,$118.93 ,$6.51 ,$55.54 , N/A ,$5.82 ,$5.55 ,$6.83 ,$169.60 ,$104.94 ,$59.36 ,$190.80 ,$80.56 ,$13.28 ,$6.51 ,$101.76 
ST. MARY'S HOSPITAL - DECATUR,30600549,87188,HC MACROTUBE DIL METH EA AGNT,306,1 ,$212.00 ,$152.64 ,$3.50 ,$212.00 ,$16.60 ,$11.28 ,$116.60 ,$6.51 ,$59.36 ,$25.58 ,$6.51 ,$26.65 ,$6.51 ,$104.94 ,$3.50 ,$6.51 ,$104.94 ,$13.41 ,$148.40 ,$15.00 ,$169.60 ,$16.60 ,$6.51 ,$148.40 ,$6.51 ,$127.20 ,$6.63 ,$159.00 ,$117.02 ,$105.58 ,$117.02 ,$6.51 ,$117.02 ,$9.88 ,$212.00 ,$9.88 ,$180.20 ,$16.60 ,$146.92 ,$6.51 ,$212.00 ,$118.93 ,$6.51 ,$55.54 , N/A ,$5.82 ,$5.55 ,$6.83 ,$169.60 ,$104.94 ,$59.36 ,$190.80 ,$80.56 ,$13.28 ,$6.51 ,$101.76 
ST. MARY'S HOSPITAL - DECATUR,30600550,87190,HC SENSITIVITY AFB,306,1 ,$178.00 ,$128.16 ,$3.50 ,$178.00 ,$18.28 ,$12.42 ,$97.90 ,$7.16 ,$49.84 ,$22.80 ,$7.16 ,$23.75 ,$7.16 ,$88.11 ,$3.50 ,$7.16 ,$88.11 ,$14.77 ,$124.60 ,$16.58 ,$142.40 ,$18.28 ,$7.16 ,$124.60 ,$7.16 ,$106.80 ,$7.31 ,$133.50 ,$98.26 ,$88.64 ,$98.26 ,$7.16 ,$98.26 ,$9.79 ,$178.00 ,$9.79 ,$151.30 ,$18.28 ,$123.35 ,$7.16 ,$178.00 ,$99.86 ,$7.16 ,$46.64 , N/A ,$5.82 ,$5.55 ,$7.53 ,$142.40 ,$88.11 ,$49.84 ,$160.20 ,$67.64 ,$14.62 ,$7.16 ,$85.44 
ST. MARY'S HOSPITAL - DECATUR,30600551,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$10.68 ,$7.26 ,$115.50 ,$4.18 ,$58.80 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$103.95 ,$3.50 ,$4.18 ,$103.95 ,$8.63 ,$147.00 ,$9.48 ,$168.00 ,$10.68 ,$4.18 ,$147.00 ,$4.18 ,$126.00 ,$4.27 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$4.18 ,$115.92 ,$6.37 ,$210.00 ,$6.37 ,$178.50 ,$10.68 ,$145.53 ,$4.18 ,$210.00 ,$117.81 ,$4.18 ,$55.02 , N/A ,$5.82 ,$5.55 ,$4.39 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$8.54 ,$4.18 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$463.00 ,$333.36 ,$3.50 ,$463.00 ,$13.48 ,$9.16 ,$254.65 ,$5.28 ,$129.64 ,$28.08 ,$5.28 ,$29.25 ,$5.28 ,$229.19 ,$3.50 ,$5.28 ,$229.19 ,$10.89 ,$324.10 ,$12.63 ,$370.40 ,$13.48 ,$5.28 ,$324.10 ,$5.28 ,$277.80 ,$5.39 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$5.28 ,$255.58 ,$8.02 ,$463.00 ,$8.02 ,$393.55 ,$13.48 ,$320.86 ,$5.28 ,$463.00 ,$259.74 ,$5.28 ,$121.31 , N/A ,$5.82 ,$5.55 ,$5.55 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$10.78 ,$5.28 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$279.00 ,$200.88 ,$3.50 ,$279.00 ,$84.65 ,$57.56 ,$153.45 ,$33.18 ,$78.12 ,$130.46 ,$33.18 ,$135.90 ,$33.18 ,$138.11 ,$3.50 ,$33.18 ,$138.11 ,$68.40 ,$195.30 ,$77.33 ,$223.20 ,$84.65 ,$33.18 ,$195.30 ,$33.18 ,$167.40 ,$33.85 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,$33.18 ,$154.01 ,$50.38 ,$279.00 ,$50.38 ,$237.15 ,$84.65 ,$193.35 ,$33.18 ,$279.00 ,$156.52 ,$33.18 ,$73.10 , N/A ,$19.35 ,$18.47 ,$34.84 ,$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$67.72 ,$33.18 ,$133.92 
ST. MARY'S HOSPITAL - DECATUR,30600557,87329,HC EIA QL GIARDIA AG,306,1 ,"$1,936.00 ","$1,393.92 ",$3.50 ,"$1,936.00 ",$29.95 ,$20.36 ,"$1,064.80 ",$11.74 ,$542.08 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$958.32 ,$3.50 ,$11.74 ,$958.32 ,$24.20 ,"$1,355.20 ",$27.63 ,"$1,548.80 ",$29.95 ,$11.74 ,"$1,355.20 ",$11.74 ,"$1,161.60 ",$11.98 ,"$1,452.00 ","$1,068.67 ",$964.13 ,"$1,068.67 ",$11.74 ,"$1,068.67 ",$17.84 ,"$1,936.00 ",$17.84 ,"$1,645.60 ",$29.95 ,"$1,341.65 ",$11.74 ,"$1,936.00 ","$1,086.10 ",$11.74 ,$507.23 , N/A ,$7.30 ,$6.97 ,$12.33 ,"$1,548.80 ",$958.32 ,$542.08 ,"$1,742.40 ",$735.68 ,$23.96 ,$11.74 ,$929.28 
ST. MARY'S HOSPITAL - DECATUR,30600558,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$293.00 ,$210.96 ,$3.50 ,$293.00 ,$35.95 ,$24.44 ,$161.15 ,$14.09 ,$82.04 ,$75.02 ,$14.09 ,$78.15 ,$14.09 ,$145.04 ,$3.50 ,$14.09 ,$145.04 ,$29.05 ,$205.10 ,$33.15 ,$234.40 ,$35.95 ,$14.09 ,$205.10 ,$14.09 ,$175.80 ,$14.38 ,$219.75 ,$161.74 ,$145.91 ,$161.74 ,$14.09 ,$161.74 ,$21.39 ,$293.00 ,$21.39 ,$249.05 ,$35.95 ,$203.05 ,$14.09 ,$293.00 ,$164.37 ,$14.09 ,$76.77 , N/A ,$7.30 ,$6.97 ,$14.80 ,$234.40 ,$145.04 ,$82.04 ,$263.70 ,$111.34 ,$28.76 ,$14.09 ,$140.64 
ST. MARY'S HOSPITAL - DECATUR,30600566,87480,HC CANDIDA SPECIES DNA SCREEN,306,1 ,$145.00 ,$104.40 ,$3.50 ,$145.00 ,$50.13 ,$34.08 ,$79.75 ,$19.65 ,$40.60 ,$75.84 ,$19.65 ,$79.75 ,$19.65 ,$71.78 ,$3.50 ,$19.65 ,$71.78 ,$40.50 ,$101.50 ,$45.78 ,$116.00 ,$50.13 ,$19.65 ,$101.50 ,$19.65 ,$87.00 ,$20.04 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$19.65 ,$80.04 ,$29.83 ,$145.00 ,$29.83 ,$123.25 ,$50.13 ,$100.49 ,$19.65 ,$145.00 ,$81.35 ,$19.65 ,$37.99 , N/A ,$7.30 ,$6.97 ,$20.63 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$40.10 ,$19.65 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30600567,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$2,082.00 ","$1,499.04 ",$3.50 ,"$2,082.00 ","$1,041.95 ",$708.52 ,"$1,145.10 ",$408.44 ,$582.96 ,"$1,088.89 ",$408.44 ,"$1,145.10 ",$408.44 ,"$1,030.59 ",$3.50 ,$408.44 ,"$1,030.59 ",$841.90 ,"$1,457.40 ",$949.98 ,"$1,665.60 ","$1,041.95 ",$408.44 ,"$1,457.40 ",$408.44 ,"$1,249.20 ",$416.62 ,"$1,561.50 ","$1,149.26 ","$1,036.84 ","$1,149.26 ",$408.44 ,"$1,149.26 ",$620.08 ,"$2,082.00 ",$620.08 ,"$1,769.70 ","$1,041.95 ","$1,442.83 ",$408.44 ,"$2,082.00 ","$1,168.00 ",$408.44 ,$545.48 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,665.60 ","$1,030.59 ",$582.96 ,"$1,873.80 ",$791.16 ,$833.56 ,$408.44 ,$999.36 
ST. MARY'S HOSPITAL - DECATUR,30600568,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$284.00 ,$204.48 ,$3.50 ,$284.00 ,$87.73 ,$59.66 ,$156.20 ,$34.39 ,$79.52 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$140.58 ,$3.50 ,$34.39 ,$140.58 ,$70.88 ,$198.80 ,$79.70 ,$227.20 ,$87.73 ,$34.39 ,$198.80 ,$34.39 ,$170.40 ,$35.07 ,$213.00 ,$156.77 ,$141.43 ,$156.77 ,$34.39 ,$156.77 ,$52.21 ,$284.00 ,$52.21 ,$241.40 ,$87.73 ,$196.81 ,$34.39 ,$284.00 ,$159.32 ,$34.39 ,$74.41 , N/A ,$19.35 ,$18.47 ,$36.10 ,$227.20 ,$140.58 ,$79.52 ,$255.60 ,$107.92 ,$70.18 ,$34.39 ,$136.32 
ST. MARY'S HOSPITAL - DECATUR,30600571,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,"$1,371.00 ",$987.12 ,$3.50 ,"$1,371.00 ","$1,041.95 ",$708.52 ,$754.05 ,$408.44 ,$383.88 ,$717.03 ,$408.44 ,$754.05 ,$408.44 ,$678.65 ,$3.50 ,$408.44 ,$678.65 ,$841.90 ,$959.70 ,$949.98 ,"$1,096.80 ","$1,041.95 ",$408.44 ,$959.70 ,$408.44 ,$822.60 ,$416.62 ,"$1,028.25 ",$756.79 ,$682.76 ,$756.79 ,$408.44 ,$756.79 ,$620.08 ,"$1,371.00 ",$620.08 ,"$1,165.35 ","$1,041.95 ",$950.10 ,$408.44 ,"$1,371.00 ",$769.13 ,$408.44 ,$359.20 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,096.80 ",$678.65 ,$383.88 ,"$1,233.90 ",$520.98 ,$833.56 ,$408.44 ,$658.08 
ST. MARY'S HOSPITAL - DECATUR,30600572,87510,HC G VAGINALIS DNA SCREEN,306,1 ,$145.00 ,$104.40 ,$3.50 ,$145.00 ,$50.13 ,$34.08 ,$79.75 ,$19.65 ,$40.60 ,$75.84 ,$19.65 ,$79.75 ,$19.65 ,$71.78 ,$3.50 ,$19.65 ,$71.78 ,$40.50 ,$101.50 ,$45.78 ,$116.00 ,$50.13 ,$19.65 ,$101.50 ,$19.65 ,$87.00 ,$20.04 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$19.65 ,$80.04 ,$29.83 ,$145.00 ,$29.83 ,$123.25 ,$50.13 ,$100.49 ,$19.65 ,$145.00 ,$81.35 ,$19.65 ,$37.99 , N/A ,$19.35 ,$18.47 ,$20.63 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$40.10 ,$19.65 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30600573,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$310.00 ,$223.20 ,$3.50 ,$310.00 ,$87.73 ,$59.66 ,$170.50 ,$34.39 ,$86.80 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$153.45 ,$3.50 ,$34.39 ,$153.45 ,$70.88 ,$217.00 ,$79.70 ,$248.00 ,$87.73 ,$34.39 ,$217.00 ,$34.39 ,$186.00 ,$35.07 ,$232.50 ,$171.12 ,$154.38 ,$171.12 ,$34.39 ,$171.12 ,$52.21 ,$310.00 ,$52.21 ,$263.50 ,$87.73 ,$214.83 ,$34.39 ,$310.00 ,$173.91 ,$34.39 ,$81.22 , N/A ,$19.35 ,$18.47 ,$36.10 ,$248.00 ,$153.45 ,$86.80 ,$279.00 ,$117.80 ,$70.18 ,$34.39 ,$148.80 
ST. MARY'S HOSPITAL - DECATUR,30600577,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,$75.00 ,$54.00 ,$3.50 ,$187.50 ,$187.50 ,$75.00 ,$41.25 ,$73.50 ,$21.00 ,$39.23 ,$73.50 ,$41.25 ,$73.50 ,$37.13 ,$3.50 ,$73.50 ,$37.13 ,$75.00 ,$52.50 ,$75.00 ,$60.00 ,$187.50 ,$73.50 ,$52.50 ,$73.50 ,$45.00 ,$73.50 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$73.50 ,$41.40 ,$75.00 ,$75.00 ,$75.00 ,$63.75 ,$75.00 ,$51.98 ,$73.50 ,$75.00 ,$42.08 ,$73.50 ,$19.65 , N/A ,$19.35 ,$18.47 ,$77.17 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$75.00 ,$73.50 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30600580,87660,HC TRICHOMONAS DNA SCREEN,306,1 ,$145.00 ,$104.40 ,$3.50 ,$145.00 ,$50.13 ,$34.08 ,$79.75 ,$19.65 ,$40.60 ,$75.84 ,$19.65 ,$79.75 ,$19.65 ,$71.78 ,$3.50 ,$19.65 ,$71.78 ,$40.50 ,$101.50 ,$45.78 ,$116.00 ,$50.13 ,$19.65 ,$101.50 ,$19.65 ,$87.00 ,$20.04 ,$108.75 ,$80.04 ,$72.21 ,$80.04 ,$19.65 ,$80.04 ,$29.83 ,$145.00 ,$29.83 ,$123.25 ,$50.13 ,$100.49 ,$19.65 ,$145.00 ,$81.35 ,$19.65 ,$37.99 , N/A ,$19.35 ,$18.47 ,$20.63 ,$116.00 ,$71.78 ,$40.60 ,$130.50 ,$55.10 ,$40.10 ,$19.65 ,$69.60 
ST. MARY'S HOSPITAL - DECATUR,30600581,87798,HC INFECT AMP,306,1 ,$75.00 ,$54.00 ,$3.50 ,$87.73 ,$87.73 ,$59.66 ,$41.25 ,$34.39 ,$21.00 ,$39.23 ,$34.39 ,$41.25 ,$34.39 ,$37.13 ,$3.50 ,$34.39 ,$37.13 ,$70.88 ,$52.50 ,$75.00 ,$60.00 ,$87.73 ,$34.39 ,$52.50 ,$34.39 ,$45.00 ,$35.07 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$34.39 ,$41.40 ,$52.21 ,$75.00 ,$52.21 ,$63.75 ,$75.00 ,$51.98 ,$34.39 ,$75.00 ,$42.08 ,$34.39 ,$19.65 , N/A ,$19.35 ,$18.47 ,$36.10 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$70.18 ,$34.39 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,30600582,87798,HC INFECT AMP DRUG RESIST TB,306,1 ,$385.00 ,$277.20 ,$3.50 ,$385.00 ,$87.73 ,$59.66 ,$211.75 ,$34.39 ,$107.80 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$190.58 ,$3.50 ,$34.39 ,$190.58 ,$70.88 ,$269.50 ,$79.70 ,$308.00 ,$87.73 ,$34.39 ,$269.50 ,$34.39 ,$231.00 ,$35.07 ,$288.75 ,$212.52 ,$191.73 ,$212.52 ,$34.39 ,$212.52 ,$52.21 ,$385.00 ,$52.21 ,$327.25 ,$87.73 ,$266.81 ,$34.39 ,$385.00 ,$215.99 ,$34.39 ,$100.87 , N/A ,$19.35 ,$18.47 ,$36.10 ,$308.00 ,$190.58 ,$107.80 ,$346.50 ,$146.30 ,$70.18 ,$34.39 ,$184.80 
ST. MARY'S HOSPITAL - DECATUR,30600585,87181,HC SENSITIVITY STUDY AGAR ACID FAST,306,1 ,$101.00 ,$72.72 ,$3.50 ,$101.00 ,$11.88 ,$8.08 ,$55.55 ,$4.65 ,$28.28 ,$24.77 ,$4.65 ,$25.80 ,$4.65 ,$50.00 ,$3.50 ,$4.65 ,$50.00 ,$9.60 ,$70.70 ,$11.05 ,$80.80 ,$11.88 ,$4.65 ,$70.70 ,$4.65 ,$60.60 ,$4.75 ,$75.75 ,$55.75 ,$50.30 ,$55.75 ,$4.65 ,$55.75 ,$7.06 ,$101.00 ,$7.06 ,$85.85 ,$11.88 ,$69.99 ,$4.65 ,$101.00 ,$56.66 ,$4.65 ,$26.46 , N/A ,$5.82 ,$5.55 ,$4.89 ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$9.50 ,$4.65 ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,30600586,87147,HC CULTURE TYPE SEROLOGIC-91,306,1 ,$64.00 ,$46.08 ,$3.50 ,$64.00 ,$12.95 ,$8.80 ,$35.20 ,$5.08 ,$17.92 ,$19.92 ,$5.08 ,$20.75 ,$5.08 ,$31.68 ,$3.50 ,$5.08 ,$31.68 ,$10.46 ,$44.80 ,$11.83 ,$51.20 ,$12.95 ,$5.08 ,$44.80 ,$5.08 ,$38.40 ,$5.17 ,$48.00 ,$35.33 ,$31.87 ,$35.33 ,$5.08 ,$35.33 ,$7.70 ,$64.00 ,$7.70 ,$54.40 ,$12.95 ,$44.35 ,$5.08 ,$64.00 ,$35.90 ,$5.08 ,$16.77 , N/A ,$5.82 ,$5.55 ,$5.33 ,$51.20 ,$31.68 ,$17.92 ,$57.60 ,$24.32 ,$10.36 ,$5.08 ,$30.72 
ST. MARY'S HOSPITAL - DECATUR,30600588,87662,HC IF AGENT DNA/RNA ZIKA VIRUS AMP PROBE TECH-90,306,1 ,$377.00 ,$271.44 ,$3.50 ,$377.00 ,$128.28 ,$87.22 ,$207.35 ,$50.28 ,$105.56 ,$197.17 ,$50.28 ,$205.90 ,$50.28 ,$186.62 ,$3.50 ,$50.28 ,$186.62 ,$103.65 ,$263.90 ,$116.78 ,$301.60 ,$128.28 ,$50.28 ,$263.90 ,$50.28 ,$226.20 ,$51.29 ,$282.75 ,$208.10 ,$187.75 ,$208.10 ,$50.28 ,$208.10 ,$76.35 ,$377.00 ,$76.35 ,$320.45 ,$128.28 ,$261.26 ,$50.28 ,$377.00 ,$211.50 ,$50.28 ,$98.77 , N/A ,$19.35 ,$18.47 ,$52.80 ,$301.60 ,$186.62 ,$105.56 ,$339.30 ,$143.26 ,$102.62 ,$50.28 ,$180.96 
ST. MARY'S HOSPITAL - DECATUR,30600592,87486,HC CHLAMYDIA PNEUM AMP PROBE-90,306,1 ,$283.00 ,$203.76 ,$3.50 ,$283.00 ,$87.73 ,$59.66 ,$155.65 ,$34.39 ,$79.24 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$140.09 ,$3.50 ,$34.39 ,$140.09 ,$70.88 ,$198.10 ,$79.70 ,$226.40 ,$87.73 ,$34.39 ,$198.10 ,$34.39 ,$169.80 ,$35.07 ,$212.25 ,$156.22 ,$140.93 ,$156.22 ,$34.39 ,$156.22 ,$52.21 ,$283.00 ,$52.21 ,$240.55 ,$87.73 ,$196.12 ,$34.39 ,$283.00 ,$158.76 ,$34.39 ,$74.15 , N/A ,$19.35 ,$18.47 ,$36.10 ,$226.40 ,$140.09 ,$79.24 ,$254.70 ,$107.54 ,$70.18 ,$34.39 ,$135.84 
ST. MARY'S HOSPITAL - DECATUR,30600598,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS-90,306,1 ,"$2,082.00 ","$1,499.04 ",$3.50 ,"$2,082.00 ","$1,041.95 ",$708.52 ,"$1,145.10 ",$408.44 ,$582.96 ,"$1,088.89 ",$408.44 ,"$1,145.10 ",$408.44 ,"$1,030.59 ",$3.50 ,$408.44 ,"$1,030.59 ",$841.90 ,"$1,457.40 ",$949.98 ,"$1,665.60 ","$1,041.95 ",$408.44 ,"$1,457.40 ",$408.44 ,"$1,249.20 ",$416.62 ,"$1,561.50 ","$1,149.26 ","$1,036.84 ","$1,149.26 ",$408.44 ,"$1,149.26 ",$620.08 ,"$2,082.00 ",$620.08 ,"$1,769.70 ","$1,041.95 ","$1,442.83 ",$408.44 ,"$2,082.00 ","$1,168.00 ",$408.44 ,$545.48 , N/A ,$19.35 ,$18.47 ,$428.87 ,"$1,665.60 ","$1,030.59 ",$582.96 ,"$1,873.80 ",$791.16 ,$833.56 ,$408.44 ,$999.36 
ST. MARY'S HOSPITAL - DECATUR,30600601,87538,HC IF AGT NUC ACID HIV-2 AMPL PROBE TECH/REV TRANS-90,306,1 ,$860.00 ,$619.20 ,$3.50 ,$860.00 ,$87.73 ,$59.66 ,$473.00 ,$34.39 ,$240.80 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$425.70 ,$3.50 ,$34.39 ,$425.70 ,$70.88 ,$602.00 ,$79.70 ,$688.00 ,$87.73 ,$34.39 ,$602.00 ,$34.39 ,$516.00 ,$35.07 ,$645.00 ,$474.72 ,$428.28 ,$474.72 ,$34.39 ,$474.72 ,$52.21 ,$860.00 ,$52.21 ,$731.00 ,$87.73 ,$595.98 ,$34.39 ,$860.00 ,$482.46 ,$34.39 ,$225.32 , N/A ,$19.35 ,$18.47 ,$36.10 ,$688.00 ,$425.70 ,$240.80 ,$774.00 ,$326.80 ,$70.18 ,$34.39 ,$412.80 
ST. MARY'S HOSPITAL - DECATUR,30600606,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE-90,306,1 ,$310.00 ,$223.20 ,$3.50 ,$310.00 ,$87.73 ,$59.66 ,$170.50 ,$34.39 ,$86.80 ,$135.17 ,$34.39 ,$140.80 ,$34.39 ,$153.45 ,$3.50 ,$34.39 ,$153.45 ,$70.88 ,$217.00 ,$79.70 ,$248.00 ,$87.73 ,$34.39 ,$217.00 ,$34.39 ,$186.00 ,$35.07 ,$232.50 ,$171.12 ,$154.38 ,$171.12 ,$34.39 ,$171.12 ,$52.21 ,$310.00 ,$52.21 ,$263.50 ,$87.73 ,$214.83 ,$34.39 ,$310.00 ,$173.91 ,$34.39 ,$81.22 , N/A ,$19.35 ,$18.47 ,$36.10 ,$248.00 ,$153.45 ,$86.80 ,$279.00 ,$117.80 ,$70.18 ,$34.39 ,$148.80 
ST. MARY'S HOSPITAL - DECATUR,30600607,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$246.00 ,$177.12 ,$3.50 ,$246.00 ,$87.73 ,$59.66 ,$135.30 ,$34.39 ,$68.88 ,$128.66 ,$34.39 ,$135.30 ,$34.39 ,$121.77 ,$3.50 ,$34.39 ,$121.77 ,$70.88 ,$172.20 ,$79.70 ,$196.80 ,$87.73 ,$34.39 ,$172.20 ,$34.39 ,$147.60 ,$35.07 ,$184.50 ,$135.79 ,$122.51 ,$135.79 ,$34.39 ,$135.79 ,$52.21 ,$246.00 ,$52.21 ,$209.10 ,$87.73 ,$170.48 ,$34.39 ,$246.00 ,$138.01 ,$34.39 ,$64.45 , N/A ,$19.35 ,$18.47 ,$36.10 ,$196.80 ,$121.77 ,$68.88 ,$221.40 ,$93.48 ,$70.18 ,$34.39 ,$118.08 
ST. MARY'S HOSPITAL - DECATUR,30600608,87045,HC STOOL CULTURE -90,306,1 ,$240.00 ,$172.80 ,$3.50 ,$240.00 ,$23.60 ,$16.04 ,$132.00 ,$9.25 ,$67.20 ,$36.38 ,$9.25 ,$37.90 ,$9.25 ,$118.80 ,$3.50 ,$9.25 ,$118.80 ,$19.07 ,$168.00 ,$21.30 ,$192.00 ,$23.60 ,$9.25 ,$168.00 ,$9.25 ,$144.00 ,$9.44 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$9.25 ,$132.48 ,$14.05 ,$240.00 ,$14.05 ,$204.00 ,$23.60 ,$166.32 ,$9.25 ,$240.00 ,$134.64 ,$9.25 ,$62.88 , N/A ,$5.82 ,$5.55 ,$9.71 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$18.88 ,$9.25 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,30600613,87205,HC URINE FOR EOSINOPHILS-90,306,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$10.68 ,$7.26 ,$115.50 ,$4.18 ,$58.80 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$103.95 ,$3.50 ,$4.18 ,$103.95 ,$8.63 ,$147.00 ,$9.48 ,$168.00 ,$10.68 ,$4.18 ,$147.00 ,$4.18 ,$126.00 ,$4.27 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$4.18 ,$115.92 ,$6.37 ,$210.00 ,$6.37 ,$178.50 ,$10.68 ,$145.53 ,$4.18 ,$210.00 ,$117.81 ,$4.18 ,$55.02 , N/A ,$5.82 ,$5.55 ,$4.39 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$8.54 ,$4.18 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30600617,87801,HC INFECT MLT ORG AMP VAGINITIS,306,1 ,$585.00 ,$421.20 ,$3.50 ,$585.00 ,$175.50 ,$119.34 ,$321.75 ,$68.80 ,$163.80 ,$305.96 ,$68.80 ,$321.75 ,$68.80 ,$289.58 ,$3.50 ,$68.80 ,$289.58 ,$141.80 ,$409.50 ,$160.18 ,$468.00 ,$175.50 ,$68.80 ,$409.50 ,$68.80 ,$351.00 ,$70.17 ,$438.75 ,$322.92 ,$291.33 ,$322.92 ,$68.80 ,$322.92 ,$104.43 ,$585.00 ,$104.43 ,$497.25 ,$175.50 ,$405.41 ,$68.80 ,$585.00 ,$328.19 ,$68.80 ,$153.27 , N/A ,$5.82 ,$5.55 ,$72.24 ,$468.00 ,$289.58 ,$163.80 ,$526.50 ,$222.30 ,$140.40 ,$68.80 ,$280.80 
ST. MARY'S HOSPITAL - DECATUR,30600618,87481,HC CANDIDA SPECIES DNA/RNA AMP PROBE TECH,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$87.73 ,$59.66 ,$128.15 ,$34.39 ,$65.24 ,$121.86 ,$34.39 ,$128.15 ,$34.39 ,$115.34 ,$3.50 ,$34.39 ,$115.34 ,$70.88 ,$163.10 ,$79.70 ,$186.40 ,$87.73 ,$34.39 ,$163.10 ,$34.39 ,$139.80 ,$35.07 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$34.39 ,$128.62 ,$52.21 ,$233.00 ,$52.21 ,$198.05 ,$87.73 ,$161.47 ,$34.39 ,$233.00 ,$130.71 ,$34.39 ,$61.05 , N/A ,$7.30 ,$6.97 ,$36.10 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$70.18 ,$34.39 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600619,87481,HC CANDIDA SPECIES DNA/RNA AMP PROBE TECH-90,306,1 ,$233.00 ,$167.76 ,$3.50 ,$233.00 ,$87.73 ,$59.66 ,$128.15 ,$34.39 ,$65.24 ,$121.86 ,$34.39 ,$128.15 ,$34.39 ,$115.34 ,$3.50 ,$34.39 ,$115.34 ,$70.88 ,$163.10 ,$79.70 ,$186.40 ,$87.73 ,$34.39 ,$163.10 ,$34.39 ,$139.80 ,$35.07 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$34.39 ,$128.62 ,$52.21 ,$233.00 ,$52.21 ,$198.05 ,$87.73 ,$161.47 ,$34.39 ,$233.00 ,$130.71 ,$34.39 ,$61.05 , N/A ,$7.30 ,$6.97 ,$36.10 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$70.18 ,$34.39 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,30600621,87551,HC MYCOBACTERIA DAN AMP PROBE-90,306,1 ,$385.00 ,$277.20 ,$3.50 ,$385.00 ,$120.60 ,$82.00 ,$211.75 ,$47.28 ,$107.80 ,$150.53 ,$47.28 ,$156.80 ,$47.28 ,$190.58 ,$3.50 ,$47.28 ,$190.58 ,$97.44 ,$269.50 ,$109.68 ,$308.00 ,$120.60 ,$47.28 ,$269.50 ,$47.28 ,$231.00 ,$48.22 ,$288.75 ,$212.52 ,$191.73 ,$212.52 ,$47.28 ,$212.52 ,$64.59 ,$385.00 ,$64.59 ,$327.25 ,$120.60 ,$266.81 ,$47.28 ,$385.00 ,$215.99 ,$47.28 ,$100.87 , N/A ,$19.35 ,$18.47 ,$49.64 ,$308.00 ,$190.58 ,$107.80 ,$346.50 ,$146.30 ,$96.48 ,$47.28 ,$184.80 
ST. MARY'S HOSPITAL - DECATUR,30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$482.00 ,$347.04 ,$3.50 ,$482.00 ,$128.28 ,$102.62 ,$265.10 ,$50.28 ,$134.96 ,$51.31 ,$50.28 ,$51.31 ,$50.28 ,$238.59 ,$3.50 ,$50.28 ,$238.59 ,$103.65 ,$337.40 ,$51.31 ,$385.60 ,$128.28 ,$50.28 ,$337.40 ,$50.28 ,$289.20 ,$51.29 ,$361.50 ,$266.06 ,$240.04 ,$266.06 ,$50.28 ,$266.06 ,$68.70 ,$482.00 ,$68.70 ,$409.70 ,$128.28 ,$334.03 ,$50.28 ,$51.31 ,$270.40 ,$50.28 ,$126.28 , N/A ,$19.35 ,$18.47 ,$52.80 ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$102.62 ,$50.28 ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,30600626,87220,HC SCABIES- 90,306,1 ,$89.00 ,$64.08 ,$3.50 ,$89.00 ,$10.68 ,$7.26 ,$48.95 ,$4.18 ,$24.92 ,$22.27 ,$4.18 ,$23.20 ,$4.18 ,$44.06 ,$3.50 ,$4.18 ,$44.06 ,$8.63 ,$62.30 ,$9.48 ,$71.20 ,$10.68 ,$4.18 ,$62.30 ,$4.18 ,$53.40 ,$4.27 ,$66.75 ,$49.13 ,$44.32 ,$49.13 ,$4.18 ,$49.13 ,$6.37 ,$89.00 ,$6.37 ,$75.65 ,$10.68 ,$61.68 ,$4.18 ,$89.00 ,$49.93 ,$4.18 ,$23.32 , N/A ,$5.82 ,$5.55 ,$4.39 ,$71.20 ,$44.06 ,$24.92 ,$80.10 ,$33.82 ,$8.54 ,$4.18 ,$42.72 
ST. MARY'S HOSPITAL - DECATUR,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$138.00 ,$99.36 ,$5.55 ,$138.00 ,$103.45 ,$82.76 ,$75.90 ,$40.55 ,$38.64 ,$41.38 ,$40.55 ,$41.38 ,$40.55 ,$68.31 ,$55.20 ,$40.55 ,$68.31 ,$83.59 ,$96.60 ,$86.25 ,$110.40 ,$103.45 ,$40.55 ,$96.60 ,$40.55 ,$82.80 ,$41.37 ,$103.50 ,$76.18 ,$68.72 ,$76.18 ,$40.55 ,$76.18 ,$100.74 ,$138.00 ,$100.74 ,$117.30 ,$103.45 ,$95.63 ,$40.55 ,$138.00 ,$77.42 ,$40.55 ,$36.16 , N/A ,$5.82 ,$5.55 ,$42.58 ,$110.40 ,$68.31 ,$38.64 ,$124.20 ,$52.44 ,$83.04 ,$40.55 ,$66.24 
ST. MARY'S HOSPITAL - DECATUR,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$482.00 ,$347.04 ,$3.50 ,$482.00 ,$128.28 ,$102.62 ,$265.10 ,$50.28 ,$134.96 ,$51.31 ,$50.28 ,$51.31 ,$50.28 ,$238.59 ,$3.50 ,$50.28 ,$238.59 ,$103.65 ,$337.40 ,$51.31 ,$385.60 ,$128.28 ,$50.28 ,$337.40 ,$50.28 ,$289.20 ,$51.29 ,$361.50 ,$266.06 ,$240.04 ,$266.06 ,$50.28 ,$266.06 ,$68.70 ,$482.00 ,$68.70 ,$409.70 ,$128.28 ,$334.03 ,$50.28 ,$51.31 ,$270.40 ,$50.28 ,$126.28 , N/A ,$19.35 ,$18.47 ,$52.80 ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$102.62 ,$50.28 ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$90.00 ,$64.80 ,$3.50 ,$128.28 ,$128.28 ,$90.00 ,$49.50 ,$50.28 ,$25.20 ,$47.07 ,$50.28 ,$49.50 ,$50.28 ,$44.55 ,$3.50 ,$50.28 ,$44.55 ,$90.00 ,$63.00 ,$51.31 ,$72.00 ,$128.28 ,$50.28 ,$63.00 ,$50.28 ,$54.00 ,$51.29 ,$67.50 ,$49.68 ,$44.82 ,$49.68 ,$50.28 ,$49.68 ,$68.70 ,$90.00 ,$68.70 ,$76.50 ,$90.00 ,$62.37 ,$50.28 ,$51.31 ,$50.49 ,$50.28 ,$23.58 , N/A ,$19.35 ,$18.47 ,$52.80 ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$90.00 ,$50.28 ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,30600640,0097U,HC GI PATHOGENS 22 TARGETS- 90,306,1 ,"$1,286.00 ",$925.92 ,$336.93 ,"$1,286.00 ", N/A ,$509.40 ,$707.30 , N/A ,$360.08 ,$672.58 , N/A ,$707.30 , N/A ,$636.57 ,$514.40 , N/A ,$636.57 , N/A ,$900.20 ,$827.68 ,"$1,028.80 ", N/A , N/A ,$900.20 , N/A ,$771.60 , N/A ,$964.50 ,$709.87 ,$640.43 ,$709.87 , N/A ,$709.87 ,$938.78 ,"$1,286.00 ",$938.78 ,"$1,093.10 ", N/A ,$891.20 , N/A ,"$1,286.00 ",$721.45 , N/A ,$336.93 , N/A , N/A , N/A , N/A ,"$1,028.80 ",$636.57 ,$360.08 ,"$1,157.40 ",$488.68 ,$726.08 , N/A ,$617.28 
ST. MARY'S HOSPITAL - DECATUR,30600641,81513,HC APTIMA BV MAAA SPEC CODE,306,1 ,$267.00 ,$192.24 ,$27.63 ,$356.58 ,$356.58 ,$242.48 ,$146.85 ,$139.78 ,$74.76 ,$139.64 ,$139.78 ,$146.85 ,$139.78 ,$132.17 ,$106.80 ,$139.78 ,$132.17 ,$267.00 ,$186.90 ,$267.00 ,$213.60 ,$356.58 ,$139.78 ,$186.90 ,$139.78 ,$160.20 ,$142.57 ,$200.25 ,$147.38 ,$132.97 ,$147.38 ,$139.78 ,$147.38 ,$194.91 ,$267.00 ,$194.91 ,$226.95 ,$267.00 ,$185.03 ,$139.78 ,$267.00 ,$149.79 ,$139.78 ,$69.95 , N/A ,$28.94 ,$27.63 ,$146.76 ,$213.60 ,$132.17 ,$74.76 ,$240.30 ,$101.46 ,$267.00 ,$139.78 ,$128.16 
ST. MARY'S HOSPITAL - DECATUR,30600643,87425,HC EIA QL ROTAVIRUS AG- 90,306,1 ,$262.00 ,$188.64 ,$3.50 ,$262.00 ,$29.95 ,$20.36 ,$144.10 ,$11.74 ,$73.36 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$129.69 ,$3.50 ,$11.74 ,$129.69 ,$24.20 ,$183.40 ,$27.63 ,$209.60 ,$29.95 ,$11.74 ,$183.40 ,$11.74 ,$157.20 ,$11.98 ,$196.50 ,$144.62 ,$130.48 ,$144.62 ,$11.74 ,$144.62 ,$17.84 ,$262.00 ,$17.84 ,$222.70 ,$29.95 ,$181.57 ,$11.74 ,$262.00 ,$146.98 ,$11.74 ,$68.64 , N/A ,$7.30 ,$6.97 ,$12.33 ,$209.60 ,$129.69 ,$73.36 ,$235.80 ,$99.56 ,$23.96 ,$11.74 ,$125.76 
ST. MARY'S HOSPITAL - DECATUR,30600662,87593,HC INFECT AMP ORTHOPOXVIRUS/MONKEYPOX DNA-90,306,1 ,$113.00 ,$81.36 ,$18.47 ,$113.00 , N/A ,$102.62 ,$62.15 , N/A ,$31.64 ,$59.10 , N/A ,$62.15 , N/A ,$55.94 ,$45.20 , N/A ,$55.94 , N/A ,$79.10 ,$70.63 ,$90.40 , N/A , N/A ,$79.10 , N/A ,$67.80 , N/A ,$84.75 ,$62.38 ,$56.27 ,$62.38 , N/A ,$62.38 ,$82.49 ,$113.00 ,$82.49 ,$96.05 , N/A ,$78.31 , N/A ,$113.00 ,$63.39 , N/A ,$29.61 , N/A ,$19.35 ,$18.47 , N/A ,$90.40 ,$55.94 ,$31.64 ,$101.70 ,$42.94 ,$102.34 , N/A ,$54.24 
ST. MARY'S HOSPITAL - DECATUR,30600664,87070,HC BODY FLUID CULTURE -90,306,1 ,$403.00 ,$290.16 ,$3.50 ,$403.00 ,$21.55 ,$14.66 ,$221.65 ,$8.45 ,$112.84 ,$44.93 ,$8.45 ,$46.80 ,$8.45 ,$199.49 ,$3.50 ,$8.45 ,$199.49 ,$17.41 ,$282.10 ,$19.73 ,$322.40 ,$21.55 ,$8.45 ,$282.10 ,$8.45 ,$241.80 ,$8.61 ,$302.25 ,$222.46 ,$200.69 ,$222.46 ,$8.45 ,$222.46 ,$12.81 ,$403.00 ,$12.81 ,$342.55 ,$21.55 ,$279.28 ,$8.45 ,$403.00 ,$226.08 ,$8.45 ,$105.59 , N/A ,$5.82 ,$5.55 ,$8.87 ,$322.40 ,$199.49 ,$112.84 ,$362.70 ,$153.14 ,$17.24 ,$8.45 ,$193.44 
ST. MARY'S HOSPITAL - DECATUR,30650284,87425,HC IAAD IA ROTAUIRUS,306,1 ,$210.00 ,$151.20 ,$3.50 ,$210.00 ,$29.95 ,$20.36 ,$115.50 ,$11.74 ,$58.80 ,$46.18 ,$11.74 ,$48.10 ,$11.74 ,$103.95 ,$3.50 ,$11.74 ,$103.95 ,$24.20 ,$147.00 ,$27.63 ,$168.00 ,$29.95 ,$11.74 ,$147.00 ,$11.74 ,$126.00 ,$11.98 ,$157.50 ,$115.92 ,$104.58 ,$115.92 ,$11.74 ,$115.92 ,$17.84 ,$210.00 ,$17.84 ,$178.50 ,$29.95 ,$145.53 ,$11.74 ,$210.00 ,$117.81 ,$11.74 ,$55.02 , N/A ,$7.30 ,$6.97 ,$12.33 ,$168.00 ,$103.95 ,$58.80 ,$189.00 ,$79.80 ,$23.96 ,$11.74 ,$100.80 
ST. MARY'S HOSPITAL - DECATUR,30682003,87910,HC INFECTIUS AGENT GENOTYPE ANALYSIS-90,306,1 ,"$1,283.00 ",$923.76 ,$3.50 ,"$1,283.00 ",$643.63 ,$437.66 ,$705.65 ,$252.30 ,$359.24 ,$671.01 ,$252.30 ,$705.65 ,$252.30 ,$635.09 ,$3.50 ,$252.30 ,$635.09 ,$520.05 ,$898.10 ,$587.03 ,"$1,026.40 ",$643.63 ,$252.30 ,$898.10 ,$252.30 ,$769.80 ,$257.35 ,$962.25 ,$708.22 ,$638.93 ,$708.22 ,$252.30 ,$708.22 ,$383.03 ,"$1,283.00 ",$383.03 ,"$1,090.55 ",$643.63 ,$889.12 ,$252.30 ,"$1,283.00 ",$719.76 ,$252.30 ,$336.15 , N/A ,$12.58 ,$12.01 ,$264.91 ,"$1,026.40 ",$635.09 ,$359.24 ,"$1,154.70 ",$487.54 ,$514.90 ,$252.30 ,$615.84 
ST. MARY'S HOSPITAL - DECATUR,30682007,87651,HC INFECT AMP (GRP A STREP),306,1 ,$22.00 ,$15.84 ,$3.50 ,$55.00 ,$55.00 ,$22.00 ,$12.10 ,$21.56 ,$6.16 ,$11.51 ,$21.56 ,$12.10 ,$21.56 ,$10.89 ,$3.50 ,$21.56 ,$10.89 ,$22.00 ,$15.40 ,$22.00 ,$17.60 ,$55.00 ,$21.56 ,$15.40 ,$21.56 ,$13.20 ,$21.56 ,$16.50 ,$12.14 ,$10.96 ,$12.14 ,$21.56 ,$12.14 ,$22.00 ,$22.00 ,$22.00 ,$18.70 ,$22.00 ,$15.25 ,$21.56 ,$22.00 ,$12.34 ,$21.56 ,$5.76 , N/A ,$19.35 ,$18.47 ,$22.64 ,$17.60 ,$10.89 ,$6.16 ,$19.80 ,$8.36 ,$22.00 ,$21.56 ,$10.56 
ST. MARY'S HOSPITAL - DECATUR,30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$482.00 ,$347.04 ,$3.50 ,$482.00 ,$128.28 ,$102.62 ,$265.10 ,$50.28 ,$134.96 ,$51.31 ,$50.28 ,$51.31 ,$50.28 ,$238.59 ,$3.50 ,$50.28 ,$238.59 ,$103.65 ,$337.40 ,$51.31 ,$385.60 ,$128.28 ,$50.28 ,$337.40 ,$50.28 ,$289.20 ,$51.29 ,$361.50 ,$266.06 ,$240.04 ,$266.06 ,$50.28 ,$266.06 ,$68.70 ,$482.00 ,$68.70 ,$409.70 ,$128.28 ,$334.03 ,$50.28 ,$51.31 ,$270.40 ,$50.28 ,$126.28 , N/A ,$19.35 ,$18.47 ,$52.80 ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$102.62 ,$50.28 ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,30682012,87635,HC COVID-19 LAB TEST,306,1 ,$482.00 ,$347.04 ,$3.50 ,$482.00 ,$128.28 ,$102.62 ,$265.10 ,$50.28 ,$134.96 ,$51.31 ,$50.28 ,$51.31 ,$50.28 ,$238.59 ,$3.50 ,$50.28 ,$238.59 ,$103.65 ,$337.40 ,$51.31 ,$385.60 ,$128.28 ,$50.28 ,$337.40 ,$50.28 ,$289.20 ,$51.29 ,$361.50 ,$266.06 ,$240.04 ,$266.06 ,$50.28 ,$266.06 ,$68.70 ,$482.00 ,$68.70 ,$409.70 ,$128.28 ,$334.03 ,$50.28 ,$51.31 ,$270.40 ,$50.28 ,$126.28 , N/A ,$19.35 ,$18.47 ,$52.80 ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$102.62 ,$50.28 ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,30682013,87635,HC COVID-19 LAB TEST,306,1 ,$438.00 ,$315.36 ,$3.50 ,$438.00 ,$128.28 ,$102.62 ,$240.90 ,$50.28 ,$122.64 ,$51.31 ,$50.28 ,$51.31 ,$50.28 ,$216.81 ,$3.50 ,$50.28 ,$216.81 ,$103.65 ,$306.60 ,$51.31 ,$350.40 ,$128.28 ,$50.28 ,$306.60 ,$50.28 ,$262.80 ,$51.29 ,$328.50 ,$241.78 ,$218.12 ,$241.78 ,$50.28 ,$241.78 ,$68.70 ,$438.00 ,$68.70 ,$372.30 ,$128.28 ,$303.53 ,$50.28 ,$51.31 ,$245.72 ,$50.28 ,$114.76 , N/A ,$19.35 ,$18.47 ,$52.80 ,$350.40 ,$216.81 ,$122.64 ,$394.20 ,$166.44 ,$102.62 ,$50.28 ,$210.24 
ST. MARY'S HOSPITAL - DECATUR,30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$130.00 ,$93.60 ,$6.97 ,$130.00 ,$105.33 ,$84.26 ,$71.50 ,$41.29 ,$36.40 ,$42.13 ,$41.29 ,$42.13 ,$41.29 ,$64.35 ,$52.00 ,$41.29 ,$64.35 ,$85.10 ,$91.00 ,$42.13 ,$104.00 ,$105.33 ,$41.29 ,$91.00 ,$41.29 ,$78.00 ,$42.11 ,$97.50 ,$71.76 ,$64.74 ,$71.76 ,$41.29 ,$71.76 ,$56.41 ,$130.00 ,$56.41 ,$110.50 ,$105.33 ,$90.09 ,$41.29 ,$130.00 ,$72.93 ,$41.29 ,$34.06 , N/A ,$7.30 ,$6.97 ,$43.36 ,$104.00 ,$64.35 ,$36.40 ,$117.00 ,$49.40 ,$84.26 ,$41.29 ,$62.40 
ST. MARY'S HOSPITAL - DECATUR,30682022,87102,HC CULTURE FUNGUS OTHER-90,306,1 ,$251.00 ,$180.72 ,$3.50 ,$251.00 ,$21.03 ,$14.30 ,$138.05 ,$8.24 ,$70.28 ,$32.40 ,$8.24 ,$33.75 ,$8.24 ,$124.25 ,$3.50 ,$8.24 ,$124.25 ,$16.99 ,$175.70 ,$18.93 ,$200.80 ,$21.03 ,$8.24 ,$175.70 ,$8.24 ,$150.60 ,$8.41 ,$188.25 ,$138.55 ,$125.00 ,$138.55 ,$8.24 ,$138.55 ,$12.50 ,$251.00 ,$12.50 ,$213.35 ,$21.03 ,$173.94 ,$8.24 ,$251.00 ,$140.81 ,$8.24 ,$65.76 , N/A ,$5.82 ,$5.55 ,$8.65 ,$200.80 ,$124.25 ,$70.28 ,$225.90 ,$95.38 ,$16.82 ,$8.24 ,$120.48 
ST. MARY'S HOSPITAL - DECATUR,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$90.00 ,$64.80 ,$5.55 ,$90.00 ,$88.33 ,$90.00 ,$49.50 ,$34.62 ,$25.20 ,$35.23 ,$34.62 ,$35.23 ,$34.62 ,$44.55 ,$36.00 ,$34.62 ,$44.55 ,$71.37 ,$63.00 ,$56.25 ,$72.00 ,$88.33 ,$34.62 ,$63.00 ,$34.62 ,$54.00 ,$35.32 ,$67.50 ,$49.68 ,$44.82 ,$49.68 ,$34.62 ,$49.68 ,$65.70 ,$90.00 ,$65.70 ,$76.50 ,$88.33 ,$62.37 ,$34.62 ,$37.79 ,$50.49 ,$34.62 ,$23.58 , N/A ,$5.82 ,$5.55 ,$36.36 ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$90.00 ,$34.62 ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$90.00 ,$64.80 ,$3.50 ,$128.28 ,$128.28 ,$90.00 ,$49.50 ,$50.28 ,$25.20 ,$47.07 ,$50.28 ,$49.50 ,$50.28 ,$44.55 ,$3.50 ,$50.28 ,$44.55 ,$90.00 ,$63.00 ,$51.31 ,$72.00 ,$128.28 ,$50.28 ,$63.00 ,$50.28 ,$54.00 ,$51.29 ,$67.50 ,$49.68 ,$44.82 ,$49.68 ,$50.28 ,$49.68 ,$68.70 ,$90.00 ,$68.70 ,$76.50 ,$90.00 ,$62.37 ,$50.28 ,$51.31 ,$50.49 ,$50.28 ,$23.58 , N/A ,$19.35 ,$18.47 ,$52.80 ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$90.00 ,$50.28 ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$90.00 ,$64.80 ,$3.50 ,$128.28 ,$128.28 ,$90.00 ,$49.50 ,$50.28 ,$25.20 ,$47.07 ,$50.28 ,$49.50 ,$50.28 ,$44.55 ,$3.50 ,$50.28 ,$44.55 ,$90.00 ,$63.00 ,$51.31 ,$72.00 ,$128.28 ,$50.28 ,$63.00 ,$50.28 ,$54.00 ,$51.29 ,$67.50 ,$49.68 ,$44.82 ,$49.68 ,$50.28 ,$49.68 ,$68.70 ,$90.00 ,$68.70 ,$76.50 ,$90.00 ,$62.37 ,$50.28 ,$51.31 ,$50.49 ,$50.28 ,$23.58 , N/A ,$19.35 ,$18.47 ,$52.80 ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$90.00 ,$50.28 ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,30682026,87563,HC MYCROPLASMA GENITALIUM AMP PROBE- 90,306,1 ,$268.00 ,$192.96 ,$3.50 ,$268.00 ,$87.73 ,$59.66 ,$147.40 ,$34.39 ,$75.04 ,$140.16 ,$34.39 ,$147.40 ,$34.39 ,$132.66 ,$3.50 ,$34.39 ,$132.66 ,$70.88 ,$187.60 ,$79.70 ,$214.40 ,$87.73 ,$34.39 ,$187.60 ,$34.39 ,$160.80 ,$35.07 ,$201.00 ,$147.94 ,$133.46 ,$147.94 ,$34.39 ,$147.94 ,$46.99 ,$268.00 ,$46.99 ,$227.80 ,$87.73 ,$185.72 ,$34.39 ,$268.00 ,$150.35 ,$34.39 ,$70.22 , N/A ,$19.35 ,$18.47 ,$36.10 ,$214.40 ,$132.66 ,$75.04 ,$241.20 ,$101.84 ,$70.18 ,$34.39 ,$128.64 
ST. MARY'S HOSPITAL - DECATUR,30700101,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$156.00 ,$112.32 ,$2.78 ,$156.00 ,$7.93 ,$5.38 ,$85.80 ,$3.11 ,$43.68 ,$16.56 ,$3.11 ,$17.25 ,$3.11 ,$77.22 ,$3.50 ,$3.11 ,$77.22 ,$6.40 ,$109.20 ,$7.10 ,$124.80 ,$7.93 ,$3.11 ,$109.20 ,$3.11 ,$93.60 ,$3.17 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$3.11 ,$86.11 ,$4.72 ,$156.00 ,$4.72 ,$132.60 ,$7.93 ,$108.11 ,$3.11 ,$3.17 ,$87.52 ,$3.11 ,$40.87 , N/A ,$2.92 ,$2.78 ,$3.26 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$6.34 ,$3.11 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$96.00 ,$69.12 ,$1.75 ,$96.00 ,$5.63 ,$3.82 ,$52.80 ,$2.20 ,$26.88 ,$11.71 ,$2.20 ,$12.20 ,$2.20 ,$47.52 ,$3.50 ,$2.20 ,$47.52 ,$4.55 ,$67.20 ,$5.53 ,$76.80 ,$5.63 ,$2.20 ,$67.20 ,$2.20 ,$57.60 ,$2.25 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$2.20 ,$52.99 ,$3.34 ,$96.00 ,$3.34 ,$81.60 ,$5.63 ,$66.53 ,$2.20 ,$96.00 ,$53.86 ,$2.20 ,$25.15 , N/A ,$1.84 ,$1.75 ,$2.31 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$4.50 ,$2.20 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30700115,81015,HC URINALYSIS MICRO ONLY,307,1 ,$106.00 ,$76.32 ,$2.78 ,$106.00 ,$7.63 ,$5.18 ,$58.30 ,$2.99 ,$29.68 ,$15.89 ,$2.99 ,$16.55 ,$2.99 ,$52.47 ,$3.50 ,$2.99 ,$52.47 ,$6.16 ,$74.20 ,$7.10 ,$84.80 ,$7.63 ,$2.99 ,$74.20 ,$2.99 ,$63.60 ,$3.05 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$2.99 ,$58.51 ,$4.54 ,$106.00 ,$4.54 ,$90.10 ,$7.63 ,$73.46 ,$2.99 ,$106.00 ,$59.47 ,$2.99 ,$27.77 , N/A ,$2.92 ,$2.78 ,$3.14 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$6.10 ,$2.99 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$211.00 ,$151.92 ,$2.78 ,$211.00 ,$21.53 ,$14.64 ,$116.05 ,$8.44 ,$59.08 ,$36.38 ,$8.44 ,$37.90 ,$8.44 ,$104.45 ,$3.50 ,$8.44 ,$104.45 ,$17.39 ,$147.70 ,$19.73 ,$168.80 ,$21.53 ,$8.44 ,$147.70 ,$8.44 ,$126.60 ,$8.60 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$8.44 ,$116.47 ,$11.53 ,$211.00 ,$11.53 ,$179.35 ,$21.53 ,$146.22 ,$8.44 ,$8.61 ,$118.37 ,$8.44 ,$55.28 , N/A ,$2.92 ,$2.78 ,$8.86 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$17.22 ,$8.44 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30700122,81002,HC URINALYSIS NON AUTO W/O MICRO -90,307,1 ,$54.00 ,$38.88 ,$1.75 ,$54.00 ,$8.70 ,$5.92 ,$29.70 ,$3.41 ,$15.12 ,$14.69 ,$3.41 ,$15.30 ,$3.41 ,$26.73 ,$3.50 ,$3.41 ,$26.73 ,$7.03 ,$37.80 ,$7.90 ,$43.20 ,$8.70 ,$3.41 ,$37.80 ,$3.41 ,$32.40 ,$3.48 ,$40.50 ,$29.81 ,$26.89 ,$29.81 ,$3.41 ,$29.81 ,$4.66 ,$54.00 ,$4.66 ,$45.90 ,$8.70 ,$37.42 ,$3.41 ,$54.00 ,$30.29 ,$3.41 ,$14.15 , N/A ,$1.84 ,$1.75 ,$3.58 ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 ,$6.96 ,$3.41 ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,30700124,81003,HC URINALYSIS AUTO W/O MICRO -90,307,1 ,$96.00 ,$69.12 ,$1.75 ,$96.00 ,$5.63 ,$3.82 ,$52.80 ,$2.20 ,$26.88 ,$11.71 ,$2.20 ,$12.20 ,$2.20 ,$47.52 ,$3.50 ,$2.20 ,$47.52 ,$4.55 ,$67.20 ,$5.53 ,$76.80 ,$5.63 ,$2.20 ,$67.20 ,$2.20 ,$57.60 ,$2.25 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$2.20 ,$52.99 ,$3.34 ,$96.00 ,$3.34 ,$81.60 ,$5.63 ,$66.53 ,$2.20 ,$96.00 ,$53.86 ,$2.20 ,$25.15 , N/A ,$1.84 ,$1.75 ,$2.31 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$4.50 ,$2.20 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$84.00 ,$60.48 ,$2.13 ,$84.00 ,$5.43 ,$3.68 ,$46.20 ,$2.13 ,$23.52 ,$11.28 ,$2.13 ,$11.75 ,$2.13 ,$41.58 ,$3.50 ,$2.13 ,$41.58 ,$4.38 ,$58.80 ,$4.73 ,$67.20 ,$5.43 ,$2.13 ,$58.80 ,$2.13 ,$50.40 ,$2.17 ,$63.00 ,$46.37 ,$41.83 ,$46.37 ,$2.13 ,$46.37 ,$3.22 ,$84.00 ,$3.22 ,$71.40 ,$5.43 ,$58.21 ,$2.13 ,$84.00 ,$47.12 ,$2.13 ,$22.01 , N/A ,$2.92 ,$2.78 ,$2.23 ,$67.20 ,$41.58 ,$23.52 ,$75.60 ,$31.92 ,$4.34 ,$2.13 ,$40.32 
ST. MARY'S HOSPITAL - DECATUR,30700129,81025,HC URINE PREGNANCY TEST,307,1 ,$211.00 ,$151.92 ,$2.78 ,$211.00 ,$21.53 ,$14.64 ,$116.05 ,$8.44 ,$59.08 ,$36.38 ,$8.44 ,$37.90 ,$8.44 ,$104.45 ,$3.50 ,$8.44 ,$104.45 ,$17.39 ,$147.70 ,$19.73 ,$168.80 ,$21.53 ,$8.44 ,$147.70 ,$8.44 ,$126.60 ,$8.60 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$8.44 ,$116.47 ,$11.53 ,$211.00 ,$11.53 ,$179.35 ,$21.53 ,$146.22 ,$8.44 ,$8.61 ,$118.37 ,$8.44 ,$55.28 , N/A ,$2.92 ,$2.78 ,$8.86 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$17.22 ,$8.44 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,30700131,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$100.00 ,$72.00 ,$2.78 ,$100.00 ,$9.10 ,$6.18 ,$55.00 ,$3.57 ,$28.00 ,$11.57 ,$3.57 ,$12.05 ,$3.57 ,$49.50 ,$3.50 ,$3.57 ,$49.50 ,$7.35 ,$70.00 ,$8.68 ,$80.00 ,$9.10 ,$3.57 ,$70.00 ,$3.57 ,$60.00 ,$3.64 ,$75.00 ,$55.20 ,$49.80 ,$55.20 ,$3.57 ,$55.20 ,$4.87 ,$100.00 ,$4.87 ,$85.00 ,$9.10 ,$69.30 ,$3.57 ,$100.00 ,$56.10 ,$3.57 ,$26.20 , N/A ,$2.92 ,$2.78 ,$3.74 ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$7.28 ,$3.57 ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,30700132,81002,HC URANALYSIS NON AUTO W/O MICRO-QW,307,1 ,$54.00 ,$38.88 ,$1.75 ,$54.00 ,$8.70 ,$5.92 ,$29.70 ,$3.41 ,$15.12 ,$14.69 ,$3.41 ,$15.30 ,$3.41 ,$26.73 ,$3.50 ,$3.41 ,$26.73 ,$7.03 ,$37.80 ,$7.90 ,$43.20 ,$8.70 ,$3.41 ,$37.80 ,$3.41 ,$32.40 ,$3.48 ,$40.50 ,$29.81 ,$26.89 ,$29.81 ,$3.41 ,$29.81 ,$4.66 ,$54.00 ,$4.66 ,$45.90 ,$8.70 ,$37.42 ,$3.41 ,$54.00 ,$30.29 ,$3.41 ,$14.15 , N/A ,$1.84 ,$1.75 ,$3.58 ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 ,$6.96 ,$3.41 ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,31000126,80500,HC CLINAL PATH CONSULT LTD,310,1 ,$166.00 ,$119.52 ,$30.56 ,$166.00 , N/A ,$30.56 ,$91.30 , N/A ,$46.48 ,$86.82 , N/A ,$91.30 , N/A ,$82.17 ,$31.12 , N/A ,$82.17 , N/A ,$116.20 ,$103.75 ,$132.80 , N/A , N/A ,$116.20 , N/A ,$99.60 , N/A ,$124.50 ,$91.63 ,$82.67 ,$91.63 , N/A ,$91.63 ,$121.18 ,$166.00 ,$121.18 ,$141.10 , N/A ,$115.04 , N/A ,$166.00 ,$93.13 , N/A ,$43.49 , N/A , N/A , N/A , N/A ,$132.80 ,$82.17 ,$46.48 ,$149.40 ,$63.08 ,$99.52 , N/A ,$79.68 
ST. MARY'S HOSPITAL - DECATUR,31000128,81162,HC BRCA1  AND  BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90,310,1 ,"$2,662.00 ","$1,916.64 ",$3.50 ,"$4,562.20 ","$4,562.20 ","$2,662.00 ","$1,464.10 ","$1,788.38 ",$745.36 ,"$1,392.23 ","$1,788.38 ","$1,464.10 ","$1,788.38 ","$1,317.69 ",$3.50 ,"$1,788.38 ","$1,317.69 ","$2,662.00 ","$1,863.40 ","$2,662.00 ","$2,129.60 ","$4,562.20 ","$1,788.38 ","$1,863.40 ","$1,788.38 ","$1,597.20 ","$1,824.15 ","$1,996.50 ","$1,469.42 ","$1,325.68 ","$1,469.42 ","$1,788.38 ","$1,469.42 ","$2,662.00 ","$2,662.00 ","$2,662.00 ","$2,262.70 ","$2,662.00 ","$1,844.77 ","$1,788.38 ","$2,662.00 ","$1,493.38 ","$1,788.38 ",$697.44 , N/A ,$267.32 ,$255.17 ,"$1,877.80 ","$2,129.60 ","$1,317.69 ",$745.36 ,"$2,395.80 ","$1,011.56 ","$2,662.00 ","$1,788.38 ","$1,277.76 "
ST. MARY'S HOSPITAL - DECATUR,31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$735.00 ,$529.20 ,$3.50 ,$735.00 ,$409.90 ,$116.78 ,$404.25 ,$160.68 ,$205.80 ,$384.41 ,$160.68 ,$404.25 ,$160.68 ,$363.83 ,$3.50 ,$160.68 ,$363.83 ,$331.20 ,$514.50 ,$374.00 ,$588.00 ,$409.90 ,$160.68 ,$514.50 ,$160.68 ,$441.00 ,$163.90 ,$551.25 ,$405.72 ,$366.03 ,$405.72 ,$160.68 ,$405.72 ,$243.93 ,$735.00 ,$243.93 ,$624.75 ,$409.90 ,$509.36 ,$160.68 ,$735.00 ,$412.34 ,$160.68 ,$192.57 , N/A ,$94.19 ,$89.91 ,$168.72 ,$588.00 ,$363.83 ,$205.80 ,$661.50 ,$279.30 ,$327.92 ,$160.68 ,$352.80 
ST. MARY'S HOSPITAL - DECATUR,31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$616.00 ,$443.52 ,$3.50 ,$616.00 ,$362.10 ,$103.90 ,$338.80 ,$141.94 ,$172.48 ,$322.17 ,$141.94 ,$338.80 ,$141.94 ,$304.92 ,$3.50 ,$141.94 ,$304.92 ,$292.58 ,$431.20 ,$330.60 ,$492.80 ,$362.10 ,$141.94 ,$431.20 ,$141.94 ,$369.60 ,$144.79 ,$462.00 ,$340.03 ,$306.77 ,$340.03 ,$141.94 ,$340.03 ,$215.49 ,$616.00 ,$215.49 ,$523.60 ,$362.10 ,$426.89 ,$141.94 ,$616.00 ,$345.58 ,$141.94 ,$161.39 , N/A ,$94.19 ,$89.91 ,$149.04 ,$492.80 ,$304.92 ,$172.48 ,$554.40 ,$234.08 ,$289.68 ,$141.94 ,$295.68 
ST. MARY'S HOSPITAL - DECATUR,31000133,81208,HC BCR/ABL1 GENE OTH BP QL/QN-90,310,1 ,$702.00 ,$505.44 ,$3.50 ,$702.00 ,$536.55 ,$103.90 ,$386.10 ,$210.33 ,$196.56 ,$367.15 ,$210.33 ,$386.10 ,$210.33 ,$347.49 ,$3.50 ,$210.33 ,$347.49 ,$433.53 ,$491.40 ,$489.20 ,$561.60 ,$536.55 ,$210.33 ,$491.40 ,$210.33 ,$421.20 ,$214.53 ,$526.50 ,$387.50 ,$349.60 ,$387.50 ,$210.33 ,$387.50 ,$287.38 ,$702.00 ,$287.38 ,$596.70 ,$536.55 ,$486.49 ,$210.33 ,$702.00 ,$393.82 ,$210.33 ,$183.92 , N/A ,$94.19 ,$89.91 ,$220.84 ,$561.60 ,$347.49 ,$196.56 ,$631.80 ,$266.76 ,$429.24 ,$210.33 ,$336.96 
ST. MARY'S HOSPITAL - DECATUR,31000134,81210,HC BRAF GENE ANALYS V600E VAR-90,310,1 ,$741.00 ,$533.52 ,$3.50 ,$741.00 ,$438.50 ,$90.00 ,$407.55 ,$171.89 ,$207.48 ,$387.54 ,$171.89 ,$407.55 ,$171.89 ,$366.80 ,$3.50 ,$171.89 ,$366.80 ,$354.31 ,$518.70 ,$400.03 ,$592.80 ,$438.50 ,$171.89 ,$518.70 ,$171.89 ,$444.60 ,$175.33 ,$555.75 ,$409.03 ,$369.02 ,$409.03 ,$171.89 ,$409.03 ,$234.86 ,$741.00 ,$234.86 ,$629.85 ,$438.50 ,$513.51 ,$171.89 ,$741.00 ,$415.70 ,$171.89 ,$194.14 , N/A ,$94.19 ,$89.91 ,$180.49 ,$592.80 ,$366.80 ,$207.48 ,$666.90 ,$281.58 ,$350.80 ,$171.89 ,$355.68 
ST. MARY'S HOSPITAL - DECATUR,31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,$857.00 ,$617.04 ,$3.50 ,"$1,391.50 ","$1,391.50 ",$857.00 ,$471.35 ,$545.47 ,$239.96 ,$448.21 ,$545.47 ,$471.35 ,$545.47 ,$424.22 ,$3.50 ,$545.47 ,$424.22 ,$857.00 ,$599.90 ,$857.00 ,$685.60 ,"$1,391.50 ",$545.47 ,$599.90 ,$545.47 ,$514.20 ,$556.38 ,$642.75 ,$473.06 ,$426.79 ,$473.06 ,$545.47 ,$473.06 ,$745.29 ,$857.00 ,$745.29 ,$728.45 ,$857.00 ,$593.90 ,$545.47 ,$857.00 ,$480.78 ,$545.47 ,$224.53 , N/A ,$28.94 ,$27.63 ,$572.74 ,$685.60 ,$424.22 ,$239.96 ,$771.30 ,$325.66 ,$857.00 ,$545.47 ,$411.36 
ST. MARY'S HOSPITAL - DECATUR,31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$3,410.00 ","$2,455.20 ",$3.50 ,"$3,410.00 ","$2,900.00 ",$367.20 ,"$1,875.50 ","$1,136.80 ",$954.80 ,"$1,783.43 ","$1,136.80 ","$1,875.50 ","$1,136.80 ","$1,687.95 ",$3.50 ,"$1,136.80 ","$1,687.95 ","$2,343.20 ","$2,387.00 ","$2,644.80 ","$2,728.00 ","$2,900.00 ","$1,136.80 ","$2,387.00 ","$1,136.80 ","$2,046.00 ","$1,159.54 ","$2,557.50 ","$1,882.32 ","$1,698.18 ","$1,882.32 ","$1,136.80 ","$1,882.32 ","$1,553.24 ","$3,410.00 ","$1,553.24 ","$2,898.50 ","$2,900.00 ","$2,363.13 ","$1,136.80 ","$3,410.00 ","$1,913.01 ","$1,136.80 ",$893.42 , N/A ,$267.32 ,$255.17 ,"$1,193.64 ","$2,728.00 ","$1,687.95 ",$954.80 ,"$3,069.00 ","$1,295.80 ","$2,320.00 ","$1,136.80 ","$1,636.80 "
ST. MARY'S HOSPITAL - DECATUR,31000140,81225,HC CYP2C19 GENE ANYL COMMON VARIANTS-90,310,1 ,$628.00 ,$452.16 ,$3.50 ,$728.40 ,$728.40 ,$160.46 ,$345.40 ,$285.53 ,$175.84 ,$328.44 ,$285.53 ,$345.40 ,$285.53 ,$310.86 ,$3.50 ,$285.53 ,$310.86 ,$588.55 ,$439.60 ,$628.00 ,$502.40 ,$728.40 ,$285.53 ,$439.60 ,$285.53 ,$376.80 ,$291.25 ,$471.00 ,$346.66 ,$312.74 ,$346.66 ,$285.53 ,$346.66 ,$390.13 ,$628.00 ,$390.13 ,$533.80 ,$628.00 ,$435.20 ,$285.53 ,$628.00 ,$352.31 ,$285.53 ,$164.54 , N/A ,$94.19 ,$89.91 ,$299.81 ,$502.40 ,$310.86 ,$175.84 ,$565.20 ,$238.64 ,$582.72 ,$285.53 ,$301.44 
ST. MARY'S HOSPITAL - DECATUR,31000141,81235,HC EGFR GENE COM VARIANTS -90,310,1 ,"$3,557.00 ","$2,561.04 ",$3.50 ,"$3,557.00 ",$811.45 ,$355.50 ,"$1,956.35 ",$318.09 ,$995.96 ,"$1,012.70 ",$318.09 ,"$1,054.90 ",$318.09 ,"$1,760.72 ",$3.50 ,$318.09 ,"$1,760.72 ",$655.65 ,"$2,489.90 ",$740.10 ,"$2,845.60 ",$811.45 ,$318.09 ,"$2,489.90 ",$318.09 ,"$2,134.20 ",$324.45 ,"$2,667.75 ","$1,963.46 ","$1,771.39 ","$1,963.46 ",$318.09 ,"$1,963.46 ",$434.61 ,"$3,557.00 ",$434.61 ,"$3,023.45 ",$811.45 ,"$2,465.00 ",$318.09 ,"$3,557.00 ","$1,995.48 ",$318.09 ,$931.93 , N/A ,$94.19 ,$89.91 ,$333.99 ,"$2,845.60 ","$1,760.72 ",$995.96 ,"$3,201.30 ","$1,351.66 ",$649.16 ,$318.09 ,"$1,707.36 "
ST. MARY'S HOSPITAL - DECATUR,31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$802.00 ,$577.44 ,$3.50 ,$802.00 ,$164.23 ,$60.70 ,$441.10 ,$64.38 ,$224.56 ,$204.96 ,$64.38 ,$213.50 ,$64.38 ,$396.99 ,$3.50 ,$64.38 ,$396.99 ,$132.69 ,$561.40 ,$149.93 ,$641.60 ,$164.23 ,$64.38 ,$561.40 ,$64.38 ,$481.20 ,$65.66 ,$601.50 ,$442.70 ,$399.40 ,$442.70 ,$64.38 ,$442.70 ,$87.96 ,$802.00 ,$87.96 ,$681.70 ,$164.23 ,$555.79 ,$64.38 ,$802.00 ,$449.92 ,$64.38 ,$210.12 , N/A ,$28.94 ,$27.63 ,$67.59 ,$641.60 ,$396.99 ,$224.56 ,$721.80 ,$304.76 ,$131.38 ,$64.38 ,$384.96 
ST. MARY'S HOSPITAL - DECATUR,31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$802.00 ,$577.44 ,$3.50 ,$802.00 ,$183.43 ,$54.38 ,$441.10 ,$71.90 ,$224.56 ,$235.39 ,$71.90 ,$245.20 ,$71.90 ,$396.99 ,$3.50 ,$71.90 ,$396.99 ,$148.21 ,$561.40 ,$167.28 ,$641.60 ,$183.43 ,$71.90 ,$561.40 ,$71.90 ,$481.20 ,$73.34 ,$601.50 ,$442.70 ,$399.40 ,$442.70 ,$71.90 ,$442.70 ,$98.24 ,$802.00 ,$98.24 ,$681.70 ,$183.43 ,$555.79 ,$71.90 ,$802.00 ,$449.92 ,$71.90 ,$210.12 , N/A ,$28.94 ,$27.63 ,$75.50 ,$641.60 ,$396.99 ,$224.56 ,$721.80 ,$304.76 ,$146.74 ,$71.90 ,$384.96 
ST. MARY'S HOSPITAL - DECATUR,31000146,81243,HC FMR1 GENE DETECTION -90,310,1 ,$839.00 ,$604.08 ,$3.50 ,$839.00 , N/A ,$105.70 ,$461.45 , N/A ,$234.92 ,$177.98 , N/A ,$185.40 , N/A ,$415.31 ,$3.50 , N/A ,$415.31 ,$377.55 ,$587.30 ,$130.20 ,$671.20 ,$587.30 , N/A ,$587.30 , N/A ,$503.40 , N/A ,$629.25 ,$463.13 ,$417.82 ,$463.13 , N/A ,$463.13 ,$76.37 ,$839.00 ,$76.37 ,$713.15 , N/A ,$581.43 , N/A ,$839.00 ,$470.68 , N/A ,$219.82 , N/A ,$28.94 ,$27.63 , N/A ,$671.20 ,$415.31 ,$234.92 ,$755.10 ,$318.82 ,$114.08 , N/A ,$402.72 
ST. MARY'S HOSPITAL - DECATUR,31000148,81245,HC FLT3 GENE ANALYSIS INT TANDEM DUP VARIANTS -90,310,1 ,$723.00 ,$520.56 ,$3.50 ,$723.00 ,$413.78 ,$95.14 ,$397.65 ,$162.20 ,$202.44 ,$378.13 ,$162.20 ,$397.65 ,$162.20 ,$357.89 ,$3.50 ,$162.20 ,$357.89 ,$334.33 ,$506.10 ,$377.15 ,$578.40 ,$413.78 ,$162.20 ,$506.10 ,$162.20 ,$433.80 ,$165.44 ,$542.25 ,$399.10 ,$360.05 ,$399.10 ,$162.20 ,$399.10 ,$221.61 ,$723.00 ,$221.61 ,$614.55 ,$413.78 ,$501.04 ,$162.20 ,$723.00 ,$405.60 ,$162.20 ,$189.43 , N/A ,$94.19 ,$89.91 ,$170.31 ,$578.40 ,$357.89 ,$202.44 ,$650.70 ,$274.74 ,$331.02 ,$162.20 ,$347.04 
ST. MARY'S HOSPITAL - DECATUR,31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,"$1,049.00 ",$755.28 ,$3.50 ,"$1,049.00 ",$163.40 ,$79.78 ,$576.95 ,$64.05 ,$293.72 ,$251.76 ,$64.05 ,$262.25 ,$64.05 ,$519.26 ,$3.50 ,$64.05 ,$519.26 ,$132.03 ,$734.30 ,$149.13 ,$839.20 ,$163.40 ,$64.05 ,$734.30 ,$64.05 ,$629.40 ,$65.34 ,$786.75 ,$579.05 ,$522.40 ,$579.05 ,$64.05 ,$579.05 ,$97.24 ,"$1,049.00 ",$97.24 ,$891.65 ,$163.40 ,$726.96 ,$64.05 ,"$1,049.00 ",$588.49 ,$64.05 ,$274.84 , N/A ,$28.94 ,$27.63 ,$67.26 ,$839.20 ,$519.26 ,$293.72 ,$944.10 ,$398.62 ,$130.72 ,$64.05 ,$503.52 
ST. MARY'S HOSPITAL - DECATUR,31000150,81257,HC HBA1/HBA2 GENE ANALYSIS COM DELETE OR VARIANTS -90,310,1 ,"$1,157.00 ",$833.04 ,$3.50 ,"$1,157.00 ", N/A ,$155.64 ,$636.35 , N/A ,$323.96 ,$319.06 , N/A ,$332.35 , N/A ,$572.72 ,$3.50 , N/A ,$572.72 ,$520.65 ,$809.90 ,$232.75 ,$925.60 ,$809.90 , N/A ,$809.90 , N/A ,$694.20 , N/A ,$867.75 ,$638.66 ,$576.19 ,$638.66 , N/A ,$638.66 ,$136.93 ,"$1,157.00 ",$136.93 ,$983.45 , N/A ,$801.80 , N/A ,"$1,157.00 ",$649.08 , N/A ,$303.13 , N/A ,$28.94 ,$27.63 , N/A ,$925.60 ,$572.72 ,$323.96 ,"$1,041.30 ",$439.66 ,$204.52 , N/A ,$555.36 
ST. MARY'S HOSPITAL - DECATUR,31000151,81261,HC IGH GENE ANALYSIS REARRANGEMENT AMP-90,310,1 ,"$1,147.00 ",$825.84 ,$3.50 ,"$1,147.00 ",$494.98 ,$125.08 ,$630.85 ,$194.03 ,$321.16 ,$599.88 ,$194.03 ,$630.85 ,$194.03 ,$567.77 ,$3.50 ,$194.03 ,$567.77 ,$399.94 ,$802.90 ,$451.33 ,$917.60 ,$494.98 ,$194.03 ,$802.90 ,$194.03 ,$688.20 ,$197.91 ,$860.25 ,$633.14 ,$571.21 ,$633.14 ,$194.03 ,$633.14 ,$294.57 ,"$1,147.00 ",$294.57 ,$974.95 ,$494.98 ,$794.87 ,$194.03 ,"$1,147.00 ",$643.47 ,$194.03 ,$300.51 , N/A ,$94.19 ,$89.91 ,$203.73 ,$917.60 ,$567.77 ,$321.16 ,"$1,032.30 ",$435.86 ,$395.98 ,$194.03 ,$550.56 
ST. MARY'S HOSPITAL - DECATUR,31000153,81264,HC IGK GENE REARRANGE ANALYSIS-90,310,1 ,$957.00 ,$689.04 ,$3.50 ,$957.00 ,$431.83 ,$207.80 ,$526.35 ,$169.28 ,$267.96 ,$500.51 ,$169.28 ,$526.35 ,$169.28 ,$473.72 ,$3.50 ,$169.28 ,$473.72 ,$348.91 ,$669.90 ,$393.73 ,$765.60 ,$431.83 ,$169.28 ,$669.90 ,$169.28 ,$574.20 ,$172.66 ,$717.75 ,$528.26 ,$476.59 ,$528.26 ,$169.28 ,$528.26 ,$231.29 ,$957.00 ,$231.29 ,$813.45 ,$431.83 ,$663.20 ,$169.28 ,$957.00 ,$536.88 ,$169.28 ,$250.73 , N/A ,$94.19 ,$89.91 ,$177.74 ,$765.60 ,$473.72 ,$267.96 ,$861.30 ,$363.66 ,$345.46 ,$169.28 ,$459.36 
ST. MARY'S HOSPITAL - DECATUR,31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,"$1,001.00 ",$720.72 ,$3.50 ,"$1,001.00 ",$229.15 ,$69.06 ,$550.55 ,$89.83 ,$280.28 ,$353.09 ,$89.83 ,$367.80 ,$89.83 ,$495.50 ,$3.50 ,$89.83 ,$495.50 ,$185.15 ,$700.70 ,$209.10 ,$800.80 ,$229.15 ,$89.83 ,$700.70 ,$89.83 ,$600.60 ,$91.62 ,$750.75 ,$552.55 ,$498.50 ,$552.55 ,$89.83 ,$552.55 ,$136.38 ,"$1,001.00 ",$136.38 ,$850.85 ,$229.15 ,$693.69 ,$89.83 ,"$1,001.00 ",$561.56 ,$89.83 ,$262.26 , N/A ,$28.94 ,$27.63 ,$94.32 ,$800.80 ,$495.50 ,$280.28 ,$900.90 ,$380.38 ,$183.32 ,$89.83 ,$480.48 
ST. MARY'S HOSPITAL - DECATUR,31000155,81273,HC KIT GENE ANALYSIS D816 VAR-90,310,1 ,$999.00 ,$719.28 ,$3.50 ,$999.00 ,$312.18 ,$212.28 ,$549.45 ,$122.37 ,$279.72 ,$389.62 ,$122.37 ,$405.85 ,$122.37 ,$494.51 ,$3.50 ,$122.37 ,$494.51 ,$252.24 ,$699.30 ,$284.83 ,$799.20 ,$312.18 ,$122.37 ,$699.30 ,$122.37 ,$599.40 ,$124.82 ,$749.25 ,$551.45 ,$497.50 ,$551.45 ,$122.37 ,$551.45 ,$167.20 ,$999.00 ,$167.20 ,$849.15 ,$312.18 ,$692.31 ,$122.37 ,$999.00 ,$560.44 ,$122.37 ,$261.74 , N/A ,$28.94 ,$27.63 ,$128.49 ,$799.20 ,$494.51 ,$279.72 ,$899.10 ,$379.62 ,$249.74 ,$122.37 ,$479.52 
ST. MARY'S HOSPITAL - DECATUR,31000156,81275,HC KRAS GENE ANALYSIS-90,310,1 ,$904.00 ,$650.88 ,$3.50 ,$904.00 ,$483.13 ,$180.62 ,$497.20 ,$189.38 ,$253.12 ,$472.79 ,$189.38 ,$497.20 ,$189.38 ,$447.48 ,$3.50 ,$189.38 ,$447.48 ,$390.37 ,$632.80 ,$440.28 ,$723.20 ,$483.13 ,$189.38 ,$632.80 ,$189.38 ,$542.40 ,$193.18 ,$678.00 ,$499.01 ,$450.19 ,$499.01 ,$189.38 ,$499.01 ,$258.77 ,$904.00 ,$258.77 ,$768.40 ,$483.13 ,$626.47 ,$189.38 ,$904.00 ,$507.14 ,$189.38 ,$236.85 , N/A ,$94.19 ,$89.91 ,$198.85 ,$723.20 ,$447.48 ,$253.12 ,$813.60 ,$343.52 ,$386.50 ,$189.38 ,$433.92 
ST. MARY'S HOSPITAL - DECATUR,31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$579.00 ,$416.88 ,$3.50 ,$579.00 ,$163.35 ,$93.00 ,$318.45 ,$64.03 ,$162.12 ,$203.86 ,$64.03 ,$212.35 ,$64.03 ,$286.61 ,$3.50 ,$64.03 ,$286.61 ,$131.99 ,$405.30 ,$149.13 ,$463.20 ,$163.35 ,$64.03 ,$405.30 ,$64.03 ,$347.40 ,$65.32 ,$434.25 ,$319.61 ,$288.34 ,$319.61 ,$64.03 ,$319.61 ,$87.49 ,$579.00 ,$87.49 ,$492.15 ,$163.35 ,$401.25 ,$64.03 ,$579.00 ,$324.82 ,$64.03 ,$151.70 , N/A ,$28.94 ,$27.63 ,$67.24 ,$463.20 ,$286.61 ,$162.12 ,$521.10 ,$220.02 ,$130.68 ,$64.03 ,$277.92 
ST. MARY'S HOSPITAL - DECATUR,31000158,81292,HC MLH1 GENE FULL SEQ ANALYSIS-90,310,1 ,"$1,615.00 ","$1,162.80 ",$3.50 ,"$1,688.50 ","$1,688.50 ",$780.00 ,$888.25 ,$661.89 ,$452.20 ,$844.65 ,$661.89 ,$888.25 ,$661.89 ,$799.43 ,$3.50 ,$661.89 ,$799.43 ,"$1,364.31 ","$1,130.50 ","$1,540.18 ","$1,292.00 ","$1,688.50 ",$661.89 ,"$1,130.50 ",$661.89 ,$969.00 ,$675.13 ,"$1,211.25 ",$891.48 ,$804.27 ,$891.48 ,$661.89 ,$891.48 ,$904.36 ,"$1,615.00 ",$904.36 ,"$1,372.75 ","$1,615.00 ","$1,119.20 ",$661.89 ,"$1,615.00 ",$906.02 ,$661.89 ,$423.13 , N/A ,$267.32 ,$255.17 ,$694.99 ,"$1,292.00 ",$799.43 ,$452.20 ,"$1,453.50 ",$613.70 ,"$1,350.80 ",$661.89 ,$775.20 
ST. MARY'S HOSPITAL - DECATUR,31000159,81294,HC MLH1 GENE DUPL/DELETE VARIANT-90,310,1 ,$584.00 ,$420.48 ,$3.50 ,$584.00 ,$506.00 ,$464.74 ,$321.20 ,$198.35 ,$163.52 ,$305.43 ,$198.35 ,$321.20 ,$198.35 ,$289.08 ,$3.50 ,$198.35 ,$289.08 ,$408.85 ,$408.80 ,$461.58 ,$467.20 ,$506.00 ,$198.35 ,$408.80 ,$198.35 ,$350.40 ,$202.32 ,$438.00 ,$322.37 ,$290.83 ,$322.37 ,$198.35 ,$322.37 ,$271.01 ,$584.00 ,$271.01 ,$496.40 ,$506.00 ,$404.71 ,$198.35 ,$584.00 ,$327.62 ,$198.35 ,$153.01 , N/A ,$94.19 ,$89.91 ,$208.27 ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$404.80 ,$198.35 ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31000160,81295,HC MLH2 GENE FULL SEQ ANALYSIS-90,310,1 ,$460.00 ,$331.20 ,$3.50 ,$954.25 ,$954.25 ,$460.00 ,$253.00 ,$374.07 ,$128.80 ,$240.58 ,$374.07 ,$253.00 ,$374.07 ,$227.70 ,$3.50 ,$374.07 ,$227.70 ,$460.00 ,$322.00 ,$460.00 ,$368.00 ,$954.25 ,$374.07 ,$322.00 ,$374.07 ,$276.00 ,$381.54 ,$345.00 ,$253.92 ,$229.08 ,$253.92 ,$374.07 ,$253.92 ,$460.00 ,$460.00 ,$460.00 ,$391.00 ,$460.00 ,$318.78 ,$374.07 ,$460.00 ,$258.06 ,$374.07 ,$120.52 , N/A ,$94.19 ,$89.91 ,$392.77 ,$368.00 ,$227.70 ,$128.80 ,$414.00 ,$174.80 ,$460.00 ,$374.07 ,$220.80 
ST. MARY'S HOSPITAL - DECATUR,31000161,81297,HC MLH2 GENE DUPL/DELETE VARIANT-90,310,1 ,$460.00 ,$331.20 ,$3.50 ,$533.25 ,$533.25 ,$412.14 ,$253.00 ,$209.03 ,$128.80 ,$240.58 ,$209.03 ,$253.00 ,$209.03 ,$227.70 ,$3.50 ,$209.03 ,$227.70 ,$430.87 ,$322.00 ,$460.00 ,$368.00 ,$533.25 ,$209.03 ,$322.00 ,$209.03 ,$276.00 ,$213.22 ,$345.00 ,$253.92 ,$229.08 ,$253.92 ,$209.03 ,$253.92 ,$285.61 ,$460.00 ,$285.61 ,$391.00 ,$460.00 ,$318.78 ,$209.03 ,$460.00 ,$258.06 ,$209.03 ,$120.52 , N/A ,$94.19 ,$89.91 ,$219.49 ,$368.00 ,$227.70 ,$128.80 ,$414.00 ,$174.80 ,$426.60 ,$209.03 ,$220.80 
ST. MARY'S HOSPITAL - DECATUR,31000162,81299,HC MLH2 GENE FAMILIAL VARIANT-90,310,1 ,"$3,990.00 ","$2,872.80 ",$3.50 ,"$3,990.00 ",$770.00 ,$79.78 ,"$2,194.50 ",$301.84 ,"$1,117.20 ",$960.96 ,$301.84 ,"$1,001.00 ",$301.84 ,"$1,975.05 ",$3.50 ,$301.84 ,"$1,975.05 ",$622.16 ,"$2,793.00 ",$702.23 ,"$3,192.00 ",$770.00 ,$301.84 ,"$2,793.00 ",$301.84 ,"$2,394.00 ",$307.88 ,"$2,992.50 ","$2,202.48 ","$1,987.02 ","$2,202.48 ",$301.84 ,"$2,202.48 ",$412.41 ,"$3,990.00 ",$412.41 ,"$3,391.50 ",$770.00 ,"$2,765.07 ",$301.84 ,"$3,990.00 ","$2,238.39 ",$301.84 ,"$1,045.38 ", N/A ,$94.19 ,$89.91 ,$316.93 ,"$3,192.00 ","$1,975.05 ","$1,117.20 ","$3,591.00 ","$1,516.20 ",$616.00 ,$301.84 ,"$1,915.20 "
ST. MARY'S HOSPITAL - DECATUR,31000163,81301,HC MICROSATELLITE INSTAB ANALYSIS-90,310,1 ,$943.00 ,$678.96 ,$3.50 ,$943.00 ,$871.40 ,$272.56 ,$518.65 ,$341.59 ,$264.04 ,$493.19 ,$341.59 ,$518.65 ,$341.59 ,$466.79 ,$3.50 ,$341.59 ,$466.79 ,$704.09 ,$660.10 ,$794.55 ,$754.40 ,$871.40 ,$341.59 ,$660.10 ,$341.59 ,$565.80 ,$348.42 ,$707.25 ,$520.54 ,$469.61 ,$520.54 ,$341.59 ,$520.54 ,$466.72 ,$943.00 ,$466.72 ,$801.55 ,$871.40 ,$653.50 ,$341.59 ,$943.00 ,$529.02 ,$341.59 ,$247.07 , N/A ,$94.19 ,$89.91 ,$358.67 ,$754.40 ,$466.79 ,$264.04 ,$848.70 ,$358.34 ,$697.12 ,$341.59 ,$452.64 
ST. MARY'S HOSPITAL - DECATUR,31000164,81302,HC MECP2 GENE ANALYSIS FULL SEQ-90,310,1 ,"$1,531.00 ","$1,102.32 ",$3.50 ,"$1,531.00 ","$1,319.68 ",$387.14 ,$842.05 ,$517.31 ,$428.68 ,$800.71 ,$517.31 ,$842.05 ,$517.31 ,$757.85 ,$3.50 ,$517.31 ,$757.85 ,"$1,066.30 ","$1,071.70 ","$1,203.25 ","$1,224.80 ","$1,319.68 ",$517.31 ,"$1,071.70 ",$517.31 ,$918.60 ,$527.66 ,"$1,148.25 ",$845.11 ,$762.44 ,$845.11 ,$517.31 ,$845.11 ,$706.82 ,"$1,531.00 ",$706.82 ,"$1,301.35 ","$1,319.68 ","$1,060.98 ",$517.31 ,"$1,531.00 ",$858.89 ,$517.31 ,$401.12 , N/A ,$28.94 ,$27.63 ,$543.17 ,"$1,224.80 ",$757.85 ,$428.68 ,"$1,377.90 ",$581.78 ,"$1,055.74 ",$517.31 ,$734.88 
ST. MARY'S HOSPITAL - DECATUR,31000165,81304,HC MECP2 GENE ANALYSIS DUP/DEL-90,310,1 ,"$1,531.00 ","$1,102.32 ",$3.50 ,"$1,531.00 ",$375.00 ,$251.66 ,$842.05 ,$147.00 ,$428.68 ,$468.00 ,$147.00 ,$487.50 ,$147.00 ,$757.85 ,$3.50 ,$147.00 ,$757.85 ,$303.00 ,"$1,071.70 ",$341.65 ,"$1,224.80 ",$375.00 ,$147.00 ,"$1,071.70 ",$147.00 ,$918.60 ,$149.94 ,"$1,148.25 ",$845.11 ,$762.44 ,$845.11 ,$147.00 ,$845.11 ,$200.85 ,"$1,531.00 ",$200.85 ,"$1,301.35 ",$375.00 ,"$1,060.98 ",$147.00 ,"$1,531.00 ",$858.89 ,$147.00 ,$401.12 , N/A ,$28.94 ,$27.63 ,$154.35 ,"$1,224.80 ",$757.85 ,$428.68 ,"$1,377.90 ",$581.78 ,$300.00 ,$147.00 ,$734.88 
ST. MARY'S HOSPITAL - DECATUR,31000166,81310,HC NPM1 GENE EXON 12 VARIANT-90,310,1 ,$848.00 ,$610.56 ,$3.50 ,$848.00 ,$616.30 ,$49.98 ,$466.40 ,$241.59 ,$237.44 ,$443.50 ,$241.59 ,$466.40 ,$241.59 ,$419.76 ,$3.50 ,$241.59 ,$419.76 ,$497.97 ,$593.60 ,$561.78 ,$678.40 ,$616.30 ,$241.59 ,$593.60 ,$241.59 ,$508.80 ,$246.42 ,$636.00 ,$468.10 ,$422.30 ,$468.10 ,$241.59 ,$468.10 ,$330.09 ,$848.00 ,$330.09 ,$720.80 ,$616.30 ,$587.66 ,$241.59 ,$848.00 ,$475.73 ,$241.59 ,$222.18 , N/A ,$94.19 ,$89.91 ,$253.67 ,$678.40 ,$419.76 ,$237.44 ,$763.20 ,$322.24 ,$493.04 ,$241.59 ,$407.04 
ST. MARY'S HOSPITAL - DECATUR,31000168,81315,HC PML/RAR COMM BREAKPOINTS QL/QN-90,310,1 ,"$1,302.00 ",$937.44 ,$3.50 ,"$1,302.00 ",$518.28 ,$135.84 ,$716.10 ,$203.16 ,$364.56 ,$680.95 ,$203.16 ,$716.10 ,$203.16 ,$644.49 ,$3.50 ,$203.16 ,$644.49 ,$418.77 ,$911.40 ,$472.63 ,"$1,041.60 ",$518.28 ,$203.16 ,$911.40 ,$203.16 ,$781.20 ,$207.23 ,$976.50 ,$718.70 ,$648.40 ,$718.70 ,$203.16 ,$718.70 ,$308.44 ,"$1,302.00 ",$308.44 ,"$1,106.70 ",$518.28 ,$902.29 ,$203.16 ,"$1,302.00 ",$730.42 ,$203.16 ,$341.12 , N/A ,$94.19 ,$89.91 ,$213.33 ,"$1,041.60 ",$644.49 ,$364.56 ,"$1,171.80 ",$494.76 ,$414.62 ,$203.16 ,$624.96 
ST. MARY'S HOSPITAL - DECATUR,31000169,81321,HC PTEN GENE ANALYSIS FULL SEQUENCE -90,310,1 ,"$2,347.00 ","$1,689.84 ",$3.50 ,"$2,347.00 ","$1,500.00 ",$544.72 ,"$1,290.85 ",$588.00 ,$657.16 ,"$1,227.48 ",$588.00 ,"$1,290.85 ",$588.00 ,"$1,161.77 ",$3.50 ,$588.00 ,"$1,161.77 ","$1,212.00 ","$1,642.90 ","$1,368.18 ","$1,877.60 ","$1,500.00 ",$588.00 ,"$1,642.90 ",$588.00 ,"$1,408.20 ",$599.76 ,"$1,760.25 ","$1,295.54 ","$1,168.81 ","$1,295.54 ",$588.00 ,"$1,295.54 ",$803.40 ,"$2,347.00 ",$803.40 ,"$1,994.95 ","$1,500.00 ","$1,626.47 ",$588.00 ,"$2,347.00 ","$1,316.67 ",$588.00 ,$614.91 , N/A ,$267.32 ,$255.17 ,$617.40 ,"$1,877.60 ","$1,161.77 ",$657.16 ,"$2,112.30 ",$891.86 ,"$1,200.00 ",$588.00 ,"$1,126.56 "
ST. MARY'S HOSPITAL - DECATUR,31000170,81323,HC PTEN GENE ANALYSIS DUP/DEL-90,310,1 ,"$1,087.00 ",$782.64 ,$3.50 ,"$1,087.00 ",$750.00 ,$79.44 ,$597.85 ,$294.00 ,$304.36 ,$568.50 ,$294.00 ,$597.85 ,$294.00 ,$538.07 ,$3.50 ,$294.00 ,$538.07 ,$606.00 ,$760.90 ,$684.08 ,$869.60 ,$750.00 ,$294.00 ,$760.90 ,$294.00 ,$652.20 ,$299.88 ,$815.25 ,$600.02 ,$541.33 ,$600.02 ,$294.00 ,$600.02 ,$401.70 ,"$1,087.00 ",$401.70 ,$923.95 ,$750.00 ,$753.29 ,$294.00 ,"$1,087.00 ",$609.81 ,$294.00 ,$284.79 , N/A ,$28.94 ,$27.63 ,$308.70 ,$869.60 ,$538.07 ,$304.36 ,$978.30 ,$413.06 ,$600.00 ,$294.00 ,$521.76 
ST. MARY'S HOSPITAL - DECATUR,31000172,81340,HC TRB GENE ANALYSIS-90,310,1 ,"$1,327.00 ",$955.44 ,$3.50 ,"$1,327.00 ",$522.30 ,$231.00 ,$729.85 ,$204.74 ,$371.56 ,$694.02 ,$204.74 ,$729.85 ,$204.74 ,$656.87 ,$3.50 ,$204.74 ,$656.87 ,$422.02 ,$928.90 ,$476.58 ,"$1,061.60 ",$522.30 ,$204.74 ,$928.90 ,$204.74 ,$796.20 ,$208.84 ,$995.25 ,$732.50 ,$660.85 ,$732.50 ,$204.74 ,$732.50 ,$310.82 ,"$1,327.00 ",$310.82 ,"$1,127.95 ",$522.30 ,$919.61 ,$204.74 ,"$1,327.00 ",$744.45 ,$204.74 ,$347.67 , N/A ,$94.19 ,$89.91 ,$214.98 ,"$1,061.60 ",$656.87 ,$371.56 ,"$1,194.30 ",$504.26 ,$417.84 ,$204.74 ,$636.96 
ST. MARY'S HOSPITAL - DECATUR,31000173,81342,HC TRB GENE ANALYSIS DIRECT PROBE-90,310,1 ,"$1,224.00 ",$881.28 ,$3.50 ,"$1,224.00 ",$503.75 ,$193.20 ,$673.20 ,$197.47 ,$342.72 ,$640.15 ,$197.47 ,$673.20 ,$197.47 ,$605.88 ,$3.50 ,$197.47 ,$605.88 ,$407.03 ,$856.80 ,$459.20 ,$979.20 ,$503.75 ,$197.47 ,$856.80 ,$197.47 ,$734.40 ,$201.42 ,$918.00 ,$675.65 ,$609.55 ,$675.65 ,$197.47 ,$675.65 ,$299.77 ,"$1,224.00 ",$299.77 ,"$1,040.40 ",$503.75 ,$848.23 ,$197.47 ,"$1,224.00 ",$686.66 ,$197.47 ,$320.69 , N/A ,$94.19 ,$89.91 ,$207.35 ,$979.20 ,$605.88 ,$342.72 ,"$1,101.60 ",$465.12 ,$403.00 ,$197.47 ,$587.52 
ST. MARY'S HOSPITAL - DECATUR,31000174,81372,HC CLASS 1 TYPING COMPLETE LOW RESOLUTION-90,310,1 ,"$1,232.00 ",$887.04 ,$3.50 ,"$1,232.00 ","$1,008.98 ",$574.24 ,$677.60 ,$395.52 ,$344.96 ,$644.34 ,$395.52 ,$677.60 ,$395.52 ,$609.84 ,$3.50 ,$395.52 ,$609.84 ,$815.25 ,$862.40 ,$920.00 ,$985.60 ,"$1,008.98 ",$395.52 ,$862.40 ,$395.52 ,$739.20 ,$403.43 ,$924.00 ,$680.06 ,$613.54 ,$680.06 ,$395.52 ,$680.06 ,$540.41 ,"$1,232.00 ",$540.41 ,"$1,047.20 ","$1,008.98 ",$853.78 ,$395.52 ,"$1,232.00 ",$691.15 ,$395.52 ,$322.78 , N/A ,$94.19 ,$89.91 ,$415.29 ,$985.60 ,$609.84 ,$344.96 ,"$1,108.80 ",$468.16 ,$807.18 ,$395.52 ,$591.36 
ST. MARY'S HOSPITAL - DECATUR,31000176,81374,HC HLA CLS I TYPNG LW ANTGN EA-90,310,1 ,$504.00 ,$362.88 ,$3.50 ,$504.00 ,$185.83 ,$194.62 ,$277.20 ,$72.84 ,$141.12 ,$263.59 ,$72.84 ,$277.20 ,$72.84 ,$249.48 ,$3.50 ,$72.84 ,$249.48 ,$150.15 ,$352.80 ,$169.65 ,$403.20 ,$185.83 ,$72.84 ,$352.80 ,$72.84 ,$302.40 ,$74.30 ,$378.00 ,$278.21 ,$250.99 ,$278.21 ,$72.84 ,$278.21 ,$108.23 ,$504.00 ,$108.23 ,$428.40 ,$185.83 ,$349.27 ,$72.84 ,$504.00 ,$282.74 ,$72.84 ,$132.05 , N/A ,$28.94 ,$27.63 ,$76.49 ,$403.20 ,$249.48 ,$141.12 ,$453.60 ,$191.52 ,$148.66 ,$72.84 ,$241.92 
ST. MARY'S HOSPITAL - DECATUR,31000177,81376,HC HLA CLASS 2 TYPE LOW RESOLUTION 1 LOCUS-90,310,1 ,$418.00 ,$300.96 ,$3.50 ,$418.00 ,$305.55 ,$113.68 ,$229.90 ,$119.78 ,$117.04 ,$218.61 ,$119.78 ,$229.90 ,$119.78 ,$206.91 ,$3.50 ,$119.78 ,$206.91 ,$246.88 ,$292.60 ,$278.53 ,$334.40 ,$305.55 ,$119.78 ,$292.60 ,$119.78 ,$250.80 ,$122.17 ,$313.50 ,$230.74 ,$208.16 ,$230.74 ,$119.78 ,$230.74 ,$181.84 ,$418.00 ,$181.84 ,$355.30 ,$305.55 ,$289.67 ,$119.78 ,$418.00 ,$234.50 ,$119.78 ,$109.52 , N/A ,$94.19 ,$89.91 ,$125.76 ,$334.40 ,$206.91 ,$117.04 ,$376.20 ,$158.84 ,$244.44 ,$119.78 ,$200.64 
ST. MARY'S HOSPITAL - DECATUR,31000179,81381,HC HLA 1 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$694.00 ,$499.68 ,$3.50 ,$694.00 ,$424.75 ,$194.58 ,$381.70 ,$166.50 ,$194.32 ,$362.96 ,$166.50 ,$381.70 ,$166.50 ,$343.53 ,$3.50 ,$166.50 ,$343.53 ,$343.20 ,$485.80 ,$387.40 ,$555.20 ,$424.75 ,$166.50 ,$485.80 ,$166.50 ,$416.40 ,$169.83 ,$520.50 ,$383.09 ,$345.61 ,$383.09 ,$166.50 ,$383.09 ,$227.50 ,$694.00 ,$227.50 ,$589.90 ,$424.75 ,$480.94 ,$166.50 ,$694.00 ,$389.33 ,$166.50 ,$181.83 , N/A ,$28.94 ,$27.63 ,$174.83 ,$555.20 ,$343.53 ,$194.32 ,$624.60 ,$263.72 ,$339.80 ,$166.50 ,$333.12 
ST. MARY'S HOSPITAL - DECATUR,31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$988.00 ,$711.36 ,$3.50 ,$988.00 ,$159.90 ,$82.22 ,$543.40 ,$62.68 ,$276.64 ,$199.54 ,$62.68 ,$207.85 ,$62.68 ,$489.06 ,$3.50 ,$62.68 ,$489.06 ,$129.20 ,$691.60 ,$145.98 ,$790.40 ,$159.90 ,$62.68 ,$691.60 ,$62.68 ,$592.80 ,$63.94 ,$741.00 ,$545.38 ,$492.02 ,$545.38 ,$62.68 ,$545.38 ,$85.64 ,$988.00 ,$85.64 ,$839.80 ,$159.90 ,$684.68 ,$62.68 ,$988.00 ,$554.27 ,$62.68 ,$258.86 , N/A ,$28.94 ,$27.63 ,$65.82 ,$790.40 ,$489.06 ,$276.64 ,$889.20 ,$375.44 ,$127.92 ,$62.68 ,$474.24 
ST. MARY'S HOSPITAL - DECATUR,31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$757.00 ,$545.04 ,$3.50 ,$757.00 , N/A ,$78.00 ,$416.35 , N/A ,$211.96 ,$395.91 , N/A ,$416.35 , N/A ,$374.72 ,$3.50 , N/A ,$374.72 ,$340.65 ,$529.90 ,$312.45 ,$605.60 ,$529.90 , N/A ,$529.90 , N/A ,$454.20 , N/A ,$567.75 ,$417.86 ,$376.99 ,$417.86 , N/A ,$417.86 ,$183.44 ,$757.00 ,$183.44 ,$643.45 , N/A ,$524.60 , N/A ,$757.00 ,$424.68 , N/A ,$198.33 , N/A ,$28.94 ,$27.63 , N/A ,$605.60 ,$374.72 ,$211.96 ,$681.30 ,$287.66 ,$274.00 , N/A ,$363.36 
ST. MARY'S HOSPITAL - DECATUR,31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,"$1,152.00 ",$829.44 ,$3.50 ,"$1,152.00 ", N/A ,$120.00 ,$633.60 , N/A ,$322.56 ,$577.82 , N/A ,$601.90 , N/A ,$570.24 ,$3.50 , N/A ,$570.24 ,$518.40 ,$806.40 ,$422.13 ,$921.60 ,$806.40 , N/A ,$806.40 , N/A ,$691.20 , N/A ,$864.00 ,$635.90 ,$573.70 ,$635.90 , N/A ,$635.90 ,$247.98 ,"$1,152.00 ",$247.98 ,$979.20 , N/A ,$798.34 , N/A ,"$1,152.00 ",$646.27 , N/A ,$301.82 , N/A ,$28.94 ,$27.63 , N/A ,$921.60 ,$570.24 ,$322.56 ,"$1,036.80 ",$437.76 ,$370.40 , N/A ,$552.96 
ST. MARY'S HOSPITAL - DECATUR,31000186,81404,HC MOLECULAR PATH PROC LEVEL 5-90,310,1 ,"$1,531.00 ","$1,102.32 ",$3.50 ,"$1,531.00 ", N/A ,$210.00 ,$842.05 , N/A ,$428.68 ,$800.71 , N/A ,$842.05 , N/A ,$757.85 ,$3.50 , N/A ,$757.85 ,$688.95 ,"$1,071.70 ",$626.48 ,"$1,224.80 ","$1,071.70 ", N/A ,"$1,071.70 ", N/A ,$918.60 , N/A ,"$1,148.25 ",$845.11 ,$762.44 ,$845.11 , N/A ,$845.11 ,$368.00 ,"$1,531.00 ",$368.00 ,"$1,301.35 ", N/A ,"$1,060.98 ", N/A ,"$1,531.00 ",$858.89 , N/A ,$401.12 , N/A ,$28.94 ,$27.63 , N/A ,"$1,224.80 ",$757.85 ,$428.68 ,"$1,377.90 ",$581.78 ,$549.66 , N/A ,$734.88 
ST. MARY'S HOSPITAL - DECATUR,31000187,81405,HC MOLECULAR PATH PROC LEVEL 6-90,310,1 ,"$2,326.00 ","$1,674.72 ",$3.50 ,"$2,326.00 ", N/A ,$210.00 ,"$1,279.30 ", N/A ,$651.28 ,$940.22 , N/A ,$979.40 , N/A ,"$1,151.37 ",$3.50 , N/A ,"$1,151.37 ","$1,046.70 ","$1,628.20 ",$687.25 ,"$1,860.80 ","$1,628.20 ", N/A ,"$1,628.20 ", N/A ,"$1,395.60 ", N/A ,"$1,744.50 ","$1,283.95 ","$1,158.35 ","$1,283.95 ", N/A ,"$1,283.95 ",$403.51 ,"$2,326.00 ",$403.51 ,"$1,977.10 ", N/A ,"$1,611.92 ", N/A ,"$2,326.00 ","$1,304.89 ", N/A ,$609.41 , N/A ,$28.94 ,$27.63 , N/A ,"$1,860.80 ","$1,151.37 ",$651.28 ,"$2,093.40 ",$883.88 ,$602.70 , N/A ,"$1,116.48 "
ST. MARY'S HOSPITAL - DECATUR,31000188,81406,HC MOLECULAR PATH PROC LEVEL 7-90,310,1 ,"$3,347.00 ","$2,409.84 ",$3.50 ,"$3,347.00 ", N/A ,$119.60 ,"$1,840.85 ", N/A ,$937.16 ,$882.58 , N/A ,$919.35 , N/A ,"$1,656.77 ",$3.50 , N/A ,"$1,656.77 ","$1,506.15 ","$2,342.90 ",$644.63 ,"$2,677.60 ","$2,342.90 ", N/A ,"$2,342.90 ", N/A ,"$2,008.20 ", N/A ,"$2,510.25 ","$1,847.54 ","$1,666.81 ","$1,847.54 ", N/A ,"$1,847.54 ",$378.77 ,"$3,347.00 ",$378.77 ,"$2,844.95 ", N/A ,"$2,319.47 ", N/A ,"$3,347.00 ","$1,877.67 ", N/A ,$876.91 , N/A ,$94.19 ,$89.91 , N/A ,"$2,677.60 ","$1,656.77 ",$937.16 ,"$3,012.30 ","$1,271.86 ",$565.76 , N/A ,"$1,606.56 "
ST. MARY'S HOSPITAL - DECATUR,31000189,81407,HC MOLECULAR PATH PROC LEVEL 8-90,310,1 ,"$4,540.00 ","$3,268.80 ",$3.50 ,"$4,540.00 ", N/A ,"$1,440.00 ","$2,497.00 ", N/A ,"$1,271.20 ","$2,374.42 ", N/A ,"$2,497.00 ", N/A ,"$2,247.30 ",$3.50 , N/A ,"$2,247.30 ","$2,043.00 ","$3,178.00 ","$1,929.15 ","$3,632.00 ","$3,178.00 ", N/A ,"$3,178.00 ", N/A ,"$2,724.00 ", N/A ,"$3,405.00 ","$2,506.08 ","$2,260.92 ","$2,506.08 ", N/A ,"$2,506.08 ","$1,133.15 ","$4,540.00 ","$1,133.15 ","$3,859.00 ", N/A ,"$3,146.22 ", N/A ,"$4,540.00 ","$2,546.94 ", N/A ,"$1,189.48 ", N/A ,$94.19 ,$89.91 , N/A ,"$3,632.00 ","$2,247.30 ","$1,271.20 ","$4,086.00 ","$1,725.20 ","$1,692.54 ", N/A ,"$2,179.20 "
ST. MARY'S HOSPITAL - DECATUR,31000190,81408,HC MOLECULAR PATH PROC LEVEL 9-90,310,1 ,"$4,562.00 ","$3,284.64 ",$3.50 ,"$4,562.00 ", N/A ,"$1,440.00 ","$2,509.10 ", N/A ,"$1,277.36 ","$2,385.93 ", N/A ,"$2,509.10 ", N/A ,"$2,258.19 ",$3.50 , N/A ,"$2,258.19 ","$2,052.90 ","$3,193.40 ","$4,559.75 ","$3,649.60 ","$3,193.40 ", N/A ,"$3,193.40 ", N/A ,"$2,737.20 ", N/A ,"$3,421.50 ","$2,518.22 ","$2,271.88 ","$2,518.22 ", N/A ,"$2,518.22 ","$2,678.00 ","$4,562.00 ","$2,678.00 ","$3,877.70 ", N/A ,"$3,161.47 ", N/A ,"$4,562.00 ","$2,559.28 ", N/A ,"$1,195.24 ", N/A ,$94.19 ,$89.91 , N/A ,"$3,649.60 ","$2,258.19 ","$1,277.36 ","$4,105.80 ","$1,733.56 ","$4,000.00 ", N/A ,"$2,189.76 "
ST. MARY'S HOSPITAL - DECATUR,31000191,81479,HC IBD CELIAC UNLISTED MOLECULAR PATH-90,310,1 ,"$1,302.00 ",$937.44 ,$3.50 ,"$1,302.00 ", N/A ,$90.00 ,$716.10 , N/A ,$364.56 ,$16.80 , N/A ,$17.50 , N/A ,$644.49 ,$3.50 , N/A ,$644.49 ,$585.90 ,$911.40 ,$273.08 ,"$1,041.60 ",$911.40 , N/A ,$911.40 , N/A ,$781.20 , N/A ,$976.50 ,$718.70 ,$648.40 ,$718.70 , N/A ,$718.70 ,$950.46 ,"$1,302.00 ",$950.46 ,"$1,106.70 ", N/A ,$902.29 , N/A ,"$1,302.00 ",$730.42 , N/A ,$341.12 , N/A ,$28.94 ,$27.63 , N/A ,"$1,041.60 ",$644.49 ,$364.56 ,"$1,171.80 ",$494.76 , N/A , N/A ,$624.96 
ST. MARY'S HOSPITAL - DECATUR,31000193,81508,HC FETAL CONGENTIAL ABNORM 2 PROTEINS-90,310,1 ,$449.00 ,$323.28 ,$3.50 ,$449.00 ,$135.75 ,$175.00 ,$246.95 ,$53.21 ,$125.72 ,$169.44 ,$53.21 ,$176.50 ,$53.21 ,$222.26 ,$3.50 ,$53.21 ,$222.26 ,$109.69 ,$314.30 ,$123.88 ,$359.20 ,$135.75 ,$53.21 ,$314.30 ,$53.21 ,$269.40 ,$54.28 ,$336.75 ,$247.85 ,$223.60 ,$247.85 ,$53.21 ,$247.85 ,$72.71 ,$449.00 ,$72.71 ,$381.65 ,$135.75 ,$311.16 ,$53.21 ,$449.00 ,$251.89 ,$53.21 ,$117.64 , N/A ,$28.94 ,$27.63 ,$55.88 ,$359.20 ,$222.26 ,$125.72 ,$404.10 ,$170.62 ,$108.60 ,$53.21 ,$215.52 
ST. MARY'S HOSPITAL - DECATUR,31000194,81511,HC FETAL CONGENTIAL ABNORM 4 ANALYTES-90,310,1 ,$542.00 ,$390.24 ,$3.50 ,$542.00 ,$383.75 ,$245.00 ,$298.10 ,$150.43 ,$151.76 ,$283.47 ,$150.43 ,$298.10 ,$150.43 ,$268.29 ,$3.50 ,$150.43 ,$268.29 ,$310.07 ,$379.40 ,$350.33 ,$433.60 ,$383.75 ,$150.43 ,$379.40 ,$150.43 ,$325.20 ,$153.44 ,$406.50 ,$299.18 ,$269.92 ,$299.18 ,$150.43 ,$299.18 ,$205.54 ,$542.00 ,$205.54 ,$460.70 ,$383.75 ,$375.61 ,$150.43 ,$542.00 ,$304.06 ,$150.43 ,$142.00 , N/A ,$28.94 ,$27.63 ,$157.96 ,$433.60 ,$268.29 ,$151.76 ,$487.80 ,$205.96 ,$307.00 ,$150.43 ,$260.16 
ST. MARY'S HOSPITAL - DECATUR,31000195,81201,HC APC GENE ANALYSIS FULL SEQUENCE-90,310,1 ,"$1,856.00 ","$1,336.32 ",$3.50 ,"$1,856.00 ", N/A ,"$1,147.12 ","$1,020.80 ", N/A ,$519.68 ,$970.69 , N/A ,"$1,020.80 ", N/A ,$918.72 ,$3.50 , N/A ,$918.72 ,$835.20 ,"$1,299.20 ","$1,778.45 ","$1,484.80 ","$1,299.20 ", N/A ,"$1,299.20 ", N/A ,"$1,113.60 ", N/A ,"$1,392.00 ","$1,024.51 ",$924.29 ,"$1,024.51 ", N/A ,"$1,024.51 ","$1,044.42 ","$1,856.00 ","$1,044.42 ","$1,577.60 ", N/A ,"$1,286.21 ", N/A ,"$1,856.00 ","$1,041.22 ", N/A ,$486.27 , N/A ,$28.94 ,$27.63 , N/A ,"$1,484.80 ",$918.72 ,$519.68 ,"$1,670.40 ",$705.28 ,"$1,560.00 ", N/A ,$890.88 
ST. MARY'S HOSPITAL - DECATUR,31000196,81203,HC APC GENE ANALYSIS DUPLICATE/DELETION VARIANTS-90,310,1 ,"$1,898.00 ","$1,366.56 ",$3.50 ,"$1,898.00 ",$500.00 ,$513.86 ,"$1,043.90 ",$196.00 ,$531.44 ,$624.00 ,$196.00 ,$650.00 ,$196.00 ,$939.51 ,$3.50 ,$196.00 ,$939.51 ,$404.00 ,"$1,328.60 ",$456.05 ,"$1,518.40 ",$500.00 ,$196.00 ,"$1,328.60 ",$196.00 ,"$1,138.80 ",$199.92 ,"$1,423.50 ","$1,047.70 ",$945.20 ,"$1,047.70 ",$196.00 ,"$1,047.70 ",$267.80 ,"$1,898.00 ",$267.80 ,"$1,613.30 ",$500.00 ,"$1,315.31 ",$196.00 ,"$1,898.00 ","$1,064.78 ",$196.00 ,$497.28 , N/A ,$28.94 ,$27.63 ,$205.80 ,"$1,518.40 ",$939.51 ,$531.44 ,"$1,708.20 ",$721.24 ,$400.00 ,$196.00 ,$911.04 
ST. MARY'S HOSPITAL - DECATUR,31000197,81252,HC GJB2 GENE ANALYSIS FULL GENE SEQUENCE-90,310,1 ,"$1,103.00 ",$794.16 ,$3.50 ,"$1,103.00 ",$252.80 ,$190.68 ,$606.65 ,$99.10 ,$308.84 ,$315.50 ,$99.10 ,$328.65 ,$99.10 ,$545.99 ,$3.50 ,$99.10 ,$545.99 ,$204.26 ,$772.10 ,$230.40 ,$882.40 ,$252.80 ,$99.10 ,$772.10 ,$99.10 ,$661.80 ,$101.08 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$99.10 ,$608.86 ,$135.40 ,"$1,103.00 ",$135.40 ,$937.55 ,$252.80 ,$764.38 ,$99.10 ,"$1,103.00 ",$618.78 ,$99.10 ,$288.99 , N/A ,$28.94 ,$27.63 ,$104.06 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$202.24 ,$99.10 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,31000198,81254,HC GJB6 GENE ANALYSIS COMMON VARIANTS-90,310,1 ,"$1,103.00 ",$794.16 ,$3.50 ,"$1,103.00 ",$87.50 ,$34.64 ,$606.65 ,$34.30 ,$308.84 ,$109.20 ,$34.30 ,$113.75 ,$34.30 ,$545.99 ,$3.50 ,$34.30 ,$545.99 ,$70.70 ,$772.10 ,$79.70 ,$882.40 ,$87.50 ,$34.30 ,$772.10 ,$34.30 ,$661.80 ,$34.99 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$34.30 ,$608.86 ,$46.87 ,"$1,103.00 ",$46.87 ,$937.55 ,$87.50 ,$764.38 ,$34.30 ,"$1,103.00 ",$618.78 ,$34.30 ,$288.99 , N/A ,$28.94 ,$27.63 ,$36.01 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$70.00 ,$34.30 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,31000199,81287,HC MGMT GENE METHYLATION ANALYSIS-90,310,1 ,"$1,087.00 ",$782.64 ,$3.50 ,"$1,087.00 ",$311.60 ,$700.00 ,$597.85 ,$122.15 ,$304.36 ,$388.90 ,$122.15 ,$405.10 ,$122.15 ,$538.07 ,$3.50 ,$122.15 ,$538.07 ,$251.77 ,$760.90 ,$679.38 ,$869.60 ,$311.60 ,$122.15 ,$760.90 ,$122.15 ,$652.20 ,$124.59 ,$815.25 ,$600.02 ,$541.33 ,$600.02 ,$122.15 ,$600.02 ,$166.89 ,"$1,087.00 ",$166.89 ,$923.95 ,$311.60 ,$753.29 ,$122.15 ,"$1,087.00 ",$609.81 ,$122.15 ,$284.79 , N/A ,$28.94 ,$27.63 ,$128.25 ,$869.60 ,$538.07 ,$304.36 ,$978.30 ,$413.06 ,$249.28 ,$122.15 ,$521.76 
ST. MARY'S HOSPITAL - DECATUR,31000201,81311,HC NRAS GENE VARIANTS EXON 2 AND 3 - 90,310,1 ,"$1,594.00 ","$1,147.68 ",$3.50 ,"$1,594.00 ",$739.48 ,$502.84 ,$876.70 ,$289.87 ,$446.32 ,$833.66 ,$289.87 ,$876.70 ,$289.87 ,$789.03 ,$3.50 ,$289.87 ,$789.03 ,$597.50 ,"$1,115.80 ",$674.63 ,"$1,275.20 ",$739.48 ,$289.87 ,"$1,115.80 ",$289.87 ,$956.40 ,$295.68 ,"$1,195.50 ",$879.89 ,$793.81 ,$879.89 ,$289.87 ,$879.89 ,$396.07 ,"$1,594.00 ",$396.07 ,"$1,354.90 ",$739.48 ,"$1,104.64 ",$289.87 ,"$1,594.00 ",$894.23 ,$289.87 ,$417.63 , N/A ,$94.19 ,$89.91 ,$304.37 ,"$1,275.20 ",$789.03 ,$446.32 ,"$1,434.60 ",$605.72 ,$591.58 ,$289.87 ,$765.12 
ST. MARY'S HOSPITAL - DECATUR,31000203,88362,HC NERVE TEASING PREPARATIONS-90,310,1 ,"$1,104.00 ",$794.88 ,$24.45 ,"$1,822.00 ","$1,822.00 ",$172.90 ,$607.20 ,$714.22 ,$309.12 ,$577.39 ,$714.22 ,$607.20 ,$714.22 ,$546.48 ,$140.02 ,$714.22 ,$546.48 ,"$1,104.00 ",$772.80 ,$258.48 ,$883.20 ,"$1,822.00 ",$714.22 ,$772.80 ,$714.22 ,$662.40 ,$728.51 ,$828.00 ,$609.41 ,$549.79 ,$609.41 ,$714.22 ,$609.41 ,$120.02 ,"$1,104.00 ",$120.02 ,$938.40 ,"$1,104.00 ",$765.07 ,$714.22 ,"$1,104.00 ",$619.34 ,$714.22 ,$289.25 , N/A ,$25.62 ,$24.45 ,$749.94 ,$883.20 ,$546.48 ,$309.12 ,$993.60 ,$419.52 ,"$1,104.00 ",$714.22 ,$529.92 
ST. MARY'S HOSPITAL - DECATUR,31000204,81170,HC ABL1 GENE ANALYSIS KINASE DOMAIN-90,310,1 ,"$1,722.00 ","$1,239.84 ",$3.50 ,"$1,722.00 ",$750.00 ,$510.00 ,$947.10 ,$294.00 ,$482.16 ,$900.61 ,$294.00 ,$947.10 ,$294.00 ,$852.39 ,$3.50 ,$294.00 ,$852.39 ,$606.00 ,"$1,205.40 ",$684.08 ,"$1,377.60 ",$750.00 ,$294.00 ,"$1,205.40 ",$294.00 ,"$1,033.20 ",$299.88 ,"$1,291.50 ",$950.54 ,$857.56 ,$950.54 ,$294.00 ,$950.54 ,$401.70 ,"$1,722.00 ",$401.70 ,"$1,463.70 ",$750.00 ,"$1,193.35 ",$294.00 ,"$1,722.00 ",$966.04 ,$294.00 ,$451.16 , N/A ,$94.19 ,$89.91 ,$308.70 ,"$1,377.60 ",$852.39 ,$482.16 ,"$1,549.80 ",$654.36 ,$600.00 ,$294.00 ,$826.56 
ST. MARY'S HOSPITAL - DECATUR,31000205,81219,HC CALR GENE ANALYSIS EXON 9-90,310,1 ,$543.00 ,$390.96 ,$3.50 ,$543.00 ,$304.08 ,$206.78 ,$298.65 ,$119.20 ,$152.04 ,$283.99 ,$119.20 ,$298.65 ,$119.20 ,$268.79 ,$3.50 ,$119.20 ,$268.79 ,$245.69 ,$380.10 ,$276.95 ,$434.40 ,$304.08 ,$119.20 ,$380.10 ,$119.20 ,$325.80 ,$121.58 ,$407.25 ,$299.74 ,$270.41 ,$299.74 ,$119.20 ,$299.74 ,$180.95 ,$543.00 ,$180.95 ,$461.55 ,$304.08 ,$376.30 ,$119.20 ,$543.00 ,$304.62 ,$119.20 ,$142.27 , N/A ,$94.19 ,$89.91 ,$125.16 ,$434.40 ,$268.79 ,$152.04 ,$488.70 ,$206.34 ,$243.26 ,$119.20 ,$260.64 
ST. MARY'S HOSPITAL - DECATUR,31000206,81246,HC FLT3 GENE ANALYSIS TYROSINE KINASE VARIANTS,310,1 ,$549.00 ,$395.28 ,$3.50 ,$549.00 ,$207.50 ,$141.10 ,$301.95 ,$81.34 ,$153.72 ,$258.96 ,$81.34 ,$269.75 ,$81.34 ,$271.76 ,$3.50 ,$81.34 ,$271.76 ,$167.66 ,$384.30 ,$189.38 ,$439.20 ,$207.50 ,$81.34 ,$384.30 ,$81.34 ,$329.40 ,$82.97 ,$411.75 ,$303.05 ,$273.40 ,$303.05 ,$81.34 ,$303.05 ,$111.14 ,$549.00 ,$111.14 ,$466.65 ,$207.50 ,$380.46 ,$81.34 ,$549.00 ,$307.99 ,$81.34 ,$143.84 , N/A ,$28.94 ,$27.63 ,$85.41 ,$439.20 ,$271.76 ,$153.72 ,$494.10 ,$208.62 ,$166.00 ,$81.34 ,$263.52 
ST. MARY'S HOSPITAL - DECATUR,31000207,81276,HC KRAS GENE ANALYSIS ADDL VAR-90,310,1 ,"$1,722.00 ","$1,239.84 ",$3.50 ,"$1,722.00 ",$483.13 ,$328.52 ,$947.10 ,$189.38 ,$482.16 ,$602.93 ,$189.38 ,$628.05 ,$189.38 ,$852.39 ,$3.50 ,$189.38 ,$852.39 ,$390.37 ,"$1,205.40 ",$440.28 ,"$1,377.60 ",$483.13 ,$189.38 ,"$1,205.40 ",$189.38 ,"$1,033.20 ",$193.18 ,"$1,291.50 ",$950.54 ,$857.56 ,$950.54 ,$189.38 ,$950.54 ,$258.77 ,"$1,722.00 ",$258.77 ,"$1,463.70 ",$483.13 ,"$1,193.35 ",$189.38 ,"$1,722.00 ",$966.04 ,$189.38 ,$451.16 , N/A ,$94.19 ,$89.91 ,$198.85 ,"$1,377.60 ",$852.39 ,$482.16 ,"$1,549.80 ",$654.36 ,$386.50 ,$189.38 ,$826.56 
ST. MARY'S HOSPITAL - DECATUR,31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$989.00 ,$712.08 ,$3.50 ,$989.00 , N/A ,$120.00 ,$543.95 , N/A ,$276.92 ,$469.01 , N/A ,$488.55 , N/A ,$489.56 ,$3.50 , N/A ,$489.56 ,$445.05 ,$692.30 ,$342.43 ,$791.20 ,$692.30 , N/A ,$692.30 , N/A ,$593.40 , N/A ,$741.75 ,$545.93 ,$492.52 ,$545.93 , N/A ,$545.93 ,$201.29 ,$989.00 ,$201.29 ,$840.65 , N/A ,$685.38 , N/A ,$989.00 ,$554.83 , N/A ,$259.12 , N/A ,$28.94 ,$27.63 , N/A ,$791.20 ,$489.56 ,$276.92 ,$890.10 ,$375.82 ,$300.66 , N/A ,$474.72 
ST. MARY'S HOSPITAL - DECATUR,31000209,81232,HC DPYD GENE ANALYSIS COMMON VARIANT-90,310,1 ,"$1,050.00 ",$756.00 ,$3.50 ,"$1,050.00 ",$437.03 ,$297.18 ,$577.50 ,$171.31 ,$294.00 ,$545.42 ,$171.31 ,$568.15 ,$171.31 ,$519.75 ,$3.50 ,$171.31 ,$519.75 ,$353.12 ,$735.00 ,$398.45 ,$840.00 ,$437.03 ,$171.31 ,$735.00 ,$171.31 ,$630.00 ,$174.74 ,$787.50 ,$579.60 ,$522.90 ,$579.60 ,$171.31 ,$579.60 ,$234.07 ,"$1,050.00 ",$234.07 ,$892.50 ,$437.03 ,$727.65 ,$171.31 ,"$1,050.00 ",$589.05 ,$171.31 ,$275.10 , N/A ,$94.19 ,$89.91 ,$179.88 ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$349.62 ,$171.31 ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,31000222,81120,HC IDH1 COMMON VARIANTS -90,310,1 ,$977.00 ,$703.44 ,$3.50 ,$977.00 ,$483.13 ,$328.52 ,$537.35 ,$189.38 ,$273.56 ,$510.97 ,$189.38 ,$537.35 ,$189.38 ,$483.62 ,$3.50 ,$189.38 ,$483.62 ,$390.37 ,$683.90 ,$440.28 ,$781.60 ,$483.13 ,$189.38 ,$683.90 ,$189.38 ,$586.20 ,$193.18 ,$732.75 ,$539.30 ,$486.55 ,$539.30 ,$189.38 ,$539.30 ,$258.77 ,$977.00 ,$258.77 ,$830.45 ,$483.13 ,$677.06 ,$189.38 ,$977.00 ,$548.10 ,$189.38 ,$255.97 , N/A ,$28.94 ,$27.63 ,$198.85 ,$781.60 ,$483.62 ,$273.56 ,$879.30 ,$371.26 ,$386.50 ,$189.38 ,$468.96 
ST. MARY'S HOSPITAL - DECATUR,31000223,81121,HC IDH2 COMMON VARIANTS -90,310,1 ,"$1,045.00 ",$752.40 ,$3.50 ,"$1,045.00 ",$739.48 ,$502.84 ,$574.75 ,$289.87 ,$292.60 ,$546.54 ,$289.87 ,$574.75 ,$289.87 ,$517.28 ,$3.50 ,$289.87 ,$517.28 ,$597.50 ,$731.50 ,$674.63 ,$836.00 ,$739.48 ,$289.87 ,$731.50 ,$289.87 ,$627.00 ,$295.68 ,$783.75 ,$576.84 ,$520.41 ,$576.84 ,$289.87 ,$576.84 ,$396.07 ,"$1,045.00 ",$396.07 ,$888.25 ,$739.48 ,$724.19 ,$289.87 ,"$1,045.00 ",$586.25 ,$289.87 ,$273.79 , N/A ,$267.32 ,$255.17 ,$304.37 ,$836.00 ,$517.28 ,$292.60 ,$940.50 ,$397.10 ,$591.58 ,$289.87 ,$501.60 
ST. MARY'S HOSPITAL - DECATUR,31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$240.00 ,$172.80 ,$3.50 ,$437.03 ,$437.03 ,$240.00 ,$132.00 ,$171.31 ,$67.20 ,$125.52 ,$171.31 ,$132.00 ,$171.31 ,$118.80 ,$3.50 ,$171.31 ,$118.80 ,$240.00 ,$168.00 ,$240.00 ,$192.00 ,$437.03 ,$171.31 ,$168.00 ,$171.31 ,$144.00 ,$174.74 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$171.31 ,$132.48 ,$234.07 ,$240.00 ,$234.07 ,$204.00 ,$240.00 ,$166.32 ,$171.31 ,$240.00 ,$134.64 ,$171.31 ,$62.88 , N/A ,$94.19 ,$89.91 ,$179.88 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$240.00 ,$171.31 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,31000226,81450,HC TARGET GENOMIC SEQ ANALYSIS HEMATOLYMPHOID 5-50 GENES-90,310,1 ,"$4,253.00 ","$3,062.16 ",$3.50 ,"$4,253.00 ","$1,898.83 ","$1,438.14 ","$2,339.15 ",$744.34 ,"$1,190.84 ","$2,224.32 ",$744.34 ,"$2,339.15 ",$744.34 ,"$2,105.24 ",$3.50 ,$744.34 ,"$2,105.24 ","$1,534.25 ","$2,977.10 ","$1,731.90 ","$3,402.40 ","$1,898.83 ",$744.34 ,"$2,977.10 ",$744.34 ,"$2,551.80 ",$759.23 ,"$3,189.75 ","$2,347.66 ","$2,117.99 ","$2,347.66 ",$744.34 ,"$2,347.66 ","$1,017.01 ","$4,253.00 ","$1,017.01 ","$3,615.05 ","$1,898.83 ","$2,947.33 ",$744.34 ,"$4,253.00 ","$2,385.93 ",$744.34 ,"$1,114.29 ", N/A ,$94.19 ,$89.91 ,$781.56 ,"$3,402.40 ","$2,105.24 ","$1,190.84 ","$3,827.70 ","$1,616.14 ","$1,519.06 ",$744.34 ,"$2,041.44 "
ST. MARY'S HOSPITAL - DECATUR,31000240,81519,HC ONCOLOGY BREAST MRNA EXP PROF 21 GENES-90,310,1 ,"$7,712.00 ","$5,552.64 ",$3.50 ,"$9,682.50 ","$9,682.50 ","$5,700.00 ","$4,241.60 ","$3,795.54 ","$2,159.36 ","$4,033.38 ","$3,795.54 ","$4,241.60 ","$3,795.54 ","$3,817.44 ",$3.50 ,"$3,795.54 ","$3,817.44 ","$7,712.00 ","$5,398.40 ","$7,712.00 ","$6,169.60 ","$9,682.50 ","$3,795.54 ","$5,398.40 ","$3,795.54 ","$4,627.20 ","$3,871.45 ","$5,784.00 ","$4,257.02 ","$3,840.58 ","$4,257.02 ","$3,795.54 ","$4,257.02 ","$5,185.95 ","$7,712.00 ","$5,185.95 ","$6,555.20 ","$7,712.00 ","$5,344.42 ","$3,795.54 ","$7,712.00 ","$4,326.43 ","$3,795.54 ","$2,020.54 ", N/A ,$267.32 ,$255.17 ,"$3,985.32 ","$6,169.60 ","$3,817.44 ","$2,159.36 ","$6,940.80 ","$2,930.56 ","$7,712.00 ","$3,795.54 ","$3,701.76 "
ST. MARY'S HOSPITAL - DECATUR,31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS-90,310,1 ,$588.00 ,$423.36 ,$3.50 ,$588.00 ,$342.50 ,$232.90 ,$323.40 ,$134.26 ,$164.64 ,$307.52 ,$134.26 ,$323.40 ,$134.26 ,$291.06 ,$3.50 ,$134.26 ,$291.06 ,$276.74 ,$411.60 ,$312.45 ,$470.40 ,$342.50 ,$134.26 ,$411.60 ,$134.26 ,$352.80 ,$136.95 ,$441.00 ,$324.58 ,$292.82 ,$324.58 ,$134.26 ,$324.58 ,$183.44 ,$588.00 ,$183.44 ,$499.80 ,$342.50 ,$407.48 ,$134.26 ,$588.00 ,$329.87 ,$134.26 ,$154.06 , N/A ,$28.94 ,$27.63 ,$140.97 ,$470.40 ,$291.06 ,$164.64 ,$529.20 ,$223.44 ,$274.00 ,$134.26 ,$282.24 
ST. MARY'S HOSPITAL - DECATUR,31000245,81271,HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES-90,310,1 ,$955.00 ,$687.60 ,$3.50 ,$955.00 ,$342.50 ,$232.90 ,$525.25 ,$134.26 ,$267.40 ,$499.47 ,$134.26 ,$525.25 ,$134.26 ,$472.73 ,$3.50 ,$134.26 ,$472.73 ,$276.74 ,$668.50 ,$312.45 ,$764.00 ,$342.50 ,$134.26 ,$668.50 ,$134.26 ,$573.00 ,$136.95 ,$716.25 ,$527.16 ,$475.59 ,$527.16 ,$134.26 ,$527.16 ,$183.44 ,$955.00 ,$183.44 ,$811.75 ,$342.50 ,$661.82 ,$134.26 ,$955.00 ,$535.76 ,$134.26 ,$250.21 , N/A ,$28.94 ,$27.63 ,$140.97 ,$764.00 ,$472.73 ,$267.40 ,$859.50 ,$362.90 ,$274.00 ,$134.26 ,$458.40 
ST. MARY'S HOSPITAL - DECATUR,31000246,88020,HC NECROPSY GROSS/MICRO W/O CNS-90,310,1 ,$896.00 ,$645.12 ,$234.75 ,$896.00 , N/A ,$562.08 ,$492.80 , N/A ,$250.88 ,$468.61 , N/A ,$492.80 , N/A ,$443.52 ,$358.40 , N/A ,$443.52 , N/A ,$627.20 ,$592.73 ,$716.80 , N/A , N/A ,$627.20 , N/A ,$537.60 , N/A ,$672.00 ,$494.59 ,$446.21 ,$494.59 , N/A ,$494.59 ,$448.35 ,$896.00 ,$448.35 ,$761.60 , N/A ,$620.93 , N/A ,$896.00 ,$502.66 , N/A ,$234.75 , N/A , N/A , N/A , N/A ,$716.80 ,$443.52 ,$250.88 ,$806.40 ,$340.48 ,$725.08 , N/A ,$430.08 
ST. MARY'S HOSPITAL - DECATUR,31000247,88025,HC NECROPSY GROSS/MICRO W/BRAIN-90,310,1 ,"$1,783.00 ","$1,283.76 ",$433.71 ,"$1,783.00 ", N/A ,$543.68 ,$980.65 , N/A ,$499.24 ,$932.51 , N/A ,$980.65 , N/A ,$882.59 ,$713.20 , N/A ,$882.59 , N/A ,"$1,248.10 ",$573.60 ,"$1,426.40 ", N/A , N/A ,"$1,248.10 ", N/A ,"$1,069.80 ", N/A ,"$1,337.25 ",$984.22 ,$887.93 ,$984.22 , N/A ,$984.22 ,$433.71 ,"$1,783.00 ",$433.71 ,"$1,515.55 ", N/A ,"$1,235.62 ", N/A ,"$1,783.00 ","$1,000.26 ", N/A ,$467.15 , N/A , N/A , N/A , N/A ,"$1,426.40 ",$882.59 ,$499.24 ,"$1,604.70 ",$677.54 ,$701.36 , N/A ,$855.84 
ST. MARY'S HOSPITAL - DECATUR,31000248,81226,HC CYP2D6 GENE COM VARIANTS-90,310,1 ,"$1,744.00 ","$1,255.68 ",$3.50 ,"$1,744.00 ","$1,127.28 ",$245.96 ,$959.20 ,$441.89 ,$488.32 ,$912.11 ,$441.89 ,$959.20 ,$441.89 ,$863.28 ,$3.50 ,$441.89 ,$863.28 ,$910.84 ,"$1,220.80 ","$1,028.10 ","$1,395.20 ","$1,127.28 ",$441.89 ,"$1,220.80 ",$441.89 ,"$1,046.40 ",$450.73 ,"$1,308.00 ",$962.69 ,$868.51 ,$962.69 ,$441.89 ,$962.69 ,$603.77 ,"$1,744.00 ",$603.77 ,"$1,482.40 ","$1,127.28 ","$1,208.59 ",$441.89 ,"$1,744.00 ",$978.38 ,$441.89 ,$456.93 , N/A ,$267.32 ,$255.17 ,$463.99 ,"$1,395.20 ",$863.28 ,$488.32 ,"$1,569.60 ",$662.72 ,$901.82 ,$441.89 ,$837.12 
ST. MARY'S HOSPITAL - DECATUR,31000257,81512,HC FETAL CONGENITAL ABNORMAL ASSAY 5 ANALYTES-90,310,1 ,$666.00 ,$479.52 ,$3.50 ,$666.00 ,$173.80 ,$490.00 ,$366.30 ,$68.13 ,$186.48 ,$216.91 ,$68.13 ,$225.95 ,$68.13 ,$329.67 ,$3.50 ,$68.13 ,$329.67 ,$140.43 ,$466.20 ,$158.60 ,$532.80 ,$173.80 ,$68.13 ,$466.20 ,$68.13 ,$399.60 ,$69.49 ,$499.50 ,$367.63 ,$331.67 ,$367.63 ,$68.13 ,$367.63 ,$93.09 ,$666.00 ,$93.09 ,$566.10 ,$173.80 ,$461.54 ,$68.13 ,$666.00 ,$373.63 ,$68.13 ,$174.49 , N/A ,$28.94 ,$27.63 ,$71.54 ,$532.80 ,$329.67 ,$186.48 ,$599.40 ,$253.08 ,$139.04 ,$68.13 ,$319.68 
ST. MARY'S HOSPITAL - DECATUR,31000264,81432,HC INHERITED BREAST CANCER GENOMIC SEQ ANALYSIS >10 GENES-90,310,1 ,"$5,216.00 ","$3,755.52 ",$3.50 ,"$5,216.00 ","$1,697.63 ","$1,154.38 ","$2,868.80 ",$665.47 ,"$1,460.48 ","$2,615.57 ",$665.47 ,"$2,724.55 ",$665.47 ,"$2,581.92 ",$3.50 ,$665.47 ,"$2,581.92 ","$1,371.68 ","$3,651.20 ","$1,548.05 ","$4,172.80 ","$1,697.63 ",$665.47 ,"$3,651.20 ",$665.47 ,"$3,129.60 ",$678.78 ,"$3,912.00 ","$2,879.23 ","$2,597.57 ","$2,879.23 ",$665.47 ,"$2,879.23 ","$1,010.28 ","$5,216.00 ","$1,010.28 ","$4,433.60 ","$1,697.63 ","$3,614.69 ",$665.47 ,"$5,216.00 ","$2,926.18 ",$665.47 ,"$1,366.59 ", N/A ,$28.94 ,$27.63 ,$698.74 ,"$4,172.80 ","$2,581.92 ","$1,460.48 ","$4,694.40 ","$1,982.08 ","$1,358.10 ",$665.47 ,"$2,503.68 "
ST. MARY'S HOSPITAL - DECATUR,31000277,81455,HC TARGETED GENOMIC SEQ ANLYS- 90,310,1 ,"$8,832.00 ","$6,359.04 ",$3.50 ,"$8,832.00 ","$7,299.00 ","$4,963.32 ","$4,857.60 ","$2,861.21 ","$2,472.96 ","$4,619.14 ","$2,861.21 ","$4,857.60 ","$2,861.21 ","$4,371.84 ",$3.50 ,"$2,861.21 ","$4,371.84 ","$5,897.59 ","$6,182.40 ","$6,656.98 ","$7,065.60 ","$7,299.00 ","$2,861.21 ","$6,182.40 ","$2,861.21 ","$5,299.20 ","$2,918.43 ","$6,624.00 ","$4,875.26 ","$4,398.34 ","$4,875.26 ","$2,861.21 ","$4,875.26 ","$3,909.34 ","$8,832.00 ","$3,909.34 ","$7,507.20 ","$7,299.00 ","$6,120.58 ","$2,861.21 ","$8,832.00 ","$4,954.75 ","$2,861.21 ","$2,313.98 ", N/A ,$267.32 ,$255.17 ,"$3,004.27 ","$7,065.60 ","$4,371.84 ","$2,472.96 ","$7,948.80 ","$3,356.16 ","$5,839.20 ","$2,861.21 ","$4,239.36 "
ST. MARY'S HOSPITAL - DECATUR,31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,"$1,047.00 ",$753.84 ,$3.50 ,"$1,047.00 ", N/A ,$120.00 ,$575.85 , N/A ,$293.16 ,$547.58 , N/A ,$575.85 , N/A ,$518.27 ,$3.50 , N/A ,$518.27 ,$471.15 ,$732.90 ,$422.13 ,$837.60 ,$732.90 , N/A ,$732.90 , N/A ,$628.20 , N/A ,$785.25 ,$577.94 ,$521.41 ,$577.94 , N/A ,$577.94 ,$247.98 ,"$1,047.00 ",$247.98 ,$889.95 , N/A ,$725.57 , N/A ,"$1,047.00 ",$587.37 , N/A ,$274.31 , N/A ,$28.94 ,$27.63 , N/A ,$837.60 ,$518.27 ,$293.16 ,$942.30 ,$397.86 ,$370.40 , N/A ,$502.56 
ST. MARY'S HOSPITAL - DECATUR,31000284,81339,HC MPL GENE SEQ ANLY EXON- 90,310,1 ,$883.00 ,$635.76 ,$89.91 ,$883.00 ,$463.00 ,$314.84 ,$485.65 ,$181.50 ,$247.24 ,$461.81 ,$181.50 ,$485.65 ,$181.50 ,$437.09 ,$353.20 ,$181.50 ,$437.09 ,$374.10 ,$618.10 ,$422.13 ,$706.40 ,$463.00 ,$181.50 ,$618.10 ,$181.50 ,$529.80 ,$185.12 ,$662.25 ,$487.42 ,$439.73 ,$487.42 ,$181.50 ,$487.42 ,$644.59 ,$883.00 ,$644.59 ,$750.55 ,$463.00 ,$611.92 ,$181.50 ,$883.00 ,$495.36 ,$181.50 ,$231.35 , N/A ,$94.19 ,$89.91 ,$190.57 ,$706.40 ,$437.09 ,$247.24 ,$794.70 ,$335.54 ,$370.40 ,$181.50 ,$423.84 
ST. MARY'S HOSPITAL - DECATUR,31000292,81435,HC HEREDITARY COLON CA GEN SEQ ANALYSIS 10 GENES - 90,310,1 ,"$1,940.00 ","$1,396.80 ",$3.50 ,"$1,940.00 ","$1,462.25 ","$1,000.00 ","$1,067.00 ",$573.20 ,$543.20 ,"$1,014.62 ",$573.20 ,"$1,067.00 ",$573.20 ,$960.30 ,$3.50 ,$573.20 ,$960.30 ,"$1,181.50 ","$1,358.00 ","$1,333.45 ","$1,552.00 ","$1,462.25 ",$573.20 ,"$1,358.00 ",$573.20 ,"$1,164.00 ",$584.67 ,"$1,455.00 ","$1,070.88 ",$966.12 ,"$1,070.88 ",$573.20 ,"$1,070.88 ",$870.21 ,"$1,940.00 ",$870.21 ,"$1,649.00 ","$1,462.25 ","$1,344.42 ",$573.20 ,"$1,940.00 ","$1,088.34 ",$573.20 ,$508.28 , N/A ,$267.32 ,$255.17 ,$601.87 ,"$1,552.00 ",$960.30 ,$543.20 ,"$1,746.00 ",$737.20 ,"$1,169.80 ",$573.20 ,$931.20 
ST. MARY'S HOSPITAL - DECATUR,31000293,81436,HC HEREDITARY COLON CA GEN SEQ ANALYSIS 5 GENES - 90,310,1 ,"$1,940.00 ","$1,396.80 ",$3.50 ,"$1,940.00 ","$1,462.25 ",$700.00 ,"$1,067.00 ",$573.20 ,$543.20 ,"$1,014.62 ",$573.20 ,"$1,067.00 ",$573.20 ,$960.30 ,$3.50 ,$573.20 ,$960.30 ,"$1,181.50 ","$1,358.00 ","$1,333.45 ","$1,552.00 ","$1,462.25 ",$573.20 ,"$1,358.00 ",$573.20 ,"$1,164.00 ",$584.67 ,"$1,455.00 ","$1,070.88 ",$966.12 ,"$1,070.88 ",$573.20 ,"$1,070.88 ",$870.21 ,"$1,940.00 ",$870.21 ,"$1,649.00 ","$1,462.25 ","$1,344.42 ",$573.20 ,"$1,940.00 ","$1,088.34 ",$573.20 ,$508.28 , N/A ,$267.32 ,$255.17 ,$601.87 ,"$1,552.00 ",$960.30 ,$543.20 ,"$1,746.00 ",$737.20 ,"$1,169.80 ",$573.20 ,$931.20 
ST. MARY'S HOSPITAL - DECATUR,31000312,81443,HC GENETIC TSTG SEVERE INH COND - 90,310,1 ,"$5,089.00 ","$3,664.08 ",$3.50 ,"$6,121.40 ","$6,121.40 ","$4,162.56 ","$2,798.95 ","$2,399.59 ","$1,424.92 ","$2,661.55 ","$2,399.59 ","$2,798.95 ","$2,399.59 ","$2,519.06 ",$3.50 ,"$2,399.59 ","$2,519.06 ","$4,946.09 ","$3,562.30 ","$5,089.00 ","$4,071.20 ","$6,121.40 ","$2,399.59 ","$3,562.30 ","$2,399.59 ","$3,053.40 ","$2,447.58 ","$3,816.75 ","$2,809.13 ","$2,534.32 ","$2,809.13 ","$2,399.59 ","$2,809.13 ","$3,278.62 ","$5,089.00 ","$3,278.62 ","$4,325.65 ","$5,089.00 ","$3,526.68 ","$2,399.59 ","$5,089.00 ","$2,854.93 ","$2,399.59 ","$1,333.32 ", N/A ,$267.32 ,$255.17 ,"$2,519.57 ","$4,071.20 ","$2,519.06 ","$1,424.92 ","$4,580.10 ","$1,933.82 ","$4,897.12 ","$2,399.59 ","$2,442.72 "
ST. MARY'S HOSPITAL - DECATUR,31040110,81345,HC TERT GENE TARGETED SEQ ALYS- 90,310,1 ,"$1,804.00 ","$1,298.88 ",$3.50 ,"$1,804.00 ",$463.00 ,$314.84 ,$992.20 ,$181.50 ,$505.12 ,$943.49 ,$181.50 ,$992.20 ,$181.50 ,$892.98 ,$3.50 ,$181.50 ,$892.98 ,$374.10 ,"$1,262.80 ",$422.13 ,"$1,443.20 ",$463.00 ,$181.50 ,"$1,262.80 ",$181.50 ,"$1,082.40 ",$185.12 ,"$1,353.00 ",$995.81 ,$898.39 ,$995.81 ,$181.50 ,$995.81 ,$247.98 ,"$1,804.00 ",$247.98 ,"$1,533.40 ",$463.00 ,"$1,250.17 ",$181.50 ,"$1,804.00 ","$1,012.04 ",$181.50 ,$472.65 , N/A ,$94.19 ,$89.91 ,$190.57 ,"$1,443.20 ",$892.98 ,$505.12 ,"$1,623.60 ",$685.52 ,$370.40 ,$181.50 ,$865.92 
ST. MARY'S HOSPITAL - DECATUR,31100101,88104,HC CYTOPATH FLD SMEAR,311,1 ,$380.00 ,$273.60 ,$22.23 ,$380.00 ,$79.68 ,$61.84 ,$209.00 ,$31.23 ,$106.40 ,$198.74 ,$31.23 ,$209.00 ,$31.23 ,$188.10 ,$60.18 ,$31.23 ,$188.10 ,$64.38 ,$266.00 ,$93.35 ,$304.00 ,$79.68 ,$31.23 ,$266.00 ,$31.23 ,$228.00 ,$31.86 ,$285.00 ,$209.76 ,$189.24 ,$209.76 ,$31.23 ,$209.76 ,$51.58 ,$380.00 ,$51.58 ,$323.00 ,$79.68 ,$263.34 ,$31.23 ,$380.00 ,$213.18 ,$31.23 ,$99.56 , N/A ,$23.29 ,$22.23 ,$32.79 ,$304.00 ,$188.10 ,$106.40 ,$342.00 ,$144.40 ,$67.68 ,$31.23 ,$182.40 
ST. MARY'S HOSPITAL - DECATUR,31100102,88108,HC CYTOPATH CONCENTRATION,311,1 ,$404.00 ,$290.88 ,$22.23 ,$404.00 ,$79.68 ,$64.00 ,$222.20 ,$31.23 ,$113.12 ,$211.29 ,$31.23 ,$222.20 ,$31.23 ,$199.98 ,$55.01 ,$31.23 ,$199.98 ,$64.38 ,$282.80 ,$98.08 ,$323.20 ,$79.68 ,$31.23 ,$282.80 ,$31.23 ,$242.40 ,$31.86 ,$303.00 ,$223.01 ,$201.19 ,$223.01 ,$31.23 ,$223.01 ,$47.14 ,$404.00 ,$47.14 ,$343.40 ,$79.68 ,$279.97 ,$31.23 ,$404.00 ,$226.64 ,$31.23 ,$105.85 , N/A ,$23.29 ,$22.23 ,$32.79 ,$323.20 ,$199.98 ,$113.12 ,$363.60 ,$153.52 ,$67.68 ,$31.23 ,$193.92 
ST. MARY'S HOSPITAL - DECATUR,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$579.00 ,$416.88 ,$24.45 ,$579.00 ,$117.65 ,$61.84 ,$318.45 ,$46.12 ,$162.12 ,$302.82 ,$46.12 ,$318.45 ,$46.12 ,$286.61 ,$56.56 ,$46.12 ,$286.61 ,$95.06 ,$405.30 ,$90.98 ,$463.20 ,$117.65 ,$46.12 ,$405.30 ,$46.12 ,$347.40 ,$47.04 ,$434.25 ,$319.61 ,$288.34 ,$319.61 ,$46.12 ,$319.61 ,$48.47 ,$579.00 ,$48.47 ,$492.15 ,$117.65 ,$401.25 ,$46.12 ,$579.00 ,$324.82 ,$46.12 ,$151.70 , N/A ,$25.62 ,$24.45 ,$48.42 ,$463.20 ,$286.61 ,$162.12 ,$521.10 ,$220.02 ,$99.52 ,$46.12 ,$277.92 
ST. MARY'S HOSPITAL - DECATUR,31100107,88142,HC THINPREP PAP,311,1 ,$228.00 ,$164.16 ,$3.50 ,$228.00 ,$50.65 ,$34.44 ,$125.40 ,$19.85 ,$63.84 ,$78.05 ,$19.85 ,$81.30 ,$19.85 ,$112.86 ,$3.50 ,$19.85 ,$112.86 ,$40.93 ,$159.60 ,$46.55 ,$182.40 ,$50.65 ,$19.85 ,$159.60 ,$19.85 ,$136.80 ,$20.26 ,$171.00 ,$125.86 ,$113.54 ,$125.86 ,$19.85 ,$125.86 ,$30.14 ,$228.00 ,$30.14 ,$193.80 ,$50.65 ,$158.00 ,$19.85 ,$20.26 ,$127.91 ,$19.85 ,$59.74 , N/A ,$16.89 ,$16.12 ,$20.84 ,$182.40 ,$112.86 ,$63.84 ,$205.20 ,$86.64 ,$40.52 ,$19.85 ,$109.44 
ST. MARY'S HOSPITAL - DECATUR,31100110,88160,HC CYTOPATH SMEAR NON GYN,311,1 ,$558.00 ,$401.76 ,$22.23 ,$558.00 ,$58.58 ,$71.56 ,$306.90 ,$22.96 ,$156.24 ,$291.83 ,$22.96 ,$306.90 ,$22.96 ,$276.21 ,$65.35 ,$22.96 ,$276.21 ,$47.32 ,$390.60 ,$107.55 ,$446.40 ,$58.57 ,$22.96 ,$390.60 ,$22.96 ,$334.80 ,$23.42 ,$418.50 ,$308.02 ,$277.88 ,$308.02 ,$22.96 ,$308.02 ,$56.02 ,$558.00 ,$56.02 ,$474.30 ,$58.57 ,$386.69 ,$22.96 ,$558.00 ,$313.04 ,$22.96 ,$146.20 , N/A ,$23.29 ,$22.23 ,$24.11 ,$446.40 ,$276.21 ,$156.24 ,$502.20 ,$212.04 ,$49.34 ,$22.96 ,$267.84 
ST. MARY'S HOSPITAL - DECATUR,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$269.00 ,$193.68 ,$22.01 ,$368.98 ,$368.98 ,$31.00 ,$147.95 ,$144.64 ,$75.32 ,$140.69 ,$144.64 ,$147.95 ,$144.64 ,$133.16 ,$28.62 ,$144.64 ,$133.16 ,$269.00 ,$188.30 ,$45.20 ,$215.20 ,$368.97 ,$144.64 ,$188.30 ,$144.64 ,$161.40 ,$147.53 ,$201.75 ,$148.49 ,$133.96 ,$148.49 ,$144.64 ,$148.49 ,$24.53 ,$269.00 ,$24.53 ,$228.65 ,$269.00 ,$186.42 ,$144.64 ,$22.01 ,$150.91 ,$144.64 ,$70.48 , N/A ,$23.29 ,$22.23 ,$151.87 ,$215.20 ,$133.16 ,$75.32 ,$242.10 ,$102.22 ,$269.00 ,$144.64 ,$129.12 
ST. MARY'S HOSPITAL - DECATUR,31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$694.00 ,$499.68 ,$22.23 ,$694.00 ,$117.65 ,$132.86 ,$381.70 ,$46.12 ,$194.32 ,$362.96 ,$46.12 ,$381.70 ,$46.12 ,$343.53 ,$117.77 ,$46.12 ,$343.53 ,$95.06 ,$485.80 ,$204.50 ,$555.20 ,$117.65 ,$46.12 ,$485.80 ,$46.12 ,$416.40 ,$47.04 ,$520.50 ,$383.09 ,$345.61 ,$383.09 ,$46.12 ,$383.09 ,$100.95 ,$694.00 ,$100.95 ,$589.90 ,$117.65 ,$480.94 ,$46.12 ,$98.55 ,$389.33 ,$46.12 ,$181.83 , N/A ,$23.29 ,$22.23 ,$48.42 ,$555.20 ,$343.53 ,$194.32 ,$624.60 ,$263.72 ,$99.52 ,$46.12 ,$333.12 
ST. MARY'S HOSPITAL - DECATUR,31100116,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$125.00 ,$90.00 ,$8.40 ,$125.00 , N/A ,$11.36 ,$68.75 , N/A ,$35.00 ,$65.38 , N/A ,$68.75 , N/A ,$61.88 ,$10.35 , N/A ,$61.88 , N/A ,$87.50 ,$16.58 ,$100.00 , N/A , N/A ,$87.50 , N/A ,$75.00 , N/A ,$93.75 ,$69.00 ,$62.25 ,$69.00 , N/A ,$69.00 ,$8.87 ,$125.00 ,$8.87 ,$106.25 , N/A ,$86.63 , N/A ,$8.40 ,$70.13 , N/A ,$32.75 , N/A ,$23.29 ,$22.23 , N/A ,$100.00 ,$61.88 ,$35.00 ,$112.50 ,$47.50 ,$14.66 , N/A ,$60.00 
ST. MARY'S HOSPITAL - DECATUR,31100242,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$222.00 ,$159.84 ,$3.50 ,$222.00 ,$66.53 ,$45.24 ,$122.10 ,$26.08 ,$62.16 ,$102.05 ,$26.08 ,$106.30 ,$26.08 ,$109.89 ,$3.50 ,$26.08 ,$109.89 ,$53.75 ,$155.40 ,$60.75 ,$177.60 ,$66.53 ,$26.08 ,$155.40 ,$26.08 ,$133.20 ,$26.60 ,$166.50 ,$122.54 ,$110.56 ,$122.54 ,$26.08 ,$122.54 ,$39.42 ,$222.00 ,$39.42 ,$188.70 ,$66.53 ,$153.85 ,$26.08 ,$20.26 ,$124.54 ,$26.08 ,$58.16 , N/A ,$16.89 ,$16.12 ,$27.38 ,$177.60 ,$109.89 ,$62.16 ,$199.80 ,$84.36 ,$53.22 ,$26.08 ,$106.56 
ST. MARY'S HOSPITAL - DECATUR,31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$167.00 ,$120.24 ,$24.45 ,$760.50 ,$760.50 ,$108.52 ,$91.85 ,$298.12 ,$46.76 ,$87.34 ,$298.12 ,$91.85 ,$163.66 ,$82.67 ,$97.60 ,$163.66 ,$82.67 ,$167.00 ,$116.90 ,$158.28 ,$133.60 ,$760.49 ,$298.12 ,$116.90 ,$298.12 ,$100.20 ,$163.66 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$298.12 ,$92.18 ,$83.65 ,$167.00 ,$83.65 ,$141.95 ,$167.00 ,$115.73 ,$163.66 ,$167.00 ,$93.69 ,$298.12 ,$43.75 , N/A ,$25.62 ,$24.45 ,$313.02 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$167.00 ,$298.12 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,31100245,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$432.00 ,$311.04 ,$24.45 ,$760.50 ,$760.50 ,$108.52 ,$237.60 ,$298.12 ,$120.96 ,$225.94 ,$298.12 ,$237.60 ,$298.12 ,$213.84 ,$97.60 ,$298.12 ,$213.84 ,$432.00 ,$302.40 ,$158.28 ,$345.60 ,$760.49 ,$298.12 ,$302.40 ,$298.12 ,$259.20 ,$304.07 ,$324.00 ,$238.46 ,$215.14 ,$238.46 ,$298.12 ,$238.46 ,$83.65 ,$432.00 ,$83.65 ,$367.20 ,$432.00 ,$299.38 ,$298.12 ,$432.00 ,$242.35 ,$298.12 ,$113.18 , N/A ,$25.62 ,$24.45 ,$313.02 ,$345.60 ,$213.84 ,$120.96 ,$388.80 ,$164.16 ,$432.00 ,$298.12 ,$207.36 
ST. MARY'S HOSPITAL - DECATUR,31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$167.00 ,$120.24 ,$24.45 ,$167.00 , N/A ,$35.70 ,$91.85 , N/A ,$46.76 ,$87.34 , N/A ,$91.85 , N/A ,$82.67 ,$35.19 , N/A ,$82.67 , N/A ,$116.90 ,$50.50 ,$133.60 , N/A , N/A ,$116.90 , N/A ,$100.20 , N/A ,$125.25 ,$92.18 ,$83.17 ,$92.18 , N/A ,$92.18 ,$30.60 ,$167.00 ,$30.60 ,$141.95 , N/A ,$115.73 , N/A ,$167.00 ,$93.69 , N/A ,$43.75 , N/A ,$25.62 ,$24.45 , N/A ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$46.06 , N/A ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,31100247,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$237.00 ,$170.64 ,$24.45 ,$237.00 , N/A ,$35.70 ,$130.35 , N/A ,$66.36 ,$123.95 , N/A ,$130.35 , N/A ,$117.32 ,$35.19 , N/A ,$117.32 , N/A ,$165.90 ,$50.50 ,$189.60 , N/A , N/A ,$165.90 , N/A ,$142.20 , N/A ,$177.75 ,$130.82 ,$118.03 ,$130.82 , N/A ,$130.82 ,$30.60 ,$237.00 ,$30.60 ,$201.45 , N/A ,$164.24 , N/A ,$237.00 ,$132.96 , N/A ,$62.09 , N/A ,$25.62 ,$24.45 , N/A ,$189.60 ,$117.32 ,$66.36 ,$213.30 ,$90.06 ,$46.06 , N/A ,$113.76 
ST. MARY'S HOSPITAL - DECATUR,31100248,88187,HC FLOW CYTO INT 2-8 MARKERS-90,311,1 ,$174.00 ,$125.28 ,$22.23 ,$174.00 , N/A ,$61.30 ,$95.70 , N/A ,$48.72 ,$91.00 , N/A ,$95.70 , N/A ,$86.13 ,$59.74 , N/A ,$86.13 , N/A ,$121.80 ,$58.48 ,$139.20 , N/A , N/A ,$121.80 , N/A ,$104.40 , N/A ,$130.50 ,$96.05 ,$86.65 ,$96.05 , N/A ,$96.05 ,$51.20 ,$174.00 ,$51.20 ,$147.90 , N/A ,$120.58 , N/A ,$174.00 ,$97.61 , N/A ,$45.59 , N/A ,$23.29 ,$22.23 , N/A ,$139.20 ,$86.13 ,$48.72 ,$156.60 ,$66.12 ,$73.28 , N/A ,$83.52 
ST. MARY'S HOSPITAL - DECATUR,31100249,88188,HC FLOW CYTO INT 9-15 MARKERS-90,311,1 ,$684.00 ,$492.48 ,$22.23 ,$684.00 , N/A ,$104.44 ,$376.20 , N/A ,$191.52 ,$357.73 , N/A ,$376.20 , N/A ,$338.58 ,$101.13 , N/A ,$338.58 , N/A ,$478.80 ,$102.35 ,$547.20 , N/A , N/A ,$478.80 , N/A ,$410.40 , N/A ,$513.00 ,$377.57 ,$340.63 ,$377.57 , N/A ,$377.57 ,$86.68 ,$684.00 ,$86.68 ,$581.40 , N/A ,$474.01 , N/A ,$684.00 ,$383.72 , N/A ,$179.21 , N/A ,$23.29 ,$22.23 , N/A ,$547.20 ,$338.58 ,$191.52 ,$615.60 ,$259.92 ,$125.62 , N/A ,$328.32 
ST. MARY'S HOSPITAL - DECATUR,31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,"$1,034.00 ",$744.48 ,$3.50 ,"$1,034.00 ",$291.23 ,$198.04 ,$568.70 ,$114.16 ,$289.52 ,$448.70 ,$114.16 ,$467.40 ,$114.16 ,$511.83 ,$3.50 ,$114.16 ,$511.83 ,$235.31 ,$723.80 ,$265.90 ,$827.20 ,$291.23 ,$114.16 ,$723.80 ,$114.16 ,$620.40 ,$116.44 ,$775.50 ,$570.77 ,$514.93 ,$570.77 ,$114.16 ,$570.77 ,$173.32 ,"$1,034.00 ",$173.32 ,$878.90 ,$291.23 ,$716.56 ,$114.16 ,"$1,034.00 ",$580.07 ,$114.16 ,$270.91 , N/A ,$25.62 ,$24.45 ,$119.86 ,$827.20 ,$511.83 ,$289.52 ,$930.60 ,$392.92 ,$232.98 ,$114.16 ,$496.32 
ST. MARY'S HOSPITAL - DECATUR,31100252,88233,HC TISSUE CULT SKIN/OTH SOLID-90,311,1 ,$767.00 ,$552.24 ,$3.50 ,$767.00 ,$351.83 ,$239.24 ,$421.85 ,$137.92 ,$214.76 ,$401.14 ,$137.92 ,$421.85 ,$137.92 ,$379.67 ,$3.50 ,$137.92 ,$379.67 ,$284.27 ,$536.90 ,$321.13 ,$613.60 ,$351.83 ,$137.92 ,$536.90 ,$137.92 ,$460.20 ,$140.67 ,$575.25 ,$423.38 ,$381.97 ,$423.38 ,$137.92 ,$423.38 ,$209.37 ,$767.00 ,$209.37 ,$651.95 ,$351.83 ,$531.53 ,$137.92 ,$767.00 ,$430.29 ,$137.92 ,$200.95 , N/A ,$25.62 ,$24.45 ,$144.81 ,$613.60 ,$379.67 ,$214.76 ,$690.30 ,$291.46 ,$281.46 ,$137.92 ,$368.16 
ST. MARY'S HOSPITAL - DECATUR,31100253,88235,HC TISSUE CULT AMNIO/CHORION-90,311,1 ,"$1,207.00 ",$869.04 ,$3.50 ,"$1,207.00 ",$375.75 ,$255.52 ,$663.85 ,$147.29 ,$337.96 ,$567.26 ,$147.29 ,$590.90 ,$147.29 ,$597.47 ,$3.50 ,$147.29 ,$597.47 ,$303.61 ,$844.90 ,$342.43 ,$965.60 ,$375.75 ,$147.29 ,$844.90 ,$147.29 ,$724.20 ,$150.24 ,$905.25 ,$666.26 ,$601.09 ,$666.26 ,$147.29 ,$666.26 ,$219.10 ,"$1,207.00 ",$219.10 ,"$1,025.95 ",$375.75 ,$836.45 ,$147.29 ,"$1,207.00 ",$677.13 ,$147.29 ,$316.23 , N/A ,$25.62 ,$24.45 ,$154.66 ,$965.60 ,$597.47 ,$337.96 ,"$1,086.30 ",$458.66 ,$300.60 ,$147.29 ,$579.36 
ST. MARY'S HOSPITAL - DECATUR,31100255,88237,HC TISSUE CULT BONE/BLD-90,311,1 ,$609.00 ,$438.48 ,$3.50 ,$609.00 ,$359.38 ,$244.38 ,$334.95 ,$140.87 ,$170.52 ,$318.51 ,$140.87 ,$334.95 ,$140.87 ,$301.46 ,$3.50 ,$140.87 ,$301.46 ,$290.38 ,$426.30 ,$327.45 ,$487.20 ,$359.38 ,$140.87 ,$426.30 ,$140.87 ,$365.40 ,$143.70 ,$456.75 ,$336.17 ,$303.28 ,$336.17 ,$140.87 ,$336.17 ,$192.49 ,$609.00 ,$192.49 ,$517.65 ,$359.38 ,$422.04 ,$140.87 ,$609.00 ,$341.65 ,$140.87 ,$159.56 , N/A ,$25.62 ,$24.45 ,$147.92 ,$487.20 ,$301.46 ,$170.52 ,$548.10 ,$231.42 ,$287.50 ,$140.87 ,$292.32 
ST. MARY'S HOSPITAL - DECATUR,31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$767.00 ,$552.24 ,$3.50 ,$767.00 ,$313.73 ,$213.34 ,$421.85 ,$122.98 ,$214.76 ,$401.14 ,$122.98 ,$421.85 ,$122.98 ,$379.67 ,$3.50 ,$122.98 ,$379.67 ,$253.49 ,$536.90 ,$286.43 ,$613.60 ,$313.73 ,$122.98 ,$536.90 ,$122.98 ,$460.20 ,$125.44 ,$575.25 ,$423.38 ,$381.97 ,$423.38 ,$122.98 ,$423.38 ,$185.44 ,$767.00 ,$185.44 ,$651.95 ,$313.73 ,$531.53 ,$122.98 ,$767.00 ,$430.29 ,$122.98 ,$200.95 , N/A ,$28.94 ,$27.63 ,$129.12 ,$613.60 ,$379.67 ,$214.76 ,$690.30 ,$291.46 ,$250.98 ,$122.98 ,$368.16 
ST. MARY'S HOSPITAL - DECATUR,31100258,88264,HC CHROM ANLYS ANALYZE 20-90,311,1 ,$652.00 ,$469.44 ,$3.50 ,$652.00 ,$361.53 ,$245.84 ,$358.60 ,$141.72 ,$182.56 ,$341.00 ,$141.72 ,$358.60 ,$141.72 ,$322.74 ,$3.50 ,$141.72 ,$322.74 ,$292.11 ,$456.40 ,$329.80 ,$521.60 ,$361.53 ,$141.72 ,$456.40 ,$141.72 ,$391.20 ,$144.55 ,$489.00 ,$359.90 ,$324.70 ,$359.90 ,$141.72 ,$359.90 ,$193.63 ,$652.00 ,$193.63 ,$554.20 ,$361.53 ,$451.84 ,$141.72 ,$652.00 ,$365.77 ,$141.72 ,$170.82 , N/A ,$28.94 ,$27.63 ,$148.80 ,$521.60 ,$322.74 ,$182.56 ,$586.80 ,$247.76 ,$289.22 ,$141.72 ,$312.96 
ST. MARY'S HOSPITAL - DECATUR,31100261,88271,HC MCG DNA PROBE(FISH)-90,311,1 ,$229.00 ,$164.88 ,$3.50 ,$229.00 ,$53.55 ,$36.42 ,$125.95 ,$20.99 ,$64.12 ,$82.51 ,$20.99 ,$85.95 ,$20.99 ,$113.36 ,$3.50 ,$20.99 ,$113.36 ,$43.27 ,$160.30 ,$48.93 ,$183.20 ,$53.55 ,$20.99 ,$160.30 ,$20.99 ,$137.40 ,$21.41 ,$171.75 ,$126.41 ,$114.04 ,$126.41 ,$20.99 ,$126.41 ,$31.87 ,$229.00 ,$31.87 ,$194.65 ,$53.55 ,$158.70 ,$20.99 ,$229.00 ,$128.47 ,$20.99 ,$60.00 , N/A ,$28.94 ,$27.63 ,$22.04 ,$183.20 ,$113.36 ,$64.12 ,$206.10 ,$87.02 ,$42.84 ,$20.99 ,$109.92 
ST. MARY'S HOSPITAL - DECATUR,31100267,88273,HC MCG CHROM INSITU 10-30 -90,311,1 ,$101.00 ,$72.72 ,$3.50 ,$101.00 ,$87.03 ,$59.18 ,$55.55 ,$34.11 ,$28.28 ,$52.82 ,$34.11 ,$55.55 ,$34.11 ,$50.00 ,$3.50 ,$34.11 ,$50.00 ,$70.32 ,$70.70 ,$79.70 ,$80.80 ,$87.03 ,$34.11 ,$70.70 ,$34.11 ,$60.60 ,$34.80 ,$75.75 ,$55.75 ,$50.30 ,$55.75 ,$34.11 ,$55.75 ,$47.80 ,$101.00 ,$47.80 ,$85.85 ,$87.03 ,$69.99 ,$34.11 ,$101.00 ,$56.66 ,$34.11 ,$26.46 , N/A ,$28.94 ,$27.63 ,$35.82 ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$69.62 ,$34.11 ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,31100268,88274,HC MCG INTERPHASE INSITU 25 -90,311,1 ,$734.00 ,$528.48 ,$3.50 ,$734.00 ,$105.95 ,$72.04 ,$403.70 ,$41.53 ,$205.52 ,$134.11 ,$41.53 ,$139.70 ,$41.53 ,$363.33 ,$3.50 ,$41.53 ,$363.33 ,$85.61 ,$513.80 ,$96.25 ,$587.20 ,$105.95 ,$41.53 ,$513.80 ,$41.53 ,$440.40 ,$42.37 ,$550.50 ,$405.17 ,$365.53 ,$405.17 ,$41.53 ,$405.17 ,$56.74 ,$734.00 ,$56.74 ,$623.90 ,$105.95 ,$508.66 ,$41.53 ,$734.00 ,$411.77 ,$41.53 ,$192.31 , N/A ,$28.94 ,$27.63 ,$43.61 ,$587.20 ,$363.33 ,$205.52 ,$660.60 ,$278.92 ,$84.76 ,$41.53 ,$352.32 
ST. MARY'S HOSPITAL - DECATUR,31100270,88275,HC MCG INTERPH INSITU FISH 100-90,311,1 ,$229.00 ,$164.88 ,$3.50 ,$229.00 ,$127.98 ,$87.02 ,$125.95 ,$50.17 ,$64.12 ,$119.77 ,$50.17 ,$125.95 ,$50.17 ,$113.36 ,$3.50 ,$50.17 ,$113.36 ,$103.40 ,$160.30 ,$116.78 ,$183.20 ,$127.98 ,$50.17 ,$160.30 ,$50.17 ,$137.40 ,$51.17 ,$171.75 ,$126.41 ,$114.04 ,$126.41 ,$50.17 ,$126.41 ,$68.55 ,$229.00 ,$68.55 ,$194.65 ,$127.98 ,$158.70 ,$50.17 ,$229.00 ,$128.47 ,$50.17 ,$60.00 , N/A ,$28.94 ,$27.63 ,$52.67 ,$183.20 ,$113.36 ,$64.12 ,$206.10 ,$87.02 ,$102.38 ,$50.17 ,$109.92 
ST. MARY'S HOSPITAL - DECATUR,31100273,88280,HC CHROM ADDL KARYO-90,311,1 ,$101.00 ,$72.72 ,$3.50 ,$101.00 ,$83.68 ,$56.90 ,$55.55 ,$32.80 ,$28.28 ,$52.82 ,$32.80 ,$55.55 ,$32.80 ,$50.00 ,$3.50 ,$32.80 ,$50.00 ,$67.61 ,$70.70 ,$76.53 ,$80.80 ,$83.68 ,$32.80 ,$70.70 ,$32.80 ,$60.60 ,$33.46 ,$75.75 ,$55.75 ,$50.30 ,$55.75 ,$32.80 ,$55.75 ,$44.82 ,$101.00 ,$44.82 ,$85.85 ,$83.68 ,$69.99 ,$32.80 ,$101.00 ,$56.66 ,$32.80 ,$26.46 , N/A ,$28.94 ,$27.63 ,$34.44 ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$66.94 ,$32.80 ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,"$1,892.00 ","$1,362.24 ",$3.50 ,"$1,892.00 ",$86.08 ,$58.54 ,"$1,040.60 ",$33.74 ,$529.76 ,$132.62 ,$33.74 ,$138.15 ,$33.74 ,$936.54 ,$3.50 ,$33.74 ,$936.54 ,$69.55 ,"$1,324.40 ",$78.13 ,"$1,513.60 ",$86.08 ,$33.74 ,"$1,324.40 ",$33.74 ,"$1,135.20 ",$34.42 ,"$1,419.00 ","$1,044.38 ",$942.22 ,"$1,044.38 ",$33.74 ,"$1,044.38 ",$51.23 ,"$1,892.00 ",$51.23 ,"$1,608.20 ",$86.08 ,"$1,311.16 ",$33.74 ,"$1,892.00 ","$1,061.41 ",$33.74 ,$495.70 , N/A ,$28.94 ,$27.63 ,$35.43 ,"$1,513.60 ",$936.54 ,$529.76 ,"$1,702.80 ",$718.96 ,$68.86 ,$33.74 ,$908.16 
ST. MARY'S HOSPITAL - DECATUR,31100275,88291,HC INTERPRETATION-90,311,1 ,$388.00 ,$279.36 ,$27.63 ,$388.00 , N/A ,$205.64 ,$213.40 , N/A ,$108.64 ,$202.92 , N/A ,$212.90 , N/A ,$192.06 ,$51.33 , N/A ,$192.06 , N/A ,$271.60 ,$54.55 ,$310.40 , N/A , N/A ,$271.60 , N/A ,$232.80 , N/A ,$291.00 ,$214.18 ,$193.22 ,$214.18 , N/A ,$214.18 ,$44.00 ,$388.00 ,$44.00 ,$329.80 , N/A ,$268.88 , N/A ,$388.00 ,$217.67 , N/A ,$101.66 , N/A ,$28.94 ,$27.63 , N/A ,$310.40 ,$192.06 ,$108.64 ,$349.20 ,$147.44 ,$67.70 , N/A ,$186.24 
ST. MARY'S HOSPITAL - DECATUR,31100276,88291,HC INTERP POC ANEUPLOIDY DETECT-90,311,1 ,$388.00 ,$279.36 ,$27.63 ,$388.00 , N/A ,$205.64 ,$213.40 , N/A ,$108.64 ,$202.92 , N/A ,$212.90 , N/A ,$192.06 ,$51.33 , N/A ,$192.06 , N/A ,$271.60 ,$54.55 ,$310.40 , N/A , N/A ,$271.60 , N/A ,$232.80 , N/A ,$291.00 ,$214.18 ,$193.22 ,$214.18 , N/A ,$214.18 ,$44.00 ,$388.00 ,$44.00 ,$329.80 , N/A ,$268.88 , N/A ,$388.00 ,$217.67 , N/A ,$101.66 , N/A ,$28.94 ,$27.63 , N/A ,$310.40 ,$192.06 ,$108.64 ,$349.20 ,$147.44 ,$67.70 , N/A ,$186.24 
ST. MARY'S HOSPITAL - DECATUR,31100277,88291,HC INTERP CHROMOSOMES POC/FETAL-90,311,1 ,$388.00 ,$279.36 ,$27.63 ,$388.00 , N/A ,$205.64 ,$213.40 , N/A ,$108.64 ,$202.92 , N/A ,$212.90 , N/A ,$192.06 ,$51.33 , N/A ,$192.06 , N/A ,$271.60 ,$54.55 ,$310.40 , N/A , N/A ,$271.60 , N/A ,$232.80 , N/A ,$291.00 ,$214.18 ,$193.22 ,$214.18 , N/A ,$214.18 ,$44.00 ,$388.00 ,$44.00 ,$329.80 , N/A ,$268.88 , N/A ,$388.00 ,$217.67 , N/A ,$101.66 , N/A ,$28.94 ,$27.63 , N/A ,$310.40 ,$192.06 ,$108.64 ,$349.20 ,$147.44 ,$67.70 , N/A ,$186.24 
ST. MARY'S HOSPITAL - DECATUR,31100278,88291,HC INTERPRETATION,311,1 ,$185.00 ,$133.20 ,$27.63 ,$185.00 , N/A ,$98.05 ,$101.75 , N/A ,$51.80 ,$96.76 , N/A ,$101.75 , N/A ,$91.58 ,$51.33 , N/A ,$91.58 , N/A ,$129.50 ,$54.55 ,$148.00 , N/A , N/A ,$129.50 , N/A ,$111.00 , N/A ,$138.75 ,$102.12 ,$92.13 ,$102.12 , N/A ,$102.12 ,$44.00 ,$185.00 ,$44.00 ,$157.25 , N/A ,$128.21 , N/A ,$185.00 ,$103.79 , N/A ,$48.47 , N/A ,$28.94 ,$27.63 , N/A ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$67.70 , N/A ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,31100279,88299,HC FSH MOL PATH CYTOGEN UNLSTD-90,311,1 ,$883.00 ,$635.76 ,$27.63 ,$883.00 ,$117.65 ,$450.33 ,$485.65 ,$46.12 ,$247.24 ,$461.81 ,$46.12 ,$485.65 ,$46.12 ,$437.09 ,$353.20 ,$46.12 ,$437.09 ,$95.06 ,$618.10 ,$82.48 ,$706.40 ,$117.65 ,$46.12 ,$618.10 ,$46.12 ,$529.80 ,$47.04 ,$662.25 ,$487.42 ,$439.73 ,$487.42 ,$46.12 ,$487.42 ,$644.59 ,$883.00 ,$644.59 ,$750.55 ,$117.65 ,$611.92 ,$46.12 ,$883.00 ,$495.36 ,$46.12 ,$231.35 , N/A ,$28.94 ,$27.63 ,$48.42 ,$706.40 ,$437.09 ,$247.24 ,$794.70 ,$335.54 ,$99.52 ,$46.12 ,$423.84 
ST. MARY'S HOSPITAL - DECATUR,31100280,G0145,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$251.00 ,$180.72 ,$16.12 ,$251.00 ,$66.23 ,$45.04 ,$138.05 ,$25.96 ,$70.28 ,$102.05 ,$25.96 ,$106.30 ,$25.96 ,$124.25 ,$20.90 ,$25.96 ,$124.25 ,$53.51 ,$175.70 ,$60.75 ,$200.80 ,$66.23 ,$25.96 ,$175.70 ,$25.96 ,$150.60 ,$26.48 ,$188.25 ,$138.55 ,$125.00 ,$138.55 ,$25.96 ,$138.55 ,$39.42 ,$251.00 ,$39.42 ,$213.35 ,$66.23 ,$173.94 ,$25.96 ,$251.00 ,$140.81 ,$25.96 ,$65.76 , N/A ,$16.89 ,$16.12 ,$27.25 ,$200.80 ,$124.25 ,$70.28 ,$225.90 ,$95.38 ,$52.98 ,$25.96 ,$120.48 
ST. MARY'S HOSPITAL - DECATUR,31100281,G0145,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$38.00 ,$27.36 ,$9.96 ,$66.23 ,$66.23 ,$38.00 ,$20.90 ,$25.96 ,$10.64 ,$19.87 ,$25.96 ,$20.90 ,$25.96 ,$18.81 ,$20.90 ,$25.96 ,$18.81 ,$38.00 ,$26.60 ,$38.00 ,$30.40 ,$66.23 ,$25.96 ,$26.60 ,$25.96 ,$22.80 ,$26.48 ,$28.50 ,$20.98 ,$18.92 ,$20.98 ,$25.96 ,$20.98 ,$38.00 ,$38.00 ,$38.00 ,$32.30 ,$38.00 ,$26.33 ,$25.96 ,$38.00 ,$21.32 ,$25.96 ,$9.96 , N/A ,$16.89 ,$16.12 ,$27.25 ,$30.40 ,$18.81 ,$10.64 ,$34.20 ,$14.44 ,$38.00 ,$25.96 ,$18.24 
ST. MARY'S HOSPITAL - DECATUR,31100282,88164,HC CYTOPATH SCR BETHESDA-90,311,1 ,$162.00 ,$116.64 ,$3.50 ,$162.00 ,$43.28 ,$25.76 ,$89.10 ,$16.96 ,$45.36 ,$45.70 ,$16.96 ,$47.60 ,$16.96 ,$80.19 ,$3.50 ,$16.96 ,$80.19 ,$34.97 ,$113.40 ,$34.73 ,$129.60 ,$43.28 ,$16.96 ,$113.40 ,$16.96 ,$97.20 ,$17.31 ,$121.50 ,$89.42 ,$80.68 ,$89.42 ,$16.96 ,$89.42 ,$20.07 ,$162.00 ,$20.07 ,$137.70 ,$43.28 ,$112.27 ,$16.96 ,$17.31 ,$90.88 ,$16.96 ,$42.44 , N/A ,$16.89 ,$16.12 ,$17.82 ,$129.60 ,$80.19 ,$45.36 ,$145.80 ,$61.56 ,$30.30 ,$16.96 ,$77.76 
ST. MARY'S HOSPITAL - DECATUR,31100283,88120,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC-90,311,1 ,"$1,323.00 ",$952.56 ,$24.45 ,"$1,323.00 ",$368.98 ,$891.32 ,$727.65 ,$144.64 ,$370.44 ,$691.93 ,$144.64 ,$727.65 ,$144.64 ,$654.89 ,$787.80 ,$144.64 ,$654.89 ,$298.13 ,$926.10 ,"$1,305.98 ","$1,058.40 ",$368.97 ,$144.64 ,$926.10 ,$144.64 ,$793.80 ,$147.53 ,$992.25 ,$730.30 ,$658.85 ,$730.30 ,$144.64 ,$730.30 ,$675.25 ,"$1,323.00 ",$675.25 ,"$1,124.55 ",$368.97 ,$916.84 ,$144.64 ,"$1,323.00 ",$742.20 ,$144.64 ,$346.63 , N/A ,$25.62 ,$24.45 ,$151.87 ,"$1,058.40 ",$654.89 ,$370.44 ,"$1,190.70 ",$502.74 ,$298.32 ,$144.64 ,$635.04 
ST. MARY'S HOSPITAL - DECATUR,31100284,88369,HC MORPH ANALYSIS INST HYBRID EA SINGLE-90,311,1 ,$702.00 ,$505.44 ,$24.45 ,$702.00 , N/A ,$133.24 ,$386.10 , N/A ,$196.56 ,$367.15 , N/A ,$386.10 , N/A ,$347.49 ,$113.99 , N/A ,$347.49 , N/A ,$491.40 ,$193.55 ,$561.60 , N/A , N/A ,$491.40 , N/A ,$421.20 , N/A ,$526.50 ,$387.50 ,$349.60 ,$387.50 , N/A ,$387.50 ,$97.71 ,$702.00 ,$97.71 ,$596.70 , N/A ,$486.49 , N/A ,$702.00 ,$393.82 , N/A ,$183.92 , N/A ,$25.62 ,$24.45 , N/A ,$561.60 ,$347.49 ,$196.56 ,$631.80 ,$266.76 ,$171.68 , N/A ,$336.96 
ST. MARY'S HOSPITAL - DECATUR,31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$167.00 ,$120.24 ,$24.45 ,$760.50 ,$760.50 ,$108.52 ,$91.85 ,$298.12 ,$46.76 ,$87.34 ,$298.12 ,$91.85 ,$163.66 ,$82.67 ,$97.60 ,$163.66 ,$82.67 ,$167.00 ,$116.90 ,$158.28 ,$133.60 ,$760.49 ,$298.12 ,$116.90 ,$298.12 ,$100.20 ,$163.66 ,$125.25 ,$92.18 ,$83.17 ,$92.18 ,$298.12 ,$92.18 ,$83.65 ,$167.00 ,$83.65 ,$141.95 ,$167.00 ,$115.73 ,$163.66 ,$167.00 ,$93.69 ,$298.12 ,$43.75 , N/A ,$25.62 ,$24.45 ,$313.02 ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$167.00 ,$298.12 ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$167.00 ,$120.24 ,$24.45 ,$167.00 , N/A ,$35.70 ,$91.85 , N/A ,$46.76 ,$87.34 , N/A ,$91.85 , N/A ,$82.67 ,$35.19 , N/A ,$82.67 , N/A ,$116.90 ,$50.50 ,$133.60 , N/A , N/A ,$116.90 , N/A ,$100.20 , N/A ,$125.25 ,$92.18 ,$83.17 ,$92.18 , N/A ,$92.18 ,$30.60 ,$167.00 ,$30.60 ,$141.95 , N/A ,$115.73 , N/A ,$167.00 ,$93.69 , N/A ,$43.75 , N/A ,$25.62 ,$24.45 , N/A ,$133.60 ,$82.67 ,$46.76 ,$150.30 ,$63.46 ,$46.06 , N/A ,$80.16 
ST. MARY'S HOSPITAL - DECATUR,31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$240.00 ,$172.80 ,$22.23 ,$240.00 ,$58.58 ,$73.74 ,$132.00 ,$22.96 ,$67.20 ,$125.52 ,$22.96 ,$132.00 ,$22.96 ,$118.80 ,$64.84 ,$22.96 ,$118.80 ,$47.32 ,$168.00 ,$112.28 ,$192.00 ,$58.57 ,$22.96 ,$168.00 ,$22.96 ,$144.00 ,$23.42 ,$180.00 ,$132.48 ,$119.52 ,$132.48 ,$22.96 ,$132.48 ,$55.57 ,$240.00 ,$55.57 ,$204.00 ,$58.57 ,$166.32 ,$22.96 ,$240.00 ,$134.64 ,$22.96 ,$62.88 , N/A ,$23.29 ,$22.23 ,$24.11 ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$49.34 ,$22.96 ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,31100303,88172,HC FINE NEEDLE EVAL,311,1 ,$269.00 ,$193.68 ,$22.01 ,$368.98 ,$368.98 ,$31.00 ,$147.95 ,$144.64 ,$75.32 ,$140.69 ,$144.64 ,$147.95 ,$144.64 ,$133.16 ,$28.62 ,$144.64 ,$133.16 ,$269.00 ,$188.30 ,$45.20 ,$215.20 ,$368.97 ,$144.64 ,$188.30 ,$144.64 ,$161.40 ,$147.53 ,$201.75 ,$148.49 ,$133.96 ,$148.49 ,$144.64 ,$148.49 ,$24.53 ,$269.00 ,$24.53 ,$228.65 ,$269.00 ,$186.42 ,$144.64 ,$22.01 ,$150.91 ,$144.64 ,$70.48 , N/A ,$23.29 ,$22.23 ,$151.87 ,$215.20 ,$133.16 ,$75.32 ,$242.10 ,$102.22 ,$269.00 ,$144.64 ,$129.12 
ST. MARY'S HOSPITAL - DECATUR,31100307,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$125.00 ,$90.00 ,$8.40 ,$125.00 , N/A ,$11.36 ,$68.75 , N/A ,$35.00 ,$65.38 , N/A ,$68.75 , N/A ,$61.88 ,$10.35 , N/A ,$61.88 , N/A ,$87.50 ,$16.58 ,$100.00 , N/A , N/A ,$87.50 , N/A ,$75.00 , N/A ,$93.75 ,$69.00 ,$62.25 ,$69.00 , N/A ,$69.00 ,$8.87 ,$125.00 ,$8.87 ,$106.25 , N/A ,$86.63 , N/A ,$8.40 ,$70.13 , N/A ,$32.75 , N/A ,$23.29 ,$22.23 , N/A ,$100.00 ,$61.88 ,$35.00 ,$112.50 ,$47.50 ,$14.66 , N/A ,$60.00 
ST. MARY'S HOSPITAL - DECATUR,31100310,88121,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC COMP ASSIST-90,311,1 ,"$1,554.00 ","$1,118.88 ",$24.45 ,"$1,554.00 ",$368.98 ,$633.10 ,$854.70 ,$144.64 ,$435.12 ,$812.74 ,$144.64 ,$854.70 ,$144.64 ,$769.23 ,$627.77 ,$144.64 ,$769.23 ,$298.13 ,"$1,087.80 ",$902.88 ,"$1,243.20 ",$368.97 ,$144.64 ,"$1,087.80 ",$144.64 ,$932.40 ,$147.53 ,"$1,165.50 ",$857.81 ,$773.89 ,$857.81 ,$144.64 ,$857.81 ,$538.08 ,"$1,554.00 ",$538.08 ,"$1,320.90 ",$368.97 ,"$1,076.92 ",$144.64 ,"$1,554.00 ",$871.79 ,$144.64 ,$407.15 , N/A ,$25.62 ,$24.45 ,$151.87 ,"$1,243.20 ",$769.23 ,$435.12 ,"$1,398.60 ",$590.52 ,$582.52 ,$144.64 ,$745.92 
ST. MARY'S HOSPITAL - DECATUR,31100313,88112,HC CYTOPATH CELL ENHANCE-90,311,1 ,$299.00 ,$215.28 ,$24.45 ,$299.00 ,$117.65 ,$61.84 ,$164.45 ,$46.12 ,$83.72 ,$156.38 ,$46.12 ,$164.45 ,$46.12 ,$148.01 ,$56.56 ,$46.12 ,$148.01 ,$95.06 ,$209.30 ,$90.98 ,$239.20 ,$117.65 ,$46.12 ,$209.30 ,$46.12 ,$179.40 ,$47.04 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$46.12 ,$165.05 ,$48.47 ,$299.00 ,$48.47 ,$254.15 ,$117.65 ,$207.21 ,$46.12 ,$299.00 ,$167.74 ,$46.12 ,$78.34 , N/A ,$25.62 ,$24.45 ,$48.42 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$99.52 ,$46.12 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,31140130,88189,HC FLOW CYTO INT 9-15 MARKERS-REF,311,1 ,$443.00 ,$318.96 ,$22.23 ,$443.00 , N/A ,$142.32 ,$243.65 , N/A ,$124.04 ,$231.69 , N/A ,$243.65 , N/A ,$219.29 ,$135.82 , N/A ,$219.29 , N/A ,$310.10 ,$137.23 ,$354.40 , N/A , N/A ,$310.10 , N/A ,$265.80 , N/A ,$332.25 ,$244.54 ,$220.61 ,$244.54 , N/A ,$244.54 ,$116.41 ,$443.00 ,$116.41 ,$376.55 , N/A ,$307.00 , N/A ,$443.00 ,$248.52 , N/A ,$116.07 , N/A ,$23.29 ,$22.23 , N/A ,$354.40 ,$219.29 ,$124.04 ,$398.70 ,$168.34 ,$170.28 , N/A ,$212.64 
ST. MARY'S HOSPITAL - DECATUR,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$234.00 ,$168.48 ,$14.33 ,$234.00 ,$58.58 ,$17.48 ,$128.70 ,$22.96 ,$65.52 ,$105.07 ,$22.96 ,$109.45 ,$22.96 ,$115.83 ,$16.72 ,$22.96 ,$115.83 ,$47.32 ,$163.80 ,$25.48 ,$187.20 ,$58.57 ,$22.96 ,$163.80 ,$22.96 ,$140.40 ,$23.42 ,$175.50 ,$129.17 ,$116.53 ,$129.17 ,$22.96 ,$129.17 ,$14.33 ,$234.00 ,$14.33 ,$198.90 ,$58.57 ,$162.16 ,$22.96 ,$234.00 ,$131.27 ,$22.96 ,$61.31 , N/A ,$23.29 ,$22.23 ,$24.11 ,$187.20 ,$115.83 ,$65.52 ,$210.60 ,$88.92 ,$49.34 ,$22.96 ,$112.32 
ST. MARY'S HOSPITAL - DECATUR,31200102,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$298.00 ,$214.56 ,$22.23 ,$298.00 ,$58.58 ,$39.12 ,$163.90 ,$22.96 ,$83.44 ,$155.85 ,$22.96 ,$163.90 ,$22.96 ,$147.51 ,$34.83 ,$22.96 ,$147.51 ,$47.32 ,$208.60 ,$57.83 ,$238.40 ,$58.57 ,$22.96 ,$208.60 ,$22.96 ,$178.80 ,$23.42 ,$223.50 ,$164.50 ,$148.40 ,$164.50 ,$22.96 ,$164.50 ,$29.85 ,$298.00 ,$29.85 ,$253.30 ,$58.57 ,$206.51 ,$22.96 ,$298.00 ,$167.18 ,$22.96 ,$78.08 , N/A ,$23.29 ,$22.23 ,$24.11 ,$238.40 ,$147.51 ,$83.44 ,$268.20 ,$113.24 ,$49.34 ,$22.96 ,$143.04 
ST. MARY'S HOSPITAL - DECATUR,31200103,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$455.00 ,$327.60 ,$22.23 ,$455.00 ,$117.65 ,$47.76 ,$250.25 ,$46.12 ,$127.40 ,$237.97 ,$46.12 ,$250.25 ,$46.12 ,$225.23 ,$42.07 ,$46.12 ,$225.23 ,$95.06 ,$318.50 ,$70.45 ,$364.00 ,$117.65 ,$46.12 ,$318.50 ,$46.12 ,$273.00 ,$47.04 ,$341.25 ,$251.16 ,$226.59 ,$251.16 ,$46.12 ,$251.16 ,$36.06 ,$455.00 ,$36.06 ,$386.75 ,$117.65 ,$315.32 ,$46.12 ,$455.00 ,$255.26 ,$46.12 ,$119.21 , N/A ,$23.29 ,$22.23 ,$48.42 ,$364.00 ,$225.23 ,$127.40 ,$409.50 ,$172.90 ,$99.52 ,$46.12 ,$218.40 
ST. MARY'S HOSPITAL - DECATUR,31200108,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$584.00 ,$420.48 ,$22.23 ,$584.00 ,$117.65 ,$52.64 ,$321.20 ,$46.12 ,$163.52 ,$305.43 ,$46.12 ,$321.20 ,$46.12 ,$289.08 ,$105.00 ,$46.12 ,$289.08 ,$95.06 ,$408.80 ,$79.13 ,$467.20 ,$117.65 ,$46.12 ,$408.80 ,$46.12 ,$350.40 ,$47.04 ,$438.00 ,$322.37 ,$290.83 ,$322.37 ,$46.12 ,$322.37 ,$37.84 ,$584.00 ,$37.84 ,$496.40 ,$117.65 ,$404.71 ,$46.12 ,$36.72 ,$327.62 ,$46.12 ,$153.01 , N/A ,$23.29 ,$22.23 ,$48.42 ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$99.52 ,$46.12 ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200110,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$983.00 ,$707.76 ,$24.45 ,$983.00 ,$760.50 ,$321.44 ,$540.65 ,$298.12 ,$275.24 ,$514.11 ,$298.12 ,$540.65 ,$298.12 ,$486.59 ,$268.34 ,$298.12 ,$486.59 ,$614.48 ,$688.10 ,$475.93 ,$786.40 ,$760.49 ,$298.12 ,$688.10 ,$298.12 ,$589.80 ,$304.07 ,$737.25 ,$542.62 ,$489.53 ,$542.62 ,$298.12 ,$542.62 ,$230.00 ,$983.00 ,$230.00 ,$835.55 ,$760.49 ,$681.22 ,$298.12 ,$220.02 ,$551.46 ,$298.12 ,$257.55 , N/A ,$25.62 ,$24.45 ,$313.02 ,$786.40 ,$486.59 ,$275.24 ,$884.70 ,$373.54 ,$582.52 ,$298.12 ,$471.84 
ST. MARY'S HOSPITAL - DECATUR,31200113,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,"$1,306.00 ",$940.32 ,$24.45 ,"$1,822.00 ","$1,822.00 ",$457.78 ,$718.30 ,$714.22 ,$365.68 ,$683.04 ,$714.22 ,$718.30 ,$714.22 ,$646.47 ,$376.64 ,$714.22 ,$646.47 ,"$1,306.00 ",$914.20 ,$677.93 ,"$1,044.80 ","$1,822.00 ",$714.22 ,$914.20 ,$714.22 ,$783.60 ,$728.51 ,$979.50 ,$720.91 ,$650.39 ,$720.91 ,$714.22 ,$720.91 ,$322.82 ,"$1,306.00 ",$322.82 ,"$1,110.10 ","$1,306.00 ",$905.06 ,$714.22 ,"$1,306.00 ",$732.67 ,$714.22 ,$342.17 , N/A ,$25.62 ,$24.45 ,$749.94 ,"$1,044.80 ",$646.47 ,$365.68 ,"$1,175.40 ",$496.28 ,"$1,306.00 ",$714.22 ,$626.88 
ST. MARY'S HOSPITAL - DECATUR,31200116,88311,HC DECALCIFICATION,312,1 ,$226.00 ,$162.72 ,$11.22 ,$226.00 , N/A ,$13.68 ,$124.30 , N/A ,$63.28 ,$118.20 , N/A ,$124.30 , N/A ,$111.87 ,$13.10 , N/A ,$111.87 , N/A ,$158.20 ,$19.95 ,$180.80 , N/A , N/A ,$158.20 , N/A ,$135.60 , N/A ,$169.50 ,$124.75 ,$112.55 ,$124.75 , N/A ,$124.75 ,$11.22 ,$226.00 ,$11.22 ,$192.10 , N/A ,$156.62 , N/A ,$226.00 ,$126.79 , N/A ,$59.21 , N/A ,$23.29 ,$22.23 , N/A ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$17.44 , N/A ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,31200123,88312,HC SPECIAL STAIN I,312,1 ,$314.00 ,$226.08 ,$22.23 ,$314.00 ,$117.65 ,$133.78 ,$172.70 ,$46.12 ,$87.92 ,$164.22 ,$46.12 ,$172.70 ,$46.12 ,$155.43 ,$106.75 ,$46.12 ,$155.43 ,$95.06 ,$219.80 ,$201.43 ,$251.20 ,$117.65 ,$46.12 ,$219.80 ,$46.12 ,$188.40 ,$47.04 ,$235.50 ,$173.33 ,$156.37 ,$173.33 ,$46.12 ,$173.33 ,$91.49 ,$314.00 ,$91.49 ,$266.90 ,$117.65 ,$217.60 ,$46.12 ,$314.00 ,$176.15 ,$46.12 ,$82.27 , N/A ,$23.29 ,$22.23 ,$48.42 ,$251.20 ,$155.43 ,$87.92 ,$282.60 ,$119.32 ,$99.52 ,$46.12 ,$150.72 
ST. MARY'S HOSPITAL - DECATUR,31200125,88313,HC SPECIAL STAIN II,312,1 ,$365.00 ,$262.80 ,$22.23 ,$365.00 ,$79.68 ,$107.82 ,$200.75 ,$31.23 ,$102.20 ,$190.90 ,$31.23 ,$200.75 ,$31.23 ,$180.68 ,$88.12 ,$31.23 ,$180.68 ,$64.38 ,$255.50 ,$160.40 ,$292.00 ,$79.68 ,$31.23 ,$255.50 ,$31.23 ,$219.00 ,$31.86 ,$273.75 ,$201.48 ,$181.77 ,$201.48 ,$31.23 ,$201.48 ,$75.53 ,$365.00 ,$75.53 ,$310.25 ,$79.68 ,$252.95 ,$31.23 ,$365.00 ,$204.77 ,$31.23 ,$95.63 , N/A ,$23.29 ,$22.23 ,$32.79 ,$292.00 ,$180.68 ,$102.20 ,$328.50 ,$138.70 ,$67.68 ,$31.23 ,$175.20 
ST. MARY'S HOSPITAL - DECATUR,31200159,88321,HC CONSULT REFERRED SLIDES,312,1 ,$455.00 ,$327.60 ,$22.23 ,$455.00 ,$79.68 ,$141.40 ,$250.25 ,$31.23 ,$127.40 ,$237.97 ,$31.23 ,$250.25 ,$31.23 ,$225.23 ,$133.95 ,$31.23 ,$225.23 ,$64.38 ,$318.50 ,$136.65 ,$364.00 ,$79.68 ,$31.23 ,$318.50 ,$31.23 ,$273.00 ,$31.86 ,$341.25 ,$251.16 ,$226.59 ,$251.16 ,$31.23 ,$251.16 ,$133.87 ,$455.00 ,$133.87 ,$386.75 ,$79.68 ,$315.32 ,$31.23 ,$455.00 ,$255.26 ,$31.23 ,$119.21 , N/A ,$23.29 ,$22.23 ,$32.79 ,$364.00 ,$225.23 ,$127.40 ,$409.50 ,$172.90 ,$67.68 ,$31.23 ,$218.40 
ST. MARY'S HOSPITAL - DECATUR,31200172,88329,HC CONSULT PATH SURGERY,312,1 ,$307.00 ,$221.04 ,$22.23 ,$307.00 ,$79.68 ,$59.86 ,$168.85 ,$31.23 ,$85.96 ,$160.56 ,$31.23 ,$168.85 ,$31.23 ,$151.97 ,$57.52 ,$31.23 ,$151.97 ,$64.38 ,$214.90 ,$57.93 ,$245.60 ,$79.68 ,$31.23 ,$214.90 ,$31.23 ,$184.20 ,$31.86 ,$230.25 ,$169.46 ,$152.89 ,$169.46 ,$31.23 ,$169.46 ,$68.37 ,$307.00 ,$68.37 ,$260.95 ,$79.68 ,$212.75 ,$31.23 ,$307.00 ,$172.23 ,$31.23 ,$80.43 , N/A ,$23.29 ,$22.23 ,$32.79 ,$245.60 ,$151.97 ,$85.96 ,$276.30 ,$116.66 ,$67.68 ,$31.23 ,$147.36 
ST. MARY'S HOSPITAL - DECATUR,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,"$1,060.00 ",$763.20 ,$22.23 ,"$1,060.00 ",$368.98 ,$65.62 ,$583.00 ,$144.64 ,$296.80 ,$554.38 ,$144.64 ,$583.00 ,$144.64 ,$524.70 ,$48.28 ,$144.64 ,$524.70 ,$298.13 ,$742.00 ,$94.93 ,$848.00 ,$368.97 ,$144.64 ,$742.00 ,$144.64 ,$636.00 ,$147.53 ,$795.00 ,$585.12 ,$527.88 ,$585.12 ,$144.64 ,$585.12 ,$41.39 ,"$1,060.00 ",$41.39 ,$901.00 ,$368.97 ,$734.58 ,$144.64 ,$43.37 ,$594.66 ,$144.64 ,$277.72 , N/A ,$23.29 ,$22.23 ,$151.87 ,$848.00 ,$524.70 ,$296.80 ,$954.00 ,$402.80 ,$298.32 ,$144.64 ,$508.80 
ST. MARY'S HOSPITAL - DECATUR,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$584.00 ,$420.48 ,$22.23 ,$584.00 , N/A ,$37.48 ,$321.20 , N/A ,$163.52 ,$305.43 , N/A ,$321.20 , N/A ,$289.08 ,$31.72 , N/A ,$289.08 , N/A ,$408.80 ,$56.25 ,$467.20 , N/A , N/A ,$408.80 , N/A ,$350.40 , N/A ,$438.00 ,$322.37 ,$290.83 ,$322.37 , N/A ,$322.37 ,$27.19 ,$584.00 ,$27.19 ,$496.40 , N/A ,$404.71 , N/A ,$26.21 ,$327.62 , N/A ,$153.01 , N/A ,$23.29 ,$22.23 , N/A ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$48.16 , N/A ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200175,88333,HC CONSULT PATH SURG CYTO INIT,312,1 ,$505.00 ,$363.60 ,$22.23 ,"$1,822.00 ","$1,822.00 ",$52.64 ,$277.75 ,$714.22 ,$141.40 ,$264.12 ,$714.22 ,$277.75 ,$494.90 ,$249.98 ,$36.90 ,$494.90 ,$249.98 ,$505.00 ,$353.50 ,$75.20 ,$404.00 ,"$1,822.00 ",$714.22 ,$353.50 ,$714.22 ,$303.00 ,$494.90 ,$378.75 ,$278.76 ,$251.49 ,$278.76 ,$714.22 ,$278.76 ,$31.63 ,$505.00 ,$31.63 ,$429.25 ,$505.00 ,$349.97 ,$494.90 ,$505.00 ,$283.31 ,$714.22 ,$132.31 , N/A ,$23.29 ,$22.23 ,$749.94 ,$404.00 ,$249.98 ,$141.40 ,$454.50 ,$191.90 ,$505.00 ,$714.22 ,$242.40 
ST. MARY'S HOSPITAL - DECATUR,31200176,88334,HC CONSULT PATH SURG EA ADDL,312,1 ,$505.00 ,$363.60 ,$20.85 ,$505.00 , N/A ,$29.76 ,$277.75 , N/A ,$141.40 ,$264.12 , N/A ,$277.75 , N/A ,$249.98 ,$24.32 , N/A ,$249.98 , N/A ,$353.50 ,$44.18 ,$404.00 , N/A , N/A ,$353.50 , N/A ,$303.00 , N/A ,$378.75 ,$278.76 ,$251.49 ,$278.76 , N/A ,$278.76 ,$20.85 ,$505.00 ,$20.85 ,$429.25 , N/A ,$349.97 , N/A ,$505.00 ,$283.31 , N/A ,$132.31 , N/A ,$23.29 ,$22.23 , N/A ,$404.00 ,$249.98 ,$141.40 ,$454.50 ,$191.90 ,$38.38 , N/A ,$242.40 
ST. MARY'S HOSPITAL - DECATUR,31200220,88342,HC IMMUNOHISTOCHEM AB-INITIAL,312,1 ,$481.00 ,$346.32 ,$22.23 ,$481.00 ,$368.98 ,$109.98 ,$264.55 ,$144.64 ,$134.68 ,$251.56 ,$144.64 ,$264.55 ,$144.64 ,$238.10 ,$102.61 ,$144.64 ,$238.10 ,$298.13 ,$336.70 ,$154.88 ,$384.80 ,$368.97 ,$144.64 ,$336.70 ,$144.64 ,$288.60 ,$147.53 ,$360.75 ,$265.51 ,$239.54 ,$265.51 ,$144.64 ,$265.51 ,$87.94 ,$481.00 ,$87.94 ,$408.85 ,$368.97 ,$333.33 ,$144.64 ,$69.27 ,$269.84 ,$144.64 ,$126.02 , N/A ,$23.29 ,$22.23 ,$151.87 ,$384.80 ,$238.10 ,$134.68 ,$432.90 ,$182.78 ,$298.32 ,$144.64 ,$230.88 
ST. MARY'S HOSPITAL - DECATUR,31200249,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$630.00 ,$453.60 ,$22.23 ,$760.50 ,$760.50 ,$217.10 ,$346.50 ,$298.12 ,$176.40 ,$329.49 ,$298.12 ,$346.50 ,$298.12 ,$311.85 ,$192.63 ,$298.12 ,$311.85 ,$614.48 ,$441.00 ,$307.95 ,$504.00 ,$760.49 ,$298.12 ,$441.00 ,$298.12 ,$378.00 ,$304.07 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$298.12 ,$347.76 ,$165.11 ,$630.00 ,$165.11 ,$535.50 ,$630.00 ,$436.59 ,$298.12 ,$630.00 ,$353.43 ,$298.12 ,$165.06 , N/A ,$23.29 ,$22.23 ,$313.02 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$582.52 ,$298.12 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,31200252,88305,HC GROSS  AND  MICRO LEVEL IV-90,312,1 ,"$2,311.00 ","$1,663.92 ",$22.23 ,"$2,311.00 ",$117.65 ,$52.64 ,"$1,271.05 ",$46.12 ,$647.08 ,$700.80 ,$46.12 ,$730.00 ,$46.12 ,"$1,143.95 ",$105.00 ,$46.12 ,"$1,143.95 ",$95.06 ,"$1,617.70 ",$79.13 ,"$1,848.80 ",$117.65 ,$46.12 ,"$1,617.70 ",$46.12 ,"$1,386.60 ",$47.04 ,"$1,733.25 ","$1,275.67 ","$1,150.88 ","$1,275.67 ",$46.12 ,"$1,275.67 ",$37.84 ,"$2,311.00 ",$37.84 ,"$1,964.35 ",$117.65 ,"$1,601.52 ",$46.12 ,$36.72 ,"$1,296.47 ",$46.12 ,$605.48 , N/A ,$23.29 ,$22.23 ,$48.42 ,"$1,848.80 ","$1,143.95 ",$647.08 ,"$2,079.90 ",$878.18 ,$99.52 ,$46.12 ,"$1,109.28 "
ST. MARY'S HOSPITAL - DECATUR,31200253,88305,HC CELLIENT CELL BLOCK,312,1 ,$584.00 ,$420.48 ,$22.23 ,$584.00 ,$117.65 ,$52.64 ,$321.20 ,$46.12 ,$163.52 ,$305.43 ,$46.12 ,$321.20 ,$46.12 ,$289.08 ,$105.00 ,$46.12 ,$289.08 ,$95.06 ,$408.80 ,$79.13 ,$467.20 ,$117.65 ,$46.12 ,$408.80 ,$46.12 ,$350.40 ,$47.04 ,$438.00 ,$322.37 ,$290.83 ,$322.37 ,$46.12 ,$322.37 ,$37.84 ,$584.00 ,$37.84 ,$496.40 ,$117.65 ,$404.71 ,$46.12 ,$36.72 ,$327.62 ,$46.12 ,$153.01 , N/A ,$23.29 ,$22.23 ,$48.42 ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$99.52 ,$46.12 ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200255,88312,HC SPECIAL STAIN I-90,312,1 ,$314.00 ,$226.08 ,$22.23 ,$314.00 ,$117.65 ,$133.78 ,$172.70 ,$46.12 ,$87.92 ,$164.22 ,$46.12 ,$172.70 ,$46.12 ,$155.43 ,$106.75 ,$46.12 ,$155.43 ,$95.06 ,$219.80 ,$201.43 ,$251.20 ,$117.65 ,$46.12 ,$219.80 ,$46.12 ,$188.40 ,$47.04 ,$235.50 ,$173.33 ,$156.37 ,$173.33 ,$46.12 ,$173.33 ,$91.49 ,$314.00 ,$91.49 ,$266.90 ,$117.65 ,$217.60 ,$46.12 ,$314.00 ,$176.15 ,$46.12 ,$82.27 , N/A ,$23.29 ,$22.23 ,$48.42 ,$251.20 ,$155.43 ,$87.92 ,$282.60 ,$119.32 ,$99.52 ,$46.12 ,$150.72 
ST. MARY'S HOSPITAL - DECATUR,31200256,88313,HC SPECIAL STAIN II-90,312,1 ,$365.00 ,$262.80 ,$22.23 ,$365.00 ,$79.68 ,$107.82 ,$200.75 ,$31.23 ,$102.20 ,$190.90 ,$31.23 ,$200.75 ,$31.23 ,$180.68 ,$88.12 ,$31.23 ,$180.68 ,$64.38 ,$255.50 ,$160.40 ,$292.00 ,$79.68 ,$31.23 ,$255.50 ,$31.23 ,$219.00 ,$31.86 ,$273.75 ,$201.48 ,$181.77 ,$201.48 ,$31.23 ,$201.48 ,$75.53 ,$365.00 ,$75.53 ,$310.25 ,$79.68 ,$252.95 ,$31.23 ,$365.00 ,$204.77 ,$31.23 ,$95.63 , N/A ,$23.29 ,$22.23 ,$32.79 ,$292.00 ,$180.68 ,$102.20 ,$328.50 ,$138.70 ,$67.68 ,$31.23 ,$175.20 
ST. MARY'S HOSPITAL - DECATUR,31200257,88314,HC HISTOCHECMICAL STAIN ADD ON-90,312,1 ,$399.00 ,$287.28 ,$22.23 ,$399.00 , N/A ,$124.04 ,$219.45 , N/A ,$111.72 ,$208.68 , N/A ,$219.45 , N/A ,$197.51 ,$101.06 , N/A ,$197.51 , N/A ,$279.30 ,$180.93 ,$319.20 , N/A , N/A ,$279.30 , N/A ,$239.40 , N/A ,$299.25 ,$220.25 ,$198.70 ,$220.25 , N/A ,$220.25 ,$86.62 ,$399.00 ,$86.62 ,$339.15 , N/A ,$276.51 , N/A ,$399.00 ,$223.84 , N/A ,$104.54 , N/A ,$23.29 ,$22.23 , N/A ,$319.20 ,$197.51 ,$111.72 ,$359.10 ,$151.62 ,$159.82 , N/A ,$191.52 
ST. MARY'S HOSPITAL - DECATUR,31200259,88319,HC HISTOCHEM ENZYME STAIN-90,312,1 ,$220.00 ,$158.40 ,$24.45 ,"$1,822.00 ","$1,822.00 ",$159.92 ,$121.00 ,$714.22 ,$61.60 ,$115.06 ,$714.22 ,$121.00 ,$215.60 ,$108.90 ,$102.09 ,$215.60 ,$108.90 ,$220.00 ,$154.00 ,$220.00 ,$176.00 ,"$1,822.00 ",$714.22 ,$154.00 ,$714.22 ,$132.00 ,$215.60 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$714.22 ,$121.44 ,$87.51 ,$220.00 ,$87.51 ,$187.00 ,$220.00 ,$152.46 ,$215.60 ,$220.00 ,$123.42 ,$714.22 ,$57.64 , N/A ,$25.62 ,$24.45 ,$749.94 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 ,$220.00 ,$714.22 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,31200261,88321,HC CONSULT REFERRED SLIDES-90,312,1 ,$455.00 ,$327.60 ,$22.23 ,$455.00 ,$79.68 ,$141.40 ,$250.25 ,$31.23 ,$127.40 ,$237.97 ,$31.23 ,$250.25 ,$31.23 ,$225.23 ,$133.95 ,$31.23 ,$225.23 ,$64.38 ,$318.50 ,$136.65 ,$364.00 ,$79.68 ,$31.23 ,$318.50 ,$31.23 ,$273.00 ,$31.86 ,$341.25 ,$251.16 ,$226.59 ,$251.16 ,$31.23 ,$251.16 ,$133.87 ,$455.00 ,$133.87 ,$386.75 ,$79.68 ,$315.32 ,$31.23 ,$455.00 ,$255.26 ,$31.23 ,$119.21 , N/A ,$23.29 ,$22.23 ,$32.79 ,$364.00 ,$225.23 ,$127.40 ,$409.50 ,$172.90 ,$67.68 ,$31.23 ,$218.40 
ST. MARY'S HOSPITAL - DECATUR,31200262,88323,HC CONSULT/SLIDE PREP-90,312,1 ,$455.00 ,$327.60 ,$22.23 ,$455.00 ,$117.65 ,$42.36 ,$250.25 ,$46.12 ,$127.40 ,$237.97 ,$46.12 ,$250.25 ,$46.12 ,$225.23 ,$38.97 ,$46.12 ,$225.23 ,$95.06 ,$318.50 ,$62.58 ,$364.00 ,$117.65 ,$46.12 ,$318.50 ,$46.12 ,$273.00 ,$47.04 ,$341.25 ,$251.16 ,$226.59 ,$251.16 ,$46.12 ,$251.16 ,$33.39 ,$455.00 ,$33.39 ,$386.75 ,$117.65 ,$315.32 ,$46.12 ,$455.00 ,$255.26 ,$46.12 ,$119.21 , N/A ,$23.29 ,$22.23 ,$48.42 ,$364.00 ,$225.23 ,$127.40 ,$409.50 ,$172.90 ,$99.52 ,$46.12 ,$218.40 
ST. MARY'S HOSPITAL - DECATUR,31200264,88325,HC CONSULT PATH REV/REP-90,312,1 ,"$1,149.00 ",$827.28 ,$22.23 ,"$1,149.00 ",$368.98 ,$236.22 ,$631.95 ,$144.64 ,$321.72 ,$600.93 ,$144.64 ,$631.95 ,$144.64 ,$568.76 ,$237.24 ,$144.64 ,$568.76 ,$298.13 ,$804.30 ,$220.45 ,$919.20 ,$368.97 ,$144.64 ,$804.30 ,$144.64 ,$689.40 ,$147.53 ,$861.75 ,$634.25 ,$572.20 ,$634.25 ,$144.64 ,$634.25 ,$240.15 ,"$1,149.00 ",$240.15 ,$976.65 ,$368.97 ,$796.26 ,$144.64 ,"$1,149.00 ",$644.59 ,$144.64 ,$301.04 , N/A ,$23.29 ,$22.23 ,$151.87 ,$919.20 ,$568.76 ,$321.72 ,"$1,034.10 ",$436.62 ,$298.32 ,$144.64 ,$551.52 
ST. MARY'S HOSPITAL - DECATUR,31200265,88341,HC IMMUNOHISOCHEM EA AD SGL STN-90,312,1 ,$630.00 ,$453.60 ,$22.23 ,$630.00 , N/A ,$101.16 ,$346.50 , N/A ,$176.40 ,$329.49 , N/A ,$346.50 , N/A ,$311.85 ,$92.61 , N/A ,$311.85 , N/A ,$441.00 ,$140.45 ,$504.00 , N/A , N/A ,$441.00 , N/A ,$378.00 , N/A ,$472.50 ,$347.76 ,$313.74 ,$347.76 , N/A ,$347.76 ,$79.37 ,$630.00 ,$79.37 ,$535.50 , N/A ,$436.59 , N/A ,$61.26 ,$353.43 , N/A ,$165.06 , N/A ,$23.29 ,$22.23 , N/A ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$130.50 , N/A ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,31200266,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$630.00 ,$453.60 ,$22.23 ,$630.00 , N/A ,$101.16 ,$346.50 , N/A ,$176.40 ,$329.49 , N/A ,$346.50 , N/A ,$311.85 ,$92.61 , N/A ,$311.85 , N/A ,$441.00 ,$140.45 ,$504.00 , N/A , N/A ,$441.00 , N/A ,$378.00 , N/A ,$472.50 ,$347.76 ,$313.74 ,$347.76 , N/A ,$347.76 ,$79.37 ,$630.00 ,$79.37 ,$535.50 , N/A ,$436.59 , N/A ,$61.26 ,$353.43 , N/A ,$165.06 , N/A ,$23.29 ,$22.23 , N/A ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$130.50 , N/A ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,31200267,88342,HC IMMUNOHISTOCHEM EA AB-90,312,1 ,$548.00 ,$394.56 ,$22.23 ,$548.00 ,$368.98 ,$109.98 ,$301.40 ,$144.64 ,$153.44 ,$286.60 ,$144.64 ,$301.40 ,$144.64 ,$271.26 ,$102.61 ,$144.64 ,$271.26 ,$298.13 ,$383.60 ,$154.88 ,$438.40 ,$368.97 ,$144.64 ,$383.60 ,$144.64 ,$328.80 ,$147.53 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,$144.64 ,$302.50 ,$87.94 ,$548.00 ,$87.94 ,$465.80 ,$368.97 ,$379.76 ,$144.64 ,$69.27 ,$307.43 ,$144.64 ,$143.58 , N/A ,$23.29 ,$22.23 ,$151.87 ,$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$298.32 ,$144.64 ,$263.04 
ST. MARY'S HOSPITAL - DECATUR,31200269,88342,HC IMMUNOHISOCHEMISTR EA AB INIT-90,312,1 ,$469.00 ,$337.68 ,$22.23 ,$469.00 ,$368.98 ,$109.98 ,$257.95 ,$144.64 ,$131.32 ,$245.29 ,$144.64 ,$257.95 ,$144.64 ,$232.16 ,$102.61 ,$144.64 ,$232.16 ,$298.13 ,$328.30 ,$154.88 ,$375.20 ,$368.97 ,$144.64 ,$328.30 ,$144.64 ,$281.40 ,$147.53 ,$351.75 ,$258.89 ,$233.56 ,$258.89 ,$144.64 ,$258.89 ,$87.94 ,$469.00 ,$87.94 ,$398.65 ,$368.97 ,$325.02 ,$144.64 ,$69.27 ,$263.11 ,$144.64 ,$122.88 , N/A ,$23.29 ,$22.23 ,$151.87 ,$375.20 ,$232.16 ,$131.32 ,$422.10 ,$178.22 ,$298.32 ,$144.64 ,$225.12 
ST. MARY'S HOSPITAL - DECATUR,31200270,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$481.00 ,$346.32 ,$22.23 ,$481.00 ,$368.98 ,$109.98 ,$264.55 ,$144.64 ,$134.68 ,$251.56 ,$144.64 ,$264.55 ,$144.64 ,$238.10 ,$102.61 ,$144.64 ,$238.10 ,$298.13 ,$336.70 ,$154.88 ,$384.80 ,$368.97 ,$144.64 ,$336.70 ,$144.64 ,$288.60 ,$147.53 ,$360.75 ,$265.51 ,$239.54 ,$265.51 ,$144.64 ,$265.51 ,$87.94 ,$481.00 ,$87.94 ,$408.85 ,$368.97 ,$333.33 ,$144.64 ,$69.27 ,$269.84 ,$144.64 ,$126.02 , N/A ,$23.29 ,$22.23 ,$151.87 ,$384.80 ,$238.10 ,$134.68 ,$432.90 ,$182.78 ,$298.32 ,$144.64 ,$230.88 
ST. MARY'S HOSPITAL - DECATUR,31200271,88344,HC IMMUNOHISOCHEMISTR EA ADDL-90,312,1 ,$630.00 ,$453.60 ,$22.23 ,$760.50 ,$760.50 ,$217.10 ,$346.50 ,$298.12 ,$176.40 ,$329.49 ,$298.12 ,$346.50 ,$298.12 ,$311.85 ,$192.63 ,$298.12 ,$311.85 ,$614.48 ,$441.00 ,$307.95 ,$504.00 ,$760.49 ,$298.12 ,$441.00 ,$298.12 ,$378.00 ,$304.07 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$298.12 ,$347.76 ,$165.11 ,$630.00 ,$165.11 ,$535.50 ,$630.00 ,$436.59 ,$298.12 ,$630.00 ,$353.43 ,$298.12 ,$165.06 , N/A ,$23.29 ,$22.23 ,$313.02 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$582.52 ,$298.12 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,31200272,88346,HC IF DIRECT-90,312,1 ,$92.00 ,$66.24 ,$22.23 ,$760.50 ,$760.50 ,$92.00 ,$50.60 ,$298.12 ,$25.76 ,$48.12 ,$298.12 ,$50.60 ,$90.16 ,$45.54 ,$92.00 ,$90.16 ,$45.54 ,$92.00 ,$64.40 ,$92.00 ,$73.60 ,$760.49 ,$298.12 ,$64.40 ,$298.12 ,$55.20 ,$90.16 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$298.12 ,$50.78 ,$91.49 ,$92.00 ,$91.49 ,$78.20 ,$92.00 ,$63.76 ,$90.16 ,$92.00 ,$51.61 ,$298.12 ,$24.10 , N/A ,$23.29 ,$22.23 ,$313.02 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$92.00 ,$298.12 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,31200273,88348,HC ELECTRON MICRO DIAG-90,312,1 ,$722.00 ,$519.84 ,$24.45 ,"$1,822.00 ","$1,822.00 ",$550.44 ,$397.10 ,$714.22 ,$202.16 ,$377.61 ,$714.22 ,$397.10 ,$707.56 ,$357.39 ,$411.63 ,$707.56 ,$357.39 ,$722.00 ,$505.40 ,$722.00 ,$577.60 ,"$1,822.00 ",$714.22 ,$505.40 ,$714.22 ,$433.20 ,$707.56 ,$541.50 ,$398.54 ,$359.56 ,$398.54 ,$714.22 ,$398.54 ,$352.82 ,$722.00 ,$352.82 ,$613.70 ,$722.00 ,$500.35 ,$707.56 ,$722.00 ,$405.04 ,$714.22 ,$189.16 , N/A ,$25.62 ,$24.45 ,$749.94 ,$577.60 ,$357.39 ,$202.16 ,$649.80 ,$274.36 ,$722.00 ,$714.22 ,$346.56 
ST. MARY'S HOSPITAL - DECATUR,31200274,88350,HC IMMUNOFLUOR PER SPEC EA ADDN SINGLE STAIN-90,312,1 ,$550.00 ,$396.00 ,$22.23 ,$550.00 , N/A ,$126.20 ,$302.50 , N/A ,$154.00 ,$287.65 , N/A ,$302.50 , N/A ,$272.25 ,$69.85 , N/A ,$272.25 , N/A ,$385.00 ,$207.75 ,$440.00 , N/A , N/A ,$385.00 , N/A ,$330.00 , N/A ,$412.50 ,$303.60 ,$273.90 ,$303.60 , N/A ,$303.60 ,$59.86 ,$550.00 ,$59.86 ,$467.50 , N/A ,$381.15 , N/A ,$550.00 ,$308.55 , N/A ,$144.10 , N/A ,$23.29 ,$22.23 , N/A ,$440.00 ,$272.25 ,$154.00 ,$495.00 ,$209.00 ,$162.60 , N/A ,$264.00 
ST. MARY'S HOSPITAL - DECATUR,31200275,88360,HC MORPHO ANLYS TUMOR MAN-90,312,1 ,$649.00 ,$467.28 ,$24.45 ,$649.00 ,$368.98 ,$128.38 ,$356.95 ,$144.64 ,$181.72 ,$339.43 ,$144.64 ,$356.95 ,$144.64 ,$321.26 ,$122.79 ,$144.64 ,$321.26 ,$298.13 ,$454.30 ,$184.88 ,$519.20 ,$368.97 ,$144.64 ,$454.30 ,$144.64 ,$389.40 ,$147.53 ,$486.75 ,$358.25 ,$323.20 ,$358.25 ,$144.64 ,$358.25 ,$105.25 ,$649.00 ,$105.25 ,$551.65 ,$368.97 ,$449.76 ,$144.64 ,$81.17 ,$364.09 ,$144.64 ,$170.04 , N/A ,$25.62 ,$24.45 ,$151.87 ,$519.20 ,$321.26 ,$181.72 ,$584.10 ,$246.62 ,$298.32 ,$144.64 ,$311.52 
ST. MARY'S HOSPITAL - DECATUR,31200276,88361,HC MORPHO ANLYS COMP ASSIST-90,312,1 ,$331.00 ,$238.32 ,$24.45 ,$760.50 ,$760.50 ,$124.58 ,$182.05 ,$298.12 ,$92.68 ,$173.11 ,$298.12 ,$182.05 ,$298.12 ,$163.85 ,$124.34 ,$298.12 ,$163.85 ,$331.00 ,$231.70 ,$179.35 ,$264.80 ,$760.49 ,$298.12 ,$231.70 ,$298.12 ,$198.60 ,$304.07 ,$248.25 ,$182.71 ,$164.84 ,$182.71 ,$298.12 ,$182.71 ,$106.57 ,$331.00 ,$106.57 ,$281.35 ,$331.00 ,$229.38 ,$298.12 ,$79.07 ,$185.69 ,$298.12 ,$86.72 , N/A ,$25.62 ,$24.45 ,$313.02 ,$264.80 ,$163.85 ,$92.68 ,$297.90 ,$125.78 ,$331.00 ,$298.12 ,$158.88 
ST. MARY'S HOSPITAL - DECATUR,31200278,88364,HC IN SITU HYBRID(FISH) EA ADL-90,312,1 ,$901.00 ,$648.72 ,$22.23 ,$901.00 , N/A ,$170.02 ,$495.55 , N/A ,$252.28 ,$471.22 , N/A ,$495.55 , N/A ,$446.00 ,$141.41 , N/A ,$446.00 , N/A ,$630.70 ,$241.68 ,$720.80 , N/A , N/A ,$630.70 , N/A ,$540.60 , N/A ,$675.75 ,$497.35 ,$448.70 ,$497.35 , N/A ,$497.35 ,$121.21 ,$901.00 ,$121.21 ,$765.85 , N/A ,$624.39 , N/A ,$901.00 ,$505.46 , N/A ,$236.06 , N/A ,$23.29 ,$22.23 , N/A ,$720.80 ,$446.00 ,$252.28 ,$810.90 ,$342.38 ,$219.12 , N/A ,$432.48 
ST. MARY'S HOSPITAL - DECATUR,31200279,88365,HC IN SITU HYBRID (FISH)-90,312,1 ,$901.00 ,$648.72 ,$22.23 ,$901.00 ,$368.98 ,$220.50 ,$495.55 ,$144.64 ,$252.28 ,$471.22 ,$144.64 ,$495.55 ,$144.64 ,$446.00 ,$192.63 ,$144.64 ,$446.00 ,$298.13 ,$630.70 ,$317.65 ,$720.80 ,$368.97 ,$144.64 ,$630.70 ,$144.64 ,$540.60 ,$147.53 ,$675.75 ,$497.35 ,$448.70 ,$497.35 ,$144.64 ,$497.35 ,$165.11 ,$901.00 ,$165.11 ,$765.85 ,$368.97 ,$624.39 ,$144.64 ,$901.00 ,$505.46 ,$144.64 ,$236.06 , N/A ,$23.29 ,$22.23 ,$151.87 ,$720.80 ,$446.00 ,$252.28 ,$810.90 ,$342.38 ,$298.32 ,$144.64 ,$432.48 
ST. MARY'S HOSPITAL - DECATUR,31200280,88367,HC FISH HER-2NEU-90,312,1 ,"$1,009.00 ",$726.48 ,$24.45 ,"$1,009.00 ",$760.50 ,$127.30 ,$554.95 ,$298.12 ,$282.52 ,$527.71 ,$298.12 ,$554.95 ,$298.12 ,$499.46 ,$107.78 ,$298.12 ,$499.46 ,$614.48 ,$706.30 ,$185.65 ,$807.20 ,$760.49 ,$298.12 ,$706.30 ,$298.12 ,$605.40 ,$304.07 ,$756.75 ,$556.97 ,$502.48 ,$556.97 ,$298.12 ,$556.97 ,$92.38 ,"$1,009.00 ",$92.38 ,$857.65 ,$760.49 ,$699.24 ,$298.12 ,"$1,009.00 ",$566.05 ,$298.12 ,$264.36 , N/A ,$25.62 ,$24.45 ,$313.02 ,$807.20 ,$499.46 ,$282.52 ,$908.10 ,$383.42 ,$582.52 ,$298.12 ,$484.32 
ST. MARY'S HOSPITAL - DECATUR,31200281,88368,HC MORPHO ANLYS IN SITU HYBRID-90,312,1 ,$975.00 ,$702.00 ,$24.45 ,$975.00 ,$760.50 ,$148.54 ,$536.25 ,$298.12 ,$273.00 ,$509.93 ,$298.12 ,$536.25 ,$298.12 ,$482.63 ,$123.30 ,$298.12 ,$482.63 ,$614.48 ,$682.50 ,$221.40 ,$780.00 ,$760.49 ,$298.12 ,$682.50 ,$298.12 ,$585.00 ,$304.07 ,$731.25 ,$538.20 ,$485.55 ,$538.20 ,$298.12 ,$538.20 ,$105.69 ,$975.00 ,$105.69 ,$828.75 ,$760.49 ,$675.68 ,$298.12 ,$975.00 ,$546.98 ,$298.12 ,$255.45 , N/A ,$25.62 ,$24.45 ,$313.02 ,$780.00 ,$482.63 ,$273.00 ,$877.50 ,$370.50 ,$582.52 ,$298.12 ,$468.00 
ST. MARY'S HOSPITAL - DECATUR,31200282,88373,HC MORPH ANLY AUTO EA ADDL-90,312,1 ,$435.00 ,$313.20 ,$24.45 ,$435.00 , N/A ,$73.04 ,$239.25 , N/A ,$121.80 ,$227.51 , N/A ,$239.25 , N/A ,$215.33 ,$68.81 , N/A ,$215.33 , N/A ,$304.50 ,$101.78 ,$348.00 , N/A , N/A ,$304.50 , N/A ,$261.00 , N/A ,$326.25 ,$240.12 ,$216.63 ,$240.12 , N/A ,$240.12 ,$58.99 ,$435.00 ,$58.99 ,$369.75 , N/A ,$301.46 , N/A ,$435.00 ,$244.04 , N/A ,$113.97 , N/A ,$25.62 ,$24.45 , N/A ,$348.00 ,$215.33 ,$121.80 ,$391.50 ,$165.30 ,$94.22 , N/A ,$208.80 
ST. MARY'S HOSPITAL - DECATUR,31200283,88374,HC MORPH ANLY AUTO EA MULTIPLX-90,312,1 ,$584.00 ,$420.48 ,$24.45 ,$584.00 ,$368.98 ,$478.38 ,$321.20 ,$144.64 ,$163.52 ,$305.43 ,$144.64 ,$321.20 ,$144.64 ,$289.08 ,$408.91 ,$144.64 ,$289.08 ,$298.13 ,$408.80 ,$584.00 ,$467.20 ,$368.97 ,$144.64 ,$408.80 ,$144.64 ,$350.40 ,$147.53 ,$438.00 ,$322.37 ,$290.83 ,$322.37 ,$144.64 ,$322.37 ,$350.49 ,$584.00 ,$350.49 ,$496.40 ,$368.97 ,$404.71 ,$144.64 ,$584.00 ,$327.62 ,$144.64 ,$153.01 , N/A ,$25.62 ,$24.45 ,$151.87 ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$298.32 ,$144.64 ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200284,88377,HC MORPH ANLZ INST HYB EA MTPL-90,312,1 ,$579.00 ,$416.88 ,$24.45 ,$579.00 ,$368.98 ,$558.62 ,$318.45 ,$144.64 ,$162.12 ,$302.82 ,$144.64 ,$318.45 ,$144.64 ,$286.61 ,$469.60 ,$144.64 ,$286.61 ,$298.13 ,$405.30 ,$579.00 ,$463.20 ,$368.97 ,$144.64 ,$405.30 ,$144.64 ,$347.40 ,$147.53 ,$434.25 ,$319.61 ,$288.34 ,$319.61 ,$144.64 ,$319.61 ,$402.51 ,$579.00 ,$402.51 ,$492.15 ,$368.97 ,$401.25 ,$144.64 ,$579.00 ,$324.82 ,$144.64 ,$151.70 , N/A ,$25.62 ,$24.45 ,$151.87 ,$463.20 ,$286.61 ,$162.12 ,$521.10 ,$220.02 ,$298.32 ,$144.64 ,$277.92 
ST. MARY'S HOSPITAL - DECATUR,31200285,88380,HC MICRODISSECTION LASER CAPTR-90,312,1 ,"$1,083.00 ",$779.76 ,$24.45 ,"$1,083.00 ", N/A ,$573.99 ,$595.65 , N/A ,$303.24 ,$566.41 , N/A ,$595.65 , N/A ,$536.09 ,$113.64 , N/A ,$536.09 , N/A ,$758.10 ,$170.90 ,$866.40 , N/A , N/A ,$758.10 , N/A ,$649.80 , N/A ,$812.25 ,$597.82 ,$539.33 ,$597.82 , N/A ,$597.82 ,$97.40 ,"$1,083.00 ",$97.40 ,$920.55 , N/A ,$750.52 , N/A ,"$1,083.00 ",$607.56 , N/A ,$283.75 , N/A ,$25.62 ,$24.45 , N/A ,$866.40 ,$536.09 ,$303.24 ,$974.70 ,$411.54 ,$157.72 , N/A ,$519.84 
ST. MARY'S HOSPITAL - DECATUR,31200286,88381,HC MICRODISSECTION MANUAL-90,312,1 ,$688.00 ,$495.36 ,$24.45 ,$688.00 , N/A ,$364.64 ,$378.40 , N/A ,$192.64 ,$359.82 , N/A ,$378.40 , N/A ,$340.56 ,$187.11 , N/A ,$340.56 , N/A ,$481.60 ,$434.10 ,$550.40 , N/A , N/A ,$481.60 , N/A ,$412.80 , N/A ,$516.00 ,$379.78 ,$342.62 ,$379.78 , N/A ,$379.78 ,$160.37 ,$688.00 ,$160.37 ,$584.80 , N/A ,$476.78 , N/A ,$688.00 ,$385.97 , N/A ,$180.26 , N/A ,$25.62 ,$24.45 , N/A ,$550.40 ,$340.56 ,$192.64 ,$619.20 ,$261.44 ,$360.10 , N/A ,$330.24 
ST. MARY'S HOSPITAL - DECATUR,31200287,88387,HC TISSUE EXAM MOLECULAR STUDY,312,1 ,$142.00 ,$102.24 ,$8.57 ,$142.00 , N/A ,$75.26 ,$78.10 , N/A ,$39.76 ,$74.27 , N/A ,$78.10 , N/A ,$70.29 ,$9.99 , N/A ,$70.29 , N/A ,$99.40 ,$18.38 ,$113.60 , N/A , N/A ,$99.40 , N/A ,$85.20 , N/A ,$106.50 ,$78.38 ,$70.72 ,$78.38 , N/A ,$78.38 ,$8.57 ,$142.00 ,$8.57 ,$120.70 , N/A ,$98.41 , N/A ,$142.00 ,$79.66 , N/A ,$37.20 , N/A ,$23.29 ,$22.23 , N/A ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$16.06 , N/A ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,31200288,88388,HC TISSUE EXAM MOLECULR ST ADD ON,312,1 ,$114.00 ,$82.08 ,$13.88 ,$114.00 , N/A ,$60.42 ,$62.70 , N/A ,$31.92 ,$59.62 , N/A ,$62.70 , N/A ,$56.43 ,$16.20 , N/A ,$56.43 , N/A ,$79.80 ,$33.38 ,$91.20 , N/A , N/A ,$79.80 , N/A ,$68.40 , N/A ,$85.50 ,$62.93 ,$56.77 ,$62.93 , N/A ,$62.93 ,$13.88 ,$114.00 ,$13.88 ,$96.90 , N/A ,$79.00 , N/A ,$114.00 ,$63.95 , N/A ,$29.87 , N/A ,$23.29 ,$22.23 , N/A ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$27.92 , N/A ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,31200293,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$584.00 ,$420.48 ,$22.23 ,$584.00 , N/A ,$37.48 ,$321.20 , N/A ,$163.52 ,$305.43 , N/A ,$321.20 , N/A ,$289.08 ,$31.72 , N/A ,$289.08 , N/A ,$408.80 ,$56.25 ,$467.20 , N/A , N/A ,$408.80 , N/A ,$350.40 , N/A ,$438.00 ,$322.37 ,$290.83 ,$322.37 , N/A ,$322.37 ,$27.19 ,$584.00 ,$27.19 ,$496.40 , N/A ,$404.71 , N/A ,$26.21 ,$327.62 , N/A ,$153.01 , N/A ,$23.29 ,$22.23 , N/A ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$48.16 , N/A ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200294,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,"$1,060.00 ",$763.20 ,$22.23 ,"$1,060.00 ",$368.98 ,$65.62 ,$583.00 ,$144.64 ,$296.80 ,$554.38 ,$144.64 ,$583.00 ,$144.64 ,$524.70 ,$48.28 ,$144.64 ,$524.70 ,$298.13 ,$742.00 ,$94.93 ,$848.00 ,$368.97 ,$144.64 ,$742.00 ,$144.64 ,$636.00 ,$147.53 ,$795.00 ,$585.12 ,$527.88 ,$585.12 ,$144.64 ,$585.12 ,$41.39 ,"$1,060.00 ",$41.39 ,$901.00 ,$368.97 ,$734.58 ,$144.64 ,$43.37 ,$594.66 ,$144.64 ,$277.72 , N/A ,$23.29 ,$22.23 ,$151.87 ,$848.00 ,$524.70 ,$296.80 ,$954.00 ,$402.80 ,$298.32 ,$144.64 ,$508.80 
ST. MARY'S HOSPITAL - DECATUR,31200296,88311,HC DECALCIFICATION,312,1 ,$226.00 ,$162.72 ,$11.22 ,$226.00 , N/A ,$13.68 ,$124.30 , N/A ,$63.28 ,$118.20 , N/A ,$124.30 , N/A ,$111.87 ,$13.10 , N/A ,$111.87 , N/A ,$158.20 ,$19.95 ,$180.80 , N/A , N/A ,$158.20 , N/A ,$135.60 , N/A ,$169.50 ,$124.75 ,$112.55 ,$124.75 , N/A ,$124.75 ,$11.22 ,$226.00 ,$11.22 ,$192.10 , N/A ,$156.62 , N/A ,$226.00 ,$126.79 , N/A ,$59.21 , N/A ,$23.29 ,$22.23 , N/A ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$17.44 , N/A ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,31200297,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$298.00 ,$214.56 ,$22.23 ,$298.00 ,$58.58 ,$39.12 ,$163.90 ,$22.96 ,$83.44 ,$155.85 ,$22.96 ,$163.90 ,$22.96 ,$147.51 ,$34.83 ,$22.96 ,$147.51 ,$47.32 ,$208.60 ,$57.83 ,$238.40 ,$58.57 ,$22.96 ,$208.60 ,$22.96 ,$178.80 ,$23.42 ,$223.50 ,$164.50 ,$148.40 ,$164.50 ,$22.96 ,$164.50 ,$29.85 ,$298.00 ,$29.85 ,$253.30 ,$58.57 ,$206.51 ,$22.96 ,$298.00 ,$167.18 ,$22.96 ,$78.08 , N/A ,$23.29 ,$22.23 ,$24.11 ,$238.40 ,$147.51 ,$83.44 ,$268.20 ,$113.24 ,$49.34 ,$22.96 ,$143.04 
ST. MARY'S HOSPITAL - DECATUR,31200298,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$455.00 ,$327.60 ,$22.23 ,$455.00 ,$117.65 ,$47.76 ,$250.25 ,$46.12 ,$127.40 ,$237.97 ,$46.12 ,$250.25 ,$46.12 ,$225.23 ,$42.07 ,$46.12 ,$225.23 ,$95.06 ,$318.50 ,$70.45 ,$364.00 ,$117.65 ,$46.12 ,$318.50 ,$46.12 ,$273.00 ,$47.04 ,$341.25 ,$251.16 ,$226.59 ,$251.16 ,$46.12 ,$251.16 ,$36.06 ,$455.00 ,$36.06 ,$386.75 ,$117.65 ,$315.32 ,$46.12 ,$455.00 ,$255.26 ,$46.12 ,$119.21 , N/A ,$23.29 ,$22.23 ,$48.42 ,$364.00 ,$225.23 ,$127.40 ,$409.50 ,$172.90 ,$99.52 ,$46.12 ,$218.40 
ST. MARY'S HOSPITAL - DECATUR,31200299,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$584.00 ,$420.48 ,$22.23 ,$584.00 ,$117.65 ,$52.64 ,$321.20 ,$46.12 ,$163.52 ,$305.43 ,$46.12 ,$321.20 ,$46.12 ,$289.08 ,$105.00 ,$46.12 ,$289.08 ,$95.06 ,$408.80 ,$79.13 ,$467.20 ,$117.65 ,$46.12 ,$408.80 ,$46.12 ,$350.40 ,$47.04 ,$438.00 ,$322.37 ,$290.83 ,$322.37 ,$46.12 ,$322.37 ,$37.84 ,$584.00 ,$37.84 ,$496.40 ,$117.65 ,$404.71 ,$46.12 ,$36.72 ,$327.62 ,$46.12 ,$153.01 , N/A ,$23.29 ,$22.23 ,$48.42 ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$99.52 ,$46.12 ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,31200300,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$983.00 ,$707.76 ,$24.45 ,$983.00 ,$760.50 ,$321.44 ,$540.65 ,$298.12 ,$275.24 ,$514.11 ,$298.12 ,$540.65 ,$298.12 ,$486.59 ,$268.34 ,$298.12 ,$486.59 ,$614.48 ,$688.10 ,$475.93 ,$786.40 ,$760.49 ,$298.12 ,$688.10 ,$298.12 ,$589.80 ,$304.07 ,$737.25 ,$542.62 ,$489.53 ,$542.62 ,$298.12 ,$542.62 ,$230.00 ,$983.00 ,$230.00 ,$835.55 ,$760.49 ,$681.22 ,$298.12 ,$220.02 ,$551.46 ,$298.12 ,$257.55 , N/A ,$25.62 ,$24.45 ,$313.02 ,$786.40 ,$486.59 ,$275.24 ,$884.70 ,$373.54 ,$582.52 ,$298.12 ,$471.84 
ST. MARY'S HOSPITAL - DECATUR,31200301,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,"$1,306.00 ",$940.32 ,$24.45 ,"$1,822.00 ","$1,822.00 ",$457.78 ,$718.30 ,$714.22 ,$365.68 ,$683.04 ,$714.22 ,$718.30 ,$714.22 ,$646.47 ,$376.64 ,$714.22 ,$646.47 ,"$1,306.00 ",$914.20 ,$677.93 ,"$1,044.80 ","$1,822.00 ",$714.22 ,$914.20 ,$714.22 ,$783.60 ,$728.51 ,$979.50 ,$720.91 ,$650.39 ,$720.91 ,$714.22 ,$720.91 ,$322.82 ,"$1,306.00 ",$322.82 ,"$1,110.10 ","$1,306.00 ",$905.06 ,$714.22 ,"$1,306.00 ",$732.67 ,$714.22 ,$342.17 , N/A ,$25.62 ,$24.45 ,$749.94 ,"$1,044.80 ",$646.47 ,$365.68 ,"$1,175.40 ",$496.28 ,"$1,306.00 ",$714.22 ,$626.88 
ST. MARY'S HOSPITAL - DECATUR,31200302,88300,HC GROSS ONLY LEVEL I,312,1 ,$234.00 ,$168.48 ,$14.33 ,$234.00 ,$58.58 ,$17.48 ,$128.70 ,$22.96 ,$65.52 ,$105.07 ,$22.96 ,$109.45 ,$22.96 ,$115.83 ,$16.72 ,$22.96 ,$115.83 ,$47.32 ,$163.80 ,$25.48 ,$187.20 ,$58.57 ,$22.96 ,$163.80 ,$22.96 ,$140.40 ,$23.42 ,$175.50 ,$129.17 ,$116.53 ,$129.17 ,$22.96 ,$129.17 ,$14.33 ,$234.00 ,$14.33 ,$198.90 ,$58.57 ,$162.16 ,$22.96 ,$234.00 ,$131.27 ,$22.96 ,$61.31 , N/A ,$23.29 ,$22.23 ,$24.11 ,$187.20 ,$115.83 ,$65.52 ,$210.60 ,$88.92 ,$49.34 ,$22.96 ,$112.32 
ST. MARY'S HOSPITAL - DECATUR,31200303,88312,HC SPECIAL STAIN I,312,1 ,$314.00 ,$226.08 ,$22.23 ,$314.00 ,$117.65 ,$133.78 ,$172.70 ,$46.12 ,$87.92 ,$164.22 ,$46.12 ,$172.70 ,$46.12 ,$155.43 ,$106.75 ,$46.12 ,$155.43 ,$95.06 ,$219.80 ,$201.43 ,$251.20 ,$117.65 ,$46.12 ,$219.80 ,$46.12 ,$188.40 ,$47.04 ,$235.50 ,$173.33 ,$156.37 ,$173.33 ,$46.12 ,$173.33 ,$91.49 ,$314.00 ,$91.49 ,$266.90 ,$117.65 ,$217.60 ,$46.12 ,$314.00 ,$176.15 ,$46.12 ,$82.27 , N/A ,$23.29 ,$22.23 ,$48.42 ,$251.20 ,$155.43 ,$87.92 ,$282.60 ,$119.32 ,$99.52 ,$46.12 ,$150.72 
ST. MARY'S HOSPITAL - DECATUR,31200304,88313,HC SPECIAL STAIN II,312,1 ,$365.00 ,$262.80 ,$22.23 ,$365.00 ,$79.68 ,$107.82 ,$200.75 ,$31.23 ,$102.20 ,$190.90 ,$31.23 ,$200.75 ,$31.23 ,$180.68 ,$88.12 ,$31.23 ,$180.68 ,$64.38 ,$255.50 ,$160.40 ,$292.00 ,$79.68 ,$31.23 ,$255.50 ,$31.23 ,$219.00 ,$31.86 ,$273.75 ,$201.48 ,$181.77 ,$201.48 ,$31.23 ,$201.48 ,$75.53 ,$365.00 ,$75.53 ,$310.25 ,$79.68 ,$252.95 ,$31.23 ,$365.00 ,$204.77 ,$31.23 ,$95.63 , N/A ,$23.29 ,$22.23 ,$32.79 ,$292.00 ,$180.68 ,$102.20 ,$328.50 ,$138.70 ,$67.68 ,$31.23 ,$175.20 
ST. MARY'S HOSPITAL - DECATUR,31200305,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$481.00 ,$346.32 ,$22.23 ,$481.00 ,$368.98 ,$109.98 ,$264.55 ,$144.64 ,$134.68 ,$251.56 ,$144.64 ,$264.55 ,$144.64 ,$238.10 ,$102.61 ,$144.64 ,$238.10 ,$298.13 ,$336.70 ,$154.88 ,$384.80 ,$368.97 ,$144.64 ,$336.70 ,$144.64 ,$288.60 ,$147.53 ,$360.75 ,$265.51 ,$239.54 ,$265.51 ,$144.64 ,$265.51 ,$87.94 ,$481.00 ,$87.94 ,$408.85 ,$368.97 ,$333.33 ,$144.64 ,$69.27 ,$269.84 ,$144.64 ,$126.02 , N/A ,$23.29 ,$22.23 ,$151.87 ,$384.80 ,$238.10 ,$134.68 ,$432.90 ,$182.78 ,$298.32 ,$144.64 ,$230.88 
ST. MARY'S HOSPITAL - DECATUR,31200306,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$630.00 ,$453.60 ,$22.23 ,$760.50 ,$760.50 ,$217.10 ,$346.50 ,$298.12 ,$176.40 ,$329.49 ,$298.12 ,$346.50 ,$298.12 ,$311.85 ,$192.63 ,$298.12 ,$311.85 ,$614.48 ,$441.00 ,$307.95 ,$504.00 ,$760.49 ,$298.12 ,$441.00 ,$298.12 ,$378.00 ,$304.07 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$298.12 ,$347.76 ,$165.11 ,$630.00 ,$165.11 ,$535.50 ,$630.00 ,$436.59 ,$298.12 ,$630.00 ,$353.43 ,$298.12 ,$165.06 , N/A ,$23.29 ,$22.23 ,$313.02 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$582.52 ,$298.12 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,31200307,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$630.00 ,$453.60 ,$22.23 ,$630.00 , N/A ,$101.16 ,$346.50 , N/A ,$176.40 ,$329.49 , N/A ,$346.50 , N/A ,$311.85 ,$92.61 , N/A ,$311.85 , N/A ,$441.00 ,$140.45 ,$504.00 , N/A , N/A ,$441.00 , N/A ,$378.00 , N/A ,$472.50 ,$347.76 ,$313.74 ,$347.76 , N/A ,$347.76 ,$79.37 ,$630.00 ,$79.37 ,$535.50 , N/A ,$436.59 , N/A ,$61.26 ,$353.43 , N/A ,$165.06 , N/A ,$23.29 ,$22.23 , N/A ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$130.50 , N/A ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$485.00 ,$349.20 ,$116.85 ,$485.00 , N/A ,$257.05 ,$266.75 , N/A ,$135.80 ,$253.66 , N/A ,$266.75 , N/A ,$240.08 ,$116.85 , N/A ,$240.08 , N/A ,$339.50 ,$303.13 ,$388.00 , N/A , N/A ,$339.50 , N/A ,$291.00 , N/A ,$363.75 ,$267.72 ,$241.53 ,$267.72 , N/A ,$267.72 ,$354.05 ,$485.00 ,$354.05 ,$412.25 , N/A ,$336.11 , N/A ,$485.00 ,$272.09 , N/A ,$127.07 ,$485.00 , N/A , N/A , N/A ,$388.00 ,$240.08 ,$135.80 ,$436.50 ,$184.30 ,$485.00 , N/A ,$232.80 
ST. MARY'S HOSPITAL - DECATUR,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$485.00 ,$349.20 ,$127.07 ,$485.00 , N/A ,$257.05 ,$266.75 , N/A ,$135.80 ,$253.66 , N/A ,$266.75 , N/A ,$240.08 ,$171.76 , N/A ,$240.08 , N/A ,$339.50 ,$303.13 ,$388.00 , N/A , N/A ,$339.50 , N/A ,$291.00 , N/A ,$363.75 ,$267.72 ,$241.53 ,$267.72 , N/A ,$267.72 ,$354.05 ,$485.00 ,$354.05 ,$412.25 , N/A ,$336.11 , N/A ,$485.00 ,$272.09 , N/A ,$127.07 ,$485.00 ,$251.20 ,$239.78 , N/A ,$388.00 ,$240.08 ,$135.80 ,$436.50 ,$184.30 ,$485.00 , N/A ,$232.80 
ST. MARY'S HOSPITAL - DECATUR,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$485.00 ,$349.20 ,$127.07 ,$485.00 , N/A ,$257.05 ,$266.75 , N/A ,$135.80 ,$253.66 , N/A ,$266.75 , N/A ,$240.08 ,$159.73 , N/A ,$240.08 , N/A ,$339.50 ,$303.13 ,$388.00 , N/A , N/A ,$339.50 , N/A ,$291.00 , N/A ,$363.75 ,$267.72 ,$241.53 ,$267.72 , N/A ,$267.72 ,$354.05 ,$485.00 ,$354.05 ,$412.25 , N/A ,$336.11 , N/A ,$485.00 ,$272.09 , N/A ,$127.07 ,$485.00 ,$251.20 ,$239.78 , N/A ,$388.00 ,$240.08 ,$135.80 ,$436.50 ,$184.30 ,$485.00 , N/A ,$232.80 
ST. MARY'S HOSPITAL - DECATUR,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$501.00 ,$360.72 ,$93.26 ,$501.00 , N/A ,$265.53 ,$275.55 , N/A ,$140.28 ,$262.02 , N/A ,$275.55 , N/A ,$248.00 ,$93.26 , N/A ,$248.00 , N/A ,$350.70 ,$313.13 ,$400.80 , N/A , N/A ,$350.70 , N/A ,$300.60 , N/A ,$375.75 ,$276.55 ,$249.50 ,$276.55 , N/A ,$276.55 ,$365.73 ,$501.00 ,$365.73 ,$425.85 , N/A ,$347.19 , N/A ,$501.00 ,$281.06 , N/A ,$131.26 ,$501.00 , N/A , N/A , N/A ,$400.80 ,$248.00 ,$140.28 ,$450.90 ,$190.38 ,$501.00 , N/A ,$240.48 
ST. MARY'S HOSPITAL - DECATUR,32000018,32550,HC INSERT CATH PLEURAL INDWELL W/,320,1 ,"$8,729.00 ","$6,284.88 ",$386.80 ,"$8,729.00 ","$8,310.78 ","$4,626.37 ","$4,800.95 ","$3,257.82 ","$2,444.12 ","$4,565.27 ","$3,257.82 ","$4,800.95 ","$3,257.82 ","$4,320.86 ",$386.80 ,"$3,257.82 ","$4,320.86 ","$6,715.11 ","$6,110.30 ","$5,455.63 ","$6,983.20 ","$8,310.78 ","$3,257.82 ","$6,110.30 ","$3,257.82 ","$5,237.40 ","$3,322.98 ","$6,546.75 ","$4,818.41 ","$4,347.04 ","$4,818.41 ","$3,257.82 ","$4,818.41 ","$6,372.17 ","$8,729.00 ","$6,372.17 ","$7,419.65 ","$8,310.78 ","$6,049.20 ","$3,257.82 ","$8,729.00 ","$4,896.97 ","$3,257.82 ","$2,287.00 ","$8,729.00 ",$500.56 ,$477.80 ,"$3,420.72 ","$6,983.20 ","$4,320.86 ","$2,444.12 ","$7,856.10 ","$3,317.02 ",$535.00 ,"$3,257.82 ","$4,189.92 "
ST. MARY'S HOSPITAL - DECATUR,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$2,583.00 ","$1,859.76 ",$295.09 ,"$3,491.10 ","$3,491.10 ","$1,368.99 ","$1,420.65 ","$1,368.51 ",$723.24 ,"$1,350.91 ","$1,368.51 ","$1,420.65 ","$1,368.51 ","$1,278.59 ",$295.09 ,"$1,368.51 ","$1,278.59 ","$2,583.00 ","$1,808.10 ","$1,614.38 ","$2,066.40 ","$3,491.09 ","$1,368.51 ","$1,808.10 ","$1,368.51 ","$1,549.80 ","$1,395.88 ","$1,937.25 ","$1,425.82 ","$1,286.33 ","$1,425.82 ","$1,368.51 ","$1,425.82 ","$1,885.59 ","$2,583.00 ","$1,885.59 ","$2,195.55 ","$2,583.00 ","$1,790.02 ","$1,368.51 ","$2,583.00 ","$1,449.06 ","$1,368.51 ",$676.75 ,"$2,583.00 ",$500.56 ,$477.80 ,"$1,436.93 ","$2,066.40 ","$1,278.59 ",$723.24 ,"$2,324.70 ",$981.54 ,$535.00 ,"$1,368.51 ","$1,239.84 "
ST. MARY'S HOSPITAL - DECATUR,32000020,32552,HC REMOVAL TUNNELED PLEURAL CATH,320,1 ,"$3,250.00 ","$2,340.00 ",$290.98 ,"$3,250.00 ","$1,357.40 ","$1,722.50 ","$1,787.50 ",$532.10 ,$910.00 ,"$1,699.75 ",$532.10 ,"$1,787.50 ",$532.10 ,"$1,608.75 ",$290.98 ,$532.10 ,"$1,608.75 ","$1,096.77 ","$2,275.00 ","$2,031.25 ","$2,600.00 ","$1,357.39 ",$532.10 ,"$2,275.00 ",$532.10 ,"$1,950.00 ",$542.74 ,"$2,437.50 ","$1,794.00 ","$1,618.50 ","$1,794.00 ",$532.10 ,"$1,794.00 ","$2,372.50 ","$3,250.00 ","$2,372.50 ","$2,762.50 ","$1,357.39 ","$2,252.25 ",$532.10 ,"$3,250.00 ","$1,823.25 ",$532.10 ,$851.50 ,"$3,250.00 ",$500.56 ,$477.80 ,$558.71 ,"$2,600.00 ","$1,608.75 ",$910.00 ,"$2,925.00 ","$1,235.00 ",$535.00 ,$532.10 ,"$1,560.00 "
ST. MARY'S HOSPITAL - DECATUR,32000026,36000,HC IV START > 3YR OLD,320,1 ,$423.00 ,$304.56 ,$16.51 ,$423.00 , N/A ,$224.19 ,$232.65 , N/A ,$118.44 ,$221.23 , N/A ,$232.65 , N/A ,$209.39 ,$16.51 , N/A ,$209.39 , N/A ,$296.10 ,$264.38 ,$338.40 , N/A , N/A ,$296.10 , N/A ,$253.80 , N/A ,$317.25 ,$233.50 ,$210.65 ,$233.50 , N/A ,$233.50 ,$308.79 ,$423.00 ,$308.79 ,$359.55 , N/A ,$293.14 , N/A ,$423.00 ,$237.30 , N/A ,$110.83 ,$423.00 ,$201.83 ,$192.65 , N/A ,$338.40 ,$209.39 ,$118.44 ,$380.70 ,$160.74 ,$423.00 , N/A ,$203.04 
ST. MARY'S HOSPITAL - DECATUR,32000027,36002,HC INJ PSEUDOANEURYSM (THROMBIN),320,1 ,"$1,010.00 ",$727.20 ,$186.56 ,"$1,357.40 ","$1,357.40 ",$535.30 ,$555.50 ,$532.10 ,$282.80 ,$528.23 ,$532.10 ,$555.50 ,$532.10 ,$499.95 ,$186.56 ,$532.10 ,$499.95 ,"$1,010.00 ",$707.00 ,$631.25 ,$808.00 ,"$1,357.39 ",$532.10 ,$707.00 ,$532.10 ,$606.00 ,$542.74 ,$757.50 ,$557.52 ,$502.98 ,$557.52 ,$532.10 ,$557.52 ,$737.30 ,"$1,010.00 ",$737.30 ,$858.50 ,"$1,010.00 ",$699.93 ,$532.10 ,"$1,010.00 ",$566.61 ,$532.10 ,$264.62 ,"$1,010.00 ", N/A , N/A ,$558.71 ,$808.00 ,$499.95 ,$282.80 ,$909.00 ,$383.80 ,$535.00 ,$532.10 ,$484.80 
ST. MARY'S HOSPITAL - DECATUR,32000028,36005,HC VENOGRAM INJECTION 36005,320,1 ,"$1,008.00 ",$725.76 ,$86.52 ,"$1,008.00 ", N/A ,$534.24 ,$554.40 , N/A ,$282.24 ,$527.18 , N/A ,$554.40 , N/A ,$498.96 ,$86.52 , N/A ,$498.96 , N/A ,$705.60 ,$630.00 ,$806.40 , N/A , N/A ,$705.60 , N/A ,$604.80 , N/A ,$756.00 ,$556.42 ,$501.98 ,$556.42 , N/A ,$556.42 ,$735.84 ,"$1,008.00 ",$735.84 ,$856.80 , N/A ,$698.54 , N/A ,"$1,008.00 ",$565.49 , N/A ,$264.10 ,"$1,008.00 ",$251.20 ,$239.78 , N/A ,$806.40 ,$498.96 ,$282.24 ,$907.20 ,$383.04 ,$535.00 , N/A ,$483.84 
ST. MARY'S HOSPITAL - DECATUR,32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$230.00 ,$165.60 ,$33.47 ,$230.00 , N/A ,$121.90 ,$126.50 , N/A ,$64.40 ,$120.29 , N/A ,$126.50 , N/A ,$113.85 ,$113.85 , N/A ,$113.85 , N/A ,$161.00 , N/A ,$184.00 , N/A , N/A ,$161.00 , N/A ,$138.00 , N/A ,$172.50 ,$126.96 ,$114.54 ,$126.96 , N/A ,$126.96 ,$186.30 ,$230.00 ,$186.30 ,$195.50 , N/A ,$159.39 , N/A ,$230.00 ,$129.03 , N/A ,$60.26 ,$230.00 ,$35.07 ,$33.47 , N/A ,$184.00 ,$113.85 ,$64.40 ,$207.00 , N/A , N/A , N/A ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$670.00 ,$482.40 ,$81.45 ,"$1,175.62 ",$484.70 ,$355.10 ,$368.50 ,$190.00 ,$187.60 ,$350.41 ,$190.00 ,$368.50 ,$190.00 ,$331.65 ,$81.45 ,$190.00 ,$331.65 ,$391.63 ,$469.00 ,$418.75 ,$536.00 ,$484.70 ,$190.00 ,$469.00 ,$190.00 ,$402.00 ,$193.80 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$190.00 ,$369.84 ,$489.10 ,$670.00 ,$489.10 ,$569.50 ,$484.70 ,$464.31 ,$190.00 ,$670.00 ,$375.87 ,$190.00 ,$175.54 ,$670.00 ,$670.00 ,"$1,175.62 ",$199.50 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$535.00 ,$190.00 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,32000031,36598,HC CONTRAST INJ CENTRAL VENOUS CATH W/FLUORO,320,1 ,$670.00 ,$482.40 ,$81.45 ,"$1,175.62 ",$484.70 ,$355.10 ,$368.50 ,$190.00 ,$187.60 ,$350.41 ,$190.00 ,$368.50 ,$190.00 ,$331.65 ,$81.45 ,$190.00 ,$331.65 ,$391.63 ,$469.00 ,$418.75 ,$536.00 ,$484.70 ,$190.00 ,$469.00 ,$190.00 ,$402.00 ,$193.80 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$190.00 ,$369.84 ,$489.10 ,$670.00 ,$489.10 ,$569.50 ,$484.70 ,$464.31 ,$190.00 ,$670.00 ,$375.87 ,$190.00 ,$175.54 ,$670.00 ,$670.00 ,"$1,175.62 ",$199.50 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$535.00 ,$190.00 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$525.00 ,$378.00 ,$71.96 ,$885.93 ,$885.93 ,$278.25 ,$288.75 ,$347.28 ,$147.00 ,$274.58 ,$347.28 ,$288.75 ,$347.28 ,$259.88 ,$71.96 ,$347.28 ,$259.88 ,$525.00 ,$367.50 ,$328.13 ,$420.00 ,$885.93 ,$347.28 ,$367.50 ,$347.28 ,$315.00 ,$354.23 ,$393.75 ,$289.80 ,$261.45 ,$289.80 ,$347.28 ,$289.80 ,$383.25 ,$525.00 ,$383.25 ,$446.25 ,$525.00 ,$363.83 ,$347.28 ,$525.00 ,$294.53 ,$347.28 ,$137.55 ,$525.00 ,$435.69 ,$415.88 ,$364.65 ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$525.00 ,$347.28 ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,32000043,47536,HC CHG PERC BIL DRAIN CATH,320,1 ,"$4,140.00 ","$2,980.80 ",$235.34 ,"$8,310.78 ","$8,310.78 ","$2,194.20 ","$2,277.00 ","$3,257.82 ","$1,159.20 ","$2,165.22 ","$3,257.82 ","$2,277.00 ","$3,257.82 ","$2,049.30 ",$235.34 ,"$3,257.82 ","$2,049.30 ","$4,140.00 ","$2,898.00 ","$2,587.50 ","$3,312.00 ","$8,310.78 ","$3,257.82 ","$2,898.00 ","$3,257.82 ","$2,484.00 ","$3,322.98 ","$3,105.00 ","$2,285.28 ","$2,061.72 ","$2,285.28 ","$3,257.82 ","$2,285.28 ","$3,022.20 ","$4,140.00 ","$3,022.20 ","$3,519.00 ","$4,140.00 ","$2,869.02 ","$3,257.82 ","$4,140.00 ","$2,322.54 ","$3,257.82 ","$1,084.68 ","$4,140.00 ","$1,218.12 ","$1,162.75 ","$3,420.72 ","$3,312.00 ","$2,049.30 ","$1,159.20 ","$3,726.00 ","$1,573.20 ",$535.00 ,"$3,257.82 ","$1,987.20 "
ST. MARY'S HOSPITAL - DECATUR,32000051,49406,HC DRN ABSC RETROPERITONEAL PERC,320,1 ,"$5,699.00 ","$4,103.28 ",$351.25 ,"$5,699.00 ","$3,518.55 ","$3,020.47 ","$3,134.45 ","$1,379.27 ","$1,595.72 ","$2,980.58 ","$1,379.27 ","$3,134.45 ","$1,379.27 ","$2,821.01 ",$351.25 ,"$1,379.27 ","$2,821.01 ","$2,842.98 ","$3,989.30 ","$3,561.88 ","$4,559.20 ","$3,518.54 ","$1,379.27 ","$3,989.30 ","$1,379.27 ","$3,419.40 ","$1,406.86 ","$4,274.25 ","$3,145.85 ","$2,838.10 ","$3,145.85 ","$1,379.27 ","$3,145.85 ","$4,160.27 ","$5,699.00 ","$4,160.27 ","$4,844.15 ","$3,518.54 ","$3,949.41 ","$1,379.27 ","$5,699.00 ","$3,197.14 ","$1,379.27 ","$1,493.14 ","$5,699.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$4,559.20 ","$2,821.01 ","$1,595.72 ","$5,129.10 ","$2,165.62 ",$535.00 ,"$1,379.27 ","$2,735.52 "
ST. MARY'S HOSPITAL - DECATUR,32000053,49423,HC EXCHG CATH ABSC/CYST DRAIN,320,1 ,"$3,145.00 ","$2,264.40 ",$127.24 ,"$4,086.48 ","$4,086.48 ","$1,666.85 ","$1,729.75 ","$1,601.90 ",$880.60 ,"$1,644.84 ","$1,601.90 ","$1,729.75 ","$1,601.90 ","$1,556.78 ",$127.24 ,"$1,601.90 ","$1,556.78 ","$3,145.00 ","$2,201.50 ","$1,965.63 ","$2,516.00 ","$4,086.47 ","$1,601.90 ","$2,201.50 ","$1,601.90 ","$1,887.00 ","$1,633.93 ","$2,358.75 ","$1,736.04 ","$1,566.21 ","$1,736.04 ","$1,601.90 ","$1,736.04 ","$2,295.85 ","$3,145.00 ","$2,295.85 ","$2,673.25 ","$3,145.00 ","$2,179.49 ","$1,601.90 ","$3,145.00 ","$1,764.35 ","$1,601.90 ",$823.99 ,"$3,145.00 ",$500.56 ,$477.80 ,"$1,681.99 ","$2,516.00 ","$1,556.78 ",$880.60 ,"$2,830.50 ","$1,195.10 ",$535.00 ,"$1,601.90 ","$1,509.60 "
ST. MARY'S HOSPITAL - DECATUR,32000054,49424,HC INJ CONTRAST ABSC/CYST,320,1 ,$923.00 ,$664.56 ,$67.55 ,$923.00 , N/A ,$489.19 ,$507.65 , N/A ,$258.44 ,$482.73 , N/A ,$507.65 , N/A ,$456.89 ,$67.55 , N/A ,$456.89 , N/A ,$646.10 ,$576.88 ,$738.40 , N/A , N/A ,$646.10 , N/A ,$553.80 , N/A ,$692.25 ,$509.50 ,$459.65 ,$509.50 , N/A ,$509.50 ,$673.79 ,$923.00 ,$673.79 ,$784.55 , N/A ,$639.64 , N/A ,$923.00 ,$517.80 , N/A ,$241.83 ,$923.00 ,$251.20 ,$239.78 , N/A ,$738.40 ,$456.89 ,$258.44 ,$830.70 ,$350.74 ,$535.00 , N/A ,$443.04 
ST. MARY'S HOSPITAL - DECATUR,32000057,49441,HC INSERT DUODEN/JEJUN TBE FLUORO,320,1 ,"$5,303.00 ","$3,818.16 ",$430.15 ,"$5,303.00 ","$4,086.48 ","$2,810.59 ","$2,916.65 ","$1,601.90 ","$1,484.84 ","$2,773.47 ","$1,601.90 ","$2,916.65 ","$1,601.90 ","$2,624.99 ",$430.15 ,"$1,601.90 ","$2,624.99 ","$3,301.87 ","$3,712.10 ","$3,314.38 ","$4,242.40 ","$4,086.47 ","$1,601.90 ","$3,712.10 ","$1,601.90 ","$3,181.80 ","$1,633.93 ","$3,977.25 ","$2,927.26 ","$2,640.89 ","$2,927.26 ","$1,601.90 ","$2,927.26 ","$3,871.19 ","$5,303.00 ","$3,871.19 ","$4,507.55 ","$4,086.47 ","$3,674.98 ","$1,601.90 ","$5,303.00 ","$2,974.98 ","$1,601.90 ","$1,389.39 ","$5,303.00 ",$566.30 ,$540.56 ,"$1,681.99 ","$4,242.40 ","$2,624.99 ","$1,484.84 ","$4,772.70 ","$2,015.14 ",$535.00 ,"$1,601.90 ","$2,545.44 "
ST. MARY'S HOSPITAL - DECATUR,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$2,616.00 ","$1,883.52 ",$118.21 ,"$2,616.00 ","$1,936.98 ","$1,386.48 ","$1,438.80 ",$759.29 ,$732.48 ,"$1,368.17 ",$759.29 ,"$1,438.80 ",$759.29 ,"$1,294.92 ",$118.21 ,$759.29 ,"$1,294.92 ","$1,565.08 ","$1,831.20 ","$1,635.00 ","$2,092.80 ","$1,936.98 ",$759.29 ,"$1,831.20 ",$759.29 ,"$1,569.60 ",$774.48 ,"$1,962.00 ","$1,444.03 ","$1,302.77 ","$1,444.03 ",$759.29 ,"$1,444.03 ","$1,909.68 ","$2,616.00 ","$1,909.68 ","$2,223.60 ","$1,936.98 ","$1,812.89 ",$759.29 ,"$2,616.00 ","$1,467.58 ",$759.29 ,$685.39 ,"$2,616.00 ",$435.69 ,$415.88 ,$797.26 ,"$2,092.80 ","$1,294.92 ",$732.48 ,"$2,354.40 ",$994.08 ,$535.00 ,$759.29 ,"$1,255.68 "
ST. MARY'S HOSPITAL - DECATUR,32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,"$2,334.00 ","$1,680.48 ",$161.28 ,"$2,334.00 ","$1,936.98 ","$1,237.02 ","$1,283.70 ",$759.29 ,$653.52 ,"$1,220.68 ",$759.29 ,"$1,283.70 ",$759.29 ,"$1,155.33 ",$161.28 ,$759.29 ,"$1,155.33 ","$1,565.08 ","$1,633.80 ","$1,458.75 ","$1,867.20 ","$1,936.98 ",$759.29 ,"$1,633.80 ",$759.29 ,"$1,400.40 ",$774.48 ,"$1,750.50 ","$1,288.37 ","$1,162.33 ","$1,288.37 ",$759.29 ,"$1,288.37 ","$1,703.82 ","$2,334.00 ","$1,703.82 ","$1,983.90 ","$1,936.98 ","$1,617.46 ",$759.29 ,"$2,334.00 ","$1,309.37 ",$759.29 ,$611.51 ,"$2,334.00 ",$435.69 ,$415.88 ,$797.26 ,"$1,867.20 ","$1,155.33 ",$653.52 ,"$2,100.60 ",$886.92 ,$535.00 ,$759.29 ,"$1,120.32 "
ST. MARY'S HOSPITAL - DECATUR,32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,"$2,525.00 ","$1,818.00 ",$415.88 ,"$2,525.00 ","$1,936.98 ","$2,525.00 ","$1,388.75 ",$759.29 ,$707.00 ,"$1,320.58 ",$759.29 ,"$1,388.75 ",$759.29 ,"$1,249.88 ","$1,249.88 ",$759.29 ,"$1,249.88 ","$1,565.08 ","$1,767.50 ","$1,578.13 ","$2,020.00 ","$1,936.98 ",$759.29 ,"$1,767.50 ",$759.29 ,"$1,515.00 ",$774.48 ,"$1,893.75 ","$1,393.80 ","$1,257.45 ","$1,393.80 ",$759.29 ,"$1,393.80 ","$2,045.25 ","$2,525.00 ","$2,045.25 ","$2,146.25 ","$1,936.98 ","$1,749.83 ",$759.29 ,"$2,525.00 ","$1,416.53 ",$759.29 ,$661.55 ,"$2,525.00 ",$435.69 ,$415.88 ,$797.26 ,"$2,020.00 ","$1,249.88 ",$707.00 ,"$2,272.50 ","$1,866.00 ","$2,248.00 ",$759.29 ,"$1,212.00 "
ST. MARY'S HOSPITAL - DECATUR,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,"$1,165.00 ",$838.80 ,$54.56 ,"$1,165.00 ",$547.93 ,$617.45 ,$640.75 ,$214.79 ,$326.20 ,$609.30 ,$214.79 ,$640.75 ,$214.79 ,$576.68 ,$54.56 ,$214.79 ,$576.68 ,$442.73 ,$815.50 ,$728.13 ,$932.00 ,$547.93 ,$214.79 ,$815.50 ,$214.79 ,$699.00 ,$219.09 ,$873.75 ,$643.08 ,$580.17 ,$643.08 ,$214.79 ,$643.08 ,$850.45 ,"$1,165.00 ",$850.45 ,$990.25 ,$547.93 ,$807.35 ,$214.79 ,"$1,165.00 ",$653.57 ,$214.79 ,$305.23 ,"$1,165.00 ",$251.20 ,$239.78 ,$225.53 ,$932.00 ,$576.68 ,$326.20 ,"$1,048.50 ",$442.70 ,$535.00 ,$214.79 ,$559.20 
ST. MARY'S HOSPITAL - DECATUR,32000077,50693,HC INTRO GUIDE RENAL PELVIS URET DIL,320,1 ,"$7,500.00 ","$5,400.00 ",$535.00 ,"$7,520.50 ","$7,520.50 ","$3,975.00 ","$4,125.00 ","$2,948.04 ","$2,100.00 ","$3,922.50 ","$2,948.04 ","$4,125.00 ","$2,948.04 ","$3,712.50 ",$536.62 ,"$2,948.04 ","$3,712.50 ","$6,076.56 ","$5,250.00 ","$4,687.50 ","$6,000.00 ","$7,520.49 ","$2,948.04 ","$5,250.00 ","$2,948.04 ","$4,500.00 ","$3,006.99 ","$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ","$2,948.04 ","$4,140.00 ","$5,475.00 ","$7,500.00 ","$5,475.00 ","$6,375.00 ","$7,500.00 ","$5,197.50 ","$2,948.04 ","$7,500.00 ","$4,207.50 ","$2,948.04 ","$1,965.00 ","$7,500.00 ","$1,670.60 ","$1,594.67 ","$3,095.44 ","$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ","$2,850.00 ",$535.00 ,"$2,948.04 ","$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$4,689.00 ","$3,376.08 ",$260.86 ,"$4,689.00 ","$4,352.30 ","$2,485.17 ","$2,578.95 ","$1,706.10 ","$1,312.92 ","$2,452.35 ","$1,706.10 ","$2,578.95 ","$1,706.10 ","$2,321.06 ",$260.86 ,"$1,706.10 ","$2,321.06 ","$3,516.65 ","$3,282.30 ","$2,930.63 ","$3,751.20 ","$4,352.29 ","$1,706.10 ","$3,282.30 ","$1,706.10 ","$2,813.40 ","$1,740.22 ","$3,516.75 ","$2,588.33 ","$2,335.12 ","$2,588.33 ","$1,706.10 ","$2,588.33 ","$3,422.97 ","$4,689.00 ","$3,422.97 ","$3,985.65 ","$4,352.29 ","$3,249.48 ","$1,706.10 ","$4,689.00 ","$2,630.53 ","$1,706.10 ","$1,228.52 ","$4,689.00 ",$785.38 ,$749.68 ,"$1,791.41 ","$3,751.20 ","$2,321.06 ","$1,312.92 ","$4,220.10 ","$1,781.82 ",$535.00 ,"$1,706.10 ","$2,250.72 "
ST. MARY'S HOSPITAL - DECATUR,32000083,50690,HC INJ ILEAL CONDUIT,320,1 ,"$1,182.00 ",$851.04 ,$180.87 ,"$1,182.00 ", N/A ,$626.46 ,$650.10 , N/A ,$330.96 ,$618.19 , N/A ,$650.10 , N/A ,$585.09 ,$180.87 , N/A ,$585.09 , N/A ,$827.40 ,$738.75 ,$945.60 , N/A , N/A ,$827.40 , N/A ,$709.20 , N/A ,$886.50 ,$652.46 ,$588.64 ,$652.46 , N/A ,$652.46 ,$862.86 ,"$1,182.00 ",$862.86 ,"$1,004.70 ", N/A ,$819.13 , N/A ,"$1,182.00 ",$663.10 , N/A ,$309.68 ,"$1,182.00 ",$251.20 ,$239.78 , N/A ,$945.60 ,$585.09 ,$330.96 ,"$1,063.80 ",$449.16 ,$535.00 , N/A ,$567.36 
ST. MARY'S HOSPITAL - DECATUR,32000085,51600,HC INJ CYSTOGRAM,320,1 ,$91.00 ,$65.52 ,$23.84 ,$239.78 , N/A ,$48.23 ,$50.05 , N/A ,$25.48 ,$47.59 , N/A ,$50.05 , N/A ,$45.05 ,$91.00 , N/A ,$45.05 , N/A ,$63.70 ,$56.88 ,$72.80 , N/A , N/A ,$63.70 , N/A ,$54.60 , N/A ,$68.25 ,$50.23 ,$45.32 ,$50.23 , N/A ,$50.23 ,$66.43 ,$91.00 ,$66.43 ,$77.35 , N/A ,$63.06 , N/A ,$91.00 ,$51.05 , N/A ,$23.84 ,$91.00 ,$91.00 ,$239.78 , N/A ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$91.00 , N/A ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,32000086,51610,HC INJ URETHROCYSTOGRAM RETRO,320,1 ,$91.00 ,$65.52 ,$23.84 ,$239.78 , N/A ,$48.23 ,$50.05 , N/A ,$25.48 ,$47.59 , N/A ,$50.05 , N/A ,$45.05 ,$91.00 , N/A ,$45.05 , N/A ,$63.70 ,$56.88 ,$72.80 , N/A , N/A ,$63.70 , N/A ,$54.60 , N/A ,$68.25 ,$50.23 ,$45.32 ,$50.23 , N/A ,$50.23 ,$66.43 ,$91.00 ,$66.43 ,$77.35 , N/A ,$63.06 , N/A ,$91.00 ,$51.05 , N/A ,$23.84 ,$91.00 ,$91.00 ,$239.78 , N/A ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$91.00 , N/A ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$91.00 ,$65.52 ,$23.84 ,$239.78 , N/A ,$48.23 ,$50.05 , N/A ,$25.48 ,$47.59 , N/A ,$50.05 , N/A ,$45.05 ,$91.00 , N/A ,$45.05 , N/A ,$63.70 ,$56.88 ,$72.80 , N/A , N/A ,$63.70 , N/A ,$54.60 , N/A ,$68.25 ,$50.23 ,$45.32 ,$50.23 , N/A ,$50.23 ,$66.43 ,$91.00 ,$66.43 ,$77.35 , N/A ,$63.06 , N/A ,$91.00 ,$51.05 , N/A ,$23.84 ,$91.00 ,$91.00 ,$239.78 , N/A ,$72.80 ,$45.05 ,$25.48 ,$81.90 ,$34.58 ,$91.00 , N/A ,$43.68 
ST. MARY'S HOSPITAL - DECATUR,32000089,61070,HC PUNCT ASP/INJ SHUNT TUBE,320,1 ,"$2,623.00 ","$1,888.56 ",$115.17 ,"$2,623.00 ","$1,511.88 ","$1,390.19 ","$1,442.65 ",$592.65 ,$734.44 ,"$1,371.83 ",$592.65 ,"$1,442.65 ",$592.65 ,"$1,298.39 ",$115.17 ,$592.65 ,"$1,298.39 ","$1,221.60 ","$1,836.10 ","$1,639.38 ","$2,098.40 ","$1,511.88 ",$592.65 ,"$1,836.10 ",$592.65 ,"$1,573.80 ",$604.51 ,"$1,967.25 ","$1,447.90 ","$1,306.25 ","$1,447.90 ",$592.65 ,"$1,447.90 ","$1,914.79 ","$2,623.00 ","$1,914.79 ","$2,229.55 ","$1,511.88 ","$1,817.74 ",$592.65 ,"$2,623.00 ","$1,471.50 ",$592.65 ,$687.23 ,"$2,623.00 ",$251.20 ,$239.78 ,$622.29 ,"$2,098.40 ","$1,298.39 ",$734.44 ,"$2,360.70 ",$996.74 ,$535.00 ,$592.65 ,"$1,259.04 "
ST. MARY'S HOSPITAL - DECATUR,32000090,62272,HC LUMBAR PUNCTURE DRAIN,320,1 ,"$1,450.00 ","$1,044.00 ",$171.12 ,"$1,511.88 ","$1,511.88 ",$768.50 ,$797.50 ,$592.65 ,$406.00 ,$758.35 ,$592.65 ,$797.50 ,$592.65 ,$717.75 ,$171.12 ,$592.65 ,$717.75 ,"$1,221.60 ","$1,015.00 ",$906.25 ,"$1,160.00 ","$1,511.88 ",$592.65 ,"$1,015.00 ",$592.65 ,$870.00 ,$604.51 ,"$1,087.50 ",$800.40 ,$722.10 ,$800.40 ,$592.65 ,$800.40 ,"$1,058.50 ","$1,450.00 ","$1,058.50 ","$1,232.50 ","$1,450.00 ","$1,004.85 ",$592.65 ,"$1,450.00 ",$813.45 ,$592.65 ,$379.90 ,"$1,450.00 ",$373.84 ,$356.84 ,$622.29 ,"$1,160.00 ",$717.75 ,$406.00 ,"$1,305.00 ",$551.00 ,$535.00 ,$592.65 ,$696.00 
ST. MARY'S HOSPITAL - DECATUR,32000091,62284,HC INJ MYELOGRAM,320,1 ,"$1,106.00 ",$796.32 ,$178.85 ,"$1,106.00 ", N/A ,$586.18 ,$608.30 , N/A ,$309.68 ,$578.44 , N/A ,$608.30 , N/A ,$547.47 ,$178.85 , N/A ,$547.47 , N/A ,$774.20 ,$691.25 ,$884.80 , N/A , N/A ,$774.20 , N/A ,$663.60 , N/A ,$829.50 ,$610.51 ,$550.79 ,$610.51 , N/A ,$610.51 ,$807.38 ,"$1,106.00 ",$807.38 ,$940.10 , N/A ,$766.46 , N/A ,"$1,106.00 ",$620.47 , N/A ,$289.77 ,"$1,106.00 ",$438.20 ,$418.28 , N/A ,$884.80 ,$547.47 ,$309.68 ,$995.40 ,$420.28 ,$535.00 , N/A ,$530.88 
ST. MARY'S HOSPITAL - DECATUR,32000092,62287,HC DECOMP DISC LUMBAR PERC,320,1 ,"$11,363.00 ","$8,181.36 ",$535.00 ,"$11,363.00 ","$4,217.70 ","$6,022.39 ","$6,249.65 ","$1,653.34 ","$3,181.64 ","$5,942.85 ","$1,653.34 ","$6,249.65 ","$1,653.34 ","$5,624.69 ","$1,167.43 ","$1,653.34 ","$5,624.69 ","$3,407.90 ","$7,954.10 ","$7,101.88 ","$9,090.40 ","$4,217.70 ","$1,653.34 ","$7,954.10 ","$1,653.34 ","$6,817.80 ","$1,686.40 ","$8,522.25 ","$6,272.38 ","$5,658.77 ","$6,272.38 ","$1,653.34 ","$6,272.38 ","$8,294.99 ","$11,363.00 ","$8,294.99 ","$9,658.55 ","$4,217.70 ","$7,874.56 ","$1,653.34 ","$11,363.00 ","$6,374.64 ","$1,653.34 ","$2,977.11 ","$11,363.00 ","$3,214.05 ","$3,067.95 ","$1,736.00 ","$9,090.40 ","$5,624.69 ","$3,181.64 ","$10,226.70 ","$4,317.94 ",$535.00 ,"$1,653.34 ","$5,454.24 "
ST. MARY'S HOSPITAL - DECATUR,32000093,62290,HC INJ DISKOGRAM LUMBAR EA LEVEL,320,1 ,"$2,088.00 ","$1,503.36 ",$336.34 ,"$2,088.00 ", N/A ,"$1,106.64 ","$1,148.40 ", N/A ,$584.64 ,"$1,092.02 ", N/A ,"$1,148.40 ", N/A ,"$1,033.56 ",$336.34 , N/A ,"$1,033.56 ", N/A ,"$1,461.60 ","$1,305.00 ","$1,670.40 ", N/A , N/A ,"$1,461.60 ", N/A ,"$1,252.80 ", N/A ,"$1,566.00 ","$1,152.58 ","$1,039.82 ","$1,152.58 ", N/A ,"$1,152.58 ","$1,524.24 ","$2,088.00 ","$1,524.24 ","$1,774.80 ", N/A ,"$1,446.98 ", N/A ,"$2,088.00 ","$1,171.37 ", N/A ,$547.06 ,"$2,088.00 ",$438.20 ,$418.28 , N/A ,"$1,670.40 ","$1,033.56 ",$584.64 ,"$1,879.20 ",$793.44 ,$535.00 , N/A ,"$1,002.24 "
ST. MARY'S HOSPITAL - DECATUR,32000094,62291,HC INJ DISKOGRAM CERVICAL EA LVL,320,1 ,"$1,805.00 ","$1,299.60 ",$325.18 ,"$1,805.00 ", N/A ,$956.65 ,$992.75 , N/A ,$505.40 ,$944.02 , N/A ,$992.75 , N/A ,$893.48 ,$325.18 , N/A ,$893.48 , N/A ,"$1,263.50 ","$1,128.13 ","$1,444.00 ", N/A , N/A ,"$1,263.50 ", N/A ,"$1,083.00 ", N/A ,"$1,353.75 ",$996.36 ,$898.89 ,$996.36 , N/A ,$996.36 ,"$1,317.65 ","$1,805.00 ","$1,317.65 ","$1,534.25 ", N/A ,"$1,250.87 ", N/A ,"$1,805.00 ","$1,012.61 ", N/A ,$472.91 ,"$1,805.00 ",$438.20 ,$418.28 , N/A ,"$1,444.00 ",$893.48 ,$505.40 ,"$1,624.50 ",$685.90 ,$535.00 , N/A ,$866.40 
ST. MARY'S HOSPITAL - DECATUR,32000097,62350,HC IMPLANT/REVISE SPINAL CATHETER,320,1 ,"$11,463.00 ","$8,253.36 ",$535.00 ,"$14,497.58 ","$14,497.58 ","$6,075.39 ","$6,304.65 ","$5,683.05 ","$3,209.64 ","$5,995.15 ","$5,683.05 ","$6,304.65 ","$5,683.05 ","$5,674.19 ",$808.53 ,"$5,683.05 ","$5,674.19 ","$11,463.00 ","$8,024.10 ","$7,164.38 ","$9,170.40 ","$14,497.58 ","$5,683.05 ","$8,024.10 ","$5,683.05 ","$6,877.80 ","$5,796.71 ","$8,597.25 ","$6,327.58 ","$5,708.57 ","$6,327.58 ","$5,683.05 ","$6,327.58 ","$8,367.99 ","$11,463.00 ","$8,367.99 ","$9,743.55 ","$11,463.00 ","$7,943.86 ","$5,683.05 ","$11,463.00 ","$6,430.74 ","$5,683.05 ","$3,003.31 ","$11,463.00 ","$3,861.34 ","$3,685.83 ","$5,967.20 ","$9,170.40 ","$5,674.19 ","$3,209.64 ","$10,316.70 ","$4,355.94 ",$535.00 ,"$5,683.05 ","$5,502.24 "
ST. MARY'S HOSPITAL - DECATUR,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$388.00 ,$279.36 ,$30.34 ,$388.00 ,$203.85 ,$43.52 ,$213.40 ,$79.91 ,$108.64 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$192.06 ,$43.39 ,$79.91 ,$192.06 ,$164.72 ,$271.60 ,$56.25 ,$310.40 ,$203.86 ,$79.91 ,$271.60 ,$79.91 ,$232.80 ,$81.51 ,$291.00 ,$214.18 ,$193.22 ,$214.18 ,$79.91 ,$214.18 ,$30.34 ,$388.00 ,$30.34 ,$329.80 ,$203.86 ,$268.88 ,$79.91 ,$388.00 ,$217.67 ,$79.91 ,$101.66 ,$388.00 ,$40.27 ,$38.44 ,$83.91 ,$310.40 ,$192.06 ,$108.64 ,$349.20 ,$147.44 ,$388.00 ,$79.91 ,$186.24 
ST. MARY'S HOSPITAL - DECATUR,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$695.00 ,$500.40 ,$38.44 ,$695.00 ,$250.78 ,$58.82 ,$382.25 ,$98.30 ,$194.60 ,$206.91 ,$98.30 ,$217.80 ,$98.30 ,$344.03 ,$56.56 ,$98.30 ,$344.03 ,$202.63 ,$486.50 ,$75.98 ,$556.00 ,$250.78 ,$98.30 ,$486.50 ,$98.30 ,$417.00 ,$100.27 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$98.30 ,$383.64 ,$39.57 ,$695.00 ,$39.57 ,$590.75 ,$250.78 ,$481.64 ,$98.30 ,$695.00 ,$389.90 ,$98.30 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$103.22 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$98.30 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000101,70130,HC MASTOIDS MN 3VW PER SIDE,320,1 ,$332.00 ,$239.04 ,$38.44 ,$332.00 ,$250.78 ,$86.22 ,$182.60 ,$98.30 ,$92.96 ,$173.64 ,$98.30 ,$182.60 ,$98.30 ,$164.34 ,$82.16 ,$98.30 ,$164.34 ,$202.63 ,$232.40 ,$109.90 ,$265.60 ,$250.78 ,$98.30 ,$232.40 ,$98.30 ,$199.20 ,$100.27 ,$249.00 ,$183.26 ,$165.34 ,$183.26 ,$98.30 ,$183.26 ,$57.47 ,$332.00 ,$57.47 ,$282.20 ,$250.78 ,$230.08 ,$98.30 ,$332.00 ,$186.25 ,$98.30 ,$86.98 ,$332.00 ,$40.27 ,$38.44 ,$103.22 ,$265.60 ,$164.34 ,$92.96 ,$298.80 ,$126.16 ,$332.00 ,$98.30 ,$159.36 
ST. MARY'S HOSPITAL - DECATUR,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$630.00 ,$453.60 ,$29.32 ,$630.00 ,$203.85 ,$41.60 ,$346.50 ,$79.91 ,$176.40 ,$157.95 ,$79.91 ,$166.26 ,$79.91 ,$311.85 ,$41.93 ,$79.91 ,$311.85 ,$164.72 ,$441.00 ,$53.10 ,$504.00 ,$203.86 ,$79.91 ,$441.00 ,$79.91 ,$378.00 ,$81.51 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$79.91 ,$347.76 ,$29.32 ,$630.00 ,$29.32 ,$535.50 ,$203.86 ,$436.59 ,$79.91 ,$630.00 ,$353.43 ,$79.91 ,$165.06 ,$630.00 ,$40.27 ,$38.44 ,$83.91 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$535.00 ,$79.91 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$980.00 ,$705.60 ,$38.44 ,$980.00 ,$250.78 ,$64.55 ,$539.00 ,$98.30 ,$274.40 ,$229.94 ,$98.30 ,$242.04 ,$98.30 ,$485.10 ,$62.41 ,$98.30 ,$485.10 ,$202.63 ,$686.00 ,$83.08 ,$784.00 ,$250.78 ,$98.30 ,$686.00 ,$98.30 ,$588.00 ,$100.27 ,$735.00 ,$540.96 ,$488.04 ,$540.96 ,$98.30 ,$540.96 ,$43.66 ,$980.00 ,$43.66 ,$833.00 ,$250.78 ,$679.14 ,$98.30 ,$980.00 ,$549.78 ,$98.30 ,$256.76 ,$980.00 ,$40.27 ,$38.44 ,$103.22 ,$784.00 ,$485.10 ,$274.40 ,$882.00 ,$372.40 ,$535.00 ,$98.30 ,$470.40 
ST. MARY'S HOSPITAL - DECATUR,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$693.00 ,$498.96 ,$37.01 ,$693.00 ,$203.85 ,$54.99 ,$381.15 ,$79.91 ,$194.04 ,$198.25 ,$79.91 ,$208.68 ,$79.91 ,$343.04 ,$52.90 ,$79.91 ,$343.04 ,$164.72 ,$485.10 ,$70.45 ,$554.40 ,$203.86 ,$79.91 ,$485.10 ,$79.91 ,$415.80 ,$81.51 ,$519.75 ,$382.54 ,$345.11 ,$382.54 ,$79.91 ,$382.54 ,$37.01 ,$693.00 ,$37.01 ,$589.05 ,$203.86 ,$480.25 ,$79.91 ,$693.00 ,$388.77 ,$79.91 ,$181.57 ,$693.00 ,$40.27 ,$38.44 ,$83.91 ,$554.40 ,$343.04 ,$194.04 ,$623.70 ,$263.34 ,$535.00 ,$79.91 ,$332.64 
ST. MARY'S HOSPITAL - DECATUR,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$799.00 ,$575.28 ,$38.44 ,$799.00 ,$250.78 ,$64.55 ,$439.45 ,$98.30 ,$223.72 ,$229.94 ,$98.30 ,$242.04 ,$98.30 ,$395.51 ,$61.68 ,$98.30 ,$395.51 ,$202.63 ,$559.30 ,$83.08 ,$639.20 ,$250.78 ,$98.30 ,$559.30 ,$98.30 ,$479.40 ,$100.27 ,$599.25 ,$441.05 ,$397.90 ,$441.05 ,$98.30 ,$441.05 ,$43.14 ,$799.00 ,$43.14 ,$679.15 ,$250.78 ,$553.71 ,$98.30 ,$799.00 ,$448.24 ,$98.30 ,$209.34 ,$799.00 ,$40.27 ,$38.44 ,$103.22 ,$639.20 ,$395.51 ,$223.72 ,$719.10 ,$303.62 ,$535.00 ,$98.30 ,$383.52 
ST. MARY'S HOSPITAL - DECATUR,32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$612.00 ,$440.64 ,$32.91 ,$612.00 ,$203.85 ,$44.17 ,$336.60 ,$79.91 ,$171.36 ,$172.37 ,$79.91 ,$181.44 ,$79.91 ,$302.94 ,$47.05 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$57.05 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$32.91 ,$612.00 ,$32.91 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$936.00 ,$673.92 ,$38.03 ,$936.00 ,$203.85 ,$50.54 ,$514.80 ,$79.91 ,$262.08 ,$204.00 ,$79.91 ,$214.74 ,$79.91 ,$463.32 ,$54.36 ,$79.91 ,$463.32 ,$164.72 ,$655.20 ,$64.93 ,$748.80 ,$203.86 ,$79.91 ,$655.20 ,$79.91 ,$561.60 ,$81.51 ,$702.00 ,$516.67 ,$466.13 ,$516.67 ,$79.91 ,$516.67 ,$38.03 ,$936.00 ,$38.03 ,$795.60 ,$203.86 ,$648.65 ,$79.91 ,$936.00 ,$525.10 ,$79.91 ,$245.23 ,$936.00 ,$40.27 ,$38.44 ,$83.91 ,$748.80 ,$463.32 ,$262.08 ,$842.40 ,$355.68 ,$535.00 ,$79.91 ,$449.28 
ST. MARY'S HOSPITAL - DECATUR,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$695.00 ,$500.40 ,$36.49 ,$695.00 ,$250.78 ,$49.91 ,$382.25 ,$98.30 ,$194.60 ,$195.40 ,$98.30 ,$205.68 ,$98.30 ,$344.03 ,$52.17 ,$98.30 ,$344.03 ,$202.63 ,$486.50 ,$64.15 ,$556.00 ,$250.78 ,$98.30 ,$486.50 ,$98.30 ,$417.00 ,$100.27 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$98.30 ,$383.64 ,$36.49 ,$695.00 ,$36.49 ,$590.75 ,$250.78 ,$481.64 ,$98.30 ,$695.00 ,$389.90 ,$98.30 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$103.22 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$98.30 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000111,70250,HC SKULL LESS THAN 4 VIEWS OR,320,1 ,$695.00 ,$500.40 ,$36.49 ,$695.00 ,$250.78 ,$49.91 ,$382.25 ,$98.30 ,$194.60 ,$195.40 ,$98.30 ,$205.68 ,$98.30 ,$344.03 ,$52.17 ,$98.30 ,$344.03 ,$202.63 ,$486.50 ,$64.15 ,$556.00 ,$250.78 ,$98.30 ,$486.50 ,$98.30 ,$417.00 ,$100.27 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$98.30 ,$383.64 ,$36.49 ,$695.00 ,$36.49 ,$590.75 ,$250.78 ,$481.64 ,$98.30 ,$695.00 ,$389.90 ,$98.30 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$103.22 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$98.30 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,"$1,078.00 ",$776.16 ,$38.44 ,"$1,078.00 ",$250.78 ,$58.19 ,$592.90 ,$98.30 ,$301.84 ,$229.94 ,$98.30 ,$242.04 ,$98.30 ,$533.61 ,$61.68 ,$98.30 ,$533.61 ,$202.63 ,$754.60 ,$74.40 ,$862.40 ,$250.78 ,$98.30 ,$754.60 ,$98.30 ,$646.80 ,$100.27 ,$808.50 ,$595.06 ,$536.84 ,$595.06 ,$98.30 ,$595.06 ,$43.14 ,"$1,078.00 ",$43.14 ,$916.30 ,$250.78 ,$747.05 ,$98.30 ,"$1,078.00 ",$604.76 ,$98.30 ,$282.44 ,"$1,078.00 ",$40.27 ,$38.44 ,$103.22 ,$862.40 ,$533.61 ,$301.84 ,$970.20 ,$409.64 ,$535.00 ,$98.30 ,$517.44 
ST. MARY'S HOSPITAL - DECATUR,32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$253.00 ,$182.16 ,$38.44 ,$253.00 ,$203.85 ,$77.94 ,$139.15 ,$79.91 ,$70.84 ,$132.32 ,$79.91 ,$139.15 ,$79.91 ,$125.24 ,$76.31 ,$79.91 ,$125.24 ,$164.72 ,$177.10 ,$99.65 ,$202.40 ,$203.86 ,$79.91 ,$177.10 ,$79.91 ,$151.80 ,$81.51 ,$189.75 ,$139.66 ,$125.99 ,$139.66 ,$79.91 ,$139.66 ,$53.38 ,$253.00 ,$53.38 ,$215.05 ,$203.86 ,$175.33 ,$79.91 ,$253.00 ,$141.93 ,$79.91 ,$66.29 ,$253.00 ,$40.27 ,$38.44 ,$83.91 ,$202.40 ,$125.24 ,$70.84 ,$227.70 ,$96.14 ,$253.00 ,$79.91 ,$121.44 
ST. MARY'S HOSPITAL - DECATUR,32000114,70336,HC MRI TMJ,320,1 ,"$6,316.00 ","$4,547.52 ",$161.49 ,"$6,316.00 ",$547.93 ,$565.97 ,"$3,473.80 ",$214.79 ,"$1,768.48 ","$2,028.97 ",$214.79 ,"$2,135.76 ",$214.79 ,"$3,126.42 ",$495.70 ,$214.79 ,"$3,126.42 ",$442.73 ,"$4,421.20 ","$3,947.50 ","$5,052.80 ",$547.93 ,$214.79 ,"$4,421.20 ",$214.79 ,"$3,789.60 ",$219.09 ,"$4,737.00 ","$3,486.43 ","$3,145.37 ","$3,486.43 ",$214.79 ,"$3,486.43 ",$327.82 ,"$6,316.00 ",$327.82 ,"$5,368.60 ",$547.93 ,"$4,376.99 ",$214.79 ,"$6,316.00 ","$3,543.28 ",$214.79 ,"$1,654.79 ","$6,316.00 ",$169.18 ,$161.49 ,$225.53 ,"$5,052.80 ","$3,126.42 ","$1,768.48 ","$5,684.40 ","$2,400.08 ",$535.00 ,$214.79 ,"$3,031.68 "
ST. MARY'S HOSPITAL - DECATUR,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$403.00 ,$290.16 ,$31.38 ,$403.00 ,$203.85 ,$42.26 ,$221.65 ,$79.91 ,$112.84 ,$163.70 ,$79.91 ,$172.32 ,$79.91 ,$199.49 ,$44.85 ,$79.91 ,$199.49 ,$164.72 ,$282.10 ,$53.88 ,$322.40 ,$203.86 ,$79.91 ,$282.10 ,$79.91 ,$241.80 ,$81.51 ,$302.25 ,$222.46 ,$200.69 ,$222.46 ,$79.91 ,$222.46 ,$31.38 ,$403.00 ,$31.38 ,$342.55 ,$203.86 ,$279.28 ,$79.91 ,$403.00 ,$226.08 ,$79.91 ,$105.59 ,$403.00 ,$40.27 ,$38.44 ,$83.91 ,$322.40 ,$199.49 ,$112.84 ,$362.70 ,$153.14 ,$403.00 ,$79.91 ,$193.44 
ST. MARY'S HOSPITAL - DECATUR,32000121,71045,HC XR CHEST 1V,320,1 ,$515.00 ,$370.80 ,$18.51 ,$515.00 ,$203.85 ,$31.41 ,$283.25 ,$79.91 ,$144.20 ,$88.86 ,$79.91 ,$93.54 ,$79.91 ,$254.93 ,$32.42 ,$79.91 ,$254.93 ,$164.72 ,$360.50 ,$40.48 ,$412.00 ,$203.86 ,$79.91 ,$360.50 ,$79.91 ,$309.00 ,$81.51 ,$386.25 ,$284.28 ,$256.47 ,$284.28 ,$79.91 ,$284.28 ,$22.68 ,$515.00 ,$22.68 ,$437.75 ,$203.86 ,$356.90 ,$79.91 ,$18.51 ,$288.92 ,$79.91 ,$134.93 ,$515.00 ,$40.27 ,$38.44 ,$83.91 ,$412.00 ,$254.93 ,$144.20 ,$463.50 ,$195.70 ,$515.00 ,$79.91 ,$247.20 
ST. MARY'S HOSPITAL - DECATUR,32000127,71046,HC XR CHEST 2V,320,1 ,$600.00 ,$432.00 ,$24.81 ,$600.00 ,$203.85 ,$42.89 ,$330.00 ,$79.91 ,$168.00 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$297.00 ,$42.66 ,$79.91 ,$297.00 ,$164.72 ,$420.00 ,$54.68 ,$480.00 ,$203.86 ,$79.91 ,$420.00 ,$79.91 ,$360.00 ,$81.51 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$79.91 ,$331.20 ,$29.84 ,$600.00 ,$29.84 ,$510.00 ,$203.86 ,$415.80 ,$79.91 ,$24.81 ,$336.60 ,$79.91 ,$157.20 ,$600.00 ,$40.27 ,$38.44 ,$83.91 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$535.00 ,$79.91 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$521.00 ,$375.12 ,$37.01 ,$521.00 ,$203.85 ,$54.36 ,$286.55 ,$79.91 ,$145.88 ,$204.00 ,$79.91 ,$214.74 ,$79.91 ,$257.90 ,$52.90 ,$79.91 ,$257.90 ,$164.72 ,$364.70 ,$69.68 ,$416.80 ,$203.86 ,$79.91 ,$364.70 ,$79.91 ,$312.60 ,$81.51 ,$390.75 ,$287.59 ,$259.46 ,$287.59 ,$79.91 ,$287.59 ,$37.01 ,$521.00 ,$37.01 ,$442.85 ,$203.86 ,$361.05 ,$79.91 ,$521.00 ,$292.28 ,$79.91 ,$136.50 ,$521.00 ,$40.27 ,$38.44 ,$83.91 ,$416.80 ,$257.90 ,$145.88 ,$468.90 ,$197.98 ,$521.00 ,$79.91 ,$250.08 
ST. MARY'S HOSPITAL - DECATUR,32000131,71048,HC XR CHEST PA/LAT W/OBLIQUES,320,1 ,$730.00 ,$525.60 ,$38.44 ,$730.00 ,$250.78 ,$56.27 ,$401.50 ,$98.30 ,$204.40 ,$209.76 ,$98.30 ,$220.80 ,$98.30 ,$361.35 ,$55.09 ,$98.30 ,$361.35 ,$202.63 ,$511.00 ,$74.40 ,$584.00 ,$250.78 ,$98.30 ,$511.00 ,$98.30 ,$438.00 ,$100.27 ,$547.50 ,$402.96 ,$363.54 ,$402.96 ,$98.30 ,$402.96 ,$38.53 ,$730.00 ,$38.53 ,$620.50 ,$250.78 ,$505.89 ,$98.30 ,$730.00 ,$409.53 ,$98.30 ,$191.26 ,$730.00 ,$40.27 ,$38.44 ,$103.22 ,$584.00 ,$361.35 ,$204.40 ,$657.00 ,$277.40 ,$535.00 ,$98.30 ,$350.40 
ST. MARY'S HOSPITAL - DECATUR,32000133,71048,HC XR CHEST 4+V,320,1 ,$730.00 ,$525.60 ,$38.44 ,$730.00 ,$250.78 ,$56.27 ,$401.50 ,$98.30 ,$204.40 ,$209.76 ,$98.30 ,$220.80 ,$98.30 ,$361.35 ,$55.09 ,$98.30 ,$361.35 ,$202.63 ,$511.00 ,$74.40 ,$584.00 ,$250.78 ,$98.30 ,$511.00 ,$98.30 ,$438.00 ,$100.27 ,$547.50 ,$402.96 ,$363.54 ,$402.96 ,$98.30 ,$402.96 ,$38.53 ,$730.00 ,$38.53 ,$620.50 ,$250.78 ,$505.89 ,$98.30 ,$730.00 ,$409.53 ,$98.30 ,$191.26 ,$730.00 ,$40.27 ,$38.44 ,$103.22 ,$584.00 ,$361.35 ,$204.40 ,$657.00 ,$277.40 ,$535.00 ,$98.30 ,$350.40 
ST. MARY'S HOSPITAL - DECATUR,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$600.00 ,$432.00 ,$24.81 ,$600.00 ,$203.85 ,$42.89 ,$330.00 ,$79.91 ,$168.00 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$297.00 ,$42.66 ,$79.91 ,$297.00 ,$164.72 ,$420.00 ,$54.68 ,$480.00 ,$203.86 ,$79.91 ,$420.00 ,$79.91 ,$360.00 ,$81.51 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$79.91 ,$331.20 ,$29.84 ,$600.00 ,$29.84 ,$510.00 ,$203.86 ,$415.80 ,$79.91 ,$24.81 ,$336.60 ,$79.91 ,$157.20 ,$600.00 ,$40.27 ,$38.44 ,$83.91 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$535.00 ,$79.91 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$774.00 ,$557.28 ,$33.42 ,$774.00 ,$203.85 ,$47.99 ,$425.70 ,$79.91 ,$216.72 ,$180.98 ,$79.91 ,$190.50 ,$79.91 ,$383.13 ,$47.78 ,$79.91 ,$383.13 ,$164.72 ,$541.80 ,$61.78 ,$619.20 ,$203.86 ,$79.91 ,$541.80 ,$79.91 ,$464.40 ,$81.51 ,$580.50 ,$427.25 ,$385.45 ,$427.25 ,$79.91 ,$427.25 ,$33.42 ,$774.00 ,$33.42 ,$657.90 ,$203.86 ,$536.38 ,$79.91 ,$774.00 ,$434.21 ,$79.91 ,$202.79 ,$774.00 ,$40.27 ,$38.44 ,$83.91 ,$619.20 ,$383.13 ,$216.72 ,$696.60 ,$294.12 ,$535.00 ,$79.91 ,$371.52 
ST. MARY'S HOSPITAL - DECATUR,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$676.00 ,$486.72 ,$37.01 ,$676.00 ,$250.78 ,$54.36 ,$371.80 ,$98.30 ,$189.28 ,$201.15 ,$98.30 ,$211.74 ,$98.30 ,$334.62 ,$52.90 ,$98.30 ,$334.62 ,$202.63 ,$473.20 ,$69.68 ,$540.80 ,$250.78 ,$98.30 ,$473.20 ,$98.30 ,$405.60 ,$100.27 ,$507.00 ,$373.15 ,$336.65 ,$373.15 ,$98.30 ,$373.15 ,$37.01 ,$676.00 ,$37.01 ,$574.60 ,$250.78 ,$468.47 ,$98.30 ,$676.00 ,$379.24 ,$98.30 ,$177.11 ,$676.00 ,$40.27 ,$38.44 ,$103.22 ,$540.80 ,$334.62 ,$189.28 ,$608.40 ,$256.88 ,$535.00 ,$98.30 ,$324.48 
ST. MARY'S HOSPITAL - DECATUR,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$957.00 ,$689.04 ,$38.03 ,$957.00 ,$250.78 ,$55.62 ,$526.35 ,$98.30 ,$267.96 ,$206.91 ,$98.30 ,$217.80 ,$98.30 ,$473.72 ,$54.36 ,$98.30 ,$473.72 ,$202.63 ,$669.90 ,$71.25 ,$765.60 ,$250.78 ,$98.30 ,$669.90 ,$98.30 ,$574.20 ,$100.27 ,$717.75 ,$528.26 ,$476.59 ,$528.26 ,$98.30 ,$528.26 ,$38.03 ,$957.00 ,$38.03 ,$813.45 ,$250.78 ,$663.20 ,$98.30 ,$957.00 ,$536.88 ,$98.30 ,$250.73 ,$957.00 ,$40.27 ,$38.44 ,$103.22 ,$765.60 ,$473.72 ,$267.96 ,$861.30 ,$363.66 ,$535.00 ,$98.30 ,$459.36 
ST. MARY'S HOSPITAL - DECATUR,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$818.00 ,$588.96 ,$38.44 ,$818.00 ,$250.78 ,$69.01 ,$449.90 ,$98.30 ,$229.04 ,$250.06 ,$98.30 ,$263.22 ,$98.30 ,$404.91 ,$66.80 ,$98.30 ,$404.91 ,$202.63 ,$572.60 ,$88.60 ,$654.40 ,$250.78 ,$98.30 ,$572.60 ,$98.30 ,$490.80 ,$100.27 ,$613.50 ,$451.54 ,$407.36 ,$451.54 ,$98.30 ,$451.54 ,$46.72 ,$818.00 ,$46.72 ,$695.30 ,$250.78 ,$566.87 ,$98.30 ,$818.00 ,$458.90 ,$98.30 ,$214.32 ,$818.00 ,$40.27 ,$38.44 ,$103.22 ,$654.40 ,$404.91 ,$229.04 ,$736.20 ,$310.84 ,$535.00 ,$98.30 ,$392.64 
ST. MARY'S HOSPITAL - DECATUR,32000141,71120,HC XR STERNUM 2+V,320,1 ,$730.00 ,$525.60 ,$30.34 ,$730.00 ,$203.85 ,$44.80 ,$401.50 ,$79.91 ,$204.40 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$361.35 ,$43.39 ,$79.91 ,$361.35 ,$164.72 ,$511.00 ,$57.83 ,$584.00 ,$203.86 ,$79.91 ,$511.00 ,$79.91 ,$438.00 ,$81.51 ,$547.50 ,$402.96 ,$363.54 ,$402.96 ,$79.91 ,$402.96 ,$30.34 ,$730.00 ,$30.34 ,$620.50 ,$203.86 ,$505.89 ,$79.91 ,$730.00 ,$409.53 ,$79.91 ,$191.26 ,$730.00 ,$40.27 ,$38.44 ,$83.91 ,$584.00 ,$361.35 ,$204.40 ,$657.00 ,$277.40 ,$535.00 ,$79.91 ,$350.40 
ST. MARY'S HOSPITAL - DECATUR,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$612.00 ,$440.64 ,$38.03 ,$612.00 ,$203.85 ,$57.53 ,$336.60 ,$79.91 ,$171.36 ,$204.00 ,$79.91 ,$214.74 ,$79.91 ,$302.94 ,$54.36 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$73.63 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$38.03 ,$612.00 ,$38.03 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$3,634.00 ","$2,616.48 ",$95.90 ,"$3,634.00 ",$250.78 ,$750.00 ,"$1,998.70 ",$98.30 ,"$1,017.52 ","$1,078.84 ",$98.30 ,"$1,135.62 ",$98.30 ,"$1,798.83 ",$205.79 ,$98.30 ,"$1,798.83 ",$202.63 ,"$2,543.80 ",$900.00 ,"$2,907.20 ",$250.78 ,$98.30 ,"$2,543.80 ",$98.30 ,"$2,180.40 ",$100.27 ,"$2,725.50 ","$2,005.97 ","$1,809.73 ","$2,005.97 ",$98.30 ,"$2,005.97 ",$143.95 ,"$3,634.00 ",$143.95 ,"$3,088.90 ",$250.78 ,"$2,518.36 ",$98.30 ,"$3,634.00 ","$2,038.67 ",$98.30 ,$952.11 ,"$3,634.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,907.20 ","$1,798.83 ","$1,017.52 ","$3,270.60 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,744.32 "
ST. MARY'S HOSPITAL - DECATUR,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$3,934.00 ","$2,832.48 ",$95.90 ,"$3,934.00 ",$423.15 ,$750.00 ,"$2,163.70 ",$165.87 ,"$1,101.52 ","$1,385.16 ",$165.87 ,"$1,458.06 ",$165.87 ,"$1,947.33 ",$275.28 ,$165.87 ,"$1,947.33 ",$341.90 ,"$2,753.80 ",$900.00 ,"$3,147.20 ",$423.15 ,$165.87 ,"$2,753.80 ",$165.87 ,"$2,360.40 ",$169.20 ,"$2,950.50 ","$2,171.57 ","$1,959.13 ","$2,171.57 ",$165.87 ,"$2,171.57 ",$192.57 ,"$3,934.00 ",$192.57 ,"$3,343.90 ",$423.15 ,"$2,726.26 ",$165.87 ,"$3,934.00 ","$2,206.97 ",$165.87 ,"$1,030.71 ","$3,934.00 ",$100.46 ,$95.90 ,$174.17 ,"$3,147.20 ","$1,947.33 ","$1,101.52 ","$3,540.60 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,888.32 "
ST. MARY'S HOSPITAL - DECATUR,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$4,030.00 ","$2,901.60 ",$95.90 ,"$4,030.00 ",$423.15 ,$750.00 ,"$2,216.50 ",$165.87 ,"$1,128.40 ","$1,352.78 ",$165.87 ,"$1,423.98 ",$165.87 ,"$1,994.85 ",$336.00 ,$165.87 ,"$1,994.85 ",$341.90 ,"$2,821.00 ",$900.00 ,"$3,224.00 ",$423.15 ,$165.87 ,"$2,821.00 ",$165.87 ,"$2,418.00 ",$169.20 ,"$3,022.50 ","$2,224.56 ","$2,006.94 ","$2,224.56 ",$165.87 ,"$2,224.56 ",$235.03 ,"$4,030.00 ",$235.03 ,"$3,425.50 ",$423.15 ,"$2,792.79 ",$165.87 ,"$4,030.00 ","$2,260.83 ",$165.87 ,"$1,055.86 ","$4,030.00 ",$100.46 ,$95.90 ,$174.17 ,"$3,224.00 ","$1,994.85 ","$1,128.40 ","$3,627.00 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,934.40 "
ST. MARY'S HOSPITAL - DECATUR,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$5,083.00 ","$3,659.76 ",$165.87 ,"$5,083.00 ",$423.15 ,$750.00 ,"$2,795.65 ",$165.87 ,"$1,423.24 ","$1,703.62 ",$165.87 ,"$1,793.28 ",$165.87 ,"$2,516.09 ",$432.79 ,$165.87 ,"$2,516.09 ",$341.90 ,"$3,558.10 ",$900.00 ,"$4,066.40 ",$423.15 ,$165.87 ,"$3,558.10 ",$165.87 ,"$3,049.80 ",$169.20 ,"$3,812.25 ","$2,805.82 ","$2,531.33 ","$2,805.82 ",$165.87 ,"$2,805.82 ",$286.88 ,"$5,083.00 ",$286.88 ,"$4,320.55 ",$423.15 ,"$3,522.52 ",$165.87 ,"$5,083.00 ","$2,851.56 ",$165.87 ,"$1,331.75 ","$5,083.00 ",$227.05 ,$216.73 ,$174.17 ,"$4,066.40 ","$2,516.09 ","$1,423.24 ","$4,574.70 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,439.84 "
ST. MARY'S HOSPITAL - DECATUR,32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$4,682.00 ","$3,371.04 ",$214.79 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$2,448.69 ",$214.79 ,"$2,575.10 ",$214.79 ,"$2,317.59 ",$683.70 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$327.14 ,"$4,682.00 ",$327.14 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$344.59 ,$328.92 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$5,047.00 ","$3,633.84 ",$328.92 ,"$5,047.00 ","$1,738.10 ","$1,100.00 ","$2,775.85 ",$681.34 ,"$1,413.16 ","$2,639.58 ",$681.34 ,"$2,775.85 ",$681.34 ,"$2,498.27 ",$744.42 ,$681.34 ,"$2,498.27 ","$1,404.38 ","$3,532.90 ","$1,600.00 ","$4,037.60 ","$1,738.10 ",$681.34 ,"$3,532.90 ",$681.34 ,"$3,028.20 ",$694.96 ,"$3,785.25 ","$2,785.94 ","$2,513.41 ","$2,785.94 ",$681.34 ,"$2,785.94 ",$520.73 ,"$5,047.00 ",$520.73 ,"$4,289.95 ","$1,738.10 ","$3,497.57 ",$681.34 ,"$5,047.00 ","$2,831.37 ",$681.34 ,"$1,322.31 ","$5,047.00 ",$344.59 ,$328.92 ,$715.40 ,"$4,037.60 ","$2,498.27 ","$1,413.16 ","$4,542.30 ",$819.00 ,"$1,445.00 ",$681.34 ,"$2,422.56 "
ST. MARY'S HOSPITAL - DECATUR,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$6,556.00 ","$4,720.32 ",$328.92 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$3,428.79 ",$338.87 ,"$3,605.80 ",$338.87 ,"$3,245.22 ",$932.65 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$548.53 ,"$6,556.00 ",$548.53 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$344.59 ,$328.92 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$620.00 ,$446.40 ,$22.18 ,$620.00 ,$203.85 ,$31.41 ,$341.00 ,$79.91 ,$173.60 ,$120.50 ,$79.91 ,$126.84 ,$79.91 ,$306.90 ,$31.69 ,$79.91 ,$306.90 ,$164.72 ,$434.00 ,$39.68 ,$496.00 ,$203.86 ,$79.91 ,$434.00 ,$79.91 ,$372.00 ,$81.51 ,$465.00 ,$342.24 ,$308.76 ,$342.24 ,$79.91 ,$342.24 ,$22.18 ,$620.00 ,$22.18 ,$527.00 ,$203.86 ,$429.66 ,$79.91 ,$620.00 ,$347.82 ,$79.91 ,$162.44 ,$620.00 ,$40.27 ,$38.44 ,$83.91 ,$496.00 ,$306.90 ,$173.60 ,$558.00 ,$235.60 ,$535.00 ,$79.91 ,$297.60 
ST. MARY'S HOSPITAL - DECATUR,32000156,72020,HC XR C-SPINE 1V,320,1 ,$620.00 ,$446.40 ,$22.18 ,$620.00 ,$203.85 ,$31.41 ,$341.00 ,$79.91 ,$173.60 ,$120.50 ,$79.91 ,$126.84 ,$79.91 ,$306.90 ,$31.69 ,$79.91 ,$306.90 ,$164.72 ,$434.00 ,$39.68 ,$496.00 ,$203.86 ,$79.91 ,$434.00 ,$79.91 ,$372.00 ,$81.51 ,$465.00 ,$342.24 ,$308.76 ,$342.24 ,$79.91 ,$342.24 ,$22.18 ,$620.00 ,$22.18 ,$527.00 ,$203.86 ,$429.66 ,$79.91 ,$620.00 ,$347.82 ,$79.91 ,$162.44 ,$620.00 ,$40.27 ,$38.44 ,$83.91 ,$496.00 ,$306.90 ,$173.60 ,$558.00 ,$235.60 ,$535.00 ,$79.91 ,$297.60 
ST. MARY'S HOSPITAL - DECATUR,32000161,72020,HC XR L-SPINE 1V,320,1 ,$620.00 ,$446.40 ,$22.18 ,$620.00 ,$203.85 ,$31.41 ,$341.00 ,$79.91 ,$173.60 ,$120.50 ,$79.91 ,$126.84 ,$79.91 ,$306.90 ,$31.69 ,$79.91 ,$306.90 ,$164.72 ,$434.00 ,$39.68 ,$496.00 ,$203.86 ,$79.91 ,$434.00 ,$79.91 ,$372.00 ,$81.51 ,$465.00 ,$342.24 ,$308.76 ,$342.24 ,$79.91 ,$342.24 ,$22.18 ,$620.00 ,$22.18 ,$527.00 ,$203.86 ,$429.66 ,$79.91 ,$620.00 ,$347.82 ,$79.91 ,$162.44 ,$620.00 ,$40.27 ,$38.44 ,$83.91 ,$496.00 ,$306.90 ,$173.60 ,$558.00 ,$235.60 ,$535.00 ,$79.91 ,$297.60 
ST. MARY'S HOSPITAL - DECATUR,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$717.00 ,$516.24 ,$36.49 ,$717.00 ,$203.85 ,$53.08 ,$394.35 ,$79.91 ,$200.76 ,$180.98 ,$79.91 ,$190.50 ,$79.91 ,$354.92 ,$52.17 ,$79.91 ,$354.92 ,$164.72 ,$501.90 ,$68.10 ,$573.60 ,$203.86 ,$79.91 ,$501.90 ,$79.91 ,$430.20 ,$81.51 ,$537.75 ,$395.78 ,$357.07 ,$395.78 ,$79.91 ,$395.78 ,$36.49 ,$717.00 ,$36.49 ,$609.45 ,$203.86 ,$496.88 ,$79.91 ,$717.00 ,$402.24 ,$79.91 ,$187.85 ,$717.00 ,$40.27 ,$38.44 ,$83.91 ,$573.60 ,$354.92 ,$200.76 ,$645.30 ,$272.46 ,$535.00 ,$79.91 ,$344.16 
ST. MARY'S HOSPITAL - DECATUR,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,"$1,176.00 ",$846.72 ,$38.44 ,"$1,176.00 ",$250.78 ,$73.46 ,$646.80 ,$98.30 ,$329.28 ,$305.81 ,$98.30 ,$321.90 ,$98.30 ,$582.12 ,$71.19 ,$98.30 ,$582.12 ,$202.63 ,$823.20 ,$94.93 ,$940.80 ,$250.78 ,$98.30 ,$823.20 ,$98.30 ,$705.60 ,$100.27 ,$882.00 ,$649.15 ,$585.65 ,$649.15 ,$98.30 ,$649.15 ,$49.80 ,"$1,176.00 ",$49.80 ,$999.60 ,$250.78 ,$814.97 ,$98.30 ,"$1,176.00 ",$659.74 ,$98.30 ,$308.11 ,"$1,176.00 ",$40.27 ,$38.44 ,$103.22 ,$940.80 ,$582.12 ,$329.28 ,"$1,058.40 ",$446.88 ,$535.00 ,$98.30 ,$564.48 
ST. MARY'S HOSPITAL - DECATUR,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,"$1,268.00 ",$912.96 ,$38.44 ,"$1,268.00 ",$250.78 ,$88.76 ,$697.40 ,$98.30 ,$355.04 ,$307.69 ,$98.30 ,$323.88 ,$98.30 ,$627.66 ,$85.82 ,$98.30 ,$627.66 ,$202.63 ,$887.60 ,$113.08 ,"$1,014.40 ",$250.78 ,$98.30 ,$887.60 ,$98.30 ,$760.80 ,$100.27 ,$951.00 ,$699.94 ,$631.46 ,$699.94 ,$98.30 ,$699.94 ,$60.03 ,"$1,268.00 ",$60.03 ,"$1,077.80 ",$250.78 ,$878.72 ,$98.30 ,"$1,268.00 ",$711.35 ,$98.30 ,$332.22 ,"$1,268.00 ",$40.27 ,$38.44 ,$103.22 ,"$1,014.40 ",$627.66 ,$355.04 ,"$1,141.20 ",$481.84 ,$535.00 ,$98.30 ,$608.64 
ST. MARY'S HOSPITAL - DECATUR,32000172,72070,HC XR T-SPINE 2V,320,1 ,$695.00 ,$500.40 ,$32.91 ,$695.00 ,$250.78 ,$42.26 ,$382.25 ,$98.30 ,$194.60 ,$186.73 ,$98.30 ,$196.56 ,$98.30 ,$344.03 ,$47.05 ,$98.30 ,$344.03 ,$202.63 ,$486.50 ,$54.68 ,$556.00 ,$250.78 ,$98.30 ,$486.50 ,$98.30 ,$417.00 ,$100.27 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$98.30 ,$383.64 ,$32.91 ,$695.00 ,$32.91 ,$590.75 ,$250.78 ,$481.64 ,$98.30 ,$695.00 ,$389.90 ,$98.30 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$103.22 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$98.30 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000174,72072,HC XR T-SPINE 3V,320,1 ,$894.00 ,$643.68 ,$36.49 ,$894.00 ,$250.78 ,$52.45 ,$491.70 ,$98.30 ,$250.32 ,$195.40 ,$98.30 ,$205.68 ,$98.30 ,$442.53 ,$52.17 ,$98.30 ,$442.53 ,$202.63 ,$625.80 ,$67.30 ,$715.20 ,$250.78 ,$98.30 ,$625.80 ,$98.30 ,$536.40 ,$100.27 ,$670.50 ,$493.49 ,$445.21 ,$493.49 ,$98.30 ,$493.49 ,$36.49 ,$894.00 ,$36.49 ,$759.90 ,$250.78 ,$619.54 ,$98.30 ,$894.00 ,$501.53 ,$98.30 ,$234.23 ,$894.00 ,$40.27 ,$38.44 ,$103.22 ,$715.20 ,$442.53 ,$250.32 ,$804.60 ,$339.72 ,$535.00 ,$98.30 ,$429.12 
ST. MARY'S HOSPITAL - DECATUR,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$736.00 ,$529.92 ,$36.49 ,$736.00 ,$250.78 ,$53.71 ,$404.80 ,$98.30 ,$206.08 ,$195.40 ,$98.30 ,$205.68 ,$98.30 ,$364.32 ,$52.17 ,$98.30 ,$364.32 ,$202.63 ,$515.20 ,$68.88 ,$588.80 ,$250.78 ,$98.30 ,$515.20 ,$98.30 ,$441.60 ,$100.27 ,$552.00 ,$406.27 ,$366.53 ,$406.27 ,$98.30 ,$406.27 ,$36.49 ,$736.00 ,$36.49 ,$625.60 ,$250.78 ,$510.05 ,$98.30 ,$736.00 ,$412.90 ,$98.30 ,$192.83 ,$736.00 ,$40.27 ,$38.44 ,$103.22 ,$588.80 ,$364.32 ,$206.08 ,$662.40 ,$279.68 ,$535.00 ,$98.30 ,$353.28 
ST. MARY'S HOSPITAL - DECATUR,32000181,72110,HC XR L-SPINE 4+V,320,1 ,"$1,221.00 ",$879.12 ,$38.44 ,"$1,221.00 ",$250.78 ,$70.92 ,$671.55 ,$98.30 ,$341.88 ,$342.29 ,$98.30 ,$360.30 ,$98.30 ,$604.40 ,$72.65 ,$98.30 ,$604.40 ,$202.63 ,$854.70 ,$91.75 ,$976.80 ,$250.78 ,$98.30 ,$854.70 ,$98.30 ,$732.60 ,$100.27 ,$915.75 ,$673.99 ,$608.06 ,$673.99 ,$98.30 ,$673.99 ,$50.82 ,"$1,221.00 ",$50.82 ,"$1,037.85 ",$250.78 ,$846.15 ,$98.30 ,"$1,221.00 ",$684.98 ,$98.30 ,$319.90 ,"$1,221.00 ",$40.27 ,$38.44 ,$103.22 ,$976.80 ,$604.40 ,$341.88 ,"$1,098.90 ",$463.98 ,$535.00 ,$98.30 ,$586.08 
ST. MARY'S HOSPITAL - DECATUR,32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,"$1,063.00 ",$765.36 ,$38.44 ,"$1,063.00 ",$250.78 ,$55.62 ,$584.65 ,$98.30 ,$297.64 ,$241.45 ,$98.30 ,$254.16 ,$98.30 ,$526.19 ,$65.34 ,$98.30 ,$526.19 ,$202.63 ,$744.10 ,$71.25 ,$850.40 ,$250.78 ,$98.30 ,$744.10 ,$98.30 ,$637.80 ,$100.27 ,$797.25 ,$586.78 ,$529.37 ,$586.78 ,$98.30 ,$586.78 ,$45.70 ,"$1,063.00 ",$45.70 ,$903.55 ,$250.78 ,$736.66 ,$98.30 ,"$1,063.00 ",$596.34 ,$98.30 ,$278.51 ,"$1,063.00 ",$40.27 ,$38.44 ,$103.22 ,$850.40 ,$526.19 ,$297.64 ,$956.70 ,$403.94 ,$535.00 ,$98.30 ,$510.24 
ST. MARY'S HOSPITAL - DECATUR,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,278.00 ",$920.16 ,$38.44 ,"$1,278.00 ",$250.78 ,$88.13 ,$702.90 ,$98.30 ,$357.84 ,$368.11 ,$98.30 ,$387.48 ,$98.30 ,$632.61 ,$85.82 ,$98.30 ,$632.61 ,$202.63 ,$894.60 ,$112.28 ,"$1,022.40 ",$250.78 ,$98.30 ,$894.60 ,$98.30 ,$766.80 ,$100.27 ,$958.50 ,$705.46 ,$636.44 ,$705.46 ,$98.30 ,$705.46 ,$60.03 ,"$1,278.00 ",$60.03 ,"$1,086.30 ",$250.78 ,$885.65 ,$98.30 ,"$1,278.00 ",$716.96 ,$98.30 ,$334.84 ,"$1,278.00 ",$40.27 ,$38.44 ,$103.22 ,"$1,022.40 ",$632.61 ,$357.84 ,"$1,150.20 ",$485.64 ,$535.00 ,$98.30 ,$613.44 
ST. MARY'S HOSPITAL - DECATUR,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$741.00 ,$533.52 ,$34.97 ,$741.00 ,$250.78 ,$35.87 ,$407.55 ,$98.30 ,$207.48 ,$189.64 ,$98.30 ,$199.62 ,$98.30 ,$366.80 ,$49.97 ,$98.30 ,$366.80 ,$202.63 ,$518.70 ,$46.00 ,$592.80 ,$250.78 ,$98.30 ,$518.70 ,$98.30 ,$444.60 ,$100.27 ,$555.75 ,$409.03 ,$369.02 ,$409.03 ,$98.30 ,$409.03 ,$34.97 ,$741.00 ,$34.97 ,$629.85 ,$250.78 ,$513.51 ,$98.30 ,$741.00 ,$415.70 ,$98.30 ,$194.14 ,$741.00 ,$40.27 ,$38.44 ,$103.22 ,$592.80 ,$366.80 ,$207.48 ,$666.90 ,$281.58 ,$535.00 ,$98.30 ,$355.68 
ST. MARY'S HOSPITAL - DECATUR,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$770.00 ,$554.40 ,$38.44 ,$770.00 ,$250.78 ,$54.99 ,$423.50 ,$98.30 ,$215.60 ,$221.27 ,$98.30 ,$232.92 ,$98.30 ,$381.15 ,$59.48 ,$98.30 ,$381.15 ,$202.63 ,$539.00 ,$71.25 ,$616.00 ,$250.78 ,$98.30 ,$539.00 ,$98.30 ,$462.00 ,$100.27 ,$577.50 ,$425.04 ,$383.46 ,$425.04 ,$98.30 ,$425.04 ,$41.61 ,$770.00 ,$41.61 ,$654.50 ,$250.78 ,$533.61 ,$98.30 ,$770.00 ,$431.97 ,$98.30 ,$201.74 ,$770.00 ,$40.27 ,$38.44 ,$103.22 ,$616.00 ,$381.15 ,$215.60 ,$693.00 ,$292.60 ,$535.00 ,$98.30 ,$369.60 
ST. MARY'S HOSPITAL - DECATUR,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$741.00 ,$533.52 ,$36.49 ,$741.00 ,$250.78 ,$52.45 ,$407.55 ,$98.30 ,$207.48 ,$192.49 ,$98.30 ,$202.62 ,$98.30 ,$366.80 ,$52.17 ,$98.30 ,$366.80 ,$202.63 ,$518.70 ,$67.30 ,$592.80 ,$250.78 ,$98.30 ,$518.70 ,$98.30 ,$444.60 ,$100.27 ,$555.75 ,$409.03 ,$369.02 ,$409.03 ,$98.30 ,$409.03 ,$36.49 ,$741.00 ,$36.49 ,$629.85 ,$250.78 ,$513.51 ,$98.30 ,$741.00 ,$415.70 ,$98.30 ,$194.14 ,$741.00 ,$40.27 ,$38.44 ,$103.22 ,$592.80 ,$366.80 ,$207.48 ,$666.90 ,$281.58 ,$535.00 ,$98.30 ,$355.68 
ST. MARY'S HOSPITAL - DECATUR,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$738.00 ,$531.36 ,$31.38 ,$738.00 ,$203.85 ,$44.17 ,$405.90 ,$79.91 ,$206.64 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$365.31 ,$44.85 ,$79.91 ,$365.31 ,$164.72 ,$516.60 ,$57.05 ,$590.40 ,$203.86 ,$79.91 ,$516.60 ,$79.91 ,$442.80 ,$81.51 ,$553.50 ,$407.38 ,$367.52 ,$407.38 ,$79.91 ,$407.38 ,$31.38 ,$738.00 ,$31.38 ,$627.30 ,$203.86 ,$511.43 ,$79.91 ,$738.00 ,$414.02 ,$79.91 ,$193.36 ,$738.00 ,$40.27 ,$38.44 ,$83.91 ,$590.40 ,$365.31 ,$206.64 ,$664.20 ,$280.44 ,$535.00 ,$79.91 ,$354.24 
ST. MARY'S HOSPITAL - DECATUR,32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$4,631.00 ","$3,334.32 ",$246.23 ,"$4,631.00 ","$1,738.10 ","$2,454.43 ","$2,547.05 ",$681.34 ,"$1,296.68 ","$1,371.83 ",$681.34 ,"$1,433.25 ",$681.34 ,"$2,292.35 ",$246.23 ,$681.34 ,"$2,292.35 ","$1,404.38 ","$3,241.70 ","$2,894.38 ","$3,704.80 ","$1,738.10 ",$681.34 ,"$3,241.70 ",$681.34 ,"$2,778.60 ",$694.96 ,"$3,473.25 ","$2,556.31 ","$2,306.24 ","$2,556.31 ",$681.34 ,"$2,556.31 ","$3,380.63 ","$4,631.00 ","$3,380.63 ","$3,936.35 ","$1,738.10 ","$3,209.28 ",$681.34 ,"$4,631.00 ","$2,597.99 ",$681.34 ,"$1,213.32 ","$4,631.00 ",$438.20 ,$418.28 ,$715.40 ,"$3,704.80 ","$2,292.35 ","$1,296.68 ","$4,167.90 ","$1,759.78 ",$535.00 ,$681.34 ,"$2,222.88 "
ST. MARY'S HOSPITAL - DECATUR,32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$4,631.00 ","$3,334.32 ",$246.23 ,"$4,631.00 ","$1,738.10 ","$2,454.43 ","$2,547.05 ",$681.34 ,"$1,296.68 ","$1,368.54 ",$681.34 ,"$1,429.82 ",$681.34 ,"$2,292.35 ",$246.23 ,$681.34 ,"$2,292.35 ","$1,404.38 ","$3,241.70 ","$2,894.38 ","$3,704.80 ","$1,738.10 ",$681.34 ,"$3,241.70 ",$681.34 ,"$2,778.60 ",$694.96 ,"$3,473.25 ","$2,556.31 ","$2,306.24 ","$2,556.31 ",$681.34 ,"$2,556.31 ","$3,380.63 ","$4,631.00 ","$3,380.63 ","$3,936.35 ","$1,738.10 ","$3,209.28 ",$681.34 ,"$4,631.00 ","$2,597.99 ",$681.34 ,"$1,213.32 ","$4,631.00 ",$438.20 ,$418.28 ,$715.40 ,"$3,704.80 ","$2,292.35 ","$1,296.68 ","$4,167.90 ","$1,759.78 ",$535.00 ,$681.34 ,"$2,222.88 "
ST. MARY'S HOSPITAL - DECATUR,32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$4,631.00 ","$3,334.32 ",$242.08 ,"$4,631.00 ","$1,738.10 ","$2,454.43 ","$2,547.05 ",$681.34 ,"$1,296.68 ","$1,342.68 ",$681.34 ,"$1,402.80 ",$681.34 ,"$2,292.35 ",$242.08 ,$681.34 ,"$2,292.35 ","$1,404.38 ","$3,241.70 ","$2,894.38 ","$3,704.80 ","$1,738.10 ",$681.34 ,"$3,241.70 ",$681.34 ,"$2,778.60 ",$694.96 ,"$3,473.25 ","$2,556.31 ","$2,306.24 ","$2,556.31 ",$681.34 ,"$2,556.31 ","$3,380.63 ","$4,631.00 ","$3,380.63 ","$3,936.35 ","$1,738.10 ","$3,209.28 ",$681.34 ,"$4,631.00 ","$2,597.99 ",$681.34 ,"$1,213.32 ","$4,631.00 ",$438.20 ,$418.28 ,$715.40 ,"$3,704.80 ","$2,292.35 ","$1,296.68 ","$4,167.90 ","$1,759.78 ",$535.00 ,$681.34 ,"$2,222.88 "
ST. MARY'S HOSPITAL - DECATUR,32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$7,258.00 ","$5,225.76 ",$252.65 ,"$7,258.00 ","$1,738.10 ","$3,846.74 ","$3,991.90 ",$681.34 ,"$2,032.24 ","$1,401.24 ",$681.34 ,"$1,463.98 ",$681.34 ,"$3,592.71 ",$252.65 ,$681.34 ,"$3,592.71 ","$1,404.38 ","$5,080.60 ","$4,536.25 ","$5,806.40 ","$1,738.10 ",$681.34 ,"$5,080.60 ",$681.34 ,"$4,354.80 ",$694.96 ,"$5,443.50 ","$4,006.42 ","$3,614.48 ","$4,006.42 ",$681.34 ,"$4,006.42 ","$5,298.34 ","$7,258.00 ","$5,298.34 ","$6,169.30 ","$1,738.10 ","$5,029.79 ",$681.34 ,"$7,258.00 ","$4,071.74 ",$681.34 ,"$1,901.60 ","$7,258.00 ",$438.20 ,$418.28 ,$715.40 ,"$5,806.40 ","$3,592.71 ","$2,032.24 ","$6,532.20 ","$2,758.04 ",$535.00 ,$681.34 ,"$3,483.84 "
ST. MARY'S HOSPITAL - DECATUR,32000198,72285,HC XR DISKOGRAM C- OR T-SPINE,320,1 ,"$3,388.00 ","$2,439.36 ",$83.57 ,"$4,217.70 ","$4,217.70 ",$128.90 ,"$1,863.40 ","$1,653.34 ",$948.64 ,$425.73 ,"$1,653.34 ",$448.14 ,"$1,653.34 ","$1,677.06 ",$119.47 ,"$1,653.34 ","$1,677.06 ","$3,388.00 ","$2,371.60 ",$169.08 ,"$2,710.40 ","$4,217.70 ","$1,653.34 ","$2,371.60 ","$1,653.34 ","$2,032.80 ","$1,686.40 ","$2,541.00 ","$1,870.18 ","$1,687.22 ","$1,870.18 ","$1,653.34 ","$1,870.18 ",$83.57 ,"$3,388.00 ",$83.57 ,"$2,879.80 ","$3,388.00 ","$2,347.88 ","$1,653.34 ","$3,388.00 ","$1,900.67 ","$1,653.34 ",$887.66 ,"$3,388.00 ",$229.47 ,$219.04 ,"$1,736.00 ","$2,710.40 ","$1,677.06 ",$948.64 ,"$3,049.20 ","$1,287.44 ",$535.00 ,"$1,653.34 ","$1,626.24 "
ST. MARY'S HOSPITAL - DECATUR,32000200,72295,HC XR DISKOGRAM L-SPINE,320,1 ,"$3,301.00 ","$2,376.72 ",$85.61 ,"$4,217.70 ","$4,217.70 ",$133.38 ,"$1,815.55 ","$1,653.34 ",$924.28 ,$440.10 ,"$1,653.34 ",$463.26 ,"$1,653.34 ","$1,634.00 ",$122.39 ,"$1,653.34 ","$1,634.00 ","$3,301.00 ","$2,310.70 ",$171.45 ,"$2,640.80 ","$4,217.70 ","$1,653.34 ","$2,310.70 ","$1,653.34 ","$1,980.60 ","$1,686.40 ","$2,475.75 ","$1,822.15 ","$1,643.90 ","$1,822.15 ","$1,653.34 ","$1,822.15 ",$85.61 ,"$3,301.00 ",$85.61 ,"$2,805.85 ","$3,301.00 ","$2,287.59 ","$1,653.34 ","$3,301.00 ","$1,851.86 ","$1,653.34 ",$864.86 ,"$3,301.00 ",$229.47 ,$219.04 ,"$1,736.00 ","$2,640.80 ","$1,634.00 ",$924.28 ,"$2,970.90 ","$1,254.38 ",$535.00 ,"$1,653.34 ","$1,584.48 "
ST. MARY'S HOSPITAL - DECATUR,32000201,73000,HC XRAY CLAVICLE,320,1 ,$612.00 ,$440.64 ,$29.84 ,$612.00 ,$203.85 ,$44.80 ,$336.60 ,$79.91 ,$171.36 ,$160.85 ,$79.91 ,$169.32 ,$79.91 ,$302.94 ,$42.66 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$57.05 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$29.84 ,$612.00 ,$29.84 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000204,73010,HC XRAY SCAPULA,320,1 ,$736.00 ,$529.92 ,$27.59 ,$736.00 ,$250.78 ,$27.59 ,$404.80 ,$98.30 ,$206.08 ,$175.22 ,$98.30 ,$184.44 ,$98.30 ,$364.32 ,$47.05 ,$98.30 ,$364.32 ,$202.63 ,$515.20 ,$35.75 ,$588.80 ,$250.78 ,$98.30 ,$515.20 ,$98.30 ,$441.60 ,$100.27 ,$552.00 ,$406.27 ,$366.53 ,$406.27 ,$98.30 ,$406.27 ,$32.91 ,$736.00 ,$32.91 ,$625.60 ,$250.78 ,$510.05 ,$98.30 ,$736.00 ,$412.90 ,$98.30 ,$192.83 ,$736.00 ,$40.27 ,$38.44 ,$103.22 ,$588.80 ,$364.32 ,$206.08 ,$662.40 ,$279.68 ,$535.00 ,$98.30 ,$353.28 
ST. MARY'S HOSPITAL - DECATUR,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$612.00 ,$440.64 ,$22.68 ,$612.00 ,$203.85 ,$26.33 ,$336.60 ,$79.91 ,$171.36 ,$123.41 ,$79.91 ,$129.90 ,$79.91 ,$302.94 ,$32.42 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$33.38 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$22.68 ,$612.00 ,$22.68 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$773.00 ,$556.56 ,$29.84 ,$773.00 ,$203.85 ,$46.71 ,$425.15 ,$79.91 ,$216.44 ,$207.37 ,$79.91 ,$218.28 ,$79.91 ,$382.64 ,$42.66 ,$79.91 ,$382.64 ,$164.72 ,$541.10 ,$60.20 ,$618.40 ,$203.86 ,$79.91 ,$541.10 ,$79.91 ,$463.80 ,$81.51 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$79.91 ,$426.70 ,$29.84 ,$773.00 ,$29.84 ,$657.05 ,$203.86 ,$535.69 ,$79.91 ,$773.00 ,$433.65 ,$79.91 ,$202.53 ,$773.00 ,$40.27 ,$38.44 ,$83.91 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$535.00 ,$79.91 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,830.00 ","$1,317.60 ",$119.89 ,"$1,830.00 ",$864.48 ,$193.91 ,"$1,006.50 ",$338.87 ,$512.40 ,$601.35 ,$338.87 ,$633.00 ,$338.87 ,$905.85 ,$171.41 ,$338.87 ,$905.85 ,$698.50 ,"$1,281.00 ",$251.15 ,"$1,464.00 ",$864.48 ,$338.87 ,"$1,281.00 ",$338.87 ,"$1,098.00 ",$345.66 ,"$1,372.50 ","$1,010.16 ",$911.34 ,"$1,010.16 ",$338.87 ,"$1,010.16 ",$119.89 ,"$1,830.00 ",$119.89 ,"$1,555.50 ",$864.48 ,"$1,268.19 ",$338.87 ,"$1,830.00 ","$1,026.63 ",$338.87 ,$479.46 ,"$1,830.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,464.00 ",$905.85 ,$512.40 ,"$1,647.00 ",$695.40 ,$535.00 ,$338.87 ,$878.40 
ST. MARY'S HOSPITAL - DECATUR,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$830.00 ,$597.60 ,$35.87 ,$830.00 ,$203.85 ,$35.87 ,$456.50 ,$79.91 ,$232.40 ,$206.91 ,$79.91 ,$217.80 ,$79.91 ,$410.85 ,$55.09 ,$79.91 ,$410.85 ,$164.72 ,$581.00 ,$46.00 ,$664.00 ,$203.86 ,$79.91 ,$581.00 ,$79.91 ,$498.00 ,$81.51 ,$622.50 ,$458.16 ,$413.34 ,$458.16 ,$79.91 ,$458.16 ,$38.53 ,$830.00 ,$38.53 ,$705.50 ,$203.86 ,$575.19 ,$79.91 ,$830.00 ,$465.63 ,$79.91 ,$217.46 ,$830.00 ,$40.27 ,$38.44 ,$83.91 ,$664.00 ,$410.85 ,$232.40 ,$747.00 ,$315.40 ,$535.00 ,$79.91 ,$398.40 
ST. MARY'S HOSPITAL - DECATUR,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$741.00 ,$533.52 ,$31.38 ,$741.00 ,$203.85 ,$44.80 ,$407.55 ,$79.91 ,$207.48 ,$169.46 ,$79.91 ,$178.38 ,$79.91 ,$366.80 ,$44.85 ,$79.91 ,$366.80 ,$164.72 ,$518.70 ,$57.05 ,$592.80 ,$203.86 ,$79.91 ,$518.70 ,$79.91 ,$444.60 ,$81.51 ,$555.75 ,$409.03 ,$369.02 ,$409.03 ,$79.91 ,$409.03 ,$31.38 ,$741.00 ,$31.38 ,$629.85 ,$203.86 ,$513.51 ,$79.91 ,$741.00 ,$415.70 ,$79.91 ,$194.14 ,$741.00 ,$40.27 ,$38.44 ,$83.91 ,$592.80 ,$366.80 ,$207.48 ,$666.90 ,$281.58 ,$535.00 ,$79.91 ,$355.68 
ST. MARY'S HOSPITAL - DECATUR,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$612.00 ,$440.64 ,$27.28 ,$612.00 ,$203.85 ,$39.06 ,$336.60 ,$79.91 ,$171.36 ,$157.95 ,$79.91 ,$166.26 ,$79.91 ,$302.94 ,$39.00 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$49.95 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$27.28 ,$612.00 ,$27.28 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$644.00 ,$463.68 ,$30.34 ,$644.00 ,$203.85 ,$44.17 ,$354.20 ,$79.91 ,$180.32 ,$186.73 ,$79.91 ,$196.56 ,$79.91 ,$318.78 ,$43.39 ,$79.91 ,$318.78 ,$164.72 ,$450.80 ,$57.05 ,$515.20 ,$203.86 ,$79.91 ,$450.80 ,$79.91 ,$386.40 ,$81.51 ,$483.00 ,$355.49 ,$320.71 ,$355.49 ,$79.91 ,$355.49 ,$30.34 ,$644.00 ,$30.34 ,$547.40 ,$203.86 ,$446.29 ,$79.91 ,$644.00 ,$361.28 ,$79.91 ,$168.73 ,$644.00 ,$40.27 ,$38.44 ,$83.91 ,$515.20 ,$318.78 ,$180.32 ,$579.60 ,$244.72 ,$535.00 ,$79.91 ,$309.12 
ST. MARY'S HOSPITAL - DECATUR,32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$993.00 ,$714.96 ,$111.20 ,$993.00 ,$864.48 ,$167.15 ,$546.15 ,$338.87 ,$278.04 ,$519.34 ,$338.87 ,$546.15 ,$338.87 ,$491.54 ,$158.97 ,$338.87 ,$491.54 ,$698.50 ,$695.10 ,$204.60 ,$794.40 ,$864.48 ,$338.87 ,$695.10 ,$338.87 ,$595.80 ,$345.66 ,$744.75 ,$548.14 ,$494.51 ,$548.14 ,$338.87 ,$548.14 ,$111.20 ,$993.00 ,$111.20 ,$844.05 ,$864.48 ,$688.15 ,$338.87 ,$993.00 ,$557.07 ,$338.87 ,$260.17 ,$993.00 ,$229.47 ,$219.04 ,$355.82 ,$794.40 ,$491.54 ,$278.04 ,$893.70 ,$377.34 ,$535.00 ,$338.87 ,$476.64 
ST. MARY'S HOSPITAL - DECATUR,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$652.00 ,$469.44 ,$28.30 ,$652.00 ,$203.85 ,$39.69 ,$358.60 ,$79.91 ,$182.56 ,$143.58 ,$79.91 ,$151.14 ,$79.91 ,$322.74 ,$40.46 ,$79.91 ,$322.74 ,$164.72 ,$456.40 ,$50.73 ,$521.60 ,$203.86 ,$79.91 ,$456.40 ,$79.91 ,$391.20 ,$81.51 ,$489.00 ,$359.90 ,$324.70 ,$359.90 ,$79.91 ,$359.90 ,$28.30 ,$652.00 ,$28.30 ,$554.20 ,$203.86 ,$451.84 ,$79.91 ,$652.00 ,$365.77 ,$79.91 ,$170.82 ,$652.00 ,$40.27 ,$38.44 ,$83.91 ,$521.60 ,$322.74 ,$182.56 ,$586.80 ,$247.76 ,$535.00 ,$79.91 ,$312.96 
ST. MARY'S HOSPITAL - DECATUR,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$695.00 ,$500.40 ,$29.84 ,$695.00 ,$250.78 ,$44.17 ,$382.25 ,$98.30 ,$194.60 ,$157.95 ,$98.30 ,$166.26 ,$98.30 ,$344.03 ,$42.66 ,$98.30 ,$344.03 ,$202.63 ,$486.50 ,$57.05 ,$556.00 ,$250.78 ,$98.30 ,$486.50 ,$98.30 ,$417.00 ,$100.27 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$98.30 ,$383.64 ,$29.84 ,$695.00 ,$29.84 ,$590.75 ,$250.78 ,$481.64 ,$98.30 ,$695.00 ,$389.90 ,$98.30 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$103.22 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$98.30 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$612.00 ,$440.64 ,$33.93 ,$612.00 ,$203.85 ,$47.99 ,$336.60 ,$79.91 ,$171.36 ,$186.73 ,$79.91 ,$196.56 ,$79.91 ,$302.94 ,$48.51 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$61.00 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$33.93 ,$612.00 ,$33.93 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$758.00 ,$545.76 ,$38.44 ,$758.00 ,$203.85 ,$59.45 ,$416.90 ,$79.91 ,$212.24 ,$215.52 ,$79.91 ,$226.86 ,$79.91 ,$375.21 ,$57.29 ,$79.91 ,$375.21 ,$164.72 ,$530.60 ,$76.78 ,$606.40 ,$203.86 ,$79.91 ,$530.60 ,$79.91 ,$454.80 ,$81.51 ,$568.50 ,$418.42 ,$377.48 ,$418.42 ,$79.91 ,$418.42 ,$40.08 ,$758.00 ,$40.08 ,$644.30 ,$203.86 ,$525.29 ,$79.91 ,$758.00 ,$425.24 ,$79.91 ,$198.60 ,$758.00 ,$40.27 ,$38.44 ,$83.91 ,$606.40 ,$375.21 ,$212.24 ,$682.20 ,$288.04 ,$535.00 ,$79.91 ,$363.84 
ST. MARY'S HOSPITAL - DECATUR,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,"$2,005.00 ","$1,443.60 ",$129.12 ,"$2,005.00 ",$864.48 ,$204.10 ,"$1,102.75 ",$338.87 ,$561.40 ,$638.74 ,$338.87 ,$672.36 ,$338.87 ,$992.48 ,$184.57 ,$338.87 ,$992.48 ,$698.50 ,"$1,403.50 ",$262.20 ,"$1,604.00 ",$864.48 ,$338.87 ,"$1,403.50 ",$338.87 ,"$1,203.00 ",$345.66 ,"$1,503.75 ","$1,106.76 ",$998.49 ,"$1,106.76 ",$338.87 ,"$1,106.76 ",$129.12 ,"$2,005.00 ",$129.12 ,"$1,704.25 ",$864.48 ,"$1,389.47 ",$338.87 ,"$2,005.00 ","$1,124.81 ",$338.87 ,$525.31 ,"$2,005.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,604.00 ",$992.48 ,$561.40 ,"$1,804.50 ",$761.90 ,$535.00 ,$338.87 ,$962.40 
ST. MARY'S HOSPITAL - DECATUR,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$612.00 ,$440.64 ,$29.84 ,$612.00 ,$250.78 ,$42.89 ,$336.60 ,$98.30 ,$171.36 ,$163.70 ,$98.30 ,$172.32 ,$98.30 ,$302.94 ,$42.66 ,$98.30 ,$302.94 ,$202.63 ,$428.40 ,$54.68 ,$489.60 ,$250.78 ,$98.30 ,$428.40 ,$98.30 ,$367.20 ,$100.27 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$98.30 ,$337.82 ,$29.84 ,$612.00 ,$29.84 ,$520.20 ,$250.78 ,$424.12 ,$98.30 ,$612.00 ,$343.33 ,$98.30 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$103.22 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$98.30 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$741.00 ,$533.52 ,$35.47 ,$741.00 ,$203.85 ,$51.80 ,$407.55 ,$79.91 ,$207.48 ,$189.64 ,$79.91 ,$199.62 ,$79.91 ,$366.80 ,$50.71 ,$79.91 ,$366.80 ,$164.72 ,$518.70 ,$66.50 ,$592.80 ,$203.86 ,$79.91 ,$518.70 ,$79.91 ,$444.60 ,$81.51 ,$555.75 ,$409.03 ,$369.02 ,$409.03 ,$79.91 ,$409.03 ,$35.47 ,$741.00 ,$35.47 ,$629.85 ,$203.86 ,$513.51 ,$79.91 ,$741.00 ,$415.70 ,$79.91 ,$194.14 ,$741.00 ,$40.27 ,$38.44 ,$83.91 ,$592.80 ,$366.80 ,$207.48 ,$666.90 ,$281.58 ,$535.00 ,$79.91 ,$355.68 
ST. MARY'S HOSPITAL - DECATUR,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$612.00 ,$440.64 ,$38.44 ,$612.00 ,$203.85 ,$56.90 ,$336.60 ,$79.91 ,$171.36 ,$262.03 ,$79.91 ,$275.82 ,$79.91 ,$302.94 ,$55.09 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$72.83 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$38.53 ,$612.00 ,$38.53 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,657.00 ","$1,193.04 ",$120.42 ,"$1,657.00 ",$864.48 ,$197.73 ,$911.35 ,$338.87 ,$463.96 ,$608.42 ,$338.87 ,$640.44 ,$338.87 ,$820.22 ,$172.14 ,$338.87 ,$820.22 ,$698.50 ,"$1,159.90 ",$253.50 ,"$1,325.60 ",$864.48 ,$338.87 ,"$1,159.90 ",$338.87 ,$994.20 ,$345.66 ,"$1,242.75 ",$914.66 ,$825.19 ,$914.66 ,$338.87 ,$914.66 ,$120.42 ,"$1,657.00 ",$120.42 ,"$1,408.45 ",$864.48 ,"$1,148.30 ",$338.87 ,"$1,657.00 ",$929.58 ,$338.87 ,$434.13 ,"$1,657.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,325.60 ",$820.22 ,$463.96 ,"$1,491.30 ",$629.66 ,$535.00 ,$338.87 ,$795.36 
ST. MARY'S HOSPITAL - DECATUR,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$733.00 ,$527.76 ,$34.44 ,$733.00 ,$203.85 ,$48.62 ,$403.15 ,$79.91 ,$205.24 ,$188.04 ,$79.91 ,$197.94 ,$79.91 ,$362.84 ,$49.24 ,$79.91 ,$362.84 ,$164.72 ,$513.10 ,$61.78 ,$586.40 ,$203.86 ,$79.91 ,$513.10 ,$79.91 ,$439.80 ,$81.51 ,$549.75 ,$404.62 ,$365.03 ,$404.62 ,$79.91 ,$404.62 ,$34.44 ,$733.00 ,$34.44 ,$623.05 ,$203.86 ,$507.97 ,$79.91 ,$733.00 ,$411.21 ,$79.91 ,$192.05 ,$733.00 ,$40.27 ,$38.44 ,$83.91 ,$586.40 ,$362.84 ,$205.24 ,$659.70 ,$278.54 ,$535.00 ,$79.91 ,$351.84 
ST. MARY'S HOSPITAL - DECATUR,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$789.00 ,$568.08 ,$38.44 ,$789.00 ,$203.85 ,$58.19 ,$433.95 ,$79.91 ,$220.92 ,$272.97 ,$79.91 ,$287.34 ,$79.91 ,$390.56 ,$57.29 ,$79.91 ,$390.56 ,$164.72 ,$552.30 ,$75.20 ,$631.20 ,$203.86 ,$79.91 ,$552.30 ,$79.91 ,$473.40 ,$81.51 ,$591.75 ,$435.53 ,$392.92 ,$435.53 ,$79.91 ,$435.53 ,$40.08 ,$789.00 ,$40.08 ,$670.65 ,$203.86 ,$546.78 ,$79.91 ,$789.00 ,$442.63 ,$79.91 ,$206.72 ,$789.00 ,$40.27 ,$38.44 ,$83.91 ,$631.20 ,$390.56 ,$220.92 ,$710.10 ,$299.82 ,$535.00 ,$79.91 ,$378.72 
ST. MARY'S HOSPITAL - DECATUR,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$807.00 ,$581.04 ,$38.44 ,$807.00 ,$250.78 ,$65.18 ,$443.85 ,$98.30 ,$225.96 ,$234.44 ,$98.30 ,$246.78 ,$98.30 ,$399.47 ,$62.41 ,$98.30 ,$399.47 ,$202.63 ,$564.90 ,$83.88 ,$645.60 ,$250.78 ,$98.30 ,$564.90 ,$98.30 ,$484.20 ,$100.27 ,$605.25 ,$445.46 ,$401.89 ,$445.46 ,$98.30 ,$445.46 ,$43.66 ,$807.00 ,$43.66 ,$685.95 ,$250.78 ,$559.25 ,$98.30 ,$807.00 ,$452.73 ,$98.30 ,$211.43 ,$807.00 ,$40.27 ,$38.44 ,$103.22 ,$645.60 ,$399.47 ,$225.96 ,$726.30 ,$306.66 ,$535.00 ,$98.30 ,$387.36 
ST. MARY'S HOSPITAL - DECATUR,32000267,73565,HC XR KNEE STAND,320,1 ,$676.00 ,$486.72 ,$38.44 ,$676.00 ,$203.85 ,$60.10 ,$371.80 ,$79.91 ,$189.28 ,$222.81 ,$79.91 ,$234.54 ,$79.91 ,$334.62 ,$58.75 ,$79.91 ,$334.62 ,$164.72 ,$473.20 ,$75.98 ,$540.80 ,$203.86 ,$79.91 ,$473.20 ,$79.91 ,$405.60 ,$81.51 ,$507.00 ,$373.15 ,$336.65 ,$373.15 ,$79.91 ,$373.15 ,$41.10 ,$676.00 ,$41.10 ,$574.60 ,$203.86 ,$468.47 ,$79.91 ,$676.00 ,$379.24 ,$79.91 ,$177.11 ,$676.00 ,$40.27 ,$38.44 ,$83.91 ,$540.80 ,$334.62 ,$189.28 ,$608.40 ,$256.88 ,$535.00 ,$79.91 ,$324.48 
ST. MARY'S HOSPITAL - DECATUR,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,"$2,005.00 ","$1,443.60 ",$141.91 ,"$2,005.00 ",$864.48 ,$220.68 ,"$1,102.75 ",$338.87 ,$561.40 ,$724.41 ,$338.87 ,$762.54 ,$338.87 ,$992.48 ,$202.86 ,$338.87 ,$992.48 ,$698.50 ,"$1,403.50 ",$286.65 ,"$1,604.00 ",$864.48 ,$338.87 ,"$1,403.50 ",$338.87 ,"$1,203.00 ",$345.66 ,"$1,503.75 ","$1,106.76 ",$998.49 ,"$1,106.76 ",$338.87 ,"$1,106.76 ",$141.91 ,"$2,005.00 ",$141.91 ,"$1,704.25 ",$864.48 ,"$1,389.47 ",$338.87 ,"$2,005.00 ","$1,124.81 ",$338.87 ,$525.31 ,"$2,005.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,604.00 ",$992.48 ,$561.40 ,"$1,804.50 ",$761.90 ,$535.00 ,$338.87 ,$962.40 
ST. MARY'S HOSPITAL - DECATUR,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$747.00 ,$537.84 ,$30.87 ,$747.00 ,$203.85 ,$44.17 ,$410.85 ,$79.91 ,$209.16 ,$167.75 ,$79.91 ,$176.58 ,$79.91 ,$369.77 ,$44.12 ,$79.91 ,$369.77 ,$164.72 ,$522.90 ,$56.25 ,$597.60 ,$203.86 ,$79.91 ,$522.90 ,$79.91 ,$448.20 ,$81.51 ,$560.25 ,$412.34 ,$372.01 ,$412.34 ,$79.91 ,$412.34 ,$30.87 ,$747.00 ,$30.87 ,$634.95 ,$203.86 ,$517.67 ,$79.91 ,$747.00 ,$419.07 ,$79.91 ,$195.71 ,$747.00 ,$40.27 ,$38.44 ,$83.91 ,$597.60 ,$369.77 ,$209.16 ,$672.30 ,$283.86 ,$535.00 ,$79.91 ,$358.56 
ST. MARY'S HOSPITAL - DECATUR,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,"$1,030.00 ",$741.60 ,$29.84 ,"$1,030.00 ",$203.85 ,$44.17 ,$566.50 ,$79.91 ,$288.40 ,$159.03 ,$79.91 ,$167.40 ,$79.91 ,$509.85 ,$42.66 ,$79.91 ,$509.85 ,$164.72 ,$721.00 ,$57.05 ,$824.00 ,$203.86 ,$79.91 ,$721.00 ,$79.91 ,$618.00 ,$81.51 ,$772.50 ,$568.56 ,$512.94 ,$568.56 ,$79.91 ,$568.56 ,$29.84 ,"$1,030.00 ",$29.84 ,$875.50 ,$203.86 ,$713.79 ,$79.91 ,"$1,030.00 ",$577.83 ,$79.91 ,$269.86 ,"$1,030.00 ",$40.27 ,$38.44 ,$83.91 ,$824.00 ,$509.85 ,$288.40 ,$927.00 ,$391.40 ,$535.00 ,$79.91 ,$494.40 
ST. MARY'S HOSPITAL - DECATUR,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$612.00 ,$440.64 ,$32.40 ,$612.00 ,$203.85 ,$45.43 ,$336.60 ,$79.91 ,$171.36 ,$176.47 ,$79.91 ,$185.76 ,$79.91 ,$302.94 ,$46.32 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$57.83 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$32.40 ,$612.00 ,$32.40 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$730.00 ,$525.60 ,$35.47 ,$730.00 ,$203.85 ,$52.45 ,$401.50 ,$79.91 ,$204.40 ,$188.04 ,$79.91 ,$197.94 ,$79.91 ,$361.35 ,$50.71 ,$79.91 ,$361.35 ,$164.72 ,$511.00 ,$67.30 ,$584.00 ,$203.86 ,$79.91 ,$511.00 ,$79.91 ,$438.00 ,$81.51 ,$547.50 ,$402.96 ,$363.54 ,$402.96 ,$79.91 ,$402.96 ,$35.47 ,$730.00 ,$35.47 ,$620.50 ,$203.86 ,$505.89 ,$79.91 ,$730.00 ,$409.53 ,$79.91 ,$191.26 ,$730.00 ,$40.27 ,$38.44 ,$83.91 ,$584.00 ,$361.35 ,$204.40 ,$657.00 ,$277.40 ,$535.00 ,$79.91 ,$350.40 
ST. MARY'S HOSPITAL - DECATUR,32000278,73615,HC XRAY ARTHRO ANKLE,320,1 ,"$1,306.00 ",$940.32 ,$128.61 ,"$1,306.00 ",$864.48 ,$203.47 ,$718.30 ,$338.87 ,$365.68 ,$640.34 ,$338.87 ,$674.04 ,$338.87 ,$646.47 ,$183.84 ,$338.87 ,$646.47 ,$698.50 ,$914.20 ,$252.73 ,"$1,044.80 ",$864.48 ,$338.87 ,$914.20 ,$338.87 ,$783.60 ,$345.66 ,$979.50 ,$720.91 ,$650.39 ,$720.91 ,$338.87 ,$720.91 ,$128.61 ,"$1,306.00 ",$128.61 ,"$1,110.10 ",$864.48 ,$905.06 ,$338.87 ,"$1,306.00 ",$732.67 ,$338.87 ,$342.17 ,"$1,306.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,044.80 ",$646.47 ,$365.68 ,"$1,175.40 ",$496.28 ,$535.00 ,$338.87 ,$626.88 
ST. MARY'S HOSPITAL - DECATUR,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$612.00 ,$440.64 ,$27.80 ,$612.00 ,$203.85 ,$39.06 ,$336.60 ,$79.91 ,$171.36 ,$153.27 ,$79.91 ,$161.34 ,$79.91 ,$302.94 ,$39.73 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$49.15 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$27.80 ,$612.00 ,$27.80 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$733.00 ,$527.76 ,$32.91 ,$733.00 ,$203.85 ,$48.62 ,$403.15 ,$79.91 ,$205.24 ,$173.57 ,$79.91 ,$182.70 ,$79.91 ,$362.84 ,$47.05 ,$79.91 ,$362.84 ,$164.72 ,$513.10 ,$62.58 ,$586.40 ,$203.86 ,$79.91 ,$513.10 ,$79.91 ,$439.80 ,$81.51 ,$549.75 ,$404.62 ,$365.03 ,$404.62 ,$79.91 ,$404.62 ,$32.91 ,$733.00 ,$32.91 ,$623.05 ,$203.86 ,$507.97 ,$79.91 ,$733.00 ,$411.21 ,$79.91 ,$192.05 ,$733.00 ,$40.27 ,$38.44 ,$83.91 ,$586.40 ,$362.84 ,$205.24 ,$659.70 ,$278.54 ,$535.00 ,$79.91 ,$351.84 
ST. MARY'S HOSPITAL - DECATUR,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$612.00 ,$440.64 ,$27.28 ,$612.00 ,$203.85 ,$39.06 ,$336.60 ,$79.91 ,$171.36 ,$159.03 ,$79.91 ,$167.40 ,$79.91 ,$302.94 ,$39.00 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$49.95 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$27.28 ,$612.00 ,$27.28 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$612.00 ,$440.64 ,$31.89 ,$612.00 ,$203.85 ,$42.26 ,$336.60 ,$79.91 ,$171.36 ,$179.32 ,$79.91 ,$188.76 ,$79.91 ,$302.94 ,$45.58 ,$79.91 ,$302.94 ,$164.72 ,$428.40 ,$53.88 ,$489.60 ,$203.86 ,$79.91 ,$428.40 ,$79.91 ,$367.20 ,$81.51 ,$459.00 ,$337.82 ,$304.78 ,$337.82 ,$79.91 ,$337.82 ,$31.89 ,$612.00 ,$31.89 ,$520.20 ,$203.86 ,$424.12 ,$79.91 ,$612.00 ,$343.33 ,$79.91 ,$160.34 ,$612.00 ,$40.27 ,$38.44 ,$83.91 ,$489.60 ,$302.94 ,$171.36 ,$550.80 ,$232.56 ,$535.00 ,$79.91 ,$293.76 
ST. MARY'S HOSPITAL - DECATUR,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$482.00 ,$347.04 ,$27.80 ,$482.00 ,$203.85 ,$39.06 ,$265.10 ,$79.91 ,$134.96 ,$150.82 ,$79.91 ,$158.76 ,$79.91 ,$238.59 ,$39.73 ,$79.91 ,$238.59 ,$164.72 ,$337.40 ,$50.73 ,$385.60 ,$203.86 ,$79.91 ,$337.40 ,$79.91 ,$289.20 ,$81.51 ,$361.50 ,$266.06 ,$240.04 ,$266.06 ,$79.91 ,$266.06 ,$27.80 ,$482.00 ,$27.80 ,$409.70 ,$203.86 ,$334.03 ,$79.91 ,$482.00 ,$270.40 ,$79.91 ,$126.28 ,$482.00 ,$40.27 ,$38.44 ,$83.91 ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$482.00 ,$79.91 ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,32000294,74019,HC XRAY ABDOMEN AP  AND  LAT (2 V OR 3 V),320,1 ,$631.00 ,$454.32 ,$33.42 ,$631.00 ,$250.78 ,$47.99 ,$347.05 ,$98.30 ,$176.68 ,$179.95 ,$98.30 ,$189.42 ,$98.30 ,$312.35 ,$47.78 ,$98.30 ,$312.35 ,$202.63 ,$441.70 ,$61.00 ,$504.80 ,$250.78 ,$98.30 ,$441.70 ,$98.30 ,$378.60 ,$100.27 ,$473.25 ,$348.31 ,$314.24 ,$348.31 ,$98.30 ,$348.31 ,$33.42 ,$631.00 ,$33.42 ,$536.35 ,$250.78 ,$437.28 ,$98.30 ,$631.00 ,$353.99 ,$98.30 ,$165.32 ,$631.00 ,$40.27 ,$38.44 ,$103.22 ,$504.80 ,$312.35 ,$176.68 ,$567.90 ,$239.78 ,$535.00 ,$98.30 ,$302.88 
ST. MARY'S HOSPITAL - DECATUR,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$770.00 ,$554.40 ,$38.44 ,$770.00 ,$250.78 ,$63.92 ,$423.50 ,$98.30 ,$215.60 ,$234.44 ,$98.30 ,$246.78 ,$98.30 ,$381.15 ,$62.41 ,$98.30 ,$381.15 ,$202.63 ,$539.00 ,$82.30 ,$616.00 ,$250.78 ,$98.30 ,$539.00 ,$98.30 ,$462.00 ,$100.27 ,$577.50 ,$425.04 ,$383.46 ,$425.04 ,$98.30 ,$425.04 ,$43.66 ,$770.00 ,$43.66 ,$654.50 ,$250.78 ,$533.61 ,$98.30 ,$770.00 ,$431.97 ,$98.30 ,$201.74 ,$770.00 ,$40.27 ,$38.44 ,$103.22 ,$616.00 ,$381.15 ,$215.60 ,$693.00 ,$292.60 ,$535.00 ,$98.30 ,$369.60 
ST. MARY'S HOSPITAL - DECATUR,32000299,74190,HC S AND I PERITONEOGRAM,320,1 ,"$1,074.00 ",$773.28 ,$73.57 ,"$1,180.55 ","$1,180.55 ",$882.14 ,$590.70 ,$462.78 ,$300.72 ,$305.29 ,$462.78 ,$321.36 ,$462.78 ,$531.63 ,$73.57 ,$462.78 ,$531.63 ,$953.88 ,$751.80 ,$79.28 ,$859.20 ,"$1,180.54 ",$462.78 ,$751.80 ,$462.78 ,$644.40 ,$472.03 ,$805.50 ,$592.85 ,$534.85 ,$592.85 ,$462.78 ,$592.85 ,$706.31 ,"$1,074.00 ",$706.31 ,$912.90 ,"$1,074.00 ",$744.28 ,$462.78 ,"$1,074.00 ",$602.51 ,$462.78 ,$281.39 ,"$1,074.00 ",$229.47 ,$219.04 ,$485.91 ,$859.20 ,$531.63 ,$300.72 ,$966.60 ,$408.12 ,$535.00 ,$462.78 ,$515.52 
ST. MARY'S HOSPITAL - DECATUR,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,"$1,175.00 ",$846.00 ,$38.44 ,"$1,175.00 ",$423.15 ,$134.01 ,$646.25 ,$165.87 ,$329.00 ,$535.97 ,$165.87 ,$564.18 ,$165.87 ,$581.63 ,$129.71 ,$165.87 ,$581.63 ,$341.90 ,$822.50 ,$170.65 ,$940.00 ,$423.15 ,$165.87 ,$822.50 ,$165.87 ,$705.00 ,$169.20 ,$881.25 ,$648.60 ,$585.15 ,$648.60 ,$165.87 ,$648.60 ,$90.74 ,"$1,175.00 ",$90.74 ,$998.75 ,$423.15 ,$814.28 ,$165.87 ,"$1,175.00 ",$659.18 ,$165.87 ,$307.85 ,"$1,175.00 ",$40.27 ,$38.44 ,$174.17 ,$940.00 ,$581.63 ,$329.00 ,"$1,057.50 ",$446.50 ,$535.00 ,$165.87 ,$564.00 
ST. MARY'S HOSPITAL - DECATUR,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,$759.00 ,$546.48 ,$84.53 ,$759.00 ,$423.15 ,$200.93 ,$417.45 ,$165.87 ,$212.52 ,$396.96 ,$165.87 ,$417.45 ,$165.87 ,$375.71 ,$207.25 ,$165.87 ,$375.71 ,$341.90 ,$531.30 ,$247.98 ,$607.20 ,$423.15 ,$165.87 ,$531.30 ,$165.87 ,$455.40 ,$169.20 ,$569.25 ,$418.97 ,$377.98 ,$418.97 ,$165.87 ,$418.97 ,$144.97 ,$759.00 ,$144.97 ,$645.15 ,$423.15 ,$525.99 ,$165.87 ,$759.00 ,$425.80 ,$165.87 ,$198.86 ,$759.00 ,$88.55 ,$84.53 ,$174.17 ,$607.20 ,$375.71 ,$212.52 ,$683.10 ,$288.42 ,$535.00 ,$165.87 ,$364.32 
ST. MARY'S HOSPITAL - DECATUR,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,"$1,077.00 ",$775.44 ,$84.53 ,"$1,077.00 ",$423.15 ,$162.05 ,$592.35 ,$165.87 ,$301.56 ,$563.27 ,$165.87 ,$592.35 ,$165.87 ,$533.12 ,$180.18 ,$165.87 ,$533.12 ,$341.90 ,$753.90 ,$208.53 ,$861.60 ,$423.15 ,$165.87 ,$753.90 ,$165.87 ,$646.20 ,$169.20 ,$807.75 ,$594.50 ,$536.35 ,$594.50 ,$165.87 ,$594.50 ,$126.04 ,"$1,077.00 ",$126.04 ,$915.45 ,$423.15 ,$746.36 ,$165.87 ,"$1,077.00 ",$604.20 ,$165.87 ,$282.17 ,"$1,077.00 ",$88.55 ,$84.53 ,$174.17 ,$861.60 ,$533.12 ,$301.56 ,$969.30 ,$409.26 ,$535.00 ,$165.87 ,$516.96 
ST. MARY'S HOSPITAL - DECATUR,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$997.00 ,$717.84 ,$84.53 ,$997.00 ,$423.15 ,$188.17 ,$548.35 ,$165.87 ,$279.16 ,$521.43 ,$165.87 ,$548.35 ,$165.87 ,$493.52 ,$209.45 ,$165.87 ,$493.52 ,$341.90 ,$697.90 ,$240.10 ,$797.60 ,$423.15 ,$165.87 ,$697.90 ,$165.87 ,$598.20 ,$169.20 ,$747.75 ,$550.34 ,$496.51 ,$550.34 ,$165.87 ,$550.34 ,$146.52 ,$997.00 ,$146.52 ,$847.45 ,$423.15 ,$690.92 ,$165.87 ,$997.00 ,$559.32 ,$165.87 ,$261.21 ,$997.00 ,$88.55 ,$84.53 ,$174.17 ,$797.60 ,$493.52 ,$279.16 ,$897.30 ,$378.86 ,$535.00 ,$165.87 ,$478.56 
ST. MARY'S HOSPITAL - DECATUR,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$980.00 ,$705.60 ,$84.53 ,$980.00 ,$423.15 ,$162.05 ,$539.00 ,$165.87 ,$274.40 ,$512.54 ,$165.87 ,$539.00 ,$165.87 ,$485.10 ,$183.84 ,$165.87 ,$485.10 ,$341.90 ,$686.00 ,$206.95 ,$784.00 ,$423.15 ,$165.87 ,$686.00 ,$165.87 ,$588.00 ,$169.20 ,$735.00 ,$540.96 ,$488.04 ,$540.96 ,$165.87 ,$540.96 ,$128.61 ,$980.00 ,$128.61 ,$833.00 ,$423.15 ,$679.14 ,$165.87 ,$980.00 ,$549.78 ,$165.87 ,$256.76 ,$980.00 ,$88.55 ,$84.53 ,$174.17 ,$784.00 ,$485.10 ,$274.40 ,$882.00 ,$372.40 ,$535.00 ,$165.87 ,$470.40 
ST. MARY'S HOSPITAL - DECATUR,32000312,74018,HC SITZ MARKER STUDY,320,1 ,$980.00 ,$705.60 ,$27.80 ,$980.00 ,$203.85 ,$39.06 ,$539.00 ,$79.91 ,$274.40 ,$150.82 ,$79.91 ,$158.76 ,$79.91 ,$485.10 ,$39.73 ,$79.91 ,$485.10 ,$164.72 ,$686.00 ,$50.73 ,$784.00 ,$203.86 ,$79.91 ,$686.00 ,$79.91 ,$588.00 ,$81.51 ,$735.00 ,$540.96 ,$488.04 ,$540.96 ,$79.91 ,$540.96 ,$27.80 ,$980.00 ,$27.80 ,$833.00 ,$203.86 ,$679.14 ,$79.91 ,$980.00 ,$549.78 ,$79.91 ,$256.76 ,$980.00 ,$40.27 ,$38.44 ,$83.91 ,$784.00 ,$485.10 ,$274.40 ,$882.00 ,$372.40 ,$535.00 ,$79.91 ,$470.40 
ST. MARY'S HOSPITAL - DECATUR,32000314,74251,HC SMALL BOWEL VIA ENTEROCLY TUBE,320,1 ,"$1,116.00 ",$803.52 ,$84.53 ,"$1,116.00 ",$423.15 ,$326.45 ,$613.80 ,$165.87 ,$312.48 ,$583.67 ,$165.87 ,$613.80 ,$165.87 ,$552.42 ,$818.07 ,$165.87 ,$552.42 ,$341.90 ,$781.20 ,$779.00 ,$892.80 ,$423.15 ,$165.87 ,$781.20 ,$165.87 ,$669.60 ,$169.20 ,$837.00 ,$616.03 ,$555.77 ,$616.03 ,$165.87 ,$616.03 ,$327.65 ,"$1,116.00 ",$327.65 ,$948.60 ,$423.15 ,$773.39 ,$165.87 ,"$1,116.00 ",$626.08 ,$165.87 ,$292.39 ,"$1,116.00 ",$88.55 ,$84.53 ,$174.17 ,$892.80 ,$552.42 ,$312.48 ,"$1,004.40 ",$424.08 ,$535.00 ,$165.87 ,$535.68 
ST. MARY'S HOSPITAL - DECATUR,32000315,74270,HC XRAY COLON BARIUM,320,1 ,"$1,198.00 ",$862.56 ,$84.53 ,"$1,198.00 ",$423.15 ,$204.10 ,$658.90 ,$165.87 ,$335.44 ,$626.55 ,$165.87 ,$658.90 ,$165.87 ,$593.01 ,$260.65 ,$165.87 ,$593.01 ,$341.90 ,$838.60 ,$258.25 ,$958.40 ,$423.15 ,$165.87 ,$838.60 ,$165.87 ,$718.80 ,$169.20 ,$898.50 ,$661.30 ,$596.60 ,$661.30 ,$165.87 ,$661.30 ,$182.33 ,"$1,198.00 ",$182.33 ,"$1,018.30 ",$423.15 ,$830.21 ,$165.87 ,"$1,198.00 ",$672.08 ,$165.87 ,$313.88 ,"$1,198.00 ",$88.55 ,$84.53 ,$174.17 ,$958.40 ,$593.01 ,$335.44 ,"$1,078.20 ",$455.24 ,$535.00 ,$165.87 ,$575.04 
ST. MARY'S HOSPITAL - DECATUR,32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,"$1,198.00 ",$862.56 ,$84.53 ,"$1,198.00 ",$423.15 ,$204.10 ,$658.90 ,$165.87 ,$335.44 ,$626.55 ,$165.87 ,$658.90 ,$165.87 ,$593.01 ,$260.65 ,$165.87 ,$593.01 ,$341.90 ,$838.60 ,$258.25 ,$958.40 ,$423.15 ,$165.87 ,$838.60 ,$165.87 ,$718.80 ,$169.20 ,$898.50 ,$661.30 ,$596.60 ,$661.30 ,$165.87 ,$661.30 ,$182.33 ,"$1,198.00 ",$182.33 ,"$1,018.30 ",$423.15 ,$830.21 ,$165.87 ,"$1,198.00 ",$672.08 ,$165.87 ,$313.88 ,"$1,198.00 ",$88.55 ,$84.53 ,$174.17 ,$958.40 ,$593.01 ,$335.44 ,"$1,078.20 ",$455.24 ,$535.00 ,$165.87 ,$575.04 
ST. MARY'S HOSPITAL - DECATUR,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,"$1,198.00 ",$862.56 ,$84.53 ,"$1,198.00 ",$423.15 ,$204.10 ,$658.90 ,$165.87 ,$335.44 ,$626.55 ,$165.87 ,$658.90 ,$165.87 ,$593.01 ,$260.65 ,$165.87 ,$593.01 ,$341.90 ,$838.60 ,$258.25 ,$958.40 ,$423.15 ,$165.87 ,$838.60 ,$165.87 ,$718.80 ,$169.20 ,$898.50 ,$661.30 ,$596.60 ,$661.30 ,$165.87 ,$661.30 ,$182.33 ,"$1,198.00 ",$182.33 ,"$1,018.30 ",$423.15 ,$830.21 ,$165.87 ,"$1,198.00 ",$672.08 ,$165.87 ,$313.88 ,"$1,198.00 ",$88.55 ,$84.53 ,$174.17 ,$958.40 ,$593.01 ,$335.44 ,"$1,078.20 ",$455.24 ,$535.00 ,$165.87 ,$575.04 
ST. MARY'S HOSPITAL - DECATUR,32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,737.00 ","$1,250.64 ",$84.53 ,"$1,737.00 ",$423.15 ,$316.89 ,$955.35 ,$165.87 ,$486.36 ,$908.45 ,$165.87 ,$955.35 ,$165.87 ,$859.82 ,$365.99 ,$165.87 ,$859.82 ,$341.90 ,"$1,215.90 ",$397.90 ,"$1,389.60 ",$423.15 ,$165.87 ,"$1,215.90 ",$165.87 ,"$1,042.20 ",$169.20 ,"$1,302.75 ",$958.82 ,$865.03 ,$958.82 ,$165.87 ,$958.82 ,$256.01 ,"$1,737.00 ",$256.01 ,"$1,476.45 ",$423.15 ,"$1,203.74 ",$165.87 ,"$1,737.00 ",$974.46 ,$165.87 ,$455.09 ,"$1,737.00 ",$88.55 ,$84.53 ,$174.17 ,"$1,389.60 ",$859.82 ,$486.36 ,"$1,563.30 ",$660.06 ,$535.00 ,$165.87 ,$833.76 
ST. MARY'S HOSPITAL - DECATUR,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,030.00 ",$741.60 ,$49.19 ,"$1,030.00 ", N/A ,$49.19 ,$566.50 , N/A ,$288.40 ,$293.72 , N/A ,$309.18 , N/A ,$509.85 ,$72.11 , N/A ,$509.85 , N/A ,$721.00 ,$643.75 ,$824.00 , N/A , N/A ,$721.00 , N/A ,$618.00 , N/A ,$772.50 ,$568.56 ,$512.94 ,$568.56 , N/A ,$568.56 ,$50.45 ,"$1,030.00 ",$50.45 ,$875.50 , N/A ,$713.79 , N/A ,"$1,030.00 ",$577.83 , N/A ,$269.86 ,"$1,030.00 ",$229.47 ,$219.04 , N/A ,$824.00 ,$509.85 ,$288.40 ,$927.00 ,$391.40 ,$535.00 , N/A ,$494.40 
ST. MARY'S HOSPITAL - DECATUR,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,"$1,253.00 ",$902.16 ,$84.53 ,"$8,310.78 ","$8,310.78 ",$664.09 ,$689.15 ,"$3,257.82 ",$350.84 ,$655.32 ,"$3,257.82 ",$689.15 ,"$1,227.94 ",$620.24 ,$125.69 ,"$1,227.94 ",$620.24 ,"$1,253.00 ",$877.10 ,$783.13 ,"$1,002.40 ","$8,310.78 ","$3,257.82 ",$877.10 ,"$3,257.82 ",$751.80 ,"$1,227.94 ",$939.75 ,$691.66 ,$623.99 ,$691.66 ,"$3,257.82 ",$691.66 ,$914.69 ,"$1,253.00 ",$914.69 ,"$1,065.05 ","$1,253.00 ",$868.33 ,"$1,227.94 ","$1,253.00 ",$702.93 ,"$3,257.82 ",$328.29 ,"$1,253.00 ",$88.55 ,$84.53 ,"$3,420.72 ","$1,002.40 ",$620.24 ,$350.84 ,"$1,127.70 ",$476.14 ,$535.00 ,"$3,257.82 ",$601.44 
ST. MARY'S HOSPITAL - DECATUR,32000326,47532,HC PERCUTAN CHOLANGIOGRAM,320,1 ,"$2,712.00 ","$1,952.64 ",$239.78 ,"$8,310.78 ","$8,310.78 ","$1,437.36 ","$1,491.60 ","$3,257.82 ",$759.36 ,"$1,418.38 ","$3,257.82 ","$1,491.60 ","$2,657.76 ","$1,342.44 ",$379.53 ,"$2,657.76 ","$1,342.44 ","$2,712.00 ","$1,898.40 ","$1,695.00 ","$2,169.60 ","$8,310.78 ","$3,257.82 ","$1,898.40 ","$3,257.82 ","$1,627.20 ","$2,657.76 ","$2,034.00 ","$1,497.02 ","$1,350.58 ","$1,497.02 ","$3,257.82 ","$1,497.02 ","$1,979.76 ","$2,712.00 ","$1,979.76 ","$2,305.20 ","$2,712.00 ","$1,879.42 ","$2,657.76 ","$2,712.00 ","$1,521.43 ","$3,257.82 ",$710.54 ,"$2,712.00 ",$251.20 ,$239.78 ,"$3,420.72 ","$2,169.60 ","$1,342.44 ",$759.36 ,"$2,440.80 ","$1,030.56 ",$535.00 ,"$3,257.82 ","$1,301.76 "
ST. MARY'S HOSPITAL - DECATUR,32000330,74330,HC XRAY ERCP CATH BILIARY AND PANCREAS,320,1 ,"$1,399.00 ","$1,007.28 ",$181.32 ,"$1,399.00 ", N/A ,$183.62 ,$769.45 , N/A ,$391.72 ,$731.68 , N/A ,$769.45 , N/A ,$692.51 ,$259.21 , N/A ,$692.51 , N/A ,$979.30 ,$874.38 ,"$1,119.20 ", N/A , N/A ,$979.30 , N/A ,$839.40 , N/A ,"$1,049.25 ",$772.25 ,$696.70 ,$772.25 , N/A ,$772.25 ,$181.32 ,"$1,399.00 ",$181.32 ,"$1,189.15 ", N/A ,$969.51 , N/A ,"$1,399.00 ",$784.84 , N/A ,$366.54 ,"$1,399.00 ",$229.47 ,$219.04 , N/A ,"$1,119.20 ",$692.51 ,$391.72 ,"$1,259.10 ",$531.62 ,$535.00 , N/A ,$671.52 
ST. MARY'S HOSPITAL - DECATUR,32000337,74410,HC XRAY UROGRAM IVP DRIP TECH,320,1 ,"$1,801.00 ","$1,296.72 ",$139.35 ,"$1,801.00 ",$423.15 ,$218.77 ,$990.55 ,$165.87 ,$504.28 ,$709.88 ,$165.87 ,$747.24 ,$165.87 ,$891.50 ,$199.20 ,$165.87 ,$891.50 ,$341.90 ,"$1,260.70 ",$283.50 ,"$1,440.80 ",$423.15 ,$165.87 ,"$1,260.70 ",$165.87 ,"$1,080.60 ",$169.20 ,"$1,350.75 ",$994.15 ,$896.90 ,$994.15 ,$165.87 ,$994.15 ,$139.35 ,"$1,801.00 ",$139.35 ,"$1,530.85 ",$423.15 ,"$1,248.09 ",$165.87 ,"$1,801.00 ","$1,010.36 ",$165.87 ,$471.86 ,"$1,801.00 ",$251.20 ,$239.78 ,$174.17 ,"$1,440.80 ",$891.50 ,$504.28 ,"$1,620.90 ",$684.38 ,$535.00 ,$165.87 ,$864.48 
ST. MARY'S HOSPITAL - DECATUR,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,"$1,367.00 ",$984.24 ,$66.18 ,"$1,367.00 ",$864.48 ,$97.04 ,$751.85 ,$338.87 ,$382.76 ,$714.94 ,$338.87 ,$751.85 ,$338.87 ,$676.67 ,$94.60 ,$338.87 ,$676.67 ,$698.50 ,$956.90 ,$124.10 ,"$1,093.60 ",$864.48 ,$338.87 ,$956.90 ,$338.87 ,$820.20 ,$345.66 ,"$1,025.25 ",$754.58 ,$680.77 ,$754.58 ,$338.87 ,$754.58 ,$66.18 ,"$1,367.00 ",$66.18 ,"$1,161.95 ",$864.48 ,$947.33 ,$338.87 ,"$1,367.00 ",$766.89 ,$338.87 ,$358.15 ,"$1,367.00 ",$251.20 ,$239.78 ,$355.82 ,"$1,093.60 ",$676.67 ,$382.76 ,"$1,230.30 ",$519.46 ,$535.00 ,$338.87 ,$656.16 
ST. MARY'S HOSPITAL - DECATUR,32000340,74425,HC XRAY UROGRAM ANTEGRADE,320,1 ,$922.00 ,$663.84 ,$100.37 ,$922.00 ,$864.48 ,$214.31 ,$507.10 ,$338.87 ,$258.16 ,$408.86 ,$338.87 ,$430.38 ,$338.87 ,$456.39 ,$100.37 ,$338.87 ,$456.39 ,$698.50 ,$645.40 ,$273.23 ,$737.60 ,$864.48 ,$338.87 ,$645.40 ,$338.87 ,$553.20 ,$345.66 ,$691.50 ,$508.94 ,$459.16 ,$508.94 ,$338.87 ,$508.94 ,$548.20 ,$922.00 ,$548.20 ,$783.70 ,$864.48 ,$638.95 ,$338.87 ,$922.00 ,$517.24 ,$338.87 ,$241.56 ,$922.00 ,$229.47 ,$219.04 ,$355.82 ,$737.60 ,$456.39 ,$258.16 ,$829.80 ,$350.36 ,$535.00 ,$338.87 ,$442.56 
ST. MARY'S HOSPITAL - DECATUR,32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$2,230.00 ","$1,605.60 ",$170.10 ,"$2,230.00 ","$1,467.30 ","$1,181.90 ","$1,226.50 ",$575.18 ,$624.40 ,"$1,166.29 ",$575.18 ,"$1,226.50 ",$575.18 ,"$1,103.85 ",$170.10 ,$575.18 ,"$1,103.85 ","$1,185.58 ","$1,561.00 ","$1,393.75 ","$1,784.00 ","$1,467.30 ",$575.18 ,"$1,561.00 ",$575.18 ,"$1,338.00 ",$586.69 ,"$1,672.50 ","$1,230.96 ","$1,110.54 ","$1,230.96 ",$575.18 ,"$1,230.96 ","$1,627.90 ","$2,230.00 ","$1,627.90 ","$1,895.50 ","$1,467.30 ","$1,545.39 ",$575.18 ,"$2,230.00 ","$1,251.03 ",$575.18 ,$584.26 ,"$2,230.00 ",$251.20 ,$239.78 ,$603.94 ,"$1,784.00 ","$1,103.85 ",$624.40 ,"$2,007.00 ",$847.40 ,$535.00 ,$575.18 ,"$1,070.40 "
ST. MARY'S HOSPITAL - DECATUR,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,"$1,441.00 ","$1,037.52 ",$33.42 ,"$1,441.00 ",$864.48 ,$47.99 ,$792.55 ,$338.87 ,$403.48 ,$182.23 ,$338.87 ,$191.82 ,$338.87 ,$713.30 ,$47.78 ,$338.87 ,$713.30 ,$698.50 ,"$1,008.70 ",$61.00 ,"$1,152.80 ",$864.48 ,$338.87 ,"$1,008.70 ",$338.87 ,$864.60 ,$345.66 ,"$1,080.75 ",$795.43 ,$717.62 ,$795.43 ,$338.87 ,$795.43 ,$33.42 ,"$1,441.00 ",$33.42 ,"$1,224.85 ",$864.48 ,$998.61 ,$338.87 ,"$1,441.00 ",$808.40 ,$338.87 ,$377.54 ,"$1,441.00 ",$229.47 ,$219.04 ,$355.82 ,"$1,152.80 ",$713.30 ,$403.48 ,"$1,296.90 ",$547.58 ,$535.00 ,$338.87 ,$691.68 
ST. MARY'S HOSPITAL - DECATUR,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,"$1,801.00 ","$1,296.72 ",$116.69 ,"$1,801.00 ",$547.93 ,$420.77 ,$990.55 ,$214.79 ,$504.28 ,$475.15 ,$214.79 ,$500.16 ,$214.79 ,$891.50 ,$116.69 ,$214.79 ,$891.50 ,$442.73 ,"$1,260.70 ",$123.38 ,"$1,440.80 ",$547.93 ,$214.79 ,"$1,260.70 ",$214.79 ,"$1,080.60 ",$219.09 ,"$1,350.75 ",$994.15 ,$896.90 ,$994.15 ,$214.79 ,$994.15 ,$327.65 ,"$1,801.00 ",$327.65 ,"$1,530.85 ",$547.93 ,"$1,248.09 ",$214.79 ,"$1,801.00 ","$1,010.36 ",$214.79 ,$471.86 ,"$1,801.00 ",$229.47 ,$219.04 ,$225.53 ,"$1,440.80 ",$891.50 ,$504.28 ,"$1,620.90 ",$684.38 ,$535.00 ,$214.79 ,$864.48 
ST. MARY'S HOSPITAL - DECATUR,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,"$1,367.00 ",$984.24 ,$106.59 ,"$1,367.00 ",$547.93 ,$168.41 ,$751.85 ,$214.79 ,$382.76 ,$541.73 ,$214.79 ,$570.24 ,$214.79 ,$676.67 ,$152.39 ,$214.79 ,$676.67 ,$442.73 ,$956.90 ,$215.63 ,"$1,093.60 ",$547.93 ,$214.79 ,$956.90 ,$214.79 ,$820.20 ,$219.09 ,"$1,025.25 ",$754.58 ,$680.77 ,$754.58 ,$214.79 ,$754.58 ,$106.59 ,"$1,367.00 ",$106.59 ,"$1,161.95 ",$547.93 ,$947.33 ,$214.79 ,"$1,367.00 ",$766.89 ,$214.79 ,$358.15 ,"$1,367.00 ",$229.47 ,$219.04 ,$225.53 ,"$1,093.60 ",$676.67 ,$382.76 ,"$1,230.30 ",$519.46 ,$535.00 ,$214.79 ,$656.16 
ST. MARY'S HOSPITAL - DECATUR,32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$6,955.00 ","$5,007.60 ",$535.00 ,"$6,955.00 ","$4,352.30 ","$3,686.15 ","$3,825.25 ","$1,706.10 ","$1,947.40 ","$3,637.47 ","$1,706.10 ","$3,825.25 ","$1,706.10 ","$3,442.73 ",$540.27 ,"$1,706.10 ","$3,442.73 ","$3,516.65 ","$4,868.50 ","$4,346.88 ","$5,564.00 ","$4,352.29 ","$1,706.10 ","$4,868.50 ","$1,706.10 ","$4,173.00 ","$1,740.22 ","$5,216.25 ","$3,839.16 ","$3,463.59 ","$3,839.16 ","$1,706.10 ","$3,839.16 ","$5,077.15 ","$6,955.00 ","$5,077.15 ","$5,911.75 ","$4,352.29 ","$4,819.82 ","$1,706.10 ","$6,955.00 ","$3,901.76 ","$1,706.10 ","$1,822.21 ","$6,955.00 ",$785.38 ,$749.68 ,"$1,791.41 ","$5,564.00 ","$3,442.73 ","$1,947.40 ","$6,259.50 ","$2,642.90 ",$535.00 ,"$1,706.10 ","$3,338.40 "
ST. MARY'S HOSPITAL - DECATUR,32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$2,090.00 ","$1,504.80 ",$91.25 ,"$2,090.00 ",$547.93 ,$148.03 ,"$1,149.50 ",$214.79 ,$585.20 ,$457.65 ,$214.79 ,$481.74 ,$214.79 ,"$1,034.55 ",$130.44 ,$214.79 ,"$1,034.55 ",$442.73 ,"$1,463.00 ",$189.60 ,"$1,672.00 ",$547.93 ,$214.79 ,"$1,463.00 ",$214.79 ,"$1,254.00 ",$219.09 ,"$1,567.50 ","$1,153.68 ","$1,040.82 ","$1,153.68 ",$214.79 ,"$1,153.68 ",$91.25 ,"$2,090.00 ",$91.25 ,"$1,776.50 ",$547.93 ,"$1,448.37 ",$214.79 ,"$2,090.00 ","$1,172.49 ",$214.79 ,$547.58 ,"$2,090.00 ",$229.47 ,$219.04 ,$225.53 ,"$1,672.00 ","$1,034.55 ",$585.20 ,"$1,881.00 ",$794.20 ,$535.00 ,$214.79 ,"$1,003.20 "
ST. MARY'S HOSPITAL - DECATUR,32000355,75605,HC THORACIC AORTA,320,1 ,"$5,119.00 ","$3,685.68 ",$112.74 ,"$12,059.93 ","$12,059.93 ",$135.92 ,"$2,815.45 ","$4,727.49 ","$1,433.32 ",$675.11 ,"$4,727.49 ",$710.64 ,"$4,727.49 ","$2,533.91 ",$161.17 ,"$4,727.49 ","$2,533.91 ","$5,119.00 ","$3,583.30 ",$161.43 ,"$4,095.20 ","$12,059.93 ","$4,727.49 ","$3,583.30 ","$4,727.49 ","$3,071.40 ","$4,822.04 ","$3,839.25 ","$2,825.69 ","$2,549.26 ","$2,825.69 ","$4,727.49 ","$2,825.69 ",$112.74 ,"$5,119.00 ",$112.74 ,"$4,351.15 ","$5,119.00 ","$3,547.47 ","$4,727.49 ","$5,119.00 ","$2,871.76 ","$4,727.49 ","$1,341.18 ","$5,119.00 ",$229.47 ,$219.04 ,"$4,963.87 ","$4,095.20 ","$2,533.91 ","$1,433.32 ","$4,607.10 ","$1,945.22 ",$535.00 ,"$4,727.49 ","$2,457.12 "
ST. MARY'S HOSPITAL - DECATUR,32000356,75625,HC ABDOMINAL AORTAGRAM 75625,320,1 ,"$4,224.00 ","$3,041.28 ",$110.18 ,"$6,989.86 ","$6,989.85 ",$123.82 ,"$2,323.20 ","$2,740.02 ","$1,182.72 ",$666.39 ,"$2,740.02 ",$701.46 ,"$2,740.02 ","$2,090.88 ",$157.51 ,"$2,740.02 ","$2,090.88 ","$4,224.00 ","$2,956.80 ",$143.83 ,"$3,379.20 ","$6,989.86 ","$2,740.02 ","$2,956.80 ","$2,740.02 ","$2,534.40 ","$2,794.82 ","$3,168.00 ","$2,331.65 ","$2,103.55 ","$2,331.65 ","$2,740.02 ","$2,331.65 ",$110.18 ,"$4,224.00 ",$110.18 ,"$3,590.40 ","$4,224.00 ","$2,927.23 ","$2,740.02 ","$4,224.00 ","$2,369.66 ","$2,740.02 ","$1,106.69 ","$4,224.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$3,379.20 ","$2,090.88 ","$1,182.72 ","$3,801.60 ","$1,605.12 ",$535.00 ,"$2,740.02 ","$2,027.52 "
ST. MARY'S HOSPITAL - DECATUR,32000357,75630,HC AORTA WITH RUNOFF 75630,320,1 ,"$5,782.00 ","$4,163.04 ",$112.23 ,"$6,989.86 ","$6,989.85 ",$131.47 ,"$3,180.10 ","$2,740.02 ","$1,618.96 ",$675.11 ,"$2,740.02 ",$710.64 ,"$2,740.02 ","$2,862.09 ",$160.43 ,"$2,740.02 ","$2,862.09 ","$5,647.80 ","$4,047.40 ",$154.10 ,"$4,625.60 ","$6,989.86 ","$2,740.02 ","$4,047.40 ","$2,740.02 ","$3,469.20 ","$2,794.82 ","$4,336.50 ","$3,191.66 ","$2,879.44 ","$3,191.66 ","$2,740.02 ","$3,191.66 ",$112.23 ,"$5,782.00 ",$112.23 ,"$4,914.70 ","$5,782.00 ","$4,006.93 ","$2,740.02 ","$5,782.00 ","$3,243.70 ","$2,740.02 ","$1,514.88 ","$5,782.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$4,625.60 ","$2,862.09 ","$1,618.96 ","$5,203.80 ","$2,197.16 ",$535.00 ,"$2,740.02 ","$2,775.36 "
ST. MARY'S HOSPITAL - DECATUR,32000371,75710,HC ANGIO EXTREMITY UNI 75710,320,1 ,"$4,092.00 ","$2,946.24 ",$116.83 ,"$6,989.86 ","$6,989.85 ",$140.38 ,"$2,250.60 ","$2,740.02 ","$1,145.76 ",$704.12 ,"$2,740.02 ",$741.18 ,"$2,740.02 ","$2,025.54 ",$167.02 ,"$2,740.02 ","$2,025.54 ","$4,092.00 ","$2,864.40 ",$164.35 ,"$3,273.60 ","$6,989.86 ","$2,740.02 ","$2,864.40 ","$2,740.02 ","$2,455.20 ","$2,794.82 ","$3,069.00 ","$2,258.78 ","$2,037.82 ","$2,258.78 ","$2,740.02 ","$2,258.78 ",$116.83 ,"$4,092.00 ",$116.83 ,"$3,478.20 ","$4,092.00 ","$2,835.76 ","$2,740.02 ","$4,092.00 ","$2,295.61 ","$2,740.02 ","$1,072.10 ","$4,092.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$3,273.60 ","$2,025.54 ","$1,145.76 ","$3,682.80 ","$1,554.96 ",$535.00 ,"$2,740.02 ","$1,964.16 "
ST. MARY'S HOSPITAL - DECATUR,32000373,75716,HC ANGIO EXTREMITY BILAT 75716,320,1 ,"$5,515.00 ","$3,970.80 ",$118.37 ,"$6,989.86 ","$6,989.85 ",$144.41 ,"$3,033.25 ","$2,740.02 ","$1,544.20 ",$811.34 ,"$2,740.02 ",$854.04 ,"$2,740.02 ","$2,729.93 ",$169.21 ,"$2,740.02 ","$2,729.93 ","$5,515.00 ","$3,860.50 ",$170.10 ,"$4,412.00 ","$6,989.86 ","$2,740.02 ","$3,860.50 ","$2,740.02 ","$3,309.00 ","$2,794.82 ","$4,136.25 ","$3,044.28 ","$2,746.47 ","$3,044.28 ","$2,740.02 ","$3,044.28 ",$118.37 ,"$5,515.00 ",$118.37 ,"$4,687.75 ","$5,515.00 ","$3,821.90 ","$2,740.02 ","$5,515.00 ","$3,093.92 ","$2,740.02 ","$1,444.93 ","$5,515.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$4,412.00 ","$2,729.93 ","$1,544.20 ","$4,963.50 ","$2,095.70 ",$535.00 ,"$2,740.02 ","$2,647.20 "
ST. MARY'S HOSPITAL - DECATUR,32000375,36251,HC ANGIO SEL RENAL UNILA 36251,320,1 ,"$7,333.00 ","$5,279.76 ",$484.91 ,"$7,333.00 ","$6,989.85 ","$3,886.49 ","$4,033.15 ","$2,740.02 ","$2,053.24 ","$3,835.16 ","$2,740.02 ","$4,033.15 ","$2,740.02 ","$3,629.84 ",$484.91 ,"$2,740.02 ","$3,629.84 ","$5,647.80 ","$5,133.10 ","$4,583.13 ","$5,866.40 ","$6,989.86 ","$2,740.02 ","$5,133.10 ","$2,740.02 ","$4,399.80 ","$2,794.82 ","$5,499.75 ","$4,047.82 ","$3,651.83 ","$4,047.82 ","$2,740.02 ","$4,047.82 ","$5,353.09 ","$7,333.00 ","$5,353.09 ","$6,233.05 ","$6,989.86 ","$5,081.77 ","$2,740.02 ","$7,333.00 ","$4,113.81 ","$2,740.02 ","$1,921.25 ","$7,333.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$5,866.40 ","$3,629.84 ","$2,053.24 ","$6,599.70 ","$2,786.54 ",$535.00 ,"$2,740.02 ","$3,519.84 "
ST. MARY'S HOSPITAL - DECATUR,32000376,36252,HC ANGIO SEL RENAL BILAT 36252,320,1 ,"$8,915.00 ","$6,418.80 ",$535.00 ,"$8,915.00 ","$6,989.85 ","$4,724.95 ","$4,903.25 ","$2,740.02 ","$2,496.20 ","$4,662.55 ","$2,740.02 ","$4,903.25 ","$2,740.02 ","$4,412.93 ",$676.24 ,"$2,740.02 ","$4,412.93 ","$5,647.80 ","$6,240.50 ","$5,571.88 ","$7,132.00 ","$6,989.86 ","$2,740.02 ","$6,240.50 ","$2,740.02 ","$5,349.00 ","$2,794.82 ","$6,686.25 ","$4,921.08 ","$4,439.67 ","$4,921.08 ","$2,740.02 ","$4,921.08 ","$6,507.95 ","$8,915.00 ","$6,507.95 ","$7,577.75 ","$6,989.86 ","$6,178.10 ","$2,740.02 ","$8,915.00 ","$5,001.32 ","$2,740.02 ","$2,335.73 ","$8,915.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$7,132.00 ","$4,412.93 ","$2,496.20 ","$8,023.50 ","$3,387.70 ",$535.00 ,"$2,740.02 ","$4,279.20 "
ST. MARY'S HOSPITAL - DECATUR,32000378,75726,"HC ANGIO VISERAL, SEL, OR SUPRASEL 75726",320,1 ,"$5,155.00 ","$3,711.60 ",$129.12 ,"$12,059.93 ","$12,059.93 ",$155.86 ,"$2,835.25 ","$4,727.49 ","$1,443.40 ",$770.75 ,"$4,727.49 ",$811.32 ,"$4,727.49 ","$2,551.73 ",$184.57 ,"$4,727.49 ","$2,551.73 ","$5,155.00 ","$3,608.50 ",$183.53 ,"$4,124.00 ","$12,059.93 ","$4,727.49 ","$3,608.50 ","$4,727.49 ","$3,093.00 ","$4,822.04 ","$3,866.25 ","$2,845.56 ","$2,567.19 ","$2,845.56 ","$4,727.49 ","$2,845.56 ",$129.12 ,"$5,155.00 ",$129.12 ,"$4,381.75 ","$5,155.00 ","$3,572.42 ","$4,727.49 ","$5,155.00 ","$2,891.96 ","$4,727.49 ","$1,350.61 ","$5,155.00 ",$229.47 ,$219.04 ,"$4,963.87 ","$4,124.00 ","$2,551.73 ","$1,443.40 ","$4,639.50 ","$1,958.90 ",$535.00 ,"$4,727.49 ","$2,474.40 "
ST. MARY'S HOSPITAL - DECATUR,32000384,75736,HC ANGIO PELVIC SELECT,320,1 ,"$5,318.00 ","$3,828.96 ",$144.63 ,"$12,059.93 ","$12,059.93 ",$174.35 ,"$2,924.90 ","$4,727.49 ","$1,489.04 ",$863.15 ,"$4,727.49 ",$908.58 ,"$4,727.49 ","$2,632.41 ",$206.75 ,"$4,727.49 ","$2,632.41 ","$5,318.00 ","$3,722.60 ",$210.35 ,"$4,254.40 ","$12,059.93 ","$4,727.49 ","$3,722.60 ","$4,727.49 ","$3,190.80 ","$4,822.04 ","$3,988.50 ","$2,935.54 ","$2,648.36 ","$2,935.54 ","$4,727.49 ","$2,935.54 ",$144.63 ,"$5,318.00 ",$144.63 ,"$4,520.30 ","$5,318.00 ","$3,685.37 ","$4,727.49 ","$5,318.00 ","$2,983.40 ","$4,727.49 ","$1,393.32 ","$5,318.00 ",$229.47 ,$219.04 ,"$4,963.87 ","$4,254.40 ","$2,632.41 ","$1,489.04 ","$4,786.20 ","$2,020.84 ",$535.00 ,"$4,727.49 ","$2,552.64 "
ST. MARY'S HOSPITAL - DECATUR,32000389,75774,HC ANGIO EA VESSEL ADDL 75774,320,1 ,"$3,448.00 ","$2,482.56 ",$94.31 ,"$3,448.00 ", N/A ,$106.61 ,"$1,896.40 ", N/A ,$965.44 ,$570.74 , N/A ,$600.78 , N/A ,"$1,706.76 ",$134.83 , N/A ,"$1,706.76 ", N/A ,"$2,413.60 ","$2,155.00 ","$2,758.40 ", N/A , N/A ,"$2,413.60 ", N/A ,"$2,068.80 ", N/A ,"$2,586.00 ","$1,903.30 ","$1,717.10 ","$1,903.30 ", N/A ,"$1,903.30 ",$94.31 ,"$3,448.00 ",$94.31 ,"$2,930.80 ", N/A ,"$2,389.46 ", N/A ,"$3,448.00 ","$1,934.33 ", N/A ,$903.38 ,"$3,448.00 ",$229.47 ,$219.04 , N/A ,"$2,758.40 ","$1,706.76 ",$965.44 ,"$3,103.20 ","$1,310.24 ",$535.00 , N/A ,"$1,655.04 "
ST. MARY'S HOSPITAL - DECATUR,32000393,75809,HC SHUNTOGRAM NONVASCULAR,320,1 ,"$2,102.00 ","$1,513.44 ",$98.30 ,"$2,102.00 ",$250.78 ,$122.54 ,"$1,156.10 ",$98.30 ,$588.56 ,$617.14 ,$98.30 ,$649.62 ,$98.30 ,"$1,040.49 ",$147.27 ,$98.30 ,"$1,040.49 ",$202.63 ,"$1,471.40 ",$140.68 ,"$1,681.60 ",$250.78 ,$98.30 ,"$1,471.40 ",$98.30 ,"$1,261.20 ",$100.27 ,"$1,576.50 ","$1,160.30 ","$1,046.80 ","$1,160.30 ",$98.30 ,"$1,160.30 ",$103.02 ,"$2,102.00 ",$103.02 ,"$1,786.70 ",$250.78 ,"$1,456.69 ",$98.30 ,"$2,102.00 ","$1,179.22 ",$98.30 ,$550.72 ,"$2,102.00 ",$229.47 ,$219.04 ,$103.22 ,"$1,681.60 ","$1,040.49 ",$588.56 ,"$1,891.80 ",$798.76 ,$535.00 ,$98.30 ,"$1,008.96 "
ST. MARY'S HOSPITAL - DECATUR,32000395,75820,HC VENOGRAM EXTREMITY UNI 75820,320,1 ,"$1,899.00 ","$1,367.28 ",$110.68 ,"$3,491.10 ","$3,491.10 ",$125.73 ,"$1,044.45 ","$1,368.51 ",$531.72 ,$663.48 ,"$1,368.51 ",$698.40 ,"$1,368.51 ",$940.01 ,$158.24 ,"$1,368.51 ",$940.01 ,"$1,899.00 ","$1,329.30 ",$144.63 ,"$1,519.20 ","$3,491.09 ","$1,368.51 ","$1,329.30 ","$1,368.51 ","$1,139.40 ","$1,395.88 ","$1,424.25 ","$1,048.25 ",$945.70 ,"$1,048.25 ","$1,368.51 ","$1,048.25 ",$110.68 ,"$1,899.00 ",$110.68 ,"$1,614.15 ","$1,899.00 ","$1,316.01 ","$1,368.51 ","$1,899.00 ","$1,065.34 ","$1,368.51 ",$497.54 ,"$1,899.00 ",$229.47 ,$219.04 ,"$1,436.93 ","$1,519.20 ",$940.01 ,$531.72 ,"$1,709.10 ",$721.62 ,$535.00 ,"$1,368.51 ",$911.52 
ST. MARY'S HOSPITAL - DECATUR,32000397,75822,HC VENOGRAM EXTREMITY BILAT,320,1 ,"$2,399.00 ","$1,727.28 ",$113.25 ,"$3,491.10 ","$3,491.10 ",$133.38 ,"$1,319.45 ","$1,368.51 ",$671.72 ,$686.68 ,"$1,368.51 ",$722.82 ,"$1,368.51 ","$1,187.51 ",$161.90 ,"$1,368.51 ","$1,187.51 ","$2,399.00 ","$1,679.30 ",$155.68 ,"$1,919.20 ","$3,491.09 ","$1,368.51 ","$1,679.30 ","$1,368.51 ","$1,439.40 ","$1,395.88 ","$1,799.25 ","$1,324.25 ","$1,194.70 ","$1,324.25 ","$1,368.51 ","$1,324.25 ",$113.25 ,"$2,399.00 ",$113.25 ,"$2,039.15 ","$2,399.00 ","$1,662.51 ","$1,368.51 ","$2,399.00 ","$1,345.84 ","$1,368.51 ",$628.54 ,"$2,399.00 ",$229.47 ,$219.04 ,"$1,436.93 ","$1,919.20 ","$1,187.51 ",$671.72 ,"$2,159.10 ",$911.62 ,$535.00 ,"$1,368.51 ","$1,151.52 "
ST. MARY'S HOSPITAL - DECATUR,32000398,75825,HC VENOGRAPHY CAVAL INFERIOR,320,1 ,"$4,013.00 ","$2,889.36 ",$107.62 ,"$6,989.86 ","$6,989.85 ",$125.73 ,"$2,207.15 ","$2,740.02 ","$1,123.64 ",$646.10 ,"$2,740.02 ",$680.10 ,"$2,740.02 ","$1,986.44 ",$153.85 ,"$2,740.02 ","$1,986.44 ","$4,013.00 ","$2,809.10 ",$146.20 ,"$3,210.40 ","$6,989.86 ","$2,740.02 ","$2,809.10 ","$2,740.02 ","$2,407.80 ","$2,794.82 ","$3,009.75 ","$2,215.18 ","$1,998.47 ","$2,215.18 ","$2,740.02 ","$2,215.18 ",$107.62 ,"$4,013.00 ",$107.62 ,"$3,411.05 ","$4,013.00 ","$2,781.01 ","$2,740.02 ","$4,013.00 ","$2,251.29 ","$2,740.02 ","$1,051.41 ","$4,013.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$3,210.40 ","$1,986.44 ","$1,123.64 ","$3,611.70 ","$1,524.94 ",$535.00 ,"$2,740.02 ","$1,926.24 "
ST. MARY'S HOSPITAL - DECATUR,32000399,75827,HC VENOGRAPHY CAVAL SUPERIOR,320,1 ,"$3,930.00 ","$2,829.60 ",$113.76 ,"$3,930.00 ","$3,491.10 ",$135.29 ,"$2,161.50 ","$1,368.51 ","$1,100.40 ",$678.02 ,"$1,368.51 ",$713.70 ,"$1,368.51 ","$1,945.35 ",$162.63 ,"$1,368.51 ","$1,945.35 ","$2,820.80 ","$2,751.00 ",$158.83 ,"$3,144.00 ","$3,491.09 ","$1,368.51 ","$2,751.00 ","$1,368.51 ","$2,358.00 ","$1,395.88 ","$2,947.50 ","$2,169.36 ","$1,957.14 ","$2,169.36 ","$1,368.51 ","$2,169.36 ",$113.76 ,"$3,930.00 ",$113.76 ,"$3,340.50 ","$3,491.09 ","$2,723.49 ","$1,368.51 ","$3,930.00 ","$2,204.73 ","$1,368.51 ","$1,029.66 ","$3,930.00 ",$229.47 ,$219.04 ,"$1,436.93 ","$3,144.00 ","$1,945.35 ","$1,100.40 ","$3,537.00 ","$1,493.40 ",$535.00 ,"$1,368.51 ","$1,886.40 "
ST. MARY'S HOSPITAL - DECATUR,32000400,75831,HC VENOGRAM RENAL UNILAT,320,1 ,"$3,531.00 ","$2,542.32 ",$116.83 ,"$6,989.86 ","$6,989.85 ",$137.21 ,"$1,942.05 ","$2,740.02 ",$988.68 ,$698.31 ,"$2,740.02 ",$735.06 ,"$2,740.02 ","$1,747.85 ",$167.02 ,"$2,740.02 ","$1,747.85 ","$3,531.00 ","$2,471.70 ",$161.20 ,"$2,824.80 ","$6,989.86 ","$2,740.02 ","$2,471.70 ","$2,740.02 ","$2,118.60 ","$2,794.82 ","$2,648.25 ","$1,949.11 ","$1,758.44 ","$1,949.11 ","$2,740.02 ","$1,949.11 ",$116.83 ,"$3,531.00 ",$116.83 ,"$3,001.35 ","$3,531.00 ","$2,446.98 ","$2,740.02 ","$3,531.00 ","$1,980.89 ","$2,740.02 ",$925.12 ,"$3,531.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$2,824.80 ","$1,747.85 ",$988.68 ,"$3,177.90 ","$1,341.78 ",$535.00 ,"$2,740.02 ","$1,694.88 "
ST. MARY'S HOSPITAL - DECATUR,32000401,75833,HC VENOGRAM RENAL BILAT,320,1 ,"$3,857.00 ","$2,777.04 ",$127.24 ,"$6,989.86 ","$6,989.85 ",$153.32 ,"$2,121.35 ","$2,740.02 ","$1,079.96 ",$767.45 ,"$2,740.02 ",$807.84 ,"$2,740.02 ","$1,909.22 ",$181.88 ,"$2,740.02 ","$1,909.22 ","$3,857.00 ","$2,699.90 ",$185.10 ,"$3,085.60 ","$6,989.86 ","$2,740.02 ","$2,699.90 ","$2,740.02 ","$2,314.20 ","$2,794.82 ","$2,892.75 ","$2,129.06 ","$1,920.79 ","$2,129.06 ","$2,740.02 ","$2,129.06 ",$127.24 ,"$3,857.00 ",$127.24 ,"$3,278.45 ","$3,857.00 ","$2,672.90 ","$2,740.02 ","$3,857.00 ","$2,163.78 ","$2,740.02 ","$1,010.53 ","$3,857.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$3,085.60 ","$1,909.22 ","$1,079.96 ","$3,471.30 ","$1,465.66 ",$535.00 ,"$2,740.02 ","$1,851.36 "
ST. MARY'S HOSPITAL - DECATUR,32000404,75860,HC VENOGRAPHY SINUS/ JUGULAR,320,1 ,"$2,295.00 ","$1,652.40 ",$122.46 ,"$6,989.86 ","$6,989.85 ",$148.03 ,"$1,262.25 ","$2,740.02 ",$642.60 ,$724.41 ,"$2,740.02 ",$762.54 ,"$2,249.10 ","$1,136.03 ",$175.06 ,"$2,249.10 ","$1,136.03 ","$2,295.00 ","$1,606.50 ",$172.25 ,"$1,836.00 ","$6,989.86 ","$2,740.02 ","$1,606.50 ","$2,740.02 ","$1,377.00 ","$2,249.10 ","$1,721.25 ","$1,266.84 ","$1,142.91 ","$1,266.84 ","$2,740.02 ","$1,266.84 ",$122.46 ,"$2,295.00 ",$122.46 ,"$1,950.75 ","$2,295.00 ","$1,590.44 ","$2,249.10 ","$2,295.00 ","$1,287.50 ","$2,740.02 ",$601.29 ,"$2,295.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$1,836.00 ","$1,136.03 ",$642.60 ,"$2,065.50 ",$872.10 ,$535.00 ,"$2,740.02 ","$1,101.60 "
ST. MARY'S HOSPITAL - DECATUR,32000417,75898,HC TRANSCATH ANGIO EXIST 75898,320,1 ,"$1,932.00 ","$1,391.04 ",$94.28 ,"$6,989.86 ","$6,989.85 ","$1,932.00 ","$1,062.60 ","$2,740.02 ",$540.96 ,$380.30 ,"$2,740.02 ",$400.32 ,"$1,893.36 ",$956.34 ,$94.28 ,"$1,893.36 ",$956.34 ,"$1,932.00 ","$1,352.40 ",$103.18 ,"$1,545.60 ","$6,989.86 ","$2,740.02 ","$1,352.40 ","$2,740.02 ","$1,159.20 ","$1,893.36 ","$1,449.00 ","$1,066.46 ",$962.14 ,"$1,066.46 ","$2,740.02 ","$1,066.46 ","$1,553.18 ","$1,932.00 ","$1,553.18 ","$1,642.20 ","$1,932.00 ","$1,338.88 ","$1,893.36 ","$1,932.00 ","$1,083.85 ","$2,740.02 ",$506.18 ,"$1,932.00 ",$251.20 ,$239.78 ,"$2,877.03 ","$1,545.60 ",$956.34 ,$540.96 ,"$1,738.80 ",$734.16 ,$535.00 ,"$2,740.02 ",$927.36 
ST. MARY'S HOSPITAL - DECATUR,32000423,37191,HC IVC FILTER PLACEMENT 37191,320,1 ,"$13,303.00 ","$9,578.16 ",$535.00 ,"$13,303.00 ","$12,059.93 ","$7,050.59 ","$7,316.65 ","$4,727.49 ","$3,724.84 ","$6,957.47 ","$4,727.49 ","$7,316.65 ","$4,727.49 ","$6,584.99 ",$568.66 ,"$4,727.49 ","$6,584.99 ","$9,744.43 ","$9,312.10 ","$8,314.38 ","$10,642.40 ","$12,059.93 ","$4,727.49 ","$9,312.10 ","$4,727.49 ","$7,981.80 ","$4,822.04 ","$9,977.25 ","$7,343.26 ","$6,624.89 ","$7,343.26 ","$4,727.49 ","$7,343.26 ","$9,711.19 ","$13,303.00 ","$9,711.19 ","$11,307.55 ","$12,059.93 ","$9,218.98 ","$4,727.49 ","$13,303.00 ","$7,462.98 ","$4,727.49 ","$3,485.39 ","$13,303.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$10,642.40 ","$6,584.99 ","$3,724.84 ","$11,972.70 ","$5,055.14 ",$535.00 ,"$4,727.49 ","$6,385.44 "
ST. MARY'S HOSPITAL - DECATUR,32000438,47533,HC TRANSHEPATIC DRAINAGE,320,1 ,"$6,746.00 ","$4,857.12 ",$475.24 ,"$8,310.78 ","$8,310.78 ","$3,575.38 ","$3,710.30 ","$3,257.82 ","$1,888.88 ","$3,528.16 ","$3,257.82 ","$3,710.30 ","$3,257.82 ","$3,339.27 ",$475.24 ,"$3,257.82 ","$3,339.27 ","$6,715.11 ","$4,722.20 ","$4,216.25 ","$5,396.80 ","$8,310.78 ","$3,257.82 ","$4,722.20 ","$3,257.82 ","$4,047.60 ","$3,322.98 ","$5,059.50 ","$3,723.79 ","$3,359.51 ","$3,723.79 ","$3,257.82 ","$3,723.79 ","$4,924.58 ","$6,746.00 ","$4,924.58 ","$5,734.10 ","$6,746.00 ","$4,674.98 ","$3,257.82 ","$6,746.00 ","$3,784.51 ","$3,257.82 ","$1,767.45 ","$6,746.00 ","$1,218.12 ","$1,162.75 ","$3,420.72 ","$5,396.80 ","$3,339.27 ","$1,888.88 ","$6,071.40 ","$2,563.48 ",$535.00 ,"$3,257.82 ","$3,238.08 "
ST. MARY'S HOSPITAL - DECATUR,32000440,75984,HC CHANGE PERC DRAINAGE TUBE OR CATH,320,1 ,"$1,256.00 ",$904.32 ,$97.39 ,"$1,256.00 ", N/A ,$123.82 ,$690.80 , N/A ,$351.68 ,$585.22 , N/A ,$616.02 , N/A ,$621.72 ,$139.22 , N/A ,$621.72 , N/A ,$879.20 ,$785.00 ,"$1,004.80 ", N/A , N/A ,$879.20 , N/A ,$753.60 , N/A ,$942.00 ,$693.31 ,$625.49 ,$693.31 , N/A ,$693.31 ,$97.39 ,"$1,256.00 ",$97.39 ,"$1,067.60 ", N/A ,$870.41 , N/A ,"$1,256.00 ",$704.62 , N/A ,$329.07 ,"$1,256.00 ",$229.47 ,$219.04 , N/A ,"$1,004.80 ",$621.72 ,$351.68 ,"$1,130.40 ",$477.28 ,$535.00 , N/A ,$602.88 
ST. MARY'S HOSPITAL - DECATUR,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$5,699.00 ","$4,103.28 ",$351.25 ,"$5,699.00 ","$3,518.55 ","$3,020.47 ","$3,134.45 ","$1,379.27 ","$1,595.72 ","$2,980.58 ","$1,379.27 ","$3,134.45 ","$1,379.27 ","$2,821.01 ",$351.25 ,"$1,379.27 ","$2,821.01 ","$2,842.98 ","$3,989.30 ","$3,561.88 ","$4,559.20 ","$3,518.54 ","$1,379.27 ","$3,989.30 ","$1,379.27 ","$3,419.40 ","$1,406.86 ","$4,274.25 ","$3,145.85 ","$2,838.10 ","$3,145.85 ","$1,379.27 ","$3,145.85 ","$4,160.27 ","$5,699.00 ","$4,160.27 ","$4,844.15 ","$3,518.54 ","$3,949.41 ","$1,379.27 ","$5,699.00 ","$3,197.14 ","$1,379.27 ","$1,493.14 ","$5,699.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$4,559.20 ","$2,821.01 ","$1,595.72 ","$5,129.10 ","$2,165.62 ",$535.00 ,"$1,379.27 ","$2,735.52 "
ST. MARY'S HOSPITAL - DECATUR,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$2,495.00 ","$1,796.40 ",$90.74 ,"$2,495.00 ", N/A ,$136.64 ,"$1,372.25 ", N/A ,$698.60 ,$518.53 , N/A ,$545.82 , N/A ,"$1,235.03 ",$129.71 , N/A ,"$1,235.03 ", N/A ,"$1,746.50 ","$1,559.38 ","$1,996.00 ", N/A , N/A ,"$1,746.50 ", N/A ,"$1,497.00 ", N/A ,"$1,871.25 ","$1,377.24 ","$1,242.51 ","$1,377.24 ", N/A ,"$1,377.24 ",$90.74 ,"$2,495.00 ",$90.74 ,"$2,120.75 ", N/A ,"$1,729.04 ", N/A ,"$2,495.00 ","$1,399.70 ", N/A ,$653.69 ,"$2,495.00 ",$229.47 ,$219.04 , N/A ,"$1,996.00 ","$1,235.03 ",$698.60 ,"$2,245.50 ",$948.10 ,$535.00 , N/A ,"$1,197.60 "
ST. MARY'S HOSPITAL - DECATUR,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$850.00 ,$612.00 ,$38.44 ,$850.00 ,$547.93 ,$51.17 ,$467.50 ,$214.79 ,$238.00 ,$321.42 ,$214.79 ,$338.34 ,$214.79 ,$420.75 ,$65.34 ,$214.79 ,$420.75 ,$442.73 ,$595.00 ,$65.73 ,$680.00 ,$547.93 ,$214.79 ,$595.00 ,$214.79 ,$510.00 ,$219.09 ,$637.50 ,$469.20 ,$423.30 ,$469.20 ,$214.79 ,$469.20 ,$45.70 ,$850.00 ,$45.70 ,$722.50 ,$547.93 ,$589.05 ,$214.79 ,$850.00 ,$476.85 ,$214.79 ,$222.70 ,$850.00 ,$40.27 ,$38.44 ,$225.53 ,$680.00 ,$420.75 ,$238.00 ,$765.00 ,$323.00 ,$535.00 ,$214.79 ,$408.00 
ST. MARY'S HOSPITAL - DECATUR,32000464,76010,HC BABYGRAM,320,1 ,$504.00 ,$362.88 ,$26.27 ,$504.00 ,$203.85 ,$39.06 ,$277.20 ,$79.91 ,$141.12 ,$141.65 ,$79.91 ,$149.10 ,$79.91 ,$249.48 ,$37.54 ,$79.91 ,$249.48 ,$164.72 ,$352.80 ,$49.95 ,$403.20 ,$203.86 ,$79.91 ,$352.80 ,$79.91 ,$302.40 ,$81.51 ,$378.00 ,$278.21 ,$250.99 ,$278.21 ,$79.91 ,$278.21 ,$26.27 ,$504.00 ,$26.27 ,$428.40 ,$203.86 ,$349.27 ,$79.91 ,$504.00 ,$282.74 ,$79.91 ,$132.05 ,$504.00 ,$40.27 ,$38.44 ,$83.91 ,$403.20 ,$249.48 ,$141.12 ,$453.60 ,$191.52 ,$504.00 ,$79.91 ,$241.92 
ST. MARY'S HOSPITAL - DECATUR,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,$845.00 ,$608.40 ,$44.68 ,"$1,180.55 ","$1,180.55 ",$65.84 ,$464.75 ,$462.78 ,$236.60 ,$237.35 ,$462.78 ,$249.84 ,$462.78 ,$418.28 ,$63.87 ,$462.78 ,$418.28 ,$845.00 ,$591.50 ,$84.65 ,$676.00 ,"$1,180.54 ",$462.78 ,$591.50 ,$462.78 ,$507.00 ,$472.03 ,$633.75 ,$466.44 ,$420.81 ,$466.44 ,$462.78 ,$466.44 ,$44.68 ,$845.00 ,$44.68 ,$718.25 ,$845.00 ,$585.59 ,$462.78 ,$845.00 ,$474.05 ,$462.78 ,$221.39 ,$845.00 ,$229.47 ,$219.04 ,$485.91 ,$676.00 ,$418.28 ,$236.60 ,$760.50 ,$321.10 ,$535.00 ,$462.78 ,$405.60 
ST. MARY'S HOSPITAL - DECATUR,32000466,76080,HC ABSCESS FISTULA DRAINAGE CATH CHECK,320,1 ,"$1,594.00 ","$1,147.68 ",$44.68 ,"$1,594.00 ","$1,180.55 ",$65.84 ,$876.70 ,$462.78 ,$446.32 ,$237.35 ,$462.78 ,$249.84 ,$462.78 ,$789.03 ,$63.87 ,$462.78 ,$789.03 ,$953.88 ,"$1,115.80 ",$84.65 ,"$1,275.20 ","$1,180.54 ",$462.78 ,"$1,115.80 ",$462.78 ,$956.40 ,$472.03 ,"$1,195.50 ",$879.89 ,$793.81 ,$879.89 ,$462.78 ,$879.89 ,$44.68 ,"$1,594.00 ",$44.68 ,"$1,354.90 ","$1,180.54 ","$1,104.64 ",$462.78 ,"$1,594.00 ",$894.23 ,$462.78 ,$417.63 ,"$1,594.00 ",$229.47 ,$219.04 ,$485.91 ,"$1,275.20 ",$789.03 ,$446.32 ,"$1,434.60 ",$605.72 ,$535.00 ,$462.78 ,$765.12 
ST. MARY'S HOSPITAL - DECATUR,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$603.00 ,$434.16 ,$12.44 ,"$1,180.55 ","$1,180.55 ",$49.91 ,$331.65 ,$462.78 ,$168.84 ,$74.96 ,$462.78 ,$78.90 ,$462.78 ,$298.49 ,$17.79 ,$462.78 ,$298.49 ,$603.00 ,$422.10 ,$60.20 ,$482.40 ,"$1,180.54 ",$462.78 ,$422.10 ,$462.78 ,$361.80 ,$472.03 ,$452.25 ,$332.86 ,$300.29 ,$332.86 ,$462.78 ,$332.86 ,$12.44 ,$603.00 ,$12.44 ,$512.55 ,$603.00 ,$417.88 ,$462.78 ,$28.66 ,$338.28 ,$462.78 ,$157.99 ,$603.00 ,$40.27 ,$38.44 ,$485.91 ,$482.40 ,$298.49 ,$168.84 ,$542.70 ,$229.14 ,$535.00 ,$462.78 ,$289.44 
ST. MARY'S HOSPITAL - DECATUR,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,028.00 ",$740.16 ,$103.54 ,"$1,028.00 ", N/A ,$157.59 ,$565.40 , N/A ,$287.84 ,$537.64 , N/A ,$565.40 , N/A ,$508.86 ,$148.00 , N/A ,$508.86 , N/A ,$719.60 ,$642.50 ,$822.40 , N/A , N/A ,$719.60 , N/A ,$616.80 , N/A ,$771.00 ,$567.46 ,$511.94 ,$567.46 , N/A ,$567.46 ,$103.54 ,"$1,028.00 ",$103.54 ,$873.80 , N/A ,$712.40 , N/A ,"$1,028.00 ",$576.71 , N/A ,$269.34 ,"$1,028.00 ",$229.47 ,$219.04 , N/A ,$822.40 ,$508.86 ,$287.84 ,$925.20 ,$390.64 ,$535.00 , N/A ,$493.44 
ST. MARY'S HOSPITAL - DECATUR,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$555.00 ,$399.60 ,$106.08 ,$555.00 , N/A ,$166.50 ,$305.25 , N/A ,$155.40 ,$290.27 , N/A ,$305.25 , N/A ,$274.73 ,$151.66 , N/A ,$274.73 , N/A ,$388.50 ,$346.88 ,$444.00 , N/A , N/A ,$388.50 , N/A ,$333.00 , N/A ,$416.25 ,$306.36 ,$276.39 ,$306.36 , N/A ,$306.36 ,$106.08 ,$555.00 ,$106.08 ,$471.75 , N/A ,$384.62 , N/A ,$555.00 ,$311.36 , N/A ,$145.41 ,$555.00 ,$229.47 ,$219.04 , N/A ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 ,$535.00 , N/A ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,"$1,422.00 ","$1,023.84 ",$97.89 ,"$1,422.00 ", N/A ,$141.66 ,$782.10 , N/A ,$398.16 ,$666.79 , N/A ,$701.88 , N/A ,$703.89 ,$139.95 , N/A ,$703.89 , N/A ,$995.40 ,$888.75 ,"$1,137.60 ", N/A , N/A ,$995.40 , N/A ,$853.20 , N/A ,"$1,066.50 ",$784.94 ,$708.16 ,$784.94 , N/A ,$784.94 ,$97.89 ,"$1,422.00 ",$97.89 ,"$1,208.70 ", N/A ,$985.45 , N/A ,"$1,422.00 ",$797.74 , N/A ,$372.56 ,"$1,422.00 ",$229.47 ,$219.04 , N/A ,"$1,137.60 ",$703.89 ,$398.16 ,"$1,279.80 ",$540.36 ,$535.00 , N/A ,$682.56 
ST. MARY'S HOSPITAL - DECATUR,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$3,074.00 ","$2,213.28 ",$82.48 ,"$3,074.00 ","$1,522.75 ","$1,629.22 ","$1,690.70 ",$596.92 ,$860.72 ,"$1,607.70 ",$596.92 ,"$1,690.70 ",$596.92 ,"$1,521.63 ",$176.38 ,$596.92 ,"$1,521.63 ","$1,230.38 ","$2,151.80 ","$1,921.25 ","$2,459.20 ","$1,522.74 ",$596.92 ,"$2,151.80 ",$596.92 ,"$1,844.40 ",$608.85 ,"$2,305.50 ","$1,696.85 ","$1,530.85 ","$1,696.85 ",$596.92 ,"$1,696.85 ","$2,244.02 ","$3,074.00 ","$2,244.02 ","$2,612.90 ","$1,522.74 ","$2,130.28 ",$596.92 ,$279.00 ,"$1,724.51 ",$596.92 ,$805.39 ,"$3,074.00 ",$86.41 ,$82.48 ,$626.77 ,"$2,459.20 ","$1,521.63 ",$860.72 ,"$2,766.60 ","$1,168.12 ",$535.00 ,$596.92 ,"$1,475.52 "
ST. MARY'S HOSPITAL - DECATUR,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$4,538.00 ","$3,267.36 ",$292.07 ,"$4,538.00 ","$3,518.55 ","$2,405.14 ","$2,495.90 ","$1,379.27 ","$1,270.64 ","$2,373.37 ","$1,379.27 ","$2,495.90 ","$1,379.27 ","$2,246.31 ",$292.07 ,"$1,379.27 ","$2,246.31 ","$2,842.98 ","$3,176.60 ","$2,836.25 ","$3,630.40 ","$3,518.54 ","$1,379.27 ","$3,176.60 ","$1,379.27 ","$2,722.80 ","$1,406.86 ","$3,403.50 ","$2,504.98 ","$2,259.92 ","$2,504.98 ","$1,379.27 ","$2,504.98 ","$3,312.74 ","$4,538.00 ","$3,312.74 ","$3,857.30 ","$3,518.54 ","$3,144.83 ","$1,379.27 ",$539.22 ,"$2,545.82 ","$1,379.27 ","$1,188.96 ","$4,538.00 ",$891.95 ,$851.40 ,"$1,448.23 ","$3,630.40 ","$2,246.31 ","$1,270.64 ","$4,084.20 ","$1,724.44 ",$535.00 ,"$1,379.27 ","$2,178.24 "
ST. MARY'S HOSPITAL - DECATUR,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,812.00 ","$1,304.64 ",$82.48 ,"$3,518.55 ","$3,518.55 ",$960.36 ,$996.60 ,"$1,379.27 ",$507.36 ,$947.68 ,"$1,379.27 ",$996.60 ,"$1,379.27 ",$896.94 ,$174.74 ,"$1,379.27 ",$896.94 ,"$1,812.00 ","$1,268.40 ","$1,132.50 ","$1,449.60 ","$3,518.54 ","$1,379.27 ","$1,268.40 ","$1,379.27 ","$1,087.20 ","$1,406.86 ","$1,359.00 ","$1,000.22 ",$902.38 ,"$1,000.22 ","$1,379.27 ","$1,000.22 ","$1,322.76 ","$1,812.00 ","$1,322.76 ","$1,540.20 ","$1,812.00 ","$1,255.72 ","$1,379.27 ",$258.08 ,"$1,016.53 ","$1,379.27 ",$474.74 ,"$1,812.00 ",$86.41 ,$82.48 ,"$1,448.23 ","$1,449.60 ",$896.94 ,$507.36 ,"$1,630.80 ",$688.56 ,$535.00 ,"$1,379.27 ",$869.76 
ST. MARY'S HOSPITAL - DECATUR,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,"$1,090.00 ",$784.80 ,$38.47 ,"$1,090.00 ",$547.93 ,$70.92 ,$599.50 ,$214.79 ,$305.20 ,$332.99 ,$214.79 ,$350.52 ,$214.79 ,$539.55 ,$81.43 ,$214.79 ,$539.55 ,$442.73 ,$763.00 ,$85.45 ,$872.00 ,$547.93 ,$214.79 ,$763.00 ,$214.79 ,$654.00 ,$219.09 ,$817.50 ,$601.68 ,$542.82 ,$601.68 ,$214.79 ,$601.68 ,$56.97 ,"$1,090.00 ",$56.97 ,$926.50 ,$547.93 ,$755.37 ,$214.79 ,$38.47 ,$611.49 ,$214.79 ,$285.58 ,"$1,090.00 ",$229.47 ,$219.04 ,$225.53 ,$872.00 ,$539.55 ,$305.20 ,$981.00 ,$414.20 ,$535.00 ,$214.79 ,$523.20 
ST. MARY'S HOSPITAL - DECATUR,32000491,77054,HC GALACTOGRAM MULTI DUCT,320,1 ,"$1,103.00 ",$794.16 ,$75.39 ,"$1,103.00 ",$547.93 ,$93.87 ,$606.65 ,$214.79 ,$308.84 ,$440.27 ,$214.79 ,$463.44 ,$214.79 ,$545.99 ,$107.76 ,$214.79 ,$545.99 ,$442.73 ,$772.10 ,$112.28 ,$882.40 ,$547.93 ,$214.79 ,$772.10 ,$214.79 ,$661.80 ,$219.09 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$214.79 ,$608.86 ,$75.39 ,"$1,103.00 ",$75.39 ,$937.55 ,$547.93 ,$764.38 ,$214.79 ,"$1,103.00 ",$618.78 ,$214.79 ,$288.99 ,"$1,103.00 ",$229.47 ,$219.04 ,$225.53 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$535.00 ,$214.79 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$463.00 ,$333.36 ,$33.42 ,$463.00 ,$250.78 ,$59.45 ,$254.65 ,$98.30 ,$129.64 ,$179.32 ,$98.30 ,$188.76 ,$98.30 ,$229.19 ,$47.78 ,$98.30 ,$229.19 ,$202.63 ,$324.10 ,$75.98 ,$370.40 ,$250.78 ,$98.30 ,$324.10 ,$98.30 ,$277.80 ,$100.27 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$98.30 ,$255.58 ,$33.42 ,$463.00 ,$33.42 ,$393.55 ,$250.78 ,$320.86 ,$98.30 ,$463.00 ,$259.74 ,$98.30 ,$121.31 ,$463.00 ,$40.27 ,$38.44 ,$103.22 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$463.00 ,$98.30 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,278.00 ",$920.16 ,$38.44 ,"$1,278.00 ",$250.78 ,$134.01 ,$702.90 ,$98.30 ,$357.84 ,$495.33 ,$98.30 ,$521.40 ,$98.30 ,$632.61 ,$134.10 ,$98.30 ,$632.61 ,$202.63 ,$894.60 ,$173.03 ,"$1,022.40 ",$250.78 ,$98.30 ,$894.60 ,$98.30 ,$766.80 ,$100.27 ,$958.50 ,$705.46 ,$636.44 ,$705.46 ,$98.30 ,$705.46 ,$93.80 ,"$1,278.00 ",$93.80 ,"$1,086.30 ",$250.78 ,$885.65 ,$98.30 ,"$1,278.00 ",$716.96 ,$98.30 ,$334.84 ,"$1,278.00 ",$40.27 ,$38.44 ,$103.22 ,"$1,022.40 ",$632.61 ,$357.84 ,"$1,150.20 ",$485.64 ,$535.00 ,$98.30 ,$613.44 
ST. MARY'S HOSPITAL - DECATUR,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$932.00 ,$671.04 ,$38.44 ,$932.00 ,$250.78 ,$135.29 ,$512.60 ,$98.30 ,$260.96 ,$487.44 ,$98.30 ,$512.60 ,$98.30 ,$461.34 ,$135.56 ,$98.30 ,$461.34 ,$202.63 ,$652.40 ,$174.60 ,$745.60 ,$250.78 ,$98.30 ,$652.40 ,$98.30 ,$559.20 ,$100.27 ,$699.00 ,$514.46 ,$464.14 ,$514.46 ,$98.30 ,$514.46 ,$94.83 ,$932.00 ,$94.83 ,$792.20 ,$250.78 ,$645.88 ,$98.30 ,$932.00 ,$522.85 ,$98.30 ,$244.18 ,$932.00 ,$40.27 ,$38.44 ,$103.22 ,$745.60 ,$461.34 ,$260.96 ,$838.80 ,$354.16 ,$535.00 ,$98.30 ,$447.36 
ST. MARY'S HOSPITAL - DECATUR,32000496,77080,HC BONE DENSITY DXA,320,1 ,$834.00 ,$600.48 ,$43.66 ,$834.00 ,$250.78 ,$53.08 ,$458.70 ,$98.30 ,$233.52 ,$331.34 ,$98.30 ,$348.78 ,$98.30 ,$412.83 ,$62.41 ,$98.30 ,$412.83 ,$202.63 ,$583.80 ,$64.93 ,$667.20 ,$250.78 ,$98.30 ,$583.80 ,$98.30 ,$500.40 ,$100.27 ,$625.50 ,$460.37 ,$415.33 ,$460.37 ,$98.30 ,$460.37 ,$43.66 ,$834.00 ,$43.66 ,$708.90 ,$250.78 ,$577.96 ,$98.30 ,$834.00 ,$467.87 ,$98.30 ,$218.51 ,$834.00 ,$63.60 ,$60.71 ,$103.22 ,$667.20 ,$412.83 ,$233.52 ,$750.60 ,$316.92 ,$535.00 ,$98.30 ,$400.32 
ST. MARY'S HOSPITAL - DECATUR,32000499,0238T,HC TRNLUM PERIP ATHRC ILIAC ARTY 0238T,320,1 ,"$23,748.00 ","$17,098.56 ",$535.00 ,"$40,305.53 ","$40,305.53 ","$13,417.24 ","$13,061.40 ","$15,799.77 ","$6,649.44 ","$12,420.20 ","$15,799.77 ","$13,061.40 ","$15,799.77 ","$11,755.26 ","$9,499.20 ","$15,799.77 ","$11,755.26 ","$23,748.00 ","$16,623.60 ","$14,842.50 ","$18,998.40 ","$40,305.52 ","$15,799.77 ","$16,623.60 ","$15,799.77 ","$14,248.80 ","$16,115.76 ","$17,811.00 ","$13,108.90 ","$11,826.50 ","$13,108.90 ","$15,799.77 ","$13,108.90 ","$17,336.04 ","$23,748.00 ","$17,336.04 ","$20,185.80 ","$23,748.00 ","$16,457.36 ","$15,799.77 ","$23,748.00 ","$13,322.63 ","$15,799.77 ","$6,221.98 ","$23,748.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$18,998.40 ","$11,755.26 ","$6,649.44 ","$21,373.20 ","$9,024.24 ",$535.00 ,"$15,799.77 ","$11,399.04 "
ST. MARY'S HOSPITAL - DECATUR,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$850.00 ,$612.00 ,$38.44 ,$850.00 ,$547.93 ,$51.17 ,$467.50 ,$214.79 ,$238.00 ,$321.42 ,$214.79 ,$338.34 ,$214.79 ,$420.75 ,$65.34 ,$214.79 ,$420.75 ,$442.73 ,$595.00 ,$65.73 ,$680.00 ,$547.93 ,$214.79 ,$595.00 ,$214.79 ,$510.00 ,$219.09 ,$637.50 ,$469.20 ,$423.30 ,$469.20 ,$214.79 ,$469.20 ,$45.70 ,$850.00 ,$45.70 ,$722.50 ,$547.93 ,$589.05 ,$214.79 ,$850.00 ,$476.85 ,$214.79 ,$222.70 ,$850.00 ,$40.27 ,$38.44 ,$225.53 ,$680.00 ,$420.75 ,$238.00 ,$765.00 ,$323.00 ,$535.00 ,$214.79 ,$408.00 
ST. MARY'S HOSPITAL - DECATUR,32000503,20501,HC INJ TRACT SINOGRAM DIAG,320,1 ,"$1,318.00 ",$948.96 ,$86.84 ,"$1,318.00 ", N/A ,$698.54 ,$724.90 , N/A ,$369.04 ,$689.31 , N/A ,$724.90 , N/A ,$652.41 ,$86.84 , N/A ,$652.41 , N/A ,$922.60 ,$823.75 ,"$1,054.40 ", N/A , N/A ,$922.60 , N/A ,$790.80 , N/A ,$988.50 ,$727.54 ,$656.36 ,$727.54 , N/A ,$727.54 ,$962.14 ,"$1,318.00 ",$962.14 ,"$1,120.30 ", N/A ,$913.37 , N/A ,"$1,318.00 ",$739.40 , N/A ,$345.32 ,"$1,318.00 ",$251.20 ,$239.78 , N/A ,"$1,054.40 ",$652.41 ,$369.04 ,"$1,186.20 ",$500.84 ,$535.00 , N/A ,$632.64 
ST. MARY'S HOSPITAL - DECATUR,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$898.00 ,$646.56 ,$98.63 ,$898.00 ,$637.98 ,$475.94 ,$493.90 ,$250.09 ,$251.44 ,$469.65 ,$250.09 ,$493.90 ,$250.09 ,$444.51 ,$98.63 ,$250.09 ,$444.51 ,$515.47 ,$628.60 ,$561.25 ,$718.40 ,$637.96 ,$250.09 ,$628.60 ,$250.09 ,$538.80 ,$255.08 ,$673.50 ,$495.70 ,$447.20 ,$495.70 ,$250.09 ,$495.70 ,$655.54 ,$898.00 ,$655.54 ,$763.30 ,$637.96 ,$622.31 ,$250.09 ,$898.00 ,$503.78 ,$250.09 ,$235.28 ,$898.00 ,$234.21 ,$223.57 ,$262.59 ,$718.40 ,$444.51 ,$251.44 ,$808.20 ,$341.24 ,$535.00 ,$250.09 ,$431.04 
ST. MARY'S HOSPITAL - DECATUR,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$911.00 ,$655.92 ,$86.19 ,$911.00 ,$637.98 ,$482.83 ,$501.05 ,$250.09 ,$255.08 ,$476.45 ,$250.09 ,$501.05 ,$250.09 ,$450.95 ,$86.19 ,$250.09 ,$450.95 ,$515.47 ,$637.70 ,$569.38 ,$728.80 ,$637.96 ,$250.09 ,$637.70 ,$250.09 ,$546.60 ,$255.08 ,$683.25 ,$502.87 ,$453.68 ,$502.87 ,$250.09 ,$502.87 ,$665.03 ,$911.00 ,$665.03 ,$774.35 ,$637.96 ,$631.32 ,$250.09 ,$911.00 ,$511.07 ,$250.09 ,$238.68 ,$911.00 ,$234.21 ,$223.57 ,$262.59 ,$728.80 ,$450.95 ,$255.08 ,$819.90 ,$346.18 ,$535.00 ,$250.09 ,$437.28 
ST. MARY'S HOSPITAL - DECATUR,32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,"$1,133.00 ",$815.76 ,$98.06 ,"$1,133.00 ",$637.98 ,$600.49 ,$623.15 ,$250.09 ,$317.24 ,$592.56 ,$250.09 ,$623.15 ,$250.09 ,$560.84 ,$98.06 ,$250.09 ,$560.84 ,$515.47 ,$793.10 ,$708.13 ,$906.40 ,$637.96 ,$250.09 ,$793.10 ,$250.09 ,$679.80 ,$255.08 ,$849.75 ,$625.42 ,$564.23 ,$625.42 ,$250.09 ,$625.42 ,$827.09 ,"$1,133.00 ",$827.09 ,$963.05 ,$637.96 ,$785.17 ,$250.09 ,"$1,133.00 ",$635.61 ,$250.09 ,$296.85 ,"$1,133.00 ",$234.21 ,$223.57 ,$262.59 ,$906.40 ,$560.84 ,$317.24 ,"$1,019.70 ",$430.54 ,$535.00 ,$250.09 ,$543.84 
ST. MARY'S HOSPITAL - DECATUR,32000509,77072,HC BONE AGE STUDIES,320,1 ,"$1,024.00 ",$737.28 ,$21.14 ,"$1,024.00 ",$250.78 ,$31.41 ,$563.20 ,$98.30 ,$286.72 ,$112.69 ,$98.30 ,$118.62 ,$98.30 ,$506.88 ,$30.22 ,$98.30 ,$506.88 ,$202.63 ,$716.80 ,$40.48 ,$819.20 ,$250.78 ,$98.30 ,$716.80 ,$98.30 ,$614.40 ,$100.27 ,$768.00 ,$565.25 ,$509.95 ,$565.25 ,$98.30 ,$565.25 ,$21.14 ,"$1,024.00 ",$21.14 ,$870.40 ,$250.78 ,$709.63 ,$98.30 ,"$1,024.00 ",$574.46 ,$98.30 ,$268.29 ,"$1,024.00 ",$40.27 ,$38.44 ,$103.22 ,$819.20 ,$506.88 ,$286.72 ,$921.60 ,$389.12 ,$535.00 ,$98.30 ,$491.52 
ST. MARY'S HOSPITAL - DECATUR,32000515,G0278,HC ILIAC ARTERY ANGIO W CATH G0278,320,1 ,"$4,227.00 ","$3,043.44 ",$32.25 ,"$4,227.00 ", N/A ,"$2,240.31 ","$2,324.85 ", N/A ,"$1,183.56 ",$129.11 , N/A ,$135.90 , N/A ,"$2,092.37 ",$32.25 , N/A ,"$2,092.37 ", N/A ,"$2,958.90 ","$2,641.88 ","$3,381.60 ", N/A , N/A ,"$2,958.90 ", N/A ,"$2,536.20 ", N/A ,"$3,170.25 ","$2,333.30 ","$2,105.05 ","$2,333.30 ", N/A ,"$2,333.30 ","$3,085.71 ","$4,227.00 ","$3,085.71 ","$3,592.95 ", N/A ,"$2,929.31 ", N/A ,"$4,227.00 ","$2,371.35 ", N/A ,"$1,107.47 ","$4,227.00 ", N/A , N/A , N/A ,"$3,381.60 ","$2,092.37 ","$1,183.56 ","$3,804.30 ","$1,606.26 ",$535.00 , N/A ,"$2,028.96 "
ST. MARY'S HOSPITAL - DECATUR,32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,"$3,094.00 ","$2,227.68 ",$166.75 ,"$3,094.00 ","$1,357.40 ","$1,639.82 ","$1,701.70 ",$532.10 ,$866.32 ,"$1,618.16 ",$532.10 ,"$1,701.70 ",$532.10 ,"$1,531.53 ",$166.75 ,$532.10 ,"$1,531.53 ","$1,096.77 ","$2,165.80 ","$1,933.75 ","$2,475.20 ","$1,357.39 ",$532.10 ,"$2,165.80 ",$532.10 ,"$1,856.40 ",$542.74 ,"$2,320.50 ","$1,707.89 ","$1,540.81 ","$1,707.89 ",$532.10 ,"$1,707.89 ","$2,258.62 ","$3,094.00 ","$2,258.62 ","$2,629.90 ","$1,357.39 ","$2,144.14 ",$532.10 ,"$3,094.00 ","$1,735.73 ",$532.10 ,$810.63 ,"$3,094.00 ",$500.56 ,$477.80 ,$558.71 ,"$2,475.20 ","$1,531.53 ",$866.32 ,"$2,784.60 ","$1,175.72 ",$535.00 ,$532.10 ,"$1,485.12 "
ST. MARY'S HOSPITAL - DECATUR,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$3,042.00 ","$2,190.24 ",$207.23 ,"$3,042.00 ","$1,357.40 ","$1,612.26 ","$1,673.10 ",$532.10 ,$851.76 ,"$1,590.97 ",$532.10 ,"$1,673.10 ",$532.10 ,"$1,505.79 ",$207.23 ,$532.10 ,"$1,505.79 ","$1,096.77 ","$2,129.40 ","$1,901.25 ","$2,433.60 ","$1,357.39 ",$532.10 ,"$2,129.40 ",$532.10 ,"$1,825.20 ",$542.74 ,"$2,281.50 ","$1,679.18 ","$1,514.92 ","$1,679.18 ",$532.10 ,"$1,679.18 ","$2,220.66 ","$3,042.00 ","$2,220.66 ","$2,585.70 ","$1,357.39 ","$2,108.11 ",$532.10 ,"$3,042.00 ","$1,706.56 ",$532.10 ,$797.00 ,"$3,042.00 ",$500.56 ,$477.80 ,$558.71 ,"$2,433.60 ","$1,505.79 ",$851.76 ,"$2,737.80 ","$1,155.96 ",$535.00 ,$532.10 ,"$1,460.16 "
ST. MARY'S HOSPITAL - DECATUR,32000532,32556,HC PLEURAL DRAINAGE W/O IMAGING 32556,450,1 ,"$2,546.00 ","$1,833.12 ",$348.00 ,"$4,086.48 ","$4,086.48 ","$1,349.38 ","$1,400.30 ","$1,601.90 ",$712.88 ,"$1,331.56 ","$1,601.90 ","$1,400.30 ","$1,601.90 ","$1,260.27 ","$1,260.27 ","$1,601.90 ","$1,260.27 ","$2,546.00 ","$1,782.20 ","$1,591.25 ","$2,036.80 ","$4,086.47 ","$1,601.90 ","$1,782.20 ","$1,601.90 ","$1,527.60 ","$1,633.93 ","$1,909.50 ","$1,405.39 ","$1,267.91 ","$1,405.39 ","$1,601.90 ","$1,405.39 ","$2,062.26 ","$2,546.00 ","$2,062.26 ","$2,164.10 ","$2,546.00 ","$1,764.38 ","$1,601.90 ","$2,546.00 ","$1,428.31 ","$1,601.90 ",$667.05 ,"$2,546.00 ", N/A , N/A ,"$1,681.99 ","$2,036.80 ","$1,260.27 ",$712.88 ,"$2,291.40 ",$967.48 ,$348.00 ,"$1,601.90 ","$1,222.08 "
ST. MARY'S HOSPITAL - DECATUR,32000533,32557,HC PLEURAL DRAINAGE W/IMAGING 32557,320,1 ,"$5,889.00 ","$4,240.08 ",$282.86 ,"$5,889.00 ","$3,491.10 ","$3,121.17 ","$3,238.95 ","$1,368.51 ","$1,648.92 ","$3,079.95 ","$1,368.51 ","$3,238.95 ","$1,368.51 ","$2,915.06 ",$282.86 ,"$1,368.51 ","$2,915.06 ","$2,820.80 ","$4,122.30 ","$3,680.63 ","$4,711.20 ","$3,491.09 ","$1,368.51 ","$4,122.30 ","$1,368.51 ","$3,533.40 ","$1,395.88 ","$4,416.75 ","$3,250.73 ","$2,932.72 ","$3,250.73 ","$1,368.51 ","$3,250.73 ","$4,298.97 ","$5,889.00 ","$4,298.97 ","$5,005.65 ","$3,491.09 ","$4,081.08 ","$1,368.51 ","$5,889.00 ","$3,303.73 ","$1,368.51 ","$1,542.92 ","$5,889.00 ",$500.56 ,$477.80 ,"$1,436.93 ","$4,711.20 ","$2,915.06 ","$1,648.92 ","$5,300.10 ","$2,237.82 ",$535.00 ,"$1,368.51 ","$2,826.72 "
ST. MARY'S HOSPITAL - DECATUR,32000542,20551,HC INJ TENDON ORIGIN,320,1 ,"$1,211.00 ",$871.92 ,$91.43 ,"$1,211.00 ",$637.98 ,$641.83 ,$666.05 ,$250.09 ,$339.08 ,$633.35 ,$250.09 ,$666.05 ,$250.09 ,$599.45 ,$91.43 ,$250.09 ,$599.45 ,$515.47 ,$847.70 ,$756.88 ,$968.80 ,$637.96 ,$250.09 ,$847.70 ,$250.09 ,$726.60 ,$255.08 ,$908.25 ,$668.47 ,$603.08 ,$668.47 ,$250.09 ,$668.47 ,$884.03 ,"$1,211.00 ",$884.03 ,"$1,029.35 ",$637.96 ,$839.22 ,$250.09 ,"$1,211.00 ",$679.37 ,$250.09 ,$317.28 ,"$1,211.00 ",$234.21 ,$223.57 ,$262.59 ,$968.80 ,$599.45 ,$339.08 ,"$1,089.90 ",$460.18 ,$535.00 ,$250.09 ,$581.28 
ST. MARY'S HOSPITAL - DECATUR,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,"$1,063.00 ",$765.36 ,$38.44 ,"$1,063.00 ",$250.78 ,$60.73 ,$584.65 ,$98.30 ,$297.64 ,$229.94 ,$98.30 ,$242.04 ,$98.30 ,$526.19 ,$59.48 ,$98.30 ,$526.19 ,$202.63 ,$744.10 ,$77.55 ,$850.40 ,$250.78 ,$98.30 ,$744.10 ,$98.30 ,$637.80 ,$100.27 ,$797.25 ,$586.78 ,$529.37 ,$586.78 ,$98.30 ,$586.78 ,$41.61 ,"$1,063.00 ",$41.61 ,$903.55 ,$250.78 ,$736.66 ,$98.30 ,"$1,063.00 ",$596.34 ,$98.30 ,$278.51 ,"$1,063.00 ",$40.27 ,$38.44 ,$103.22 ,$850.40 ,$526.19 ,$297.64 ,$956.70 ,$403.94 ,$535.00 ,$98.30 ,$510.24 
ST. MARY'S HOSPITAL - DECATUR,32000556,77071,HC XR JOINT STRESS BY PHYS,320,1 ,"$1,063.00 ",$765.36 ,$76.16 ,"$1,063.00 ",$203.85 ,$105.62 ,$584.65 ,$79.91 ,$297.64 ,$411.71 ,$79.91 ,$433.38 ,$79.91 ,$526.19 ,$108.86 ,$79.91 ,$526.19 ,$164.72 ,$744.10 ,$184.25 ,$850.40 ,$203.86 ,$79.91 ,$744.10 ,$79.91 ,$637.80 ,$81.51 ,$797.25 ,$586.78 ,$529.37 ,$586.78 ,$79.91 ,$586.78 ,$76.16 ,"$1,063.00 ",$76.16 ,$903.55 ,$203.86 ,$736.66 ,$79.91 ,"$1,063.00 ",$596.34 ,$79.91 ,$278.51 ,"$1,063.00 ", N/A , N/A ,$83.91 ,$850.40 ,$526.19 ,$297.64 ,$956.70 ,$403.94 ,$535.00 ,$79.91 ,$510.24 
ST. MARY'S HOSPITAL - DECATUR,32000563,49407,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER TV OR TR,320,1 ,"$6,673.00 ","$4,804.56 ",$372.71 ,"$6,673.00 ","$3,518.55 ","$3,536.69 ","$3,670.15 ","$1,379.27 ","$1,868.44 ","$3,489.98 ","$1,379.27 ","$3,670.15 ","$1,379.27 ","$3,303.14 ",$372.71 ,"$1,379.27 ","$3,303.14 ","$2,842.98 ","$4,671.10 ","$4,170.63 ","$5,338.40 ","$3,518.54 ","$1,379.27 ","$4,671.10 ","$1,379.27 ","$4,003.80 ","$1,406.86 ","$5,004.75 ","$3,683.50 ","$3,323.15 ","$3,683.50 ","$1,379.27 ","$3,683.50 ","$4,871.29 ","$6,673.00 ","$4,871.29 ","$5,672.05 ","$3,518.54 ","$4,624.39 ","$1,379.27 ","$6,673.00 ","$3,743.55 ","$1,379.27 ","$1,748.33 ","$6,673.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$5,338.40 ","$3,303.14 ","$1,868.44 ","$6,005.70 ","$2,535.74 ",$535.00 ,"$1,379.27 ","$3,203.04 "
ST. MARY'S HOSPITAL - DECATUR,32000564,0075T,HC STENT VERTEBRAL EXTRACRANIAL 0075T,320,1 ,"$8,391.00 ","$6,041.52 ",$535.00 ,"$8,391.00 ", N/A ,"$1,906.98 ","$4,615.05 ", N/A ,"$2,349.48 ","$4,388.49 ", N/A ,"$4,615.05 ", N/A ,"$4,153.55 ","$3,356.40 ", N/A ,"$4,153.55 ", N/A ,"$5,873.70 ","$5,244.38 ","$6,712.80 ", N/A , N/A ,"$5,873.70 ", N/A ,"$5,034.60 ", N/A ,"$6,293.25 ","$4,631.83 ","$4,178.72 ","$4,631.83 ", N/A ,"$4,631.83 ","$6,125.43 ","$8,391.00 ","$6,125.43 ","$7,132.35 ", N/A ,"$5,814.96 ", N/A ,"$8,391.00 ","$4,707.35 ", N/A ,"$2,198.44 ","$8,391.00 ", N/A , N/A , N/A ,"$6,712.80 ","$4,153.55 ","$2,349.48 ","$7,551.90 ","$3,188.58 ",$535.00 , N/A ,"$4,027.68 "
ST. MARY'S HOSPITAL - DECATUR,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$695.00 ,$500.40 ,$36.49 ,$695.00 ,$203.85 ,$54.99 ,$382.25 ,$79.91 ,$194.60 ,$195.40 ,$79.91 ,$205.68 ,$79.91 ,$344.03 ,$52.17 ,$79.91 ,$344.03 ,$164.72 ,$486.50 ,$70.45 ,$556.00 ,$203.86 ,$79.91 ,$486.50 ,$79.91 ,$417.00 ,$81.51 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$79.91 ,$383.64 ,$36.49 ,$695.00 ,$36.49 ,$590.75 ,$203.86 ,$481.64 ,$79.91 ,$695.00 ,$389.90 ,$79.91 ,$182.09 ,$695.00 ,$40.27 ,$38.44 ,$83.91 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$535.00 ,$79.91 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$789.00 ,$568.08 ,$38.44 ,$789.00 ,$203.85 ,$54.99 ,$433.95 ,$79.91 ,$220.92 ,$206.91 ,$79.91 ,$217.80 ,$79.91 ,$390.56 ,$55.09 ,$79.91 ,$390.56 ,$164.72 ,$552.30 ,$71.25 ,$631.20 ,$203.86 ,$79.91 ,$552.30 ,$79.91 ,$473.40 ,$81.51 ,$591.75 ,$435.53 ,$392.92 ,$435.53 ,$79.91 ,$435.53 ,$38.53 ,$789.00 ,$38.53 ,$670.65 ,$203.86 ,$546.78 ,$79.91 ,$789.00 ,$442.63 ,$79.91 ,$206.72 ,$789.00 ,$40.27 ,$38.44 ,$83.91 ,$631.20 ,$390.56 ,$220.92 ,$710.10 ,$299.82 ,$535.00 ,$79.91 ,$378.72 
ST. MARY'S HOSPITAL - DECATUR,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,"$1,211.00 ",$871.92 ,$38.44 ,"$1,211.00 ",$250.78 ,$102.15 ,$666.05 ,$98.30 ,$339.08 ,$376.77 ,$98.30 ,$396.60 ,$98.30 ,$599.45 ,$100.45 ,$98.30 ,$599.45 ,$202.63 ,$847.70 ,$130.43 ,$968.80 ,$250.78 ,$98.30 ,$847.70 ,$98.30 ,$726.60 ,$100.27 ,$908.25 ,$668.47 ,$603.08 ,$668.47 ,$98.30 ,$668.47 ,$70.27 ,"$1,211.00 ",$70.27 ,"$1,029.35 ",$250.78 ,$839.22 ,$98.30 ,"$1,211.00 ",$679.37 ,$98.30 ,$317.28 ,"$1,211.00 ",$40.27 ,$38.44 ,$103.22 ,$968.80 ,$599.45 ,$339.08 ,"$1,089.90 ",$460.18 ,$535.00 ,$98.30 ,$581.28 
ST. MARY'S HOSPITAL - DECATUR,32000572,72083,HC XR SPINE/CERV SCOLIOSIS 4-5VW,320,1 ,"$1,302.00 ",$937.44 ,$38.44 ,"$1,302.00 ",$250.78 ,$114.89 ,$716.10 ,$98.30 ,$364.56 ,$463.13 ,$98.30 ,$487.50 ,$98.30 ,$644.49 ,$120.20 ,$98.30 ,$644.49 ,$202.63 ,$911.40 ,$145.43 ,"$1,041.60 ",$250.78 ,$98.30 ,$911.40 ,$98.30 ,$781.20 ,$100.27 ,$976.50 ,$718.70 ,$648.40 ,$718.70 ,$98.30 ,$718.70 ,$84.08 ,"$1,302.00 ",$84.08 ,"$1,106.70 ",$250.78 ,$902.29 ,$98.30 ,"$1,302.00 ",$730.42 ,$98.30 ,$341.12 ,"$1,302.00 ",$40.27 ,$38.44 ,$103.22 ,"$1,041.60 ",$644.49 ,$364.56 ,"$1,171.80 ",$494.76 ,$535.00 ,$98.30 ,$624.96 
ST. MARY'S HOSPITAL - DECATUR,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$463.00 ,$333.36 ,$30.87 ,$463.00 ,$203.85 ,$42.89 ,$254.65 ,$79.91 ,$129.64 ,$170.66 ,$79.91 ,$179.64 ,$79.91 ,$229.19 ,$44.12 ,$79.91 ,$229.19 ,$164.72 ,$324.10 ,$55.48 ,$370.40 ,$203.86 ,$79.91 ,$324.10 ,$79.91 ,$277.80 ,$81.51 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$79.91 ,$255.58 ,$30.87 ,$463.00 ,$30.87 ,$393.55 ,$203.86 ,$320.86 ,$79.91 ,$463.00 ,$259.74 ,$79.91 ,$121.31 ,$463.00 ,$40.27 ,$38.44 ,$83.91 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$463.00 ,$79.91 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$628.00 ,$452.16 ,$38.44 ,$628.00 ,$203.85 ,$66.47 ,$345.40 ,$79.91 ,$175.84 ,$248.92 ,$79.91 ,$262.02 ,$79.91 ,$310.86 ,$65.34 ,$79.91 ,$310.86 ,$164.72 ,$439.60 ,$85.45 ,$502.40 ,$203.86 ,$79.91 ,$439.60 ,$79.91 ,$376.80 ,$81.51 ,$471.00 ,$346.66 ,$312.74 ,$346.66 ,$79.91 ,$346.66 ,$45.70 ,$628.00 ,$45.70 ,$533.80 ,$203.86 ,$435.20 ,$79.91 ,$628.00 ,$352.31 ,$79.91 ,$164.54 ,$628.00 ,$40.27 ,$38.44 ,$83.91 ,$502.40 ,$310.86 ,$175.84 ,$565.20 ,$238.64 ,$535.00 ,$79.91 ,$301.44 
ST. MARY'S HOSPITAL - DECATUR,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$628.00 ,$452.16 ,$38.44 ,$628.00 ,$250.78 ,$56.27 ,$345.40 ,$98.30 ,$175.84 ,$217.06 ,$98.30 ,$228.48 ,$98.30 ,$310.86 ,$55.83 ,$98.30 ,$310.86 ,$202.63 ,$439.60 ,$72.03 ,$502.40 ,$250.78 ,$98.30 ,$439.60 ,$98.30 ,$376.80 ,$100.27 ,$471.00 ,$346.66 ,$312.74 ,$346.66 ,$98.30 ,$346.66 ,$39.06 ,$628.00 ,$39.06 ,$533.80 ,$250.78 ,$435.20 ,$98.30 ,$628.00 ,$352.31 ,$98.30 ,$164.54 ,$628.00 ,$40.27 ,$38.44 ,$103.22 ,$502.40 ,$310.86 ,$175.84 ,$565.20 ,$238.64 ,$535.00 ,$98.30 ,$301.44 
ST. MARY'S HOSPITAL - DECATUR,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$788.00 ,$567.36 ,$38.44 ,$788.00 ,$250.78 ,$72.83 ,$433.40 ,$98.30 ,$220.64 ,$277.93 ,$98.30 ,$292.56 ,$98.30 ,$390.06 ,$71.92 ,$98.30 ,$390.06 ,$202.63 ,$551.60 ,$93.35 ,$630.40 ,$250.78 ,$98.30 ,$551.60 ,$98.30 ,$472.80 ,$100.27 ,$591.00 ,$434.98 ,$392.42 ,$434.98 ,$98.30 ,$434.98 ,$50.31 ,$788.00 ,$50.31 ,$669.80 ,$250.78 ,$546.08 ,$98.30 ,$788.00 ,$442.07 ,$98.30 ,$206.46 ,$788.00 ,$40.27 ,$38.44 ,$103.22 ,$630.40 ,$390.06 ,$220.64 ,$709.20 ,$299.44 ,$535.00 ,$98.30 ,$378.24 
ST. MARY'S HOSPITAL - DECATUR,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,"$1,133.00 ",$815.76 ,$38.44 ,"$1,133.00 ",$250.78 ,$86.22 ,$623.15 ,$98.30 ,$317.24 ,$332.99 ,$98.30 ,$350.52 ,$98.30 ,$560.84 ,$87.28 ,$98.30 ,$560.84 ,$202.63 ,$793.10 ,$109.90 ,$906.40 ,$250.78 ,$98.30 ,$793.10 ,$98.30 ,$679.80 ,$100.27 ,$849.75 ,$625.42 ,$564.23 ,$625.42 ,$98.30 ,$625.42 ,$61.06 ,"$1,133.00 ",$61.06 ,$963.05 ,$250.78 ,$785.17 ,$98.30 ,"$1,133.00 ",$635.61 ,$98.30 ,$296.85 ,"$1,133.00 ",$40.27 ,$38.44 ,$103.22 ,$906.40 ,$560.84 ,$317.24 ,"$1,019.70 ",$430.54 ,$535.00 ,$98.30 ,$543.84 
ST. MARY'S HOSPITAL - DECATUR,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$603.00 ,$434.16 ,$28.82 ,$603.00 ,$203.85 ,$39.69 ,$331.65 ,$79.91 ,$168.84 ,$161.94 ,$79.91 ,$170.46 ,$79.91 ,$298.49 ,$41.20 ,$79.91 ,$298.49 ,$164.72 ,$422.10 ,$49.95 ,$482.40 ,$203.86 ,$79.91 ,$422.10 ,$79.91 ,$361.80 ,$81.51 ,$452.25 ,$332.86 ,$300.29 ,$332.86 ,$79.91 ,$332.86 ,$28.82 ,$603.00 ,$28.82 ,$512.55 ,$203.86 ,$417.88 ,$79.91 ,$603.00 ,$338.28 ,$79.91 ,$157.99 ,$603.00 ,$40.27 ,$38.44 ,$83.91 ,$482.40 ,$298.49 ,$168.84 ,$542.70 ,$229.14 ,$535.00 ,$79.91 ,$289.44 
ST. MARY'S HOSPITAL - DECATUR,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$744.00 ,$535.68 ,$34.97 ,$744.00 ,$203.85 ,$49.25 ,$409.20 ,$79.91 ,$208.32 ,$193.86 ,$79.91 ,$204.06 ,$79.91 ,$368.28 ,$49.97 ,$79.91 ,$368.28 ,$164.72 ,$520.80 ,$62.58 ,$595.20 ,$203.86 ,$79.91 ,$520.80 ,$79.91 ,$446.40 ,$81.51 ,$558.00 ,$410.69 ,$370.51 ,$410.69 ,$79.91 ,$410.69 ,$34.97 ,$744.00 ,$34.97 ,$632.40 ,$203.86 ,$515.59 ,$79.91 ,$744.00 ,$417.38 ,$79.91 ,$194.93 ,$744.00 ,$40.27 ,$38.44 ,$83.91 ,$595.20 ,$368.28 ,$208.32 ,$669.60 ,$282.72 ,$535.00 ,$79.91 ,$357.12 
ST. MARY'S HOSPITAL - DECATUR,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$681.00 ,$490.32 ,$31.89 ,$681.00 ,$250.78 ,$46.08 ,$374.55 ,$98.30 ,$190.68 ,$160.85 ,$98.30 ,$169.32 ,$98.30 ,$337.10 ,$45.58 ,$98.30 ,$337.10 ,$202.63 ,$476.70 ,$58.63 ,$544.80 ,$250.78 ,$98.30 ,$476.70 ,$98.30 ,$408.60 ,$100.27 ,$510.75 ,$375.91 ,$339.14 ,$375.91 ,$98.30 ,$375.91 ,$31.89 ,$681.00 ,$31.89 ,$578.85 ,$250.78 ,$471.93 ,$98.30 ,$681.00 ,$382.04 ,$98.30 ,$178.42 ,$681.00 ,$40.27 ,$38.44 ,$103.22 ,$544.80 ,$337.10 ,$190.68 ,$612.90 ,$258.78 ,$535.00 ,$98.30 ,$326.88 
ST. MARY'S HOSPITAL - DECATUR,32000589,74019,HC XR ABDOMEN 2V,320,1 ,$631.00 ,$454.32 ,$33.42 ,$631.00 ,$250.78 ,$47.99 ,$347.05 ,$98.30 ,$176.68 ,$179.95 ,$98.30 ,$189.42 ,$98.30 ,$312.35 ,$47.78 ,$98.30 ,$312.35 ,$202.63 ,$441.70 ,$61.00 ,$504.80 ,$250.78 ,$98.30 ,$441.70 ,$98.30 ,$378.60 ,$100.27 ,$473.25 ,$348.31 ,$314.24 ,$348.31 ,$98.30 ,$348.31 ,$33.42 ,$631.00 ,$33.42 ,$536.35 ,$250.78 ,$437.28 ,$98.30 ,$631.00 ,$353.99 ,$98.30 ,$165.32 ,$631.00 ,$40.27 ,$38.44 ,$103.22 ,$504.80 ,$312.35 ,$176.68 ,$567.90 ,$239.78 ,$535.00 ,$98.30 ,$302.88 
ST. MARY'S HOSPITAL - DECATUR,32000606,76125,HC CINERADIOGRAPHY/VIDEORADIOGRAPHY EXAM,320,1 ,$759.00 ,$546.48 ,$38.44 ,$759.00 , N/A ,$54.92 ,$417.45 , N/A ,$212.52 ,$268.01 , N/A ,$282.12 , N/A ,$375.71 ,$66.03 , N/A ,$375.71 , N/A ,$531.30 ,$474.38 ,$607.20 , N/A , N/A ,$531.30 , N/A ,$455.40 , N/A ,$569.25 ,$418.97 ,$377.98 ,$418.97 , N/A ,$418.97 ,$46.19 ,$759.00 ,$46.19 ,$645.15 , N/A ,$525.99 , N/A ,$759.00 ,$425.80 , N/A ,$198.86 ,$759.00 ,$40.27 ,$38.44 , N/A ,$607.20 ,$375.71 ,$212.52 ,$683.10 ,$288.42 ,$535.00 , N/A ,$364.32 
ST. MARY'S HOSPITAL - DECATUR,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,353.00 ",$974.16 ,$38.44 ,"$1,353.00 ", N/A ,$95.58 ,$744.15 , N/A ,$378.84 ,$707.62 , N/A ,$744.15 , N/A ,$669.74 ,$96.98 , N/A ,$669.74 , N/A ,$947.10 ,$845.63 ,"$1,082.40 ", N/A , N/A ,$947.10 , N/A ,$811.80 , N/A ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 , N/A ,$746.86 ,$67.94 ,"$1,353.00 ",$67.94 ,"$1,150.05 ", N/A ,$937.63 , N/A ,"$1,353.00 ",$759.03 , N/A ,$354.49 ,"$1,353.00 ",$40.27 ,$38.44 , N/A ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$535.00 , N/A ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,33100001,96405,HC CHEMO IV INTRALESION UP TO 7 LESIONS,331,1 ,"$1,005.00 ",$723.60 ,$58.48 ,"$1,005.00 ",$158.30 ,$532.65 ,$552.75 ,$62.05 ,$281.40 ,$341.57 ,$62.05 ,$356.86 ,$62.05 ,$497.48 ,$58.48 ,$62.05 ,$497.48 ,$127.92 ,$703.50 ,$628.13 ,$804.00 ,$158.31 ,$62.05 ,$703.50 ,$62.05 ,$603.00 ,$63.30 ,$753.75 ,$554.76 ,$500.49 ,$554.76 ,$62.05 ,$554.76 ,$733.65 ,"$1,005.00 ",$733.65 ,$854.25 ,$158.31 ,$696.47 ,$62.05 ,"$1,005.00 ",$563.81 ,$62.05 ,$263.31 ,"$1,005.00 ",$221.86 ,$211.77 ,$65.16 ,$804.00 ,$497.48 ,$281.40 ,$904.50 ,$381.90 ,$803.00 ,$62.05 ,$482.40 
ST. MARY'S HOSPITAL - DECATUR,33300010,77290,HC SIMULATION COMPLEX,333,1 ,"$1,986.00 ","$1,429.92 ",$268.00 ,"$1,986.00 ",$841.70 ,$765.72 ,"$1,092.30 ",$329.95 ,$556.08 ,"$1,038.68 ",$329.95 ,"$1,092.30 ",$329.95 ,$983.07 ,$885.37 ,$329.95 ,$983.07 ,$680.09 ,"$1,390.20 ",$880.23 ,"$1,588.80 ",$841.70 ,$329.95 ,"$1,390.20 ",$329.95 ,"$1,191.60 ",$336.54 ,"$1,489.50 ","$1,096.27 ",$989.03 ,"$1,096.27 ",$329.95 ,"$1,096.27 ",$619.33 ,"$1,986.00 ",$619.33 ,"$1,688.10 ",$841.70 ,"$1,376.30 ",$329.95 ,"$1,986.00 ","$1,114.15 ",$329.95 ,$520.33 ,"$1,986.00 ",$438.06 ,$418.15 ,$346.44 ,"$1,588.80 ",$983.07 ,$556.08 ,"$1,787.40 ",$754.68 ,$268.00 ,$329.95 ,$953.28 
ST. MARY'S HOSPITAL - DECATUR,33300011,77295,HC SIMULATION 3-D,333,1 ,"$7,354.00 ","$5,294.88 ",$268.00 ,"$7,354.00 ","$3,145.75 ",$483.98 ,"$4,044.70 ","$1,233.13 ","$2,059.12 ","$2,270.94 ","$1,233.13 ","$2,390.46 ","$1,233.13 ","$3,640.23 ",$552.72 ,"$1,233.13 ","$3,640.23 ","$2,541.76 ","$5,147.80 ",$583.15 ,"$5,883.20 ","$3,145.75 ","$1,233.13 ","$5,147.80 ","$1,233.13 ","$4,412.40 ","$1,257.80 ","$5,515.50 ","$4,059.41 ","$3,662.29 ","$4,059.41 ","$1,233.13 ","$4,059.41 ",$386.64 ,"$7,354.00 ",$386.64 ,"$6,250.90 ","$3,145.75 ","$5,096.32 ","$1,233.13 ","$7,354.00 ","$4,125.59 ","$1,233.13 ","$1,926.75 ","$7,354.00 ",$438.06 ,$418.15 ,"$1,294.80 ","$5,883.20 ","$3,640.23 ","$2,059.12 ","$6,618.60 ","$2,794.52 ",$268.00 ,"$1,233.13 ","$3,529.92 "
ST. MARY'S HOSPITAL - DECATUR,33300015,77300,HC DOSIMETRY CALCULATION BASIC,333,1 ,$794.00 ,$571.68 ,$49.29 ,$794.00 ,$312.98 ,$63.27 ,$436.70 ,$122.69 ,$222.32 ,$364.17 ,$122.69 ,$383.34 ,$122.69 ,$393.03 ,$70.46 ,$122.69 ,$393.03 ,$252.87 ,$555.80 ,$75.98 ,$635.20 ,$312.96 ,$122.69 ,$555.80 ,$122.69 ,$476.40 ,$125.14 ,$595.50 ,$438.29 ,$395.41 ,$438.29 ,$122.69 ,$438.29 ,$49.29 ,$794.00 ,$49.29 ,$674.90 ,$312.96 ,$550.24 ,$122.69 ,$794.00 ,$445.43 ,$122.69 ,$208.03 ,$794.00 ,$71.04 ,$67.81 ,$128.82 ,$635.20 ,$393.03 ,$222.32 ,$714.60 ,$301.72 ,$268.00 ,$122.69 ,$381.12 
ST. MARY'S HOSPITAL - DECATUR,33300017,77301,HC IMRT TX PLAN,333,1 ,"$7,566.00 ","$5,447.52 ",$268.00 ,"$7,566.00 ","$3,145.75 ","$2,768.38 ","$4,161.30 ","$1,233.13 ","$2,118.48 ","$3,957.02 ","$1,233.13 ","$4,161.30 ","$1,233.13 ","$3,745.17 ","$3,160.58 ","$1,233.13 ","$3,745.17 ","$2,541.76 ","$5,296.20 ","$3,291.93 ","$6,052.80 ","$3,145.75 ","$1,233.13 ","$5,296.20 ","$1,233.13 ","$4,539.60 ","$1,257.80 ","$5,674.50 ","$4,176.43 ","$3,767.87 ","$4,176.43 ","$1,233.13 ","$4,176.43 ","$2,210.83 ","$7,566.00 ","$2,210.83 ","$6,431.10 ","$3,145.75 ","$5,243.24 ","$1,233.13 ","$7,566.00 ","$4,244.53 ","$1,233.13 ","$1,982.29 ","$7,566.00 ",$309.46 ,$295.40 ,"$1,294.80 ","$6,052.80 ","$3,745.17 ","$2,118.48 ","$6,809.40 ","$2,875.08 ",$268.00 ,"$1,233.13 ","$3,631.68 "
ST. MARY'S HOSPITAL - DECATUR,33300022,77307,HC ISODOSE PLAN COMPLEX,333,1 ,"$1,865.00 ","$1,342.80 ",$200.05 ,"$1,865.00 ",$841.70 ,$253.73 ,"$1,025.75 ",$329.95 ,$522.20 ,$975.40 ,$329.95 ,"$1,025.75 ",$329.95 ,$923.18 ,$285.98 ,$329.95 ,$923.18 ,$680.09 ,"$1,305.50 ",$307.08 ,"$1,492.00 ",$841.70 ,$329.95 ,"$1,305.50 ",$329.95 ,"$1,119.00 ",$336.54 ,"$1,398.75 ","$1,029.48 ",$928.77 ,"$1,029.48 ",$329.95 ,"$1,029.48 ",$200.05 ,"$1,865.00 ",$200.05 ,"$1,585.25 ",$841.70 ,"$1,292.45 ",$329.95 ,"$1,865.00 ","$1,046.27 ",$329.95 ,$488.63 ,"$1,865.00 ",$309.46 ,$295.40 ,$346.44 ,"$1,492.00 ",$923.18 ,$522.20 ,"$1,678.50 ",$708.70 ,$268.00 ,$329.95 ,$895.20 
ST. MARY'S HOSPITAL - DECATUR,33300032,77334,HC TREATMENT DEVICE COMPLEX,333,1 ,"$2,063.00 ","$1,485.36 ",$98.41 ,"$2,063.00 ",$841.70 ,$123.19 ,"$1,134.65 ",$329.95 ,$577.64 ,$725.15 ,$329.95 ,$763.32 ,$329.95 ,"$1,021.19 ",$140.68 ,$329.95 ,"$1,021.19 ",$680.09 ,"$1,444.10 ",$148.58 ,"$1,650.40 ",$841.70 ,$329.95 ,"$1,444.10 ",$329.95 ,"$1,237.80 ",$336.54 ,"$1,547.25 ","$1,138.78 ","$1,027.37 ","$1,138.78 ",$329.95 ,"$1,138.78 ",$98.41 ,"$2,063.00 ",$98.41 ,"$1,753.55 ",$841.70 ,"$1,429.66 ",$329.95 ,"$2,063.00 ","$1,157.34 ",$329.95 ,$540.51 ,"$2,063.00 ",$149.56 ,$142.76 ,$346.44 ,"$1,650.40 ","$1,021.19 ",$577.64 ,"$1,856.70 ",$783.94 ,$268.00 ,$329.95 ,$990.24 
ST. MARY'S HOSPITAL - DECATUR,33300033,77336,HC MEDICAL PHYSICS CONTINUING,333,1 ,$720.00 ,$518.40 ,$82.91 ,$720.00 ,$312.98 ,$152.17 ,$396.00 ,$122.69 ,$201.60 ,$376.56 ,$122.69 ,$396.00 ,$122.69 ,$356.40 ,$166.70 ,$122.69 ,$356.40 ,$252.87 ,$504.00 ,$289.03 ,$576.00 ,$312.96 ,$122.69 ,$504.00 ,$122.69 ,$432.00 ,$125.14 ,$540.00 ,$397.44 ,$358.56 ,$397.44 ,$122.69 ,$397.44 ,$116.62 ,$720.00 ,$116.62 ,$612.00 ,$312.96 ,$498.96 ,$122.69 ,$720.00 ,$403.92 ,$122.69 ,$188.64 ,$720.00 ,$86.86 ,$82.91 ,$128.82 ,$576.00 ,$356.40 ,$201.60 ,$648.00 ,$273.60 ,$268.00 ,$122.69 ,$345.60 
ST. MARY'S HOSPITAL - DECATUR,33300034,77338,HC MLC DEVICE FOR IMRT,333,1 ,"$2,063.00 ","$1,485.36 ",$268.00 ,"$2,063.00 ",$841.70 ,$465.05 ,"$1,134.65 ",$329.95 ,$577.64 ,"$1,078.95 ",$329.95 ,"$1,134.65 ",$329.95 ,"$1,021.19 ",$569.04 ,$329.95 ,"$1,021.19 ",$680.09 ,"$1,444.10 ",$545.75 ,"$1,650.40 ",$841.70 ,$329.95 ,"$1,444.10 ",$329.95 ,"$1,237.80 ",$336.54 ,"$1,547.25 ","$1,138.78 ","$1,027.37 ","$1,138.78 ",$329.95 ,"$1,138.78 ",$398.05 ,"$2,063.00 ",$398.05 ,"$1,753.55 ",$841.70 ,"$1,429.66 ",$329.95 ,"$2,063.00 ","$1,157.34 ",$329.95 ,$540.51 ,"$2,063.00 ",$596.09 ,$569.00 ,$346.44 ,"$1,650.40 ","$1,021.19 ",$577.64 ,"$1,856.70 ",$783.94 ,$268.00 ,$329.95 ,$990.24 
ST. MARY'S HOSPITAL - DECATUR,33300036,77370,HC SPECIAL MED PHYSICS CONSULT,333,1 ,$999.00 ,$719.28 ,$82.91 ,$999.00 ,$312.98 ,$241.43 ,$549.45 ,$122.69 ,$279.72 ,$522.48 ,$122.69 ,$549.45 ,$122.69 ,$494.51 ,$260.26 ,$122.69 ,$494.51 ,$252.87 ,$699.30 ,$289.03 ,$799.20 ,$312.96 ,$122.69 ,$699.30 ,$122.69 ,$599.40 ,$125.14 ,$749.25 ,$551.45 ,$497.50 ,$551.45 ,$122.69 ,$551.45 ,$182.05 ,$999.00 ,$182.05 ,$849.15 ,$312.96 ,$692.31 ,$122.69 ,$999.00 ,$560.44 ,$122.69 ,$261.74 ,$999.00 ,$86.86 ,$82.91 ,$128.82 ,$799.20 ,$494.51 ,$279.72 ,$899.10 ,$379.62 ,$268.00 ,$122.69 ,$479.52 
ST. MARY'S HOSPITAL - DECATUR,33300045,77412,HC RAD THRPY COMPLEX,333,1 ,"$1,129.00 ",$812.88 ,$241.84 ,"$1,129.00 ",$616.95 ,$437.54 ,$620.95 ,$241.84 ,$316.12 ,$590.47 ,$241.84 ,$620.95 ,$241.84 ,$558.86 ,$545.22 ,$241.84 ,$558.86 ,$498.49 ,$790.30 ,$550.60 ,$903.20 ,$616.94 ,$241.84 ,$790.30 ,$241.84 ,$677.40 ,$246.68 ,$846.75 ,$623.21 ,$562.24 ,$623.21 ,$241.84 ,$623.21 ,$381.39 ,"$1,129.00 ",$381.39 ,$959.65 ,$616.94 ,$782.40 ,$241.84 ,"$1,129.00 ",$633.37 ,$241.84 ,$295.80 ,"$1,129.00 ",$596.09 ,$569.00 ,$253.94 ,$903.20 ,$558.86 ,$316.12 ,"$1,016.10 ",$429.02 ,$268.00 ,$241.84 ,$541.92 
ST. MARY'S HOSPITAL - DECATUR,33300051,77386,HC IMRT TREATMENT COMPLEX,333,1 ,"$2,984.00 ","$2,148.48 ",$268.00 ,"$2,984.00 ","$1,343.25 ",$704.90 ,"$1,641.20 ",$526.55 ,$835.52 ,"$1,560.63 ",$526.55 ,"$1,641.20 ",$526.55 ,"$1,477.08 ",$733.95 ,$526.55 ,"$1,477.08 ","$1,085.34 ","$2,088.80 ","$1,235.85 ","$2,387.20 ","$1,343.24 ",$526.55 ,"$2,088.80 ",$526.55 ,"$1,790.40 ",$537.08 ,"$2,238.00 ","$1,647.17 ","$1,486.03 ","$1,647.17 ",$526.55 ,"$1,647.17 ",$515.41 ,"$2,984.00 ",$515.41 ,"$2,536.40 ","$1,343.24 ","$2,067.91 ",$526.55 ,"$2,984.00 ","$1,674.02 ",$526.55 ,$781.81 ,"$2,984.00 ",$596.09 ,$569.00 ,$552.89 ,"$2,387.20 ","$1,477.08 ",$835.52 ,"$2,685.60 ","$1,133.92 ",$268.00 ,$526.55 ,"$1,432.32 "
ST. MARY'S HOSPITAL - DECATUR,33300054,77385,HC IMRT TREATMENT SIMPLE,333,1 ,"$2,984.00 ","$2,148.48 ",$268.00 ,"$2,984.00 ","$1,343.25 ",$702.43 ,"$1,641.20 ",$526.55 ,$835.52 ,"$1,560.63 ",$526.55 ,"$1,641.20 ",$526.55 ,"$1,477.08 ",$736.83 ,$526.55 ,"$1,477.08 ","$1,085.34 ","$2,088.80 ","$1,235.85 ","$2,387.20 ","$1,343.24 ",$526.55 ,"$2,088.80 ",$526.55 ,"$1,790.40 ",$537.08 ,"$2,238.00 ","$1,647.17 ","$1,486.03 ","$1,647.17 ",$526.55 ,"$1,647.17 ",$513.40 ,"$2,984.00 ",$513.40 ,"$2,536.40 ","$1,343.24 ","$2,067.91 ",$526.55 ,"$2,984.00 ","$1,674.02 ",$526.55 ,$781.81 ,"$2,984.00 ",$596.09 ,$569.00 ,$552.89 ,"$2,387.20 ","$1,477.08 ",$835.52 ,"$2,685.60 ","$1,133.92 ",$268.00 ,$526.55 ,"$1,432.32 "
ST. MARY'S HOSPITAL - DECATUR,33300055,77387,HC STEREOSCOPIC X RAY GUIDANCE,333,1 ,$629.00 ,$452.88 ,$117.82 ,$629.00 , N/A ,$165.87 ,$345.95 , N/A ,$176.12 ,$328.97 , N/A ,$345.95 , N/A ,$311.36 ,$400.00 , N/A ,$311.36 , N/A ,$440.30 ,$235.35 ,$503.20 , N/A , N/A ,$440.30 , N/A ,$377.40 , N/A ,$471.75 ,$347.21 ,$313.24 ,$347.21 , N/A ,$347.21 ,$117.82 ,$629.00 ,$117.82 ,$534.65 , N/A ,$435.90 , N/A ,$629.00 ,$352.87 , N/A ,$164.80 ,$629.00 , N/A , N/A , N/A ,$503.20 ,$311.36 ,$176.12 ,$566.10 ,$239.02 ,$268.00 , N/A ,$301.92 
ST. MARY'S HOSPITAL - DECATUR,33300057,77470,HC SPECIAL TREATMENT PROCEDURE,333,1 ,"$2,406.00 ","$1,732.32 ",$37.01 ,"$2,406.00 ","$1,343.25 ",$48.62 ,"$1,323.30 ",$526.55 ,$673.68 ,$327.69 ,$526.55 ,$344.94 ,$526.55 ,"$1,190.97 ",$52.90 ,$526.55 ,"$1,190.97 ","$1,085.34 ","$1,684.20 ",$67.30 ,"$1,924.80 ","$1,343.24 ",$526.55 ,"$1,684.20 ",$526.55 ,"$1,443.60 ",$537.08 ,"$1,804.50 ","$1,328.11 ","$1,198.19 ","$1,328.11 ",$526.55 ,"$1,328.11 ",$37.01 ,"$2,406.00 ",$37.01 ,"$2,045.10 ","$1,343.24 ","$1,667.36 ",$526.55 ,"$2,406.00 ","$1,349.77 ",$526.55 ,$630.37 ,"$2,406.00 ",$842.09 ,$803.82 ,$552.89 ,"$1,924.80 ","$1,190.97 ",$673.68 ,"$2,165.40 ",$914.28 ,$268.00 ,$526.55 ,"$1,154.88 "
ST. MARY'S HOSPITAL - DECATUR,33300071,77372,HC SRS TREATMENT,333,1 ,"$20,838.00 ","$15,003.36 ","$1,549.96 ","$20,838.00 ","$18,045.15 ","$1,963.64 ","$11,460.90 ","$7,073.70 ","$5,834.64 ","$9,047.67 ","$7,073.70 ","$9,523.86 ","$7,073.70 ","$10,314.81 ","$2,215.81 ","$7,073.70 ","$10,314.81 ","$14,580.48 ","$14,586.60 ","$2,299.48 ","$16,670.40 ","$18,045.15 ","$7,073.70 ","$14,586.60 ","$7,073.70 ","$12,502.80 ","$7,215.17 ","$15,628.50 ","$11,502.58 ","$10,377.32 ","$11,502.58 ","$7,073.70 ","$11,502.58 ","$1,549.96 ","$20,838.00 ","$1,549.96 ","$17,712.30 ","$18,045.15 ","$14,440.73 ","$7,073.70 ","$20,838.00 ","$11,690.12 ","$7,073.70 ","$5,459.56 ","$20,838.00 ","$3,289.70 ","$3,140.17 ","$7,427.38 ","$16,670.40 ","$10,314.81 ","$5,834.64 ","$18,754.20 ","$7,918.44 ","$11,335.87 ","$7,073.70 ","$10,002.24 "
ST. MARY'S HOSPITAL - DECATUR,33300072,77373,HC SRT TREATMENT,333,1 ,"$7,692.00 ","$5,538.24 ",$569.00 ,"$7,692.00 ","$4,147.15 ","$2,144.48 ","$4,230.60 ","$1,625.68 ","$2,153.76 ","$4,022.92 ","$1,625.68 ","$4,230.60 ","$1,625.68 ","$3,807.54 ","$2,682.71 ","$1,625.68 ","$3,807.54 ","$3,350.89 ","$5,384.40 ","$2,375.93 ","$6,153.60 ","$4,147.14 ","$1,625.68 ","$5,384.40 ","$1,625.68 ","$4,615.20 ","$1,658.20 ","$5,769.00 ","$4,245.98 ","$3,830.62 ","$4,245.98 ","$1,625.68 ","$4,245.98 ","$1,876.56 ","$7,692.00 ","$1,876.56 ","$6,538.20 ","$4,147.14 ","$5,330.56 ","$1,625.68 ","$7,692.00 ","$4,315.21 ","$1,625.68 ","$2,015.30 ","$7,692.00 ",$596.09 ,$569.00 ,"$1,706.96 ","$6,153.60 ","$3,807.54 ","$2,153.76 ","$6,922.80 ","$2,922.96 ","$4,184.45 ","$1,625.68 ","$3,692.16 "
ST. MARY'S HOSPITAL - DECATUR,33301001,31575,HC LARYNGOSCOPY FLEX FIBEROPTC,333,1 ,$605.00 ,$435.60 ,$121.11 ,$605.00 ,$419.43 ,$320.65 ,$332.75 ,$164.41 ,$169.40 ,$316.42 ,$164.41 ,$332.75 ,$164.41 ,$299.48 ,$121.11 ,$164.41 ,$299.48 ,$338.89 ,$423.50 ,$378.13 ,$484.00 ,$419.42 ,$164.41 ,$423.50 ,$164.41 ,$363.00 ,$167.70 ,$453.75 ,$333.96 ,$301.29 ,$333.96 ,$164.41 ,$333.96 ,$441.65 ,$605.00 ,$441.65 ,$514.25 ,$419.42 ,$419.27 ,$164.41 ,$605.00 ,$339.41 ,$164.41 ,$158.51 ,$605.00 ,$292.23 ,$278.94 ,$172.64 ,$484.00 ,$299.48 ,$169.40 ,$544.50 ,$229.90 ,$268.00 ,$164.41 ,$290.40 
ST. MARY'S HOSPITAL - DECATUR,33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$276.00 ,$198.72 ,$62.05 ,$276.00 ,$158.30 ,$146.28 ,$151.80 ,$62.05 ,$77.28 ,$144.35 ,$62.05 ,$151.80 ,$62.05 ,$136.62 ,$148.56 ,$62.05 ,$136.62 ,$127.92 ,$193.20 ,$172.50 ,$220.80 ,$158.31 ,$62.05 ,$193.20 ,$62.05 ,$165.60 ,$63.30 ,$207.00 ,$152.35 ,$137.45 ,$152.35 ,$62.05 ,$152.35 ,$201.48 ,$276.00 ,$201.48 ,$234.60 ,$158.31 ,$191.27 ,$62.05 ,$276.00 ,$154.84 ,$62.05 ,$72.31 ,$276.00 , N/A , N/A ,$65.16 ,$220.80 ,$136.62 ,$77.28 ,$248.40 ,$104.88 ,$276.00 ,$62.05 ,$132.48 
ST. MARY'S HOSPITAL - DECATUR,33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$343.00 ,$246.96 ,$89.87 ,$484.70 ,$484.70 ,$181.79 ,$188.65 ,$190.00 ,$96.04 ,$179.39 ,$190.00 ,$188.65 ,$190.00 ,$169.79 ,$202.05 ,$190.00 ,$169.79 ,$343.00 ,$240.10 ,$214.38 ,$274.40 ,$484.70 ,$190.00 ,$240.10 ,$190.00 ,$205.80 ,$193.80 ,$257.25 ,$189.34 ,$170.81 ,$189.34 ,$190.00 ,$189.34 ,$250.39 ,$343.00 ,$250.39 ,$291.55 ,$343.00 ,$237.70 ,$190.00 ,$343.00 ,$192.42 ,$190.00 ,$89.87 ,$343.00 , N/A , N/A ,$199.50 ,$274.40 ,$169.79 ,$96.04 ,$308.70 ,$130.34 ,$343.00 ,$190.00 ,$164.64 
ST. MARY'S HOSPITAL - DECATUR,33500004,96411,HC CHEMO IV PUSH ADDL DRUG,335,1 ,$146.00 ,$105.12 ,$38.25 ,$158.31 ,$158.30 ,$77.38 ,$80.30 ,$62.05 ,$40.88 ,$76.36 ,$62.05 ,$80.30 ,$62.05 ,$72.27 ,$109.55 ,$62.05 ,$72.27 ,$127.92 ,$102.20 ,$91.25 ,$116.80 ,$158.31 ,$62.05 ,$102.20 ,$62.05 ,$87.60 ,$63.30 ,$109.50 ,$80.59 ,$72.71 ,$80.59 ,$62.05 ,$80.59 ,$106.58 ,$146.00 ,$106.58 ,$124.10 ,$146.00 ,$101.18 ,$62.05 ,$146.00 ,$81.91 ,$62.05 ,$38.25 ,$146.00 , N/A , N/A ,$65.16 ,$116.80 ,$72.27 ,$40.88 ,$131.40 ,$55.48 ,$146.00 ,$62.05 ,$70.08 
ST. MARY'S HOSPITAL - DECATUR,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$959.00 ,$690.48 ,$216.09 ,$959.00 ,$780.45 ,$508.27 ,$527.45 ,$305.94 ,$268.52 ,$501.56 ,$305.94 ,$527.45 ,$305.94 ,$474.71 ,$278.40 ,$305.94 ,$474.71 ,$630.61 ,$671.30 ,$599.38 ,$767.20 ,$780.46 ,$305.94 ,$671.30 ,$305.94 ,$575.40 ,$312.06 ,$719.25 ,$529.37 ,$477.58 ,$529.37 ,$305.94 ,$529.37 ,$700.07 ,$959.00 ,$700.07 ,$815.15 ,$780.46 ,$664.59 ,$305.94 ,$959.00 ,$538.00 ,$305.94 ,$251.26 ,$959.00 ,$226.38 ,$216.09 ,$321.23 ,$767.20 ,$474.71 ,$268.52 ,$863.10 ,$364.42 ,$803.00 ,$305.94 ,$460.32 
ST. MARY'S HOSPITAL - DECATUR,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$156.00 ,$112.32 ,$40.87 ,$337.82 ,$158.30 ,$82.68 ,$85.80 ,$62.05 ,$43.68 ,$81.59 ,$62.05 ,$85.80 ,$62.05 ,$77.22 ,$57.68 ,$62.05 ,$77.22 ,$127.92 ,$109.20 ,$97.50 ,$124.80 ,$158.31 ,$62.05 ,$109.20 ,$62.05 ,$93.60 ,$63.30 ,$117.00 ,$86.11 ,$77.69 ,$86.11 ,$62.05 ,$86.11 ,$113.88 ,$156.00 ,$113.88 ,$132.60 ,$156.00 ,$108.11 ,$62.05 ,$156.00 ,$87.52 ,$62.05 ,$40.87 ,$156.00 ,$156.00 ,$337.82 ,$65.16 ,$124.80 ,$77.22 ,$43.68 ,$140.40 ,$59.28 ,$156.00 ,$62.05 ,$74.88 
ST. MARY'S HOSPITAL - DECATUR,33500007,96416,HC CHEMO ADMIN INTRAV INFUS >8HR,335,1 ,$923.00 ,$664.56 ,$241.83 ,$923.00 ,$780.45 ,$489.19 ,$507.65 ,$305.94 ,$258.44 ,$482.73 ,$305.94 ,$507.65 ,$305.94 ,$456.89 ,$305.64 ,$305.94 ,$456.89 ,$630.61 ,$646.10 ,$576.88 ,$738.40 ,$780.46 ,$305.94 ,$646.10 ,$305.94 ,$553.80 ,$312.06 ,$692.25 ,$509.50 ,$459.65 ,$509.50 ,$305.94 ,$509.50 ,$673.79 ,$923.00 ,$673.79 ,$784.55 ,$780.46 ,$639.64 ,$305.94 ,$923.00 ,$517.80 ,$305.94 ,$241.83 ,$923.00 ,$353.90 ,$337.82 ,$321.23 ,$738.40 ,$456.89 ,$258.44 ,$830.70 ,$350.74 ,$803.00 ,$305.94 ,$443.04 
ST. MARY'S HOSPITAL - DECATUR,33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$334.00 ,$240.48 ,$62.05 ,$334.00 ,$158.30 ,$177.02 ,$183.70 ,$62.05 ,$93.52 ,$174.68 ,$62.05 ,$183.70 ,$62.05 ,$165.33 ,$127.45 ,$62.05 ,$165.33 ,$127.92 ,$233.80 ,$208.75 ,$267.20 ,$158.31 ,$62.05 ,$233.80 ,$62.05 ,$200.40 ,$63.30 ,$250.50 ,$184.37 ,$166.33 ,$184.37 ,$62.05 ,$184.37 ,$243.82 ,$334.00 ,$243.82 ,$283.90 ,$158.31 ,$231.46 ,$62.05 ,$334.00 ,$187.37 ,$62.05 ,$87.51 ,$334.00 ,$226.38 ,$216.09 ,$65.16 ,$267.20 ,$165.33 ,$93.52 ,$300.60 ,$126.92 ,$334.00 ,$62.05 ,$160.32 
ST. MARY'S HOSPITAL - DECATUR,33500012,96450,HC CHEMO CNS,335,1 ,$742.00 ,$534.24 ,$159.56 ,$780.46 ,$780.45 ,$393.26 ,$408.10 ,$305.94 ,$207.76 ,$388.07 ,$305.94 ,$408.10 ,$305.94 ,$367.29 ,$159.56 ,$305.94 ,$367.29 ,$630.61 ,$519.40 ,$463.75 ,$593.60 ,$780.46 ,$305.94 ,$519.40 ,$305.94 ,$445.20 ,$312.06 ,$556.50 ,$409.58 ,$369.52 ,$409.58 ,$305.94 ,$409.58 ,$541.66 ,$742.00 ,$541.66 ,$630.70 ,$742.00 ,$514.21 ,$305.94 ,$742.00 ,$416.26 ,$305.94 ,$194.40 ,$742.00 ,$353.90 ,$337.82 ,$321.23 ,$593.60 ,$367.29 ,$207.76 ,$667.80 ,$281.96 ,$742.00 ,$305.94 ,$356.16 
ST. MARY'S HOSPITAL - DECATUR,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$273.00 ,$196.56 ,$58.13 ,$273.00 ,$158.30 ,$144.69 ,$150.15 ,$62.05 ,$76.44 ,$142.78 ,$62.05 ,$150.15 ,$62.05 ,$135.14 ,$58.13 ,$62.05 ,$135.14 ,$127.92 ,$191.10 ,$170.63 ,$218.40 ,$158.31 ,$62.05 ,$191.10 ,$62.05 ,$163.80 ,$63.30 ,$204.75 ,$150.70 ,$135.95 ,$150.70 ,$62.05 ,$150.70 ,$199.29 ,$273.00 ,$199.29 ,$232.05 ,$158.31 ,$189.19 ,$62.05 ,$273.00 ,$153.15 ,$62.05 ,$71.53 ,$273.00 , N/A , N/A ,$65.16 ,$218.40 ,$135.14 ,$76.44 ,$245.70 ,$103.74 ,$273.00 ,$62.05 ,$131.04 
ST. MARY'S HOSPITAL - DECATUR,33500014,96521,HC REFILLING/MAINTENANCE PORTABLE PUMP,335,1 ,$436.00 ,$313.92 ,$82.48 ,$484.70 ,$484.70 ,$231.08 ,$239.80 ,$190.00 ,$122.08 ,$228.03 ,$190.00 ,$239.80 ,$190.00 ,$215.82 ,$272.63 ,$190.00 ,$215.82 ,$391.63 ,$305.20 , N/A ,$348.80 ,$484.70 ,$190.00 ,$305.20 ,$190.00 ,$261.60 ,$193.80 ,$327.00 ,$240.67 ,$217.13 ,$240.67 ,$190.00 ,$240.67 ,$318.28 ,$436.00 ,$318.28 ,$370.60 ,$436.00 ,$302.15 ,$190.00 ,$436.00 ,$244.60 ,$190.00 ,$114.23 ,$436.00 ,$86.41 ,$82.48 ,$199.50 ,$348.80 ,$215.82 ,$122.08 ,$392.40 ,$165.68 ,$436.00 ,$190.00 ,$209.28 
ST. MARY'S HOSPITAL - DECATUR,33500025,96542,HC CHEMOTHERAPY INJECTION SUBARACHNOID OR INTRAVENTRICULAR,335,1 ,$539.00 ,$388.08 ,$83.49 ,$539.00 ,$484.70 ,$285.67 ,$296.45 ,$190.00 ,$150.92 ,$281.90 ,$190.00 ,$296.45 ,$190.00 ,$266.81 ,$83.49 ,$190.00 ,$266.81 ,$391.63 ,$377.30 ,$336.88 ,$431.20 ,$484.70 ,$190.00 ,$377.30 ,$190.00 ,$323.40 ,$193.80 ,$404.25 ,$297.53 ,$268.42 ,$297.53 ,$190.00 ,$297.53 ,$393.47 ,$539.00 ,$393.47 ,$458.15 ,$484.70 ,$373.53 ,$190.00 ,$539.00 ,$302.38 ,$190.00 ,$141.22 ,$539.00 , N/A , N/A ,$199.50 ,$431.20 ,$266.81 ,$150.92 ,$485.10 ,$204.82 ,$539.00 ,$190.00 ,$258.72 
ST. MARY'S HOSPITAL - DECATUR,33500026,96549,HC CHEMO ADMIN PROLONGED WITH PUMP,335,1 ,$376.00 ,$270.72 ,$38.97 ,$376.00 ,$99.43 ,$199.28 ,$206.80 ,$38.97 ,$105.28 ,$196.65 ,$38.97 ,$206.80 ,$38.97 ,$186.12 ,$150.40 ,$38.97 ,$186.12 ,$80.33 ,$263.20 ,$235.00 ,$300.80 ,$99.42 ,$38.97 ,$263.20 ,$38.97 ,$225.60 ,$39.75 ,$282.00 ,$207.55 ,$187.25 ,$207.55 ,$38.97 ,$207.55 ,$274.48 ,$376.00 ,$274.48 ,$319.60 ,$99.42 ,$260.57 ,$38.97 ,$376.00 ,$210.94 ,$38.97 ,$98.51 ,$376.00 ,$226.38 ,$216.09 ,$40.92 ,$300.80 ,$186.12 ,$105.28 ,$338.40 ,$142.88 ,$376.00 ,$38.97 ,$180.48 
ST. MARY'S HOSPITAL - DECATUR,34000002,78012,HC THYROID UPTAKE SGL/MULT 78012,340,1 ,$444.00 ,$319.68 ,$106.25 ,$912.00 ,$912.00 ,$137.12 ,$244.20 ,$357.50 ,$124.32 ,$232.21 ,$357.50 ,$244.20 ,$357.50 ,$219.78 ,$151.89 ,$357.50 ,$219.78 ,$444.00 ,$310.80 ,$169.00 ,$355.20 ,$912.00 ,$357.50 ,$310.80 ,$357.50 ,$266.40 ,$364.66 ,$333.00 ,$245.09 ,$221.11 ,$245.09 ,$357.50 ,$245.09 ,$106.25 ,$444.00 ,$106.25 ,$377.40 ,$444.00 ,$307.69 ,$357.50 ,$444.00 ,$249.08 ,$357.50 ,$116.33 ,$444.00 ,$304.49 ,$290.65 ,$375.38 ,$355.20 ,$219.78 ,$124.32 ,$399.60 ,$168.72 ,$444.00 ,$357.50 ,$213.12 
ST. MARY'S HOSPITAL - DECATUR,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,296.00 ",$933.12 ,$290.65 ,"$1,296.00 ",$912.00 ,$404.78 ,$712.80 ,$357.50 ,$362.88 ,$677.81 ,$357.50 ,$712.80 ,$357.50 ,$641.52 ,$457.89 ,$357.50 ,$641.52 ,$736.89 ,$907.20 ,$479.08 ,"$1,036.80 ",$912.00 ,$357.50 ,$907.20 ,$357.50 ,$777.60 ,$364.66 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$357.50 ,$715.39 ,$320.30 ,"$1,296.00 ",$320.30 ,"$1,101.60 ",$912.00 ,$898.13 ,$357.50 ,"$1,296.00 ",$727.06 ,$357.50 ,$339.55 ,"$1,296.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,"$1,296.00 ",$357.50 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,34000006,78013,HC NM THYROID SCAN,340,1 ,"$1,043.00 ",$750.96 ,$257.36 ,"$1,043.00 ",$912.00 ,$334.67 ,$573.65 ,$357.50 ,$292.04 ,$545.49 ,$357.50 ,$573.65 ,$357.50 ,$516.29 ,$367.92 ,$357.50 ,$516.29 ,$736.89 ,$730.10 ,$394.65 ,$834.40 ,$912.00 ,$357.50 ,$730.10 ,$357.50 ,$625.80 ,$364.66 ,$782.25 ,$575.74 ,$519.41 ,$575.74 ,$357.50 ,$575.74 ,$257.36 ,"$1,043.00 ",$257.36 ,$886.55 ,$912.00 ,$722.80 ,$357.50 ,"$1,043.00 ",$585.12 ,$357.50 ,$273.27 ,"$1,043.00 ",$304.49 ,$290.65 ,$375.38 ,$834.40 ,$516.29 ,$292.04 ,$938.70 ,$396.34 ,"$1,043.00 ",$357.50 ,$500.64 
ST. MARY'S HOSPITAL - DECATUR,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,569.00 ","$1,129.68 ",$259.40 ,"$1,569.00 ",$912.00 ,$483.14 ,$862.95 ,$357.50 ,$439.32 ,$820.59 ,$357.50 ,$862.95 ,$357.50 ,$776.66 ,$549.33 ,$357.50 ,$776.66 ,$736.89 ,"$1,098.30 ",$568.25 ,"$1,255.20 ",$912.00 ,$357.50 ,"$1,098.30 ",$357.50 ,$941.40 ,$364.66 ,"$1,176.75 ",$866.09 ,$781.36 ,$866.09 ,$357.50 ,$866.09 ,$384.26 ,"$1,569.00 ",$384.26 ,"$1,333.65 ",$912.00 ,"$1,087.32 ",$357.50 ,"$1,569.00 ",$880.21 ,$357.50 ,$411.08 ,"$1,569.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,255.20 ",$776.66 ,$439.32 ,"$1,412.10 ",$596.22 ,"$1,569.00 ",$357.50 ,$753.12 
ST. MARY'S HOSPITAL - DECATUR,34000011,78104,HC BONE MARROW IMAGING WHOLE BODY,340,1 ,"$1,494.00 ","$1,075.68 ",$290.65 ,"$1,494.00 ",$912.00 ,$397.13 ,$821.70 ,$357.50 ,$418.32 ,$781.36 ,$357.50 ,$821.70 ,$357.50 ,$739.53 ,$443.26 ,$357.50 ,$739.53 ,$736.89 ,"$1,045.80 ",$473.55 ,"$1,195.20 ",$912.00 ,$357.50 ,"$1,045.80 ",$357.50 ,$896.40 ,$364.66 ,"$1,120.50 ",$824.69 ,$744.01 ,$824.69 ,$357.50 ,$824.69 ,$310.07 ,"$1,494.00 ",$310.07 ,"$1,269.90 ",$912.00 ,"$1,035.34 ",$357.50 ,"$1,494.00 ",$838.13 ,$357.50 ,$391.43 ,"$1,494.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,195.20 ",$739.53 ,$418.32 ,"$1,344.60 ",$567.72 ,"$1,494.00 ",$357.50 ,$717.12 
ST. MARY'S HOSPITAL - DECATUR,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$2,070.00 ","$1,490.40 ",$290.65 ,"$2,070.00 ","$1,183.75 ",$560.45 ,"$1,138.50 ",$464.03 ,$579.60 ,"$1,082.61 ",$464.03 ,"$1,138.50 ",$464.03 ,"$1,024.65 ",$630.03 ,$464.03 ,"$1,024.65 ",$956.48 ,"$1,449.00 ",$662.38 ,"$1,656.00 ","$1,183.76 ",$464.03 ,"$1,449.00 ",$464.03 ,"$1,242.00 ",$473.31 ,"$1,552.50 ","$1,142.64 ","$1,030.86 ","$1,142.64 ",$464.03 ,"$1,142.64 ",$440.72 ,"$2,070.00 ",$440.72 ,"$1,759.50 ","$1,183.76 ","$1,434.51 ",$464.03 ,"$2,070.00 ","$1,161.27 ",$464.03 ,$542.34 ,"$2,070.00 ",$304.49 ,$290.65 ,$487.24 ,"$1,656.00 ","$1,024.65 ",$579.60 ,"$1,863.00 ",$786.60 ,"$2,070.00 ",$464.03 ,$993.60 
ST. MARY'S HOSPITAL - DECATUR,34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,609.00 ","$1,158.48 ",$252.24 ,"$1,609.00 ",$912.00 ,$324.47 ,$884.95 ,$357.50 ,$450.52 ,$841.51 ,$357.50 ,$884.95 ,$357.50 ,$796.46 ,$360.60 ,$357.50 ,$796.46 ,$736.89 ,"$1,126.30 ",$386.78 ,"$1,287.20 ",$912.00 ,$357.50 ,"$1,126.30 ",$357.50 ,$965.40 ,$364.66 ,"$1,206.75 ",$888.17 ,$801.28 ,$888.17 ,$357.50 ,$888.17 ,$252.24 ,"$1,609.00 ",$252.24 ,"$1,367.65 ",$912.00 ,"$1,115.04 ",$357.50 ,"$1,609.00 ",$902.65 ,$357.50 ,$421.56 ,"$1,609.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,287.20 ",$796.46 ,$450.52 ,"$1,448.10 ",$611.42 ,"$1,609.00 ",$357.50 ,$772.32 
ST. MARY'S HOSPITAL - DECATUR,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$1,280.00 ",$921.60 ,$290.65 ,"$1,280.00 ",$912.00 ,$548.98 ,$704.00 ,$357.50 ,$358.40 ,$669.44 ,$357.50 ,$704.00 ,$357.50 ,$633.60 ,$621.25 ,$357.50 ,$633.60 ,$736.89 ,$896.00 ,$646.58 ,"$1,024.00 ",$912.00 ,$357.50 ,$896.00 ,$357.50 ,$768.00 ,$364.66 ,$960.00 ,$706.56 ,$637.44 ,$706.56 ,$357.50 ,$706.56 ,$434.57 ,"$1,280.00 ",$434.57 ,"$1,088.00 ",$912.00 ,$887.04 ,$357.50 ,"$1,280.00 ",$718.08 ,$357.50 ,$335.36 ,"$1,280.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,024.00 ",$633.60 ,$358.40 ,"$1,152.00 ",$486.40 ,"$1,280.00 ",$357.50 ,$614.40 
ST. MARY'S HOSPITAL - DECATUR,34000025,78262,HC GASTROESOPHAGEAL REFLUX,340,1 ,"$1,244.00 ",$895.68 ,$290.65 ,"$1,244.00 ",$912.00 ,$393.93 ,$684.20 ,$357.50 ,$348.32 ,$650.61 ,$357.50 ,$684.20 ,$357.50 ,$615.78 ,$440.34 ,$357.50 ,$615.78 ,$736.89 ,$870.80 ,$473.55 ,$995.20 ,$912.00 ,$357.50 ,$870.80 ,$357.50 ,$746.40 ,$364.66 ,$933.00 ,$686.69 ,$619.51 ,$686.69 ,$357.50 ,$686.69 ,$308.01 ,"$1,244.00 ",$308.01 ,"$1,057.40 ",$912.00 ,$862.09 ,$357.50 ,"$1,244.00 ",$697.88 ,$357.50 ,$325.93 ,"$1,244.00 ",$304.49 ,$290.65 ,$375.38 ,$995.20 ,$615.78 ,$348.32 ,"$1,119.60 ",$472.72 ,"$1,244.00 ",$357.50 ,$597.12 
ST. MARY'S HOSPITAL - DECATUR,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$2,229.00 ","$1,604.88 ",$290.65 ,"$2,229.00 ",$912.00 ,$553.43 ,"$1,225.95 ",$357.50 ,$624.12 ,"$1,165.77 ",$357.50 ,"$1,225.95 ",$357.50 ,"$1,103.36 ",$626.37 ,$357.50 ,"$1,103.36 ",$736.89 ,"$1,560.30 ",$652.90 ,"$1,783.20 ",$912.00 ,$357.50 ,"$1,560.30 ",$357.50 ,"$1,337.40 ",$364.66 ,"$1,671.75 ","$1,230.41 ","$1,110.04 ","$1,230.41 ",$357.50 ,"$1,230.41 ",$438.15 ,"$2,229.00 ",$438.15 ,"$1,894.65 ",$912.00 ,"$1,544.70 ",$357.50 ,"$2,229.00 ","$1,250.47 ",$357.50 ,$584.00 ,"$2,229.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,783.20 ","$1,103.36 ",$624.12 ,"$2,006.10 ",$847.02 ,"$2,229.00 ",$357.50 ,"$1,069.92 "
ST. MARY'S HOSPITAL - DECATUR,34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,938.00 ","$1,395.36 ",$290.65 ,"$1,938.00 ",$912.00 ,$566.19 ,"$1,065.90 ",$357.50 ,$542.64 ,"$1,013.57 ",$357.50 ,"$1,065.90 ",$357.50 ,$959.31 ,$635.15 ,$357.50 ,$959.31 ,$736.89 ,"$1,356.60 ",$671.05 ,"$1,550.40 ",$912.00 ,$357.50 ,"$1,356.60 ",$357.50 ,"$1,162.80 ",$364.66 ,"$1,453.50 ","$1,069.78 ",$965.12 ,"$1,069.78 ",$357.50 ,"$1,069.78 ",$444.30 ,"$1,938.00 ",$444.30 ,"$1,647.30 ",$912.00 ,"$1,343.03 ",$357.50 ,"$1,938.00 ","$1,087.22 ",$357.50 ,$507.76 ,"$1,938.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,550.40 ",$959.31 ,$542.64 ,"$1,744.20 ",$736.44 ,"$1,938.00 ",$357.50 ,$930.24 
ST. MARY'S HOSPITAL - DECATUR,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,561.00 ","$1,123.92 ",$259.40 ,"$1,561.00 ",$912.00 ,$559.80 ,$858.55 ,$357.50 ,$437.08 ,$816.40 ,$357.50 ,$858.55 ,$357.50 ,$772.70 ,$628.57 ,$357.50 ,$772.70 ,$736.89 ,"$1,092.70 ",$663.15 ,"$1,248.80 ",$912.00 ,$357.50 ,"$1,092.70 ",$357.50 ,$936.60 ,$364.66 ,"$1,170.75 ",$861.67 ,$777.38 ,$861.67 ,$357.50 ,$861.67 ,$439.70 ,"$1,561.00 ",$439.70 ,"$1,326.85 ",$912.00 ,"$1,081.77 ",$357.50 ,"$1,561.00 ",$875.72 ,$357.50 ,$408.98 ,"$1,561.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,248.80 ",$772.70 ,$437.08 ,"$1,404.90 ",$593.18 ,"$1,561.00 ",$357.50 ,$749.28 
ST. MARY'S HOSPITAL - DECATUR,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,229.00 ",$884.88 ,$259.40 ,"$1,229.00 ",$912.00 ,$375.46 ,$675.95 ,$357.50 ,$344.12 ,$642.77 ,$357.50 ,$675.95 ,$357.50 ,$608.36 ,$421.09 ,$357.50 ,$608.36 ,$736.89 ,$860.30 ,$442.00 ,$983.20 ,$912.00 ,$357.50 ,$860.30 ,$357.50 ,$737.40 ,$364.66 ,$921.75 ,$678.41 ,$612.04 ,$678.41 ,$357.50 ,$678.41 ,$294.56 ,"$1,229.00 ",$294.56 ,"$1,044.65 ",$912.00 ,$851.70 ,$357.50 ,"$1,229.00 ",$689.47 ,$357.50 ,$322.00 ,"$1,229.00 ",$271.76 ,$259.40 ,$375.38 ,$983.20 ,$608.36 ,$344.12 ,"$1,106.10 ",$467.02 ,"$1,229.00 ",$357.50 ,$589.92 
ST. MARY'S HOSPITAL - DECATUR,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,404.00 ","$1,010.88 ",$259.40 ,"$1,404.00 ",$912.00 ,$448.74 ,$772.20 ,$357.50 ,$393.12 ,$734.29 ,$357.50 ,$772.20 ,$357.50 ,$694.98 ,$506.17 ,$357.50 ,$694.98 ,$736.89 ,$982.80 ,$525.63 ,"$1,123.20 ",$912.00 ,$357.50 ,$982.80 ,$357.50 ,$842.40 ,$364.66 ,"$1,053.00 ",$775.01 ,$699.19 ,$775.01 ,$357.50 ,$775.01 ,$354.07 ,"$1,404.00 ",$354.07 ,"$1,193.40 ",$912.00 ,$972.97 ,$357.50 ,"$1,404.00 ",$787.64 ,$357.50 ,$367.85 ,"$1,404.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,123.20 ",$694.98 ,$393.12 ,"$1,263.60 ",$533.52 ,"$1,404.00 ",$357.50 ,$673.92 
ST. MARY'S HOSPITAL - DECATUR,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,825.00 ","$1,314.00 ",$259.40 ,"$1,825.00 ",$912.00 ,$485.71 ,"$1,003.75 ",$357.50 ,$511.00 ,$954.48 ,$357.50 ,"$1,003.75 ",$357.50 ,$903.38 ,$550.06 ,$357.50 ,$903.38 ,$736.89 ,"$1,277.50 ",$569.83 ,"$1,460.00 ",$912.00 ,$357.50 ,"$1,277.50 ",$357.50 ,"$1,095.00 ",$364.66 ,"$1,368.75 ","$1,007.40 ",$908.85 ,"$1,007.40 ",$357.50 ,"$1,007.40 ",$384.77 ,"$1,825.00 ",$384.77 ,"$1,551.25 ",$912.00 ,"$1,264.73 ",$357.50 ,"$1,825.00 ","$1,023.83 ",$357.50 ,$478.15 ,"$1,825.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,460.00 ",$903.38 ,$511.00 ,"$1,642.50 ",$693.50 ,"$1,825.00 ",$357.50 ,$876.00 
ST. MARY'S HOSPITAL - DECATUR,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,912.00 ","$1,376.64 ",$259.40 ,"$1,912.00 ",$912.00 ,$559.80 ,"$1,051.60 ",$357.50 ,$535.36 ,$999.98 ,$357.50 ,"$1,051.60 ",$357.50 ,$946.44 ,$627.10 ,$357.50 ,$946.44 ,$736.89 ,"$1,338.40 ",$663.15 ,"$1,529.60 ",$912.00 ,$357.50 ,"$1,338.40 ",$357.50 ,"$1,147.20 ",$364.66 ,"$1,434.00 ","$1,055.42 ",$952.18 ,"$1,055.42 ",$357.50 ,"$1,055.42 ",$438.66 ,"$1,912.00 ",$438.66 ,"$1,625.20 ",$912.00 ,"$1,325.02 ",$357.50 ,"$1,912.00 ","$1,072.63 ",$357.50 ,$500.94 ,"$1,912.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,529.60 ",$946.44 ,$535.36 ,"$1,720.80 ",$726.56 ,"$1,912.00 ",$357.50 ,$917.76 
ST. MARY'S HOSPITAL - DECATUR,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$3,888.00 ","$2,799.36 ",$290.65 ,"$3,888.00 ","$3,114.30 ",$517.75 ,"$2,138.40 ","$1,220.81 ","$1,088.64 ","$2,033.42 ","$1,220.81 ","$2,138.40 ","$1,220.81 ","$1,924.56 ",$575.90 ,"$1,220.81 ","$1,924.56 ","$2,516.36 ","$2,721.60 ",$611.08 ,"$3,110.40 ","$3,114.31 ","$1,220.81 ","$2,721.60 ","$1,220.81 ","$2,332.80 ","$1,245.23 ","$2,916.00 ","$2,146.18 ","$1,936.22 ","$2,146.18 ","$1,220.81 ","$2,146.18 ",$402.84 ,"$3,888.00 ",$402.84 ,"$3,304.80 ","$3,114.31 ","$2,694.38 ","$1,220.81 ","$3,888.00 ","$2,181.17 ","$1,220.81 ","$1,018.66 ","$3,888.00 ",$304.49 ,$290.65 ,"$1,281.85 ","$3,110.40 ","$1,924.56 ","$1,088.64 ","$3,499.20 ","$1,477.44 ","$2,569.00 ","$1,220.81 ","$1,866.24 "
ST. MARY'S HOSPITAL - DECATUR,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$6,411.00 ","$4,615.92 ",$582.27 ,"$6,411.00 ","$3,114.30 ",$747.34 ,"$3,526.05 ","$1,220.81 ","$1,795.08 ","$3,352.95 ","$1,220.81 ","$3,526.05 ","$1,220.81 ","$3,173.45 ",$832.39 ,"$1,220.81 ","$3,173.45 ","$2,516.36 ","$4,487.70 ",$883.20 ,"$5,128.80 ","$3,114.31 ","$1,220.81 ","$4,487.70 ","$1,220.81 ","$3,846.60 ","$1,245.23 ","$4,808.25 ","$3,538.87 ","$3,192.68 ","$3,538.87 ","$1,220.81 ","$3,538.87 ",$582.27 ,"$6,411.00 ",$582.27 ,"$5,449.35 ","$3,114.31 ","$4,442.82 ","$1,220.81 ","$6,411.00 ","$3,596.57 ","$1,220.81 ","$1,679.68 ","$6,411.00 ",$666.69 ,$636.38 ,"$1,281.85 ","$5,128.80 ","$3,173.45 ","$1,795.08 ","$5,769.90 ","$2,436.18 ","$2,569.00 ","$1,220.81 ","$3,077.28 "
ST. MARY'S HOSPITAL - DECATUR,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,079.00 ","$1,496.88 ",$259.40 ,"$2,079.00 ",$912.00 ,$341.69 ,"$1,143.45 ",$357.50 ,$582.12 ,"$1,087.32 ",$357.50 ,"$1,143.45 ",$357.50 ,"$1,029.11 ",$382.55 ,$357.50 ,"$1,029.11 ",$736.89 ,"$1,455.30 ",$404.93 ,"$1,663.20 ",$912.00 ,$357.50 ,"$1,455.30 ",$357.50 ,"$1,247.40 ",$364.66 ,"$1,559.25 ","$1,147.61 ","$1,035.34 ","$1,147.61 ",$357.50 ,"$1,147.61 ",$267.59 ,"$2,079.00 ",$267.59 ,"$1,767.15 ",$912.00 ,"$1,440.75 ",$357.50 ,"$2,079.00 ","$1,166.32 ",$357.50 ,$544.70 ,"$2,079.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,663.20 ","$1,029.11 ",$582.12 ,"$1,871.10 ",$790.02 ,"$2,079.00 ",$357.50 ,$997.92 
ST. MARY'S HOSPITAL - DECATUR,34000047,78580,HC LUNG PERFUS,340,1 ,"$1,335.00 ",$961.20 ,$290.65 ,"$1,335.00 ",$912.00 ,$378.65 ,$734.25 ,$357.50 ,$373.80 ,$698.21 ,$357.50 ,$734.25 ,$357.50 ,$660.83 ,$427.17 ,$357.50 ,$660.83 ,$736.89 ,$934.50 ,$448.30 ,"$1,068.00 ",$912.00 ,$357.50 ,$934.50 ,$357.50 ,$801.00 ,$364.66 ,"$1,001.25 ",$736.92 ,$664.83 ,$736.92 ,$357.50 ,$736.92 ,$298.80 ,"$1,335.00 ",$298.80 ,"$1,134.75 ",$912.00 ,$925.16 ,$357.50 ,"$1,335.00 ",$748.94 ,$357.50 ,$349.77 ,"$1,335.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,068.00 ",$660.83 ,$373.80 ,"$1,201.50 ",$507.30 ,"$1,335.00 ",$357.50 ,$640.80 
ST. MARY'S HOSPITAL - DECATUR,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$2,110.00 ","$1,519.20 ",$290.65 ,"$2,110.00 ","$1,183.75 ",$531.14 ,"$1,160.50 ",$464.03 ,$590.80 ,"$1,103.53 ",$464.03 ,"$1,160.50 ",$464.03 ,"$1,044.45 ",$596.38 ,$464.03 ,"$1,044.45 ",$956.48 ,"$1,477.00 ",$627.65 ,"$1,688.00 ","$1,183.76 ",$464.03 ,"$1,477.00 ",$464.03 ,"$1,266.00 ",$473.31 ,"$1,582.50 ","$1,164.72 ","$1,050.78 ","$1,164.72 ",$464.03 ,"$1,164.72 ",$417.17 ,"$2,110.00 ",$417.17 ,"$1,793.50 ","$1,183.76 ","$1,462.23 ",$464.03 ,"$2,110.00 ","$1,183.71 ",$464.03 ,$552.82 ,"$2,110.00 ",$304.49 ,$290.65 ,$487.24 ,"$1,688.00 ","$1,044.45 ",$590.80 ,"$1,899.00 ",$801.80 ,"$2,110.00 ",$464.03 ,"$1,012.80 "
ST. MARY'S HOSPITAL - DECATUR,34000052,78579,HC LUNG SCAN-VENTILATION,340,1 ,"$1,475.00 ","$1,062.00 ",$239.80 ,"$1,475.00 ",$912.00 ,$308.54 ,$811.25 ,$357.50 ,$413.00 ,$771.43 ,$357.50 ,$811.25 ,$357.50 ,$730.13 ,$342.81 ,$357.50 ,$730.13 ,$736.89 ,"$1,032.50 ",$366.25 ,"$1,180.00 ",$912.00 ,$357.50 ,"$1,032.50 ",$357.50 ,$885.00 ,$364.66 ,"$1,106.25 ",$814.20 ,$734.55 ,$814.20 ,$357.50 ,$814.20 ,$239.80 ,"$1,475.00 ",$239.80 ,"$1,253.75 ",$912.00 ,"$1,022.18 ",$357.50 ,"$1,475.00 ",$827.48 ,$357.50 ,$386.45 ,"$1,475.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,180.00 ",$730.13 ,$413.00 ,"$1,327.50 ",$560.50 ,"$1,475.00 ",$357.50 ,$708.00 
ST. MARY'S HOSPITAL - DECATUR,34000054,78606,HC BRAIN SC W/VASCULAR FLOW > 4 VIEWS,340,1 ,"$2,313.00 ","$1,665.36 ",$259.40 ,"$2,313.00 ","$1,183.75 ",$565.54 ,"$1,272.15 ",$464.03 ,$647.64 ,"$1,209.70 ",$464.03 ,"$1,272.15 ",$464.03 ,"$1,144.94 ",$630.76 ,$464.03 ,"$1,144.94 ",$956.48 ,"$1,619.10 ",$663.15 ,"$1,850.40 ","$1,183.76 ",$464.03 ,"$1,619.10 ",$464.03 ,"$1,387.80 ",$473.31 ,"$1,734.75 ","$1,276.78 ","$1,151.87 ","$1,276.78 ",$464.03 ,"$1,276.78 ",$441.22 ,"$2,313.00 ",$441.22 ,"$1,966.05 ","$1,183.76 ","$1,602.91 ",$464.03 ,"$2,313.00 ","$1,297.59 ",$464.03 ,$606.01 ,"$2,313.00 ",$271.76 ,$259.40 ,$487.24 ,"$1,850.40 ","$1,144.94 ",$647.64 ,"$2,081.70 ",$878.94 ,"$2,313.00 ",$464.03 ,"$1,110.24 "
ST. MARY'S HOSPITAL - DECATUR,34000056,78630,HC CISTERNOGRAPHY,340,1 ,"$2,305.00 ","$1,659.60 ",$290.65 ,"$2,305.00 ","$1,183.75 ",$573.19 ,"$1,267.75 ",$464.03 ,$645.40 ,"$1,205.52 ",$464.03 ,"$1,267.75 ",$464.03 ,"$1,140.98 ",$643.20 ,$464.03 ,"$1,140.98 ",$956.48 ,"$1,613.50 ",$681.30 ,"$1,844.00 ","$1,183.76 ",$464.03 ,"$1,613.50 ",$464.03 ,"$1,383.00 ",$473.31 ,"$1,728.75 ","$1,272.36 ","$1,147.89 ","$1,272.36 ",$464.03 ,"$1,272.36 ",$449.92 ,"$2,305.00 ",$449.92 ,"$1,959.25 ","$1,183.76 ","$1,597.37 ",$464.03 ,"$2,305.00 ","$1,293.11 ",$464.03 ,$603.91 ,"$2,305.00 ",$304.49 ,$290.65 ,$487.24 ,"$1,844.00 ","$1,140.98 ",$645.40 ,"$2,074.50 ",$875.90 ,"$2,305.00 ",$464.03 ,"$1,106.40 "
ST. MARY'S HOSPITAL - DECATUR,34000058,78650,HC CSF LEAK DETECTION,340,1 ,"$1,511.00 ","$1,087.92 ",$259.40 ,"$3,114.31 ","$3,114.30 ",$475.07 ,$831.05 ,"$1,220.81 ",$423.08 ,$790.25 ,"$1,220.81 ",$831.05 ,"$1,220.81 ",$747.95 ,$525.42 ,"$1,220.81 ",$747.95 ,"$1,511.00 ","$1,057.70 ",$563.75 ,"$1,208.80 ","$3,114.31 ","$1,220.81 ","$1,057.70 ","$1,220.81 ",$906.60 ,"$1,245.23 ","$1,133.25 ",$834.07 ,$752.48 ,$834.07 ,"$1,220.81 ",$834.07 ,$367.55 ,"$1,511.00 ",$367.55 ,"$1,284.35 ","$1,511.00 ","$1,047.12 ","$1,220.81 ","$1,511.00 ",$847.67 ,"$1,220.81 ",$395.88 ,"$1,511.00 ",$271.76 ,$259.40 ,"$1,281.85 ","$1,208.80 ",$747.95 ,$423.08 ,"$1,359.90 ",$574.18 ,"$1,511.00 ","$1,220.81 ",$725.28 
ST. MARY'S HOSPITAL - DECATUR,34000062,78707,HC KIDNEY SCAN W/FLOW AND FUNCTION,340,1 ,"$1,902.00 ","$1,369.44 ",$259.40 ,"$1,902.00 ","$1,183.75 ",$350.60 ,"$1,046.10 ",$464.03 ,$532.56 ,$994.75 ,$464.03 ,"$1,046.10 ",$464.03 ,$941.49 ,$393.52 ,$464.03 ,$941.49 ,$956.48 ,"$1,331.40 ",$417.55 ,"$1,521.60 ","$1,183.76 ",$464.03 ,"$1,331.40 ",$464.03 ,"$1,141.20 ",$473.31 ,"$1,426.50 ","$1,049.90 ",$947.20 ,"$1,049.90 ",$464.03 ,"$1,049.90 ",$275.28 ,"$1,902.00 ",$275.28 ,"$1,616.70 ","$1,183.76 ","$1,318.09 ",$464.03 ,"$1,902.00 ","$1,067.02 ",$464.03 ,$498.32 ,"$1,902.00 ",$271.76 ,$259.40 ,$487.24 ,"$1,521.60 ",$941.49 ,$532.56 ,"$1,711.80 ",$722.76 ,"$1,902.00 ",$464.03 ,$912.96 
ST. MARY'S HOSPITAL - DECATUR,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$1,902.00 ","$1,369.44 ",$175.14 ,"$1,902.00 ","$1,183.75 ",$225.90 ,"$1,046.10 ",$464.03 ,$532.56 ,$994.75 ,$464.03 ,"$1,046.10 ",$464.03 ,$941.49 ,$250.37 ,$464.03 ,$941.49 ,$956.48 ,"$1,331.40 ",$278.90 ,"$1,521.60 ","$1,183.76 ",$464.03 ,"$1,331.40 ",$464.03 ,"$1,141.20 ",$473.31 ,"$1,426.50 ","$1,049.90 ",$947.20 ,"$1,049.90 ",$464.03 ,"$1,049.90 ",$175.14 ,"$1,902.00 ",$175.14 ,"$1,616.70 ","$1,183.76 ","$1,318.09 ",$464.03 ,"$1,902.00 ","$1,067.02 ",$464.03 ,$498.32 ,"$1,902.00 ",$271.76 ,$259.40 ,$487.24 ,"$1,521.60 ",$941.49 ,$532.56 ,"$1,711.80 ",$722.76 ,"$1,902.00 ",$464.03 ,$912.96 
ST. MARY'S HOSPITAL - DECATUR,34000067,78761,HC TESTICULAR IMAG W/FLOW,340,1 ,"$1,193.00 ",$858.96 ,$259.40 ,"$1,193.00 ",$912.00 ,$333.41 ,$656.15 ,$357.50 ,$334.04 ,$623.94 ,$357.50 ,$656.15 ,$357.50 ,$590.54 ,$371.57 ,$357.50 ,$590.54 ,$736.89 ,$835.10 ,$397.03 ,$954.40 ,$912.00 ,$357.50 ,$835.10 ,$357.50 ,$715.80 ,$364.66 ,$894.75 ,$658.54 ,$594.11 ,$658.54 ,$357.50 ,$658.54 ,$259.92 ,"$1,193.00 ",$259.92 ,"$1,014.05 ",$912.00 ,$826.75 ,$357.50 ,"$1,193.00 ",$669.27 ,$357.50 ,$312.57 ,"$1,193.00 ",$271.76 ,$259.40 ,$375.38 ,$954.40 ,$590.54 ,$334.04 ,"$1,073.70 ",$453.34 ,"$1,193.00 ",$357.50 ,$572.64 
ST. MARY'S HOSPITAL - DECATUR,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$2,300.00 ","$1,656.00 ",$238.42 ,"$2,300.00 ",$912.00 ,$422.62 ,"$1,265.00 ",$357.50 ,$644.00 ,"$1,202.90 ",$357.50 ,"$1,265.00 ",$357.50 ,"$1,138.50 ",$340.85 ,$357.50 ,"$1,138.50 ",$736.89 ,"$1,610.00 ",$496.45 ,"$1,840.00 ",$912.00 ,$357.50 ,"$1,610.00 ",$357.50 ,"$1,380.00 ",$364.66 ,"$1,725.00 ","$1,269.60 ","$1,145.40 ","$1,269.60 ",$357.50 ,"$1,269.60 ",$238.42 ,"$2,300.00 ",$238.42 ,"$1,955.00 ",$912.00 ,"$1,593.90 ",$357.50 ,"$2,300.00 ","$1,290.30 ",$357.50 ,$602.60 ,"$2,300.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,840.00 ","$1,138.50 ",$644.00 ,"$2,070.00 ",$874.00 ,"$2,300.00 ",$357.50 ,"$1,104.00 "
ST. MARY'S HOSPITAL - DECATUR,34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$2,852.00 ","$2,053.44 ",$290.65 ,"$2,852.00 ",$912.00 ,$465.30 ,"$1,568.60 ",$357.50 ,$798.56 ,"$1,491.60 ",$357.50 ,"$1,568.60 ",$357.50 ,"$1,411.74 ",$461.55 ,$357.50 ,"$1,411.74 ",$736.89 ,"$1,996.40 ",$537.48 ,"$2,281.60 ",$912.00 ,$357.50 ,"$1,996.40 ",$357.50 ,"$1,711.20 ",$364.66 ,"$2,139.00 ","$1,574.30 ","$1,420.30 ","$1,574.30 ",$357.50 ,"$1,574.30 ",$322.86 ,"$2,852.00 ",$322.86 ,"$2,424.20 ",$912.00 ,"$1,976.44 ",$357.50 ,"$2,852.00 ","$1,599.97 ",$357.50 ,$747.22 ,"$2,852.00 ",$304.49 ,$290.65 ,$375.38 ,"$2,281.60 ","$1,411.74 ",$798.56 ,"$2,566.80 ","$1,083.76 ","$2,569.00 ",$357.50 ,"$1,368.96 "
ST. MARY'S HOSPITAL - DECATUR,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$3,642.00 ","$2,622.24 ",$426.90 ,"$3,642.00 ","$3,114.30 ",$632.45 ,"$2,003.10 ","$1,220.81 ","$1,019.76 ","$1,904.77 ","$1,220.81 ","$2,003.10 ","$1,220.81 ","$1,802.79 ",$610.28 ,"$1,220.81 ","$1,802.79 ","$2,516.36 ","$2,549.40 ",$742.05 ,"$2,913.60 ","$3,114.31 ","$1,220.81 ","$2,549.40 ","$1,220.81 ","$2,185.20 ","$1,245.23 ","$2,731.50 ","$2,010.38 ","$1,813.72 ","$2,010.38 ","$1,220.81 ","$2,010.38 ",$426.90 ,"$3,642.00 ",$426.90 ,"$3,095.70 ","$3,114.31 ","$2,523.91 ","$1,220.81 ","$3,642.00 ","$2,043.16 ","$1,220.81 ",$954.20 ,"$3,642.00 ",$666.69 ,$636.38 ,"$1,281.85 ","$2,913.60 ","$1,802.79 ","$1,019.76 ","$3,277.80 ","$1,383.96 ","$2,569.00 ","$1,220.81 ","$1,748.16 "
ST. MARY'S HOSPITAL - DECATUR,34000075,78803,HC TUMOR IMAGING (SPECT) OCTREO,340,1 ,"$3,642.00 ","$2,622.24 ",$426.90 ,"$3,642.00 ","$3,114.30 ",$632.45 ,"$2,003.10 ","$1,220.81 ","$1,019.76 ","$1,904.77 ","$1,220.81 ","$2,003.10 ","$1,220.81 ","$1,802.79 ",$610.28 ,"$1,220.81 ","$1,802.79 ","$2,516.36 ","$2,549.40 ",$742.05 ,"$2,913.60 ","$3,114.31 ","$1,220.81 ","$2,549.40 ","$1,220.81 ","$2,185.20 ","$1,245.23 ","$2,731.50 ","$2,010.38 ","$1,813.72 ","$2,010.38 ","$1,220.81 ","$2,010.38 ",$426.90 ,"$3,642.00 ",$426.90 ,"$3,095.70 ","$3,114.31 ","$2,523.91 ","$1,220.81 ","$3,642.00 ","$2,043.16 ","$1,220.81 ",$954.20 ,"$3,642.00 ",$666.69 ,$636.38 ,"$1,281.85 ","$2,913.60 ","$1,802.79 ","$1,019.76 ","$3,277.80 ","$1,383.96 ","$2,569.00 ","$1,220.81 ","$1,748.16 "
ST. MARY'S HOSPITAL - DECATUR,34000077,78804,HC TUMOR/INF-WHOLE BODY-MULT DAY,340,1 ,"$3,642.00 ","$2,622.24 ",$636.38 ,"$3,642.00 ","$3,114.30 ","$1,151.28 ","$2,003.10 ","$1,220.81 ","$1,019.76 ","$1,904.77 ","$1,220.81 ","$2,003.10 ","$1,220.81 ","$1,802.79 ","$1,091.58 ","$1,220.81 ","$1,802.79 ","$2,516.36 ","$2,549.40 ","$1,352.13 ","$2,913.60 ","$3,114.31 ","$1,220.81 ","$2,549.40 ","$1,220.81 ","$2,185.20 ","$1,245.23 ","$2,731.50 ","$2,010.38 ","$1,813.72 ","$2,010.38 ","$1,220.81 ","$2,010.38 ",$763.57 ,"$3,642.00 ",$763.57 ,"$3,095.70 ","$3,114.31 ","$2,523.91 ","$1,220.81 ","$3,642.00 ","$2,043.16 ","$1,220.81 ",$954.20 ,"$3,642.00 ",$666.69 ,$636.38 ,"$1,281.85 ","$2,913.60 ","$1,802.79 ","$1,019.76 ","$3,277.80 ","$1,383.96 ","$2,569.00 ","$1,220.81 ","$1,748.16 "
ST. MARY'S HOSPITAL - DECATUR,34000081,79005,HC NM RADIOPAHARM THRPY ORAL,340,1 ,"$4,217.00 ","$3,036.24 ",$72.48 ,"$4,217.00 ",$585.98 ,$96.59 ,"$2,319.35 ",$229.70 ,"$1,180.76 ",$410.86 ,$229.70 ,$432.48 ,$229.70 ,"$2,087.42 ",$103.60 ,$229.70 ,"$2,087.42 ",$473.46 ,"$2,951.90 ",$119.60 ,"$3,373.60 ",$585.97 ,$229.70 ,"$2,951.90 ",$229.70 ,"$2,530.20 ",$234.29 ,"$3,162.75 ","$2,327.78 ","$2,100.07 ","$2,327.78 ",$229.70 ,"$2,327.78 ",$72.48 ,"$4,217.00 ",$72.48 ,"$3,584.45 ",$585.97 ,"$2,922.38 ",$229.70 ,"$4,217.00 ","$2,365.74 ",$229.70 ,"$1,104.85 ","$4,217.00 ",$221.13 ,$211.08 ,$241.19 ,"$3,373.60 ","$2,087.42 ","$1,180.76 ","$3,795.30 ","$1,602.46 ","$2,569.00 ",$229.70 ,"$2,024.16 "
ST. MARY'S HOSPITAL - DECATUR,34000083,79101,HC NM RADIOPAHARM THRPY IV,340,1 ,"$1,646.00 ","$1,185.12 ",$71.80 ,"$1,646.00 ",$585.98 ,$99.79 ,$905.30 ,$229.70 ,$460.88 ,$402.59 ,$229.70 ,$423.78 ,$229.70 ,$814.77 ,$102.64 ,$229.70 ,$814.77 ,$473.46 ,"$1,152.20 ",$124.35 ,"$1,316.80 ",$585.97 ,$229.70 ,"$1,152.20 ",$229.70 ,$987.60 ,$234.29 ,"$1,234.50 ",$908.59 ,$819.71 ,$908.59 ,$229.70 ,$908.59 ,$71.80 ,"$1,646.00 ",$71.80 ,"$1,399.10 ",$585.97 ,"$1,140.68 ",$229.70 ,"$1,646.00 ",$923.41 ,$229.70 ,$431.25 ,"$1,646.00 ",$221.13 ,$211.08 ,$241.19 ,"$1,316.80 ",$814.77 ,$460.88 ,"$1,481.40 ",$625.48 ,"$1,646.00 ",$229.70 ,$790.08 
ST. MARY'S HOSPITAL - DECATUR,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$2,008.00 ","$1,445.76 ",$244.91 ,"$2,008.00 ",$912.00 ,$315.56 ,"$1,104.40 ",$357.50 ,$562.24 ,"$1,050.18 ",$357.50 ,"$1,104.40 ",$357.50 ,$993.96 ,$350.13 ,$357.50 ,$993.96 ,$736.89 ,"$1,405.60 ",$373.35 ,"$1,606.40 ",$912.00 ,$357.50 ,"$1,405.60 ",$357.50 ,"$1,204.80 ",$364.66 ,"$1,506.00 ","$1,108.42 ",$999.98 ,"$1,108.42 ",$357.50 ,"$1,108.42 ",$244.91 ,"$2,008.00 ",$244.91 ,"$1,706.80 ",$912.00 ,"$1,391.54 ",$357.50 ,"$2,008.00 ","$1,126.49 ",$357.50 ,$526.10 ,"$2,008.00 ",$304.49 ,$290.65 ,$375.38 ,"$1,606.40 ",$993.96 ,$562.24 ,"$1,807.20 ",$763.04 ,"$2,008.00 ",$357.50 ,$963.84 
ST. MARY'S HOSPITAL - DECATUR,34000091,78598,HC NM PULM VENT AND PERF DIFF W/IMG,340,1 ,"$2,650.00 ","$1,908.00 ",$290.65 ,"$2,650.00 ","$1,183.75 ",$496.53 ,"$1,457.50 ",$464.03 ,$742.00 ,"$1,385.95 ",$464.03 ,"$1,457.50 ",$464.03 ,"$1,311.75 ",$559.07 ,$464.03 ,"$1,311.75 ",$956.48 ,"$1,855.00 ",$587.98 ,"$2,120.00 ","$1,183.76 ",$464.03 ,"$1,855.00 ",$464.03 ,"$1,590.00 ",$473.31 ,"$1,987.50 ","$1,462.80 ","$1,319.70 ","$1,462.80 ",$464.03 ,"$1,462.80 ",$391.07 ,"$2,650.00 ",$391.07 ,"$2,252.50 ","$1,183.76 ","$1,836.45 ",$464.03 ,"$2,650.00 ","$1,486.65 ",$464.03 ,$694.30 ,"$2,650.00 ",$304.49 ,$290.65 ,$487.24 ,"$2,120.00 ","$1,311.75 ",$742.00 ,"$2,385.00 ","$1,007.00 ","$2,569.00 ",$464.03 ,"$1,272.00 "
ST. MARY'S HOSPITAL - DECATUR,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$2,237.00 ","$1,610.64 ",$290.65 ,"$2,237.00 ","$1,183.75 ",$747.16 ,"$1,230.35 ",$464.03 ,$626.36 ,"$1,169.95 ",$464.03 ,"$1,230.35 ",$464.03 ,"$1,107.32 ",$849.72 ,$464.03 ,"$1,107.32 ",$956.48 ,"$1,565.90 ",$880.60 ,"$1,789.60 ","$1,183.76 ",$464.03 ,"$1,565.90 ",$464.03 ,"$1,342.20 ",$473.31 ,"$1,677.75 ","$1,234.82 ","$1,114.03 ","$1,234.82 ",$464.03 ,"$1,234.82 ",$594.38 ,"$2,237.00 ",$594.38 ,"$1,901.45 ","$1,183.76 ","$1,550.24 ",$464.03 ,"$2,237.00 ","$1,254.96 ",$464.03 ,$586.09 ,"$2,237.00 ",$304.49 ,$290.65 ,$487.24 ,"$1,789.60 ","$1,107.32 ",$626.36 ,"$2,013.30 ",$850.06 ,"$2,237.00 ",$464.03 ,"$1,073.76 "
ST. MARY'S HOSPITAL - DECATUR,34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$2,110.00 ","$1,519.20 ",$259.40 ,"$2,110.00 ",$912.00 ,$555.98 ,"$1,160.50 ",$357.50 ,$590.80 ,"$1,103.53 ",$357.50 ,"$1,160.50 ",$357.50 ,"$1,044.45 ",$630.03 ,$357.50 ,"$1,044.45 ",$736.89 ,"$1,477.00 ",$652.90 ,"$1,688.00 ",$912.00 ,$357.50 ,"$1,477.00 ",$357.50 ,"$1,266.00 ",$364.66 ,"$1,582.50 ","$1,164.72 ","$1,050.78 ","$1,164.72 ",$357.50 ,"$1,164.72 ",$440.72 ,"$2,110.00 ",$440.72 ,"$1,793.50 ",$912.00 ,"$1,462.23 ",$357.50 ,"$2,110.00 ","$1,183.71 ",$357.50 ,$552.82 ,"$2,110.00 ",$271.76 ,$259.40 ,$375.38 ,"$1,688.00 ","$1,044.45 ",$590.80 ,"$1,899.00 ",$801.80 ,"$2,110.00 ",$357.50 ,"$1,012.80 "
ST. MARY'S HOSPITAL - DECATUR,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,343,1 ,$226.00 ,$162.72 ,$48.00 ,$226.00 , N/A , N/A ,$124.30 , N/A ,$63.28 ,$118.20 , N/A ,$124.30 , N/A ,$111.87 ,$48.00 , N/A ,$111.87 , N/A ,$158.20 , N/A ,$180.80 , N/A , N/A ,$158.20 , N/A ,$135.60 , N/A ,$169.50 ,$124.75 ,$112.55 ,$124.75 , N/A ,$124.75 ,$164.98 ,$226.00 ,$164.98 ,$192.10 , N/A ,$156.62 , N/A ,$226.00 ,$126.79 , N/A ,$59.21 ,$226.00 , N/A , N/A , N/A ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$79.40 , N/A ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,34100011,78457,HC NM VENOUS TRHOMBO UNILATERAL,341,1 ,"$1,113.00 ",$801.36 ,$226.15 ,"$1,183.76 ","$1,183.75 ",$267.75 ,$612.15 ,$464.03 ,$311.64 ,$582.10 ,$464.03 ,$612.15 ,$464.03 ,$550.94 ,$323.29 ,$464.03 ,$550.94 ,$956.48 ,$779.10 ,$321.28 ,$890.40 ,"$1,183.76 ",$464.03 ,$779.10 ,$464.03 ,$667.80 ,$473.31 ,$834.75 ,$614.38 ,$554.27 ,$614.38 ,$464.03 ,$614.38 ,$226.15 ,"$1,113.00 ",$226.15 ,$946.05 ,"$1,113.00 ",$771.31 ,$464.03 ,"$1,113.00 ",$624.39 ,$464.03 ,$291.61 ,"$1,113.00 ",$271.76 ,$259.40 ,$487.24 ,$890.40 ,$550.94 ,$311.64 ,"$1,001.70 ",$422.94 ,"$1,113.00 ",$464.03 ,$534.24 
ST. MARY'S HOSPITAL - DECATUR,34100032,78494,HC MUGA RESTING W/SPECT,341,1 ,"$1,765.00 ","$1,270.80 ",$249.18 ,"$1,765.00 ",$912.00 ,$323.19 ,$970.75 ,$357.50 ,$494.20 ,$923.10 ,$357.50 ,$970.75 ,$357.50 ,$873.68 ,$356.21 ,$357.50 ,$873.68 ,$736.89 ,"$1,235.50 ",$385.20 ,"$1,412.00 ",$912.00 ,$357.50 ,"$1,235.50 ",$357.50 ,"$1,059.00 ",$364.66 ,"$1,323.75 ",$974.28 ,$878.97 ,$974.28 ,$357.50 ,$974.28 ,$249.18 ,"$1,765.00 ",$249.18 ,"$1,500.25 ",$912.00 ,"$1,223.15 ",$357.50 ,"$1,765.00 ",$990.17 ,$357.50 ,$462.43 ,"$1,765.00 ",$666.69 ,$636.38 ,$375.38 ,"$1,412.00 ",$873.68 ,$494.20 ,"$1,588.50 ",$670.70 ,"$1,765.00 ",$357.50 ,$847.20 
ST. MARY'S HOSPITAL - DECATUR,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,"$1,278.00 ",$920.16 ,$105.87 ,"$1,278.00 ", N/A , N/A ,$702.90 , N/A ,$357.84 ,$668.39 , N/A ,$702.90 , N/A ,$632.61 ,$128.10 , N/A ,$632.61 , N/A ,$894.60 , N/A ,"$1,022.40 ", N/A , N/A ,$894.60 , N/A ,$766.80 , N/A ,$958.50 ,$705.46 ,$636.44 ,$705.46 , N/A ,$705.46 ,$105.87 ,"$1,278.00 ",$105.87 ,"$1,086.30 ", N/A ,$885.65 , N/A ,"$1,278.00 ",$716.96 , N/A ,$334.84 ,"$1,278.00 ", N/A , N/A , N/A ,"$1,022.40 ",$632.61 ,$357.84 ,"$1,150.20 ",$485.64 ,$743.46 , N/A ,$613.44 
ST. MARY'S HOSPITAL - DECATUR,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$404.00 ,$290.88 ,$15.60 ,$404.00 , N/A , N/A ,$222.20 , N/A ,$113.12 ,$88.92 , N/A ,$93.60 , N/A ,$199.98 ,$15.60 , N/A ,$199.98 , N/A ,$282.80 , N/A ,$323.20 , N/A , N/A ,$282.80 , N/A ,$242.40 , N/A ,$303.00 ,$223.01 ,$201.19 ,$223.01 , N/A ,$223.01 ,$294.92 ,$404.00 ,$294.92 ,$343.40 , N/A ,$279.97 , N/A ,$404.00 ,$226.64 , N/A ,$105.85 ,$404.00 , N/A , N/A , N/A ,$323.20 ,$199.98 ,$113.12 ,$363.60 ,$153.52 ,$33.54 , N/A ,$193.92 
ST. MARY'S HOSPITAL - DECATUR,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$476.00 ,$342.72 ,$124.71 ,$476.00 , N/A , N/A ,$261.80 , N/A ,$133.28 ,$248.95 , N/A ,$261.80 , N/A ,$235.62 ,$182.89 , N/A ,$235.62 , N/A ,$333.20 , N/A ,$380.80 , N/A , N/A ,$333.20 , N/A ,$285.60 , N/A ,$357.00 ,$262.75 ,$237.05 ,$262.75 , N/A ,$262.75 ,$347.48 ,$476.00 ,$347.48 ,$404.60 , N/A ,$329.87 , N/A ,$476.00 ,$267.04 , N/A ,$124.71 ,$476.00 , N/A , N/A , N/A ,$380.80 ,$235.62 ,$133.28 ,$428.40 ,$180.88 ,$199.06 , N/A ,$228.48 
ST. MARY'S HOSPITAL - DECATUR,34300008,A9508,HC DIAGNUCLIDE I131 PER .5 MCI,343,1 ,"$6,788.00 ","$4,887.36 ",$887.00 ,"$6,788.00 ", N/A , N/A ,"$3,733.40 ", N/A ,"$1,900.64 ","$3,550.12 ", N/A ,"$3,733.40 ", N/A ,"$3,360.06 ",$887.00 , N/A ,"$3,360.06 ", N/A ,"$4,751.60 ", N/A ,"$5,430.40 ", N/A , N/A ,"$4,751.60 ", N/A ,"$4,072.80 ", N/A ,"$5,091.00 ","$3,746.98 ","$3,380.42 ","$3,746.98 ", N/A ,"$3,746.98 ","$4,955.24 ","$6,788.00 ","$4,955.24 ","$5,769.80 ", N/A ,"$4,704.08 ", N/A ,"$6,788.00 ","$3,808.07 ", N/A ,"$1,778.46 ","$6,788.00 ", N/A , N/A , N/A ,"$5,430.40 ","$3,360.06 ","$1,900.64 ","$6,109.20 ","$2,579.44 ","$1,688.59 ", N/A ,"$3,258.24 "
ST. MARY'S HOSPITAL - DECATUR,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$157.00 ,$113.04 ,$8.38 ,$157.00 , N/A , N/A ,$86.35 , N/A ,$43.96 ,$82.11 , N/A ,$86.35 , N/A ,$77.72 ,$62.80 , N/A ,$77.72 , N/A ,$109.90 , N/A ,$125.60 , N/A , N/A ,$109.90 , N/A ,$94.20 , N/A ,$117.75 ,$86.66 ,$78.19 ,$86.66 , N/A ,$86.66 ,$114.61 ,$157.00 ,$114.61 ,$133.45 , N/A ,$108.80 , N/A ,$157.00 ,$88.08 , N/A ,$41.13 ,$157.00 , N/A , N/A , N/A ,$125.60 ,$77.72 ,$43.96 ,$141.30 ,$59.66 ,$8.38 , N/A ,$75.36 
ST. MARY'S HOSPITAL - DECATUR,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$491.00 ,$353.52 ,$128.64 ,$491.00 , N/A , N/A ,$270.05 , N/A ,$137.48 ,$256.79 , N/A ,$270.05 , N/A ,$243.05 ,$217.00 , N/A ,$243.05 , N/A ,$343.70 , N/A ,$392.80 , N/A , N/A ,$343.70 , N/A ,$294.60 , N/A ,$368.25 ,$271.03 ,$244.52 ,$271.03 , N/A ,$271.03 ,$358.43 ,$491.00 ,$358.43 ,$417.35 , N/A ,$340.26 , N/A ,$491.00 ,$275.45 , N/A ,$128.64 ,$491.00 , N/A , N/A , N/A ,$392.80 ,$243.05 ,$137.48 ,$441.90 ,$186.58 ,$182.84 , N/A ,$235.68 
ST. MARY'S HOSPITAL - DECATUR,34300011,A9517,HC DIAGNUCLIDE I131 CAPS PER MCI,343,1 ,$254.00 ,$182.88 ,$23.26 ,$465.22 ,$59.33 ,$129.54 ,$139.70 ,$23.26 ,$71.12 ,$132.84 ,$23.26 ,$139.70 ,$23.26 ,$125.73 ,$42.84 ,$23.26 ,$125.73 ,$47.93 ,$177.80 ,$158.75 ,$203.20 ,$59.33 ,$23.26 ,$177.80 ,$23.26 ,$152.40 ,$23.72 ,$190.50 ,$140.21 ,$126.49 ,$140.21 ,$23.26 ,$140.21 ,$185.42 ,$254.00 ,$185.42 ,$215.90 ,$59.33 ,$176.02 ,$23.26 ,$254.00 ,$142.49 ,$23.26 ,$66.55 ,$254.00 ,$254.00 ,$465.22 ,$24.42 ,$203.20 ,$125.73 ,$71.12 ,$228.60 ,$96.52 ,$39.15 ,$23.26 ,$121.92 
ST. MARY'S HOSPITAL - DECATUR,34300012,A9521,HC DIAGNUCLIDE CERETEC,343,1 ,"$6,449.00 ","$4,643.28 ","$1,689.64 ","$6,449.00 ", N/A , N/A ,"$3,546.95 ", N/A ,"$1,805.72 ","$3,372.83 ", N/A ,"$3,546.95 ", N/A ,"$3,192.26 ","$1,747.16 ", N/A ,"$3,192.26 ", N/A ,"$4,514.30 ", N/A ,"$5,159.20 ", N/A , N/A ,"$4,514.30 ", N/A ,"$3,869.40 ", N/A ,"$4,836.75 ","$3,559.85 ","$3,211.60 ","$3,559.85 ", N/A ,"$3,559.85 ","$4,707.77 ","$6,449.00 ","$4,707.77 ","$5,481.65 ", N/A ,"$4,469.16 ", N/A ,"$6,449.00 ","$3,617.89 ", N/A ,"$1,689.64 ","$6,449.00 ", N/A , N/A , N/A ,"$5,159.20 ","$3,192.26 ","$1,805.72 ","$5,804.10 ","$2,450.62 ","$2,535.14 ", N/A ,"$3,095.52 "
ST. MARY'S HOSPITAL - DECATUR,34300014,A9528,HC DIAGNUCLIDE I131 NECK/CHST,343,1 ,$240.00 ,$172.80 ,$62.88 ,$240.00 , N/A , N/A ,$132.00 , N/A ,$67.20 ,$125.52 , N/A ,$132.00 , N/A ,$118.80 ,$96.00 , N/A ,$118.80 , N/A ,$168.00 , N/A ,$192.00 , N/A , N/A ,$168.00 , N/A ,$144.00 , N/A ,$180.00 ,$132.48 ,$119.52 ,$132.48 , N/A ,$132.48 ,$175.20 ,$240.00 ,$175.20 ,$204.00 , N/A ,$166.32 , N/A ,$240.00 ,$134.64 , N/A ,$62.88 ,$240.00 , N/A , N/A , N/A ,$192.00 ,$118.80 ,$67.20 ,$216.00 ,$91.20 ,$163.27 , N/A ,$115.20 
ST. MARY'S HOSPITAL - DECATUR,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$585.00 ,$421.20 ,$66.38 ,$585.00 , N/A , N/A ,$321.75 , N/A ,$163.80 ,$305.96 , N/A ,$321.75 , N/A ,$289.58 ,$66.38 , N/A ,$289.58 , N/A ,$409.50 , N/A ,$468.00 , N/A , N/A ,$409.50 , N/A ,$351.00 , N/A ,$438.75 ,$322.92 ,$291.33 ,$322.92 , N/A ,$322.92 ,$427.05 ,$585.00 ,$427.05 ,$497.25 , N/A ,$405.41 , N/A ,$585.00 ,$328.19 , N/A ,$153.27 ,$585.00 , N/A , N/A , N/A ,$468.00 ,$289.58 ,$163.80 ,$526.50 ,$222.30 ,$187.21 , N/A ,$280.80 
ST. MARY'S HOSPITAL - DECATUR,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$492.00 ,$354.24 ,$37.60 ,$492.00 , N/A , N/A ,$270.60 , N/A ,$137.76 ,$214.32 , N/A ,$225.60 , N/A ,$243.54 ,$37.60 , N/A ,$243.54 , N/A ,$344.40 , N/A ,$393.60 , N/A , N/A ,$344.40 , N/A ,$295.20 , N/A ,$369.00 ,$271.58 ,$245.02 ,$271.58 , N/A ,$271.58 ,$359.16 ,$492.00 ,$359.16 ,$418.20 , N/A ,$340.96 , N/A ,$492.00 ,$276.01 , N/A ,$128.90 ,$492.00 , N/A , N/A , N/A ,$393.60 ,$243.54 ,$137.76 ,$442.80 ,$186.96 ,$50.89 , N/A ,$236.16 
ST. MARY'S HOSPITAL - DECATUR,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$371.00 ,$267.12 ,$36.00 ,$371.00 , N/A , N/A ,$204.05 , N/A ,$103.88 ,$194.03 , N/A ,$204.05 , N/A ,$183.65 ,$36.00 , N/A ,$183.65 , N/A ,$259.70 , N/A ,$296.80 , N/A , N/A ,$259.70 , N/A ,$222.60 , N/A ,$278.25 ,$204.79 ,$184.76 ,$204.79 , N/A ,$204.79 ,$270.83 ,$371.00 ,$270.83 ,$315.35 , N/A ,$257.10 , N/A ,$371.00 ,$208.13 , N/A ,$97.20 ,$371.00 , N/A , N/A , N/A ,$296.80 ,$183.65 ,$103.88 ,$333.90 ,$140.98 ,$54.80 , N/A ,$178.08 
ST. MARY'S HOSPITAL - DECATUR,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$740.00 ,$532.80 ,$64.17 ,$740.00 , N/A , N/A ,$407.00 , N/A ,$207.20 ,$365.77 , N/A ,$385.02 , N/A ,$366.30 ,$64.17 , N/A ,$366.30 , N/A ,$518.00 , N/A ,$592.00 , N/A , N/A ,$518.00 , N/A ,$444.00 , N/A ,$555.00 ,$408.48 ,$368.52 ,$408.48 , N/A ,$408.48 ,$540.20 ,$740.00 ,$540.20 ,$629.00 , N/A ,$512.82 , N/A ,$740.00 ,$415.14 , N/A ,$193.88 ,$740.00 , N/A , N/A , N/A ,$592.00 ,$366.30 ,$207.20 ,$666.00 ,$281.20 ,$459.05 , N/A ,$355.20 
ST. MARY'S HOSPITAL - DECATUR,34300024,A9547,HC DIAGNUCLIDE IN OXINE .5 MCI,343,1 ,"$6,748.00 ","$4,858.56 ",$511.05 ,"$6,748.00 ", N/A , N/A ,"$3,711.40 ", N/A ,"$1,889.44 ","$3,529.20 ", N/A ,"$3,711.40 ", N/A ,"$3,340.26 ","$2,145.75 ", N/A ,"$3,340.26 ", N/A ,"$4,723.60 ", N/A ,"$5,398.40 ", N/A , N/A ,"$4,723.60 ", N/A ,"$4,048.80 ", N/A ,"$5,061.00 ","$3,724.90 ","$3,360.50 ","$3,724.90 ", N/A ,"$3,724.90 ","$4,926.04 ","$6,748.00 ","$4,926.04 ","$5,735.80 ", N/A ,"$4,676.36 ", N/A ,"$6,748.00 ","$3,785.63 ", N/A ,"$1,767.98 ","$6,748.00 ", N/A , N/A , N/A ,"$5,398.40 ","$3,340.26 ","$1,889.44 ","$6,073.20 ","$2,564.24 ",$511.05 , N/A ,"$3,239.04 "
ST. MARY'S HOSPITAL - DECATUR,34300026,A9548,HC DIAGNUCLIDE IN-111 DTPA,343,1 ,"$4,618.00 ","$3,324.96 ",$306.41 ,"$4,618.00 ", N/A , N/A ,"$2,539.90 ", N/A ,"$1,293.04 ","$2,415.21 ", N/A ,"$2,539.90 ", N/A ,"$2,285.91 ",$495.83 , N/A ,"$2,285.91 ", N/A ,"$3,232.60 ", N/A ,"$3,694.40 ", N/A , N/A ,"$3,232.60 ", N/A ,"$2,770.80 ", N/A ,"$3,463.50 ","$2,549.14 ","$2,299.76 ","$2,549.14 ", N/A ,"$2,549.14 ","$3,371.14 ","$4,618.00 ","$3,371.14 ","$3,925.30 ", N/A ,"$3,200.27 ", N/A ,"$4,618.00 ","$2,590.70 ", N/A ,"$1,209.92 ","$4,618.00 ", N/A , N/A , N/A ,"$3,694.40 ","$2,285.91 ","$1,293.04 ","$4,156.20 ","$1,754.84 ",$306.41 , N/A ,"$2,216.64 "
ST. MARY'S HOSPITAL - DECATUR,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$2,394.00 ","$1,723.68 ",$599.96 ,"$2,394.00 ", N/A , N/A ,"$1,316.70 ", N/A ,$670.32 ,"$1,252.06 ", N/A ,"$1,316.70 ", N/A ,"$1,185.03 ",$723.00 , N/A ,"$1,185.03 ", N/A ,"$1,675.80 ", N/A ,"$1,915.20 ", N/A , N/A ,"$1,675.80 ", N/A ,"$1,436.40 ", N/A ,"$1,795.50 ","$1,321.49 ","$1,192.21 ","$1,321.49 ", N/A ,"$1,321.49 ","$1,747.62 ","$2,394.00 ","$1,747.62 ","$2,034.90 ", N/A ,"$1,659.04 ", N/A ,"$2,394.00 ","$1,343.03 ", N/A ,$627.23 ,"$2,394.00 ", N/A , N/A , N/A ,"$1,915.20 ","$1,185.03 ",$670.32 ,"$2,154.60 ",$909.72 ,$599.96 , N/A ,"$1,149.12 "
ST. MARY'S HOSPITAL - DECATUR,34300031,A9556,HC DIAGNUCLIDE GA67 PER MCI,343,1 ,$195.00 ,$140.40 ,$38.02 ,$195.00 , N/A , N/A ,$107.25 , N/A ,$54.60 ,$101.99 , N/A ,$107.25 , N/A ,$96.53 ,$131.09 , N/A ,$96.53 , N/A ,$136.50 , N/A ,$156.00 , N/A , N/A ,$136.50 , N/A ,$117.00 , N/A ,$146.25 ,$107.64 ,$97.11 ,$107.64 , N/A ,$107.64 ,$142.35 ,$195.00 ,$142.35 ,$165.75 , N/A ,$135.14 , N/A ,$195.00 ,$109.40 , N/A ,$51.09 ,$195.00 , N/A , N/A , N/A ,$156.00 ,$96.53 ,$54.60 ,$175.50 ,$74.10 ,$38.02 , N/A ,$93.60 
ST. MARY'S HOSPITAL - DECATUR,34300033,A9558,HC DIAGNUCLIDE XE133 10 MCI,343,1 ,$476.00 ,$342.72 ,$124.71 ,$476.00 , N/A , N/A ,$261.80 , N/A ,$133.28 ,$248.95 , N/A ,$261.80 , N/A ,$235.62 ,$251.65 , N/A ,$235.62 , N/A ,$333.20 , N/A ,$380.80 , N/A , N/A ,$333.20 , N/A ,$285.60 , N/A ,$357.00 ,$262.75 ,$237.05 ,$262.75 , N/A ,$262.75 ,$347.48 ,$476.00 ,$347.48 ,$404.60 , N/A ,$329.87 , N/A ,$476.00 ,$267.04 , N/A ,$124.71 ,$476.00 , N/A , N/A , N/A ,$380.80 ,$235.62 ,$133.28 ,$428.40 ,$180.88 ,$350.58 , N/A ,$228.48 
ST. MARY'S HOSPITAL - DECATUR,34300035,A9560,HC TC99M GI BLD MUGA UP TO 30MCI,343,1 ,$726.00 ,$522.72 ,$112.08 ,$726.00 , N/A , N/A ,$399.30 , N/A ,$203.28 ,$379.70 , N/A ,$399.30 , N/A ,$359.37 ,$112.08 , N/A ,$359.37 , N/A ,$508.20 , N/A ,$580.80 , N/A , N/A ,$508.20 , N/A ,$435.60 , N/A ,$544.50 ,$400.75 ,$361.55 ,$400.75 , N/A ,$400.75 ,$529.98 ,$726.00 ,$529.98 ,$617.10 , N/A ,$503.12 , N/A ,$726.00 ,$407.29 , N/A ,$190.21 ,$726.00 , N/A , N/A , N/A ,$580.80 ,$359.37 ,$203.28 ,$653.40 ,$275.88 ,$172.21 , N/A ,$348.48 
ST. MARY'S HOSPITAL - DECATUR,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$726.00 ,$522.72 ,$112.08 ,$726.00 , N/A , N/A ,$399.30 , N/A ,$203.28 ,$379.70 , N/A ,$399.30 , N/A ,$359.37 ,$112.08 , N/A ,$359.37 , N/A ,$508.20 , N/A ,$580.80 , N/A , N/A ,$508.20 , N/A ,$435.60 , N/A ,$544.50 ,$400.75 ,$361.55 ,$400.75 , N/A ,$400.75 ,$529.98 ,$726.00 ,$529.98 ,$617.10 , N/A ,$503.12 , N/A ,$726.00 ,$407.29 , N/A ,$190.21 ,$726.00 , N/A , N/A , N/A ,$580.80 ,$359.37 ,$203.28 ,$653.40 ,$275.88 ,$172.21 , N/A ,$348.48 
ST. MARY'S HOSPITAL - DECATUR,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,"$1,384.00 ",$996.48 ,$362.61 ,"$1,384.00 ", N/A , N/A ,$761.20 , N/A ,$387.52 ,$723.83 , N/A ,$761.20 , N/A ,$685.08 ,$929.73 , N/A ,$685.08 , N/A ,$968.80 , N/A ,"$1,107.20 ", N/A , N/A ,$968.80 , N/A ,$830.40 , N/A ,"$1,038.00 ",$763.97 ,$689.23 ,$763.97 , N/A ,$763.97 ,$734.20 ,"$1,384.00 ",$734.20 ,"$1,176.40 ", N/A ,$959.11 , N/A ,"$1,384.00 ",$776.42 , N/A ,$362.61 ,"$1,384.00 ", N/A , N/A , N/A ,"$1,107.20 ",$685.08 ,$387.52 ,"$1,245.60 ",$525.92 ,"$1,327.95 ", N/A ,$664.32 
ST. MARY'S HOSPITAL - DECATUR,34300038,A9572,HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI,343,1 ,"$14,123.00 ","$10,168.56 ","$3,700.23 ","$14,123.00 ", N/A , N/A ,"$7,767.65 ", N/A ,"$3,954.44 ","$7,386.33 ", N/A ,"$7,767.65 ", N/A ,"$6,990.89 ","$6,811.20 ", N/A ,"$6,990.89 ", N/A ,"$9,886.10 ", N/A ,"$11,298.40 ", N/A , N/A ,"$9,886.10 ", N/A ,"$8,473.80 ", N/A ,"$10,592.25 ","$7,795.90 ","$7,033.25 ","$7,795.90 ", N/A ,"$7,795.90 ","$10,309.79 ","$14,123.00 ","$10,309.79 ","$12,004.55 ", N/A ,"$9,787.24 ", N/A ,"$14,123.00 ","$7,923.00 ", N/A ,"$3,700.23 ","$14,123.00 ", N/A , N/A , N/A ,"$11,298.40 ","$6,990.89 ","$3,954.44 ","$12,710.70 ","$5,366.74 ","$10,028.72 ", N/A ,"$6,779.04 "
ST. MARY'S HOSPITAL - DECATUR,34300040,A9604,HC THER ISOTOP SAMARIUM 153 UP TO 150MCI,343,1 ,"$21,497.00 ","$15,477.84 ","$1,035.64 ","$43,149.63 ","$43,149.63 ","$10,963.47 ","$11,823.35 ","$16,914.65 ","$6,019.16 ","$11,242.93 ","$16,914.65 ","$11,823.35 ","$16,914.65 ","$10,641.02 ","$18,261.17 ","$16,914.65 ","$10,641.02 ","$21,497.00 ","$15,047.90 ","$13,435.63 ","$17,197.60 ","$43,149.63 ","$16,914.65 ","$15,047.90 ","$16,914.65 ","$12,898.20 ","$17,252.95 ","$16,122.75 ","$11,866.34 ","$10,705.51 ","$11,866.34 ","$16,914.65 ","$11,866.34 ","$15,692.81 ","$21,497.00 ","$15,692.81 ","$18,272.45 ","$21,497.00 ","$14,897.42 ","$16,914.65 ","$21,497.00 ","$12,059.82 ","$16,914.65 ","$5,632.21 ","$21,497.00 ","$1,084.95 ","$1,035.64 ","$17,760.38 ","$17,197.60 ","$10,641.02 ","$6,019.16 ","$19,347.30 ","$8,168.86 ","$21,497.00 ","$16,914.65 ","$10,318.56 "
ST. MARY'S HOSPITAL - DECATUR,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$253.00 ,$182.16 ,$66.29 ,$253.00 , N/A ,$129.03 ,$139.15 , N/A ,$70.84 ,$132.32 , N/A ,$139.15 , N/A ,$125.24 ,$101.20 , N/A ,$125.24 , N/A ,$177.10 ,$238.54 ,$202.40 , N/A , N/A ,$177.10 , N/A ,$151.80 , N/A ,$189.75 ,$139.66 ,$125.99 ,$139.66 , N/A ,$139.66 ,$204.93 ,$253.00 ,$204.93 ,$215.05 , N/A ,$175.33 , N/A ,$253.00 ,$141.93 , N/A ,$66.29 ,$253.00 ,$98.77 ,$94.28 , N/A ,$202.40 ,$125.24 ,$70.84 ,$227.70 ,$96.14 ,$203.10 , N/A ,$121.44 
ST. MARY'S HOSPITAL - DECATUR,34300057,A9569,HC TC99M EXAMETAZIME CERETEC DX PER DOSE,343,1 ,"$8,650.00 ","$6,228.00 ","$1,747.16 ","$8,650.00 ", N/A , N/A ,"$4,757.50 ", N/A ,"$2,422.00 ","$4,523.95 ", N/A ,"$4,757.50 ", N/A ,"$4,281.75 ","$1,747.16 ", N/A ,"$4,281.75 ", N/A ,"$6,055.00 ", N/A ,"$6,920.00 ", N/A , N/A ,"$6,055.00 ", N/A ,"$5,190.00 ", N/A ,"$6,487.50 ","$4,774.80 ","$4,307.70 ","$4,774.80 ", N/A ,"$4,774.80 ","$6,314.50 ","$8,650.00 ","$6,314.50 ","$7,352.50 ", N/A ,"$5,994.45 ", N/A ,"$8,650.00 ","$4,852.65 ", N/A ,"$2,266.30 ","$8,650.00 ", N/A , N/A , N/A ,"$6,920.00 ","$4,281.75 ","$2,422.00 ","$7,785.00 ","$3,287.00 ","$2,702.88 ", N/A ,"$4,152.00 "
ST. MARY'S HOSPITAL - DECATUR,34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,"$1,278.00 ",$920.16 ,$105.87 ,"$1,278.00 ", N/A , N/A ,$702.90 , N/A ,$357.84 ,$668.39 , N/A ,$702.90 , N/A ,$632.61 ,$128.10 , N/A ,$632.61 , N/A ,$894.60 , N/A ,"$1,022.40 ", N/A , N/A ,$894.60 , N/A ,$766.80 , N/A ,$958.50 ,$705.46 ,$636.44 ,$705.46 , N/A ,$705.46 ,$105.87 ,"$1,278.00 ",$105.87 ,"$1,086.30 ", N/A ,$885.65 , N/A ,"$1,278.00 ",$716.96 , N/A ,$334.84 ,"$1,278.00 ", N/A , N/A , N/A ,"$1,022.40 ",$632.61 ,$357.84 ,"$1,150.20 ",$485.64 ,$743.46 , N/A ,$613.44 
ST. MARY'S HOSPITAL - DECATUR,34300059,A9510,HC DIAGNUCLIDE TC-99 DISOFENIN DIAG PER STUDY UP TO 15MCI,343,1 ,$585.00 ,$421.20 ,$84.00 ,$585.00 , N/A , N/A ,$321.75 , N/A ,$163.80 ,$305.96 , N/A ,$321.75 , N/A ,$289.58 ,$84.00 , N/A ,$289.58 , N/A ,$409.50 , N/A ,$468.00 , N/A , N/A ,$409.50 , N/A ,$351.00 , N/A ,$438.75 ,$322.92 ,$291.33 ,$322.92 , N/A ,$322.92 ,$427.05 ,$585.00 ,$427.05 ,$497.25 , N/A ,$405.41 , N/A ,$585.00 ,$328.19 , N/A ,$153.27 ,$585.00 , N/A , N/A , N/A ,$468.00 ,$289.58 ,$163.80 ,$526.50 ,$222.30 ,$118.54 , N/A ,$280.80 
ST. MARY'S HOSPITAL - DECATUR,34300060,A9520,HC DIAGNUCLIDE TC-99 TILMANOCEPT DIAG UP TO 0.5 MCI,343,1 ,"$2,870.00 ","$2,066.40 ",$563.76 ,"$2,870.00 ", N/A , N/A ,"$1,578.50 ", N/A ,$803.60 ,"$1,501.01 ", N/A ,"$1,578.50 ", N/A ,"$1,420.65 ",$563.76 , N/A ,"$1,420.65 ", N/A ,"$2,009.00 ", N/A ,"$2,296.00 ", N/A , N/A ,"$2,009.00 ", N/A ,"$1,722.00 ", N/A ,"$2,152.50 ","$1,584.24 ","$1,429.26 ","$1,584.24 ", N/A ,"$1,584.24 ","$2,095.10 ","$2,870.00 ","$2,095.10 ","$2,439.50 ", N/A ,"$1,988.91 ", N/A ,"$2,870.00 ","$1,610.07 ", N/A ,$751.94 ,"$2,870.00 ", N/A , N/A , N/A ,"$2,296.00 ","$1,420.65 ",$803.60 ,"$2,583.00 ","$1,090.60 ", N/A , N/A ,"$1,377.60 "
ST. MARY'S HOSPITAL - DECATUR,34300061,A9557,HC DIAGNUCLIDE TC-99 BICISATE PER STUDY UP TO 25MCI,343,1 ,"$5,491.00 ","$3,953.52 ",$446.51 ,"$5,491.00 ", N/A , N/A ,"$3,020.05 ", N/A ,"$1,537.48 ","$2,545.11 ", N/A ,"$2,679.06 ", N/A ,"$2,718.05 ",$446.51 , N/A ,"$2,718.05 ", N/A ,"$3,843.70 ", N/A ,"$4,392.80 ", N/A , N/A ,"$3,843.70 ", N/A ,"$3,294.60 ", N/A ,"$4,118.25 ","$3,031.03 ","$2,734.52 ","$3,031.03 ", N/A ,"$3,031.03 ","$4,008.43 ","$5,491.00 ","$4,008.43 ","$4,667.35 ", N/A ,"$3,805.26 ", N/A ,"$5,491.00 ","$3,080.45 ", N/A ,"$1,438.64 ","$5,491.00 ", N/A , N/A , N/A ,"$4,392.80 ","$2,718.05 ","$1,537.48 ","$4,941.90 ","$2,086.58 ",$689.42 , N/A ,"$2,635.68 "
ST. MARY'S HOSPITAL - DECATUR,34300062,A9562,HC DIAGNUCLIDE TC-99 MERTIATIDE PER STUDY UP TO 15MCI,343,1 ,$923.00 ,$664.56 ,$241.83 ,$923.00 , N/A , N/A ,$507.65 , N/A ,$258.44 ,$482.73 , N/A ,$507.65 , N/A ,$456.89 ,$923.00 , N/A ,$456.89 , N/A ,$646.10 , N/A ,$738.40 , N/A , N/A ,$646.10 , N/A ,$553.80 , N/A ,$692.25 ,$509.50 ,$459.65 ,$509.50 , N/A ,$509.50 ,$734.20 ,$923.00 ,$734.20 ,$784.55 , N/A ,$639.64 , N/A ,$923.00 ,$517.80 , N/A ,$241.83 ,$923.00 , N/A , N/A , N/A ,$738.40 ,$456.89 ,$258.44 ,$830.70 ,$350.74 ,$923.00 , N/A ,$443.04 
ST. MARY'S HOSPITAL - DECATUR,34300063,A9567,HC DIAGNUCLIDE TC-99 PETETATE AERO PER STUDY UP TO 75MCI,343,1 ,$399.00 ,$287.28 ,$35.23 ,$399.00 , N/A , N/A ,$219.45 , N/A ,$111.72 ,$208.68 , N/A ,$219.45 , N/A ,$197.51 ,$70.00 , N/A ,$197.51 , N/A ,$279.30 , N/A ,$319.20 , N/A , N/A ,$279.30 , N/A ,$239.40 , N/A ,$299.25 ,$220.25 ,$198.70 ,$220.25 , N/A ,$220.25 ,$291.27 ,$399.00 ,$291.27 ,$339.15 , N/A ,$276.51 , N/A ,$399.00 ,$223.84 , N/A ,$104.54 ,$399.00 , N/A , N/A , N/A ,$319.20 ,$197.51 ,$111.72 ,$359.10 ,$151.62 ,$35.23 , N/A ,$191.52 
ST. MARY'S HOSPITAL - DECATUR,34300064,A9570,HC DIAGNUCLIDE INDIUM IN-111 WBC DIAG PER STUDY,343,1 ,"$8,613.00 ","$6,201.36 ","$2,256.61 ","$8,613.00 ", N/A , N/A ,"$4,737.15 ", N/A ,"$2,411.64 ","$4,504.60 ", N/A ,"$4,737.15 ", N/A ,"$4,263.44 ","$4,291.50 ", N/A ,"$4,263.44 ", N/A ,"$6,029.10 ", N/A ,"$6,890.40 ", N/A , N/A ,"$6,029.10 ", N/A ,"$5,167.80 ", N/A ,"$6,459.75 ","$4,754.38 ","$4,289.27 ","$4,754.38 ", N/A ,"$4,754.38 ","$6,287.49 ","$8,613.00 ","$6,287.49 ","$7,321.05 ", N/A ,"$5,968.81 ", N/A ,"$8,613.00 ","$4,831.89 ", N/A ,"$2,256.61 ","$8,613.00 ", N/A , N/A , N/A ,"$6,890.40 ","$4,263.44 ","$2,411.64 ","$7,751.70 ","$3,272.94 ","$6,554.23 ", N/A ,"$4,134.24 "
ST. MARY'S HOSPITAL - DECATUR,35000002,20615,HC ASP/INJ CYST BONE,350,1 ,"$3,477.00 ","$2,503.44 ",$363.34 ,"$3,477.00 ","$1,522.75 ",$750.00 ,"$1,912.35 ",$596.92 ,$973.56 ,"$1,818.47 ",$596.92 ,"$1,912.35 ",$596.92 ,"$1,721.12 ",$363.34 ,$596.92 ,"$1,721.12 ","$1,230.38 ","$2,433.90 ","$2,173.13 ","$2,781.60 ","$1,522.74 ",$596.92 ,"$2,433.90 ",$596.92 ,"$2,086.20 ",$608.85 ,"$2,607.75 ","$1,919.30 ","$1,731.55 ","$1,919.30 ",$596.92 ,"$1,919.30 ","$2,538.21 ","$3,477.00 ","$2,538.21 ","$2,955.45 ","$1,522.74 ","$2,409.56 ",$596.92 ,"$3,477.00 ","$1,950.60 ",$596.92 ,$910.97 ,"$3,477.00 ","$1,287.99 ","$1,229.45 ",$626.77 ,"$2,781.60 ","$1,721.12 ",$973.56 ,"$3,129.30 ",$544.00 ,"$1,124.00 ",$596.92 ,"$1,668.96 "
ST. MARY'S HOSPITAL - DECATUR,35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$4,783.00 ","$3,443.76 ",$353.08 ,"$4,783.00 ","$3,518.55 ",$750.00 ,"$2,630.65 ","$1,379.27 ","$1,339.24 ","$2,501.51 ","$1,379.27 ","$2,630.65 ","$1,379.27 ","$2,367.59 ",$353.08 ,"$1,379.27 ","$2,367.59 ","$2,842.98 ","$3,348.10 ","$2,989.38 ","$3,826.40 ","$3,518.54 ","$1,379.27 ","$3,348.10 ","$1,379.27 ","$2,869.80 ","$1,406.86 ","$3,587.25 ","$2,640.22 ","$2,381.93 ","$2,640.22 ","$1,379.27 ","$2,640.22 ","$3,491.59 ","$4,783.00 ","$3,491.59 ","$4,065.55 ","$3,518.54 ","$3,314.62 ","$1,379.27 ","$4,783.00 ","$2,683.26 ","$1,379.27 ","$1,253.15 ","$4,783.00 ",$466.29 ,$445.10 ,"$1,448.23 ","$3,826.40 ","$2,367.59 ","$1,339.24 ","$4,304.70 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$2,295.84 "
ST. MARY'S HOSPITAL - DECATUR,35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$2,865.00 ","$2,062.80 ",$157.52 ,"$3,518.55 ","$3,518.55 ",$750.00 ,"$1,575.75 ","$1,379.27 ",$802.20 ,"$1,498.40 ","$1,379.27 ","$1,575.75 ","$1,379.27 ","$1,418.18 ",$157.52 ,"$1,379.27 ","$1,418.18 ","$2,842.98 ","$2,005.50 ","$1,790.63 ","$2,292.00 ","$3,518.54 ","$1,379.27 ","$2,005.50 ","$1,379.27 ","$1,719.00 ","$1,406.86 ","$2,148.75 ","$1,581.48 ","$1,426.77 ","$1,581.48 ","$1,379.27 ","$1,581.48 ","$2,091.45 ","$2,865.00 ","$2,091.45 ","$2,435.25 ","$2,865.00 ","$1,985.45 ","$1,379.27 ","$2,865.00 ","$1,607.27 ","$1,379.27 ",$750.63 ,"$2,865.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$2,292.00 ","$1,418.18 ",$802.20 ,"$2,578.50 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$1,375.20 "
ST. MARY'S HOSPITAL - DECATUR,35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$4,698.00 ","$3,382.56 ",$351.25 ,"$4,698.00 ","$3,518.55 ",$750.00 ,"$2,583.90 ","$1,379.27 ","$1,315.44 ","$2,457.05 ","$1,379.27 ","$2,583.90 ","$1,379.27 ","$2,325.51 ",$351.25 ,"$1,379.27 ","$2,325.51 ","$2,842.98 ","$3,288.60 ","$2,936.25 ","$3,758.40 ","$3,518.54 ","$1,379.27 ","$3,288.60 ","$1,379.27 ","$2,818.80 ","$1,406.86 ","$3,523.50 ","$2,593.30 ","$2,339.60 ","$2,593.30 ","$1,379.27 ","$2,593.30 ","$3,429.54 ","$4,698.00 ","$3,429.54 ","$3,993.30 ","$3,518.54 ","$3,255.71 ","$1,379.27 ","$4,698.00 ","$2,635.58 ","$1,379.27 ","$1,230.88 ","$4,698.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$3,758.40 ","$2,325.51 ","$1,315.44 ","$4,228.20 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$2,255.04 "
ST. MARY'S HOSPITAL - DECATUR,35000023,48102,HC BX PANCREAS NEEDLE PERC,350,1 ,"$2,303.00 ","$1,658.16 ",$425.89 ,"$3,518.55 ","$3,518.55 ",$750.00 ,"$1,266.65 ","$1,379.27 ",$644.84 ,"$1,204.47 ","$1,379.27 ","$1,266.65 ","$1,379.27 ","$1,139.99 ",$425.89 ,"$1,379.27 ","$1,139.99 ","$2,303.00 ","$1,612.10 ","$1,439.38 ","$1,842.40 ","$3,518.54 ","$1,379.27 ","$1,612.10 ","$1,379.27 ","$1,381.80 ","$1,406.86 ","$1,727.25 ","$1,271.26 ","$1,146.89 ","$1,271.26 ","$1,379.27 ","$1,271.26 ","$1,681.19 ","$2,303.00 ","$1,681.19 ","$1,957.55 ","$2,303.00 ","$1,595.98 ","$1,379.27 ","$2,303.00 ","$1,291.98 ","$1,379.27 ",$603.39 ,"$2,303.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$1,842.40 ","$1,139.99 ",$644.84 ,"$2,072.70 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$1,105.44 "
ST. MARY'S HOSPITAL - DECATUR,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$3,485.00 ","$2,509.20 ",$151.10 ,"$3,518.55 ","$3,518.55 ",$750.00 ,"$1,916.75 ","$1,379.27 ",$975.80 ,"$1,822.66 ","$1,379.27 ","$1,916.75 ","$1,379.27 ","$1,725.08 ",$151.10 ,"$1,379.27 ","$1,725.08 ","$2,842.98 ","$2,439.50 ","$2,178.13 ","$2,788.00 ","$3,518.54 ","$1,379.27 ","$2,439.50 ","$1,379.27 ","$2,091.00 ","$1,406.86 ","$2,613.75 ","$1,923.72 ","$1,735.53 ","$1,923.72 ","$1,379.27 ","$1,923.72 ","$2,544.05 ","$3,485.00 ","$2,544.05 ","$2,962.25 ","$3,485.00 ","$2,415.11 ","$1,379.27 ","$3,485.00 ","$1,955.09 ","$1,379.27 ",$913.07 ,"$3,485.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$2,788.00 ","$1,725.08 ",$975.80 ,"$3,136.50 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$1,672.80 "
ST. MARY'S HOSPITAL - DECATUR,35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$2,839.00 ","$2,044.08 ",$334.77 ,"$3,518.55 ","$3,518.55 ",$750.00 ,"$1,561.45 ","$1,379.27 ",$794.92 ,"$1,484.80 ","$1,379.27 ","$1,561.45 ","$1,379.27 ","$1,405.31 ",$334.77 ,"$1,379.27 ","$1,405.31 ","$2,839.00 ","$1,987.30 ","$1,774.38 ","$2,271.20 ","$3,518.54 ","$1,379.27 ","$1,987.30 ","$1,379.27 ","$1,703.40 ","$1,406.86 ","$2,129.25 ","$1,567.13 ","$1,413.82 ","$1,567.13 ","$1,379.27 ","$1,567.13 ","$2,072.47 ","$2,839.00 ","$2,072.47 ","$2,413.15 ","$2,839.00 ","$1,967.43 ","$1,379.27 ","$2,839.00 ","$1,592.68 ","$1,379.27 ",$743.82 ,"$2,839.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$2,271.20 ","$1,405.31 ",$794.92 ,"$2,555.10 ",$544.00 ,"$1,124.00 ","$1,379.27 ","$1,362.72 "
ST. MARY'S HOSPITAL - DECATUR,35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$2,969.00 ","$2,137.68 ",$252.10 ,"$2,969.00 ","$1,522.75 ",$750.00 ,"$1,632.95 ",$596.92 ,$831.32 ,"$1,552.79 ",$596.92 ,"$1,632.95 ",$596.92 ,"$1,469.66 ",$252.10 ,$596.92 ,"$1,469.66 ","$1,230.38 ","$2,078.30 ","$1,855.63 ","$2,375.20 ","$1,522.74 ",$596.92 ,"$2,078.30 ",$596.92 ,"$1,781.40 ",$608.85 ,"$2,226.75 ","$1,638.89 ","$1,478.56 ","$1,638.89 ",$596.92 ,"$1,638.89 ","$2,167.37 ","$2,969.00 ","$2,167.37 ","$2,523.65 ","$1,522.74 ","$2,057.52 ",$596.92 ,"$2,969.00 ","$1,665.61 ",$596.92 ,$777.88 ,"$2,969.00 ",$440.12 ,$420.12 ,$626.77 ,"$2,375.20 ","$1,469.66 ",$831.32 ,"$2,672.10 ",$544.00 ,"$1,124.00 ",$596.92 ,"$1,425.12 "
ST. MARY'S HOSPITAL - DECATUR,35000029,60699,HC UNLISTED PROCEDURE ENDOCRINE SYSTEM,350,1 ,"$14,111.00 ","$10,159.92 ",$544.00 ,"$14,111.00 ","$12,229.80 ",$750.00 ,"$7,761.05 ","$4,794.08 ","$3,951.08 ","$7,380.05 ","$4,794.08 ","$7,761.05 ","$4,794.08 ","$6,984.95 ","$5,644.40 ","$4,794.08 ","$6,984.95 ","$9,881.67 ","$9,877.70 ","$8,819.38 ","$11,288.80 ","$12,229.79 ","$4,794.08 ","$9,877.70 ","$4,794.08 ","$8,466.60 ","$4,889.95 ","$10,583.25 ","$7,789.27 ","$7,027.28 ","$7,789.27 ","$4,794.08 ","$7,789.27 ","$10,301.03 ","$14,111.00 ","$10,301.03 ","$11,994.35 ","$12,229.79 ","$9,778.92 ","$4,794.08 ","$14,111.00 ","$7,916.27 ","$4,794.08 ","$3,697.08 ","$14,111.00 ","$1,751.15 ","$1,671.55 ","$5,033.79 ","$11,288.80 ","$6,984.95 ","$3,951.08 ","$12,699.90 ",$544.00 ,"$1,124.00 ","$4,794.08 ","$6,773.28 "
ST. MARY'S HOSPITAL - DECATUR,35000032,64430,HC INJ ANEST AGENT PUDENDAL NERVE,350,1 ,"$2,294.00 ","$1,651.68 ",$161.30 ,"$2,294.00 ","$1,999.55 ",$750.00 ,"$1,261.70 ",$783.82 ,$642.32 ,"$1,199.76 ",$783.82 ,"$1,261.70 ",$783.82 ,"$1,135.53 ",$161.30 ,$783.82 ,"$1,135.53 ","$1,615.64 ","$1,605.80 ","$1,433.75 ","$1,835.20 ","$1,999.56 ",$783.82 ,"$1,605.80 ",$783.82 ,"$1,376.40 ",$799.50 ,"$1,720.50 ","$1,266.29 ","$1,142.41 ","$1,266.29 ",$783.82 ,"$1,266.29 ","$1,674.62 ","$2,294.00 ","$1,674.62 ","$1,949.90 ","$1,999.56 ","$1,589.74 ",$783.82 ,"$2,294.00 ","$1,286.93 ",$783.82 ,$601.03 ,"$2,294.00 ",$318.20 ,$303.73 ,$823.01 ,"$1,835.20 ","$1,135.53 ",$642.32 ,"$2,064.60 ",$544.00 ,"$1,124.00 ",$783.82 ,"$1,101.12 "
ST. MARY'S HOSPITAL - DECATUR,35000034,64530,HC INJ CELIAC PLEXUS BLOCK,350,1 ,"$2,395.00 ","$1,724.40 ",$183.31 ,"$2,395.00 ","$1,999.55 ",$750.00 ,"$1,317.25 ",$783.82 ,$670.60 ,"$1,252.59 ",$783.82 ,"$1,317.25 ",$783.82 ,"$1,185.53 ",$183.31 ,$783.82 ,"$1,185.53 ","$1,615.64 ","$1,676.50 ","$1,496.88 ","$1,916.00 ","$1,999.56 ",$783.82 ,"$1,676.50 ",$783.82 ,"$1,437.00 ",$799.50 ,"$1,796.25 ","$1,322.04 ","$1,192.71 ","$1,322.04 ",$783.82 ,"$1,322.04 ","$1,748.35 ","$2,395.00 ","$1,748.35 ","$2,035.75 ","$1,999.56 ","$1,659.74 ",$783.82 ,"$2,395.00 ","$1,343.60 ",$783.82 ,$627.49 ,"$2,395.00 ",$318.20 ,$303.73 ,$823.01 ,"$1,916.00 ","$1,185.53 ",$670.60 ,"$2,155.50 ",$544.00 ,"$1,124.00 ",$783.82 ,"$1,149.60 "
ST. MARY'S HOSPITAL - DECATUR,35000035,64680,HC DEST NERVE CELIAC PLEXUS,350,1 ,"$5,343.00 ","$3,846.96 ",$324.25 ,"$5,343.00 ","$1,999.55 ",$750.00 ,"$2,938.65 ",$783.82 ,"$1,496.04 ","$2,794.39 ",$783.82 ,"$2,938.65 ",$783.82 ,"$2,644.79 ",$324.25 ,$783.82 ,"$2,644.79 ","$1,615.64 ","$3,740.10 ","$3,339.38 ","$4,274.40 ","$1,999.56 ",$783.82 ,"$3,740.10 ",$783.82 ,"$3,205.80 ",$799.50 ,"$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ",$783.82 ,"$2,949.34 ","$3,900.39 ","$5,343.00 ","$3,900.39 ","$4,541.55 ","$1,999.56 ","$3,702.70 ",$783.82 ,"$5,343.00 ","$2,997.42 ",$783.82 ,"$1,399.87 ","$5,343.00 ",$774.18 ,$738.99 ,$823.01 ,"$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ",$544.00 ,"$1,124.00 ",$783.82 ,"$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,911.00 ","$2,095.92 ",$98.30 ,"$2,911.00 ",$250.78 ,$750.00 ,"$1,601.05 ",$98.30 ,$815.08 ,$598.44 ,$98.30 ,$629.94 ,$98.30 ,"$1,440.95 ",$150.19 ,$98.30 ,"$1,440.95 ",$202.63 ,"$2,037.70 ",$900.00 ,"$2,328.80 ",$250.78 ,$98.30 ,"$2,037.70 ",$98.30 ,"$1,746.60 ",$100.27 ,"$2,183.25 ","$1,606.87 ","$1,449.68 ","$1,606.87 ",$98.30 ,"$1,606.87 ",$105.06 ,"$2,911.00 ",$105.06 ,"$2,474.35 ",$250.78 ,"$2,017.32 ",$98.30 ,"$2,911.00 ","$1,633.07 ",$98.30 ,$762.68 ,"$2,911.00 ",$206.76 ,$197.36 ,$103.22 ,"$2,328.80 ","$1,440.95 ",$815.08 ,"$2,619.90 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,397.28 "
ST. MARY'S HOSPITAL - DECATUR,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$2,949.00 ","$2,123.28 ",$153.16 ,"$2,949.00 ",$423.15 ,$750.00 ,"$1,621.95 ",$165.87 ,$825.72 ,$866.23 ,$165.87 ,$911.82 ,$165.87 ,"$1,459.76 ",$218.96 ,$165.87 ,"$1,459.76 ",$341.90 ,"$2,064.30 ",$900.00 ,"$2,359.20 ",$423.15 ,$165.87 ,"$2,064.30 ",$165.87 ,"$1,769.40 ",$169.20 ,"$2,211.75 ","$1,627.85 ","$1,468.60 ","$1,627.85 ",$165.87 ,"$1,627.85 ",$153.16 ,"$2,949.00 ",$153.16 ,"$2,506.65 ",$423.15 ,"$2,043.66 ",$165.87 ,"$2,949.00 ","$1,654.39 ",$165.87 ,$772.64 ,"$2,949.00 ",$206.76 ,$197.36 ,$174.17 ,"$2,359.20 ","$1,459.76 ",$825.72 ,"$2,654.10 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,415.52 "
ST. MARY'S HOSPITAL - DECATUR,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$3,552.00 ","$2,557.44 ",$165.87 ,"$3,552.00 ",$423.15 ,$750.00 ,"$1,953.60 ",$165.87 ,$994.56 ,"$1,041.85 ",$165.87 ,"$1,096.68 ",$165.87 ,"$1,758.24 ",$262.12 ,$165.87 ,"$1,758.24 ",$341.90 ,"$2,486.40 ",$900.00 ,"$2,841.60 ",$423.15 ,$165.87 ,"$2,486.40 ",$165.87 ,"$2,131.20 ",$169.20 ,"$2,664.00 ","$1,960.70 ","$1,768.90 ","$1,960.70 ",$165.87 ,"$1,960.70 ",$183.35 ,"$3,552.00 ",$183.35 ,"$3,019.20 ",$423.15 ,"$2,461.54 ",$165.87 ,"$3,552.00 ","$1,992.67 ",$165.87 ,$930.62 ,"$3,552.00 ",$206.76 ,$197.36 ,$174.17 ,"$2,841.60 ","$1,758.24 ",$994.56 ,"$3,196.80 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,704.96 "
ST. MARY'S HOSPITAL - DECATUR,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$2,949.00 ","$2,123.28 ",$95.90 ,"$2,949.00 ",$250.78 ,$750.00 ,"$1,621.95 ",$98.30 ,$825.72 ,"$1,375.81 ",$98.30 ,"$1,448.22 ",$98.30 ,"$1,459.76 ",$346.24 ,$98.30 ,"$1,459.76 ",$202.63 ,"$2,064.30 ",$900.00 ,"$2,359.20 ",$250.78 ,$98.30 ,"$2,064.30 ",$98.30 ,"$1,769.40 ",$100.27 ,"$2,211.75 ","$1,627.85 ","$1,468.60 ","$1,627.85 ",$98.30 ,"$1,627.85 ",$160.33 ,"$2,949.00 ",$160.33 ,"$2,506.65 ",$250.78 ,"$2,043.66 ",$98.30 ,"$2,949.00 ","$1,654.39 ",$98.30 ,$772.64 ,"$2,949.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,359.20 ","$1,459.76 ",$825.72 ,"$2,654.10 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,415.52 "
ST. MARY'S HOSPITAL - DECATUR,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$2,956.00 ","$2,128.32 ",$95.90 ,"$2,956.00 ",$423.15 ,$750.00 ,"$1,625.80 ",$165.87 ,$827.68 ,"$1,545.99 ",$165.87 ,"$1,625.80 ",$165.87 ,"$1,463.22 ",$423.78 ,$165.87 ,"$1,463.22 ",$341.90 ,"$2,069.20 ",$900.00 ,"$2,364.80 ",$423.15 ,$165.87 ,"$2,069.20 ",$165.87 ,"$1,773.60 ",$169.20 ,"$2,217.00 ","$1,631.71 ","$1,472.09 ","$1,631.71 ",$165.87 ,"$1,631.71 ",$286.72 ,"$2,956.00 ",$286.72 ,"$2,512.60 ",$423.15 ,"$2,048.51 ",$165.87 ,"$2,956.00 ","$1,658.32 ",$165.87 ,$774.47 ,"$2,956.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,364.80 ","$1,463.22 ",$827.68 ,"$2,660.40 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,418.88 "
ST. MARY'S HOSPITAL - DECATUR,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$3,398.00 ","$2,446.56 ",$95.90 ,"$3,398.00 ",$423.15 ,$750.00 ,"$1,868.90 ",$165.87 ,$951.44 ,"$1,777.15 ",$165.87 ,"$1,868.90 ",$165.87 ,"$1,682.01 ",$467.90 ,$165.87 ,"$1,682.01 ",$341.90 ,"$2,378.60 ",$900.00 ,"$2,718.40 ",$423.15 ,$165.87 ,"$2,378.60 ",$165.87 ,"$2,038.80 ",$169.20 ,"$2,548.50 ","$1,875.70 ","$1,692.20 ","$1,875.70 ",$165.87 ,"$1,875.70 ",$286.88 ,"$3,398.00 ",$286.88 ,"$2,888.30 ",$423.15 ,"$2,354.81 ",$165.87 ,"$3,398.00 ","$1,906.28 ",$165.87 ,$890.28 ,"$3,398.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,718.40 ","$1,682.01 ",$951.44 ,"$3,058.20 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,631.04 "
ST. MARY'S HOSPITAL - DECATUR,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$2,911.00 ","$2,095.92 ",$95.90 ,"$2,911.00 ",$250.78 ,$750.00 ,"$1,601.05 ",$98.30 ,$815.08 ,$994.99 ,$98.30 ,"$1,047.36 ",$98.30 ,"$1,440.95 ",$197.74 ,$98.30 ,"$1,440.95 ",$202.63 ,"$2,037.70 ",$900.00 ,"$2,328.80 ",$250.78 ,$98.30 ,"$2,037.70 ",$98.30 ,"$1,746.60 ",$100.27 ,"$2,183.25 ","$1,606.87 ","$1,449.68 ","$1,606.87 ",$98.30 ,"$1,606.87 ",$138.33 ,"$2,911.00 ",$138.33 ,"$2,474.35 ",$250.78 ,"$2,017.32 ",$98.30 ,"$2,911.00 ","$1,633.07 ",$98.30 ,$762.68 ,"$2,911.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,328.80 ","$1,440.95 ",$815.08 ,"$2,619.90 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,397.28 "
ST. MARY'S HOSPITAL - DECATUR,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$2,911.00 ","$2,095.92 ",$95.90 ,"$2,911.00 ",$423.15 ,$750.00 ,"$1,601.05 ",$165.87 ,$815.08 ,$906.53 ,$165.87 ,$954.24 ,$165.87 ,"$1,440.95 ",$227.73 ,$165.87 ,"$1,440.95 ",$341.90 ,"$2,037.70 ",$900.00 ,"$2,328.80 ",$423.15 ,$165.87 ,"$2,037.70 ",$165.87 ,"$1,746.60 ",$169.20 ,"$2,183.25 ","$1,606.87 ","$1,449.68 ","$1,606.87 ",$165.87 ,"$1,606.87 ",$159.31 ,"$2,911.00 ",$159.31 ,"$2,474.35 ",$423.15 ,"$2,017.32 ",$165.87 ,"$2,911.00 ","$1,633.07 ",$165.87 ,$762.68 ,"$2,911.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,328.80 ","$1,440.95 ",$815.08 ,"$2,619.90 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,397.28 "
ST. MARY'S HOSPITAL - DECATUR,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$3,407.00 ","$2,453.04 ",$95.90 ,"$3,407.00 ",$423.15 ,$750.00 ,"$1,873.85 ",$165.87 ,$953.96 ,"$1,145.47 ",$165.87 ,"$1,205.76 ",$165.87 ,"$1,686.47 ",$287.72 ,$165.87 ,"$1,686.47 ",$341.90 ,"$2,384.90 ",$900.00 ,"$2,725.60 ",$423.15 ,$165.87 ,"$2,384.90 ",$165.87 ,"$2,044.20 ",$169.20 ,"$2,555.25 ","$1,880.66 ","$1,696.69 ","$1,880.66 ",$165.87 ,"$1,880.66 ",$201.27 ,"$3,407.00 ",$201.27 ,"$2,895.95 ",$423.15 ,"$2,361.05 ",$165.87 ,"$3,407.00 ","$1,911.33 ",$165.87 ,$892.63 ,"$3,407.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,725.60 ","$1,686.47 ",$953.96 ,"$3,066.30 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,635.36 "
ST. MARY'S HOSPITAL - DECATUR,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,911.00 ","$2,095.92 ",$95.90 ,"$2,911.00 ",$250.78 ,$750.00 ,"$1,601.05 ",$98.30 ,$815.08 ,$846.05 ,$98.30 ,$890.58 ,$98.30 ,"$1,440.95 ",$205.79 ,$98.30 ,"$1,440.95 ",$202.63 ,"$2,037.70 ",$900.00 ,"$2,328.80 ",$250.78 ,$98.30 ,"$2,037.70 ",$98.30 ,"$1,746.60 ",$100.27 ,"$2,183.25 ","$1,606.87 ","$1,449.68 ","$1,606.87 ",$98.30 ,"$1,606.87 ",$143.95 ,"$2,911.00 ",$143.95 ,"$2,474.35 ",$250.78 ,"$2,017.32 ",$98.30 ,"$2,911.00 ","$1,633.07 ",$98.30 ,$762.68 ,"$2,911.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,328.80 ","$1,440.95 ",$815.08 ,"$2,619.90 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,397.28 "
ST. MARY'S HOSPITAL - DECATUR,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$3,037.00 ","$2,186.64 ",$95.90 ,"$3,037.00 ",$423.15 ,$750.00 ,"$1,670.35 ",$165.87 ,$850.36 ,"$1,381.51 ",$165.87 ,"$1,454.22 ",$165.87 ,"$1,503.32 ",$273.82 ,$165.87 ,"$1,503.32 ",$341.90 ,"$2,125.90 ",$900.00 ,"$2,429.60 ",$423.15 ,$165.87 ,"$2,125.90 ",$165.87 ,"$1,822.20 ",$169.20 ,"$2,277.75 ","$1,676.42 ","$1,512.43 ","$1,676.42 ",$165.87 ,"$1,676.42 ",$191.54 ,"$3,037.00 ",$191.54 ,"$2,581.45 ",$423.15 ,"$2,104.64 ",$165.87 ,"$3,037.00 ","$1,703.76 ",$165.87 ,$795.69 ,"$3,037.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,429.60 ","$1,503.32 ",$850.36 ,"$2,733.30 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,457.76 "
ST. MARY'S HOSPITAL - DECATUR,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$3,316.00 ","$2,387.52 ",$95.90 ,"$3,316.00 ",$423.15 ,$750.00 ,"$1,823.80 ",$165.87 ,$928.48 ,"$1,332.66 ",$165.87 ,"$1,402.80 ",$165.87 ,"$1,641.42 ",$335.27 ,$165.87 ,"$1,641.42 ",$341.90 ,"$2,321.20 ",$900.00 ,"$2,652.80 ",$423.15 ,$165.87 ,"$2,321.20 ",$165.87 ,"$1,989.60 ",$169.20 ,"$2,487.00 ","$1,830.43 ","$1,651.37 ","$1,830.43 ",$165.87 ,"$1,830.43 ",$234.52 ,"$3,316.00 ",$234.52 ,"$2,818.60 ",$423.15 ,"$2,297.99 ",$165.87 ,"$3,316.00 ","$1,860.28 ",$165.87 ,$868.79 ,"$3,316.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,652.80 ","$1,641.42 ",$928.48 ,"$2,984.40 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,591.68 "
ST. MARY'S HOSPITAL - DECATUR,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$4,868.00 ","$3,504.96 ",$165.87 ,"$4,868.00 ",$423.15 ,$750.00 ,"$2,677.40 ",$165.87 ,"$1,363.04 ","$1,674.83 ",$165.87 ,"$1,762.98 ",$165.87 ,"$2,409.66 ",$426.21 ,$165.87 ,"$2,409.66 ",$341.90 ,"$3,407.60 ",$900.00 ,"$3,894.40 ",$423.15 ,$165.87 ,"$3,407.60 ",$165.87 ,"$2,920.80 ",$169.20 ,"$3,651.00 ","$2,687.14 ","$2,424.26 ","$2,687.14 ",$165.87 ,"$2,687.14 ",$286.88 ,"$4,868.00 ",$286.88 ,"$4,137.80 ",$423.15 ,"$3,373.52 ",$165.87 ,"$4,868.00 ","$2,730.95 ",$165.87 ,"$1,275.42 ","$4,868.00 ",$264.81 ,$252.78 ,$174.17 ,"$3,894.40 ","$2,409.66 ","$1,363.04 ","$4,381.20 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,336.64 "
ST. MARY'S HOSPITAL - DECATUR,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$4,022.00 ","$2,895.84 ",$95.90 ,"$4,022.00 ",$423.15 ,$750.00 ,"$2,212.10 ",$165.87 ,"$1,126.16 ","$1,669.07 ",$165.87 ,"$1,756.92 ",$165.87 ,"$1,990.89 ",$424.74 ,$165.87 ,"$1,990.89 ",$341.90 ,"$2,815.40 ",$900.00 ,"$3,217.60 ",$423.15 ,$165.87 ,"$2,815.40 ",$165.87 ,"$2,413.20 ",$169.20 ,"$3,016.50 ","$2,220.14 ","$2,002.96 ","$2,220.14 ",$165.87 ,"$2,220.14 ",$286.88 ,"$4,022.00 ",$286.88 ,"$3,418.70 ",$423.15 ,"$2,787.25 ",$165.87 ,"$4,022.00 ","$2,256.34 ",$165.87 ,"$1,053.76 ","$4,022.00 ",$100.46 ,$95.90 ,$174.17 ,"$3,217.60 ","$1,990.89 ","$1,126.16 ","$3,619.80 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,930.56 "
ST. MARY'S HOSPITAL - DECATUR,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$4,844.00 ","$3,487.68 ",$214.79 ,"$4,844.00 ",$547.93 ,"$1,100.00 ","$2,664.20 ",$214.79 ,"$1,356.32 ","$1,660.87 ",$214.79 ,"$1,748.28 ",$214.79 ,"$2,397.78 ",$406.96 ,$214.79 ,"$2,397.78 ",$442.73 ,"$3,390.80 ","$1,600.00 ","$3,875.20 ",$547.93 ,$214.79 ,"$3,390.80 ",$214.79 ,"$2,906.40 ",$219.09 ,"$3,633.00 ","$2,673.89 ","$2,412.31 ","$2,673.89 ",$214.79 ,"$2,673.89 ",$284.67 ,"$4,844.00 ",$284.67 ,"$4,117.40 ",$547.93 ,"$3,356.89 ",$214.79 ,"$4,844.00 ","$2,717.48 ",$214.79 ,"$1,269.13 ","$4,844.00 ",$250.66 ,$239.26 ,$225.53 ,"$3,875.20 ","$2,397.78 ","$1,356.32 ","$4,359.60 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,325.12 "
ST. MARY'S HOSPITAL - DECATUR,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$4,360.00 ","$3,139.20 ",$98.30 ,"$4,360.00 ",$250.78 ,$750.00 ,"$2,398.00 ",$98.30 ,"$1,220.80 ","$1,067.78 ",$98.30 ,"$1,123.98 ",$98.30 ,"$2,158.20 ",$267.97 ,$98.30 ,"$2,158.20 ",$202.63 ,"$3,052.00 ",$900.00 ,"$3,488.00 ",$250.78 ,$98.30 ,"$3,052.00 ",$98.30 ,"$2,616.00 ",$100.27 ,"$3,270.00 ","$2,406.72 ","$2,171.28 ","$2,406.72 ",$98.30 ,"$2,406.72 ",$159.81 ,"$4,360.00 ",$159.81 ,"$3,706.00 ",$250.78 ,"$3,021.48 ",$98.30 ,"$4,360.00 ","$2,445.96 ",$98.30 ,"$1,142.32 ","$4,360.00 ",$114.04 ,$108.85 ,$103.22 ,"$3,488.00 ","$2,158.20 ","$1,220.80 ","$3,924.00 ",$544.00 ,"$1,124.00 ",$98.30 ,"$2,092.80 "
ST. MARY'S HOSPITAL - DECATUR,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$4,360.00 ","$3,139.20 ",$108.85 ,"$4,360.00 ",$864.48 ,$750.00 ,"$2,398.00 ",$338.87 ,"$1,220.80 ","$1,358.54 ",$338.87 ,"$1,430.04 ",$338.87 ,"$2,158.20 ",$341.12 ,$338.87 ,"$2,158.20 ",$698.50 ,"$3,052.00 ",$900.00 ,"$3,488.00 ",$864.48 ,$338.87 ,"$3,052.00 ",$338.87 ,"$2,616.00 ",$345.66 ,"$3,270.00 ","$2,406.72 ","$2,171.28 ","$2,406.72 ",$338.87 ,"$2,406.72 ",$238.61 ,"$4,360.00 ",$238.61 ,"$3,706.00 ",$864.48 ,"$3,021.48 ",$338.87 ,"$4,360.00 ","$2,445.96 ",$338.87 ,"$1,142.32 ","$4,360.00 ",$114.04 ,$108.85 ,$355.82 ,"$3,488.00 ","$2,158.20 ","$1,220.80 ","$3,924.00 ",$544.00 ,"$1,124.00 ",$338.87 ,"$2,092.80 "
ST. MARY'S HOSPITAL - DECATUR,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$4,360.00 ","$3,139.20 ",$108.85 ,"$4,360.00 ",$423.15 ,$750.00 ,"$2,398.00 ",$165.87 ,"$1,220.80 ","$1,683.89 ",$165.87 ,"$1,772.52 ",$165.87 ,"$2,158.20 ",$423.05 ,$165.87 ,"$2,158.20 ",$341.90 ,"$3,052.00 ",$900.00 ,"$3,488.00 ",$423.15 ,$165.87 ,"$3,052.00 ",$165.87 ,"$2,616.00 ",$169.20 ,"$3,270.00 ","$2,406.72 ","$2,171.28 ","$2,406.72 ",$165.87 ,"$2,406.72 ",$286.72 ,"$4,360.00 ",$286.72 ,"$3,706.00 ",$423.15 ,"$3,021.48 ",$165.87 ,"$4,360.00 ","$2,445.96 ",$165.87 ,"$1,142.32 ","$4,360.00 ",$114.04 ,$108.85 ,$174.17 ,"$3,488.00 ","$2,158.20 ","$1,220.80 ","$3,924.00 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,092.80 "
ST. MARY'S HOSPITAL - DECATUR,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$4,487.00 ","$3,230.64 ",$98.30 ,"$4,487.00 ",$250.78 ,$750.00 ,"$2,467.85 ",$98.30 ,"$1,256.36 ","$1,062.02 ",$98.30 ,"$1,117.92 ",$98.30 ,"$2,221.07 ",$267.24 ,$98.30 ,"$2,221.07 ",$202.63 ,"$3,140.90 ",$900.00 ,"$3,589.60 ",$250.78 ,$98.30 ,"$3,140.90 ",$98.30 ,"$2,692.20 ",$100.27 ,"$3,365.25 ","$2,476.82 ","$2,234.53 ","$2,476.82 ",$98.30 ,"$2,476.82 ",$159.81 ,"$4,487.00 ",$159.81 ,"$3,813.95 ",$250.78 ,"$3,109.49 ",$98.30 ,"$4,487.00 ","$2,517.21 ",$98.30 ,"$1,175.59 ","$4,487.00 ",$114.04 ,$108.85 ,$103.22 ,"$3,589.60 ","$2,221.07 ","$1,256.36 ","$4,038.30 ",$544.00 ,"$1,124.00 ",$98.30 ,"$2,153.76 "
ST. MARY'S HOSPITAL - DECATUR,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$4,371.00 ","$3,147.12 ",$108.85 ,"$4,371.00 ",$423.15 ,$750.00 ,"$2,404.05 ",$165.87 ,"$1,223.88 ","$1,367.20 ",$165.87 ,"$1,439.16 ",$165.87 ,"$2,163.65 ",$344.05 ,$165.87 ,"$2,163.65 ",$341.90 ,"$3,059.70 ",$900.00 ,"$3,496.80 ",$423.15 ,$165.87 ,"$3,059.70 ",$165.87 ,"$2,622.60 ",$169.20 ,"$3,278.25 ","$2,412.79 ","$2,176.76 ","$2,412.79 ",$165.87 ,"$2,412.79 ",$240.67 ,"$4,371.00 ",$240.67 ,"$3,715.35 ",$423.15 ,"$3,029.10 ",$165.87 ,"$4,371.00 ","$2,452.13 ",$165.87 ,"$1,145.20 ","$4,371.00 ",$114.04 ,$108.85 ,$174.17 ,"$3,496.80 ","$2,163.65 ","$1,223.88 ","$3,933.90 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,098.08 "
ST. MARY'S HOSPITAL - DECATUR,35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,"$4,371.00 ","$3,147.12 ",$108.85 ,"$4,371.00 ",$423.15 ,$750.00 ,"$2,404.05 ",$165.87 ,"$1,223.88 ","$1,695.41 ",$165.87 ,"$1,784.64 ",$165.87 ,"$2,163.65 ",$423.78 ,$165.87 ,"$2,163.65 ",$341.90 ,"$3,059.70 ",$900.00 ,"$3,496.80 ",$423.15 ,$165.87 ,"$3,059.70 ",$165.87 ,"$2,622.60 ",$169.20 ,"$3,278.25 ","$2,412.79 ","$2,176.76 ","$2,412.79 ",$165.87 ,"$2,412.79 ",$286.72 ,"$4,371.00 ",$286.72 ,"$3,715.35 ",$423.15 ,"$3,029.10 ",$165.87 ,"$4,371.00 ","$2,452.13 ",$165.87 ,"$1,145.20 ","$4,371.00 ",$114.04 ,$108.85 ,$174.17 ,"$3,496.80 ","$2,163.65 ","$1,223.88 ","$3,933.90 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,098.08 "
ST. MARY'S HOSPITAL - DECATUR,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$4,473.00 ","$3,220.56 ",$98.30 ,"$4,473.00 ",$250.78 ,$750.00 ,"$2,460.15 ",$98.30 ,"$1,252.44 ","$1,056.27 ",$98.30 ,"$1,111.86 ",$98.30 ,"$2,214.14 ",$265.77 ,$98.30 ,"$2,214.14 ",$202.63 ,"$3,131.10 ",$900.00 ,"$3,578.40 ",$250.78 ,$98.30 ,"$3,131.10 ",$98.30 ,"$2,683.80 ",$100.27 ,"$3,354.75 ","$2,469.10 ","$2,227.55 ","$2,469.10 ",$98.30 ,"$2,469.10 ",$159.81 ,"$4,473.00 ",$159.81 ,"$3,802.05 ",$250.78 ,"$3,099.79 ",$98.30 ,"$4,473.00 ","$2,509.35 ",$98.30 ,"$1,171.93 ","$4,473.00 ",$114.04 ,$108.85 ,$103.22 ,"$3,578.40 ","$2,214.14 ","$1,252.44 ","$4,025.70 ",$544.00 ,"$1,124.00 ",$98.30 ,"$2,147.04 "
ST. MARY'S HOSPITAL - DECATUR,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$4,549.00 ","$3,275.28 ",$108.85 ,"$4,549.00 ",$864.48 ,$750.00 ,"$2,501.95 ",$338.87 ,"$1,273.72 ","$1,358.54 ",$338.87 ,"$1,430.04 ",$338.87 ,"$2,251.76 ",$341.85 ,$338.87 ,"$2,251.76 ",$698.50 ,"$3,184.30 ",$900.00 ,"$3,639.20 ",$864.48 ,$338.87 ,"$3,184.30 ",$338.87 ,"$2,729.40 ",$345.66 ,"$3,411.75 ","$2,511.05 ","$2,265.40 ","$2,511.05 ",$338.87 ,"$2,511.05 ",$239.12 ,"$4,549.00 ",$239.12 ,"$3,866.65 ",$864.48 ,"$3,152.46 ",$338.87 ,"$4,549.00 ","$2,551.99 ",$338.87 ,"$1,191.84 ","$4,549.00 ",$114.04 ,$108.85 ,$355.82 ,"$3,639.20 ","$2,251.76 ","$1,273.72 ","$4,094.10 ",$544.00 ,"$1,124.00 ",$338.87 ,"$2,183.52 "
ST. MARY'S HOSPITAL - DECATUR,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$4,462.00 ","$3,212.64 ",$108.85 ,"$4,462.00 ",$423.15 ,$750.00 ,"$2,454.10 ",$165.87 ,"$1,249.36 ","$1,675.23 ",$165.87 ,"$1,763.40 ",$165.87 ,"$2,208.69 ",$420.86 ,$165.87 ,"$2,208.69 ",$341.90 ,"$3,123.40 ",$900.00 ,"$3,569.60 ",$423.15 ,$165.87 ,"$3,123.40 ",$165.87 ,"$2,677.20 ",$169.20 ,"$3,346.50 ","$2,463.02 ","$2,222.08 ","$2,463.02 ",$165.87 ,"$2,463.02 ",$286.72 ,"$4,462.00 ",$286.72 ,"$3,792.70 ",$423.15 ,"$3,092.17 ",$165.87 ,"$4,462.00 ","$2,503.18 ",$165.87 ,"$1,169.04 ","$4,462.00 ",$114.04 ,$108.85 ,$174.17 ,"$3,569.60 ","$2,208.69 ","$1,249.36 ","$4,015.80 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,141.76 "
ST. MARY'S HOSPITAL - DECATUR,35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$4,084.00 ","$2,940.48 ",$165.87 ,"$4,084.00 ",$423.15 ,$750.00 ,"$2,246.20 ",$165.87 ,"$1,143.52 ","$1,758.34 ",$165.87 ,"$1,850.88 ",$165.87 ,"$2,021.58 ",$460.59 ,$165.87 ,"$2,021.58 ",$341.90 ,"$2,858.80 ",$900.00 ,"$3,267.20 ",$423.15 ,$165.87 ,"$2,858.80 ",$165.87 ,"$2,450.40 ",$169.20 ,"$3,063.00 ","$2,254.37 ","$2,033.83 ","$2,254.37 ",$165.87 ,"$2,254.37 ",$286.88 ,"$4,084.00 ",$286.88 ,"$3,471.40 ",$423.15 ,"$2,830.21 ",$165.87 ,"$4,084.00 ","$2,291.12 ",$165.87 ,"$1,070.01 ","$4,084.00 ",$227.05 ,$216.73 ,$174.17 ,"$3,267.20 ","$2,021.58 ","$1,143.52 ","$3,675.60 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,960.32 "
ST. MARY'S HOSPITAL - DECATUR,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$3,585.00 ","$2,581.20 ",$98.30 ,"$3,585.00 ",$250.78 ,$750.00 ,"$1,971.75 ",$98.30 ,"$1,003.80 ",$943.92 ,$98.30 ,$993.60 ,$98.30 ,"$1,774.58 ",$186.77 ,$98.30 ,"$1,774.58 ",$202.63 ,"$2,509.50 ",$900.00 ,"$2,868.00 ",$250.78 ,$98.30 ,"$2,509.50 ",$98.30 ,"$2,151.00 ",$100.27 ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ",$98.30 ,"$1,978.92 ",$130.65 ,"$3,585.00 ",$130.65 ,"$3,047.25 ",$250.78 ,"$2,484.41 ",$98.30 ,"$3,585.00 ","$2,011.19 ",$98.30 ,$939.27 ,"$3,585.00 ",$227.27 ,$216.94 ,$103.22 ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$4,084.00 ","$2,940.48 ",$165.87 ,"$4,084.00 ",$423.15 ,$750.00 ,"$2,246.20 ",$165.87 ,"$1,143.52 ","$1,727.96 ",$165.87 ,"$1,818.90 ",$165.87 ,"$2,021.58 ",$360.87 ,$165.87 ,"$2,021.58 ",$341.90 ,"$2,858.80 ",$900.00 ,"$3,267.20 ",$423.15 ,$165.87 ,"$2,858.80 ",$165.87 ,"$2,450.40 ",$169.20 ,"$3,063.00 ","$2,254.37 ","$2,033.83 ","$2,254.37 ",$165.87 ,"$2,254.37 ",$252.44 ,"$4,084.00 ",$252.44 ,"$3,471.40 ",$423.15 ,"$2,830.21 ",$165.87 ,"$4,084.00 ","$2,291.12 ",$165.87 ,"$1,070.01 ","$4,084.00 ",$227.27 ,$216.94 ,$174.17 ,"$3,267.20 ","$2,021.58 ","$1,143.52 ","$3,675.60 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,960.32 "
ST. MARY'S HOSPITAL - DECATUR,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$4,495.00 ","$3,236.40 ",$165.87 ,"$4,495.00 ",$423.15 ,$750.00 ,"$2,472.25 ",$165.87 ,"$1,258.60 ","$1,620.57 ",$165.87 ,"$1,705.86 ",$165.87 ,"$2,225.03 ",$420.86 ,$165.87 ,"$2,225.03 ",$341.90 ,"$3,146.50 ",$900.00 ,"$3,596.00 ",$423.15 ,$165.87 ,"$3,146.50 ",$165.87 ,"$2,697.00 ",$169.20 ,"$3,371.25 ","$2,481.24 ","$2,238.51 ","$2,481.24 ",$165.87 ,"$2,481.24 ",$286.72 ,"$4,495.00 ",$286.72 ,"$3,820.75 ",$423.15 ,"$3,115.04 ",$165.87 ,"$4,495.00 ","$2,521.70 ",$165.87 ,"$1,177.69 ","$4,495.00 ",$227.27 ,$216.94 ,$174.17 ,"$3,596.00 ","$2,225.03 ","$1,258.60 ","$4,045.50 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,157.60 "
ST. MARY'S HOSPITAL - DECATUR,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$3,585.00 ","$2,581.20 ",$95.90 ,"$3,585.00 ",$250.78 ,$750.00 ,"$1,971.75 ",$98.30 ,"$1,003.80 ","$1,053.36 ",$98.30 ,"$1,108.80 ",$98.30 ,"$1,774.58 ",$265.04 ,$98.30 ,"$1,774.58 ",$202.63 ,"$2,509.50 ",$900.00 ,"$2,868.00 ",$250.78 ,$98.30 ,"$2,509.50 ",$98.30 ,"$2,151.00 ",$100.27 ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ",$98.30 ,"$1,978.92 ",$159.81 ,"$3,585.00 ",$159.81 ,"$3,047.25 ",$250.78 ,"$2,484.41 ",$98.30 ,"$3,585.00 ","$2,011.19 ",$98.30 ,$939.27 ,"$3,585.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$3,585.00 ","$2,581.20 ",$95.90 ,"$3,585.00 ",$864.48 ,$750.00 ,"$1,971.75 ",$338.87 ,"$1,003.80 ","$1,338.42 ",$338.87 ,"$1,408.86 ",$338.87 ,"$1,774.58 ",$338.19 ,$338.87 ,"$1,774.58 ",$698.50 ,"$2,509.50 ",$900.00 ,"$2,868.00 ",$864.48 ,$338.87 ,"$2,509.50 ",$338.87 ,"$2,151.00 ",$345.66 ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ",$338.87 ,"$1,978.92 ",$236.57 ,"$3,585.00 ",$236.57 ,"$3,047.25 ",$864.48 ,"$2,484.41 ",$338.87 ,"$3,585.00 ","$2,011.19 ",$338.87 ,$939.27 ,"$3,585.00 ",$100.46 ,$95.90 ,$355.82 ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ",$544.00 ,"$1,124.00 ",$338.87 ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$3,585.00 ","$2,581.20 ",$95.90 ,"$3,585.00 ",$423.15 ,$750.00 ,"$1,971.75 ",$165.87 ,"$1,003.80 ","$1,764.49 ",$165.87 ,"$1,857.36 ",$165.87 ,"$1,774.58 ",$445.00 ,$165.87 ,"$1,774.58 ",$341.90 ,"$2,509.50 ",$900.00 ,"$2,868.00 ",$423.15 ,$165.87 ,"$2,509.50 ",$165.87 ,"$2,151.00 ",$169.20 ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ",$165.87 ,"$1,978.92 ",$286.72 ,"$3,585.00 ",$286.72 ,"$3,047.25 ",$423.15 ,"$2,484.41 ",$165.87 ,"$3,585.00 ","$2,011.19 ",$165.87 ,$939.27 ,"$3,585.00 ",$100.46 ,$95.90 ,$174.17 ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$3,310.00 ","$2,383.20 ",$165.87 ,"$3,310.00 ",$423.15 ,$750.00 ,"$1,820.50 ",$165.87 ,$926.80 ,"$1,731.13 ",$165.87 ,"$1,820.50 ",$165.87 ,"$1,638.45 ",$489.85 ,$165.87 ,"$1,638.45 ",$341.90 ,"$2,317.00 ",$900.00 ,"$2,648.00 ",$423.15 ,$165.87 ,"$2,317.00 ",$165.87 ,"$1,986.00 ",$169.20 ,"$2,482.50 ","$1,827.12 ","$1,648.38 ","$1,827.12 ",$165.87 ,"$1,827.12 ",$286.88 ,"$3,310.00 ",$286.88 ,"$2,813.50 ",$423.15 ,"$2,293.83 ",$165.87 ,"$3,310.00 ","$1,856.91 ",$165.87 ,$867.22 ,"$3,310.00 ",$227.05 ,$216.73 ,$174.17 ,"$2,648.00 ","$1,638.45 ",$926.80 ,"$2,979.00 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,588.80 "
ST. MARY'S HOSPITAL - DECATUR,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$3,585.00 ","$2,581.20 ",$95.90 ,"$3,585.00 ",$250.78 ,$750.00 ,"$1,971.75 ",$98.30 ,"$1,003.80 ","$1,063.56 ",$98.30 ,"$1,119.54 ",$98.30 ,"$1,774.58 ",$265.77 ,$98.30 ,"$1,774.58 ",$202.63 ,"$2,509.50 ",$900.00 ,"$2,868.00 ",$250.78 ,$98.30 ,"$2,509.50 ",$98.30 ,"$2,151.00 ",$100.27 ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ",$98.30 ,"$1,978.92 ",$159.81 ,"$3,585.00 ",$159.81 ,"$3,047.25 ",$250.78 ,"$2,484.41 ",$98.30 ,"$3,585.00 ","$2,011.19 ",$98.30 ,$939.27 ,"$3,585.00 ",$100.46 ,$95.90 ,$103.22 ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$4,576.00 ","$3,294.72 ",$95.90 ,"$4,576.00 ",$423.15 ,$750.00 ,"$2,516.80 ",$165.87 ,"$1,281.28 ","$1,373.81 ",$165.87 ,"$1,446.12 ",$165.87 ,"$2,265.12 ",$344.05 ,$165.87 ,"$2,265.12 ",$341.90 ,"$3,203.20 ",$900.00 ,"$3,660.80 ",$423.15 ,$165.87 ,"$3,203.20 ",$165.87 ,"$2,745.60 ",$169.20 ,"$3,432.00 ","$2,525.95 ","$2,278.85 ","$2,525.95 ",$165.87 ,"$2,525.95 ",$240.67 ,"$4,576.00 ",$240.67 ,"$3,889.60 ",$423.15 ,"$3,171.17 ",$165.87 ,"$4,576.00 ","$2,567.14 ",$165.87 ,"$1,198.91 ","$4,576.00 ",$100.46 ,$95.90 ,$174.17 ,"$3,660.80 ","$2,265.12 ","$1,281.28 ","$4,118.40 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,196.48 "
ST. MARY'S HOSPITAL - DECATUR,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$4,215.00 ","$3,034.80 ",$95.90 ,"$4,215.00 ",$423.15 ,$750.00 ,"$2,318.25 ",$165.87 ,"$1,180.20 ","$1,750.70 ",$165.87 ,"$1,842.84 ",$165.87 ,"$2,086.43 ",$436.95 ,$165.87 ,"$2,086.43 ",$341.90 ,"$2,950.50 ",$900.00 ,"$3,372.00 ",$423.15 ,$165.87 ,"$2,950.50 ",$165.87 ,"$2,529.00 ",$169.20 ,"$3,161.25 ","$2,326.68 ","$2,099.07 ","$2,326.68 ",$165.87 ,"$2,326.68 ",$286.72 ,"$4,215.00 ",$286.72 ,"$3,582.75 ",$423.15 ,"$2,921.00 ",$165.87 ,"$4,215.00 ","$2,364.62 ",$165.87 ,"$1,104.33 ","$4,215.00 ",$100.46 ,$95.90 ,$174.17 ,"$3,372.00 ","$2,086.43 ","$1,180.20 ","$3,793.50 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,023.20 "
ST. MARY'S HOSPITAL - DECATUR,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$3,482.00 ","$2,507.04 ",$165.87 ,"$3,482.00 ",$423.15 ,$750.00 ,"$1,915.10 ",$165.87 ,$974.96 ,"$1,821.09 ",$165.87 ,"$1,915.10 ",$165.87 ,"$1,723.59 ",$536.90 ,$165.87 ,"$1,723.59 ",$341.90 ,"$2,437.40 ",$900.00 ,"$2,785.60 ",$423.15 ,$165.87 ,"$2,437.40 ",$165.87 ,"$2,089.20 ",$169.20 ,"$2,611.50 ","$1,922.06 ","$1,734.04 ","$1,922.06 ",$165.87 ,"$1,922.06 ",$286.37 ,"$3,482.00 ",$286.37 ,"$2,959.70 ",$423.15 ,"$2,413.03 ",$165.87 ,"$3,482.00 ","$1,953.40 ",$165.87 ,$912.28 ,"$3,482.00 ",$227.05 ,$216.73 ,$174.17 ,"$2,785.60 ","$1,723.59 ",$974.96 ,"$3,133.80 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,671.36 "
ST. MARY'S HOSPITAL - DECATUR,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$3,634.00 ","$2,616.48 ",$98.30 ,"$3,634.00 ",$250.78 ,$750.00 ,"$1,998.70 ",$98.30 ,"$1,017.52 ",$929.33 ,$98.30 ,$978.24 ,$98.30 ,"$1,798.83 ",$184.57 ,$98.30 ,"$1,798.83 ",$202.63 ,"$2,543.80 ","$2,271.25 ","$2,907.20 ",$250.78 ,$98.30 ,"$2,543.80 ",$98.30 ,"$2,180.40 ",$100.27 ,"$2,725.50 ","$2,005.97 ","$1,809.73 ","$2,005.97 ",$98.30 ,"$2,005.97 ",$129.12 ,"$3,634.00 ",$129.12 ,"$3,088.90 ",$250.78 ,"$2,518.36 ",$98.30 ,"$3,634.00 ","$2,038.67 ",$98.30 ,$952.11 ,"$3,634.00 ",$227.27 ,$216.94 ,$103.22 ,"$2,907.20 ","$1,798.83 ","$1,017.52 ","$3,270.60 ",$544.00 ,"$1,124.00 ",$98.30 ,"$1,744.32 "
ST. MARY'S HOSPITAL - DECATUR,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$4,522.00 ","$3,255.84 ",$165.87 ,"$4,522.00 ",$423.15 ,$750.00 ,"$2,487.10 ",$165.87 ,"$1,266.16 ","$1,724.31 ",$165.87 ,"$1,815.06 ",$165.87 ,"$2,238.39 ",$359.41 ,$165.87 ,"$2,238.39 ",$341.90 ,"$3,165.40 ",$900.00 ,"$3,617.60 ",$423.15 ,$165.87 ,"$3,165.40 ",$165.87 ,"$2,713.20 ",$169.20 ,"$3,391.50 ","$2,496.14 ","$2,251.96 ","$2,496.14 ",$165.87 ,"$2,496.14 ",$251.40 ,"$4,522.00 ",$251.40 ,"$3,843.70 ",$423.15 ,"$3,133.75 ",$165.87 ,"$4,522.00 ","$2,536.84 ",$165.87 ,"$1,184.76 ","$4,522.00 ",$227.27 ,$216.94 ,$174.17 ,"$3,617.60 ","$2,238.39 ","$1,266.16 ","$4,069.80 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,170.56 "
ST. MARY'S HOSPITAL - DECATUR,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$4,943.00 ","$3,558.96 ",$165.87 ,"$4,943.00 ",$423.15 ,$750.00 ,"$2,718.65 ",$165.87 ,"$1,384.04 ","$1,983.20 ",$165.87 ,"$2,087.58 ",$165.87 ,"$2,446.79 ",$412.08 ,$165.87 ,"$2,446.79 ",$341.90 ,"$3,460.10 ",$900.00 ,"$3,954.40 ",$423.15 ,$165.87 ,"$3,460.10 ",$165.87 ,"$2,965.80 ",$169.20 ,"$3,707.25 ","$2,728.54 ","$2,461.61 ","$2,728.54 ",$165.87 ,"$2,728.54 ",$286.72 ,"$4,943.00 ",$286.72 ,"$4,201.55 ",$423.15 ,"$3,425.50 ",$165.87 ,"$4,943.00 ","$2,773.02 ",$165.87 ,"$1,295.07 ","$4,943.00 ",$227.27 ,$216.94 ,$174.17 ,"$3,954.40 ","$2,446.79 ","$1,384.04 ","$4,448.70 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,372.64 "
ST. MARY'S HOSPITAL - DECATUR,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$5,923.00 ","$4,264.56 ",$165.87 ,"$5,923.00 ",$423.15 ,$750.00 ,"$3,257.65 ",$165.87 ,"$1,658.44 ","$1,779.26 ",$165.87 ,"$1,872.90 ",$165.87 ,"$2,931.89 ",$461.32 ,$165.87 ,"$2,931.89 ",$341.90 ,"$4,146.10 ",$900.00 ,"$4,738.40 ",$423.15 ,$165.87 ,"$4,146.10 ",$165.87 ,"$3,553.80 ",$169.20 ,"$4,442.25 ","$3,269.50 ","$2,949.65 ","$3,269.50 ",$165.87 ,"$3,269.50 ",$286.88 ,"$5,923.00 ",$286.88 ,"$5,034.55 ",$423.15 ,"$4,104.64 ",$165.87 ,"$5,923.00 ","$3,322.80 ",$165.87 ,"$1,551.83 ","$5,923.00 ",$227.05 ,$216.73 ,$174.17 ,"$4,738.40 ","$2,931.89 ","$1,658.44 ","$5,330.70 ",$544.00 ,"$1,124.00 ",$165.87 ,"$2,843.04 "
ST. MARY'S HOSPITAL - DECATUR,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$7,218.00 ","$5,196.96 ",$162.37 ,"$7,218.00 ",$547.93 ,$750.00 ,"$3,969.90 ",$214.79 ,"$2,021.04 ","$1,170.04 ",$214.79 ,"$1,231.62 ",$214.79 ,"$3,572.91 ",$232.12 ,$214.79 ,"$3,572.91 ",$442.73 ,"$5,052.60 ",$900.00 ,"$5,774.40 ",$547.93 ,$214.79 ,"$5,052.60 ",$214.79 ,"$4,330.80 ",$219.09 ,"$5,413.50 ","$3,984.34 ","$3,594.56 ","$3,984.34 ",$214.79 ,"$3,984.34 ",$162.37 ,"$7,218.00 ",$162.37 ,"$6,135.30 ",$547.93 ,"$5,002.07 ",$214.79 ,"$7,218.00 ","$4,049.30 ",$214.79 ,"$1,891.12 ","$7,218.00 ",$227.27 ,$216.94 ,$225.53 ,"$5,774.40 ","$3,572.91 ","$2,021.04 ","$6,496.20 ",$544.00 ,"$1,124.00 ",$214.79 ,"$3,464.64 "
ST. MARY'S HOSPITAL - DECATUR,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$8,607.00 ","$6,197.04 ",$216.94 ,"$8,607.00 ",$864.48 ,$750.00 ,"$4,733.85 ",$338.87 ,"$2,409.96 ","$2,271.28 ",$338.87 ,"$2,390.82 ",$338.87 ,"$4,260.47 ",$467.67 ,$338.87 ,"$4,260.47 ",$698.50 ,"$6,024.90 ",$900.00 ,"$6,885.60 ",$864.48 ,$338.87 ,"$6,024.90 ",$338.87 ,"$5,164.20 ",$345.66 ,"$6,455.25 ","$4,751.06 ","$4,286.29 ","$4,751.06 ",$338.87 ,"$4,751.06 ",$327.14 ,"$8,607.00 ",$327.14 ,"$7,315.95 ",$864.48 ,"$5,964.65 ",$338.87 ,"$8,607.00 ","$4,828.53 ",$338.87 ,"$2,255.03 ","$8,607.00 ",$227.27 ,$216.94 ,$355.82 ,"$6,885.60 ","$4,260.47 ","$2,409.96 ","$7,746.30 ",$544.00 ,"$1,124.00 ",$338.87 ,"$4,131.36 "
ST. MARY'S HOSPITAL - DECATUR,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$9,439.00 ","$6,796.08 ",$216.94 ,"$9,439.00 ",$864.48 ,$750.00 ,"$5,191.45 ",$338.87 ,"$2,642.92 ","$2,609.86 ",$338.87 ,"$2,747.22 ",$338.87 ,"$4,672.31 ",$534.47 ,$338.87 ,"$4,672.31 ",$698.50 ,"$6,607.30 ",$900.00 ,"$7,551.20 ",$864.48 ,$338.87 ,"$6,607.30 ",$338.87 ,"$5,663.40 ",$345.66 ,"$7,079.25 ","$5,210.33 ","$4,700.62 ","$5,210.33 ",$338.87 ,"$5,210.33 ",$373.86 ,"$9,439.00 ",$373.86 ,"$8,023.15 ",$864.48 ,"$6,541.23 ",$338.87 ,"$9,439.00 ","$5,295.28 ",$338.87 ,"$2,473.02 ","$9,439.00 ",$227.27 ,$216.94 ,$355.82 ,"$7,551.20 ","$4,672.31 ","$2,642.92 ","$8,495.10 ",$544.00 ,"$1,124.00 ",$338.87 ,"$4,530.72 "
ST. MARY'S HOSPITAL - DECATUR,35000087,75571,HC CT HRT W/O DYE W/CA TEST,350,1 ,$42.00 ,$30.24 ,$11.00 ,$203.86 ,$203.85 ,$42.00 ,$23.10 ,$79.91 ,$11.76 ,$21.97 ,$79.91 ,$23.10 ,$41.16 ,$20.79 ,$42.00 ,$41.16 ,$20.79 ,$42.00 ,$29.40 ,$42.00 ,$33.60 ,$203.86 ,$79.91 ,$29.40 ,$79.91 ,$25.20 ,$41.16 ,$31.50 ,$23.18 ,$20.92 ,$23.18 ,$79.91 ,$23.18 ,$42.00 ,$42.00 ,$42.00 ,$35.70 ,$42.00 ,$29.11 ,$41.16 ,$42.00 ,$23.56 ,$79.91 ,$11.00 ,$42.00 , N/A , N/A ,$83.91 ,$33.60 ,$20.79 ,$11.76 ,$37.80 ,$42.00 ,$42.00 ,$79.91 ,$20.16 
ST. MARY'S HOSPITAL - DECATUR,35000088,N/A,HC CT HRT W/O DYE W/CA TEST (PROMO),350,1 ,$41.00 ,$29.52 ,$10.74 ,$41.00 , N/A ,$41.00 ,$22.55 , N/A ,$11.48 ,$21.44 , N/A ,$22.55 , N/A ,$20.30 ,$16.40 , N/A ,$20.30 , N/A ,$28.70 ,$25.63 ,$32.80 , N/A , N/A ,$28.70 , N/A ,$24.60 , N/A ,$30.75 ,$22.63 ,$20.42 ,$22.63 , N/A ,$22.63 ,$29.93 ,$41.00 ,$29.93 ,$34.85 , N/A ,$28.41 , N/A ,$41.00 ,$23.00 , N/A ,$10.74 ,$41.00 , N/A , N/A , N/A ,$32.80 ,$20.30 ,$11.48 ,$36.90 ,$41.00 ,$41.00 , N/A ,$19.68 
ST. MARY'S HOSPITAL - DECATUR,35000089,75572,HC CT HEART WO/W CONT FUNCT EVAL,350,1 ,"$3,051.00 ","$2,196.72 ",$165.87 ,"$3,051.00 ",$423.15 ,$750.00 ,"$1,678.05 ",$165.87 ,$854.28 ,"$1,595.67 ",$165.87 ,"$1,678.05 ",$165.87 ,"$1,510.25 ",$369.88 ,$165.87 ,"$1,510.25 ",$341.90 ,"$2,135.70 ",$900.00 ,"$2,440.80 ",$423.15 ,$165.87 ,"$2,135.70 ",$165.87 ,"$1,830.60 ",$169.20 ,"$2,288.25 ","$1,684.15 ","$1,519.40 ","$1,684.15 ",$165.87 ,"$1,684.15 ",$258.73 ,"$3,051.00 ",$258.73 ,"$2,593.35 ",$423.15 ,"$2,114.34 ",$165.87 ,"$3,051.00 ","$1,711.61 ",$165.87 ,$799.36 ,"$3,051.00 ", N/A , N/A ,$174.17 ,"$2,440.80 ","$1,510.25 ",$854.28 ,"$2,745.90 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,464.48 "
ST. MARY'S HOSPITAL - DECATUR,35000094,75574,HC CTA HEART CORONARY W/CONTRAST 3D POST,350,1 ,"$4,046.00 ","$2,913.12 ",$165.87 ,"$4,046.00 ",$423.15 ,$750.00 ,"$2,225.30 ",$165.87 ,"$1,132.88 ","$2,116.06 ",$165.87 ,"$2,225.30 ",$165.87 ,"$2,002.77 ",$562.50 ,$165.87 ,"$2,002.77 ",$341.90 ,"$2,832.20 ",$900.00 ,"$3,236.80 ",$423.15 ,$165.87 ,"$2,832.20 ",$165.87 ,"$2,427.60 ",$169.20 ,"$3,034.50 ","$2,233.39 ","$2,014.91 ","$2,233.39 ",$165.87 ,"$2,233.39 ",$286.88 ,"$4,046.00 ",$286.88 ,"$3,439.10 ",$423.15 ,"$2,803.88 ",$165.87 ,"$4,046.00 ","$2,269.81 ",$165.87 ,"$1,060.05 ","$4,046.00 ", N/A , N/A ,$174.17 ,"$3,236.80 ","$2,002.77 ","$1,132.88 ","$3,641.40 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,942.08 "
ST. MARY'S HOSPITAL - DECATUR,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$2,588.00 ","$1,863.36 ",$165.87 ,"$2,588.00 ",$423.15 ,$750.00 ,"$1,423.40 ",$165.87 ,$724.64 ,"$1,353.52 ",$165.87 ,"$1,423.40 ",$165.87 ,"$1,281.06 ",$664.91 ,$165.87 ,"$1,281.06 ",$341.90 ,"$1,811.60 ",$900.00 ,"$2,070.40 ",$423.15 ,$165.87 ,"$1,811.60 ",$165.87 ,"$1,552.80 ",$169.20 ,"$1,941.00 ","$1,428.58 ","$1,288.82 ","$1,428.58 ",$165.87 ,"$1,428.58 ",$286.88 ,"$2,588.00 ",$286.88 ,"$2,199.80 ",$423.15 ,"$1,793.48 ",$165.87 ,"$2,588.00 ","$1,451.87 ",$165.87 ,$678.06 ,"$2,588.00 ",$227.05 ,$216.73 ,$174.17 ,"$2,070.40 ","$1,281.06 ",$724.64 ,"$2,329.20 ",$544.00 ,"$1,124.00 ",$165.87 ,"$1,242.24 "
ST. MARY'S HOSPITAL - DECATUR,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,"$1,854.00 ","$1,334.88 ",$19.10 ,"$1,854.00 ", N/A ,$982.62 ,"$1,019.70 ", N/A ,$519.12 ,$141.70 , N/A ,$149.16 , N/A ,$917.73 ,$27.30 , N/A ,$917.73 , N/A ,"$1,297.80 ","$1,158.75 ","$1,483.20 ", N/A , N/A ,"$1,297.80 ", N/A ,"$1,112.40 ", N/A ,"$1,390.50 ","$1,023.41 ",$923.29 ,"$1,023.41 ", N/A ,"$1,023.41 ",$19.10 ,"$1,854.00 ",$19.10 ,"$1,575.90 ", N/A ,"$1,284.82 ", N/A ,"$1,854.00 ","$1,040.09 ", N/A ,$485.75 ,"$1,854.00 ", N/A , N/A , N/A ,"$1,483.20 ",$917.73 ,$519.12 ,"$1,668.60 ",$544.00 ,"$1,124.00 ", N/A ,$889.92 
ST. MARY'S HOSPITAL - DECATUR,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,$270.00 ,$194.40 ,$45.20 ,$270.00 , N/A ,$143.10 ,$148.50 , N/A ,$75.60 ,$141.21 , N/A ,$148.50 , N/A ,$133.65 ,$64.60 , N/A ,$133.65 , N/A ,$189.00 ,$168.75 ,$216.00 , N/A , N/A ,$189.00 , N/A ,$162.00 , N/A ,$202.50 ,$149.04 ,$134.46 ,$149.04 , N/A ,$149.04 ,$45.20 ,$270.00 ,$45.20 ,$229.50 , N/A ,$187.11 , N/A ,$270.00 ,$151.47 , N/A ,$70.74 ,$270.00 , N/A , N/A , N/A ,$216.00 ,$133.65 ,$75.60 ,$243.00 ,$270.00 ,$270.00 , N/A ,$129.60 
ST. MARY'S HOSPITAL - DECATUR,35000104,77011,HC CT GUIDED LOCALIZATION STEREO,350,1 ,"$2,680.00 ","$1,929.60 ",$73.97 ,"$2,680.00 ", N/A ,$750.00 ,"$1,474.00 ", N/A ,$750.40 ,"$1,401.64 ", N/A ,"$1,474.00 ", N/A ,"$1,326.60 ",$342.58 , N/A ,"$1,326.60 ", N/A ,"$1,876.00 ",$900.00 ,"$2,144.00 ", N/A , N/A ,"$1,876.00 ", N/A ,"$1,608.00 ", N/A ,"$2,010.00 ","$1,479.36 ","$1,334.64 ","$1,479.36 ", N/A ,"$1,479.36 ",$239.65 ,"$2,680.00 ",$239.65 ,"$2,278.00 ", N/A ,"$1,857.24 ", N/A ,"$2,680.00 ","$1,503.48 ", N/A ,$702.16 ,"$2,680.00 ",$77.50 ,$73.97 , N/A ,"$2,144.00 ","$1,326.60 ",$750.40 ,"$2,412.00 ",$544.00 ,"$1,124.00 ", N/A ,"$1,286.40 "
ST. MARY'S HOSPITAL - DECATUR,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$3,806.00 ","$2,740.32 ",$73.97 ,"$3,806.00 ", N/A ,$750.00 ,"$2,093.30 ", N/A ,"$1,065.68 ",$695.97 , N/A ,$732.60 , N/A ,"$1,883.97 ",$158.97 , N/A ,"$1,883.97 ", N/A ,"$2,664.20 ",$900.00 ,"$3,044.80 ", N/A , N/A ,"$2,664.20 ", N/A ,"$2,283.60 ", N/A ,"$2,854.50 ","$2,100.91 ","$1,895.39 ","$2,100.91 ", N/A ,"$2,100.91 ",$111.20 ,"$3,806.00 ",$111.20 ,"$3,235.10 ", N/A ,"$2,637.56 ", N/A ,"$3,806.00 ","$2,135.17 ", N/A ,$997.17 ,"$3,806.00 ",$77.50 ,$73.97 , N/A ,"$3,044.80 ","$1,883.97 ","$1,065.68 ","$3,425.40 ",$544.00 ,"$1,124.00 ", N/A ,"$1,826.88 "
ST. MARY'S HOSPITAL - DECATUR,35000111,77014,HC CT GUIDED THRPY PLACEMENT UNENHAN,350,1 ,$560.00 ,$403.20 ,$73.97 ,$560.00 , N/A ,$560.00 ,$308.00 , N/A ,$156.80 ,$292.88 , N/A ,$308.00 , N/A ,$277.20 ,$156.78 , N/A ,$277.20 , N/A ,$392.00 ,$560.00 ,$448.00 , N/A , N/A ,$392.00 , N/A ,$336.00 , N/A ,$420.00 ,$309.12 ,$278.88 ,$309.12 , N/A ,$309.12 ,$109.66 ,$560.00 ,$109.66 ,$476.00 , N/A ,$388.08 , N/A ,$560.00 ,$314.16 , N/A ,$146.72 ,$560.00 ,$77.50 ,$73.97 , N/A ,$448.00 ,$277.20 ,$156.80 ,$504.00 ,$544.00 ,$560.00 , N/A ,$268.80 
ST. MARY'S HOSPITAL - DECATUR,35000116,64510,HC INJECT STELLATE GANGLION,350,1 ,"$1,171.00 ",$843.12 ,$148.01 ,"$1,999.56 ","$1,999.55 ",$750.00 ,$644.05 ,$783.82 ,$327.88 ,$612.43 ,$783.82 ,$644.05 ,$783.82 ,$579.65 ,$148.01 ,$783.82 ,$579.65 ,"$1,171.00 ",$819.70 ,$731.88 ,$936.80 ,"$1,999.56 ",$783.82 ,$819.70 ,$783.82 ,$702.60 ,$799.50 ,$878.25 ,$646.39 ,$583.16 ,$646.39 ,$783.82 ,$646.39 ,$854.83 ,"$1,171.00 ",$854.83 ,$995.35 ,"$1,171.00 ",$811.50 ,$783.82 ,"$1,171.00 ",$656.93 ,$783.82 ,$306.80 ,"$1,171.00 ",$577.10 ,$550.87 ,$823.01 ,$936.80 ,$579.65 ,$327.88 ,"$1,053.90 ",$544.00 ,"$1,124.00 ",$783.82 ,$562.08 
ST. MARY'S HOSPITAL - DECATUR,35000120,74174,HC CT ANGIO ABD/PELV W  AND  WO CONTRAST,350,1 ,"$9,342.00 ","$6,726.24 ",$216.94 ,"$9,342.00 ",$864.48 ,$750.00 ,"$5,138.10 ",$338.87 ,"$2,615.76 ","$2,289.52 ",$338.87 ,"$2,410.02 ",$338.87 ,"$4,624.29 ",$590.07 ,$338.87 ,"$4,624.29 ",$698.50 ,"$6,539.40 ",$900.00 ,"$7,473.60 ",$864.48 ,$338.87 ,"$6,539.40 ",$338.87 ,"$5,605.20 ",$345.66 ,"$7,006.50 ","$5,156.78 ","$4,652.32 ","$5,156.78 ",$338.87 ,"$5,156.78 ",$412.75 ,"$9,342.00 ",$412.75 ,"$7,940.70 ",$864.48 ,"$6,474.01 ",$338.87 ,"$9,342.00 ","$5,240.86 ",$338.87 ,"$2,447.60 ","$9,342.00 ",$227.27 ,$216.94 ,$355.82 ,"$7,473.60 ","$4,624.29 ","$2,615.76 ","$8,407.80 ",$544.00 ,"$1,124.00 ",$338.87 ,"$4,484.16 "
ST. MARY'S HOSPITAL - DECATUR,35000132,G0260,HC INJECTION SACRO JOINT W/ ANESTH,350,1 ,"$5,377.00 ","$3,871.44 ",$223.57 ,"$5,377.00 ","$1,511.88 ",$750.00 ,"$2,957.35 ",$592.65 ,"$1,505.56 ","$2,812.17 ",$592.65 ,"$2,957.35 ",$592.65 ,"$2,661.62 ","$2,150.80 ",$592.65 ,"$2,661.62 ","$1,221.60 ","$3,763.90 ","$3,360.63 ","$4,301.60 ","$1,511.88 ",$592.65 ,"$3,763.90 ",$592.65 ,"$3,226.20 ",$604.51 ,"$4,032.75 ","$2,968.10 ","$2,677.75 ","$2,968.10 ",$592.65 ,"$2,968.10 ","$3,925.21 ","$5,377.00 ","$3,925.21 ","$4,570.45 ","$1,511.88 ","$3,726.26 ",$592.65 ,"$5,377.00 ","$3,016.50 ",$592.65 ,"$1,408.77 ","$5,377.00 ",$234.21 ,$223.57 ,$622.29 ,"$4,301.60 ","$2,661.62 ","$1,505.56 ","$4,839.30 ",$544.00 ,"$1,124.00 ",$592.65 ,"$2,580.96 "
ST. MARY'S HOSPITAL - DECATUR,35000135,22513,HC VERTEBROPLASTY INJ PERC THOR  KYPHOPLASTY,350,1 ,"$14,566.00 ","$10,487.52 ",$544.00 ,"$15,520.58 ","$15,520.58 ",$750.00 ,"$8,011.30 ","$6,084.07 ","$4,078.48 ","$7,618.02 ","$6,084.07 ","$8,011.30 ","$6,084.07 ","$7,210.17 ","$1,194.91 ","$6,084.07 ","$7,210.17 ","$12,540.62 ","$10,196.20 ","$9,103.75 ","$11,652.80 ","$15,520.57 ","$6,084.07 ","$10,196.20 ","$6,084.07 ","$8,739.60 ","$6,205.74 ","$10,924.50 ","$8,040.43 ","$7,253.87 ","$8,040.43 ","$6,084.07 ","$8,040.43 ","$10,633.18 ","$14,566.00 ","$10,633.18 ","$12,381.10 ","$14,566.00 ","$10,094.24 ","$6,084.07 ","$14,566.00 ","$8,171.53 ","$6,084.07 ","$3,816.29 ","$14,566.00 ","$9,007.32 ","$8,597.89 ","$6,388.27 ","$11,652.80 ","$7,210.17 ","$4,078.48 ","$13,109.40 ",$544.00 ,"$1,124.00 ","$6,084.07 ","$6,991.68 "
ST. MARY'S HOSPITAL - DECATUR,35000136,22514,HC VERTEBROPLASTY INJ PERC LUMBAR KYPHOPLASTY,350,1 ,"$13,557.00 ","$9,761.04 ",$544.00 ,"$15,520.58 ","$15,520.58 ",$750.00 ,"$7,456.35 ","$6,084.07 ","$3,795.96 ","$7,090.31 ","$6,084.07 ","$7,456.35 ","$6,084.07 ","$6,710.72 ","$1,112.71 ","$6,084.07 ","$6,710.72 ","$12,540.62 ","$9,489.90 ","$8,473.13 ","$10,845.60 ","$15,520.57 ","$6,084.07 ","$9,489.90 ","$6,084.07 ","$8,134.20 ","$6,205.74 ","$10,167.75 ","$7,483.46 ","$6,751.39 ","$7,483.46 ","$6,084.07 ","$7,483.46 ","$9,896.61 ","$13,557.00 ","$9,896.61 ","$11,523.45 ","$13,557.00 ","$9,395.00 ","$6,084.07 ","$13,557.00 ","$7,605.48 ","$6,084.07 ","$3,551.93 ","$13,557.00 ","$9,007.32 ","$8,597.89 ","$6,388.27 ","$10,845.60 ","$6,710.72 ","$3,795.96 ","$12,201.30 ",$544.00 ,"$1,124.00 ","$6,084.07 ","$6,507.36 "
ST. MARY'S HOSPITAL - DECATUR,35000152,0503T,HC CORONARY FFR CTA DATA ANALYSIS,350,1 ,"$4,400.00 ","$3,168.00 ",$174.96 ,"$4,400.00 ","$2,192.43 ",$750.00 ,"$2,420.00 ",$859.43 ,"$1,232.00 ","$2,301.20 ",$859.43 ,"$2,420.00 ",$859.43 ,"$2,178.00 ","$1,760.00 ",$859.43 ,"$2,178.00 ","$1,771.48 ","$3,080.00 ","$2,750.00 ","$3,520.00 ","$2,192.43 ",$859.43 ,"$3,080.00 ",$859.43 ,"$2,640.00 ",$876.62 ,"$3,300.00 ","$2,428.80 ","$2,191.20 ","$2,428.80 ",$859.43 ,"$2,428.80 ","$3,212.00 ","$4,400.00 ","$3,212.00 ","$3,740.00 ","$2,192.43 ","$3,049.20 ",$859.43 ,"$4,400.00 ","$2,468.40 ",$859.43 ,"$1,152.80 ","$4,400.00 ",$183.29 ,$174.96 ,$902.40 ,"$3,520.00 ","$2,178.00 ","$1,232.00 ","$3,960.00 ",$544.00 ,"$1,124.00 ",$859.43 ,"$2,112.00 "
ST. MARY'S HOSPITAL - DECATUR,35000153,0502T,HC CORONARY FFR CTA DATA PREP  AND  TRANSMISSION,350,1 ,$636.00 ,$457.92 ,$166.63 ,$636.00 , N/A ,$636.00 ,$349.80 , N/A ,$178.08 ,$332.63 , N/A ,$349.80 , N/A ,$314.82 ,$254.40 , N/A ,$314.82 , N/A ,$445.20 ,$397.50 ,$508.80 , N/A , N/A ,$445.20 , N/A ,$381.60 , N/A ,$477.00 ,$351.07 ,$316.73 ,$351.07 , N/A ,$351.07 ,$464.28 ,$636.00 ,$464.28 ,$540.60 , N/A ,$440.75 , N/A ,$636.00 ,$356.80 , N/A ,$166.63 ,$636.00 ,$183.29 ,$174.96 , N/A ,$508.80 ,$314.82 ,$178.08 ,$572.40 ,$544.00 ,$636.00 , N/A ,$305.28 
ST. MARY'S HOSPITAL - DECATUR,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$64.00 ,$46.08 ,$16.77 ,$250.78 ,$250.78 ,$64.00 ,$35.20 ,$98.30 ,$17.92 ,$33.47 ,$98.30 ,$35.20 ,$62.72 ,$31.68 ,$25.60 ,$62.72 ,$31.68 ,$64.00 ,$44.80 ,$64.00 ,$51.20 ,$250.78 ,$98.30 ,$44.80 ,$98.30 ,$38.40 ,$62.72 ,$48.00 ,$35.33 ,$31.87 ,$35.33 ,$98.30 ,$35.33 ,$46.72 ,$64.00 ,$46.72 ,$54.40 ,$64.00 ,$44.35 ,$62.72 ,$64.00 ,$35.90 ,$98.30 ,$16.77 ,$64.00 ,$64.00 ,$95.90 ,$103.22 ,$51.20 ,$31.68 ,$17.92 ,$57.60 ,$64.00 ,$64.00 ,$98.30 ,$30.72 
ST. MARY'S HOSPITAL - DECATUR,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$506.00 ,$364.32 ,$132.57 ,$506.00 ,$423.73 ,$506.00 ,$278.30 ,$166.10 ,$141.68 ,$264.64 ,$166.10 ,$278.30 ,$166.10 ,$250.47 ,$250.47 ,$166.10 ,$250.47 ,$342.36 ,$354.20 ,$316.25 ,$404.80 ,$423.71 ,$166.10 ,$354.20 ,$166.10 ,$303.60 ,$169.41 ,$379.50 ,$279.31 ,$251.99 ,$279.31 ,$166.10 ,$279.31 ,$409.86 ,$506.00 ,$409.86 ,$430.10 ,$423.71 ,$350.66 ,$166.10 ,$506.00 ,$283.87 ,$166.10 ,$132.57 ,$506.00 ,$217.42 ,$207.53 ,$174.40 ,$404.80 ,$250.47 ,$141.68 ,$455.40 ,$506.00 ,$506.00 ,$166.10 ,$242.88 
ST. MARY'S HOSPITAL - DECATUR,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,"$1,140.00 ",$820.80 ,$298.68 ,"$3,518.55 ","$3,518.55 ","$1,140.00 ",$627.00 ,"$1,379.27 ",$319.20 ,$596.22 ,"$1,379.27 ",$627.00 ,"$1,117.20 ",$564.30 ,$564.30 ,"$1,117.20 ",$564.30 ,"$1,140.00 ",$798.00 ,$712.50 ,$912.00 ,"$3,518.54 ","$1,379.27 ",$798.00 ,"$1,379.27 ",$684.00 ,"$1,117.20 ",$855.00 ,$629.28 ,$567.72 ,$629.28 ,"$1,379.27 ",$629.28 ,$923.40 ,"$1,140.00 ",$923.40 ,$969.00 ,"$1,140.00 ",$790.02 ,"$1,117.20 ","$1,140.00 ",$639.54 ,"$1,379.27 ",$298.68 ,"$1,140.00 ",$758.33 ,$723.86 ,"$1,448.23 ",$912.00 ,$564.30 ,$319.20 ,"$1,026.00 ","$1,140.00 ","$1,140.00 ","$1,379.27 ",$547.20 
ST. MARY'S HOSPITAL - DECATUR,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$813.00 ,$585.36 ,$207.53 ,$875.38 ,$875.38 ,$813.00 ,$447.15 ,$343.15 ,$227.64 ,$425.20 ,$343.15 ,$447.15 ,$343.15 ,$402.44 ,$402.44 ,$343.15 ,$402.44 ,$707.30 ,$569.10 ,$508.13 ,$650.40 ,$875.37 ,$343.15 ,$569.10 ,$343.15 ,$487.80 ,$350.01 ,$609.75 ,$448.78 ,$404.87 ,$448.78 ,$343.15 ,$448.78 ,$658.53 ,$813.00 ,$658.53 ,$691.05 ,$813.00 ,$563.41 ,$343.15 ,$813.00 ,$456.09 ,$343.15 ,$213.01 ,$813.00 ,$217.42 ,$207.53 ,$360.31 ,$650.40 ,$402.44 ,$227.64 ,$731.70 ,$766.00 ,$813.00 ,$343.15 ,$390.24 
ST. MARY'S HOSPITAL - DECATUR,36000035,10030,HC GUIDE CATHET FLUID DRAINAGE,360,1 ,"$3,938.00 ","$2,835.36 ",$596.92 ,"$3,938.00 ","$1,522.75 ","$3,800.00 ","$2,165.90 ",$596.92 ,"$1,102.64 ","$2,059.57 ",$596.92 ,"$2,165.90 ",$596.92 ,"$1,949.31 ","$1,949.31 ",$596.92 ,"$1,949.31 ","$1,230.38 ","$2,756.60 ","$2,461.25 ","$3,150.40 ","$1,522.74 ",$596.92 ,"$2,756.60 ",$596.92 ,"$2,362.80 ",$608.85 ,"$2,953.50 ","$2,173.78 ","$1,961.12 ","$2,173.78 ",$596.92 ,"$2,173.78 ","$3,189.78 ","$3,938.00 ","$3,189.78 ","$3,347.30 ","$1,522.74 ","$2,729.03 ",$596.92 ,"$3,938.00 ","$2,209.22 ",$596.92 ,"$1,031.76 ","$3,938.00 ",$758.33 ,$723.86 ,$626.77 ,"$3,150.40 ","$1,949.31 ","$1,102.64 ","$3,544.20 ","$1,543.00 ","$1,784.00 ",$596.92 ,"$1,890.24 "
ST. MARY'S HOSPITAL - DECATUR,36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,208.00 ",$869.76 ,$109.83 ,"$1,522.75 ","$1,522.75 ","$1,208.00 ",$664.40 ,$596.92 ,$338.24 ,$631.78 ,$596.92 ,$664.40 ,$596.92 ,$597.96 ,$597.96 ,$596.92 ,$597.96 ,"$1,208.00 ",$845.60 ,$755.00 ,$966.40 ,"$1,522.74 ",$596.92 ,$845.60 ,$596.92 ,$724.80 ,$608.85 ,$906.00 ,$666.82 ,$601.58 ,$666.82 ,$596.92 ,$666.82 ,$978.48 ,"$1,208.00 ",$978.48 ,"$1,026.80 ","$1,208.00 ",$837.14 ,$596.92 ,$109.83 ,$677.69 ,$596.92 ,$316.50 ,"$1,208.00 ",$440.12 ,$420.12 ,$626.77 ,$966.40 ,$597.96 ,$338.24 ,"$1,087.20 ","$1,208.00 ","$1,208.00 ",$596.92 ,$579.84 
ST. MARY'S HOSPITAL - DECATUR,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$838.00 ,$603.36 ,$28.20 ,$838.00 , N/A ,$838.00 ,$460.90 , N/A ,$234.64 ,$438.27 , N/A ,$460.90 , N/A ,$414.81 ,$414.81 , N/A ,$414.81 , N/A ,$586.60 ,$523.75 ,$670.40 , N/A , N/A ,$586.60 , N/A ,$502.80 , N/A ,$628.50 ,$462.58 ,$417.32 ,$462.58 , N/A ,$462.58 ,$678.78 ,$838.00 ,$678.78 ,$712.30 , N/A ,$580.73 , N/A ,$28.20 ,$470.12 , N/A ,$219.56 ,$838.00 ,$440.12 ,$420.12 , N/A ,$670.40 ,$414.81 ,$234.64 ,$754.20 ,$766.00 ,$838.00 , N/A ,$402.24 
ST. MARY'S HOSPITAL - DECATUR,36000080,19020,HC BREAST ABSCESS DRAINAGE,360,1 ,"$3,340.00 ","$2,404.80 ",$723.86 ,"$3,518.55 ","$3,518.55 ","$3,340.00 ","$1,837.00 ","$1,379.27 ",$935.20 ,"$1,746.82 ","$1,379.27 ","$1,837.00 ","$1,379.27 ","$1,653.30 ","$1,653.30 ","$1,379.27 ","$1,653.30 ","$2,842.98 ","$2,338.00 ","$2,087.50 ","$2,672.00 ","$3,518.54 ","$1,379.27 ","$2,338.00 ","$1,379.27 ","$2,004.00 ","$1,406.86 ","$2,505.00 ","$1,843.68 ","$1,663.32 ","$1,843.68 ","$1,379.27 ","$1,843.68 ","$2,705.40 ","$3,340.00 ","$2,705.40 ","$2,839.00 ","$3,340.00 ","$2,314.62 ","$1,379.27 ","$3,340.00 ","$1,873.74 ","$1,379.27 ",$875.08 ,"$3,340.00 ",$758.33 ,$723.86 ,"$1,448.23 ","$2,672.00 ","$1,653.30 ",$935.20 ,"$3,006.00 ","$2,286.00 ","$2,677.00 ","$1,379.27 ","$1,603.20 "
ST. MARY'S HOSPITAL - DECATUR,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,"$1,261.00 ",$907.92 ,$330.38 ,"$1,261.00 ", N/A ,"$1,261.00 ",$693.55 , N/A ,$353.08 ,$659.50 , N/A ,$693.55 , N/A ,$624.20 ,$624.20 , N/A ,$624.20 , N/A ,$882.70 ,$788.13 ,"$1,008.80 ", N/A , N/A ,$882.70 , N/A ,$756.60 , N/A ,$945.75 ,$696.07 ,$627.98 ,$696.07 , N/A ,$696.07 ,"$1,021.41 ","$1,261.00 ","$1,021.41 ","$1,071.85 ", N/A ,$873.87 , N/A ,"$1,261.00 ",$707.42 , N/A ,$330.38 ,"$1,261.00 ", N/A , N/A , N/A ,"$1,008.80 ",$624.20 ,$353.08 ,"$1,134.90 ",$766.00 ,$964.00 , N/A ,$605.28 
ST. MARY'S HOSPITAL - DECATUR,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,624.00 ","$2,609.28 ",$538.44 ,"$3,624.00 ","$3,518.55 ","$3,624.00 ","$1,993.20 ","$1,379.27 ","$1,014.72 ","$1,895.35 ","$1,379.27 ","$1,993.20 ","$1,379.27 ","$1,793.88 ","$1,793.88 ","$1,379.27 ","$1,793.88 ","$2,842.98 ","$2,536.80 ","$2,265.00 ","$2,899.20 ","$3,518.54 ","$1,379.27 ","$2,536.80 ","$1,379.27 ","$2,174.40 ","$1,406.86 ","$2,718.00 ","$2,000.45 ","$1,804.75 ","$2,000.45 ","$1,379.27 ","$2,000.45 ","$2,935.44 ","$3,624.00 ","$2,935.44 ","$3,080.40 ","$3,518.54 ","$2,511.43 ","$1,379.27 ",$538.44 ,"$2,033.06 ","$1,379.27 ",$949.49 ,"$3,624.00 ",$891.95 ,$851.40 ,"$1,448.23 ","$2,899.20 ","$1,793.88 ","$1,014.72 ","$3,261.60 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$1,739.52 "
ST. MARY'S HOSPITAL - DECATUR,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,128.00 ","$1,532.16 ",$82.48 ,"$2,128.00 ","$1,522.75 ","$2,128.00 ","$1,170.40 ",$596.92 ,$595.84 ,"$1,112.94 ",$596.92 ,"$1,170.40 ",$596.92 ,"$1,053.36 ","$1,053.36 ",$596.92 ,"$1,053.36 ","$1,230.38 ","$1,489.60 ","$1,330.00 ","$1,702.40 ","$1,522.74 ",$596.92 ,"$1,489.60 ",$596.92 ,"$1,276.80 ",$608.85 ,"$1,596.00 ","$1,174.66 ","$1,059.74 ","$1,174.66 ",$596.92 ,"$1,174.66 ","$1,723.68 ","$2,128.00 ","$1,723.68 ","$1,808.80 ","$1,522.74 ","$1,474.70 ",$596.92 ,$397.29 ,"$1,193.81 ",$596.92 ,$557.54 ,"$2,128.00 ",$86.41 ,$82.48 ,$626.77 ,"$1,702.40 ","$1,053.36 ",$595.84 ,"$1,915.20 ","$1,543.00 ","$1,784.00 ",$596.92 ,"$1,021.44 "
ST. MARY'S HOSPITAL - DECATUR,36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,"$3,091.00 ","$2,225.52 ",$420.12 ,"$3,518.55 ","$3,518.55 ","$3,000.00 ","$1,700.05 ","$1,379.27 ",$865.48 ,"$1,616.59 ","$1,379.27 ","$1,700.05 ","$1,379.27 ","$1,530.05 ","$1,530.05 ","$1,379.27 ","$1,530.05 ","$2,842.98 ","$2,163.70 ","$1,931.88 ","$2,472.80 ","$3,518.54 ","$1,379.27 ","$2,163.70 ","$1,379.27 ","$1,854.60 ","$1,406.86 ","$2,318.25 ","$1,706.23 ","$1,539.32 ","$1,706.23 ","$1,379.27 ","$1,706.23 ","$2,503.71 ","$3,091.00 ","$2,503.71 ","$2,627.35 ","$3,091.00 ","$2,142.06 ","$1,379.27 ","$3,091.00 ","$1,734.05 ","$1,379.27 ",$809.84 ,"$3,091.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$2,472.80 ","$1,530.05 ",$865.48 ,"$2,781.90 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$1,483.68 "
ST. MARY'S HOSPITAL - DECATUR,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$2,782.00 ","$2,003.04 ",$445.10 ,"$3,518.55 ","$3,518.55 ","$2,782.00 ","$1,530.10 ","$1,379.27 ",$778.96 ,"$1,454.99 ","$1,379.27 ","$1,530.10 ","$1,379.27 ","$1,377.09 ","$1,377.09 ","$1,379.27 ","$1,377.09 ","$2,782.00 ","$1,947.40 ","$1,738.75 ","$2,225.60 ","$3,518.54 ","$1,379.27 ","$1,947.40 ","$1,379.27 ","$1,669.20 ","$1,406.86 ","$2,086.50 ","$1,535.66 ","$1,385.44 ","$1,535.66 ","$1,379.27 ","$1,535.66 ","$2,253.42 ","$2,782.00 ","$2,253.42 ","$2,364.70 ","$2,782.00 ","$1,927.93 ","$1,379.27 ","$2,782.00 ","$1,560.70 ","$1,379.27 ",$728.88 ,"$2,782.00 ",$466.29 ,$445.10 ,"$1,448.23 ","$2,225.60 ","$1,377.09 ",$778.96 ,"$2,503.80 ","$1,543.00 ","$1,784.00 ","$1,379.27 ","$1,335.36 "
ST. MARY'S HOSPITAL - DECATUR,36000090,20225,HC BX BONE NEEDLE DEEP,360,1 ,"$4,103.00 ","$2,954.16 ",$445.10 ,"$4,103.00 ","$3,518.55 ","$3,800.00 ","$2,256.65 ","$1,379.27 ","$1,148.84 ","$2,145.87 ","$1,379.27 ","$2,256.65 ","$1,379.27 ","$2,030.99 ","$2,030.99 ","$1,379.27 ","$2,030.99 ","$2,842.98 ","$2,872.10 ","$2,564.38 ","$3,282.40 ","$3,518.54 ","$1,379.27 ","$2,872.10 ","$1,379.27 ","$2,461.80 ","$1,406.86 ","$3,077.25 ","$2,264.86 ","$2,043.29 ","$2,264.86 ","$1,379.27 ","$2,264.86 ","$3,323.43 ","$4,103.00 ","$3,323.43 ","$3,487.55 ","$3,518.54 ","$2,843.38 ","$1,379.27 ","$4,103.00 ","$2,301.78 ","$1,379.27 ","$1,074.99 ","$4,103.00 ",$466.29 ,$445.10 ,"$1,448.23 ","$3,282.40 ","$2,030.99 ","$1,148.84 ","$3,692.70 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$1,969.44 "
ST. MARY'S HOSPITAL - DECATUR,36000101,29085,HC CAST APPL; HAND AND FOREARM,360,1 ,$419.00 ,$301.68 ,$109.78 ,$419.00 ,$342.00 ,$222.07 ,$230.45 ,$134.06 ,$117.32 ,$219.14 ,$134.06 ,$230.45 ,$134.06 ,$207.41 ,$207.41 ,$134.06 ,$207.41 ,$276.35 ,$293.30 ,$261.88 ,$335.20 ,$342.01 ,$134.06 ,$293.30 ,$134.06 ,$251.40 ,$136.75 ,$314.25 ,$231.29 ,$208.66 ,$231.29 ,$134.06 ,$231.29 ,$339.39 ,$419.00 ,$339.39 ,$356.15 ,$342.01 ,$290.37 ,$134.06 ,$419.00 ,$235.06 ,$134.06 ,$109.78 ,$419.00 ,$235.25 ,$224.55 ,$140.77 ,$335.20 ,$207.41 ,$117.32 ,$377.10 ,$419.00 ,$419.00 ,$134.06 ,$201.12 
ST. MARY'S HOSPITAL - DECATUR,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$3,532.00 ","$2,543.04 ",$416.24 ,"$3,532.00 ", N/A ,"$3,000.00 ","$1,942.60 ", N/A ,$988.96 ,"$1,847.24 ", N/A ,"$1,942.60 ", N/A ,"$1,748.34 ","$1,748.34 ", N/A ,"$1,748.34 ", N/A ,"$2,472.40 ","$2,207.50 ","$2,825.60 ", N/A , N/A ,"$2,472.40 ", N/A ,"$2,119.20 ", N/A ,"$2,649.00 ","$1,949.66 ","$1,758.94 ","$1,949.66 ", N/A ,"$1,949.66 ","$2,860.92 ","$3,532.00 ","$2,860.92 ","$3,002.20 ", N/A ,"$2,447.68 ", N/A ,$416.24 ,"$1,981.45 ", N/A ,$925.38 ,"$3,532.00 ",$891.95 ,$851.40 , N/A ,"$2,825.60 ","$1,748.34 ",$988.96 ,"$3,178.80 ",$766.00 ,$964.00 , N/A ,"$1,695.36 "
ST. MARY'S HOSPITAL - DECATUR,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$6,577.00 ","$4,735.44 ",$410.06 ,"$6,577.00 ", N/A ,"$3,000.00 ","$3,617.35 ", N/A ,"$1,841.56 ","$3,439.77 ", N/A ,"$3,617.35 ", N/A ,"$3,255.62 ","$3,255.62 ", N/A ,"$3,255.62 ", N/A ,"$3,500.00 ","$4,110.63 ","$5,261.60 ", N/A , N/A ,"$4,603.90 ", N/A ,"$3,946.20 ", N/A ,"$4,932.75 ","$3,630.50 ","$3,275.35 ","$3,630.50 ", N/A ,"$3,630.50 ","$5,327.37 ","$6,577.00 ","$5,327.37 ","$5,590.45 ", N/A ,"$4,557.86 ", N/A ,$410.06 ,"$3,689.70 ", N/A ,"$1,723.17 ","$6,577.00 ",$891.95 ,$851.40 , N/A ,"$5,261.60 ","$3,255.62 ","$1,841.56 ","$5,919.30 ",$766.00 ,$964.00 , N/A ,"$3,156.96 "
ST. MARY'S HOSPITAL - DECATUR,36000110,19085,HC BX BREAST 1ST LESION MR IMAG,360,1 ,"$5,754.00 ","$4,142.88 ",$822.60 ,"$5,754.00 ","$3,518.55 ","$5,754.00 ","$3,164.70 ","$1,379.27 ","$1,611.12 ","$3,009.34 ","$1,379.27 ","$3,164.70 ","$1,379.27 ","$2,848.23 ","$2,848.23 ","$1,379.27 ","$2,848.23 ","$2,842.98 ","$3,500.00 ","$3,596.25 ","$4,603.20 ","$3,518.54 ","$1,379.27 ","$4,027.80 ","$1,379.27 ","$3,452.40 ","$1,406.86 ","$4,315.50 ","$3,176.21 ","$2,865.49 ","$3,176.21 ","$1,379.27 ","$3,176.21 ","$4,660.74 ","$5,754.00 ","$4,660.74 ","$4,890.90 ","$3,518.54 ","$3,987.52 ","$1,379.27 ",$822.60 ,"$3,227.99 ","$1,379.27 ","$1,507.55 ","$5,754.00 ",$891.95 ,$851.40 ,"$1,448.23 ","$4,603.20 ","$2,848.23 ","$1,611.12 ","$5,178.60 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$2,761.92 "
ST. MARY'S HOSPITAL - DECATUR,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,812.00 ","$1,304.64 ",$82.48 ,"$1,812.00 ", N/A ,"$1,812.00 ",$996.60 , N/A ,$507.36 ,$947.68 , N/A ,$996.60 , N/A ,$896.94 ,$896.94 , N/A ,$896.94 , N/A ,"$1,268.40 ","$1,132.50 ","$1,449.60 ", N/A , N/A ,"$1,268.40 ", N/A ,"$1,087.20 ", N/A ,"$1,359.00 ","$1,000.22 ",$902.38 ,"$1,000.22 ", N/A ,"$1,000.22 ","$1,467.72 ","$1,812.00 ","$1,467.72 ","$1,540.20 ", N/A ,"$1,255.72 ", N/A ,$182.91 ,"$1,016.53 ", N/A ,$474.74 ,"$1,812.00 ",$86.41 ,$82.48 , N/A ,"$1,449.60 ",$896.94 ,$507.36 ,"$1,630.80 ",$766.00 ,$964.00 , N/A ,$869.76 
ST. MARY'S HOSPITAL - DECATUR,36000115,19284,HC BREAST STEREO NDL LOC BX ADDN LESION,360,1 ,"$3,074.00 ","$2,213.28 ",$82.48 ,"$3,074.00 ", N/A ,"$3,000.00 ","$1,690.70 ", N/A ,$860.72 ,"$1,607.70 ", N/A ,"$1,690.70 ", N/A ,"$1,521.63 ","$1,521.63 ", N/A ,"$1,521.63 ", N/A ,"$2,151.80 ","$1,921.25 ","$2,459.20 ", N/A , N/A ,"$2,151.80 ", N/A ,"$1,844.40 ", N/A ,"$2,305.50 ","$1,696.85 ","$1,530.85 ","$1,696.85 ", N/A ,"$1,696.85 ","$2,489.94 ","$3,074.00 ","$2,489.94 ","$2,612.90 ", N/A ,"$2,130.28 ", N/A ,$204.92 ,"$1,724.51 ", N/A ,$805.39 ,"$3,074.00 ",$86.41 ,$82.48 , N/A ,"$2,459.20 ","$1,521.63 ",$860.72 ,"$2,766.60 ",$766.00 ,$964.00 , N/A ,"$1,475.52 "
ST. MARY'S HOSPITAL - DECATUR,36000118,36470,HC INJ SCLEROSING SOLUTION SINGLE VEIN,360,1 ,"$2,119.00 ","$1,525.68 ",$343.15 ,"$2,119.00 ",$875.38 ,"$2,119.00 ","$1,165.45 ",$343.15 ,$593.32 ,"$1,108.24 ",$343.15 ,"$1,165.45 ",$343.15 ,"$1,048.91 ","$1,048.91 ",$343.15 ,"$1,048.91 ",$707.30 ,"$1,483.30 ","$1,324.38 ","$1,695.20 ",$875.37 ,$343.15 ,"$1,483.30 ",$343.15 ,"$1,271.40 ",$350.01 ,"$1,589.25 ","$1,169.69 ","$1,055.26 ","$1,169.69 ",$343.15 ,"$1,169.69 ","$1,716.39 ","$2,119.00 ","$1,716.39 ","$1,801.15 ",$875.37 ,"$1,468.47 ",$343.15 ,"$2,119.00 ","$1,188.76 ",$343.15 ,$555.18 ,"$2,119.00 ",$635.02 ,$606.15 ,$360.31 ,"$1,695.20 ","$1,048.91 ",$593.32 ,"$1,907.10 ",$766.00 ,$964.00 ,$343.15 ,"$1,017.12 "
ST. MARY'S HOSPITAL - DECATUR,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$4,160.00 ","$2,995.20 ","$1,089.92 ","$6,989.86 ","$6,989.85 ","$3,000.00 ","$2,288.00 ","$2,740.02 ","$1,164.80 ","$2,175.68 ","$2,740.02 ","$2,288.00 ","$2,740.02 ","$2,059.20 ","$2,059.20 ","$2,740.02 ","$2,059.20 ","$4,160.00 ","$2,912.00 ","$2,600.00 ","$3,328.00 ","$6,989.86 ","$2,740.02 ","$2,912.00 ","$2,740.02 ","$2,496.00 ","$2,794.82 ","$3,120.00 ","$2,296.32 ","$2,071.68 ","$2,296.32 ","$2,740.02 ","$2,296.32 ","$3,369.60 ","$4,160.00 ","$3,369.60 ","$3,536.00 ","$4,160.00 ","$2,882.88 ","$2,740.02 ","$4,160.00 ","$2,333.76 ","$2,740.02 ","$1,089.92 ","$4,160.00 ","$1,231.60 ","$1,175.62 ","$2,877.03 ","$3,328.00 ","$2,059.20 ","$1,164.80 ","$3,744.00 ","$1,543.00 ","$1,784.00 ","$2,740.02 ","$1,996.80 "
ST. MARY'S HOSPITAL - DECATUR,36000124,36557,HC INSERT TUNNELED CVC <5 YEARS OLD,360,1 ,"$7,368.00 ","$5,304.96 ","$1,930.42 ","$12,059.93 ","$12,059.93 ","$3,800.00 ","$4,052.40 ","$4,727.49 ","$2,063.04 ","$3,853.46 ","$4,727.49 ","$4,052.40 ","$4,727.49 ","$3,647.16 ","$3,647.16 ","$4,727.49 ","$3,647.16 ","$7,368.00 ","$3,500.00 ","$4,605.00 ","$5,894.40 ","$12,059.93 ","$4,727.49 ","$5,157.60 ","$4,727.49 ","$4,420.80 ","$4,822.04 ","$5,526.00 ","$4,067.14 ","$3,669.26 ","$4,067.14 ","$4,727.49 ","$4,067.14 ","$5,968.08 ","$7,368.00 ","$5,968.08 ","$6,262.80 ","$7,368.00 ","$5,106.02 ","$4,727.49 ","$7,368.00 ","$4,133.45 ","$4,727.49 ","$1,930.42 ","$7,368.00 ", N/A , N/A ,"$4,963.87 ","$5,894.40 ","$3,647.16 ","$2,063.04 ","$6,631.20 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,536.64 "
ST. MARY'S HOSPITAL - DECATUR,36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$9,585.00 ","$6,901.20 ","$1,175.62 ","$9,585.00 ","$6,989.85 ","$3,800.00 ","$5,271.75 ","$2,740.02 ","$2,683.80 ","$5,012.96 ","$2,740.02 ","$5,271.75 ","$2,740.02 ","$4,744.58 ","$4,744.58 ","$2,740.02 ","$4,744.58 ","$5,647.80 ","$3,500.00 ","$5,990.63 ","$7,668.00 ","$6,989.86 ","$2,740.02 ","$6,709.50 ","$2,740.02 ","$5,751.00 ","$2,794.82 ","$7,188.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$2,740.02 ","$4,219.00 ","$7,763.85 ","$9,585.00 ","$7,763.85 ","$8,147.25 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$9,585.00 ","$5,377.19 ","$2,740.02 ","$2,511.27 ","$9,585.00 ","$1,231.60 ","$1,175.62 ","$2,877.03 ","$7,668.00 ","$4,744.58 ","$2,683.80 ","$8,626.50 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,600.80 "
ST. MARY'S HOSPITAL - DECATUR,36000127,36561,HC INSERT TUNEL CV CATH>5YR W/PORT,360,1 ,"$8,376.00 ","$6,030.72 ","$1,175.62 ","$8,376.00 ","$6,989.85 ","$5,830.00 ","$4,606.80 ","$2,740.02 ","$2,345.28 ","$4,380.65 ","$2,740.02 ","$4,606.80 ","$2,740.02 ","$4,146.12 ","$4,146.12 ","$2,740.02 ","$4,146.12 ","$5,647.80 ","$3,500.00 ","$5,235.00 ","$6,700.80 ","$6,989.86 ","$2,740.02 ","$5,863.20 ","$2,740.02 ","$5,025.60 ","$2,794.82 ","$6,282.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$2,740.02 ","$4,219.00 ","$6,784.56 ","$8,376.00 ","$6,784.56 ","$7,119.60 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$8,376.00 ","$4,698.94 ","$2,740.02 ","$2,194.51 ","$8,376.00 ","$1,231.60 ","$1,175.62 ","$2,877.03 ","$6,700.80 ","$4,146.12 ","$2,345.28 ","$7,538.40 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,020.48 "
ST. MARY'S HOSPITAL - DECATUR,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$4,160.00 ","$2,995.20 ",$342.22 ,"$4,160.00 ","$3,491.10 ","$3,000.00 ","$2,288.00 ","$1,368.51 ","$1,164.80 ","$2,175.68 ","$1,368.51 ","$2,288.00 ","$1,368.51 ","$2,059.20 ","$2,059.20 ","$1,368.51 ","$2,059.20 ","$2,820.80 ","$2,912.00 ","$2,600.00 ","$3,328.00 ","$3,491.09 ","$1,368.51 ","$2,912.00 ","$1,368.51 ","$2,496.00 ","$1,395.88 ","$3,120.00 ","$2,296.32 ","$2,071.68 ","$2,296.32 ","$1,368.51 ","$2,296.32 ","$3,369.60 ","$4,160.00 ","$3,369.60 ","$3,536.00 ","$3,491.09 ","$2,882.88 ","$1,368.51 ","$4,160.00 ","$2,333.76 ","$1,368.51 ","$1,089.92 ","$4,160.00 ",$358.51 ,$342.22 ,"$1,436.93 ","$3,328.00 ","$2,059.20 ","$1,164.80 ","$3,744.00 ","$1,543.00 ","$1,784.00 ","$1,368.51 ","$1,996.80 "
ST. MARY'S HOSPITAL - DECATUR,36000135,36580,HC REPL CATH CV NON-TNL W/O PORT,360,1 ,"$3,249.00 ","$2,339.28 ",$342.22 ,"$3,491.10 ","$3,491.10 ","$3,000.00 ","$1,786.95 ","$1,368.51 ",$909.72 ,"$1,699.23 ","$1,368.51 ","$1,786.95 ","$1,368.51 ","$1,608.26 ","$1,608.26 ","$1,368.51 ","$1,608.26 ","$2,820.80 ","$2,274.30 ","$2,030.63 ","$2,599.20 ","$3,491.09 ","$1,368.51 ","$2,274.30 ","$1,368.51 ","$1,949.40 ","$1,395.88 ","$2,436.75 ","$1,793.45 ","$1,618.00 ","$1,793.45 ","$1,368.51 ","$1,793.45 ","$2,631.69 ","$3,249.00 ","$2,631.69 ","$2,761.65 ","$3,249.00 ","$2,251.56 ","$1,368.51 ","$3,249.00 ","$1,822.69 ","$1,368.51 ",$851.24 ,"$3,249.00 ",$358.51 ,$342.22 ,"$1,436.93 ","$2,599.20 ","$1,608.26 ",$909.72 ,"$2,924.10 ","$1,543.00 ","$1,784.00 ","$1,368.51 ","$1,559.52 "
ST. MARY'S HOSPITAL - DECATUR,36000136,36581,HC REPL CATH CV TNL W/O PORT,360,1 ,"$8,694.00 ","$6,259.68 ","$1,175.62 ","$8,694.00 ","$6,989.85 ","$3,800.00 ","$4,781.70 ","$2,740.02 ","$2,434.32 ","$4,546.96 ","$2,740.02 ","$4,781.70 ","$2,740.02 ","$4,303.53 ","$4,303.53 ","$2,740.02 ","$4,303.53 ","$5,647.80 ","$3,500.00 ","$5,433.75 ","$6,955.20 ","$6,989.86 ","$2,740.02 ","$6,085.80 ","$2,740.02 ","$5,216.40 ","$2,794.82 ","$6,520.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$2,740.02 ","$4,219.00 ","$7,042.14 ","$8,694.00 ","$7,042.14 ","$7,389.90 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$8,694.00 ","$4,877.33 ","$2,740.02 ","$2,277.83 ","$8,694.00 ","$1,231.60 ","$1,175.62 ","$2,877.03 ","$6,955.20 ","$4,303.53 ","$2,434.32 ","$7,824.60 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,173.12 "
ST. MARY'S HOSPITAL - DECATUR,36000137,36582,HC REPL DEVICE CV TNL W/PORT,360,1 ,"$11,697.00 ","$8,421.84 ","$1,175.62 ","$11,697.00 ","$6,989.85 ","$5,830.00 ","$6,433.35 ","$2,740.02 ","$3,275.16 ","$6,117.53 ","$2,740.02 ","$6,433.35 ","$2,740.02 ","$5,790.02 ","$5,790.02 ","$2,740.02 ","$5,790.02 ","$5,647.80 ","$3,500.00 ","$7,310.63 ","$9,357.60 ","$6,989.86 ","$2,740.02 ","$8,187.90 ","$2,740.02 ","$7,018.20 ","$2,794.82 ","$8,772.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$2,740.02 ","$4,219.00 ","$8,355.00 ","$11,697.00 ","$8,355.00 ","$9,942.45 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$11,697.00 ","$6,562.02 ","$2,740.02 ","$3,064.61 ","$11,697.00 ","$1,231.60 ","$1,175.62 ","$2,877.03 ","$9,357.60 ","$5,790.02 ","$3,275.16 ","$10,527.30 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$5,614.56 "
ST. MARY'S HOSPITAL - DECATUR,36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$5,211.00 ","$3,751.92 ",$97.95 ,"$5,211.00 ","$3,491.10 ","$3,000.00 ","$2,866.05 ","$1,368.51 ","$1,459.08 ","$2,725.35 ","$1,368.51 ","$2,866.05 ","$1,368.51 ","$2,579.45 ","$2,579.45 ","$1,368.51 ","$2,579.45 ","$2,820.80 ","$3,500.00 ","$3,256.88 ","$4,168.80 ","$3,491.09 ","$1,368.51 ","$3,647.70 ","$1,368.51 ","$3,126.60 ","$1,395.88 ","$3,908.25 ","$2,876.47 ","$2,595.08 ","$2,876.47 ","$1,368.51 ","$2,876.47 ","$4,220.91 ","$5,211.00 ","$4,220.91 ","$4,429.35 ","$3,491.09 ","$3,611.22 ","$1,368.51 ","$5,211.00 ","$2,923.37 ","$1,368.51 ","$1,365.28 ","$5,211.00 ",$102.62 ,$97.95 ,"$1,436.93 ","$4,168.80 ","$2,579.45 ","$1,459.08 ","$4,689.90 ","$1,543.00 ","$1,784.00 ","$1,368.51 ","$2,501.28 "
ST. MARY'S HOSPITAL - DECATUR,36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,"$5,742.00 ","$4,134.24 ",$97.95 ,"$5,742.00 ","$1,357.40 ","$3,000.00 ","$3,158.10 ",$532.10 ,"$1,607.76 ","$3,003.07 ",$532.10 ,"$3,158.10 ",$532.10 ,"$2,842.29 ","$2,842.29 ",$532.10 ,"$2,842.29 ","$1,096.77 ","$3,500.00 ","$3,588.75 ","$4,593.60 ","$1,357.39 ",$532.10 ,"$4,019.40 ",$532.10 ,"$3,445.20 ",$542.74 ,"$4,306.50 ","$3,169.58 ","$2,859.52 ","$3,169.58 ",$532.10 ,"$3,169.58 ","$4,651.02 ","$5,742.00 ","$4,651.02 ","$4,880.70 ","$1,357.39 ","$3,979.21 ",$532.10 ,"$5,742.00 ","$3,221.26 ",$532.10 ,"$1,504.40 ","$5,742.00 ",$102.62 ,$97.95 ,$558.71 ,"$4,593.60 ","$2,842.29 ","$1,607.76 ","$5,167.80 ","$1,543.00 ","$1,784.00 ",$532.10 ,"$2,756.16 "
ST. MARY'S HOSPITAL - DECATUR,36000142,36590,HC REM TNL CV ACC W/PORT/PUMP,360,1 ,"$7,382.00 ","$5,315.04 ",$890.18 ,"$7,382.00 ","$3,491.10 ","$3,000.00 ","$4,060.10 ","$1,368.51 ","$2,066.96 ","$3,860.79 ","$1,368.51 ","$4,060.10 ","$1,368.51 ","$3,654.09 ","$3,654.09 ","$1,368.51 ","$3,654.09 ","$2,820.80 ","$3,500.00 ","$4,613.75 ","$5,905.60 ","$3,491.09 ","$1,368.51 ","$5,167.40 ","$1,368.51 ","$4,429.20 ","$1,395.88 ","$5,536.50 ","$4,074.86 ","$3,676.24 ","$4,074.86 ","$1,368.51 ","$4,074.86 ","$5,979.42 ","$7,382.00 ","$5,979.42 ","$6,274.70 ","$3,491.09 ","$5,115.73 ","$1,368.51 ","$7,382.00 ","$4,141.30 ","$1,368.51 ","$1,934.08 ","$7,382.00 ",$932.57 ,$890.18 ,"$1,436.93 ","$5,905.60 ","$3,654.09 ","$2,066.96 ","$6,643.80 ","$1,866.00 ","$2,248.00 ","$1,368.51 ","$3,543.36 "
ST. MARY'S HOSPITAL - DECATUR,36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,"$1,149.00 ",$827.28 ,$301.04 ,"$1,848.13 ", N/A ,"$1,149.00 ",$631.95 , N/A ,$321.72 ,$600.93 , N/A ,$631.95 , N/A ,$568.76 ,$568.76 , N/A ,$568.76 , N/A ,$804.30 ,$718.13 ,$919.20 , N/A , N/A ,$804.30 , N/A ,$689.40 , N/A ,$861.75 ,$634.25 ,$572.20 ,$634.25 , N/A ,$634.25 ,$930.69 ,"$1,149.00 ",$930.69 ,$976.65 , N/A ,$796.26 , N/A ,"$1,149.00 ",$644.59 , N/A ,$301.04 ,"$1,149.00 ","$1,149.00 ","$1,848.13 ", N/A ,$919.20 ,$568.76 ,$321.72 ,"$1,034.10 ",$766.00 ,$964.00 , N/A ,$551.52 
ST. MARY'S HOSPITAL - DECATUR,36000158,38221,HC BX BONE MARROW ONLY,360,1 ,"$3,923.00 ","$2,824.56 ",$420.12 ,"$3,923.00 ","$3,518.55 ","$3,000.00 ","$2,157.65 ","$1,379.27 ","$1,098.44 ","$2,051.73 ","$1,379.27 ","$2,157.65 ","$1,379.27 ","$1,941.89 ","$1,941.89 ","$1,379.27 ","$1,941.89 ","$2,842.98 ","$2,746.10 ","$2,451.88 ","$3,138.40 ","$3,518.54 ","$1,379.27 ","$2,746.10 ","$1,379.27 ","$2,353.80 ","$1,406.86 ","$2,942.25 ","$2,165.50 ","$1,953.65 ","$2,165.50 ","$1,379.27 ","$2,165.50 ","$3,177.63 ","$3,923.00 ","$3,177.63 ","$3,334.55 ","$3,518.54 ","$2,718.64 ","$1,379.27 ","$3,923.00 ","$2,200.80 ","$1,379.27 ","$1,027.83 ","$3,923.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$3,138.40 ","$1,941.89 ","$1,098.44 ","$3,530.70 ","$1,543.00 ","$1,784.00 ","$1,379.27 ","$1,883.04 "
ST. MARY'S HOSPITAL - DECATUR,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$2,604.00 ","$1,874.88 ",$445.10 ,"$3,518.55 ","$3,518.55 ","$2,604.00 ","$1,432.20 ","$1,379.27 ",$729.12 ,"$1,361.89 ","$1,379.27 ","$1,432.20 ","$1,379.27 ","$1,288.98 ","$1,288.98 ","$1,379.27 ","$1,288.98 ","$2,604.00 ","$1,822.80 ","$1,627.50 ","$2,083.20 ","$3,518.54 ","$1,379.27 ","$1,822.80 ","$1,379.27 ","$1,562.40 ","$1,406.86 ","$1,953.00 ","$1,437.41 ","$1,296.79 ","$1,437.41 ","$1,379.27 ","$1,437.41 ","$2,109.24 ","$2,604.00 ","$2,109.24 ","$2,213.40 ","$2,604.00 ","$1,804.57 ","$1,379.27 ","$2,604.00 ","$1,460.84 ","$1,379.27 ",$682.25 ,"$2,604.00 ",$466.29 ,$445.10 ,"$1,448.23 ","$2,083.20 ","$1,288.98 ",$729.12 ,"$2,343.60 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$1,249.92 "
ST. MARY'S HOSPITAL - DECATUR,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$2,085.00 ","$1,501.20 ",$357.50 ,"$2,085.00 ",$912.00 ,"$2,085.00 ","$1,146.75 ",$357.50 ,$583.80 ,"$1,090.46 ",$357.50 ,"$1,146.75 ",$357.50 ,"$1,032.08 ","$1,032.08 ",$357.50 ,"$1,032.08 ",$736.89 ,"$1,459.50 ","$1,303.13 ","$1,668.00 ",$912.00 ,$357.50 ,"$1,459.50 ",$357.50 ,"$1,251.00 ",$364.66 ,"$1,563.75 ","$1,150.92 ","$1,038.33 ","$1,150.92 ",$357.50 ,"$1,150.92 ","$1,688.85 ","$2,085.00 ","$1,688.85 ","$1,772.25 ",$912.00 ,"$1,444.91 ",$357.50 ,"$2,085.00 ","$1,169.69 ",$357.50 ,$546.27 ,"$2,085.00 ", N/A , N/A ,$375.38 ,"$1,668.00 ","$1,032.08 ",$583.80 ,"$1,876.50 ",$766.00 ,$964.00 ,$357.50 ,"$1,000.80 "
ST. MARY'S HOSPITAL - DECATUR,36000162,38999,HC HEMIC OR LYMPHATIC SYSTEM UNLISTED,360,1 ,"$4,861.00 ","$3,499.92 ",$375.05 ,"$4,861.00 ",$956.75 ,"$3,000.00 ","$2,673.55 ",$375.05 ,"$1,361.08 ","$2,542.30 ",$375.05 ,"$2,673.55 ",$375.05 ,"$2,406.20 ","$2,406.20 ",$375.05 ,"$2,406.20 ",$773.05 ,"$3,402.70 ","$3,038.13 ","$3,888.80 ",$956.74 ,$375.05 ,"$3,402.70 ",$375.05 ,"$2,916.60 ",$382.54 ,"$3,645.75 ","$2,683.27 ","$2,420.78 ","$2,683.27 ",$375.05 ,"$2,683.27 ","$3,937.41 ","$4,861.00 ","$3,937.41 ","$4,131.85 ",$956.74 ,"$3,368.67 ",$375.05 ,"$4,861.00 ","$2,727.02 ",$375.05 ,"$1,273.58 ","$4,861.00 ","$1,751.15 ","$1,671.55 ",$393.80 ,"$3,888.80 ","$2,406.20 ","$1,361.08 ","$4,374.90 ",$766.00 ,$964.00 ,$375.05 ,"$2,333.28 "
ST. MARY'S HOSPITAL - DECATUR,36000171,47490,HC CHOLECYSTOSTOMY PERC,360,1 ,"$4,459.00 ","$3,210.48 ","$1,162.75 ","$8,310.78 ","$8,310.78 ","$4,459.00 ","$2,452.45 ","$3,257.82 ","$1,248.52 ","$2,332.06 ","$3,257.82 ","$2,452.45 ","$3,257.82 ","$2,207.21 ","$2,207.21 ","$3,257.82 ","$2,207.21 ","$4,459.00 ","$3,121.30 ","$2,786.88 ","$3,567.20 ","$8,310.78 ","$3,257.82 ","$3,121.30 ","$3,257.82 ","$2,675.40 ","$3,322.98 ","$3,344.25 ","$2,461.37 ","$2,220.58 ","$2,461.37 ","$3,257.82 ","$2,461.37 ","$3,611.79 ","$4,459.00 ","$3,611.79 ","$3,790.15 ","$4,459.00 ","$3,090.09 ","$3,257.82 ","$4,459.00 ","$2,501.50 ","$3,257.82 ","$1,168.26 ","$4,459.00 ","$1,218.12 ","$1,162.75 ","$3,420.72 ","$3,567.20 ","$2,207.21 ","$1,248.52 ","$4,013.10 ","$2,747.00 ","$3,479.00 ","$3,257.82 ","$2,140.32 "
ST. MARY'S HOSPITAL - DECATUR,36000176,49418,HC INSERT INTRAPERITONEAL CATH,360,1 ,"$7,084.00 ","$5,100.48 ",$415.88 ,"$8,310.78 ","$8,310.78 ","$3,800.00 ","$3,896.20 ","$3,257.82 ","$1,983.52 ","$3,704.93 ","$3,257.82 ","$3,896.20 ","$3,257.82 ","$3,506.58 ","$3,506.58 ","$3,257.82 ","$3,506.58 ","$6,715.11 ","$3,500.00 ","$4,427.50 ","$5,667.20 ","$8,310.78 ","$3,257.82 ","$4,958.80 ","$3,257.82 ","$4,250.40 ","$3,322.98 ","$5,313.00 ","$3,910.37 ","$3,527.83 ","$3,910.37 ","$3,257.82 ","$3,910.37 ","$5,738.04 ","$7,084.00 ","$5,738.04 ","$6,021.40 ","$7,084.00 ","$4,909.21 ","$3,257.82 ","$7,084.00 ","$3,974.12 ","$3,257.82 ","$1,856.01 ","$7,084.00 ",$435.69 ,$415.88 ,"$3,420.72 ","$5,667.20 ","$3,506.58 ","$1,983.52 ","$6,375.60 ","$2,747.00 ","$3,479.00 ","$3,257.82 ","$3,400.32 "
ST. MARY'S HOSPITAL - DECATUR,36000187,54150,HC CIRCUMCISION OP,360,1 ,$361.00 ,$259.92 ,$94.58 ,"$4,352.30 ","$4,352.30 ",$361.00 ,$198.55 ,"$1,706.10 ",$101.08 ,$188.80 ,"$1,706.10 ",$198.55 ,$353.78 ,$178.70 ,$178.70 ,$353.78 ,$178.70 ,$361.00 ,$252.70 ,$225.63 ,$288.80 ,"$4,352.29 ","$1,706.10 ",$252.70 ,"$1,706.10 ",$216.60 ,$353.78 ,$270.75 ,$199.27 ,$179.78 ,$199.27 ,"$1,706.10 ",$199.27 ,$292.41 ,$361.00 ,$292.41 ,$306.85 ,$361.00 ,$250.17 ,$353.78 ,$361.00 ,$202.52 ,"$1,706.10 ",$94.58 ,$361.00 ,$361.00 ,"$1,035.29 ","$1,791.41 ",$288.80 ,$178.70 ,$101.08 ,$324.90 ,$361.00 ,$361.00 ,"$1,706.10 ",$173.28 
ST. MARY'S HOSPITAL - DECATUR,36000189,58100,HC BIOPSY OF UTERUS PERCUTANEOUS,360,1 ,$553.00 ,$398.16 ,$112.01 ,$553.00 ,$417.98 ,$553.00 ,$304.15 ,$163.85 ,$154.84 ,$289.22 ,$163.85 ,$304.15 ,$163.85 ,$273.74 ,$273.74 ,$163.85 ,$273.74 ,$337.72 ,$387.10 ,$345.63 ,$442.40 ,$417.96 ,$163.85 ,$387.10 ,$163.85 ,$331.80 ,$167.12 ,$414.75 ,$305.26 ,$275.39 ,$305.26 ,$163.85 ,$305.26 ,$447.93 ,$553.00 ,$447.93 ,$470.05 ,$417.96 ,$383.23 ,$163.85 ,$112.01 ,$310.23 ,$163.85 ,$144.89 ,$553.00 ,$129.86 ,$123.95 ,$172.04 ,$442.40 ,$273.74 ,$154.84 ,$497.70 ,$553.00 ,$553.00 ,$163.85 ,$265.44 
ST. MARY'S HOSPITAL - DECATUR,36000193,62267,HC DISC ASPIRATION,360,1 ,"$2,208.00 ","$1,589.76 ",$550.87 ,"$2,208.00 ","$1,522.75 ","$2,208.00 ","$1,214.40 ",$596.92 ,$618.24 ,"$1,154.78 ",$596.92 ,"$1,214.40 ",$596.92 ,"$1,092.96 ","$1,092.96 ",$596.92 ,"$1,092.96 ","$1,230.38 ","$1,545.60 ","$1,380.00 ","$1,766.40 ","$1,522.74 ",$596.92 ,"$1,545.60 ",$596.92 ,"$1,324.80 ",$608.85 ,"$1,656.00 ","$1,218.82 ","$1,099.58 ","$1,218.82 ",$596.92 ,"$1,218.82 ","$1,788.48 ","$2,208.00 ","$1,788.48 ","$1,876.80 ","$1,522.74 ","$1,530.14 ",$596.92 ,"$2,208.00 ","$1,238.69 ",$596.92 ,$578.50 ,"$2,208.00 ",$577.10 ,$550.87 ,$626.77 ,"$1,766.40 ","$1,092.96 ",$618.24 ,"$1,987.20 ","$1,543.00 ","$1,784.00 ",$596.92 ,"$1,059.84 "
ST. MARY'S HOSPITAL - DECATUR,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,"$1,571.00 ","$1,131.12 ",$356.84 ,"$1,571.00 ","$1,511.88 ","$1,571.00 ",$864.05 ,$592.65 ,$439.88 ,$821.63 ,$592.65 ,$864.05 ,$592.65 ,$777.65 ,$777.65 ,$592.65 ,$777.65 ,"$1,221.60 ","$1,099.70 ",$981.88 ,"$1,256.80 ","$1,511.88 ",$592.65 ,"$1,099.70 ",$592.65 ,$942.60 ,$604.51 ,"$1,178.25 ",$867.19 ,$782.36 ,$867.19 ,$592.65 ,$867.19 ,"$1,272.51 ","$1,571.00 ","$1,272.51 ","$1,335.35 ","$1,511.88 ","$1,088.70 ",$592.65 ,"$1,571.00 ",$881.33 ,$592.65 ,$411.60 ,"$1,571.00 ",$373.84 ,$356.84 ,$622.29 ,"$1,256.80 ",$777.65 ,$439.88 ,"$1,413.90 ","$1,543.00 ","$1,571.00 ",$592.65 ,$754.08 
ST. MARY'S HOSPITAL - DECATUR,36000223,36575,HC REPAIR CATH CV W/O PORT/PUMP,360,1 ,"$3,205.00 ","$2,307.60 ",$342.22 ,"$3,205.00 ","$1,357.40 ","$3,205.00 ","$1,762.75 ",$532.10 ,$897.40 ,"$1,676.22 ",$532.10 ,"$1,762.75 ",$532.10 ,"$1,586.48 ","$1,586.48 ",$532.10 ,"$1,586.48 ","$1,096.77 ","$2,243.50 ","$2,003.13 ","$2,564.00 ","$1,357.39 ",$532.10 ,"$2,243.50 ",$532.10 ,"$1,923.00 ",$542.74 ,"$2,403.75 ","$1,769.16 ","$1,596.09 ","$1,769.16 ",$532.10 ,"$1,769.16 ","$2,596.05 ","$3,205.00 ","$2,596.05 ","$2,724.25 ","$1,357.39 ","$2,221.07 ",$532.10 ,"$3,205.00 ","$1,798.01 ",$532.10 ,$839.71 ,"$3,205.00 ",$358.51 ,$342.22 ,$558.71 ,"$2,564.00 ","$1,586.48 ",$897.40 ,"$2,884.50 ","$1,543.00 ","$1,784.00 ",$532.10 ,"$1,538.40 "
ST. MARY'S HOSPITAL - DECATUR,36000308,27096,HC INJECTION SACRAL JOINT W/IMAGING GUIDANCE,360,1 ,"$1,866.00 ","$1,343.52 ",$223.57 ,"$1,866.00 ", N/A ,"$1,866.00 ","$1,026.30 ", N/A ,$522.48 ,$975.92 , N/A ,"$1,026.30 ", N/A ,$923.67 ,$923.67 , N/A ,$923.67 , N/A ,"$1,306.20 ","$1,166.25 ","$1,492.80 ", N/A , N/A ,"$1,306.20 ", N/A ,"$1,119.60 ", N/A ,"$1,399.50 ","$1,030.03 ",$929.27 ,"$1,030.03 ", N/A ,"$1,030.03 ","$1,511.46 ","$1,866.00 ","$1,511.46 ","$1,586.10 ", N/A ,"$1,293.14 ", N/A ,"$1,866.00 ","$1,046.83 ", N/A ,$488.89 ,"$1,866.00 ",$234.21 ,$223.57 , N/A ,"$1,492.80 ",$923.67 ,$522.48 ,"$1,679.40 ",$766.00 ,$964.00 , N/A ,$895.68 
ST. MARY'S HOSPITAL - DECATUR,36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$1,868.00 ","$1,344.96 ",$303.73 ,"$1,999.56 ","$1,999.55 ","$1,868.00 ","$1,027.40 ",$783.82 ,$523.04 ,$976.96 ,$783.82 ,"$1,027.40 ",$783.82 ,$924.66 ,$924.66 ,$783.82 ,$924.66 ,"$1,615.64 ","$1,307.60 ","$1,167.50 ","$1,494.40 ","$1,999.56 ",$783.82 ,"$1,307.60 ",$783.82 ,"$1,120.80 ",$799.50 ,"$1,401.00 ","$1,031.14 ",$930.26 ,"$1,031.14 ",$783.82 ,"$1,031.14 ","$1,513.08 ","$1,868.00 ","$1,513.08 ","$1,587.80 ","$1,868.00 ","$1,294.52 ",$783.82 ,"$1,868.00 ","$1,047.95 ",$783.82 ,$489.42 ,"$1,868.00 ",$318.20 ,$303.73 ,$823.01 ,"$1,494.40 ",$924.66 ,$523.04 ,"$1,681.20 ","$1,543.00 ","$1,784.00 ",$783.82 ,$896.64 
ST. MARY'S HOSPITAL - DECATUR,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,"$1,497.00 ","$1,077.84 ",$303.73 ,"$1,511.88 ","$1,511.88 ","$1,497.00 ",$823.35 ,$592.65 ,$419.16 ,$782.93 ,$592.65 ,$823.35 ,$592.65 ,$741.02 ,$741.02 ,$592.65 ,$741.02 ,"$1,221.60 ","$1,047.90 ",$935.63 ,"$1,197.60 ","$1,511.88 ",$592.65 ,"$1,047.90 ",$592.65 ,$898.20 ,$604.51 ,"$1,122.75 ",$826.34 ,$745.51 ,$826.34 ,$592.65 ,$826.34 ,"$1,212.57 ","$1,497.00 ","$1,212.57 ","$1,272.45 ","$1,497.00 ","$1,037.42 ",$592.65 ,"$1,497.00 ",$839.82 ,$592.65 ,$392.21 ,"$1,497.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,197.60 ",$741.02 ,$419.16 ,"$1,347.30 ","$1,497.00 ","$1,497.00 ",$592.65 ,$718.56 
ST. MARY'S HOSPITAL - DECATUR,36000326,64405,HC NERVE BLOCK; OCCIPITAL,360,1 ,"$4,530.00 ","$3,261.60 ",$250.09 ,"$4,530.00 ",$637.98 ,"$3,000.00 ","$2,491.50 ",$250.09 ,"$1,268.40 ","$2,369.19 ",$250.09 ,"$2,491.50 ",$250.09 ,"$2,242.35 ","$2,242.35 ",$250.09 ,"$2,242.35 ",$515.47 ,"$3,171.00 ","$2,831.25 ","$3,624.00 ",$637.96 ,$250.09 ,"$3,171.00 ",$250.09 ,"$2,718.00 ",$255.08 ,"$3,397.50 ","$2,500.56 ","$2,255.94 ","$2,500.56 ",$250.09 ,"$2,500.56 ","$3,669.30 ","$4,530.00 ","$3,669.30 ","$3,850.50 ",$637.96 ,"$3,139.29 ",$250.09 ,"$4,530.00 ","$2,541.33 ",$250.09 ,"$1,186.86 ","$4,530.00 ",$318.20 ,$303.73 ,$262.59 ,"$3,624.00 ","$2,242.35 ","$1,268.40 ","$4,077.00 ",$766.00 ,$964.00 ,$250.09 ,"$2,174.40 "
ST. MARY'S HOSPITAL - DECATUR,36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$2,479.00 ","$1,784.88 ",$550.87 ,"$2,479.00 ","$1,999.55 ","$2,479.00 ","$1,363.45 ",$783.82 ,$694.12 ,"$1,296.52 ",$783.82 ,"$1,363.45 ",$783.82 ,"$1,227.11 ","$1,227.11 ",$783.82 ,"$1,227.11 ","$1,615.64 ","$1,735.30 ","$1,549.38 ","$1,983.20 ","$1,999.56 ",$783.82 ,"$1,735.30 ",$783.82 ,"$1,487.40 ",$799.50 ,"$1,859.25 ","$1,368.41 ","$1,234.54 ","$1,368.41 ",$783.82 ,"$1,368.41 ","$2,007.99 ","$2,479.00 ","$2,007.99 ","$2,107.15 ","$1,999.56 ","$1,717.95 ",$783.82 ,"$2,479.00 ","$1,390.72 ",$783.82 ,$649.50 ,"$2,479.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,983.20 ","$1,227.11 ",$694.12 ,"$2,231.10 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,189.92 "
ST. MARY'S HOSPITAL - DECATUR,36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$7,887.00 ","$5,678.64 ","$2,066.39 ","$15,495.28 ","$15,495.28 ","$3,800.00 ","$4,337.85 ","$6,074.15 ","$2,208.36 ","$4,124.90 ","$6,074.15 ","$4,337.85 ","$6,074.15 ","$3,904.07 ","$3,904.07 ","$6,074.15 ","$3,904.07 ","$7,887.00 ","$3,500.00 ","$4,929.38 ","$6,309.60 ","$15,495.27 ","$6,074.15 ","$5,520.90 ","$6,074.15 ","$4,732.20 ","$6,195.63 ","$5,915.25 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$6,074.15 ","$4,219.00 ","$6,388.47 ","$7,887.00 ","$6,388.47 ","$6,703.95 ","$7,887.00 ","$5,180.00 ","$6,074.15 ","$7,887.00 ","$4,424.61 ","$6,074.15 ","$2,066.39 ","$7,887.00 ","$3,547.71 ","$3,386.45 ","$6,377.86 ","$6,309.60 ","$3,904.07 ","$2,208.36 ","$7,098.30 ","$2,975.00 ","$5,460.00 ","$6,074.15 ","$3,785.76 "
ST. MARY'S HOSPITAL - DECATUR,36000355,36831,HC THROMBECTOMY OPEN AV FISTULA W/O REVISION,360,1 ,"$6,456.00 ","$4,648.32 ","$1,691.47 ","$12,059.93 ","$12,059.93 ","$6,456.00 ","$3,550.80 ","$4,727.49 ","$1,807.68 ","$3,376.49 ","$4,727.49 ","$3,550.80 ","$4,727.49 ","$3,195.72 ","$3,195.72 ","$4,727.49 ","$3,195.72 ","$6,456.00 ","$3,500.00 ","$4,035.00 ","$5,164.80 ","$12,059.93 ","$4,727.49 ","$4,519.20 ","$4,727.49 ","$3,873.60 ","$4,822.04 ","$4,842.00 ","$3,563.71 ","$3,215.09 ","$3,563.71 ","$4,727.49 ","$3,563.71 ","$5,229.36 ","$6,456.00 ","$5,229.36 ","$5,487.60 ","$6,456.00 ","$4,474.01 ","$4,727.49 ","$6,456.00 ","$3,621.82 ","$4,727.49 ","$1,691.47 ","$6,456.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$5,164.80 ","$3,195.72 ","$1,807.68 ","$5,810.40 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,098.88 "
ST. MARY'S HOSPITAL - DECATUR,36000357,36833,HC AV FISTULA OPEN WITH THROMBECTOMY,360,1 ,"$13,847.00 ","$9,969.84 ","$2,749.77 ","$13,847.00 ","$12,059.93 ","$6,540.00 ","$7,615.85 ","$4,727.49 ","$3,877.16 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$8,654.38 ","$11,077.60 ","$12,059.93 ","$4,727.49 ","$9,692.90 ","$4,727.49 ","$8,308.20 ","$4,822.04 ","$10,385.25 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$8,355.00 ","$13,847.00 ","$8,355.00 ","$11,769.95 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$13,847.00 ","$7,768.17 ","$4,727.49 ","$3,627.91 ","$13,847.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$11,077.60 ","$5,850.00 ","$3,877.16 ","$12,462.30 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$6,646.56 "
ST. MARY'S HOSPITAL - DECATUR,36000371,35875,HC THROMBECTOMY ART/VEN GRAFT,360,1 ,"$13,302.00 ","$9,577.44 ","$2,749.77 ","$13,302.00 ","$12,059.93 ","$13,080.00 ","$7,316.10 ","$4,727.49 ","$3,724.56 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$8,313.75 ","$10,641.60 ","$12,059.93 ","$4,727.49 ","$9,311.40 ","$4,727.49 ","$7,981.20 ","$4,822.04 ","$9,976.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$8,355.00 ","$13,302.00 ","$8,355.00 ","$11,306.70 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$13,302.00 ","$7,462.42 ","$4,727.49 ","$3,485.12 ","$13,302.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$10,641.60 ","$5,850.00 ","$3,724.56 ","$11,971.80 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$6,384.96 "
ST. MARY'S HOSPITAL - DECATUR,36000372,35876,HC THROMBECTOMY W/REV ART/VEN GRAFT,360,1 ,"$13,302.00 ","$9,577.44 ","$2,749.77 ","$13,302.00 ","$12,059.93 ","$13,080.00 ","$7,316.10 ","$4,727.49 ","$3,724.56 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$8,313.75 ","$10,641.60 ","$12,059.93 ","$4,727.49 ","$9,311.40 ","$4,727.49 ","$7,981.20 ","$4,822.04 ","$9,976.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$8,355.00 ","$13,302.00 ","$8,355.00 ","$11,306.70 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$13,302.00 ","$7,462.42 ","$4,727.49 ","$3,485.12 ","$13,302.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$10,641.60 ","$5,850.00 ","$3,724.56 ","$11,971.80 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$6,384.96 "
ST. MARY'S HOSPITAL - DECATUR,36000388,61630,HC ANGIOPLASTY BALLOON INTRACRANIAL PERC,360,1 ,"$4,320.00 ","$3,110.40 ","$1,131.84 ","$4,320.00 ", N/A ,"$4,320.00 ","$2,376.00 ", N/A ,"$1,209.60 ","$2,259.36 ", N/A ,"$2,376.00 ", N/A ,"$2,138.40 ","$2,138.40 ", N/A ,"$2,138.40 ", N/A ,"$3,024.00 ","$2,700.00 ","$3,456.00 ", N/A , N/A ,"$3,024.00 ", N/A ,"$2,592.00 ", N/A ,"$3,240.00 ","$2,384.64 ","$2,151.36 ","$2,384.64 ", N/A ,"$2,384.64 ","$3,499.20 ","$4,320.00 ","$3,499.20 ","$3,672.00 ", N/A ,"$2,993.76 ", N/A ,"$4,320.00 ","$2,423.52 ", N/A ,"$1,131.84 ","$4,320.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$3,456.00 ","$2,138.40 ","$1,209.60 ","$3,888.00 ","$2,747.00 ","$2,178.00 ", N/A ,"$2,073.60 "
ST. MARY'S HOSPITAL - DECATUR,36000569,64486,HC TAP BLOCK W/INJ UNILT,360,1 ,"$1,675.00 ","$1,206.00 ",$303.73 ,"$1,675.00 ", N/A ,"$1,675.00 ",$921.25 , N/A ,$469.00 ,$876.03 , N/A ,$921.25 , N/A ,$829.13 ,$829.13 , N/A ,$829.13 , N/A ,"$1,172.50 ","$1,046.88 ","$1,340.00 ", N/A , N/A ,"$1,172.50 ", N/A ,"$1,005.00 ", N/A ,"$1,256.25 ",$924.60 ,$834.15 ,$924.60 , N/A ,$924.60 ,"$1,356.75 ","$1,675.00 ","$1,356.75 ","$1,423.75 ", N/A ,"$1,160.78 ", N/A ,"$1,675.00 ",$939.68 , N/A ,$438.85 ,"$1,675.00 ",$318.20 ,$303.73 , N/A ,"$1,340.00 ",$829.13 ,$469.00 ,"$1,507.50 ",$766.00 ,$964.00 , N/A ,$804.00 
ST. MARY'S HOSPITAL - DECATUR,36000583,33221,HC INSERT PACEMAKER PULSE GENERATOR MULT LEADS,360,1 ,"$10,378.00 ","$7,472.16 ","$2,719.04 ","$43,812.00 ","$43,812.00 ","$5,830.00 ","$5,707.90 ","$17,174.30 ","$2,905.84 ","$5,427.69 ","$17,174.30 ","$5,707.90 ","$10,170.44 ","$5,137.11 ","$5,137.11 ","$10,170.44 ","$5,137.11 ","$10,378.00 ","$3,500.00 ","$6,486.25 ","$8,302.40 ","$43,812.00 ","$17,174.30 ","$7,264.60 ","$17,174.30 ","$6,226.80 ","$10,170.44 ","$7,783.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$17,174.30 ","$4,219.00 ","$8,355.00 ","$10,378.00 ","$8,355.00 ","$8,821.30 ","$10,378.00 ","$5,180.00 ","$10,170.44 ","$10,378.00 ","$5,822.06 ","$17,174.30 ","$2,719.04 ","$10,378.00 ","$5,820.63 ","$5,556.05 ","$18,033.02 ","$8,302.40 ","$5,137.11 ","$2,905.84 ","$9,340.20 ","$3,372.00 ","$10,378.00 ","$17,174.30 ","$4,981.44 "
ST. MARY'S HOSPITAL - DECATUR,36000585,33220,HC REPAIR PACEMAKER DUAL LEAD,360,1 ,"$5,132.00 ","$3,695.04 ","$1,344.58 ","$7,862.63 ","$7,862.63 ","$5,132.00 ","$2,822.60 ","$3,082.15 ","$1,436.96 ","$2,684.04 ","$3,082.15 ","$2,822.60 ","$3,082.15 ","$2,540.34 ","$2,540.34 ","$3,082.15 ","$2,540.34 ","$5,132.00 ","$3,500.00 ","$3,207.50 ","$4,105.60 ","$7,862.62 ","$3,082.15 ","$3,592.40 ","$3,082.15 ","$3,079.20 ","$3,143.79 ","$3,849.00 ","$2,832.86 ","$2,555.74 ","$2,832.86 ","$3,082.15 ","$2,832.86 ","$4,156.92 ","$5,132.00 ","$4,156.92 ","$4,362.20 ","$5,132.00 ","$3,556.48 ","$3,082.15 ","$5,132.00 ","$2,879.05 ","$3,082.15 ","$1,344.58 ","$5,132.00 ","$4,212.87 ","$4,021.37 ","$3,236.25 ","$4,105.60 ","$2,540.34 ","$1,436.96 ","$4,618.80 ","$2,747.00 ","$3,479.00 ","$3,082.15 ","$2,463.36 "
ST. MARY'S HOSPITAL - DECATUR,36000586,33218,HC REPAIR PACEMAKER SINGLE LEAD,360,1 ,"$3,081.00 ","$2,218.32 ",$807.22 ,"$7,862.63 ","$7,862.63 ","$3,081.00 ","$1,694.55 ","$3,082.15 ",$862.68 ,"$1,611.36 ","$3,082.15 ","$1,694.55 ","$3,019.38 ","$1,525.10 ","$1,525.10 ","$3,019.38 ","$1,525.10 ","$3,081.00 ","$2,156.70 ","$1,925.63 ","$2,464.80 ","$7,862.62 ","$3,082.15 ","$2,156.70 ","$3,082.15 ","$1,848.60 ","$3,019.38 ","$2,310.75 ","$1,700.71 ","$1,534.34 ","$1,700.71 ","$3,082.15 ","$1,700.71 ","$2,495.61 ","$3,081.00 ","$2,495.61 ","$2,618.85 ","$3,081.00 ","$2,135.13 ","$3,019.38 ","$3,081.00 ","$1,728.44 ","$3,082.15 ",$807.22 ,"$3,081.00 ","$3,081.00 ","$4,021.37 ","$3,236.25 ","$2,464.80 ","$1,525.10 ",$862.68 ,"$2,772.90 ","$2,747.00 ","$3,081.00 ","$3,082.15 ","$1,478.88 "
ST. MARY'S HOSPITAL - DECATUR,36000589,19020,HC MASTOTOMY W/EXPL/DRAIN ABSCESS DEEP-LT,360,1 ,"$3,340.00 ","$2,404.80 ",$723.86 ,"$3,518.55 ","$3,518.55 ","$3,340.00 ","$1,837.00 ","$1,379.27 ",$935.20 ,"$1,746.82 ","$1,379.27 ","$1,837.00 ","$1,379.27 ","$1,653.30 ","$1,653.30 ","$1,379.27 ","$1,653.30 ","$2,842.98 ","$2,338.00 ","$2,087.50 ","$2,672.00 ","$3,518.54 ","$1,379.27 ","$2,338.00 ","$1,379.27 ","$2,004.00 ","$1,406.86 ","$2,505.00 ","$1,843.68 ","$1,663.32 ","$1,843.68 ","$1,379.27 ","$1,843.68 ","$2,705.40 ","$3,340.00 ","$2,705.40 ","$2,839.00 ","$3,340.00 ","$2,314.62 ","$1,379.27 ","$3,340.00 ","$1,873.74 ","$1,379.27 ",$875.08 ,"$3,340.00 ",$758.33 ,$723.86 ,"$1,448.23 ","$2,672.00 ","$1,653.30 ",$935.20 ,"$3,006.00 ","$2,286.00 ","$2,677.00 ","$1,379.27 ","$1,603.20 "
ST. MARY'S HOSPITAL - DECATUR,36000590,19020,HC MASTOTOMY W/EXPL/DRAIN ABSCESS DEEP-RT,360,1 ,"$3,340.00 ","$2,404.80 ",$723.86 ,"$3,518.55 ","$3,518.55 ","$3,340.00 ","$1,837.00 ","$1,379.27 ",$935.20 ,"$1,746.82 ","$1,379.27 ","$1,837.00 ","$1,379.27 ","$1,653.30 ","$1,653.30 ","$1,379.27 ","$1,653.30 ","$2,842.98 ","$2,338.00 ","$2,087.50 ","$2,672.00 ","$3,518.54 ","$1,379.27 ","$2,338.00 ","$1,379.27 ","$2,004.00 ","$1,406.86 ","$2,505.00 ","$1,843.68 ","$1,663.32 ","$1,843.68 ","$1,379.27 ","$1,843.68 ","$2,705.40 ","$3,340.00 ","$2,705.40 ","$2,839.00 ","$3,340.00 ","$2,314.62 ","$1,379.27 ","$3,340.00 ","$1,873.74 ","$1,379.27 ",$875.08 ,"$3,340.00 ",$758.33 ,$723.86 ,"$1,448.23 ","$2,672.00 ","$1,653.30 ",$935.20 ,"$3,006.00 ","$2,286.00 ","$2,677.00 ","$1,379.27 ","$1,603.20 "
ST. MARY'S HOSPITAL - DECATUR,36000602,34101,HC EMBOLECTOMY AXILL/BRACH/INNOMINATE/SUBCL ARTERY ARM-LT,360,1 ,"$6,393.00 ","$4,602.96 ","$1,674.97 ","$12,059.93 ","$12,059.93 ","$5,830.00 ","$3,516.15 ","$4,727.49 ","$1,790.04 ","$3,343.54 ","$4,727.49 ","$3,516.15 ","$4,727.49 ","$3,164.54 ","$3,164.54 ","$4,727.49 ","$3,164.54 ","$6,393.00 ","$3,500.00 ","$3,995.63 ","$5,114.40 ","$12,059.93 ","$4,727.49 ","$4,475.10 ","$4,727.49 ","$3,835.80 ","$4,822.04 ","$4,794.75 ","$3,528.94 ","$3,183.71 ","$3,528.94 ","$4,727.49 ","$3,528.94 ","$5,178.33 ","$6,393.00 ","$5,178.33 ","$5,434.05 ","$6,393.00 ","$4,430.35 ","$4,727.49 ","$6,393.00 ","$3,586.47 ","$4,727.49 ","$1,674.97 ","$6,393.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$5,114.40 ","$3,164.54 ","$1,790.04 ","$5,753.70 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,068.64 "
ST. MARY'S HOSPITAL - DECATUR,36000603,34101,HC EMBOLECTOMY AXILL/BRACH/INNOMINATE/SUBCL ARTERY ARM-RT,360,1 ,"$6,393.00 ","$4,602.96 ","$1,674.97 ","$12,059.93 ","$12,059.93 ","$5,830.00 ","$3,516.15 ","$4,727.49 ","$1,790.04 ","$3,343.54 ","$4,727.49 ","$3,516.15 ","$4,727.49 ","$3,164.54 ","$3,164.54 ","$4,727.49 ","$3,164.54 ","$6,393.00 ","$3,500.00 ","$3,995.63 ","$5,114.40 ","$12,059.93 ","$4,727.49 ","$4,475.10 ","$4,727.49 ","$3,835.80 ","$4,822.04 ","$4,794.75 ","$3,528.94 ","$3,183.71 ","$3,528.94 ","$4,727.49 ","$3,528.94 ","$5,178.33 ","$6,393.00 ","$5,178.33 ","$5,434.05 ","$6,393.00 ","$4,430.35 ","$4,727.49 ","$6,393.00 ","$3,586.47 ","$4,727.49 ","$1,674.97 ","$6,393.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$5,114.40 ","$3,164.54 ","$1,790.04 ","$5,753.70 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,068.64 "
ST. MARY'S HOSPITAL - DECATUR,36000604,34111,HC EMBOLECTOMY RADIAL/ULNAR ARTERY ARM-LT,360,1 ,"$6,075.00 ","$4,374.00 ","$1,591.65 ","$12,059.93 ","$12,059.93 ","$6,075.00 ","$3,341.25 ","$4,727.49 ","$1,701.00 ","$3,177.23 ","$4,727.49 ","$3,341.25 ","$4,727.49 ","$3,007.13 ","$3,007.13 ","$4,727.49 ","$3,007.13 ","$6,075.00 ","$3,500.00 ","$3,796.88 ","$4,860.00 ","$12,059.93 ","$4,727.49 ","$4,252.50 ","$4,727.49 ","$3,645.00 ","$4,822.04 ","$4,556.25 ","$3,353.40 ","$3,025.35 ","$3,353.40 ","$4,727.49 ","$3,353.40 ","$4,920.75 ","$6,075.00 ","$4,920.75 ","$5,163.75 ","$6,075.00 ","$4,209.98 ","$4,727.49 ","$6,075.00 ","$3,408.08 ","$4,727.49 ","$1,591.65 ","$6,075.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$4,860.00 ","$3,007.13 ","$1,701.00 ","$5,467.50 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$2,916.00 "
ST. MARY'S HOSPITAL - DECATUR,36000605,34111,HC EMBOLECTOMY RADIAL/ULNAR ARTERY ARM-RT,360,1 ,"$6,075.00 ","$4,374.00 ","$1,591.65 ","$12,059.93 ","$12,059.93 ","$6,075.00 ","$3,341.25 ","$4,727.49 ","$1,701.00 ","$3,177.23 ","$4,727.49 ","$3,341.25 ","$4,727.49 ","$3,007.13 ","$3,007.13 ","$4,727.49 ","$3,007.13 ","$6,075.00 ","$3,500.00 ","$3,796.88 ","$4,860.00 ","$12,059.93 ","$4,727.49 ","$4,252.50 ","$4,727.49 ","$3,645.00 ","$4,822.04 ","$4,556.25 ","$3,353.40 ","$3,025.35 ","$3,353.40 ","$4,727.49 ","$3,353.40 ","$4,920.75 ","$6,075.00 ","$4,920.75 ","$5,163.75 ","$6,075.00 ","$4,209.98 ","$4,727.49 ","$6,075.00 ","$3,408.08 ","$4,727.49 ","$1,591.65 ","$6,075.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$4,860.00 ","$3,007.13 ","$1,701.00 ","$5,467.50 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$2,916.00 "
ST. MARY'S HOSPITAL - DECATUR,36000606,34201,HC EMBOLECTOMY FEMOPOP AORTOILIAC ARTERY LEG-LT,360,1 ,"$7,981.00 ","$5,746.32 ","$2,091.02 ","$12,059.93 ","$12,059.93 ","$7,981.00 ","$4,389.55 ","$4,727.49 ","$2,234.68 ","$4,174.06 ","$4,727.49 ","$4,389.55 ","$4,727.49 ","$3,950.60 ","$3,950.60 ","$4,727.49 ","$3,950.60 ","$7,981.00 ","$3,500.00 ","$4,988.13 ","$6,384.80 ","$12,059.93 ","$4,727.49 ","$5,586.70 ","$4,727.49 ","$4,788.60 ","$4,822.04 ","$5,985.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$6,464.61 ","$7,981.00 ","$6,464.61 ","$6,783.85 ","$7,981.00 ","$5,180.00 ","$4,727.49 ","$7,981.00 ","$4,477.34 ","$4,727.49 ","$2,091.02 ","$7,981.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$6,384.80 ","$3,950.60 ","$2,234.68 ","$7,182.90 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,830.88 "
ST. MARY'S HOSPITAL - DECATUR,36000607,34201,HC EMBOLECTOMY FEMOPOP AORTOILIAC ARTERY LEG-RT,360,1 ,"$7,981.00 ","$5,746.32 ","$2,091.02 ","$12,059.93 ","$12,059.93 ","$7,981.00 ","$4,389.55 ","$4,727.49 ","$2,234.68 ","$4,174.06 ","$4,727.49 ","$4,389.55 ","$4,727.49 ","$3,950.60 ","$3,950.60 ","$4,727.49 ","$3,950.60 ","$7,981.00 ","$3,500.00 ","$4,988.13 ","$6,384.80 ","$12,059.93 ","$4,727.49 ","$5,586.70 ","$4,727.49 ","$4,788.60 ","$4,822.04 ","$5,985.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$6,464.61 ","$7,981.00 ","$6,464.61 ","$6,783.85 ","$7,981.00 ","$5,180.00 ","$4,727.49 ","$7,981.00 ","$4,477.34 ","$4,727.49 ","$2,091.02 ","$7,981.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$6,384.80 ","$3,950.60 ","$2,234.68 ","$7,182.90 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,830.88 "
ST. MARY'S HOSPITAL - DECATUR,36000609,34813,HC PLACE FEMORAL ENDOVASC GRAFT,360,1 ,"$3,199.00 ","$2,303.28 ",$838.14 ,"$3,199.00 ", N/A ,"$3,199.00 ","$1,759.45 ", N/A ,$895.72 ,"$1,673.08 ", N/A ,"$1,759.45 ", N/A ,"$1,583.51 ","$1,583.51 ", N/A ,"$1,583.51 ", N/A ,"$2,239.30 ","$1,999.38 ","$2,559.20 ", N/A , N/A ,"$2,239.30 ", N/A ,"$1,919.40 ", N/A ,"$2,399.25 ","$1,765.85 ","$1,593.10 ","$1,765.85 ", N/A ,"$1,765.85 ","$2,591.19 ","$3,199.00 ","$2,591.19 ","$2,719.15 ", N/A ,"$2,216.91 ", N/A ,"$3,199.00 ","$1,794.64 ", N/A ,$838.14 ,"$3,199.00 ", N/A , N/A , N/A ,"$2,559.20 ","$1,583.51 ",$895.72 ,"$2,879.10 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,535.52 "
ST. MARY'S HOSPITAL - DECATUR,36000610,34834,HC EXPOSE BRACHIAL ARTERY ENDOVASC PROSTHESIS,360,1 ,"$7,075.00 ","$5,094.00 ","$1,853.65 ","$7,075.00 ", N/A ,"$7,075.00 ","$3,891.25 ", N/A ,"$1,981.00 ","$3,700.23 ", N/A ,"$3,891.25 ", N/A ,"$3,502.13 ","$3,502.13 ", N/A ,"$3,502.13 ", N/A ,"$3,500.00 ","$4,421.88 ","$5,660.00 ", N/A , N/A ,"$4,952.50 ", N/A ,"$4,245.00 ", N/A ,"$5,306.25 ","$3,905.40 ","$3,523.35 ","$3,905.40 ", N/A ,"$3,905.40 ","$5,730.75 ","$7,075.00 ","$5,730.75 ","$6,013.75 ", N/A ,"$4,902.98 ", N/A ,"$7,075.00 ","$3,969.08 ", N/A ,"$1,853.65 ","$7,075.00 ", N/A , N/A , N/A ,"$5,660.00 ","$3,502.13 ","$1,981.00 ","$6,367.50 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,396.00 "
ST. MARY'S HOSPITAL - DECATUR,36000616,34846,HC RPR ENDOVASC VISCERAL /INFRARENAL AORTA 2ND GRAFT,360,1 ,"$19,471.00 ","$14,019.12 ","$2,178.00 ","$19,471.00 ", N/A ,"$8,175.00 ","$10,709.05 ", N/A ,"$5,451.88 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,169.38 ","$15,576.80 ", N/A , N/A ,"$13,629.70 ", N/A ,"$11,682.60 ", N/A ,"$14,603.25 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$8,355.00 ","$19,471.00 ","$8,355.00 ","$16,550.35 ", N/A ,"$5,180.00 ", N/A ,"$19,471.00 ","$10,923.23 ", N/A ,"$5,101.40 ","$19,471.00 ", N/A , N/A , N/A ,"$15,576.80 ","$5,850.00 ","$5,451.88 ","$17,523.90 ","$2,747.00 ","$2,178.00 ", N/A ,"$9,346.08 "
ST. MARY'S HOSPITAL - DECATUR,36000621,35131,HC REPAIR DEFECTIVE ILIAC ARTERY,360,1 ,"$1,910.00 ","$1,375.20 ",$500.42 ,"$1,910.00 ", N/A ,"$1,910.00 ","$1,050.50 ", N/A ,$534.80 ,$998.93 , N/A ,"$1,050.50 ", N/A ,$945.45 ,$945.45 , N/A ,$945.45 , N/A ,"$1,337.00 ","$1,193.75 ","$1,528.00 ", N/A , N/A ,"$1,337.00 ", N/A ,"$1,146.00 ", N/A ,"$1,432.50 ","$1,054.32 ",$951.18 ,"$1,054.32 ", N/A ,"$1,054.32 ","$1,547.10 ","$1,910.00 ","$1,547.10 ","$1,623.50 ", N/A ,"$1,323.63 ", N/A ,"$1,910.00 ","$1,071.51 ", N/A ,$500.42 ,"$1,910.00 ", N/A , N/A , N/A ,"$1,528.00 ",$945.45 ,$534.80 ,"$1,719.00 ","$1,910.00 ","$1,910.00 ", N/A ,$916.80 
ST. MARY'S HOSPITAL - DECATUR,36000622,35190,HC REPAIR BLOOD VESSEL LESION,360,1 ,"$6,635.00 ","$4,777.20 ","$1,665.94 ","$12,059.93 ","$12,059.93 ","$6,635.00 ","$3,649.25 ","$4,727.49 ","$1,857.80 ","$3,470.11 ","$4,727.49 ","$3,649.25 ","$4,727.49 ","$3,284.33 ","$3,284.33 ","$4,727.49 ","$3,284.33 ","$6,635.00 ","$3,500.00 ","$4,146.88 ","$5,308.00 ","$12,059.93 ","$4,727.49 ","$4,644.50 ","$4,727.49 ","$3,981.00 ","$4,822.04 ","$4,976.25 ","$3,662.52 ","$3,304.23 ","$3,662.52 ","$4,727.49 ","$3,662.52 ","$5,374.35 ","$6,635.00 ","$5,374.35 ","$5,639.75 ","$6,635.00 ","$4,598.06 ","$4,727.49 ","$6,635.00 ","$3,722.24 ","$4,727.49 ","$1,738.37 ","$6,635.00 ","$1,745.27 ","$1,665.94 ","$4,963.87 ","$5,308.00 ","$3,284.33 ","$1,857.80 ","$5,971.50 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$3,184.80 "
ST. MARY'S HOSPITAL - DECATUR,36000623,35266,HC RPR BLOOD VESSEL W/GRAFT NON-VEIN UPPR EXTREMITY,360,1 ,"$11,046.00 ","$7,953.12 ","$1,665.94 ","$12,059.93 ","$12,059.93 ","$8,720.00 ","$6,075.30 ","$4,727.49 ","$3,092.88 ","$5,777.06 ","$4,727.49 ","$6,075.30 ","$4,727.49 ","$5,467.77 ","$5,467.77 ","$4,727.49 ","$5,467.77 ","$9,744.43 ","$3,500.00 ","$6,903.75 ","$8,836.80 ","$12,059.93 ","$4,727.49 ","$7,732.20 ","$4,727.49 ","$6,627.60 ","$4,822.04 ","$8,284.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,727.49 ","$4,219.00 ","$8,355.00 ","$11,046.00 ","$8,355.00 ","$9,389.10 ","$11,046.00 ","$5,180.00 ","$4,727.49 ","$11,046.00 ","$6,196.81 ","$4,727.49 ","$2,894.05 ","$11,046.00 ","$1,745.27 ","$1,665.94 ","$4,963.87 ","$8,836.80 ","$5,467.77 ","$3,092.88 ","$9,941.40 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$5,302.08 "
ST. MARY'S HOSPITAL - DECATUR,36000624,35301,HC THROMB/ARTERECT W/GRAFT CAROTID/VERTB/SUBCLAV,360,1 ,"$9,425.00 ","$6,786.00 ","$2,178.00 ","$9,425.00 ", N/A ,"$8,175.00 ","$5,183.75 ", N/A ,"$2,639.00 ","$4,929.28 ", N/A ,"$5,183.75 ", N/A ,"$4,665.38 ","$4,665.38 ", N/A ,"$4,665.38 ", N/A ,"$3,500.00 ","$5,890.63 ","$7,540.00 ", N/A , N/A ,"$6,597.50 ", N/A ,"$5,655.00 ", N/A ,"$7,068.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$7,634.25 ","$9,425.00 ","$7,634.25 ","$8,011.25 ", N/A ,"$5,180.00 ", N/A ,"$9,425.00 ","$5,287.43 ", N/A ,"$2,469.35 ","$9,425.00 ","$2,880.71 ","$2,749.77 ", N/A ,"$7,540.00 ","$4,665.38 ","$2,639.00 ","$8,482.50 ","$2,747.00 ","$2,178.00 ", N/A ,"$4,524.00 "
ST. MARY'S HOSPITAL - DECATUR,36000625,35302,HC THROMB/ARTERECT W/GRAFT FEMORAL ARTERY,360,1 ,$537.00 ,$386.64 ,$140.69 ,$537.00 , N/A ,$537.00 ,$295.35 , N/A ,$150.36 ,$280.85 , N/A ,$295.35 , N/A ,$265.82 ,$265.82 , N/A ,$265.82 , N/A ,$375.90 ,$335.63 ,$429.60 , N/A , N/A ,$375.90 , N/A ,$322.20 , N/A ,$402.75 ,$296.42 ,$267.43 ,$296.42 , N/A ,$296.42 ,$434.97 ,$537.00 ,$434.97 ,$456.45 , N/A ,$372.14 , N/A ,$537.00 ,$301.26 , N/A ,$140.69 ,$537.00 , N/A , N/A , N/A ,$429.60 ,$265.82 ,$150.36 ,$483.30 ,$537.00 ,$537.00 , N/A ,$257.76 
ST. MARY'S HOSPITAL - DECATUR,36000626,35303,HC THROMB/ARTERECT W/GRAFT POPLITEAL ARTERY,360,1 ,"$6,166.00 ","$4,439.52 ","$1,615.49 ","$6,166.00 ", N/A ,"$6,166.00 ","$3,391.30 ", N/A ,"$1,726.48 ","$3,224.82 ", N/A ,"$3,391.30 ", N/A ,"$3,052.17 ","$3,052.17 ", N/A ,"$3,052.17 ", N/A ,"$3,500.00 ","$3,853.75 ","$4,932.80 ", N/A , N/A ,"$4,316.20 ", N/A ,"$3,699.60 ", N/A ,"$4,624.50 ","$3,403.63 ","$3,070.67 ","$3,403.63 ", N/A ,"$3,403.63 ","$4,994.46 ","$6,166.00 ","$4,994.46 ","$5,241.10 ", N/A ,"$4,273.04 ", N/A ,"$6,166.00 ","$3,459.13 ", N/A ,"$1,615.49 ","$6,166.00 ","$2,254.60 ","$2,152.12 ", N/A ,"$4,932.80 ","$3,052.17 ","$1,726.48 ","$5,549.40 ","$2,747.00 ","$2,178.00 ", N/A ,"$2,959.68 "
ST. MARY'S HOSPITAL - DECATUR,36000627,35355,HC THROMB/ARTERECT W/GRAFT ILIOFEMORAL-LT,360,1 ,"$6,282.00 ","$4,523.04 ","$1,645.88 ","$6,282.00 ", N/A ,"$6,282.00 ","$3,455.10 ", N/A ,"$1,758.96 ","$3,285.49 ", N/A ,"$3,455.10 ", N/A ,"$3,109.59 ","$3,109.59 ", N/A ,"$3,109.59 ", N/A ,"$3,500.00 ","$3,926.25 ","$5,025.60 ", N/A , N/A ,"$4,397.40 ", N/A ,"$3,769.20 ", N/A ,"$4,711.50 ","$3,467.66 ","$3,128.44 ","$3,467.66 ", N/A ,"$3,467.66 ","$5,088.42 ","$6,282.00 ","$5,088.42 ","$5,339.70 ", N/A ,"$4,353.43 ", N/A ,"$6,282.00 ","$3,524.20 ", N/A ,"$1,645.88 ","$6,282.00 ", N/A , N/A , N/A ,"$5,025.60 ","$3,109.59 ","$1,758.96 ","$5,653.80 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,015.36 "
ST. MARY'S HOSPITAL - DECATUR,36000628,35355,HC THROMB/ARTERECT W/GRAFT ILIOFEMORAL-RT,360,1 ,"$6,282.00 ","$4,523.04 ","$1,645.88 ","$6,282.00 ", N/A ,"$6,282.00 ","$3,455.10 ", N/A ,"$1,758.96 ","$3,285.49 ", N/A ,"$3,455.10 ", N/A ,"$3,109.59 ","$3,109.59 ", N/A ,"$3,109.59 ", N/A ,"$3,500.00 ","$3,926.25 ","$5,025.60 ", N/A , N/A ,"$4,397.40 ", N/A ,"$3,769.20 ", N/A ,"$4,711.50 ","$3,467.66 ","$3,128.44 ","$3,467.66 ", N/A ,"$3,467.66 ","$5,088.42 ","$6,282.00 ","$5,088.42 ","$5,339.70 ", N/A ,"$4,353.43 ", N/A ,"$6,282.00 ","$3,524.20 ", N/A ,"$1,645.88 ","$6,282.00 ", N/A , N/A , N/A ,"$5,025.60 ","$3,109.59 ","$1,758.96 ","$5,653.80 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,015.36 "
ST. MARY'S HOSPITAL - DECATUR,36000629,35371,HC THROMB/ARTERECT W/GRAFT COMMON FEMORAL-LT,360,1 ,"$6,564.00 ","$4,726.08 ","$1,719.77 ","$6,564.00 ", N/A ,"$6,564.00 ","$3,610.20 ", N/A ,"$1,837.92 ","$3,432.97 ", N/A ,"$3,610.20 ", N/A ,"$3,249.18 ","$3,249.18 ", N/A ,"$3,249.18 ", N/A ,"$3,500.00 ","$4,102.50 ","$5,251.20 ", N/A , N/A ,"$4,594.80 ", N/A ,"$3,938.40 ", N/A ,"$4,923.00 ","$3,623.33 ","$3,268.87 ","$3,623.33 ", N/A ,"$3,623.33 ","$5,316.84 ","$6,564.00 ","$5,316.84 ","$5,579.40 ", N/A ,"$4,548.85 ", N/A ,"$6,564.00 ","$3,682.40 ", N/A ,"$1,719.77 ","$6,564.00 ","$2,880.71 ","$2,749.77 ", N/A ,"$5,251.20 ","$3,249.18 ","$1,837.92 ","$5,907.60 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,150.72 "
ST. MARY'S HOSPITAL - DECATUR,36000630,35371,HC THROMB/ARTERECT W/GRAFT COMMON FEMORAL-RT,360,1 ,"$6,564.00 ","$4,726.08 ","$1,719.77 ","$6,564.00 ", N/A ,"$6,564.00 ","$3,610.20 ", N/A ,"$1,837.92 ","$3,432.97 ", N/A ,"$3,610.20 ", N/A ,"$3,249.18 ","$3,249.18 ", N/A ,"$3,249.18 ", N/A ,"$3,500.00 ","$4,102.50 ","$5,251.20 ", N/A , N/A ,"$4,594.80 ", N/A ,"$3,938.40 ", N/A ,"$4,923.00 ","$3,623.33 ","$3,268.87 ","$3,623.33 ", N/A ,"$3,623.33 ","$5,316.84 ","$6,564.00 ","$5,316.84 ","$5,579.40 ", N/A ,"$4,548.85 ", N/A ,"$6,564.00 ","$3,682.40 ", N/A ,"$1,719.77 ","$6,564.00 ","$2,880.71 ","$2,749.77 ", N/A ,"$5,251.20 ","$3,249.18 ","$1,837.92 ","$5,907.60 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,150.72 "
ST. MARY'S HOSPITAL - DECATUR,36000631,35371,HC THROMB/ARTERECT W/GRAFT COMMON FEMORAL-BIL,360,1 ,"$6,564.00 ","$4,726.08 ","$1,719.77 ","$6,564.00 ", N/A ,"$6,564.00 ","$3,610.20 ", N/A ,"$1,837.92 ","$3,432.97 ", N/A ,"$3,610.20 ", N/A ,"$3,249.18 ","$3,249.18 ", N/A ,"$3,249.18 ", N/A ,"$3,500.00 ","$4,102.50 ","$5,251.20 ", N/A , N/A ,"$4,594.80 ", N/A ,"$3,938.40 ", N/A ,"$4,923.00 ","$3,623.33 ","$3,268.87 ","$3,623.33 ", N/A ,"$3,623.33 ","$5,316.84 ","$6,564.00 ","$5,316.84 ","$5,579.40 ", N/A ,"$4,548.85 ", N/A ,"$6,564.00 ","$3,682.40 ", N/A ,"$1,719.77 ","$6,564.00 ","$4,321.06 ","$4,124.65 ", N/A ,"$5,251.20 ","$3,249.18 ","$1,837.92 ","$5,907.60 ","$4,120.50 ","$3,267.00 ", N/A ,"$3,150.72 "
ST. MARY'S HOSPITAL - DECATUR,36000632,35372,HC THROMB/ARTERECT W/GRAFT DEEP FEMORAL-LT,360,1 ,$818.00 ,$588.96 ,$214.32 ,$818.00 , N/A ,$818.00 ,$449.90 , N/A ,$229.04 ,$427.81 , N/A ,$449.90 , N/A ,$404.91 ,$404.91 , N/A ,$404.91 , N/A ,$572.60 ,$511.25 ,$654.40 , N/A , N/A ,$572.60 , N/A ,$490.80 , N/A ,$613.50 ,$451.54 ,$407.36 ,$451.54 , N/A ,$451.54 ,$662.58 ,$818.00 ,$662.58 ,$695.30 , N/A ,$566.87 , N/A ,$818.00 ,$458.90 , N/A ,$214.32 ,$818.00 , N/A , N/A , N/A ,$654.40 ,$404.91 ,$229.04 ,$736.20 ,$818.00 ,$818.00 , N/A ,$392.64 
ST. MARY'S HOSPITAL - DECATUR,36000633,35372,HC THROMB/ARTERECT W/GRAFT DEEP FEMORAL-RT,360,1 ,$818.00 ,$588.96 ,$214.32 ,$818.00 , N/A ,$818.00 ,$449.90 , N/A ,$229.04 ,$427.81 , N/A ,$449.90 , N/A ,$404.91 ,$404.91 , N/A ,$404.91 , N/A ,$572.60 ,$511.25 ,$654.40 , N/A , N/A ,$572.60 , N/A ,$490.80 , N/A ,$613.50 ,$451.54 ,$407.36 ,$451.54 , N/A ,$451.54 ,$662.58 ,$818.00 ,$662.58 ,$695.30 , N/A ,$566.87 , N/A ,$818.00 ,$458.90 , N/A ,$214.32 ,$818.00 , N/A , N/A , N/A ,$654.40 ,$404.91 ,$229.04 ,$736.20 ,$818.00 ,$818.00 , N/A ,$392.64 
ST. MARY'S HOSPITAL - DECATUR,36000635,35656,HC ARTERY BYPASS GRAFT FEMORAL-POPLITEAL,360,1 ,"$1,362.00 ",$980.64 ,$356.84 ,"$1,362.00 ", N/A ,"$1,362.00 ",$749.10 , N/A ,$381.36 ,$712.33 , N/A ,$749.10 , N/A ,$674.19 ,$674.19 , N/A ,$674.19 , N/A ,$953.40 ,$851.25 ,"$1,089.60 ", N/A , N/A ,$953.40 , N/A ,$817.20 , N/A ,"$1,021.50 ",$751.82 ,$678.28 ,$751.82 , N/A ,$751.82 ,"$1,103.22 ","$1,362.00 ","$1,103.22 ","$1,157.70 ", N/A ,$943.87 , N/A ,"$1,362.00 ",$764.08 , N/A ,$356.84 ,"$1,362.00 ", N/A , N/A , N/A ,"$1,089.60 ",$674.19 ,$381.36 ,"$1,225.80 ","$1,362.00 ","$1,362.00 ", N/A ,$653.76 
ST. MARY'S HOSPITAL - DECATUR,36000636,35661,HC ARTERY BYPASS GRAFT FEMORAL-FEMORAL,360,1 ,$943.00 ,$678.96 ,$247.07 ,$943.00 , N/A ,$943.00 ,$518.65 , N/A ,$264.04 ,$493.19 , N/A ,$518.65 , N/A ,$466.79 ,$466.79 , N/A ,$466.79 , N/A ,$660.10 ,$589.38 ,$754.40 , N/A , N/A ,$660.10 , N/A ,$565.80 , N/A ,$707.25 ,$520.54 ,$469.61 ,$520.54 , N/A ,$520.54 ,$763.83 ,$943.00 ,$763.83 ,$801.55 , N/A ,$653.50 , N/A ,$943.00 ,$529.02 , N/A ,$247.07 ,$943.00 , N/A , N/A , N/A ,$754.40 ,$466.79 ,$264.04 ,$848.70 ,$943.00 ,$943.00 , N/A ,$452.64 
ST. MARY'S HOSPITAL - DECATUR,36000637,35665,HC ARTERY BYPASS GRAFT ILIOFEMORAL-LT,360,1 ,"$3,346.00 ","$2,409.12 ",$876.65 ,"$3,346.00 ", N/A ,"$3,346.00 ","$1,840.30 ", N/A ,$936.88 ,"$1,749.96 ", N/A ,"$1,840.30 ", N/A ,"$1,656.27 ","$1,656.27 ", N/A ,"$1,656.27 ", N/A ,"$2,342.20 ","$2,091.25 ","$2,676.80 ", N/A , N/A ,"$2,342.20 ", N/A ,"$2,007.60 ", N/A ,"$2,509.50 ","$1,846.99 ","$1,666.31 ","$1,846.99 ", N/A ,"$1,846.99 ","$2,710.26 ","$3,346.00 ","$2,710.26 ","$2,844.10 ", N/A ,"$2,318.78 ", N/A ,"$3,346.00 ","$1,877.11 ", N/A ,$876.65 ,"$3,346.00 ", N/A , N/A , N/A ,"$2,676.80 ","$1,656.27 ",$936.88 ,"$3,011.40 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,606.08 "
ST. MARY'S HOSPITAL - DECATUR,36000638,35665,HC ARTERY BYPASS GRAFT ILIOFEMORAL-RT,360,1 ,"$3,346.00 ","$2,409.12 ",$876.65 ,"$3,346.00 ", N/A ,"$3,346.00 ","$1,840.30 ", N/A ,$936.88 ,"$1,749.96 ", N/A ,"$1,840.30 ", N/A ,"$1,656.27 ","$1,656.27 ", N/A ,"$1,656.27 ", N/A ,"$2,342.20 ","$2,091.25 ","$2,676.80 ", N/A , N/A ,"$2,342.20 ", N/A ,"$2,007.60 ", N/A ,"$2,509.50 ","$1,846.99 ","$1,666.31 ","$1,846.99 ", N/A ,"$1,846.99 ","$2,710.26 ","$3,346.00 ","$2,710.26 ","$2,844.10 ", N/A ,"$2,318.78 ", N/A ,"$3,346.00 ","$1,877.11 ", N/A ,$876.65 ,"$3,346.00 ", N/A , N/A , N/A ,"$2,676.80 ","$1,656.27 ",$936.88 ,"$3,011.40 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,606.08 "
ST. MARY'S HOSPITAL - DECATUR,36000640,35666,HC ARTERY BYPASS GRAFT TIBIAL,360,1 ,"$3,346.00 ","$2,409.12 ",$876.65 ,"$3,346.00 ", N/A ,"$3,346.00 ","$1,840.30 ", N/A ,$936.88 ,"$1,749.96 ", N/A ,"$1,840.30 ", N/A ,"$1,656.27 ","$1,656.27 ", N/A ,"$1,656.27 ", N/A ,"$2,342.20 ","$2,091.25 ","$2,676.80 ", N/A , N/A ,"$2,342.20 ", N/A ,"$2,007.60 ", N/A ,"$2,509.50 ","$1,846.99 ","$1,666.31 ","$1,846.99 ", N/A ,"$1,846.99 ","$2,710.26 ","$3,346.00 ","$2,710.26 ","$2,844.10 ", N/A ,"$2,318.78 ", N/A ,"$3,346.00 ","$1,877.11 ", N/A ,$876.65 ,"$3,346.00 ", N/A , N/A , N/A ,"$2,676.80 ","$1,656.27 ",$936.88 ,"$3,011.40 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,606.08 "
ST. MARY'S HOSPITAL - DECATUR,36000642,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-LT,360,1 ,"$1,976.00 ","$1,422.72 ",$517.71 ,"$1,976.00 ","$1,357.40 ","$1,976.00 ","$1,086.80 ",$532.10 ,$553.28 ,"$1,033.45 ",$532.10 ,"$1,086.80 ",$532.10 ,$978.12 ,$978.12 ,$532.10 ,$978.12 ,"$1,096.77 ","$1,383.20 ","$1,235.00 ","$1,580.80 ","$1,357.39 ",$532.10 ,"$1,383.20 ",$532.10 ,"$1,185.60 ",$542.74 ,"$1,482.00 ","$1,090.75 ",$984.05 ,"$1,090.75 ",$532.10 ,"$1,090.75 ","$1,600.56 ","$1,976.00 ","$1,600.56 ","$1,679.60 ","$1,357.39 ","$1,369.37 ",$532.10 ,"$1,976.00 ","$1,108.54 ",$532.10 ,$517.71 ,"$1,976.00 ", N/A , N/A ,$558.71 ,"$1,580.80 ",$978.12 ,$553.28 ,"$1,778.40 ","$1,543.00 ","$1,784.00 ",$532.10 ,$948.48 
ST. MARY'S HOSPITAL - DECATUR,36000643,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-RT,360,1 ,"$1,976.00 ","$1,422.72 ",$517.71 ,"$1,976.00 ","$1,357.40 ","$1,976.00 ","$1,086.80 ",$532.10 ,$553.28 ,"$1,033.45 ",$532.10 ,"$1,086.80 ",$532.10 ,$978.12 ,$978.12 ,$532.10 ,$978.12 ,"$1,096.77 ","$1,383.20 ","$1,235.00 ","$1,580.80 ","$1,357.39 ",$532.10 ,"$1,383.20 ",$532.10 ,"$1,185.60 ",$542.74 ,"$1,482.00 ","$1,090.75 ",$984.05 ,"$1,090.75 ",$532.10 ,"$1,090.75 ","$1,600.56 ","$1,976.00 ","$1,600.56 ","$1,679.60 ","$1,357.39 ","$1,369.37 ",$532.10 ,"$1,976.00 ","$1,108.54 ",$532.10 ,$517.71 ,"$1,976.00 ", N/A , N/A ,$558.71 ,"$1,580.80 ",$978.12 ,$553.28 ,"$1,778.40 ","$1,543.00 ","$1,784.00 ",$532.10 ,$948.48 
ST. MARY'S HOSPITAL - DECATUR,36000674,64600,HC DESTROY NERVE TRIGEMINAL 1ST BRANCH,360,1 ,"$7,920.00 ","$5,702.40 ",$738.99 ,"$7,920.00 ","$1,999.55 ","$3,000.00 ","$4,356.00 ",$783.82 ,"$2,217.60 ","$4,142.16 ",$783.82 ,"$4,356.00 ",$783.82 ,"$3,920.40 ","$3,920.40 ",$783.82 ,"$3,920.40 ","$1,615.64 ","$3,500.00 ","$4,950.00 ","$6,336.00 ","$1,999.56 ",$783.82 ,"$5,544.00 ",$783.82 ,"$4,752.00 ",$799.50 ,"$5,940.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ",$783.82 ,"$4,219.00 ","$6,415.20 ","$7,920.00 ","$6,415.20 ","$6,732.00 ","$1,999.56 ","$5,180.00 ",$783.82 ,"$7,920.00 ","$4,443.12 ",$783.82 ,"$2,075.04 ","$7,920.00 ",$774.18 ,$738.99 ,$823.01 ,"$6,336.00 ","$3,920.40 ","$2,217.60 ","$7,128.00 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$3,801.60 "
ST. MARY'S HOSPITAL - DECATUR,36000692,34703,HC ENDOVASC RPR AORTA-UNILAC GRAFT OTHER THAN RUPTURE,360,1 ,"$28,918.00 ","$20,820.96 ","$2,178.00 ","$28,918.00 ", N/A ,"$8,720.00 ","$15,904.90 ", N/A ,"$8,097.04 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$18,073.75 ","$23,134.40 ", N/A , N/A ,"$20,242.60 ", N/A ,"$17,350.80 ", N/A ,"$21,688.50 ","$5,652.24 ","$6,253.83 ","$5,652.24 ", N/A ,"$5,652.24 ","$8,355.00 ","$28,918.00 ","$8,355.00 ","$24,580.30 ", N/A ,"$5,180.00 ", N/A ,"$28,918.00 ","$16,223.00 ", N/A ,"$7,576.52 ","$28,918.00 ", N/A , N/A , N/A ,"$23,134.40 ","$5,850.00 ","$8,097.04 ","$26,026.20 ","$2,747.00 ","$2,178.00 ", N/A ,"$13,880.64 "
ST. MARY'S HOSPITAL - DECATUR,36000694,34705,HC ENDOVASC RPR AORTA-BILIAC GRAFT OTHER THAN RUPTURE,360,1 ,"$14,078.00 ","$10,136.16 ","$2,178.00 ","$14,078.00 ", N/A ,"$8,720.00 ","$7,742.90 ", N/A ,"$3,941.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$8,798.75 ","$11,262.40 ", N/A , N/A ,"$9,854.60 ", N/A ,"$8,446.80 ", N/A ,"$10,558.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$8,355.00 ","$14,078.00 ","$8,355.00 ","$11,966.30 ", N/A ,"$5,180.00 ", N/A ,"$14,078.00 ","$7,897.76 ", N/A ,"$3,688.44 ","$14,078.00 ", N/A , N/A , N/A ,"$11,262.40 ","$5,850.00 ","$3,941.84 ","$12,670.20 ","$2,747.00 ","$2,178.00 ", N/A ,"$6,757.44 "
ST. MARY'S HOSPITAL - DECATUR,36000695,34706,HC ENDOVASC RPR AORTA-BILIAC GRAFT W/RUPTURE,360,1 ,"$14,078.00 ","$10,136.16 ","$2,178.00 ","$14,078.00 ", N/A ,"$8,720.00 ","$7,742.90 ", N/A ,"$3,941.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$8,798.75 ","$11,262.40 ", N/A , N/A ,"$9,854.60 ", N/A ,"$8,446.80 ", N/A ,"$10,558.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$8,355.00 ","$14,078.00 ","$8,355.00 ","$11,966.30 ", N/A ,"$5,180.00 ", N/A ,"$14,078.00 ","$7,897.76 ", N/A ,"$3,688.44 ","$14,078.00 ", N/A , N/A , N/A ,"$11,262.40 ","$5,850.00 ","$3,941.84 ","$12,670.20 ","$2,747.00 ","$2,178.00 ", N/A ,"$6,757.44 "
ST. MARY'S HOSPITAL - DECATUR,36000696,34709,HC PLACE PROSTH ILIAC ARTERY PER VESSEL,360,1 ,$938.00 ,$675.36 ,$245.76 ,$938.00 , N/A ,$938.00 ,$515.90 , N/A ,$262.64 ,$490.57 , N/A ,$515.90 , N/A ,$464.31 ,$464.31 , N/A ,$464.31 , N/A ,$656.60 ,$586.25 ,$750.40 , N/A , N/A ,$656.60 , N/A ,$562.80 , N/A ,$703.50 ,$517.78 ,$467.12 ,$517.78 , N/A ,$517.78 ,$759.78 ,$938.00 ,$759.78 ,$797.30 , N/A ,$650.03 , N/A ,$938.00 ,$526.22 , N/A ,$245.76 ,$938.00 , N/A , N/A , N/A ,$750.40 ,$464.31 ,$262.64 ,$844.20 ,$938.00 ,$938.00 , N/A ,$450.24 
ST. MARY'S HOSPITAL - DECATUR,36000697,34710,HC PLACE PROSTH REPAIR ABDOM ARTERY INIT VESSEL,360,1 ,$938.00 ,$675.36 ,$245.76 ,$938.00 , N/A ,$938.00 ,$515.90 , N/A ,$262.64 ,$490.57 , N/A ,$515.90 , N/A ,$464.31 ,$464.31 , N/A ,$464.31 , N/A ,$656.60 ,$586.25 ,$750.40 , N/A , N/A ,$656.60 , N/A ,$562.80 , N/A ,$703.50 ,$517.78 ,$467.12 ,$517.78 , N/A ,$517.78 ,$759.78 ,$938.00 ,$759.78 ,$797.30 , N/A ,$650.03 , N/A ,$938.00 ,$526.22 , N/A ,$245.76 ,$938.00 , N/A , N/A , N/A ,$750.40 ,$464.31 ,$262.64 ,$844.20 ,$938.00 ,$938.00 , N/A ,$450.24 
ST. MARY'S HOSPITAL - DECATUR,36000699,34707,HC ENDOVASC RPR ILIAC ARTERY OTHER THAN RUPTURE,360,1 ,"$8,540.00 ","$6,148.80 ","$2,178.00 ","$8,540.00 ", N/A ,"$8,540.00 ","$4,697.00 ", N/A ,"$2,391.20 ","$4,466.42 ", N/A ,"$4,697.00 ", N/A ,"$4,227.30 ","$4,227.30 ", N/A ,"$4,227.30 ", N/A ,"$3,500.00 ","$5,337.50 ","$6,832.00 ", N/A , N/A ,"$5,978.00 ", N/A ,"$5,124.00 ", N/A ,"$6,405.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$6,917.40 ","$8,540.00 ","$6,917.40 ","$7,259.00 ", N/A ,"$5,180.00 ", N/A ,"$8,540.00 ","$4,790.94 ", N/A ,"$2,237.48 ","$8,540.00 ", N/A , N/A , N/A ,"$6,832.00 ","$4,227.30 ","$2,391.20 ","$7,686.00 ","$2,747.00 ","$2,178.00 ", N/A ,"$4,099.20 "
ST. MARY'S HOSPITAL - DECATUR,36000707,35351,HC RECHANNEL ARTERY ILIAC W/GRAFT-LT,360,1 ,"$6,321.00 ","$4,551.12 ","$1,656.10 ","$6,321.00 ", N/A ,"$6,321.00 ","$3,476.55 ", N/A ,"$1,769.88 ","$3,305.88 ", N/A ,"$3,476.55 ", N/A ,"$3,128.90 ","$3,128.90 ", N/A ,"$3,128.90 ", N/A ,"$3,500.00 ","$3,950.63 ","$5,056.80 ", N/A , N/A ,"$4,424.70 ", N/A ,"$3,792.60 ", N/A ,"$4,740.75 ","$3,489.19 ","$3,147.86 ","$3,489.19 ", N/A ,"$3,489.19 ","$5,120.01 ","$6,321.00 ","$5,120.01 ","$5,372.85 ", N/A ,"$4,380.45 ", N/A ,"$6,321.00 ","$3,546.08 ", N/A ,"$1,656.10 ","$6,321.00 ", N/A , N/A , N/A ,"$5,056.80 ","$3,128.90 ","$1,769.88 ","$5,688.90 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,034.08 "
ST. MARY'S HOSPITAL - DECATUR,36000708,35351,HC RECHANNEL ARTERY ILIAC W/GRAFT-RT,360,1 ,"$6,321.00 ","$4,551.12 ","$1,656.10 ","$6,321.00 ", N/A ,"$6,321.00 ","$3,476.55 ", N/A ,"$1,769.88 ","$3,305.88 ", N/A ,"$3,476.55 ", N/A ,"$3,128.90 ","$3,128.90 ", N/A ,"$3,128.90 ", N/A ,"$3,500.00 ","$3,950.63 ","$5,056.80 ", N/A , N/A ,"$4,424.70 ", N/A ,"$3,792.60 ", N/A ,"$4,740.75 ","$3,489.19 ","$3,147.86 ","$3,489.19 ", N/A ,"$3,489.19 ","$5,120.01 ","$6,321.00 ","$5,120.01 ","$5,372.85 ", N/A ,"$4,380.45 ", N/A ,"$6,321.00 ","$3,546.08 ", N/A ,"$1,656.10 ","$6,321.00 ", N/A , N/A , N/A ,"$5,056.80 ","$3,128.90 ","$1,769.88 ","$5,688.90 ","$2,747.00 ","$2,178.00 ", N/A ,"$3,034.08 "
ST. MARY'S HOSPITAL - DECATUR,36000719,41010,HC INCISION LINGUAL FRENUM,360,1 ,"$6,218.00 ","$4,476.96 ",$883.89 ,"$6,218.00 ","$3,257.13 ","$3,000.00 ","$3,419.90 ","$1,276.79 ","$1,741.04 ","$3,252.01 ","$1,276.79 ","$3,419.90 ","$1,276.79 ","$3,077.91 ","$3,077.91 ","$1,276.79 ","$3,077.91 ","$2,631.76 ","$3,500.00 ","$3,886.25 ","$4,974.40 ","$3,257.13 ","$1,276.79 ","$4,352.60 ","$1,276.79 ","$3,730.80 ","$1,302.33 ","$4,663.50 ","$3,432.34 ","$3,096.56 ","$3,432.34 ","$1,276.79 ","$3,432.34 ","$5,036.58 ","$6,218.00 ","$5,036.58 ","$5,285.30 ","$3,257.13 ","$4,309.07 ","$1,276.79 ","$6,218.00 ","$3,488.30 ","$1,276.79 ","$1,629.12 ","$6,218.00 ",$925.98 ,$883.89 ,"$1,340.63 ","$4,974.40 ","$3,077.91 ","$1,741.04 ","$5,596.20 ","$1,866.00 ","$2,248.00 ","$1,276.79 ","$2,984.64 "
ST. MARY'S HOSPITAL - DECATUR,36000723,34717,HC ENDOVASC REPAIR ARTERY ILIAC W/ENDOGRAFT,360,1 ,"$3,783.00 ","$2,723.76 ",$991.15 ,"$7,413.93 ", N/A ,"$2,004.99 ","$2,080.65 ", N/A ,"$1,059.24 ","$1,978.51 ", N/A ,"$2,080.65 ", N/A ,"$1,872.59 ","$1,872.59 ", N/A ,"$1,872.59 ", N/A ,"$2,648.10 ","$2,364.38 ","$3,026.40 ", N/A , N/A ,"$2,648.10 ", N/A ,"$2,269.80 ", N/A ,"$2,837.25 ","$2,088.22 ","$1,883.93 ","$2,088.22 ", N/A ,"$2,088.22 ","$3,064.23 ","$3,783.00 ","$3,064.23 ","$3,215.55 ", N/A ,"$2,621.62 ", N/A ,"$3,783.00 ","$2,122.26 ", N/A ,$991.15 ,"$3,783.00 ","$3,783.00 ","$7,413.93 ", N/A ,"$3,026.40 ","$1,872.59 ","$1,059.24 ","$3,404.70 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,815.84 "
ST. MARY'S HOSPITAL - DECATUR,36000724,34718,HC ENDOVASC REPAIR ARTERY ILIAC W/O ENDOGRAFT,360,1 ,"$3,000.00 ","$2,160.00 ",$786.00 ,"$7,413.93 ", N/A ,"$1,590.00 ","$1,650.00 ", N/A ,$840.00 ,"$1,569.00 ", N/A ,"$1,650.00 ", N/A ,"$1,485.00 ","$1,485.00 ", N/A ,"$1,485.00 ", N/A ,"$2,100.00 ","$1,875.00 ","$2,400.00 ", N/A , N/A ,"$2,100.00 ", N/A ,"$1,800.00 ", N/A ,"$2,250.00 ","$1,656.00 ","$1,494.00 ","$1,656.00 ", N/A ,"$1,656.00 ","$2,430.00 ","$3,000.00 ","$2,430.00 ","$2,550.00 ", N/A ,"$2,079.00 ", N/A ,"$3,000.00 ","$1,683.00 ", N/A ,$786.00 ,"$3,000.00 ","$3,000.00 ","$7,413.93 ", N/A ,"$2,400.00 ","$1,485.00 ",$840.00 ,"$2,700.00 ","$2,747.00 ","$2,178.00 ", N/A ,"$1,440.00 "
ST. MARY'S HOSPITAL - DECATUR,36000755,41018,HC I AND D MASTICATOR SPACE,360,1 ,"$3,773.00 ","$2,716.56 ",$883.89 ,"$3,773.00 ","$3,257.13 ","$3,000.00 ","$2,075.15 ","$1,276.79 ","$1,056.44 ","$1,973.28 ","$1,276.79 ","$2,075.15 ","$1,276.79 ","$1,867.64 ","$1,867.64 ","$1,276.79 ","$1,867.64 ","$2,631.76 ","$2,641.10 ","$2,358.13 ","$3,018.40 ","$3,257.13 ","$1,276.79 ","$2,641.10 ","$1,276.79 ","$2,263.80 ","$1,302.33 ","$2,829.75 ","$2,082.70 ","$1,878.95 ","$2,082.70 ","$1,276.79 ","$2,082.70 ","$3,056.13 ","$3,773.00 ","$3,056.13 ","$3,207.05 ","$3,257.13 ","$2,614.69 ","$1,276.79 ","$3,773.00 ","$2,116.65 ","$1,276.79 ",$988.53 ,"$3,773.00 ",$925.98 ,$883.89 ,"$1,340.63 ","$3,018.40 ","$1,867.64 ","$1,056.44 ","$3,395.70 ","$1,866.00 ","$2,248.00 ","$1,276.79 ","$1,811.04 "
ST. MARY'S HOSPITAL - DECATUR,36000760,59871,HC REM CERCLAGE SUTURE,360,1 ,"$7,315.00 ","$5,266.80 ","$1,916.53 ","$7,315.00 ","$6,634.30 ","$7,315.00 ","$4,023.25 ","$2,600.65 ","$2,048.20 ","$3,825.75 ","$2,600.65 ","$4,023.25 ","$2,600.65 ","$3,620.93 ","$3,620.93 ","$2,600.65 ","$3,620.93 ","$5,360.52 ","$3,500.00 ","$4,571.88 ","$5,852.00 ","$6,634.31 ","$2,600.65 ","$5,120.50 ","$2,600.65 ","$4,389.00 ","$2,652.66 ","$5,486.25 ","$4,037.88 ","$3,642.87 ","$4,037.88 ","$2,600.65 ","$4,037.88 ","$5,925.15 ","$7,315.00 ","$5,925.15 ","$6,217.75 ","$6,634.31 ","$5,069.30 ","$2,600.65 ","$7,315.00 ","$4,103.72 ","$2,600.65 ","$1,916.53 ","$7,315.00 ", N/A , N/A ,"$2,730.68 ","$5,852.00 ","$3,620.93 ","$2,048.20 ","$6,583.50 ","$2,747.00 ","$3,479.00 ","$2,600.65 ","$3,511.20 "
ST. MARY'S HOSPITAL - DECATUR,36060013,N/A,HC OR LEVEL 1 INITIAL 15MIN,360,1 ,"$2,461.00 ","$1,771.92 ",$644.78 ,"$2,461.00 ", N/A ,"$1,304.33 ","$1,353.55 ", N/A ,$689.08 ,"$1,287.10 ", N/A ,"$1,353.55 ", N/A ,"$1,218.20 ","$1,218.20 ", N/A ,"$1,218.20 ", N/A ,"$1,722.70 ","$1,538.13 ","$1,968.80 ", N/A , N/A ,"$1,722.70 ", N/A ,"$1,476.60 ", N/A ,"$1,845.75 ","$1,358.47 ","$1,225.58 ","$1,358.47 ", N/A ,"$1,358.47 ","$1,993.41 ","$2,461.00 ","$1,993.41 ","$2,091.85 ", N/A ,"$1,705.47 ", N/A ,"$2,461.00 ","$1,380.62 ", N/A ,$644.78 ,"$2,461.00 ", N/A , N/A , N/A ,"$1,968.80 ","$1,218.20 ",$689.08 ,"$2,214.90 ", N/A , N/A , N/A ,"$1,181.28 "
ST. MARY'S HOSPITAL - DECATUR,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,$623.00 ,$448.56 ,$163.23 ,$623.00 , N/A ,$330.19 ,$342.65 , N/A ,$174.44 ,$325.83 , N/A ,$342.65 , N/A ,$308.39 ,$308.39 , N/A ,$308.39 , N/A ,$436.10 ,$389.38 ,$498.40 , N/A , N/A ,$436.10 , N/A ,$373.80 , N/A ,$467.25 ,$343.90 ,$310.25 ,$343.90 , N/A ,$343.90 ,$504.63 ,$623.00 ,$504.63 ,$529.55 , N/A ,$431.74 , N/A ,$623.00 ,$349.50 , N/A ,$163.23 ,$623.00 , N/A , N/A , N/A ,$498.40 ,$308.39 ,$174.44 ,$560.70 , N/A , N/A , N/A ,$299.04 
ST. MARY'S HOSPITAL - DECATUR,36060015,N/A,HC OR LEVEL 2 INITIAL 15MIN,360,1 ,"$4,371.00 ","$3,147.12 ","$1,145.20 ","$4,371.00 ", N/A ,"$2,316.63 ","$2,404.05 ", N/A ,"$1,223.88 ","$2,286.03 ", N/A ,"$2,404.05 ", N/A ,"$2,163.65 ","$2,163.65 ", N/A ,"$2,163.65 ", N/A ,"$3,059.70 ","$2,731.88 ","$3,496.80 ", N/A , N/A ,"$3,059.70 ", N/A ,"$2,622.60 ", N/A ,"$3,278.25 ","$2,412.79 ","$2,176.76 ","$2,412.79 ", N/A ,"$2,412.79 ","$3,540.51 ","$4,371.00 ","$3,540.51 ","$3,715.35 ", N/A ,"$3,029.10 ", N/A ,"$4,371.00 ","$2,452.13 ", N/A ,"$1,145.20 ","$4,371.00 ", N/A , N/A , N/A ,"$3,496.80 ","$2,163.65 ","$1,223.88 ","$3,933.90 ", N/A , N/A , N/A ,"$2,098.08 "
ST. MARY'S HOSPITAL - DECATUR,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,"$1,108.00 ",$797.76 ,$290.30 ,"$1,108.00 ", N/A ,$587.24 ,$609.40 , N/A ,$310.24 ,$579.48 , N/A ,$609.40 , N/A ,$548.46 ,$548.46 , N/A ,$548.46 , N/A ,$775.60 ,$692.50 ,$886.40 , N/A , N/A ,$775.60 , N/A ,$664.80 , N/A ,$831.00 ,$611.62 ,$551.78 ,$611.62 , N/A ,$611.62 ,$897.48 ,"$1,108.00 ",$897.48 ,$941.80 , N/A ,$767.84 , N/A ,"$1,108.00 ",$621.59 , N/A ,$290.30 ,"$1,108.00 ", N/A , N/A , N/A ,$886.40 ,$548.46 ,$310.24 ,$997.20 , N/A , N/A , N/A ,$531.84 
ST. MARY'S HOSPITAL - DECATUR,36060017,N/A,HC OR LEVEL 3 INITIAL 15MIN,360,1 ,"$6,603.00 ","$4,754.16 ","$1,729.99 ","$6,603.00 ", N/A ,"$3,499.59 ","$3,631.65 ", N/A ,"$1,848.84 ","$3,453.37 ", N/A ,"$3,631.65 ", N/A ,"$3,268.49 ","$3,268.49 ", N/A ,"$3,268.49 ", N/A ,"$3,500.00 ","$4,126.88 ","$5,282.40 ", N/A , N/A ,"$4,622.10 ", N/A ,"$3,961.80 ", N/A ,"$4,952.25 ","$3,644.86 ","$3,288.29 ","$3,644.86 ", N/A ,"$3,644.86 ","$5,348.43 ","$6,603.00 ","$5,348.43 ","$5,612.55 ", N/A ,"$4,575.88 ", N/A ,"$6,603.00 ","$3,704.28 ", N/A ,"$1,729.99 ","$6,603.00 ", N/A , N/A , N/A ,"$5,282.40 ","$3,268.49 ","$1,848.84 ","$5,942.70 ", N/A , N/A , N/A ,"$3,169.44 "
ST. MARY'S HOSPITAL - DECATUR,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,"$1,680.00 ","$1,209.60 ",$440.16 ,"$1,680.00 ", N/A ,$890.40 ,$924.00 , N/A ,$470.40 ,$878.64 , N/A ,$924.00 , N/A ,$831.60 ,$831.60 , N/A ,$831.60 , N/A ,"$1,176.00 ","$1,050.00 ","$1,344.00 ", N/A , N/A ,"$1,176.00 ", N/A ,"$1,008.00 ", N/A ,"$1,260.00 ",$927.36 ,$836.64 ,$927.36 , N/A ,$927.36 ,"$1,360.80 ","$1,680.00 ","$1,360.80 ","$1,428.00 ", N/A ,"$1,164.24 ", N/A ,"$1,680.00 ",$942.48 , N/A ,$440.16 ,"$1,680.00 ", N/A , N/A , N/A ,"$1,344.00 ",$831.60 ,$470.40 ,"$1,512.00 ", N/A , N/A , N/A ,$806.40 
ST. MARY'S HOSPITAL - DECATUR,36060019,N/A,HC OR LEVEL 4 INITIAL 15MIN,360,1 ,"$7,920.00 ","$5,702.40 ","$2,075.04 ","$7,920.00 ", N/A ,"$4,197.60 ","$4,356.00 ", N/A ,"$2,217.60 ","$4,142.16 ", N/A ,"$4,356.00 ", N/A ,"$3,920.40 ","$3,920.40 ", N/A ,"$3,920.40 ", N/A ,"$3,500.00 ","$4,950.00 ","$6,336.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,752.00 ", N/A ,"$5,940.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$6,415.20 ","$7,920.00 ","$6,415.20 ","$6,732.00 ", N/A ,"$5,180.00 ", N/A ,"$7,920.00 ","$4,443.12 ", N/A ,"$2,075.04 ","$7,920.00 ", N/A , N/A , N/A ,"$6,336.00 ","$3,920.40 ","$2,217.60 ","$7,128.00 ", N/A , N/A , N/A ,"$3,801.60 "
ST. MARY'S HOSPITAL - DECATUR,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,"$2,009.00 ","$1,446.48 ",$526.36 ,"$2,009.00 ", N/A ,"$1,064.77 ","$1,104.95 ", N/A ,$562.52 ,"$1,050.71 ", N/A ,"$1,104.95 ", N/A ,$994.46 ,$994.46 , N/A ,$994.46 , N/A ,"$1,406.30 ","$1,255.63 ","$1,607.20 ", N/A , N/A ,"$1,406.30 ", N/A ,"$1,205.40 ", N/A ,"$1,506.75 ","$1,108.97 ","$1,000.48 ","$1,108.97 ", N/A ,"$1,108.97 ","$1,627.29 ","$2,009.00 ","$1,627.29 ","$1,707.65 ", N/A ,"$1,392.24 ", N/A ,"$2,009.00 ","$1,127.05 ", N/A ,$526.36 ,"$2,009.00 ", N/A , N/A , N/A ,"$1,607.20 ",$994.46 ,$562.52 ,"$1,808.10 ", N/A , N/A , N/A ,$964.32 
ST. MARY'S HOSPITAL - DECATUR,36060021,N/A,HC OR LEVEL 5 INITIAL 15MIN,360,1 ,"$9,232.00 ","$6,647.04 ","$2,418.78 ","$9,232.00 ", N/A ,"$4,892.96 ","$5,077.60 ", N/A ,"$2,584.96 ","$4,828.34 ", N/A ,"$5,077.60 ", N/A ,"$4,569.84 ","$4,569.84 ", N/A ,"$4,569.84 ", N/A ,"$3,500.00 ","$5,770.00 ","$7,385.60 ", N/A , N/A ,"$6,462.40 ", N/A ,"$5,539.20 ", N/A ,"$6,924.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$7,477.92 ","$9,232.00 ","$7,477.92 ","$7,847.20 ", N/A ,"$5,180.00 ", N/A ,"$9,232.00 ","$5,179.15 ", N/A ,"$2,418.78 ","$9,232.00 ", N/A , N/A , N/A ,"$7,385.60 ","$4,569.84 ","$2,584.96 ","$8,308.80 ", N/A , N/A , N/A ,"$4,431.36 "
ST. MARY'S HOSPITAL - DECATUR,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,"$2,343.00 ","$1,686.96 ",$613.87 ,"$2,343.00 ", N/A ,"$1,241.79 ","$1,288.65 ", N/A ,$656.04 ,"$1,225.39 ", N/A ,"$1,288.65 ", N/A ,"$1,159.79 ","$1,159.79 ", N/A ,"$1,159.79 ", N/A ,"$1,640.10 ","$1,464.38 ","$1,874.40 ", N/A , N/A ,"$1,640.10 ", N/A ,"$1,405.80 ", N/A ,"$1,757.25 ","$1,293.34 ","$1,166.81 ","$1,293.34 ", N/A ,"$1,293.34 ","$1,897.83 ","$2,343.00 ","$1,897.83 ","$1,991.55 ", N/A ,"$1,623.70 ", N/A ,"$2,343.00 ","$1,314.42 ", N/A ,$613.87 ,"$2,343.00 ", N/A , N/A , N/A ,"$1,874.40 ","$1,159.79 ",$656.04 ,"$2,108.70 ", N/A , N/A , N/A ,"$1,124.64 "
ST. MARY'S HOSPITAL - DECATUR,36063344,0441T,HC ABLATION PERC LWR EXTREMITY/PERPH NERVE,360,1 ,"$4,595.00 ","$3,308.40 ",$738.99 ,"$4,595.00 ","$4,217.70 ","$3,000.00 ","$2,527.25 ","$1,653.34 ","$1,286.60 ","$2,403.19 ","$1,653.34 ","$2,527.25 ","$1,653.34 ","$2,274.53 ","$2,274.53 ","$1,653.34 ","$2,274.53 ","$3,407.90 ","$3,216.50 ","$2,871.88 ","$3,676.00 ","$4,217.70 ","$1,653.34 ","$3,216.50 ","$1,653.34 ","$2,757.00 ","$1,686.40 ","$3,446.25 ","$2,536.44 ","$2,288.31 ","$2,536.44 ","$1,653.34 ","$2,536.44 ","$3,721.95 ","$4,595.00 ","$3,721.95 ","$3,905.75 ","$4,217.70 ","$3,184.34 ","$1,653.34 ","$4,595.00 ","$2,577.80 ","$1,653.34 ","$1,203.89 ","$4,595.00 ",$774.18 ,$738.99 ,"$1,736.00 ","$3,676.00 ","$2,274.53 ","$1,286.60 ","$4,135.50 ","$2,922.00 ","$4,595.00 ","$1,653.34 ","$2,205.60 "
ST. MARY'S HOSPITAL - DECATUR,36080004,64517,HC NERVE BLOCK INJ HYPOGAS PLXS,360,1 ,"$3,138.00 ","$2,259.36 ",$303.73 ,"$3,138.00 ","$1,999.55 ","$3,138.00 ","$1,725.90 ",$783.82 ,$878.64 ,"$1,641.17 ",$783.82 ,"$1,725.90 ",$783.82 ,"$1,553.31 ","$1,553.31 ",$783.82 ,"$1,553.31 ","$1,615.64 ","$2,196.60 ","$1,961.25 ","$2,510.40 ","$1,999.56 ",$783.82 ,"$2,196.60 ",$783.82 ,"$1,882.80 ",$799.50 ,"$2,353.50 ","$1,732.18 ","$1,562.72 ","$1,732.18 ",$783.82 ,"$1,732.18 ","$2,541.78 ","$3,138.00 ","$2,541.78 ","$2,667.30 ","$1,999.56 ","$2,174.63 ",$783.82 ,"$3,138.00 ","$1,760.42 ",$783.82 ,$822.16 ,"$3,138.00 ",$318.20 ,$303.73 ,$823.01 ,"$2,510.40 ","$1,553.31 ",$878.64 ,"$2,824.20 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,506.24 "
ST. MARY'S HOSPITAL - DECATUR,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,"$1,596.00 ","$1,149.12 ",$250.09 ,"$1,596.00 ",$637.98 ,"$1,596.00 ",$877.80 ,$250.09 ,$446.88 ,$834.71 ,$250.09 ,$877.80 ,$250.09 ,$790.02 ,$790.02 ,$250.09 ,$790.02 ,$515.47 ,"$1,117.20 ",$997.50 ,"$1,276.80 ",$637.96 ,$250.09 ,"$1,117.20 ",$250.09 ,$957.60 ,$255.08 ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 ,$250.09 ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ",$637.96 ,"$1,106.03 ",$250.09 ,"$1,596.00 ",$895.36 ,$250.09 ,$418.15 ,"$1,596.00 ",$318.20 ,$303.73 ,$262.59 ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$766.00 ,$964.00 ,$250.09 ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,403.00 ","$1,730.16 ",$303.73 ,"$2,403.00 ","$1,999.55 ","$2,403.00 ","$1,321.65 ",$783.82 ,$672.84 ,"$1,256.77 ",$783.82 ,"$1,321.65 ",$783.82 ,"$1,189.49 ","$1,189.49 ",$783.82 ,"$1,189.49 ","$1,615.64 ","$1,682.10 ","$1,501.88 ","$1,922.40 ","$1,999.56 ",$783.82 ,"$1,682.10 ",$783.82 ,"$1,441.80 ",$799.50 ,"$1,802.25 ","$1,326.46 ","$1,196.69 ","$1,326.46 ",$783.82 ,"$1,326.46 ","$1,946.43 ","$2,403.00 ","$1,946.43 ","$2,042.55 ","$1,999.56 ","$1,665.28 ",$783.82 ,"$2,403.00 ","$1,348.08 ",$783.82 ,$629.59 ,"$2,403.00 ",$318.20 ,$303.73 ,$823.01 ,"$1,922.40 ","$1,189.49 ",$672.84 ,"$2,162.70 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,153.44 "
ST. MARY'S HOSPITAL - DECATUR,36100008,50694,HC PL URT STNT W G SI NEW ACCESS WO NEPH CATH,361,1 ,"$7,590.00 ","$5,464.80 ","$1,594.67 ","$7,590.00 ","$7,520.50 ","$5,830.00 ","$4,174.50 ","$2,948.04 ","$2,125.20 ","$3,969.57 ","$2,948.04 ","$4,174.50 ","$2,948.04 ","$3,757.05 ","$3,757.05 ","$2,948.04 ","$3,757.05 ","$6,076.56 ","$3,500.00 ","$4,743.75 ","$6,072.00 ","$7,520.49 ","$2,948.04 ","$5,313.00 ","$2,948.04 ","$4,554.00 ","$3,006.99 ","$5,692.50 ","$4,189.68 ","$3,779.82 ","$4,189.68 ","$2,948.04 ","$4,189.68 ","$6,147.90 ","$7,590.00 ","$6,147.90 ","$6,451.50 ","$7,520.49 ","$5,180.00 ","$2,948.04 ","$7,590.00 ","$4,257.99 ","$2,948.04 ","$1,988.58 ","$7,590.00 ","$1,670.60 ","$1,594.67 ","$3,095.44 ","$6,072.00 ","$3,757.05 ","$2,125.20 ","$6,831.00 ","$2,747.00 ","$3,479.00 ","$2,948.04 ","$3,643.20 "
ST. MARY'S HOSPITAL - DECATUR,36100012,50706,HC BALLOON DILATION URETERAL IG SI,361,1 ,"$7,500.00 ","$5,400.00 ",$766.00 ,"$7,500.00 ", N/A ,"$3,000.00 ","$4,125.00 ", N/A ,"$2,100.00 ","$3,922.50 ", N/A ,"$4,125.00 ", N/A ,"$3,712.50 ","$3,712.50 ", N/A ,"$3,712.50 ", N/A ,"$3,500.00 ","$4,687.50 ","$6,000.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$4,500.00 ", N/A ,"$5,625.00 ","$4,140.00 ","$3,735.00 ","$4,140.00 ", N/A ,"$4,140.00 ","$6,075.00 ","$7,500.00 ","$6,075.00 ","$6,375.00 ", N/A ,"$5,180.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$1,965.00 ","$7,500.00 ", N/A , N/A , N/A ,"$6,000.00 ","$3,712.50 ","$2,100.00 ","$6,750.00 ",$766.00 ,$964.00 , N/A ,"$3,600.00 "
ST. MARY'S HOSPITAL - DECATUR,36100014,10035,HC PLACE DEVICE LOCALZTN PERC W/GUIDE 1ST LESION,361,1 ,$667.00 ,$480.24 ,$174.75 ,"$1,522.75 ","$1,522.75 ",$667.00 ,$366.85 ,$596.92 ,$186.76 ,$348.84 ,$596.92 ,$366.85 ,$596.92 ,$330.17 ,$330.17 ,$596.92 ,$330.17 ,$667.00 ,$466.90 ,$416.88 ,$533.60 ,"$1,522.74 ",$596.92 ,$466.90 ,$596.92 ,$400.20 ,$608.85 ,$500.25 ,$368.18 ,$332.17 ,$368.18 ,$596.92 ,$368.18 ,$540.27 ,$667.00 ,$540.27 ,$566.95 ,$667.00 ,$462.23 ,$596.92 ,$667.00 ,$374.19 ,$596.92 ,$174.75 ,$667.00 ,$217.42 ,$207.53 ,$626.77 ,$533.60 ,$330.17 ,$186.76 ,$600.30 ,$667.00 ,$667.00 ,$596.92 ,$320.16 
ST. MARY'S HOSPITAL - DECATUR,36100015,11010,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISSUE,361,1 ,"$1,117.00 ",$804.24 ,$292.65 ,"$1,522.75 ","$1,522.75 ","$1,117.00 ",$614.35 ,$596.92 ,$312.76 ,$584.19 ,$596.92 ,$614.35 ,$596.92 ,$552.92 ,$552.92 ,$596.92 ,$552.92 ,"$1,117.00 ",$781.90 ,$698.13 ,$893.60 ,"$1,522.74 ",$596.92 ,$781.90 ,$596.92 ,$670.20 ,$608.85 ,$837.75 ,$616.58 ,$556.27 ,$616.58 ,$596.92 ,$616.58 ,$904.77 ,"$1,117.00 ",$904.77 ,$949.45 ,"$1,117.00 ",$774.08 ,$596.92 ,"$1,117.00 ",$626.64 ,$596.92 ,$292.65 ,"$1,117.00 ",$932.57 ,$890.18 ,$626.77 ,$893.60 ,$552.92 ,$312.76 ,"$1,005.30 ","$1,117.00 ","$1,117.00 ",$596.92 ,$536.16 
ST. MARY'S HOSPITAL - DECATUR,36100017,11012,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE/BONE,361,1 ,"$1,117.00 ",$804.24 ,$292.65 ,"$6,061.35 ","$6,061.35 ","$1,117.00 ",$614.35 ,"$2,376.05 ",$312.76 ,$584.19 ,"$2,376.05 ",$614.35 ,"$1,094.66 ",$552.92 ,$552.92 ,"$1,094.66 ",$552.92 ,"$1,117.00 ",$781.90 ,$698.13 ,$893.60 ,"$6,061.34 ","$2,376.05 ",$781.90 ,"$2,376.05 ",$670.20 ,"$1,094.66 ",$837.75 ,$616.58 ,$556.27 ,$616.58 ,"$2,376.05 ",$616.58 ,$904.77 ,"$1,117.00 ",$904.77 ,$949.45 ,"$1,117.00 ",$774.08 ,"$1,094.66 ","$1,117.00 ",$626.64 ,"$2,376.05 ",$292.65 ,"$1,117.00 ",$932.57 ,$890.18 ,"$2,494.85 ",$893.60 ,$552.92 ,$312.76 ,"$1,005.30 ","$1,117.00 ","$1,117.00 ","$2,376.05 ",$536.16 
ST. MARY'S HOSPITAL - DECATUR,36100026,36510,HC UMBILICAL CATHETER INSERTION NEWBORN,361,1 ,$198.00 ,$142.56 ,$51.88 ,$198.00 , N/A ,$198.00 ,$108.90 , N/A ,$55.44 ,$103.55 , N/A ,$108.90 , N/A ,$98.01 ,$98.01 , N/A ,$98.01 , N/A ,$138.60 ,$123.75 ,$158.40 , N/A , N/A ,$138.60 , N/A ,$118.80 , N/A ,$148.50 ,$109.30 ,$98.60 ,$109.30 , N/A ,$109.30 ,$160.38 ,$198.00 ,$160.38 ,$168.30 , N/A ,$137.21 , N/A ,$198.00 ,$111.08 , N/A ,$51.88 ,$198.00 , N/A , N/A , N/A ,$158.40 ,$98.01 ,$55.44 ,$178.20 ,$198.00 ,$198.00 , N/A ,$95.04 
ST. MARY'S HOSPITAL - DECATUR,36100037,62355,HC REMOVE SPINAL CATHETER,361,1 ,"$8,002.00 ","$5,761.44 ","$1,653.34 ","$8,002.00 ","$4,217.70 ","$3,800.00 ","$4,401.10 ","$1,653.34 ","$2,240.56 ","$4,185.05 ","$1,653.34 ","$4,401.10 ","$1,653.34 ","$3,960.99 ","$3,960.99 ","$1,653.34 ","$3,960.99 ","$3,407.90 ","$3,500.00 ","$5,001.25 ","$6,401.60 ","$4,217.70 ","$1,653.34 ","$5,601.40 ","$1,653.34 ","$4,801.20 ","$1,686.40 ","$6,001.50 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$1,653.34 ","$4,219.00 ","$6,481.62 ","$8,002.00 ","$6,481.62 ","$6,801.70 ","$4,217.70 ","$5,180.00 ","$1,653.34 ","$8,002.00 ","$4,489.12 ","$1,653.34 ","$2,096.52 ","$8,002.00 ","$2,850.52 ","$2,720.95 ","$1,736.00 ","$6,401.60 ","$3,960.99 ","$2,240.56 ","$7,201.80 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$3,840.96 "
ST. MARY'S HOSPITAL - DECATUR,36100039,63663,HC REVISE SPINE ELECTRD PERQ ARRAY W/FLUORO,361,1 ,"$10,120.00 ","$7,286.40 ","$2,651.44 ","$15,495.28 ","$15,495.28 ","$3,000.00 ","$5,566.00 ","$6,074.15 ","$2,833.60 ","$5,292.76 ","$6,074.15 ","$5,566.00 ","$6,074.15 ","$5,009.40 ","$5,009.40 ","$6,074.15 ","$5,009.40 ","$10,120.00 ","$3,500.00 ","$6,325.00 ","$8,096.00 ","$15,495.27 ","$6,074.15 ","$7,084.00 ","$6,074.15 ","$6,072.00 ","$6,195.63 ","$7,590.00 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$6,074.15 ","$4,219.00 ","$8,197.20 ","$10,120.00 ","$8,197.20 ","$8,602.00 ","$10,120.00 ","$5,180.00 ","$6,074.15 ","$10,120.00 ","$5,677.32 ","$6,074.15 ","$2,651.44 ","$10,120.00 ","$2,850.52 ","$2,720.95 ","$6,377.86 ","$8,096.00 ","$5,009.40 ","$2,833.60 ","$9,108.00 ","$2,975.00 ","$5,460.00 ","$6,074.15 ","$4,857.60 "
ST. MARY'S HOSPITAL - DECATUR,36100042,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-BIL,361,1 ,$623.00 ,$448.56 ,$163.23 ,$956.95 ,$956.95 ,$623.00 ,$342.65 ,$375.12 ,$174.44 ,$325.83 ,$375.12 ,$342.65 ,$375.12 ,$308.39 ,$308.39 ,$375.12 ,$308.39 ,$623.00 ,$436.10 ,$389.38 ,$498.40 ,$956.94 ,$375.12 ,$436.10 ,$375.12 ,$373.80 ,$382.62 ,$467.25 ,$343.90 ,$310.25 ,$343.90 ,$375.12 ,$343.90 ,$504.63 ,$623.00 ,$504.63 ,$529.55 ,$623.00 ,$431.74 ,$375.12 ,$623.00 ,$349.50 ,$375.12 ,$163.23 ,$623.00 ,$351.33 ,$335.36 ,$393.88 ,$498.40 ,$308.39 ,$174.44 ,$560.70 ,$623.00 ,$623.00 ,$375.12 ,$299.04 
ST. MARY'S HOSPITAL - DECATUR,36100043,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-BIL,361,1 ,$833.00 ,$599.76 ,$218.25 ,$956.95 ,$956.95 ,$833.00 ,$458.15 ,$375.12 ,$233.24 ,$435.66 ,$375.12 ,$458.15 ,$375.12 ,$412.34 ,$412.34 ,$375.12 ,$412.34 ,$773.21 ,$583.10 ,$520.63 ,$666.40 ,$956.94 ,$375.12 ,$583.10 ,$375.12 ,$499.80 ,$382.62 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$375.12 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$833.00 ,$577.27 ,$375.12 ,$833.00 ,$467.31 ,$375.12 ,$218.25 ,$833.00 ,$351.33 ,$335.36 ,$393.88 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$833.00 ,$833.00 ,$375.12 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,"$1,543.00 ","$1,110.96 ",$335.36 ,"$1,543.00 ",$956.95 ,"$1,543.00 ",$848.65 ,$375.12 ,$432.04 ,$806.99 ,$375.12 ,$848.65 ,$375.12 ,$763.79 ,$763.79 ,$375.12 ,$763.79 ,$773.21 ,"$1,080.10 ",$964.38 ,"$1,234.40 ",$956.94 ,$375.12 ,"$1,080.10 ",$375.12 ,$925.80 ,$382.62 ,"$1,157.25 ",$851.74 ,$768.41 ,$851.74 ,$375.12 ,$851.74 ,"$1,249.83 ","$1,543.00 ","$1,249.83 ","$1,311.55 ",$956.94 ,"$1,069.30 ",$375.12 ,"$1,543.00 ",$865.62 ,$375.12 ,$404.27 ,"$1,543.00 ",$351.33 ,$335.36 ,$393.88 ,"$1,234.40 ",$763.79 ,$432.04 ,"$1,388.70 ","$1,149.00 ","$1,446.00 ",$375.12 ,$740.64 
ST. MARY'S HOSPITAL - DECATUR,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$498.00 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$246.51 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$498.00 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$246.51 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$183.00 ,$131.76 ,$47.95 ,"$1,094.04 ", N/A ,$183.00 ,$100.65 , N/A ,$51.24 ,$95.71 , N/A ,$100.65 , N/A ,$90.59 ,$90.59 , N/A ,$90.59 , N/A ,$128.10 ,$114.38 ,$146.40 , N/A , N/A ,$128.10 , N/A ,$109.80 , N/A ,$137.25 ,$101.02 ,$91.13 ,$101.02 , N/A ,$101.02 ,$148.23 ,$183.00 ,$148.23 ,$155.55 , N/A ,$126.82 , N/A ,$183.00 ,$102.66 , N/A ,$47.95 ,$183.00 ,$183.00 ,"$1,094.04 ", N/A ,$146.40 ,$90.59 ,$51.24 ,$164.70 ,$183.00 ,$183.00 , N/A ,$87.84 
ST. MARY'S HOSPITAL - DECATUR,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$183.00 ,$131.76 ,$47.95 ,"$1,094.04 ", N/A ,$183.00 ,$100.65 , N/A ,$51.24 ,$95.71 , N/A ,$100.65 , N/A ,$90.59 ,$90.59 , N/A ,$90.59 , N/A ,$128.10 ,$114.38 ,$146.40 , N/A , N/A ,$128.10 , N/A ,$109.80 , N/A ,$137.25 ,$101.02 ,$91.13 ,$101.02 , N/A ,$101.02 ,$148.23 ,$183.00 ,$148.23 ,$155.55 , N/A ,$126.82 , N/A ,$183.00 ,$102.66 , N/A ,$47.95 ,$183.00 ,$183.00 ,"$1,094.04 ", N/A ,$146.40 ,$90.59 ,$51.24 ,$164.70 ,$183.00 ,$183.00 , N/A ,$87.84 
ST. MARY'S HOSPITAL - DECATUR,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,$759.00 ,$546.48 ,$198.86 ,"$7,632.93 ","$7,632.93 ",$759.00 ,$417.45 ,"$2,992.11 ",$212.52 ,$396.96 ,"$2,992.11 ",$417.45 ,$743.82 ,$375.71 ,$375.71 ,$743.82 ,$375.71 ,$759.00 ,$531.30 ,$474.38 ,$607.20 ,"$7,632.93 ","$2,992.11 ",$531.30 ,"$2,992.11 ",$455.40 ,$743.82 ,$569.25 ,$418.97 ,$377.98 ,$418.97 ,"$2,992.11 ",$418.97 ,$614.79 ,$759.00 ,$614.79 ,$645.15 ,$759.00 ,$525.99 ,$743.82 ,$759.00 ,$425.80 ,"$2,992.11 ",$198.86 ,$759.00 ,$759.00 ,"$1,094.04 ","$3,141.71 ",$607.20 ,$375.71 ,$212.52 ,$683.10 ,$759.00 ,$759.00 ,"$2,992.11 ",$364.32 
ST. MARY'S HOSPITAL - DECATUR,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,$759.00 ,$546.48 ,$198.86 ,"$7,632.93 ","$7,632.93 ",$759.00 ,$417.45 ,"$2,992.11 ",$212.52 ,$396.96 ,"$2,992.11 ",$417.45 ,$743.82 ,$375.71 ,$375.71 ,$743.82 ,$375.71 ,$759.00 ,$531.30 ,$474.38 ,$607.20 ,"$7,632.93 ","$2,992.11 ",$531.30 ,"$2,992.11 ",$455.40 ,$743.82 ,$569.25 ,$418.97 ,$377.98 ,$418.97 ,"$2,992.11 ",$418.97 ,$614.79 ,$759.00 ,$614.79 ,$645.15 ,$759.00 ,$525.99 ,$743.82 ,$759.00 ,$425.80 ,"$2,992.11 ",$198.86 ,$759.00 ,$759.00 ,"$1,094.04 ","$3,141.71 ",$607.20 ,$375.71 ,$212.52 ,$683.10 ,$759.00 ,$759.00 ,"$2,992.11 ",$364.32 
ST. MARY'S HOSPITAL - DECATUR,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$1,094.04 ", N/A ,$498.00 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$246.51 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$1,094.04 ", N/A ,$498.00 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$246.51 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$498.00 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$246.51 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$498.00 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$246.51 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$366.00 ,$263.52 ,$95.89 ,"$1,094.04 ", N/A ,$366.00 ,$201.30 , N/A ,$102.48 ,$191.42 , N/A ,$201.30 , N/A ,$181.17 ,$181.17 , N/A ,$181.17 , N/A ,$256.20 ,$228.75 ,$292.80 , N/A , N/A ,$256.20 , N/A ,$219.60 , N/A ,$274.50 ,$202.03 ,$182.27 ,$202.03 , N/A ,$202.03 ,$296.46 ,$366.00 ,$296.46 ,$311.10 , N/A ,$253.64 , N/A ,$366.00 ,$205.33 , N/A ,$95.89 ,$366.00 ,$366.00 ,"$1,094.04 ", N/A ,$292.80 ,$181.17 ,$102.48 ,$329.40 ,$366.00 ,$366.00 , N/A ,$175.68 
ST. MARY'S HOSPITAL - DECATUR,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$366.00 ,$263.52 ,$95.89 ,"$1,094.04 ", N/A ,$366.00 ,$201.30 , N/A ,$102.48 ,$191.42 , N/A ,$201.30 , N/A ,$181.17 ,$181.17 , N/A ,$181.17 , N/A ,$256.20 ,$228.75 ,$292.80 , N/A , N/A ,$256.20 , N/A ,$219.60 , N/A ,$274.50 ,$202.03 ,$182.27 ,$202.03 , N/A ,$202.03 ,$296.46 ,$366.00 ,$296.46 ,$311.10 , N/A ,$253.64 , N/A ,$366.00 ,$205.33 , N/A ,$95.89 ,$366.00 ,$366.00 ,"$1,094.04 ", N/A ,$292.80 ,$181.17 ,$102.48 ,$329.40 ,$366.00 ,$366.00 , N/A ,$175.68 
ST. MARY'S HOSPITAL - DECATUR,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,$753.00 ,$542.16 ,$197.29 ,"$4,049.56 ","$4,049.55 ",$753.00 ,$414.15 ,"$1,587.42 ",$210.84 ,$393.82 ,"$1,587.42 ",$414.15 ,$737.94 ,$372.74 ,$372.74 ,$737.94 ,$372.74 ,$753.00 ,$527.10 ,$470.63 ,$602.40 ,"$4,049.56 ","$1,587.42 ",$527.10 ,"$1,587.42 ",$451.80 ,$737.94 ,$564.75 ,$415.66 ,$374.99 ,$415.66 ,"$1,587.42 ",$415.66 ,$609.93 ,$753.00 ,$609.93 ,$640.05 ,$753.00 ,$521.83 ,$737.94 ,$753.00 ,$422.43 ,"$1,587.42 ",$197.29 ,$753.00 ,$753.00 ,"$1,094.04 ","$1,666.79 ",$602.40 ,$372.74 ,$210.84 ,$677.70 ,$753.00 ,$753.00 ,"$1,587.42 ",$361.44 
ST. MARY'S HOSPITAL - DECATUR,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,$753.00 ,$542.16 ,$197.29 ,"$4,049.56 ","$4,049.55 ",$753.00 ,$414.15 ,"$1,587.42 ",$210.84 ,$393.82 ,"$1,587.42 ",$414.15 ,$737.94 ,$372.74 ,$372.74 ,$737.94 ,$372.74 ,$753.00 ,$527.10 ,$470.63 ,$602.40 ,"$4,049.56 ","$1,587.42 ",$527.10 ,"$1,587.42 ",$451.80 ,$737.94 ,$564.75 ,$415.66 ,$374.99 ,$415.66 ,"$1,587.42 ",$415.66 ,$609.93 ,$753.00 ,$609.93 ,$640.05 ,$753.00 ,$521.83 ,$737.94 ,$753.00 ,$422.43 ,"$1,587.42 ",$197.29 ,$753.00 ,$753.00 ,"$1,094.04 ","$1,666.79 ",$602.40 ,$372.74 ,$210.84 ,$677.70 ,$753.00 ,$753.00 ,"$1,587.42 ",$361.44 
ST. MARY'S HOSPITAL - DECATUR,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$1,094.04 ", N/A ,$498.00 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$246.51 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,$498.00 ,$358.56 ,$130.48 ,"$1,094.04 ", N/A ,$498.00 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$246.51 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$498.00 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,36100062,19100,HC BREAST BIOPSY NEEDLE W/O IMAG GUIDE,361,1 ,"$4,312.00 ","$3,104.64 ",$167.16 ,"$4,312.00 ","$3,518.55 ","$3,000.00 ","$2,371.60 ","$1,379.27 ","$1,207.36 ","$2,255.18 ","$1,379.27 ","$2,371.60 ","$1,379.27 ","$2,134.44 ","$2,134.44 ","$1,379.27 ","$2,134.44 ","$2,842.98 ","$3,018.40 ","$2,695.00 ","$3,449.60 ","$3,518.54 ","$1,379.27 ","$3,018.40 ","$1,379.27 ","$2,587.20 ","$1,406.86 ","$3,234.00 ","$2,380.22 ","$2,147.38 ","$2,380.22 ","$1,379.27 ","$2,380.22 ","$3,492.72 ","$4,312.00 ","$3,492.72 ","$3,665.20 ","$3,518.54 ","$2,988.22 ","$1,379.27 ",$167.16 ,"$2,419.03 ","$1,379.27 ","$1,129.74 ","$4,312.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$3,449.60 ","$2,134.44 ","$1,207.36 ","$3,880.80 ","$1,866.00 ","$2,248.00 ","$1,379.27 ","$2,069.76 "
ST. MARY'S HOSPITAL - DECATUR,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$623.00 ,$448.56 ,$163.23 ,$637.98 ,$637.98 ,$623.00 ,$342.65 ,$250.09 ,$174.44 ,$325.83 ,$250.09 ,$342.65 ,$250.09 ,$308.39 ,$308.39 ,$250.09 ,$308.39 ,$515.47 ,$436.10 ,$389.38 ,$498.40 ,$637.96 ,$250.09 ,$436.10 ,$250.09 ,$373.80 ,$255.08 ,$467.25 ,$343.90 ,$310.25 ,$343.90 ,$250.09 ,$343.90 ,$504.63 ,$623.00 ,$504.63 ,$529.55 ,$623.00 ,$431.74 ,$250.09 ,$623.00 ,$349.50 ,$250.09 ,$163.23 ,$623.00 ,$234.21 ,$223.57 ,$262.59 ,$498.40 ,$308.39 ,$174.44 ,$560.70 ,$623.00 ,$623.00 ,$250.09 ,$299.04 
ST. MARY'S HOSPITAL - DECATUR,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$623.00 ,$448.56 ,$163.23 ,$637.98 ,$637.98 ,$623.00 ,$342.65 ,$250.09 ,$174.44 ,$325.83 ,$250.09 ,$342.65 ,$250.09 ,$308.39 ,$308.39 ,$250.09 ,$308.39 ,$515.47 ,$436.10 ,$389.38 ,$498.40 ,$637.96 ,$250.09 ,$436.10 ,$250.09 ,$373.80 ,$255.08 ,$467.25 ,$343.90 ,$310.25 ,$343.90 ,$250.09 ,$343.90 ,$504.63 ,$623.00 ,$504.63 ,$529.55 ,$623.00 ,$431.74 ,$250.09 ,$623.00 ,$349.50 ,$250.09 ,$163.23 ,$623.00 ,$234.21 ,$223.57 ,$262.59 ,$498.40 ,$308.39 ,$174.44 ,$560.70 ,$623.00 ,$623.00 ,$250.09 ,$299.04 
ST. MARY'S HOSPITAL - DECATUR,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$833.00 ,$599.76 ,$218.25 ,$833.00 ,$637.98 ,$833.00 ,$458.15 ,$250.09 ,$233.24 ,$435.66 ,$250.09 ,$458.15 ,$250.09 ,$412.34 ,$412.34 ,$250.09 ,$412.34 ,$515.47 ,$583.10 ,$520.63 ,$666.40 ,$637.96 ,$250.09 ,$583.10 ,$250.09 ,$499.80 ,$255.08 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$250.09 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$637.96 ,$577.27 ,$250.09 ,$833.00 ,$467.31 ,$250.09 ,$218.25 ,$833.00 ,$234.21 ,$223.57 ,$262.59 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$766.00 ,$833.00 ,$250.09 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$833.00 ,$599.76 ,$218.25 ,$833.00 ,$637.98 ,$833.00 ,$458.15 ,$250.09 ,$233.24 ,$435.66 ,$250.09 ,$458.15 ,$250.09 ,$412.34 ,$412.34 ,$250.09 ,$412.34 ,$515.47 ,$583.10 ,$520.63 ,$666.40 ,$637.96 ,$250.09 ,$583.10 ,$250.09 ,$499.80 ,$255.08 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$250.09 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$637.96 ,$577.27 ,$250.09 ,$833.00 ,$467.31 ,$250.09 ,$218.25 ,$833.00 ,$234.21 ,$223.57 ,$262.59 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$766.00 ,$833.00 ,$250.09 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,"$1,541.00 ","$1,109.52 ",$223.57 ,"$1,541.00 ",$637.98 ,"$1,541.00 ",$847.55 ,$250.09 ,$431.48 ,$805.94 ,$250.09 ,$847.55 ,$250.09 ,$762.80 ,$762.80 ,$250.09 ,$762.80 ,$515.47 ,"$1,078.70 ",$963.13 ,"$1,232.80 ",$637.96 ,$250.09 ,"$1,078.70 ",$250.09 ,$924.60 ,$255.08 ,"$1,155.75 ",$850.63 ,$767.42 ,$850.63 ,$250.09 ,$850.63 ,"$1,248.21 ","$1,541.00 ","$1,248.21 ","$1,309.85 ",$637.96 ,"$1,067.91 ",$250.09 ,"$1,541.00 ",$864.50 ,$250.09 ,$403.74 ,"$1,541.00 ",$234.21 ,$223.57 ,$262.59 ,"$1,232.80 ",$762.80 ,$431.48 ,"$1,386.90 ",$766.00 ,$964.00 ,$250.09 ,$739.68 
ST. MARY'S HOSPITAL - DECATUR,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,"$1,541.00 ","$1,109.52 ",$223.57 ,"$1,541.00 ",$637.98 ,"$1,541.00 ",$847.55 ,$250.09 ,$431.48 ,$805.94 ,$250.09 ,$847.55 ,$250.09 ,$762.80 ,$762.80 ,$250.09 ,$762.80 ,$515.47 ,"$1,078.70 ",$963.13 ,"$1,232.80 ",$637.96 ,$250.09 ,"$1,078.70 ",$250.09 ,$924.60 ,$255.08 ,"$1,155.75 ",$850.63 ,$767.42 ,$850.63 ,$250.09 ,$850.63 ,"$1,248.21 ","$1,541.00 ","$1,248.21 ","$1,309.85 ",$637.96 ,"$1,067.91 ",$250.09 ,"$1,541.00 ",$864.50 ,$250.09 ,$403.74 ,"$1,541.00 ",$234.21 ,$223.57 ,$262.59 ,"$1,232.80 ",$762.80 ,$431.48 ,"$1,386.90 ",$766.00 ,$964.00 ,$250.09 ,$739.68 
ST. MARY'S HOSPITAL - DECATUR,36100069,29125,HC APPL SHRT ARM SPLNT STAT-LT,361,1 ,$743.00 ,$534.96 ,$106.80 ,$743.00 ,$272.45 ,$393.79 ,$408.65 ,$106.80 ,$208.04 ,$388.59 ,$106.80 ,$408.65 ,$106.80 ,$367.79 ,$367.79 ,$106.80 ,$367.79 ,$220.13 ,$520.10 ,$464.38 ,$594.40 ,$272.44 ,$106.80 ,$520.10 ,$106.80 ,$445.80 ,$108.94 ,$557.25 ,$410.14 ,$370.01 ,$410.14 ,$106.80 ,$410.14 ,$601.83 ,$743.00 ,$601.83 ,$631.55 ,$272.44 ,$514.90 ,$106.80 ,$743.00 ,$416.82 ,$106.80 ,$194.67 ,$743.00 ,$182.35 ,$174.06 ,$112.14 ,$594.40 ,$367.79 ,$208.04 ,$668.70 ,$743.00 ,$743.00 ,$106.80 ,$356.64 
ST. MARY'S HOSPITAL - DECATUR,36100070,29125,HC APPL SHRT ARM SPLNT STAT-RT,361,1 ,$743.00 ,$534.96 ,$106.80 ,$743.00 ,$272.45 ,$393.79 ,$408.65 ,$106.80 ,$208.04 ,$388.59 ,$106.80 ,$408.65 ,$106.80 ,$367.79 ,$367.79 ,$106.80 ,$367.79 ,$220.13 ,$520.10 ,$464.38 ,$594.40 ,$272.44 ,$106.80 ,$520.10 ,$106.80 ,$445.80 ,$108.94 ,$557.25 ,$410.14 ,$370.01 ,$410.14 ,$106.80 ,$410.14 ,$601.83 ,$743.00 ,$601.83 ,$631.55 ,$272.44 ,$514.90 ,$106.80 ,$743.00 ,$416.82 ,$106.80 ,$194.67 ,$743.00 ,$182.35 ,$174.06 ,$112.14 ,$594.40 ,$367.79 ,$208.04 ,$668.70 ,$743.00 ,$743.00 ,$106.80 ,$356.64 
ST. MARY'S HOSPITAL - DECATUR,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$4,862.00 ","$3,500.64 ",$303.73 ,"$4,862.00 ","$1,511.88 ","$3,000.00 ","$2,674.10 ",$592.65 ,"$1,361.36 ","$2,542.83 ",$592.65 ,"$2,674.10 ",$592.65 ,"$2,406.69 ","$2,406.69 ",$592.65 ,"$2,406.69 ","$1,221.60 ","$3,403.40 ","$3,038.75 ","$3,889.60 ","$1,511.88 ",$592.65 ,"$3,403.40 ",$592.65 ,"$2,917.20 ",$604.51 ,"$3,646.50 ","$2,683.82 ","$2,421.28 ","$2,683.82 ",$592.65 ,"$2,683.82 ","$3,938.22 ","$4,862.00 ","$3,938.22 ","$4,132.70 ","$1,511.88 ","$3,369.37 ",$592.65 ,"$4,862.00 ","$2,727.58 ",$592.65 ,"$1,273.84 ","$4,862.00 ",$318.20 ,$303.73 ,$622.29 ,"$3,889.60 ","$2,406.69 ","$1,361.36 ","$4,375.80 ","$1,543.00 ","$1,784.00 ",$592.65 ,"$2,333.76 "
ST. MARY'S HOSPITAL - DECATUR,36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$2,381.00 ","$1,714.32 ",$303.73 ,"$2,381.00 ","$1,999.55 ","$2,381.00 ","$1,309.55 ",$783.82 ,$666.68 ,"$1,245.26 ",$783.82 ,"$1,309.55 ",$783.82 ,"$1,178.60 ","$1,178.60 ",$783.82 ,"$1,178.60 ","$1,615.64 ","$1,666.70 ","$1,488.13 ","$1,904.80 ","$1,999.56 ",$783.82 ,"$1,666.70 ",$783.82 ,"$1,428.60 ",$799.50 ,"$1,785.75 ","$1,314.31 ","$1,185.74 ","$1,314.31 ",$783.82 ,"$1,314.31 ","$1,928.61 ","$2,381.00 ","$1,928.61 ","$2,023.85 ","$1,999.56 ","$1,650.03 ",$783.82 ,"$2,381.00 ","$1,335.74 ",$783.82 ,$623.82 ,"$2,381.00 ",$318.20 ,$303.73 ,$823.01 ,"$1,904.80 ","$1,178.60 ",$666.68 ,"$2,142.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,142.88 "
ST. MARY'S HOSPITAL - DECATUR,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$3,592.00 ","$2,586.24 ",$303.73 ,"$3,592.00 ","$1,511.88 ","$3,000.00 ","$1,975.60 ",$592.65 ,"$1,005.76 ","$1,878.62 ",$592.65 ,"$1,975.60 ",$592.65 ,"$1,778.04 ","$1,778.04 ",$592.65 ,"$1,778.04 ","$1,221.60 ","$2,514.40 ","$2,245.00 ","$2,873.60 ","$1,511.88 ",$592.65 ,"$2,514.40 ",$592.65 ,"$2,155.20 ",$604.51 ,"$2,694.00 ","$1,982.78 ","$1,788.82 ","$1,982.78 ",$592.65 ,"$1,982.78 ","$2,909.52 ","$3,592.00 ","$2,909.52 ","$3,053.20 ","$1,511.88 ","$2,489.26 ",$592.65 ,"$3,592.00 ","$2,015.11 ",$592.65 ,$941.10 ,"$3,592.00 ",$318.20 ,$303.73 ,$622.29 ,"$2,873.60 ","$1,778.04 ","$1,005.76 ","$3,232.80 ","$1,543.00 ","$1,784.00 ",$592.65 ,"$1,724.16 "
ST. MARY'S HOSPITAL - DECATUR,36100104,62324,HC INJ W/CATH CERV/THOR W/O GUIDE,361,1 ,"$3,588.00 ","$2,583.36 ",$550.87 ,"$3,588.00 ","$1,999.55 ","$3,000.00 ","$1,973.40 ",$783.82 ,"$1,004.64 ","$1,876.52 ",$783.82 ,"$1,973.40 ",$783.82 ,"$1,776.06 ","$1,776.06 ",$783.82 ,"$1,776.06 ","$1,615.64 ","$2,511.60 ","$2,242.50 ","$2,870.40 ","$1,999.56 ",$783.82 ,"$2,511.60 ",$783.82 ,"$2,152.80 ",$799.50 ,"$2,691.00 ","$1,980.58 ","$1,786.82 ","$1,980.58 ",$783.82 ,"$1,980.58 ","$2,906.28 ","$3,588.00 ","$2,906.28 ","$3,049.80 ","$1,999.56 ","$2,486.48 ",$783.82 ,"$3,588.00 ","$2,012.87 ",$783.82 ,$940.06 ,"$3,588.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,870.40 ","$1,776.06 ","$1,004.64 ","$3,229.20 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,722.24 "
ST. MARY'S HOSPITAL - DECATUR,36100105,62325,HC INJ W/CATH CERV/THOR W/GUIDE,361,1 ,"$5,698.00 ","$4,102.56 ",$550.87 ,"$5,698.00 ","$1,999.55 ","$3,000.00 ","$3,133.90 ",$783.82 ,"$1,595.44 ","$2,980.05 ",$783.82 ,"$3,133.90 ",$783.82 ,"$2,820.51 ","$2,820.51 ",$783.82 ,"$2,820.51 ","$1,615.64 ","$3,500.00 ","$3,561.25 ","$4,558.40 ","$1,999.56 ",$783.82 ,"$3,988.60 ",$783.82 ,"$3,418.80 ",$799.50 ,"$4,273.50 ","$3,145.30 ","$2,837.60 ","$3,145.30 ",$783.82 ,"$3,145.30 ","$4,615.38 ","$5,698.00 ","$4,615.38 ","$4,843.30 ","$1,999.56 ","$3,948.71 ",$783.82 ,"$5,698.00 ","$3,196.58 ",$783.82 ,"$1,492.88 ","$5,698.00 ",$577.10 ,$550.87 ,$823.01 ,"$4,558.40 ","$2,820.51 ","$1,595.44 ","$5,128.20 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$2,735.04 "
ST. MARY'S HOSPITAL - DECATUR,36100107,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$4,261.00 ","$3,067.92 ",$550.87 ,"$4,261.00 ","$1,999.55 ","$3,000.00 ","$2,343.55 ",$783.82 ,"$1,193.08 ","$2,228.50 ",$783.82 ,"$2,343.55 ",$783.82 ,"$2,109.20 ","$2,109.20 ",$783.82 ,"$2,109.20 ","$1,615.64 ","$2,982.70 ","$2,663.13 ","$3,408.80 ","$1,999.56 ",$783.82 ,"$2,982.70 ",$783.82 ,"$2,556.60 ",$799.50 ,"$3,195.75 ","$2,352.07 ","$2,121.98 ","$2,352.07 ",$783.82 ,"$2,352.07 ","$3,451.41 ","$4,261.00 ","$3,451.41 ","$3,621.85 ","$1,999.56 ","$2,952.87 ",$783.82 ,"$4,261.00 ","$2,390.42 ",$783.82 ,"$1,116.38 ","$4,261.00 ",$577.10 ,$550.87 ,$823.01 ,"$3,408.80 ","$2,109.20 ","$1,193.08 ","$3,834.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$2,045.28 "
ST. MARY'S HOSPITAL - DECATUR,36100108,29445,HC APPL CAST LEG RIGID CONTACT -BIL,361,1 ,"$1,215.00 ",$874.80 ,$318.33 ,"$1,215.00 ",$844.38 ,$643.95 ,$668.25 ,$330.99 ,$340.20 ,$635.45 ,$330.99 ,$668.25 ,$330.99 ,$601.43 ,$601.43 ,$330.99 ,$601.43 ,$682.26 ,$850.50 ,$759.38 ,$972.00 ,$844.39 ,$330.99 ,$850.50 ,$330.99 ,$729.00 ,$337.62 ,$911.25 ,$670.68 ,$605.07 ,$670.68 ,$330.99 ,$670.68 ,$984.15 ,"$1,215.00 ",$984.15 ,"$1,032.75 ",$844.39 ,$842.00 ,$330.99 ,"$1,215.00 ",$681.62 ,$330.99 ,$318.33 ,"$1,215.00 ",$352.87 ,$336.83 ,$347.55 ,$972.00 ,$601.43 ,$340.20 ,"$1,093.50 ","$1,149.00 ","$1,215.00 ",$330.99 ,$583.20 
ST. MARY'S HOSPITAL - DECATUR,36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,"$1,215.00 ",$874.80 ,$220.67 ,"$1,215.00 ",$562.93 ,$643.95 ,$668.25 ,$220.67 ,$340.20 ,$635.45 ,$220.67 ,$668.25 ,$220.67 ,$601.43 ,$601.43 ,$220.67 ,$601.43 ,$454.84 ,$850.50 ,$759.38 ,$972.00 ,$562.92 ,$220.67 ,$850.50 ,$220.67 ,$729.00 ,$225.08 ,$911.25 ,$670.68 ,$605.07 ,$670.68 ,$220.67 ,$670.68 ,$984.15 ,"$1,215.00 ",$984.15 ,"$1,032.75 ",$562.92 ,$842.00 ,$220.67 ,"$1,215.00 ",$681.62 ,$220.67 ,$318.33 ,"$1,215.00 ",$235.25 ,$224.55 ,$231.70 ,$972.00 ,$601.43 ,$340.20 ,"$1,093.50 ",$766.00 ,$964.00 ,$220.67 ,$583.20 
ST. MARY'S HOSPITAL - DECATUR,36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,"$1,215.00 ",$874.80 ,$220.67 ,"$1,215.00 ",$562.93 ,$643.95 ,$668.25 ,$220.67 ,$340.20 ,$635.45 ,$220.67 ,$668.25 ,$220.67 ,$601.43 ,$601.43 ,$220.67 ,$601.43 ,$454.84 ,$850.50 ,$759.38 ,$972.00 ,$562.92 ,$220.67 ,$850.50 ,$220.67 ,$729.00 ,$225.08 ,$911.25 ,$670.68 ,$605.07 ,$670.68 ,$220.67 ,$670.68 ,$984.15 ,"$1,215.00 ",$984.15 ,"$1,032.75 ",$562.92 ,$842.00 ,$220.67 ,"$1,215.00 ",$681.62 ,$220.67 ,$318.33 ,"$1,215.00 ",$235.25 ,$224.55 ,$231.70 ,$972.00 ,$601.43 ,$340.20 ,"$1,093.50 ",$766.00 ,$964.00 ,$220.67 ,$583.20 
ST. MARY'S HOSPITAL - DECATUR,36100117,90945,HC CONT RENAL REPLACMENT THERAPY INIT DAY,361,1 ,"$1,015.00 ",$730.80 ,$265.93 ,"$1,015.00 ",$895.40 ,$537.95 ,$558.25 ,$351.00 ,$284.20 ,$530.85 ,$351.00 ,$558.25 ,$351.00 ,$502.43 ,$502.43 ,$351.00 ,$502.43 ,$723.49 ,$710.50 ,$634.38 ,$812.00 ,$895.41 ,$351.00 ,$710.50 ,$351.00 ,$609.00 ,$358.02 ,$761.25 ,$560.28 ,$505.47 ,$560.28 ,$351.00 ,$560.28 ,$822.15 ,"$1,015.00 ",$822.15 ,$862.75 ,$895.41 ,$703.40 ,$351.00 ,"$1,015.00 ",$569.42 ,$351.00 ,$265.93 ,"$1,015.00 ",$681.78 ,$650.79 ,$368.55 ,$812.00 ,$502.43 ,$284.20 ,$913.50 , N/A , N/A ,$351.00 ,$487.20 
ST. MARY'S HOSPITAL - DECATUR,36100119,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-BIL,361,1 ,"$1,201.00 ",$864.72 ,$314.66 ,"$1,201.00 ", N/A ,"$1,201.00 ",$660.55 , N/A ,$336.28 ,$628.12 , N/A ,$660.55 , N/A ,$594.50 ,$594.50 , N/A ,$594.50 , N/A ,$840.70 ,$750.63 ,$960.80 , N/A , N/A ,$840.70 , N/A ,$720.60 , N/A ,$900.75 ,$662.95 ,$598.10 ,$662.95 , N/A ,$662.95 ,$972.81 ,"$1,201.00 ",$972.81 ,"$1,020.85 ", N/A ,$832.29 , N/A ,"$1,201.00 ",$673.76 , N/A ,$314.66 ,"$1,201.00 ",$865.65 ,$826.30 , N/A ,$960.80 ,$594.50 ,$336.28 ,"$1,080.90 ","$1,149.00 ","$1,201.00 ", N/A ,$576.48 
ST. MARY'S HOSPITAL - DECATUR,36100120,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-LT,361,1 ,"$1,201.00 ",$864.72 ,$314.66 ,"$1,201.00 ", N/A ,"$1,201.00 ",$660.55 , N/A ,$336.28 ,$628.12 , N/A ,$660.55 , N/A ,$594.50 ,$594.50 , N/A ,$594.50 , N/A ,$840.70 ,$750.63 ,$960.80 , N/A , N/A ,$840.70 , N/A ,$720.60 , N/A ,$900.75 ,$662.95 ,$598.10 ,$662.95 , N/A ,$662.95 ,$972.81 ,"$1,201.00 ",$972.81 ,"$1,020.85 ", N/A ,$832.29 , N/A ,"$1,201.00 ",$673.76 , N/A ,$314.66 ,"$1,201.00 ",$577.10 ,$550.87 , N/A ,$960.80 ,$594.50 ,$336.28 ,"$1,080.90 ",$766.00 ,$964.00 , N/A ,$576.48 
ST. MARY'S HOSPITAL - DECATUR,36100121,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-RT,361,1 ,"$1,201.00 ",$864.72 ,$314.66 ,"$1,201.00 ", N/A ,"$1,201.00 ",$660.55 , N/A ,$336.28 ,$628.12 , N/A ,$660.55 , N/A ,$594.50 ,$594.50 , N/A ,$594.50 , N/A ,$840.70 ,$750.63 ,$960.80 , N/A , N/A ,$840.70 , N/A ,$720.60 , N/A ,$900.75 ,$662.95 ,$598.10 ,$662.95 , N/A ,$662.95 ,$972.81 ,"$1,201.00 ",$972.81 ,"$1,020.85 ", N/A ,$832.29 , N/A ,"$1,201.00 ",$673.76 , N/A ,$314.66 ,"$1,201.00 ",$577.10 ,$550.87 , N/A ,$960.80 ,$594.50 ,$336.28 ,"$1,080.90 ",$766.00 ,$964.00 , N/A ,$576.48 
ST. MARY'S HOSPITAL - DECATUR,36100122,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-BIL,361,1 ,"$5,343.00 ","$3,846.96 ",$826.30 ,"$5,343.00 ","$4,217.70 ","$4,500.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$865.65 ,$826.30 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$3,429.00 ","$4,015.50 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100123,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-LT,361,1 ,"$5,343.00 ","$3,846.96 ",$550.87 ,"$5,343.00 ","$4,217.70 ","$3,000.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$577.10 ,$550.87 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100124,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-RT,361,1 ,"$5,343.00 ","$3,846.96 ",$550.87 ,"$5,343.00 ","$4,217.70 ","$3,000.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$577.10 ,$550.87 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100125,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-BIL,361,1 ,"$1,109.00 ",$798.48 ,$290.56 ,"$1,109.00 ", N/A ,"$1,109.00 ",$609.95 , N/A ,$310.52 ,$580.01 , N/A ,$609.95 , N/A ,$548.96 ,$548.96 , N/A ,$548.96 , N/A ,$776.30 ,$693.13 ,$887.20 , N/A , N/A ,$776.30 , N/A ,$665.40 , N/A ,$831.75 ,$612.17 ,$552.28 ,$612.17 , N/A ,$612.17 ,$898.29 ,"$1,109.00 ",$898.29 ,$942.65 , N/A ,$768.54 , N/A ,"$1,109.00 ",$622.15 , N/A ,$290.56 ,"$1,109.00 ",$865.65 ,$826.30 , N/A ,$887.20 ,$548.96 ,$310.52 ,$998.10 ,"$1,109.00 ","$1,109.00 ", N/A ,$532.32 
ST. MARY'S HOSPITAL - DECATUR,36100126,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-LT,361,1 ,"$1,109.00 ",$798.48 ,$290.56 ,"$1,109.00 ", N/A ,"$1,109.00 ",$609.95 , N/A ,$310.52 ,$580.01 , N/A ,$609.95 , N/A ,$548.96 ,$548.96 , N/A ,$548.96 , N/A ,$776.30 ,$693.13 ,$887.20 , N/A , N/A ,$776.30 , N/A ,$665.40 , N/A ,$831.75 ,$612.17 ,$552.28 ,$612.17 , N/A ,$612.17 ,$898.29 ,"$1,109.00 ",$898.29 ,$942.65 , N/A ,$768.54 , N/A ,"$1,109.00 ",$622.15 , N/A ,$290.56 ,"$1,109.00 ",$577.10 ,$550.87 , N/A ,$887.20 ,$548.96 ,$310.52 ,$998.10 ,$766.00 ,$964.00 , N/A ,$532.32 
ST. MARY'S HOSPITAL - DECATUR,36100127,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-RT,361,1 ,"$1,109.00 ",$798.48 ,$290.56 ,"$1,109.00 ", N/A ,"$1,109.00 ",$609.95 , N/A ,$310.52 ,$580.01 , N/A ,$609.95 , N/A ,$548.96 ,$548.96 , N/A ,$548.96 , N/A ,$776.30 ,$693.13 ,$887.20 , N/A , N/A ,$776.30 , N/A ,$665.40 , N/A ,$831.75 ,$612.17 ,$552.28 ,$612.17 , N/A ,$612.17 ,$898.29 ,"$1,109.00 ",$898.29 ,$942.65 , N/A ,$768.54 , N/A ,"$1,109.00 ",$622.15 , N/A ,$290.56 ,"$1,109.00 ",$577.10 ,$550.87 , N/A ,$887.20 ,$548.96 ,$310.52 ,$998.10 ,$766.00 ,$964.00 , N/A ,$532.32 
ST. MARY'S HOSPITAL - DECATUR,36100128,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-BIL,361,1 ,"$5,343.00 ","$3,846.96 ",$826.30 ,"$5,343.00 ","$4,217.70 ","$4,500.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$865.65 ,$826.30 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$3,429.00 ","$4,015.50 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100129,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-LT,361,1 ,"$5,343.00 ","$3,846.96 ",$550.87 ,"$5,343.00 ","$4,217.70 ","$3,000.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$577.10 ,$550.87 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100130,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-RT,361,1 ,"$5,343.00 ","$3,846.96 ",$550.87 ,"$5,343.00 ","$4,217.70 ","$3,000.00 ","$2,938.65 ","$1,653.34 ","$1,496.04 ","$2,794.39 ","$1,653.34 ","$2,938.65 ","$1,653.34 ","$2,644.79 ","$2,644.79 ","$1,653.34 ","$2,644.79 ","$3,407.90 ","$3,500.00 ","$3,339.38 ","$4,274.40 ","$4,217.70 ","$1,653.34 ","$3,740.10 ","$1,653.34 ","$3,205.80 ","$1,686.40 ","$4,007.25 ","$2,949.34 ","$2,660.81 ","$2,949.34 ","$1,653.34 ","$2,949.34 ","$4,327.83 ","$5,343.00 ","$4,327.83 ","$4,541.55 ","$4,217.70 ","$3,702.70 ","$1,653.34 ","$5,343.00 ","$2,997.42 ","$1,653.34 ","$1,399.87 ","$5,343.00 ",$577.10 ,$550.87 ,"$1,736.00 ","$4,274.40 ","$2,644.79 ","$1,496.04 ","$4,808.70 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$2,564.64 "
ST. MARY'S HOSPITAL - DECATUR,36100131,64640,HC DESTROY NERVE PERIPHERAL-BIL,361,1 ,"$3,581.00 ","$2,578.32 ",$826.30 ,"$3,581.00 ","$2,999.33 ","$3,581.00 ","$1,969.55 ","$1,175.74 ","$1,002.68 ","$1,872.86 ","$1,175.74 ","$1,969.55 ","$1,175.74 ","$1,772.60 ","$1,772.60 ","$1,175.74 ","$1,772.60 ","$2,423.46 ","$2,506.70 ","$2,238.13 ","$2,864.80 ","$2,999.33 ","$1,175.74 ","$2,506.70 ","$1,175.74 ","$2,148.60 ","$1,199.26 ","$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ","$1,175.74 ","$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ","$2,999.33 ","$2,481.63 ","$1,175.74 ","$3,581.00 ","$2,008.94 ","$1,175.74 ",$938.22 ,"$3,581.00 ",$865.65 ,$826.30 ,"$1,234.53 ","$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ","$2,314.50 ","$2,676.00 ","$1,175.74 ","$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,36100132,64640,HC DESTROY NERVE PERIPHERAL-LT,361,1 ,"$3,581.00 ","$2,578.32 ",$550.87 ,"$3,581.00 ","$1,999.55 ","$3,000.00 ","$1,969.55 ",$783.82 ,"$1,002.68 ","$1,872.86 ",$783.82 ,"$1,969.55 ",$783.82 ,"$1,772.60 ","$1,772.60 ",$783.82 ,"$1,772.60 ","$1,615.64 ","$2,506.70 ","$2,238.13 ","$2,864.80 ","$1,999.56 ",$783.82 ,"$2,506.70 ",$783.82 ,"$2,148.60 ",$799.50 ,"$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ",$783.82 ,"$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ","$1,999.56 ","$2,481.63 ",$783.82 ,"$3,581.00 ","$2,008.94 ",$783.82 ,$938.22 ,"$3,581.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,36100133,64640,HC DESTROY NERVE PERIPHERAL-RT,361,1 ,"$3,581.00 ","$2,578.32 ",$550.87 ,"$3,581.00 ","$1,999.55 ","$3,000.00 ","$1,969.55 ",$783.82 ,"$1,002.68 ","$1,872.86 ",$783.82 ,"$1,969.55 ",$783.82 ,"$1,772.60 ","$1,772.60 ",$783.82 ,"$1,772.60 ","$1,615.64 ","$2,506.70 ","$2,238.13 ","$2,864.80 ","$1,999.56 ",$783.82 ,"$2,506.70 ",$783.82 ,"$2,148.60 ",$799.50 ,"$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ",$783.82 ,"$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ","$1,999.56 ","$2,481.63 ",$783.82 ,"$3,581.00 ","$2,008.94 ",$783.82 ,$938.22 ,"$3,581.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,36100146,51720,HC INSTILL ANTICARCINOG BLADDER,361,1 ,"$1,156.00 ",$832.32 ,$302.87 ,"$1,467.30 ","$1,467.30 ",$612.68 ,$635.80 ,$575.18 ,$323.68 ,$604.59 ,$575.18 ,$635.80 ,$575.18 ,$572.22 ,$572.22 ,$575.18 ,$572.22 ,"$1,156.00 ",$809.20 ,$722.50 ,$924.80 ,"$1,467.30 ",$575.18 ,$809.20 ,$575.18 ,$693.60 ,$586.69 ,$867.00 ,$638.11 ,$575.69 ,$638.11 ,$575.18 ,$638.11 ,$936.36 ,"$1,156.00 ",$936.36 ,$982.60 ,"$1,156.00 ",$801.11 ,$575.18 ,"$1,156.00 ",$648.52 ,$575.18 ,$302.87 ,"$1,156.00 ",$785.38 ,$749.68 ,$603.94 ,$924.80 ,$572.22 ,$323.68 ,"$1,040.40 ",$766.00 ,$964.00 ,$575.18 ,$554.88 
ST. MARY'S HOSPITAL - DECATUR,36100147,31520,HC LARYNGSCPY WW/O TRACH DX NEWB,361,1 ,$259.00 ,$186.48 ,$67.86 ,$884.93 ,$884.93 ,$259.00 ,$142.45 ,$346.89 ,$72.52 ,$135.46 ,$346.89 ,$142.45 ,$253.82 ,$128.21 ,$128.21 ,$253.82 ,$128.21 ,$259.00 ,$181.30 ,$161.88 ,$207.20 ,$884.92 ,$346.89 ,$181.30 ,$346.89 ,$155.40 ,$253.82 ,$194.25 ,$142.97 ,$128.98 ,$142.97 ,$346.89 ,$142.97 ,$209.79 ,$259.00 ,$209.79 ,$220.15 ,$259.00 ,$179.49 ,$253.82 ,$259.00 ,$145.30 ,$346.89 ,$67.86 ,$259.00 , N/A , N/A ,$364.24 ,$207.20 ,$128.21 ,$72.52 ,$233.10 ,$259.00 ,$259.00 ,$346.89 ,$124.32 
ST. MARY'S HOSPITAL - DECATUR,36100150,36511,HC WBC APHERESIS THERAPY,361,1 ,"$5,564.00 ","$4,006.08 ","$1,250.76 ","$5,564.00 ","$3,190.73 ","$3,800.00 ","$3,060.20 ","$1,250.76 ","$1,557.92 ","$2,909.97 ","$1,250.76 ","$3,060.20 ","$1,250.76 ","$2,754.18 ","$2,754.18 ","$1,250.76 ","$2,754.18 ","$2,578.11 ","$3,500.00 ","$3,477.50 ","$4,451.20 ","$3,190.73 ","$1,250.76 ","$3,894.80 ","$1,250.76 ","$3,338.40 ","$1,275.78 ","$4,173.00 ","$3,071.33 ","$2,770.87 ","$3,071.33 ","$1,250.76 ","$3,071.33 ","$4,506.84 ","$5,564.00 ","$4,506.84 ","$4,729.40 ","$3,190.73 ","$3,855.85 ","$1,250.76 ","$5,564.00 ","$3,121.40 ","$1,250.76 ","$1,457.77 ","$5,564.00 ","$1,871.14 ","$1,786.09 ","$1,313.30 ","$4,451.20 ","$2,754.18 ","$1,557.92 ","$5,007.60 ","$1,866.00 ","$2,248.00 ","$1,250.76 ","$2,670.72 "
ST. MARY'S HOSPITAL - DECATUR,36100151,36512,HC RBC APHERESIS THERAPY,361,1 ,"$5,564.00 ","$4,006.08 ","$1,250.76 ","$5,564.00 ","$3,190.73 ","$3,800.00 ","$3,060.20 ","$1,250.76 ","$1,557.92 ","$2,909.97 ","$1,250.76 ","$3,060.20 ","$1,250.76 ","$2,754.18 ","$2,754.18 ","$1,250.76 ","$2,754.18 ","$2,578.11 ","$3,500.00 ","$3,477.50 ","$4,451.20 ","$3,190.73 ","$1,250.76 ","$3,894.80 ","$1,250.76 ","$3,338.40 ","$1,275.78 ","$4,173.00 ","$3,071.33 ","$2,770.87 ","$3,071.33 ","$1,250.76 ","$3,071.33 ","$4,506.84 ","$5,564.00 ","$4,506.84 ","$4,729.40 ","$3,190.73 ","$3,855.85 ","$1,250.76 ","$5,564.00 ","$3,121.40 ","$1,250.76 ","$1,457.77 ","$5,564.00 ","$1,871.14 ","$1,786.09 ","$1,313.30 ","$4,451.20 ","$2,754.18 ","$1,557.92 ","$5,007.60 ","$1,866.00 ","$2,248.00 ","$1,250.76 ","$2,670.72 "
ST. MARY'S HOSPITAL - DECATUR,36100152,36513,HC PLATELET PHERESIS THERAPY,361,1 ,"$5,564.00 ","$4,006.08 ",$375.05 ,"$5,564.00 ",$956.75 ,"$3,800.00 ","$3,060.20 ",$375.05 ,"$1,557.92 ","$2,909.97 ",$375.05 ,"$3,060.20 ",$375.05 ,"$2,754.18 ","$2,754.18 ",$375.05 ,"$2,754.18 ",$773.05 ,"$3,500.00 ","$3,477.50 ","$4,451.20 ",$956.74 ,$375.05 ,"$3,894.80 ",$375.05 ,"$3,338.40 ",$382.54 ,"$4,173.00 ","$3,071.33 ","$2,770.87 ","$3,071.33 ",$375.05 ,"$3,071.33 ","$4,506.84 ","$5,564.00 ","$4,506.84 ","$4,729.40 ",$956.74 ,"$3,855.85 ",$375.05 ,"$5,564.00 ","$3,121.40 ",$375.05 ,"$1,457.77 ","$5,564.00 ",$480.30 ,$458.47 ,$393.80 ,"$4,451.20 ","$2,754.18 ","$1,557.92 ","$5,007.60 ",$766.00 ,$964.00 ,$375.05 ,"$2,670.72 "
ST. MARY'S HOSPITAL - DECATUR,36100154,38220,HC ASP BONE MARROW ONLY,361,1 ,"$3,923.00 ","$2,824.56 ",$420.12 ,"$3,923.00 ","$3,518.55 ","$3,000.00 ","$2,157.65 ","$1,379.27 ","$1,098.44 ","$2,051.73 ","$1,379.27 ","$2,157.65 ","$1,379.27 ","$1,941.89 ","$1,941.89 ","$1,379.27 ","$1,941.89 ","$2,842.98 ","$2,746.10 ","$2,451.88 ","$3,138.40 ","$3,518.54 ","$1,379.27 ","$2,746.10 ","$1,379.27 ","$2,353.80 ","$1,406.86 ","$2,942.25 ","$2,165.50 ","$1,953.65 ","$2,165.50 ","$1,379.27 ","$2,165.50 ","$3,177.63 ","$3,923.00 ","$3,177.63 ","$3,334.55 ","$3,518.54 ","$2,718.64 ","$1,379.27 ","$3,923.00 ","$2,200.80 ","$1,379.27 ","$1,027.83 ","$3,923.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$3,138.40 ","$1,941.89 ","$1,098.44 ","$3,530.70 ","$1,543.00 ","$1,784.00 ","$1,379.27 ","$1,883.04 "
ST. MARY'S HOSPITAL - DECATUR,36100155,38221,HC BX BONE MARROW ONLY NEEDLE,361,1 ,"$3,923.00 ","$2,824.56 ",$420.12 ,"$3,923.00 ","$3,518.55 ","$3,000.00 ","$2,157.65 ","$1,379.27 ","$1,098.44 ","$2,051.73 ","$1,379.27 ","$2,157.65 ","$1,379.27 ","$1,941.89 ","$1,941.89 ","$1,379.27 ","$1,941.89 ","$2,842.98 ","$2,746.10 ","$2,451.88 ","$3,138.40 ","$3,518.54 ","$1,379.27 ","$2,746.10 ","$1,379.27 ","$2,353.80 ","$1,406.86 ","$2,942.25 ","$2,165.50 ","$1,953.65 ","$2,165.50 ","$1,379.27 ","$2,165.50 ","$3,177.63 ","$3,923.00 ","$3,177.63 ","$3,334.55 ","$3,518.54 ","$2,718.64 ","$1,379.27 ","$3,923.00 ","$2,200.80 ","$1,379.27 ","$1,027.83 ","$3,923.00 ",$440.12 ,$420.12 ,"$1,448.23 ","$3,138.40 ","$1,941.89 ","$1,098.44 ","$3,530.70 ","$1,543.00 ","$1,784.00 ","$1,379.27 ","$1,883.04 "
ST. MARY'S HOSPITAL - DECATUR,36100157,10021,HC ASP FINE NDL W/O IMAGING GUIDE,361,1 ,$905.00 ,$651.60 ,$110.26 ,$905.00 ,$875.38 ,$905.00 ,$497.75 ,$343.15 ,$253.40 ,$473.32 ,$343.15 ,$497.75 ,$343.15 ,$447.98 ,$447.98 ,$343.15 ,$447.98 ,$707.30 ,$633.50 ,$565.63 ,$724.00 ,$875.37 ,$343.15 ,$633.50 ,$343.15 ,$543.00 ,$350.01 ,$678.75 ,$499.56 ,$450.69 ,$499.56 ,$343.15 ,$499.56 ,$733.05 ,$905.00 ,$733.05 ,$769.25 ,$875.37 ,$627.17 ,$343.15 ,$110.26 ,$507.71 ,$343.15 ,$237.11 ,$905.00 ,$440.12 ,$420.12 ,$360.31 ,$724.00 ,$447.98 ,$253.40 ,$814.50 ,$766.00 ,$905.00 ,$343.15 ,$434.40 
ST. MARY'S HOSPITAL - DECATUR,36100162,22526,HC ANNULOPLASTY UNI/BI INTRADISCAL SGL LVL,361,1 ,"$4,498.00 ","$3,238.56 ","$1,178.48 ","$4,498.00 ", N/A ,"$4,498.00 ","$2,473.90 ", N/A ,"$1,259.44 ","$2,352.45 ", N/A ,"$2,473.90 ", N/A ,"$2,226.51 ","$2,226.51 ", N/A ,"$2,226.51 ", N/A ,"$3,148.60 ","$2,811.25 ","$3,598.40 ", N/A , N/A ,"$3,148.60 ", N/A ,"$2,698.80 ", N/A ,"$3,373.50 ","$2,482.90 ","$2,240.00 ","$2,482.90 ", N/A ,"$2,482.90 ","$3,643.38 ","$4,498.00 ","$3,643.38 ","$3,823.30 ", N/A ,"$3,117.11 ", N/A ,"$4,498.00 ","$2,523.38 ", N/A ,"$1,178.48 ","$4,498.00 ","$3,547.71 ","$3,386.45 ", N/A ,"$3,598.40 ","$2,226.51 ","$1,259.44 ","$4,048.20 ","$2,747.00 ","$3,479.00 ", N/A ,"$2,159.04 "
ST. MARY'S HOSPITAL - DECATUR,36100175,46221,HC HEMORRHOIDECTOMY INTERNAL W/LIGATION,361,1 ,"$3,777.00 ","$2,719.44 ",$445.10 ,"$3,777.00 ","$1,949.95 ","$3,000.00 ","$2,077.35 ",$764.38 ,"$1,057.56 ","$1,975.37 ",$764.38 ,"$2,077.35 ",$764.38 ,"$1,869.62 ","$1,869.62 ",$764.38 ,"$1,869.62 ","$1,575.56 ","$2,643.90 ","$2,360.63 ","$3,021.60 ","$1,949.95 ",$764.38 ,"$2,643.90 ",$764.38 ,"$2,266.20 ",$779.67 ,"$2,832.75 ","$2,084.90 ","$1,880.95 ","$2,084.90 ",$764.38 ,"$2,084.90 ","$3,059.37 ","$3,777.00 ","$3,059.37 ","$3,210.45 ","$1,949.95 ","$2,617.46 ",$764.38 ,"$3,777.00 ","$2,118.90 ",$764.38 ,$989.57 ,"$3,777.00 ",$466.29 ,$445.10 ,$802.60 ,"$3,021.60 ","$1,869.62 ","$1,057.56 ","$3,399.30 ","$1,543.00 ","$1,784.00 ",$764.38 ,"$1,812.96 "
ST. MARY'S HOSPITAL - DECATUR,36100178,62264,HC INJ LYSIS EPID ADHESIONS W/RAD LOCAL 1 DAY,361,1 ,"$2,681.00 ","$1,930.32 ",$550.87 ,"$2,681.00 ","$1,999.55 ","$2,681.00 ","$1,474.55 ",$783.82 ,$750.68 ,"$1,402.16 ",$783.82 ,"$1,474.55 ",$783.82 ,"$1,327.10 ","$1,327.10 ",$783.82 ,"$1,327.10 ","$1,615.64 ","$1,876.70 ","$1,675.63 ","$2,144.80 ","$1,999.56 ",$783.82 ,"$1,876.70 ",$783.82 ,"$1,608.60 ",$799.50 ,"$2,010.75 ","$1,479.91 ","$1,335.14 ","$1,479.91 ",$783.82 ,"$1,479.91 ","$2,171.61 ","$2,681.00 ","$2,171.61 ","$2,278.85 ","$1,999.56 ","$1,857.93 ",$783.82 ,"$2,681.00 ","$1,504.04 ",$783.82 ,$702.42 ,"$2,681.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,144.80 ","$1,327.10 ",$750.68 ,"$2,412.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,286.88 "
ST. MARY'S HOSPITAL - DECATUR,36100185,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$4,261.00 ","$3,067.92 ",$550.87 ,"$4,261.00 ","$1,999.55 ","$3,000.00 ","$2,343.55 ",$783.82 ,"$1,193.08 ","$2,228.50 ",$783.82 ,"$2,343.55 ",$783.82 ,"$2,109.20 ","$2,109.20 ",$783.82 ,"$2,109.20 ","$1,615.64 ","$2,982.70 ","$2,663.13 ","$3,408.80 ","$1,999.56 ",$783.82 ,"$2,982.70 ",$783.82 ,"$2,556.60 ",$799.50 ,"$3,195.75 ","$2,352.07 ","$2,121.98 ","$2,352.07 ",$783.82 ,"$2,352.07 ","$3,451.41 ","$4,261.00 ","$3,451.41 ","$3,621.85 ","$1,999.56 ","$2,952.87 ",$783.82 ,"$4,261.00 ","$2,390.42 ",$783.82 ,"$1,116.38 ","$4,261.00 ",$577.10 ,$550.87 ,$823.01 ,"$3,408.80 ","$2,109.20 ","$1,193.08 ","$3,834.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$2,045.28 "
ST. MARY'S HOSPITAL - DECATUR,36100186,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$4,261.00 ","$3,067.92 ",$550.87 ,"$4,261.00 ","$1,999.55 ","$3,000.00 ","$2,343.55 ",$783.82 ,"$1,193.08 ","$2,228.50 ",$783.82 ,"$2,343.55 ",$783.82 ,"$2,109.20 ","$2,109.20 ",$783.82 ,"$2,109.20 ","$1,615.64 ","$2,982.70 ","$2,663.13 ","$3,408.80 ","$1,999.56 ",$783.82 ,"$2,982.70 ",$783.82 ,"$2,556.60 ",$799.50 ,"$3,195.75 ","$2,352.07 ","$2,121.98 ","$2,352.07 ",$783.82 ,"$2,352.07 ","$3,451.41 ","$4,261.00 ","$3,451.41 ","$3,621.85 ","$1,999.56 ","$2,952.87 ",$783.82 ,"$4,261.00 ","$2,390.42 ",$783.82 ,"$1,116.38 ","$4,261.00 ",$577.10 ,$550.87 ,$823.01 ,"$3,408.80 ","$2,109.20 ","$1,193.08 ","$3,834.90 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$2,045.28 "
ST. MARY'S HOSPITAL - DECATUR,36100187,64415,HC INTRASCALENE BLOCK SINGLE-LT,361,1 ,$856.00 ,$616.32 ,$224.27 ,"$1,999.56 ","$1,999.55 ",$856.00 ,$470.80 ,$783.82 ,$239.68 ,$447.69 ,$783.82 ,$470.80 ,$783.82 ,$423.72 ,$423.72 ,$783.82 ,$423.72 ,$856.00 ,$599.20 ,$535.00 ,$684.80 ,"$1,999.56 ",$783.82 ,$599.20 ,$783.82 ,$513.60 ,$799.50 ,$642.00 ,$472.51 ,$426.29 ,$472.51 ,$783.82 ,$472.51 ,$693.36 ,$856.00 ,$693.36 ,$727.60 ,$856.00 ,$593.21 ,$783.82 ,$856.00 ,$480.22 ,$783.82 ,$224.27 ,$856.00 ,$318.20 ,$303.73 ,$823.01 ,$684.80 ,$423.72 ,$239.68 ,$770.40 ,$856.00 ,$856.00 ,$783.82 ,$410.88 
ST. MARY'S HOSPITAL - DECATUR,36100188,64415,HC INTRASCALENE BLOCK SINGLE-RT,361,1 ,$856.00 ,$616.32 ,$224.27 ,"$1,999.56 ","$1,999.55 ",$856.00 ,$470.80 ,$783.82 ,$239.68 ,$447.69 ,$783.82 ,$470.80 ,$783.82 ,$423.72 ,$423.72 ,$783.82 ,$423.72 ,$856.00 ,$599.20 ,$535.00 ,$684.80 ,"$1,999.56 ",$783.82 ,$599.20 ,$783.82 ,$513.60 ,$799.50 ,$642.00 ,$472.51 ,$426.29 ,$472.51 ,$783.82 ,$472.51 ,$693.36 ,$856.00 ,$693.36 ,$727.60 ,$856.00 ,$593.21 ,$783.82 ,$856.00 ,$480.22 ,$783.82 ,$224.27 ,$856.00 ,$318.20 ,$303.73 ,$823.01 ,$684.80 ,$423.72 ,$239.68 ,$770.40 ,$856.00 ,$856.00 ,$783.82 ,$410.88 
ST. MARY'S HOSPITAL - DECATUR,36100191,64418,HC NERVE BLOCK;SUPRACAPULAR-LT,361,1 ,"$1,080.00 ",$777.60 ,$282.96 ,"$1,511.88 ","$1,511.88 ","$1,080.00 ",$594.00 ,$592.65 ,$302.40 ,$564.84 ,$592.65 ,$594.00 ,$592.65 ,$534.60 ,$534.60 ,$592.65 ,$534.60 ,"$1,080.00 ",$756.00 ,$675.00 ,$864.00 ,"$1,511.88 ",$592.65 ,$756.00 ,$592.65 ,$648.00 ,$604.51 ,$810.00 ,$596.16 ,$537.84 ,$596.16 ,$592.65 ,$596.16 ,$874.80 ,"$1,080.00 ",$874.80 ,$918.00 ,"$1,080.00 ",$748.44 ,$592.65 ,"$1,080.00 ",$605.88 ,$592.65 ,$282.96 ,"$1,080.00 ",$318.20 ,$303.73 ,$622.29 ,$864.00 ,$534.60 ,$302.40 ,$972.00 ,"$1,080.00 ","$1,080.00 ",$592.65 ,$518.40 
ST. MARY'S HOSPITAL - DECATUR,36100192,64418,HC NERVE BLOCK;SUPRACAPULAR-RT,361,1 ,"$1,080.00 ",$777.60 ,$282.96 ,"$1,511.88 ","$1,511.88 ","$1,080.00 ",$594.00 ,$592.65 ,$302.40 ,$564.84 ,$592.65 ,$594.00 ,$592.65 ,$534.60 ,$534.60 ,$592.65 ,$534.60 ,"$1,080.00 ",$756.00 ,$675.00 ,$864.00 ,"$1,511.88 ",$592.65 ,$756.00 ,$592.65 ,$648.00 ,$604.51 ,$810.00 ,$596.16 ,$537.84 ,$596.16 ,$592.65 ,$596.16 ,$874.80 ,"$1,080.00 ",$874.80 ,$918.00 ,"$1,080.00 ",$748.44 ,$592.65 ,"$1,080.00 ",$605.88 ,$592.65 ,$282.96 ,"$1,080.00 ",$318.20 ,$303.73 ,$622.29 ,$864.00 ,$534.60 ,$302.40 ,$972.00 ,"$1,080.00 ","$1,080.00 ",$592.65 ,$518.40 
ST. MARY'S HOSPITAL - DECATUR,36100193,64445,HC NERVE BLOCK;SCIATIC SINGLE-LT,361,1 ,"$2,169.00 ","$1,561.68 ",$303.73 ,"$2,169.00 ","$1,511.88 ","$2,169.00 ","$1,192.95 ",$592.65 ,$607.32 ,"$1,134.39 ",$592.65 ,"$1,192.95 ",$592.65 ,"$1,073.66 ","$1,073.66 ",$592.65 ,"$1,073.66 ","$1,221.60 ","$1,518.30 ","$1,355.63 ","$1,735.20 ","$1,511.88 ",$592.65 ,"$1,518.30 ",$592.65 ,"$1,301.40 ",$604.51 ,"$1,626.75 ","$1,197.29 ","$1,080.16 ","$1,197.29 ",$592.65 ,"$1,197.29 ","$1,756.89 ","$2,169.00 ","$1,756.89 ","$1,843.65 ","$1,511.88 ","$1,503.12 ",$592.65 ,"$2,169.00 ","$1,216.81 ",$592.65 ,$568.28 ,"$2,169.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,735.20 ","$1,073.66 ",$607.32 ,"$1,952.10 ","$1,543.00 ","$1,784.00 ",$592.65 ,"$1,041.12 "
ST. MARY'S HOSPITAL - DECATUR,36100194,64445,HC NERVE BLOCK;SCIATIC SINGLE-RT,361,1 ,"$2,169.00 ","$1,561.68 ",$303.73 ,"$2,169.00 ","$1,511.88 ","$2,169.00 ","$1,192.95 ",$592.65 ,$607.32 ,"$1,134.39 ",$592.65 ,"$1,192.95 ",$592.65 ,"$1,073.66 ","$1,073.66 ",$592.65 ,"$1,073.66 ","$1,221.60 ","$1,518.30 ","$1,355.63 ","$1,735.20 ","$1,511.88 ",$592.65 ,"$1,518.30 ",$592.65 ,"$1,301.40 ",$604.51 ,"$1,626.75 ","$1,197.29 ","$1,080.16 ","$1,197.29 ",$592.65 ,"$1,197.29 ","$1,756.89 ","$2,169.00 ","$1,756.89 ","$1,843.65 ","$1,511.88 ","$1,503.12 ",$592.65 ,"$2,169.00 ","$1,216.81 ",$592.65 ,$568.28 ,"$2,169.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,735.20 ","$1,073.66 ",$607.32 ,"$1,952.10 ","$1,543.00 ","$1,784.00 ",$592.65 ,"$1,041.12 "
ST. MARY'S HOSPITAL - DECATUR,36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$3,946.00 ","$2,841.12 ",$303.73 ,"$3,946.00 ","$1,511.88 ","$3,946.00 ","$2,170.30 ",$592.65 ,"$1,104.88 ","$2,063.76 ",$592.65 ,"$2,170.30 ",$592.65 ,"$1,953.27 ","$1,953.27 ",$592.65 ,"$1,953.27 ","$1,221.60 ","$2,762.20 ","$2,466.25 ","$3,156.80 ","$1,511.88 ",$592.65 ,"$2,762.20 ",$592.65 ,"$2,367.60 ",$604.51 ,"$2,959.50 ","$2,178.19 ","$1,965.11 ","$2,178.19 ",$592.65 ,"$2,178.19 ","$3,196.26 ","$3,946.00 ","$3,196.26 ","$3,354.10 ","$1,511.88 ","$2,734.58 ",$592.65 ,"$3,946.00 ","$2,213.71 ",$592.65 ,"$1,033.85 ","$3,946.00 ",$318.20 ,$303.73 ,$622.29 ,"$3,156.80 ","$1,953.27 ","$1,104.88 ","$3,551.40 ","$1,543.00 ","$1,784.00 ",$592.65 ,"$1,894.08 "
ST. MARY'S HOSPITAL - DECATUR,36100198,64480,HC INJ TRANSF CERV/THORACIC ADDL-LT,361,1 ,"$3,410.00 ","$2,455.20 ",$550.87 ,"$3,410.00 ", N/A ,"$3,000.00 ","$1,875.50 ", N/A ,$954.80 ,"$1,783.43 ", N/A ,"$1,875.50 ", N/A ,"$1,687.95 ","$1,687.95 ", N/A ,"$1,687.95 ", N/A ,"$2,387.00 ","$2,131.25 ","$2,728.00 ", N/A , N/A ,"$2,387.00 ", N/A ,"$2,046.00 ", N/A ,"$2,557.50 ","$1,882.32 ","$1,698.18 ","$1,882.32 ", N/A ,"$1,882.32 ","$2,762.10 ","$3,410.00 ","$2,762.10 ","$2,898.50 ", N/A ,"$2,363.13 ", N/A ,"$3,410.00 ","$1,913.01 ", N/A ,$893.42 ,"$3,410.00 ",$577.10 ,$550.87 , N/A ,"$2,728.00 ","$1,687.95 ",$954.80 ,"$3,069.00 ",$766.00 ,$964.00 , N/A ,"$1,636.80 "
ST. MARY'S HOSPITAL - DECATUR,36100199,64480,HC INJ TRANSF CERV/THORACIC ADDL-RT,361,1 ,"$3,410.00 ","$2,455.20 ",$550.87 ,"$3,410.00 ", N/A ,"$3,000.00 ","$1,875.50 ", N/A ,$954.80 ,"$1,783.43 ", N/A ,"$1,875.50 ", N/A ,"$1,687.95 ","$1,687.95 ", N/A ,"$1,687.95 ", N/A ,"$2,387.00 ","$2,131.25 ","$2,728.00 ", N/A , N/A ,"$2,387.00 ", N/A ,"$2,046.00 ", N/A ,"$2,557.50 ","$1,882.32 ","$1,698.18 ","$1,882.32 ", N/A ,"$1,882.32 ","$2,762.10 ","$3,410.00 ","$2,762.10 ","$2,898.50 ", N/A ,"$2,363.13 ", N/A ,"$3,410.00 ","$1,913.01 ", N/A ,$893.42 ,"$3,410.00 ",$577.10 ,$550.87 , N/A ,"$2,728.00 ","$1,687.95 ",$954.80 ,"$3,069.00 ",$766.00 ,$964.00 , N/A ,"$1,636.80 "
ST. MARY'S HOSPITAL - DECATUR,36100200,64480,HC INJ TRANSF CERV/THORACIC ADDL,361,1 ,"$3,410.00 ","$2,455.20 ",$550.87 ,"$3,410.00 ", N/A ,"$3,000.00 ","$1,875.50 ", N/A ,$954.80 ,"$1,783.43 ", N/A ,"$1,875.50 ", N/A ,"$1,687.95 ","$1,687.95 ", N/A ,"$1,687.95 ", N/A ,"$2,387.00 ","$2,131.25 ","$2,728.00 ", N/A , N/A ,"$2,387.00 ", N/A ,"$2,046.00 ", N/A ,"$2,557.50 ","$1,882.32 ","$1,698.18 ","$1,882.32 ", N/A ,"$1,882.32 ","$2,762.10 ","$3,410.00 ","$2,762.10 ","$2,898.50 ", N/A ,"$2,363.13 ", N/A ,"$3,410.00 ","$1,913.01 ", N/A ,$893.42 ,"$3,410.00 ",$577.10 ,$550.87 , N/A ,"$2,728.00 ","$1,687.95 ",$954.80 ,"$3,069.00 ",$766.00 ,$964.00 , N/A ,"$1,636.80 "
ST. MARY'S HOSPITAL - DECATUR,36100204,51785,HC EMG ANAL/URETHRAL SPHINCTER,361,1 ,"$1,124.00 ",$809.28 ,$197.64 ,"$1,124.00 ",$504.18 ,"$1,124.00 ",$618.20 ,$197.64 ,$314.72 ,$587.85 ,$197.64 ,$618.20 ,$197.64 ,$556.38 ,$556.38 ,$197.64 ,$556.38 ,$407.37 ,$786.80 ,$702.50 ,$899.20 ,$504.17 ,$197.64 ,$786.80 ,$197.64 ,$674.40 ,$201.59 ,$843.00 ,$620.45 ,$559.75 ,$620.45 ,$197.64 ,$620.45 ,$910.44 ,"$1,124.00 ",$910.44 ,$955.40 ,$504.17 ,$778.93 ,$197.64 ,"$1,124.00 ",$630.56 ,$197.64 ,$294.49 ,"$1,124.00 ",$300.10 ,$286.46 ,$207.51 ,$899.20 ,$556.38 ,$314.72 ,"$1,011.60 ",$766.00 ,$964.00 ,$197.64 ,$539.52 
ST. MARY'S HOSPITAL - DECATUR,36100205,93799,HC THROMBECTOMY CORN ASPIRATION,361,1 ,"$2,011.00 ","$1,447.92 ",$17.79 ,"$2,011.00 ",$341.23 ,"$1,065.83 ","$1,106.05 ",$133.76 ,$563.08 ,"$1,051.75 ",$133.76 ,"$1,106.05 ",$133.76 ,$995.45 ,$995.45 ,$133.76 ,$995.45 ,$275.72 ,"$1,407.70 ","$1,256.88 ","$1,608.80 ",$341.24 ,$133.76 ,"$1,407.70 ",$133.76 ,"$1,206.60 ",$136.44 ,"$1,508.25 ","$1,110.07 ","$1,001.48 ","$1,110.07 ",$133.76 ,"$1,110.07 ","$1,628.91 ","$2,011.00 ","$1,628.91 ","$1,709.35 ",$341.24 ,"$1,393.62 ",$133.76 ,"$2,011.00 ","$1,128.17 ",$133.76 ,$526.88 ,"$2,011.00 ",$18.63 ,$17.79 ,$140.44 ,"$1,608.80 ",$995.45 ,$563.08 ,"$1,809.90 ",$766.00 ,$964.00 ,$133.76 ,$965.28 
ST. MARY'S HOSPITAL - DECATUR,36100220,60699,HC BX ADRENAL GLAND PERC,361,1 ,"$14,111.00 ","$10,159.92 ","$1,671.55 ","$14,111.00 ","$12,229.80 ","$3,000.00 ","$7,761.05 ","$4,794.08 ","$3,951.08 ","$6,175.00 ","$4,794.08 ","$6,500.00 ","$4,794.08 ","$5,850.00 ","$5,850.00 ","$4,794.08 ","$5,850.00 ","$9,881.67 ","$3,500.00 ","$8,819.38 ","$11,288.80 ","$12,229.79 ","$4,794.08 ","$9,877.70 ","$4,794.08 ","$8,466.60 ","$4,889.95 ","$10,583.25 ","$4,219.00 ","$3,797.00 ","$4,219.00 ","$4,794.08 ","$4,219.00 ","$8,355.00 ","$14,111.00 ","$8,355.00 ","$11,994.35 ","$12,229.79 ","$5,180.00 ","$4,794.08 ","$14,111.00 ","$7,916.27 ","$4,794.08 ","$3,697.08 ","$14,111.00 ","$1,751.15 ","$1,671.55 ","$5,033.79 ","$11,288.80 ","$5,850.00 ","$3,951.08 ","$12,699.90 ","$2,975.00 ","$5,460.00 ","$4,794.08 ","$6,773.28 "
ST. MARY'S HOSPITAL - DECATUR,36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,$501.00 ,$360.72 ,$131.26 ,$501.00 ,$423.73 ,$501.00 ,$275.55 ,$166.10 ,$140.28 ,$262.02 ,$166.10 ,$275.55 ,$166.10 ,$248.00 ,$248.00 ,$166.10 ,$248.00 ,$342.36 ,$350.70 ,$313.13 ,$400.80 ,$423.71 ,$166.10 ,$350.70 ,$166.10 ,$300.60 ,$169.41 ,$375.75 ,$276.55 ,$249.50 ,$276.55 ,$166.10 ,$276.55 ,$405.81 ,$501.00 ,$405.81 ,$425.85 ,$423.71 ,$347.19 ,$166.10 ,$501.00 ,$281.06 ,$166.10 ,$131.26 ,$501.00 ,$466.29 ,$445.10 ,$174.40 ,$400.80 ,$248.00 ,$140.28 ,$450.90 ,$501.00 ,$501.00 ,$166.10 ,$240.48 
ST. MARY'S HOSPITAL - DECATUR,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,$766.00 ,$551.52 ,$146.54 ,"$1,522.75 ","$1,522.75 ",$766.00 ,$421.30 ,$596.92 ,$214.48 ,$400.62 ,$596.92 ,$421.30 ,$596.92 ,$379.17 ,$379.17 ,$596.92 ,$379.17 ,$766.00 ,$536.20 ,$478.75 ,$612.80 ,"$1,522.74 ",$596.92 ,$536.20 ,$596.92 ,$459.60 ,$608.85 ,$574.50 ,$422.83 ,$381.47 ,$422.83 ,$596.92 ,$422.83 ,$620.46 ,$766.00 ,$620.46 ,$651.10 ,$766.00 ,$530.84 ,$596.92 ,$146.54 ,$429.73 ,$596.92 ,$200.69 ,$766.00 ,$440.12 ,$420.12 ,$626.77 ,$612.80 ,$379.17 ,$214.48 ,$689.40 ,$766.00 ,$766.00 ,$596.92 ,$367.68 
ST. MARY'S HOSPITAL - DECATUR,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,$766.00 ,$551.52 ,$61.94 ,$766.00 , N/A ,$766.00 ,$421.30 , N/A ,$214.48 ,$400.62 , N/A ,$421.30 , N/A ,$379.17 ,$379.17 , N/A ,$379.17 , N/A ,$536.20 ,$478.75 ,$612.80 , N/A , N/A ,$536.20 , N/A ,$459.60 , N/A ,$574.50 ,$422.83 ,$381.47 ,$422.83 , N/A ,$422.83 ,$620.46 ,$766.00 ,$620.46 ,$651.10 , N/A ,$530.84 , N/A ,$61.94 ,$429.73 , N/A ,$200.69 ,$766.00 ,$440.12 ,$420.12 , N/A ,$612.80 ,$379.17 ,$214.48 ,$689.40 ,$766.00 ,$766.00 , N/A ,$367.68 
ST. MARY'S HOSPITAL - DECATUR,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$4,390.00 ","$3,160.80 ",$342.22 ,"$4,390.00 ","$3,491.10 ","$3,000.00 ","$2,414.50 ","$1,368.51 ","$1,229.20 ","$2,295.97 ","$1,368.51 ","$2,414.50 ","$1,368.51 ","$2,173.05 ","$2,173.05 ","$1,368.51 ","$2,173.05 ","$2,820.80 ","$3,073.00 ","$2,743.75 ","$3,512.00 ","$3,491.09 ","$1,368.51 ","$3,073.00 ","$1,368.51 ","$2,634.00 ","$1,395.88 ","$3,292.50 ","$2,423.28 ","$2,186.22 ","$2,423.28 ","$1,368.51 ","$2,423.28 ","$3,555.90 ","$4,390.00 ","$3,555.90 ","$3,731.50 ","$3,491.09 ","$3,042.27 ","$1,368.51 ","$4,390.00 ","$2,462.79 ","$1,368.51 ","$1,150.18 ","$4,390.00 ",$358.51 ,$342.22 ,"$1,436.93 ","$3,512.00 ","$2,173.05 ","$1,229.20 ","$3,951.00 ","$1,866.00 ","$2,248.00 ","$1,368.51 ","$2,107.20 "
ST. MARY'S HOSPITAL - DECATUR,36100264,33016,HC PERICARDIOCENTESIS W/ OR W/O IMAGING,361,1 ,"$2,939.00 ","$2,116.08 ",$770.02 ,"$3,491.10 ","$3,491.10 ","$2,939.00 ","$1,616.45 ","$1,368.51 ",$822.92 ,"$1,537.10 ","$1,368.51 ","$1,616.45 ","$1,368.51 ","$1,454.81 ","$1,454.81 ","$1,368.51 ","$1,454.81 ","$2,820.80 ","$2,057.30 ","$1,836.88 ","$2,351.20 ","$3,491.09 ","$1,368.51 ","$2,057.30 ","$1,368.51 ","$1,763.40 ","$1,395.88 ","$2,204.25 ","$1,622.33 ","$1,463.62 ","$1,622.33 ","$1,368.51 ","$1,622.33 ","$2,380.59 ","$2,939.00 ","$2,380.59 ","$2,498.15 ","$2,939.00 ","$2,036.73 ","$1,368.51 ","$2,939.00 ","$1,648.78 ","$1,368.51 ",$770.02 ,"$2,939.00 ","$2,254.60 ","$2,152.12 ","$1,436.93 ","$2,351.20 ","$1,454.81 ",$822.92 ,"$2,645.10 ","$1,543.00 ","$1,784.00 ","$1,368.51 ","$1,410.72 "
ST. MARY'S HOSPITAL - DECATUR,36100265,33017,HC PERICARDIAL DRAINAGE =>6 YRS W/O CONGENITAL CARDIAC ANOMALY,361,1 ,"$1,158.00 ",$833.76 ,$303.40 ,"$2,152.12 ", N/A ,$613.74 ,$636.90 , N/A ,$324.24 ,$605.63 , N/A ,$636.90 , N/A ,$573.21 ,$573.21 , N/A ,$573.21 , N/A ,$810.60 ,$723.75 ,$926.40 , N/A , N/A ,$810.60 , N/A ,$694.80 , N/A ,$868.50 ,$639.22 ,$576.68 ,$639.22 , N/A ,$639.22 ,$937.98 ,"$1,158.00 ",$937.98 ,$984.30 , N/A ,$802.49 , N/A ,"$1,158.00 ",$649.64 , N/A ,$303.40 ,"$1,158.00 ","$1,158.00 ","$2,152.12 ", N/A ,$926.40 ,$573.21 ,$324.24 ,"$1,042.20 ","$1,158.00 ","$1,158.00 ", N/A ,$555.84 
ST. MARY'S HOSPITAL - DECATUR,36100270,62328,HC LUMBAR PUNCTURE DIAGNOSTIC W/FLUORO OR CT GUID,361,1 ,"$1,851.00 ","$1,332.72 ",$356.84 ,"$1,851.00 ","$1,511.88 ","$1,851.00 ","$1,018.05 ",$592.65 ,$518.28 ,$968.07 ,$592.65 ,"$1,018.05 ",$592.65 ,$916.25 ,$916.25 ,$592.65 ,$916.25 ,"$1,221.60 ","$1,295.70 ","$1,156.88 ","$1,480.80 ","$1,511.88 ",$592.65 ,"$1,295.70 ",$592.65 ,"$1,110.60 ",$604.51 ,"$1,388.25 ","$1,021.75 ",$921.80 ,"$1,021.75 ",$592.65 ,"$1,021.75 ","$1,499.31 ","$1,851.00 ","$1,499.31 ","$1,573.35 ","$1,511.88 ","$1,282.74 ",$592.65 ,"$1,851.00 ","$1,038.41 ",$592.65 ,$484.96 ,"$1,851.00 ",$373.84 ,$356.84 ,$622.29 ,"$1,480.80 ",$916.25 ,$518.28 ,"$1,665.90 ","$1,543.00 ","$1,784.00 ",$592.65 ,$888.48 
ST. MARY'S HOSPITAL - DECATUR,36100273,64454,HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID,361,1 ,"$1,730.00 ","$1,245.60 ",$303.73 ,"$1,730.00 ","$1,511.88 ","$1,730.00 ",$951.50 ,$592.65 ,$484.40 ,$904.79 ,$592.65 ,$951.50 ,$592.65 ,$856.35 ,$856.35 ,$592.65 ,$856.35 ,"$1,221.60 ","$1,211.00 ","$1,081.25 ","$1,384.00 ","$1,511.88 ",$592.65 ,"$1,211.00 ",$592.65 ,"$1,038.00 ",$604.51 ,"$1,297.50 ",$954.96 ,$861.54 ,$954.96 ,$592.65 ,$954.96 ,"$1,401.30 ","$1,730.00 ","$1,401.30 ","$1,470.50 ","$1,511.88 ","$1,198.89 ",$592.65 ,"$1,730.00 ",$970.53 ,$592.65 ,$453.26 ,"$1,730.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,384.00 ",$856.35 ,$484.40 ,"$1,557.00 ","$1,543.00 ","$1,730.00 ",$592.65 ,$830.40 
ST. MARY'S HOSPITAL - DECATUR,36100274,64624,HC DESTRUST NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID,361,1 ,"$4,957.00 ","$3,569.04 ",$550.87 ,"$4,957.00 ","$4,217.70 ","$3,000.00 ","$2,726.35 ","$1,653.34 ","$1,387.96 ","$2,592.51 ","$1,653.34 ","$2,726.35 ","$1,653.34 ","$2,453.72 ","$2,453.72 ","$1,653.34 ","$2,453.72 ","$3,407.90 ","$3,469.90 ","$3,098.13 ","$3,965.60 ","$4,217.70 ","$1,653.34 ","$3,469.90 ","$1,653.34 ","$2,974.20 ","$1,686.40 ","$3,717.75 ","$2,736.26 ","$2,468.59 ","$2,736.26 ","$1,653.34 ","$2,736.26 ","$4,015.17 ","$4,957.00 ","$4,015.17 ","$4,213.45 ","$4,217.70 ","$3,435.20 ","$1,653.34 ","$4,957.00 ","$2,780.88 ","$1,653.34 ","$1,298.73 ","$4,957.00 ",$577.10 ,$550.87 ,"$1,736.00 ","$3,965.60 ","$2,453.72 ","$1,387.96 ","$4,461.30 ","$2,286.00 ","$2,677.00 ","$1,653.34 ","$2,379.36 "
ST. MARY'S HOSPITAL - DECATUR,36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$1,604.00 ","$1,154.88 ",$420.25 ,"$3,518.55 ","$3,518.55 ","$1,604.00 ",$882.20 ,"$1,379.27 ",$449.12 ,$838.89 ,"$1,379.27 ",$882.20 ,"$1,379.27 ",$793.98 ,$793.98 ,"$1,379.27 ",$793.98 ,"$1,604.00 ","$1,122.80 ","$1,002.50 ","$1,283.20 ","$3,518.54 ","$1,379.27 ","$1,122.80 ","$1,379.27 ",$962.40 ,"$1,406.86 ","$1,203.00 ",$885.41 ,$798.79 ,$885.41 ,"$1,379.27 ",$885.41 ,"$1,299.24 ","$1,604.00 ","$1,299.24 ","$1,363.40 ","$1,604.00 ","$1,111.57 ","$1,379.27 ","$1,604.00 ",$899.84 ,"$1,379.27 ",$420.25 ,"$1,604.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$1,283.20 ",$793.98 ,$449.12 ,"$1,443.60 ","$1,604.00 ","$1,604.00 ","$1,379.27 ",$769.92 
ST. MARY'S HOSPITAL - DECATUR,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,"$5,000.00 ","$3,600.00 ",$348.00 ,"$5,000.00 ","$4,352.30 ","$2,450.00 ","$2,750.00 ","$1,706.10 ","$1,400.00 ","$2,615.00 ","$1,706.10 ","$2,750.00 ","$1,706.10 ","$2,475.00 ","$2,475.00 ","$1,706.10 ","$2,475.00 ","$3,516.65 ","$3,500.00 ","$3,125.00 ","$4,000.00 ","$4,352.29 ","$1,706.10 ","$3,500.00 ","$1,706.10 ","$3,000.00 ","$1,740.22 ","$3,750.00 ","$2,490.00 ","$2,240.00 ","$2,490.00 ","$1,706.10 ","$2,490.00 ","$3,900.00 ","$5,000.00 ","$3,900.00 ","$4,250.00 ","$4,352.29 ","$3,465.00 ","$1,706.10 ","$5,000.00 ","$2,805.00 ","$1,706.10 ","$1,310.00 ","$5,000.00 ", N/A , N/A ,"$1,791.41 ","$4,000.00 ","$2,475.00 ","$1,400.00 ","$4,500.00 ","$1,900.00 ",$348.00 ,"$1,706.10 ","$2,400.00 "
ST. MARY'S HOSPITAL - DECATUR,36100512,62282,HC INJECT/INFUS NEUROLYTIC SUBSTANCE EPIDURAL/LUMBAR/SACRAL,361,1 ,"$2,400.00 ","$1,728.00 ",$550.87 ,"$2,400.00 ","$1,999.55 ","$2,400.00 ","$1,320.00 ",$783.82 ,$672.00 ,"$1,255.20 ",$783.82 ,"$1,320.00 ",$783.82 ,"$1,188.00 ","$1,188.00 ",$783.82 ,"$1,188.00 ","$1,615.64 ","$1,680.00 ","$1,500.00 ","$1,920.00 ","$1,999.56 ",$783.82 ,"$1,680.00 ",$783.82 ,"$1,440.00 ",$799.50 ,"$1,800.00 ","$1,324.80 ","$1,195.20 ","$1,324.80 ",$783.82 ,"$1,324.80 ","$1,944.00 ","$2,400.00 ","$1,944.00 ","$2,040.00 ","$1,999.56 ","$1,663.20 ",$783.82 ,"$2,400.00 ","$1,346.40 ",$783.82 ,$628.80 ,"$2,400.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,920.00 ","$1,188.00 ",$672.00 ,"$2,160.00 ","$1,543.00 ","$1,784.00 ",$783.82 ,"$1,152.00 "
ST. MARY'S HOSPITAL - DECATUR,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,"$1,048.00 ",$754.56 ,$191.16 ,"$1,048.00 ",$487.65 ,"$1,048.00 ",$576.40 ,$191.16 ,$293.44 ,$548.10 ,$191.16 ,$576.40 ,$191.16 ,$518.76 ,$518.76 ,$191.16 ,$518.76 ,$394.02 ,$733.60 ,$655.00 ,$838.40 ,$487.65 ,$191.16 ,$733.60 ,$191.16 ,$628.80 ,$194.98 ,$786.00 ,$578.50 ,$521.90 ,$578.50 ,$191.16 ,$578.50 ,$848.88 ,"$1,048.00 ",$848.88 ,$890.80 ,$487.65 ,$726.26 ,$191.16 ,"$1,048.00 ",$587.93 ,$191.16 ,$274.58 ,"$1,048.00 ",$488.73 ,$466.52 ,$200.71 ,$838.40 ,$518.76 ,$293.44 ,$943.20 ,$766.00 ,$964.00 ,$191.16 ,$503.04 
ST. MARY'S HOSPITAL - DECATUR,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$194.00 ,$139.68 ,$50.83 ,$194.00 , N/A ,$102.82 ,$106.70 , N/A ,$54.32 ,$101.46 , N/A ,$106.70 , N/A ,$96.03 , N/A , N/A ,$96.03 , N/A ,$135.80 ,$121.25 ,$155.20 , N/A , N/A ,$135.80 , N/A ,$116.40 , N/A ,$145.50 ,$107.09 ,$96.61 ,$107.09 , N/A ,$107.09 ,$157.14 ,$194.00 ,$157.14 ,$164.90 , N/A ,$134.44 , N/A ,$194.00 ,$108.83 , N/A ,$50.83 ,$194.00 , N/A , N/A , N/A ,$155.20 ,$96.03 ,$54.32 ,$174.60 ,$73.72 ,$105.54 , N/A ,$93.12 
ST. MARY'S HOSPITAL - DECATUR,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$143.00 ,$102.96 ,$37.47 ,$143.00 , N/A ,$75.79 ,$78.65 , N/A ,$40.04 ,$74.79 , N/A ,$78.65 , N/A ,$70.79 , N/A , N/A ,$70.79 , N/A ,$100.10 ,$89.38 ,$114.40 , N/A , N/A ,$100.10 , N/A ,$85.80 , N/A ,$107.25 ,$78.94 ,$71.21 ,$78.94 , N/A ,$78.94 ,$115.83 ,$143.00 ,$115.83 ,$121.55 , N/A ,$99.10 , N/A ,$143.00 ,$80.22 , N/A ,$37.47 ,$143.00 , N/A , N/A , N/A ,$114.40 ,$70.79 ,$40.04 ,$128.70 ,$54.34 ,$77.79 , N/A ,$68.64 
ST. MARY'S HOSPITAL - DECATUR,37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$142.00 ,$102.24 ,$37.20 ,$142.00 , N/A ,$75.26 ,$78.10 , N/A ,$39.76 ,$74.27 , N/A ,$78.10 , N/A ,$70.29 , N/A , N/A ,$70.29 , N/A ,$99.40 ,$88.75 ,$113.60 , N/A , N/A ,$99.40 , N/A ,$85.20 , N/A ,$106.50 ,$78.38 ,$70.72 ,$78.38 , N/A ,$78.38 ,$115.02 ,$142.00 ,$115.02 ,$120.70 , N/A ,$98.41 , N/A ,$142.00 ,$79.66 , N/A ,$37.20 ,$142.00 , N/A , N/A , N/A ,$113.60 ,$70.29 ,$39.76 ,$127.80 ,$53.96 ,$77.25 , N/A ,$68.16 
ST. MARY'S HOSPITAL - DECATUR,37000083,N/A,HC ANESTHESIA GENERAL INIT 30 MIN,370,1 ,"$1,697.00 ","$1,221.84 ",$444.61 ,"$1,697.00 ", N/A ,$899.41 ,$933.35 , N/A ,$475.16 ,$887.53 , N/A ,$933.35 , N/A ,$840.02 , N/A , N/A ,$840.02 , N/A ,"$1,187.90 ","$1,060.63 ","$1,357.60 ", N/A , N/A ,"$1,187.90 ", N/A ,"$1,018.20 ", N/A ,"$1,272.75 ",$936.74 ,$845.11 ,$936.74 , N/A ,$936.74 ,"$1,374.57 ","$1,697.00 ","$1,374.57 ","$1,442.45 ", N/A ,"$1,176.02 ", N/A ,"$1,697.00 ",$952.02 , N/A ,$444.61 ,"$1,697.00 ", N/A , N/A , N/A ,"$1,357.60 ",$840.02 ,$475.16 ,"$1,527.30 ",$644.86 ,$923.17 , N/A ,$814.56 
ST. MARY'S HOSPITAL - DECATUR,37000086,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 30MIN,370,1 ,"$1,271.00 ",$915.12 ,$333.00 ,"$1,271.00 ", N/A ,$673.63 ,$699.05 , N/A ,$355.88 ,$664.73 , N/A ,$699.05 , N/A ,$629.15 , N/A , N/A ,$629.15 , N/A ,$889.70 ,$794.38 ,"$1,016.80 ", N/A , N/A ,$889.70 , N/A ,$762.60 , N/A ,$953.25 ,$701.59 ,$632.96 ,$701.59 , N/A ,$701.59 ,"$1,029.51 ","$1,271.00 ","$1,029.51 ","$1,080.35 ", N/A ,$880.80 , N/A ,"$1,271.00 ",$713.03 , N/A ,$333.00 ,"$1,271.00 ", N/A , N/A , N/A ,"$1,016.80 ",$629.15 ,$355.88 ,"$1,143.90 ",$482.98 ,$691.42 , N/A ,$610.08 
ST. MARY'S HOSPITAL - DECATUR,37000087,N/A,HC ANESTHESIA SPINAL EPIDURAL INIT 30MIN,370,1 ,"$1,697.00 ","$1,221.84 ",$444.61 ,"$1,697.00 ", N/A ,$899.41 ,$933.35 , N/A ,$475.16 ,$887.53 , N/A ,$933.35 , N/A ,$840.02 , N/A , N/A ,$840.02 , N/A ,"$1,187.90 ","$1,060.63 ","$1,357.60 ", N/A , N/A ,"$1,187.90 ", N/A ,"$1,018.20 ", N/A ,"$1,272.75 ",$936.74 ,$845.11 ,$936.74 , N/A ,$936.74 ,"$1,374.57 ","$1,697.00 ","$1,374.57 ","$1,442.45 ", N/A ,"$1,176.02 ", N/A ,"$1,697.00 ",$952.02 , N/A ,$444.61 ,"$1,697.00 ", N/A , N/A , N/A ,"$1,357.60 ",$840.02 ,$475.16 ,"$1,527.30 ",$644.86 ,$923.17 , N/A ,$814.56 
ST. MARY'S HOSPITAL - DECATUR,37000088,N/A,HC ANESTHESIA SPINAL EPIDURAL ADDL 15MIN,370,1 ,$188.00 ,$135.36 ,$49.26 ,$188.00 , N/A ,$99.64 ,$103.40 , N/A ,$52.64 ,$98.32 , N/A ,$103.40 , N/A ,$93.06 , N/A , N/A ,$93.06 , N/A ,$131.60 ,$117.50 ,$150.40 , N/A , N/A ,$131.60 , N/A ,$112.80 , N/A ,$141.00 ,$103.78 ,$93.62 ,$103.78 , N/A ,$103.78 ,$152.28 ,$188.00 ,$152.28 ,$159.80 , N/A ,$130.28 , N/A ,$188.00 ,$105.47 , N/A ,$49.26 ,$188.00 , N/A , N/A , N/A ,$150.40 ,$93.06 ,$52.64 ,$169.20 ,$71.44 ,$102.27 , N/A ,$90.24 
ST. MARY'S HOSPITAL - DECATUR,37000089,N/A,HC MONITORED ANESTHESIA INITIAL 30MINS,370,1 ,"$1,275.00 ",$918.00 ,$334.05 ,"$1,275.00 ", N/A ,$675.75 ,$701.25 , N/A ,$357.00 ,$666.83 , N/A ,$701.25 , N/A ,$631.13 , N/A , N/A ,$631.13 , N/A ,$892.50 ,$796.88 ,"$1,020.00 ", N/A , N/A ,$892.50 , N/A ,$765.00 , N/A ,$956.25 ,$703.80 ,$634.95 ,$703.80 , N/A ,$703.80 ,"$1,032.75 ","$1,275.00 ","$1,032.75 ","$1,083.75 ", N/A ,$883.58 , N/A ,"$1,275.00 ",$715.28 , N/A ,$334.05 ,"$1,275.00 ", N/A , N/A , N/A ,"$1,020.00 ",$631.13 ,$357.00 ,"$1,147.50 ",$484.50 ,$693.60 , N/A ,$612.00 
ST. MARY'S HOSPITAL - DECATUR,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$158.00 ,$113.76 ,$4.32 ,$158.00 ,$79.68 ,$47.06 ,$86.90 ,$31.23 ,$44.24 ,$82.63 ,$31.23 ,$86.90 ,$31.23 ,$78.21 ,$43.98 ,$31.23 ,$78.21 ,$64.38 ,$110.60 ,$98.75 ,$126.40 ,$79.68 ,$31.23 ,$110.60 ,$31.23 ,$94.80 ,$31.86 ,$118.50 ,$87.22 ,$78.68 ,$87.22 ,$31.23 ,$87.22 ,$127.98 ,$158.00 ,$127.98 ,$134.30 ,$79.68 ,$109.49 ,$31.23 ,$158.00 ,$88.64 ,$31.23 ,$41.40 ,$158.00 ,$4.52 ,$4.32 ,$32.79 ,$126.40 ,$78.21 ,$44.24 ,$142.20 ,$60.04 ,$158.00 ,$31.23 ,$75.84 
ST. MARY'S HOSPITAL - DECATUR,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$105.00 ,$75.60 ,$27.51 ,$458.47 ,$213.68 ,$55.65 ,$57.75 ,$83.76 ,$29.40 ,$54.92 ,$83.76 ,$57.75 ,$83.76 ,$51.98 ,$42.00 ,$83.76 ,$51.98 ,$105.00 ,$73.50 ,$65.63 ,$84.00 ,$213.68 ,$83.76 ,$73.50 ,$83.76 ,$63.00 ,$85.44 ,$78.75 ,$57.96 ,$52.29 ,$57.96 ,$83.76 ,$57.96 ,$85.05 ,$105.00 ,$85.05 ,$89.25 ,$105.00 ,$72.77 ,$83.76 ,$105.00 ,$58.91 ,$83.76 ,$27.51 ,$105.00 ,$105.00 ,$458.47 ,$87.95 ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$105.00 ,$83.76 ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,39000149,P9021,HC RED CELLS PACKED EA,390,1 ,$444.00 ,$319.68 ,$116.33 ,$458.47 ,$338.80 ,$235.32 ,$244.20 ,$132.81 ,$124.32 ,$232.21 ,$132.81 ,$244.20 ,$132.81 ,$219.78 ,$177.60 ,$132.81 ,$219.78 ,$273.75 ,$310.80 ,$277.50 ,$355.20 ,$338.80 ,$132.81 ,$310.80 ,$132.81 ,$266.40 ,$135.47 ,$333.00 ,$245.09 ,$221.11 ,$245.09 ,$132.81 ,$245.09 ,$359.64 ,$444.00 ,$359.64 ,$377.40 ,$338.80 ,$307.69 ,$132.81 ,$444.00 ,$249.08 ,$132.81 ,$116.33 ,$444.00 ,$444.00 ,$458.47 ,$139.45 ,$355.20 ,$219.78 ,$124.32 ,$399.60 ,$168.72 ,$444.00 ,$132.81 ,$213.12 
ST. MARY'S HOSPITAL - DECATUR,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$105.00 ,$75.60 ,$27.51 ,$458.47 ,$190.50 ,$55.65 ,$57.75 ,$74.68 ,$29.40 ,$54.92 ,$74.68 ,$57.75 ,$74.68 ,$51.98 ,$42.00 ,$74.68 ,$51.98 ,$105.00 ,$73.50 ,$65.63 ,$84.00 ,$190.50 ,$74.68 ,$73.50 ,$74.68 ,$63.00 ,$76.17 ,$78.75 ,$57.96 ,$52.29 ,$57.96 ,$74.68 ,$57.96 ,$85.05 ,$105.00 ,$85.05 ,$89.25 ,$105.00 ,$72.77 ,$74.68 ,$105.00 ,$58.91 ,$74.68 ,$27.51 ,$105.00 ,$105.00 ,$458.47 ,$78.41 ,$84.00 ,$51.98 ,$29.40 ,$94.50 ,$39.90 ,$105.00 ,$74.68 ,$50.40 
ST. MARY'S HOSPITAL - DECATUR,39000162,P9012,HC CRYOPRECIPITATE EA UNIT T1,390,1 ,$94.00 ,$67.68 ,$24.63 ,$458.47 ,$185.98 ,$49.82 ,$51.70 ,$72.90 ,$26.32 ,$49.16 ,$72.90 ,$51.70 ,$72.90 ,$46.53 ,$37.60 ,$72.90 ,$46.53 ,$94.00 ,$65.80 ,$58.75 ,$75.20 ,$185.98 ,$72.90 ,$65.80 ,$72.90 ,$56.40 ,$74.36 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$72.90 ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 ,$94.00 ,$65.14 ,$72.90 ,$94.00 ,$52.73 ,$72.90 ,$24.63 ,$94.00 ,$94.00 ,$458.47 ,$76.55 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$94.00 ,$72.90 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$389.00 ,$280.08 ,$101.92 ,$473.03 ,$473.03 ,$206.17 ,$213.95 ,$185.43 ,$108.92 ,$203.45 ,$185.43 ,$213.95 ,$185.43 ,$192.56 ,$155.60 ,$185.43 ,$192.56 ,$382.20 ,$272.30 ,$243.13 ,$311.20 ,$473.03 ,$185.43 ,$272.30 ,$185.43 ,$233.40 ,$189.13 ,$291.75 ,$214.73 ,$193.72 ,$214.73 ,$185.43 ,$214.73 ,$315.09 ,$389.00 ,$315.09 ,$330.65 ,$389.00 ,$269.58 ,$185.43 ,$389.00 ,$218.23 ,$185.43 ,$101.92 ,$389.00 ,$389.00 ,$458.47 ,$194.70 ,$311.20 ,$192.56 ,$108.92 ,$350.10 ,$147.82 ,$389.00 ,$185.43 ,$186.72 
ST. MARY'S HOSPITAL - DECATUR,39000168,P9022,HC RED CELLS WASHED EA UNIT T1,390,1 ,"$1,095.00 ",$788.40 ,$286.89 ,"$1,095.00 ",$989.45 ,$580.35 ,$602.25 ,$387.86 ,$306.60 ,$572.69 ,$387.86 ,$602.25 ,$387.86 ,$542.03 ,$438.00 ,$387.86 ,$542.03 ,$799.48 ,$766.50 ,$684.38 ,$876.00 ,$989.45 ,$387.86 ,$766.50 ,$387.86 ,$657.00 ,$395.63 ,$821.25 ,$604.44 ,$545.31 ,$604.44 ,$387.86 ,$604.44 ,$886.95 ,"$1,095.00 ",$886.95 ,$930.75 ,$989.45 ,$758.84 ,$387.86 ,"$1,095.00 ",$614.30 ,$387.86 ,$286.89 ,"$1,095.00 ",$480.30 ,$458.47 ,$407.26 ,$876.00 ,$542.03 ,$306.60 ,$985.50 ,$416.10 ,$639.00 ,$387.86 ,$525.60 
ST. MARY'S HOSPITAL - DECATUR,39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,$909.00 ,$654.48 ,$238.16 ,"$1,214.15 ","$1,214.15 ",$481.77 ,$499.95 ,$475.95 ,$254.52 ,$475.41 ,$475.95 ,$499.95 ,$475.95 ,$449.96 ,$363.60 ,$475.95 ,$449.96 ,$909.00 ,$636.30 ,$568.13 ,$727.20 ,"$1,214.15 ",$475.95 ,$636.30 ,$475.95 ,$545.40 ,$485.46 ,$681.75 ,$501.77 ,$452.68 ,$501.77 ,$475.95 ,$501.77 ,$736.29 ,$909.00 ,$736.29 ,$772.65 ,$909.00 ,$629.94 ,$475.95 ,$909.00 ,$509.95 ,$475.95 ,$238.16 ,$909.00 ,$480.30 ,$458.47 ,$499.74 ,$727.20 ,$449.96 ,$254.52 ,$818.10 ,$345.42 ,$639.00 ,$475.95 ,$436.32 
ST. MARY'S HOSPITAL - DECATUR,39000179,P9037,HC PLATELETS PHER L/R IRR EA T1,390,1 ,$860.00 ,$619.20 ,$225.32 ,"$1,595.48 ","$1,595.48 ",$455.80 ,$473.00 ,$625.43 ,$240.80 ,$449.78 ,$625.43 ,$473.00 ,$625.43 ,$425.70 ,$344.00 ,$625.43 ,$425.70 ,$860.00 ,$602.00 ,$537.50 ,$688.00 ,"$1,595.48 ",$625.43 ,$602.00 ,$625.43 ,$516.00 ,$637.93 ,$645.00 ,$474.72 ,$428.28 ,$474.72 ,$625.43 ,$474.72 ,$696.60 ,$860.00 ,$696.60 ,$731.00 ,$860.00 ,$595.98 ,$625.43 ,$860.00 ,$482.46 ,$625.43 ,$225.32 ,$860.00 ,$480.30 ,$458.47 ,$656.70 ,$688.00 ,$425.70 ,$240.80 ,$774.00 ,$326.80 ,$639.00 ,$625.43 ,$412.80 
ST. MARY'S HOSPITAL - DECATUR,39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,$453.00 ,$326.16 ,$118.69 ,$647.80 ,$647.80 ,$240.09 ,$249.15 ,$253.94 ,$126.84 ,$236.92 ,$253.94 ,$249.15 ,$253.94 ,$224.24 ,$181.20 ,$253.94 ,$224.24 ,$453.00 ,$317.10 ,$283.13 ,$362.40 ,$647.80 ,$253.94 ,$317.10 ,$253.94 ,$271.80 ,$259.01 ,$339.75 ,$250.06 ,$225.59 ,$250.06 ,$253.94 ,$250.06 ,$366.93 ,$453.00 ,$366.93 ,$385.05 ,$453.00 ,$313.93 ,$253.94 ,$453.00 ,$254.13 ,$253.94 ,$118.69 ,$453.00 ,$453.00 ,$458.47 ,$266.64 ,$362.40 ,$224.24 ,$126.84 ,$407.70 ,$172.14 ,$453.00 ,$253.94 ,$217.44 
ST. MARY'S HOSPITAL - DECATUR,39000190,P9044,HC PLASMA CRYOPREC REDUC EA UN,390,1 ,$343.00 ,$246.96 ,$67.52 ,$458.47 ,$172.25 ,$181.79 ,$188.65 ,$67.52 ,$96.04 ,$179.39 ,$67.52 ,$188.65 ,$67.52 ,$169.79 ,$137.20 ,$67.52 ,$169.79 ,$139.18 ,$240.10 ,$214.38 ,$274.40 ,$172.25 ,$67.52 ,$240.10 ,$67.52 ,$205.80 ,$68.87 ,$257.25 ,$189.34 ,$170.81 ,$189.34 ,$67.52 ,$189.34 ,$277.83 ,$343.00 ,$277.83 ,$291.55 ,$172.25 ,$237.70 ,$67.52 ,$343.00 ,$192.42 ,$67.52 ,$89.87 ,$343.00 ,$343.00 ,$458.47 ,$70.90 ,$274.40 ,$169.79 ,$96.04 ,$308.70 ,$130.34 ,$343.00 ,$67.52 ,$164.64 
ST. MARY'S HOSPITAL - DECATUR,39000193,P9054,HC BLOOD L/R DEG WASH EA UN T1,390,1 ,"$1,294.00 ",$931.68 ,$290.94 ,"$1,294.00 ",$742.20 ,$685.82 ,$711.70 ,$290.94 ,$362.32 ,$676.76 ,$290.94 ,$711.70 ,$290.94 ,$640.53 ,$517.60 ,$290.94 ,$640.53 ,$599.70 ,$905.80 ,$808.75 ,"$1,035.20 ",$742.20 ,$290.94 ,$905.80 ,$290.94 ,$776.40 ,$296.76 ,$970.50 ,$714.29 ,$644.41 ,$714.29 ,$290.94 ,$714.29 ,"$1,048.14 ","$1,294.00 ","$1,048.14 ","$1,099.90 ",$742.20 ,$896.74 ,$290.94 ,"$1,294.00 ",$725.93 ,$290.94 ,$339.03 ,"$1,294.00 ",$480.30 ,$458.47 ,$305.49 ,"$1,035.20 ",$640.53 ,$362.32 ,"$1,164.60 ",$491.72 ,$639.00 ,$290.94 ,$621.12 
ST. MARY'S HOSPITAL - DECATUR,39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$2,259.00 ","$1,626.48 ",$458.47 ,"$2,259.00 ","$1,444.73 ","$1,197.27 ","$1,242.45 ",$566.33 ,$632.52 ,"$1,181.46 ",$566.33 ,"$1,242.45 ",$566.33 ,"$1,118.21 ",$903.60 ,$566.33 ,"$1,118.21 ","$1,167.34 ","$1,581.30 ","$1,411.88 ","$1,807.20 ","$1,444.73 ",$566.33 ,"$1,581.30 ",$566.33 ,"$1,355.40 ",$577.66 ,"$1,694.25 ","$1,246.97 ","$1,124.98 ","$1,246.97 ",$566.33 ,"$1,246.97 ","$1,829.79 ","$2,259.00 ","$1,829.79 ","$1,920.15 ","$1,444.73 ","$1,565.49 ",$566.33 ,"$2,259.00 ","$1,267.30 ",$566.33 ,$591.86 ,"$2,259.00 ",$480.30 ,$458.47 ,$594.64 ,"$1,807.20 ","$1,118.21 ",$632.52 ,"$2,033.10 ",$858.42 ,$639.00 ,$566.33 ,"$1,084.32 "
ST. MARY'S HOSPITAL - DECATUR,39000212,P9053,HC PLATELETS LEUKOCUTES RED CMV NEG IRR,390,1 ,"$2,609.00 ","$1,878.48 ",$458.47 ,"$2,609.00 ","$1,331.13 ","$1,382.77 ","$1,434.95 ",$521.80 ,$730.52 ,"$1,364.51 ",$521.80 ,"$1,434.95 ",$521.80 ,"$1,291.46 ","$1,043.60 ",$521.80 ,"$1,291.46 ","$1,075.55 ","$1,826.30 ","$1,630.63 ","$2,087.20 ","$1,331.13 ",$521.80 ,"$1,826.30 ",$521.80 ,"$1,565.40 ",$532.24 ,"$1,956.75 ","$1,440.17 ","$1,299.28 ","$1,440.17 ",$521.80 ,"$1,440.17 ","$2,113.29 ","$2,609.00 ","$2,113.29 ","$2,217.65 ","$1,331.13 ","$1,808.04 ",$521.80 ,"$2,609.00 ","$1,463.65 ",$521.80 ,$683.56 ,"$2,609.00 ",$480.30 ,$458.47 ,$547.89 ,"$2,087.20 ","$1,291.46 ",$730.52 ,"$2,348.10 ",$991.42 ,$639.00 ,$521.80 ,"$1,252.32 "
ST. MARY'S HOSPITAL - DECATUR,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,"$1,719.00 ","$1,237.68 ",$70.73 ,"$1,719.00 ",$956.75 ,$911.07 ,$945.45 ,$375.05 ,$481.32 ,$899.04 ,$375.05 ,$945.45 ,$375.05 ,$850.91 ,$70.73 ,$375.05 ,$850.91 ,$773.05 ,"$1,203.30 ","$1,074.38 ","$1,375.20 ",$956.74 ,$375.05 ,"$1,203.30 ",$375.05 ,"$1,031.40 ",$382.54 ,"$1,289.25 ",$948.89 ,$856.06 ,$948.89 ,$375.05 ,$948.89 ,"$1,392.39 ","$1,719.00 ","$1,392.39 ","$1,461.15 ",$956.74 ,"$1,191.27 ",$375.05 ,"$1,719.00 ",$964.36 ,$375.05 ,$450.38 ,"$1,719.00 ",$480.30 ,$458.47 ,$393.80 ,"$1,375.20 ",$850.91 ,$481.32 ,"$1,547.10 ",$653.22 ,$639.00 ,$375.05 ,$825.12 
ST. MARY'S HOSPITAL - DECATUR,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$368.00 ,$264.96 ,$47.71 ,$368.00 ,$258.38 ,$213.66 ,$202.40 ,$101.28 ,$103.04 ,$192.46 ,$101.28 ,$202.40 ,$101.28 ,$182.16 ,$244.56 ,$101.28 ,$182.16 ,$208.77 ,$257.60 ,$263.78 ,$294.40 ,$258.38 ,$101.28 ,$257.60 ,$101.28 ,$220.80 ,$103.31 ,$276.00 ,$203.14 ,$183.26 ,$203.14 ,$101.28 ,$203.14 ,$171.06 ,$368.00 ,$171.06 ,$312.80 ,$258.38 ,$255.02 ,$101.28 ,$117.23 ,$206.45 ,$101.28 ,$96.42 ,$368.00 ,$49.98 ,$47.71 ,$106.35 ,$294.40 ,$182.16 ,$103.04 ,$331.20 ,$139.84 ,$284.00 ,$101.28 ,$176.64 
ST. MARY'S HOSPITAL - DECATUR,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$368.00 ,$264.96 ,$47.71 ,$368.00 ,$258.38 ,$213.66 ,$202.40 ,$101.28 ,$103.04 ,$192.46 ,$101.28 ,$202.40 ,$101.28 ,$182.16 ,$244.56 ,$101.28 ,$182.16 ,$208.77 ,$257.60 ,$263.78 ,$294.40 ,$258.38 ,$101.28 ,$257.60 ,$101.28 ,$220.80 ,$103.31 ,$276.00 ,$203.14 ,$183.26 ,$203.14 ,$101.28 ,$203.14 ,$171.06 ,$368.00 ,$171.06 ,$312.80 ,$258.38 ,$255.02 ,$101.28 ,$117.23 ,$206.45 ,$101.28 ,$96.42 ,$368.00 ,$49.98 ,$47.71 ,$106.35 ,$294.40 ,$182.16 ,$103.04 ,$331.20 ,$139.84 ,$284.00 ,$101.28 ,$176.64 
ST. MARY'S HOSPITAL - DECATUR,40100006,77066,HC MAMMOGRAM DIAG W/CAD UPGRADE BIL,401,1 ,$368.00 ,$264.96 ,$47.71 ,$368.00 ,$258.38 ,$213.66 ,$202.40 ,$101.28 ,$103.04 ,$192.46 ,$101.28 ,$202.40 ,$101.28 ,$182.16 ,$244.56 ,$101.28 ,$182.16 ,$208.77 ,$257.60 ,$263.78 ,$294.40 ,$258.38 ,$101.28 ,$257.60 ,$101.28 ,$220.80 ,$103.31 ,$276.00 ,$203.14 ,$183.26 ,$203.14 ,$101.28 ,$203.14 ,$171.06 ,$368.00 ,$171.06 ,$312.80 ,$258.38 ,$255.02 ,$101.28 ,$117.23 ,$206.45 ,$101.28 ,$96.42 ,$368.00 ,$49.98 ,$47.71 ,$106.35 ,$294.40 ,$182.16 ,$103.04 ,$331.20 ,$139.84 ,$284.00 ,$101.28 ,$176.64 
ST. MARY'S HOSPITAL - DECATUR,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$323.00 ,$232.56 ,$47.71 ,$323.00 ,$202.75 ,$167.15 ,$177.65 ,$79.48 ,$90.44 ,$168.93 ,$79.48 ,$177.65 ,$79.48 ,$159.89 ,$191.16 ,$79.48 ,$159.89 ,$163.82 ,$226.10 ,$206.95 ,$258.40 ,$202.75 ,$79.48 ,$226.10 ,$79.48 ,$193.80 ,$81.07 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$79.48 ,$178.30 ,$133.72 ,$323.00 ,$133.72 ,$274.55 ,$202.75 ,$223.84 ,$79.48 ,$92.02 ,$181.20 ,$79.48 ,$84.63 ,$323.00 ,$49.98 ,$47.71 ,$83.46 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 ,$284.00 ,$79.48 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$323.00 ,$232.56 ,$47.71 ,$323.00 ,$202.75 ,$167.15 ,$177.65 ,$79.48 ,$90.44 ,$168.93 ,$79.48 ,$177.65 ,$79.48 ,$159.89 ,$191.16 ,$79.48 ,$159.89 ,$163.82 ,$226.10 ,$206.95 ,$258.40 ,$202.75 ,$79.48 ,$226.10 ,$79.48 ,$193.80 ,$81.07 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$79.48 ,$178.30 ,$133.72 ,$323.00 ,$133.72 ,$274.55 ,$202.75 ,$223.84 ,$79.48 ,$92.02 ,$181.20 ,$79.48 ,$84.63 ,$323.00 ,$49.98 ,$47.71 ,$83.46 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 ,$284.00 ,$79.48 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,40100010,77065,HC MAMMOGRAM DIAG UNIL W/CAD UPGRADE,401,1 ,$323.00 ,$232.56 ,$47.71 ,$323.00 ,$202.75 ,$167.15 ,$177.65 ,$79.48 ,$90.44 ,$168.93 ,$79.48 ,$177.65 ,$79.48 ,$159.89 ,$191.16 ,$79.48 ,$159.89 ,$163.82 ,$226.10 ,$206.95 ,$258.40 ,$202.75 ,$79.48 ,$226.10 ,$79.48 ,$193.80 ,$81.07 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$79.48 ,$178.30 ,$133.72 ,$323.00 ,$133.72 ,$274.55 ,$202.75 ,$223.84 ,$79.48 ,$92.02 ,$181.20 ,$79.48 ,$84.63 ,$323.00 ,$49.98 ,$47.71 ,$83.46 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 ,$284.00 ,$79.48 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$161.00 ,$115.92 ,$21.80 ,$161.00 ,$55.63 ,$85.33 ,$88.55 ,$21.80 ,$45.08 ,$84.20 ,$21.80 ,$88.55 ,$21.80 ,$79.70 ,$23.18 ,$21.80 ,$79.70 ,$44.95 ,$112.70 ,$55.23 ,$128.80 ,$55.63 ,$21.80 ,$112.70 ,$21.80 ,$96.60 ,$22.25 ,$120.75 ,$88.87 ,$80.18 ,$88.87 ,$21.80 ,$88.87 ,$35.81 ,$161.00 ,$35.81 ,$136.85 ,$55.63 ,$111.57 ,$21.80 ,$25.20 ,$90.32 ,$21.80 ,$42.18 ,$161.00 ,$49.98 ,$47.71 ,$22.89 ,$128.80 ,$79.70 ,$45.08 ,$144.90 ,$61.18 ,$161.00 ,$21.80 ,$77.28 
ST. MARY'S HOSPITAL - DECATUR,40200004,21920,HC BX SOFT TISSUE BACK/FLANK SUP,402,1 ,"$4,380.00 ","$3,153.60 ",$356.25 ,"$4,380.00 ","$3,518.55 ","$2,321.40 ","$2,409.00 ","$1,379.27 ","$1,226.40 ","$2,290.74 ","$1,379.27 ","$2,409.00 ","$1,379.27 ","$2,168.10 ",$356.25 ,"$1,379.27 ","$2,168.10 ","$2,842.98 ","$3,066.00 ","$2,737.50 ","$3,504.00 ","$3,518.54 ","$1,379.27 ","$3,066.00 ","$1,379.27 ","$2,628.00 ","$1,406.86 ","$3,285.00 ","$2,417.76 ","$2,181.24 ","$2,417.76 ","$1,379.27 ","$2,417.76 ","$3,197.40 ","$4,380.00 ","$3,197.40 ","$3,723.00 ","$3,518.54 ","$3,035.34 ","$1,379.27 ","$4,380.00 ","$2,457.18 ","$1,379.27 ","$1,147.56 ","$4,380.00 ",$466.29 ,$445.10 ,"$1,448.23 ","$3,504.00 ","$2,168.10 ","$1,226.40 ","$3,942.00 ","$1,664.40 ",$830.00 ,"$1,379.27 ","$2,102.40 "
ST. MARY'S HOSPITAL - DECATUR,40200007,51798,HC US BLADDER SCAN,402,1 ,$399.00 ,$287.28 ,$41.02 ,$399.00 ,$134.88 ,$211.47 ,$219.45 ,$52.87 ,$111.72 ,$208.68 ,$52.87 ,$219.45 ,$52.87 ,$197.51 ,$41.02 ,$52.87 ,$197.51 ,$108.98 ,$279.30 ,$249.38 ,$319.20 ,$134.87 ,$52.87 ,$279.30 ,$52.87 ,$239.40 ,$53.93 ,$299.25 ,$220.25 ,$198.70 ,$220.25 ,$52.87 ,$220.25 ,$291.27 ,$399.00 ,$291.27 ,$339.15 ,$134.87 ,$276.51 ,$52.87 ,$399.00 ,$223.84 ,$52.87 ,$104.54 ,$399.00 ,$86.41 ,$82.48 ,$55.52 ,$319.20 ,$197.51 ,$111.72 ,$359.10 ,$151.62 ,$399.00 ,$52.87 ,$191.52 
ST. MARY'S HOSPITAL - DECATUR,40200009,49407,HC DRAIN ABSC PELVIC TRNSVAG PERC,402,1 ,"$6,673.00 ","$4,804.56 ",$372.71 ,"$6,673.00 ","$3,518.55 ","$3,536.69 ","$3,670.15 ","$1,379.27 ","$1,868.44 ","$3,489.98 ","$1,379.27 ","$3,670.15 ","$1,379.27 ","$3,303.14 ",$372.71 ,"$1,379.27 ","$3,303.14 ","$2,842.98 ","$4,671.10 ","$4,170.63 ","$5,338.40 ","$3,518.54 ","$1,379.27 ","$4,671.10 ","$1,379.27 ","$4,003.80 ","$1,406.86 ","$5,004.75 ","$3,683.50 ","$3,323.15 ","$3,683.50 ","$1,379.27 ","$3,683.50 ","$4,871.29 ","$6,673.00 ","$4,871.29 ","$5,672.05 ","$3,518.54 ","$4,624.39 ","$1,379.27 ","$6,673.00 ","$3,743.55 ","$1,379.27 ","$1,748.33 ","$6,673.00 ",$500.56 ,$477.80 ,"$1,448.23 ","$5,338.40 ","$3,303.14 ","$1,868.44 ","$6,005.70 ","$2,535.74 ",$830.00 ,"$1,379.27 ","$3,203.04 "
ST. MARY'S HOSPITAL - DECATUR,40200010,59000,HC AMNIOCENTESIS DIAGNOSTIC,402,1 ,"$1,527.00 ","$1,099.44 ",$152.06 ,"$1,650.63 ","$1,650.63 ",$809.31 ,$839.85 ,$647.04 ,$427.56 ,$798.62 ,$647.04 ,$839.85 ,$647.04 ,$755.87 ,$152.06 ,$647.04 ,$755.87 ,"$1,333.70 ","$1,068.90 ",$954.38 ,"$1,221.60 ","$1,650.62 ",$647.04 ,"$1,068.90 ",$647.04 ,$916.20 ,$659.98 ,"$1,145.25 ",$842.90 ,$760.45 ,$842.90 ,$647.04 ,$842.90 ,"$1,114.71 ","$1,527.00 ","$1,114.71 ","$1,297.95 ","$1,527.00 ","$1,058.21 ",$647.04 ,"$1,527.00 ",$856.65 ,$647.04 ,$400.07 ,"$1,527.00 ", N/A , N/A ,$679.39 ,"$1,221.60 ",$755.87 ,$427.56 ,"$1,374.30 ",$580.26 ,$830.00 ,$647.04 ,$732.96 
ST. MARY'S HOSPITAL - DECATUR,40200012,76506,HC US ENCEPHALOGRAM,402,1 ,$421.00 ,$303.12 ,$98.30 ,$421.00 ,$250.78 ,$161.42 ,$231.55 ,$98.30 ,$117.88 ,$220.18 ,$98.30 ,$231.55 ,$98.30 ,$208.40 ,$172.14 ,$98.30 ,$208.40 ,$202.63 ,$294.70 ,$202.23 ,$336.80 ,$250.78 ,$98.30 ,$294.70 ,$98.30 ,$252.60 ,$100.27 ,$315.75 ,$232.39 ,$209.66 ,$232.39 ,$98.30 ,$232.39 ,$120.42 ,$421.00 ,$120.42 ,$357.85 ,$250.78 ,$291.75 ,$98.30 ,$421.00 ,$236.18 ,$98.30 ,$110.30 ,$421.00 ,$110.06 ,$105.05 ,$103.22 ,$336.80 ,$208.40 ,$117.88 ,$378.90 ,$159.98 ,$421.00 ,$98.30 ,$202.08 
ST. MARY'S HOSPITAL - DECATUR,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$931.00 ,$670.32 ,$98.30 ,$931.00 ,$250.78 ,$166.50 ,$512.05 ,$98.30 ,$260.68 ,$486.91 ,$98.30 ,$512.05 ,$98.30 ,$460.85 ,$179.45 ,$98.30 ,$460.85 ,$202.63 ,$651.70 ,$202.23 ,$744.80 ,$250.78 ,$98.30 ,$651.70 ,$98.30 ,$558.60 ,$100.27 ,$698.25 ,$513.91 ,$463.64 ,$513.91 ,$98.30 ,$513.91 ,$125.54 ,$931.00 ,$125.54 ,$791.35 ,$250.78 ,$645.18 ,$98.30 ,$931.00 ,$522.29 ,$98.30 ,$243.92 ,$931.00 ,$110.06 ,$105.05 ,$103.22 ,$744.80 ,$460.85 ,$260.68 ,$837.90 ,$353.78 ,$830.00 ,$98.30 ,$446.88 
ST. MARY'S HOSPITAL - DECATUR,40200014,76604,HC US CHEST,402,1 ,$674.00 ,$485.28 ,$72.83 ,$674.00 ,$250.78 ,$72.83 ,$370.70 ,$98.30 ,$188.72 ,$352.50 ,$98.30 ,$370.70 ,$98.30 ,$333.63 ,$127.52 ,$98.30 ,$333.63 ,$202.63 ,$471.80 ,$72.83 ,$539.20 ,$250.78 ,$98.30 ,$471.80 ,$98.30 ,$404.40 ,$100.27 ,$505.50 ,$372.05 ,$335.65 ,$372.05 ,$98.30 ,$372.05 ,$89.20 ,$674.00 ,$89.20 ,$572.90 ,$250.78 ,$467.08 ,$98.30 ,$674.00 ,$378.11 ,$98.30 ,$176.59 ,$674.00 ,$110.06 ,$105.05 ,$103.22 ,$539.20 ,$333.63 ,$188.72 ,$606.60 ,$256.12 ,$674.00 ,$98.30 ,$323.52 
ST. MARY'S HOSPITAL - DECATUR,40200015,76641,HC US BREAST COMPLETE,402,1 ,$852.00 ,$613.44 ,$72.77 ,$852.00 ,$250.78 ,$133.38 ,$468.60 ,$98.30 ,$238.56 ,$445.60 ,$98.30 ,$468.60 ,$98.30 ,$421.74 ,$145.07 ,$98.30 ,$421.74 ,$202.63 ,$596.40 ,$163.55 ,$681.60 ,$250.78 ,$98.30 ,$596.40 ,$98.30 ,$511.20 ,$100.27 ,$639.00 ,$470.30 ,$424.30 ,$470.30 ,$98.30 ,$470.30 ,$101.48 ,$852.00 ,$101.48 ,$724.20 ,$250.78 ,$590.44 ,$98.30 ,$72.77 ,$477.97 ,$98.30 ,$223.22 ,$852.00 ,$110.06 ,$105.05 ,$103.22 ,$681.60 ,$421.74 ,$238.56 ,$766.80 ,$323.76 ,$830.00 ,$98.30 ,$408.96 
ST. MARY'S HOSPITAL - DECATUR,40200016,76642,HC US BREAST LIMITED,402,1 ,$627.00 ,$451.44 ,$55.97 ,$627.00 ,$203.85 ,$102.15 ,$344.85 ,$79.91 ,$175.56 ,$327.92 ,$79.91 ,$344.85 ,$79.91 ,$310.37 ,$109.96 ,$79.91 ,$310.37 ,$164.72 ,$438.90 ,$124.90 ,$501.60 ,$203.86 ,$79.91 ,$438.90 ,$79.91 ,$376.20 ,$81.51 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$79.91 ,$346.10 ,$76.91 ,$627.00 ,$76.91 ,$532.95 ,$203.86 ,$434.51 ,$79.91 ,$55.97 ,$351.75 ,$79.91 ,$164.27 ,$627.00 ,$110.06 ,$105.05 ,$83.91 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$627.00 ,$79.91 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,503.00 ","$1,082.16 ",$98.30 ,"$1,503.00 ",$250.78 ,$155.05 ,$826.65 ,$98.30 ,$420.84 ,$786.07 ,$98.30 ,$826.65 ,$98.30 ,$743.99 ,$167.02 ,$98.30 ,$743.99 ,$202.63 ,"$1,052.10 ",$188.80 ,"$1,202.40 ",$250.78 ,$98.30 ,"$1,052.10 ",$98.30 ,$901.80 ,$100.27 ,"$1,127.25 ",$829.66 ,$748.49 ,$829.66 ,$98.30 ,$829.66 ,$116.83 ,"$1,503.00 ",$116.83 ,"$1,277.55 ",$250.78 ,"$1,041.58 ",$98.30 ,"$1,503.00 ",$843.18 ,$98.30 ,$393.79 ,"$1,503.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,202.40 ",$743.99 ,$420.84 ,"$1,352.70 ",$571.14 ,$830.00 ,$98.30 ,$721.44 
ST. MARY'S HOSPITAL - DECATUR,40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,013.00 ",$729.36 ,$88.68 ,"$1,013.00 ",$250.78 ,$116.80 ,$557.15 ,$98.30 ,$283.64 ,$515.62 ,$98.30 ,$542.76 ,$98.30 ,$501.44 ,$126.78 ,$98.30 ,$501.44 ,$202.63 ,$709.10 ,$142.25 ,$810.40 ,$250.78 ,$98.30 ,$709.10 ,$98.30 ,$607.80 ,$100.27 ,$759.75 ,$559.18 ,$504.47 ,$559.18 ,$98.30 ,$559.18 ,$88.68 ,"$1,013.00 ",$88.68 ,$861.05 ,$250.78 ,$702.01 ,$98.30 ,"$1,013.00 ",$568.29 ,$98.30 ,$265.41 ,"$1,013.00 ",$110.06 ,$105.05 ,$103.22 ,$810.40 ,$501.44 ,$283.64 ,$911.70 ,$384.94 ,$830.00 ,$98.30 ,$486.24 
ST. MARY'S HOSPITAL - DECATUR,40200019,76770,HC US RETROPERITIONEAL,402,1 ,"$1,226.00 ",$882.72 ,$98.30 ,"$1,226.00 ",$250.78 ,$144.20 ,$674.30 ,$98.30 ,$343.28 ,$634.52 ,$98.30 ,$667.92 ,$98.30 ,$606.87 ,$156.04 ,$98.30 ,$606.87 ,$202.63 ,$858.20 ,$176.18 ,$980.80 ,$250.78 ,$98.30 ,$858.20 ,$98.30 ,$735.60 ,$100.27 ,$919.50 ,$676.75 ,$610.55 ,$676.75 ,$98.30 ,$676.75 ,$109.16 ,"$1,226.00 ",$109.16 ,"$1,042.10 ",$250.78 ,$849.62 ,$98.30 ,"$1,226.00 ",$687.79 ,$98.30 ,$321.21 ,"$1,226.00 ",$110.06 ,$105.05 ,$103.22 ,$980.80 ,$606.87 ,$343.28 ,"$1,103.40 ",$465.88 ,$830.00 ,$98.30 ,$588.48 
ST. MARY'S HOSPITAL - DECATUR,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,"$1,204.00 ",$866.88 ,$42.63 ,"$1,204.00 ",$250.78 ,$56.90 ,$662.20 ,$98.30 ,$337.12 ,$305.81 ,$98.30 ,$321.90 ,$98.30 ,$595.98 ,$60.95 ,$98.30 ,$595.98 ,$202.63 ,$842.80 ,$72.03 ,$963.20 ,$250.78 ,$98.30 ,$842.80 ,$98.30 ,$722.40 ,$100.27 ,$903.00 ,$664.61 ,$599.59 ,$664.61 ,$98.30 ,$664.61 ,$42.63 ,"$1,204.00 ",$42.63 ,"$1,023.40 ",$250.78 ,$834.37 ,$98.30 ,"$1,204.00 ",$675.44 ,$98.30 ,$315.45 ,"$1,204.00 ",$110.06 ,$105.05 ,$103.22 ,$963.20 ,$595.98 ,$337.12 ,"$1,083.60 ",$457.52 ,$830.00 ,$98.30 ,$577.92 
ST. MARY'S HOSPITAL - DECATUR,40200021,76776,HC US KIDNEY TRANSPLANT W/DOPPLER,402,1 ,"$1,252.00 ",$901.44 ,$98.30 ,"$1,252.00 ",$250.78 ,$222.77 ,$688.60 ,$98.30 ,$350.56 ,$654.80 ,$98.30 ,$688.60 ,$98.30 ,$619.74 ,$241.63 ,$98.30 ,$619.74 ,$202.63 ,$876.40 ,$270.30 ,"$1,001.60 ",$250.78 ,$98.30 ,$876.40 ,$98.30 ,$751.20 ,$100.27 ,$939.00 ,$691.10 ,$623.50 ,$691.10 ,$98.30 ,$691.10 ,$169.02 ,"$1,252.00 ",$169.02 ,"$1,064.20 ",$250.78 ,$867.64 ,$98.30 ,"$1,252.00 ",$702.37 ,$98.30 ,$328.02 ,"$1,252.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,001.60 ",$619.74 ,$350.56 ,"$1,126.80 ",$475.76 ,$830.00 ,$98.30 ,$600.96 
ST. MARY'S HOSPITAL - DECATUR,40200022,76800,HC US SPINAL CANAL  AND  CONTENTS,402,1 ,$931.00 ,$670.32 ,$98.30 ,$931.00 ,$250.78 ,$160.13 ,$512.05 ,$98.30 ,$260.68 ,$486.91 ,$98.30 ,$512.05 ,$98.30 ,$460.85 ,$172.87 ,$98.30 ,$460.85 ,$202.63 ,$651.70 ,$207.75 ,$744.80 ,$250.78 ,$98.30 ,$651.70 ,$98.30 ,$558.60 ,$100.27 ,$698.25 ,$513.91 ,$463.64 ,$513.91 ,$98.30 ,$513.91 ,$120.93 ,$931.00 ,$120.93 ,$791.35 ,$250.78 ,$645.18 ,$98.30 ,$931.00 ,$522.29 ,$98.30 ,$243.92 ,$931.00 ,$110.06 ,$105.05 ,$103.22 ,$744.80 ,$460.85 ,$260.68 ,$837.90 ,$353.78 ,$830.00 ,$98.30 ,$446.88 
ST. MARY'S HOSPITAL - DECATUR,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,$921.00 ,$663.12 ,$98.30 ,$921.00 ,$250.78 ,$137.84 ,$506.55 ,$98.30 ,$257.88 ,$481.68 ,$98.30 ,$506.55 ,$98.30 ,$455.90 ,$149.46 ,$98.30 ,$455.90 ,$202.63 ,$644.70 ,$168.30 ,$736.80 ,$250.78 ,$98.30 ,$644.70 ,$98.30 ,$552.60 ,$100.27 ,$690.75 ,$508.39 ,$458.66 ,$508.39 ,$98.30 ,$508.39 ,$104.56 ,$921.00 ,$104.56 ,$782.85 ,$250.78 ,$638.25 ,$98.30 ,$921.00 ,$516.68 ,$98.30 ,$241.30 ,$921.00 , N/A , N/A ,$103.22 ,$736.80 ,$455.90 ,$257.88 ,$828.90 ,$349.98 ,$830.00 ,$98.30 ,$442.08 
ST. MARY'S HOSPITAL - DECATUR,40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$583.00 ,$419.76 ,$31.21 ,$583.00 , N/A ,$41.42 ,$320.65 , N/A ,$163.24 ,$185.54 , N/A ,$195.30 , N/A ,$288.59 ,$44.62 , N/A ,$288.59 , N/A ,$408.10 ,$364.38 ,$466.40 , N/A , N/A ,$408.10 , N/A ,$349.80 , N/A ,$437.25 ,$321.82 ,$290.33 ,$321.82 , N/A ,$321.82 ,$31.21 ,$583.00 ,$31.21 ,$495.55 , N/A ,$404.02 , N/A ,$583.00 ,$327.06 , N/A ,$152.75 ,$583.00 , N/A , N/A , N/A ,$466.40 ,$288.59 ,$163.24 ,$524.70 ,$221.54 ,$583.00 , N/A ,$279.84 
ST. MARY'S HOSPITAL - DECATUR,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,"$1,213.00 ",$873.36 ,$98.30 ,"$1,213.00 ",$250.78 ,$172.24 ,$667.15 ,$98.30 ,$339.64 ,$634.40 ,$98.30 ,$667.15 ,$98.30 ,$600.44 ,$186.04 ,$98.30 ,$600.44 ,$202.63 ,$849.10 ,$209.33 ,$970.40 ,$250.78 ,$98.30 ,$849.10 ,$98.30 ,$727.80 ,$100.27 ,$909.75 ,$669.58 ,$604.07 ,$669.58 ,$98.30 ,$669.58 ,$130.14 ,"$1,213.00 ",$130.14 ,"$1,031.05 ",$250.78 ,$840.61 ,$98.30 ,"$1,213.00 ",$680.49 ,$98.30 ,$317.81 ,"$1,213.00 ", N/A , N/A ,$103.22 ,$970.40 ,$600.44 ,$339.64 ,"$1,091.70 ",$460.94 ,$830.00 ,$98.30 ,$582.24 
ST. MARY'S HOSPITAL - DECATUR,40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,$583.00 ,$419.76 ,$61.40 ,$583.00 , N/A ,$81.77 ,$320.65 , N/A ,$163.24 ,$304.91 , N/A ,$320.65 , N/A ,$288.59 ,$87.78 , N/A ,$288.59 , N/A ,$408.10 ,$364.38 ,$466.40 , N/A , N/A ,$408.10 , N/A ,$349.80 , N/A ,$437.25 ,$321.82 ,$290.33 ,$321.82 , N/A ,$321.82 ,$61.40 ,$583.00 ,$61.40 ,$495.55 , N/A ,$404.02 , N/A ,$583.00 ,$327.06 , N/A ,$152.75 ,$583.00 , N/A , N/A , N/A ,$466.40 ,$288.59 ,$163.24 ,$524.70 ,$221.54 ,$583.00 , N/A ,$279.84 
ST. MARY'S HOSPITAL - DECATUR,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,"$1,264.00 ",$910.08 ,$120.57 ,"$1,264.00 ",$547.93 ,$157.77 ,$695.20 ,$214.79 ,$353.92 ,$661.07 ,$214.79 ,$695.20 ,$214.79 ,$625.68 ,$172.37 ,$214.79 ,$625.68 ,$442.73 ,$884.80 ,$198.20 ,"$1,011.20 ",$547.93 ,$214.79 ,$884.80 ,$214.79 ,$758.40 ,$219.09 ,$948.00 ,$697.73 ,$629.47 ,$697.73 ,$214.79 ,$697.73 ,$120.57 ,"$1,264.00 ",$120.57 ,"$1,074.40 ",$547.93 ,$875.95 ,$214.79 ,"$1,264.00 ",$709.10 ,$214.79 ,$331.17 ,"$1,264.00 ", N/A , N/A ,$225.53 ,"$1,011.20 ",$625.68 ,$353.92 ,"$1,137.60 ",$480.32 ,$830.00 ,$214.79 ,$606.72 
ST. MARY'S HOSPITAL - DECATUR,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$938.00 ,$675.36 ,$158.80 ,$938.00 , N/A ,$211.30 ,$515.90 , N/A ,$262.64 ,$490.57 , N/A ,$515.90 , N/A ,$464.31 ,$227.00 , N/A ,$464.31 , N/A ,$656.60 ,$586.25 ,$750.40 , N/A , N/A ,$656.60 , N/A ,$562.80 , N/A ,$703.50 ,$517.78 ,$467.12 ,$517.78 , N/A ,$517.78 ,$158.80 ,$938.00 ,$158.80 ,$797.30 , N/A ,$650.03 , N/A ,$938.00 ,$526.22 , N/A ,$245.76 ,$938.00 , N/A , N/A , N/A ,$750.40 ,$464.31 ,$262.64 ,$844.20 ,$356.44 ,$830.00 , N/A ,$450.24 
ST. MARY'S HOSPITAL - DECATUR,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,"$1,213.00 ",$873.36 ,$98.30 ,"$1,213.00 ",$250.78 ,$135.29 ,$667.15 ,$98.30 ,$339.64 ,$596.85 ,$98.30 ,$628.26 ,$98.30 ,$600.44 ,$145.80 ,$98.30 ,$600.44 ,$202.63 ,$849.10 ,$164.35 ,$970.40 ,$250.78 ,$98.30 ,$849.10 ,$98.30 ,$727.80 ,$100.27 ,$909.75 ,$669.58 ,$604.07 ,$669.58 ,$98.30 ,$669.58 ,$101.99 ,"$1,213.00 ",$101.99 ,"$1,031.05 ",$250.78 ,$840.61 ,$98.30 ,"$1,213.00 ",$680.49 ,$98.30 ,$317.81 ,"$1,213.00 ", N/A , N/A ,$103.22 ,$970.40 ,$600.44 ,$339.64 ,"$1,091.70 ",$460.94 ,$830.00 ,$98.30 ,$582.24 
ST. MARY'S HOSPITAL - DECATUR,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$763.00 ,$549.36 ,$74.37 ,$763.00 ,$250.78 ,$98.33 ,$419.65 ,$98.30 ,$213.64 ,$399.05 ,$98.30 ,$419.65 ,$98.30 ,$377.69 ,$106.30 ,$98.30 ,$377.69 ,$202.63 ,$534.10 ,$120.18 ,$610.40 ,$250.78 ,$98.30 ,$534.10 ,$98.30 ,$457.80 ,$100.27 ,$572.25 ,$421.18 ,$379.97 ,$421.18 ,$98.30 ,$421.18 ,$74.37 ,$763.00 ,$74.37 ,$648.55 ,$250.78 ,$528.76 ,$98.30 ,$763.00 ,$428.04 ,$98.30 ,$199.91 ,$763.00 , N/A , N/A ,$103.22 ,$610.40 ,$377.69 ,$213.64 ,$686.70 ,$289.94 ,$763.00 ,$98.30 ,$366.24 
ST. MARY'S HOSPITAL - DECATUR,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$583.00 ,$419.76 ,$84.59 ,$583.00 ,$250.78 ,$111.71 ,$320.65 ,$98.30 ,$163.24 ,$304.91 ,$98.30 ,$320.65 ,$98.30 ,$288.59 ,$120.93 ,$98.30 ,$288.59 ,$202.63 ,$408.10 ,$135.95 ,$466.40 ,$250.78 ,$98.30 ,$408.10 ,$98.30 ,$349.80 ,$100.27 ,$437.25 ,$321.82 ,$290.33 ,$321.82 ,$98.30 ,$321.82 ,$84.59 ,$583.00 ,$84.59 ,$495.55 ,$250.78 ,$404.02 ,$98.30 ,$583.00 ,$327.06 ,$98.30 ,$152.75 ,$583.00 , N/A , N/A ,$103.22 ,$466.40 ,$288.59 ,$163.24 ,$524.70 ,$221.54 ,$583.00 ,$98.30 ,$279.84 
ST. MARY'S HOSPITAL - DECATUR,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$946.00 ,$681.12 ,$71.80 ,$946.00 ,$250.78 ,$91.31 ,$520.30 ,$98.30 ,$264.88 ,$494.76 ,$98.30 ,$520.30 ,$98.30 ,$468.27 ,$102.64 ,$98.30 ,$468.27 ,$202.63 ,$662.20 ,$110.70 ,$756.80 ,$250.78 ,$98.30 ,$662.20 ,$98.30 ,$567.60 ,$100.27 ,$709.50 ,$522.19 ,$471.11 ,$522.19 ,$98.30 ,$522.19 ,$71.80 ,$946.00 ,$71.80 ,$804.10 ,$250.78 ,$655.58 ,$98.30 ,$946.00 ,$530.71 ,$98.30 ,$247.85 ,$946.00 , N/A , N/A ,$103.22 ,$756.80 ,$468.27 ,$264.88 ,$851.40 ,$359.48 ,$830.00 ,$98.30 ,$454.08 
ST. MARY'S HOSPITAL - DECATUR,40200035,76819,HC US FETAL BIO PROFILE W/O NST EA ADDN,402,1 ,$946.00 ,$681.12 ,$71.80 ,$946.00 ,$250.78 ,$91.31 ,$520.30 ,$98.30 ,$264.88 ,$494.76 ,$98.30 ,$520.30 ,$98.30 ,$468.27 ,$102.64 ,$98.30 ,$468.27 ,$202.63 ,$662.20 ,$110.70 ,$756.80 ,$250.78 ,$98.30 ,$662.20 ,$98.30 ,$567.60 ,$100.27 ,$709.50 ,$522.19 ,$471.11 ,$522.19 ,$98.30 ,$522.19 ,$71.80 ,$946.00 ,$71.80 ,$804.10 ,$250.78 ,$655.58 ,$98.30 ,$946.00 ,$530.71 ,$98.30 ,$247.85 ,$946.00 , N/A , N/A ,$103.22 ,$756.80 ,$468.27 ,$264.88 ,$851.40 ,$359.48 ,$830.00 ,$98.30 ,$454.08 
ST. MARY'S HOSPITAL - DECATUR,40200036,76820,HC US FETAL DOPLR VELO UMB,402,1 ,$516.00 ,$371.52 ,$31.89 ,$516.00 ,$250.78 ,$41.60 ,$283.80 ,$98.30 ,$144.48 ,$188.04 ,$98.30 ,$197.94 ,$98.30 ,$255.42 ,$45.58 ,$98.30 ,$255.42 ,$202.63 ,$361.20 ,$50.73 ,$412.80 ,$250.78 ,$98.30 ,$361.20 ,$98.30 ,$309.60 ,$100.27 ,$387.00 ,$284.83 ,$256.97 ,$284.83 ,$98.30 ,$284.83 ,$31.89 ,$516.00 ,$31.89 ,$438.60 ,$250.78 ,$357.59 ,$98.30 ,$516.00 ,$289.48 ,$98.30 ,$135.19 ,$516.00 , N/A , N/A ,$103.22 ,$412.80 ,$255.42 ,$144.48 ,$464.40 ,$196.08 ,$516.00 ,$98.30 ,$247.68 
ST. MARY'S HOSPITAL - DECATUR,40200038,76830,HC US TRANSVAGINAL,402,1 ,"$1,114.00 ",$802.08 ,$98.30 ,"$1,114.00 ",$250.78 ,$169.70 ,$612.70 ,$98.30 ,$311.92 ,$582.62 ,$98.30 ,$612.70 ,$98.30 ,$551.43 ,$179.45 ,$98.30 ,$551.43 ,$202.63 ,$779.80 ,$207.75 ,$891.20 ,$250.78 ,$98.30 ,$779.80 ,$98.30 ,$668.40 ,$100.27 ,$835.50 ,$614.93 ,$554.77 ,$614.93 ,$98.30 ,$614.93 ,$125.54 ,"$1,114.00 ",$125.54 ,$946.90 ,$250.78 ,$772.00 ,$98.30 ,"$1,114.00 ",$624.95 ,$98.30 ,$291.87 ,"$1,114.00 ",$110.06 ,$105.05 ,$103.22 ,$891.20 ,$551.43 ,$311.92 ,"$1,002.60 ",$423.32 ,$830.00 ,$98.30 ,$534.72 
ST. MARY'S HOSPITAL - DECATUR,40200039,76831,HC US HYSTEROSONOGRAM,402,1 ,$993.00 ,$714.96 ,$118.37 ,$993.00 ,$547.93 ,$160.79 ,$546.15 ,$214.79 ,$278.04 ,$519.34 ,$214.79 ,$546.15 ,$214.79 ,$491.54 ,$169.21 ,$214.79 ,$491.54 ,$442.73 ,$695.10 ,$195.90 ,$794.40 ,$547.93 ,$214.79 ,$695.10 ,$214.79 ,$595.80 ,$219.09 ,$744.75 ,$548.14 ,$494.51 ,$548.14 ,$214.79 ,$548.14 ,$118.37 ,$993.00 ,$118.37 ,$844.05 ,$547.93 ,$688.15 ,$214.79 ,$993.00 ,$557.07 ,$214.79 ,$260.17 ,$993.00 ,$251.20 ,$239.78 ,$225.53 ,$794.40 ,$491.54 ,$278.04 ,$893.70 ,$377.34 ,$830.00 ,$214.79 ,$476.64 
ST. MARY'S HOSPITAL - DECATUR,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,144.00 ",$823.68 ,$77.32 ,"$1,144.00 ",$250.78 ,$142.94 ,$629.20 ,$98.30 ,$320.32 ,$598.31 ,$98.30 ,$629.20 ,$98.30 ,$566.28 ,$154.58 ,$98.30 ,$566.28 ,$202.63 ,$800.80 ,$174.60 ,$915.20 ,$250.78 ,$98.30 ,$800.80 ,$98.30 ,$686.40 ,$100.27 ,$858.00 ,$631.49 ,$569.71 ,$631.49 ,$98.30 ,$631.49 ,$108.14 ,"$1,144.00 ",$108.14 ,$972.40 ,$250.78 ,$792.79 ,$98.30 ,$77.32 ,$641.78 ,$98.30 ,$299.73 ,"$1,144.00 ",$110.06 ,$105.05 ,$103.22 ,$915.20 ,$566.28 ,$320.32 ,"$1,029.60 ",$434.72 ,$830.00 ,$98.30 ,$549.12 
ST. MARY'S HOSPITAL - DECATUR,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$446.00 ,$321.12 ,$34.44 ,$446.00 ,$250.78 ,$45.43 ,$245.30 ,$98.30 ,$124.88 ,$233.26 ,$98.30 ,$245.30 ,$98.30 ,$220.77 ,$49.24 ,$98.30 ,$220.77 ,$202.63 ,$312.20 ,$57.83 ,$356.80 ,$250.78 ,$98.30 ,$312.20 ,$98.30 ,$267.60 ,$100.27 ,$334.50 ,$246.19 ,$222.11 ,$246.19 ,$98.30 ,$246.19 ,$34.44 ,$446.00 ,$34.44 ,$379.10 ,$250.78 ,$309.08 ,$98.30 ,$446.00 ,$250.21 ,$98.30 ,$116.85 ,$446.00 ,$110.06 ,$105.05 ,$103.22 ,$356.80 ,$220.77 ,$124.88 ,$401.40 ,$169.48 ,$446.00 ,$98.30 ,$214.08 
ST. MARY'S HOSPITAL - DECATUR,40200042,76870,HC US SCROTUM,402,1 ,$995.00 ,$716.40 ,$98.30 ,$995.00 ,$250.78 ,$138.47 ,$547.25 ,$98.30 ,$278.60 ,$375.06 ,$98.30 ,$394.80 ,$98.30 ,$492.53 ,$150.92 ,$98.30 ,$492.53 ,$202.63 ,$696.50 ,$168.30 ,$796.00 ,$250.78 ,$98.30 ,$696.50 ,$98.30 ,$597.00 ,$100.27 ,$746.25 ,$549.24 ,$495.51 ,$549.24 ,$98.30 ,$549.24 ,$105.58 ,$995.00 ,$105.58 ,$845.75 ,$250.78 ,$689.54 ,$98.30 ,$995.00 ,$558.20 ,$98.30 ,$260.69 ,$995.00 ,$110.06 ,$105.05 ,$103.22 ,$796.00 ,$492.53 ,$278.60 ,$895.50 ,$378.10 ,$830.00 ,$98.30 ,$477.60 
ST. MARY'S HOSPITAL - DECATUR,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$931.00 ,$670.32 ,$67.10 ,$931.00 ,$250.78 ,$67.10 ,$512.05 ,$98.30 ,$260.68 ,$486.91 ,$98.30 ,$512.05 ,$98.30 ,$460.85 ,$118.01 ,$98.30 ,$460.85 ,$202.63 ,$651.70 ,$67.30 ,$744.80 ,$250.78 ,$98.30 ,$651.70 ,$98.30 ,$558.60 ,$100.27 ,$698.25 ,$513.91 ,$463.64 ,$513.91 ,$98.30 ,$513.91 ,$82.55 ,$931.00 ,$82.55 ,$791.35 ,$250.78 ,$645.18 ,$98.30 ,$931.00 ,$522.29 ,$98.30 ,$243.92 ,$931.00 ,$110.06 ,$105.05 ,$103.22 ,$744.80 ,$460.85 ,$260.68 ,$837.90 ,$353.78 ,$830.00 ,$98.30 ,$446.88 
ST. MARY'S HOSPITAL - DECATUR,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$649.00 ,$467.28 ,$47.24 ,$649.00 ,$250.78 ,$62.01 ,$356.95 ,$98.30 ,$181.72 ,$275.03 ,$98.30 ,$289.50 ,$98.30 ,$321.26 ,$67.53 ,$98.30 ,$321.26 ,$202.63 ,$454.30 ,$78.35 ,$519.20 ,$250.78 ,$98.30 ,$454.30 ,$98.30 ,$389.40 ,$100.27 ,$486.75 ,$358.25 ,$323.20 ,$358.25 ,$98.30 ,$358.25 ,$47.24 ,$649.00 ,$47.24 ,$551.65 ,$250.78 ,$449.76 ,$98.30 ,$649.00 ,$364.09 ,$98.30 ,$170.04 ,$649.00 ,$110.06 ,$105.05 ,$103.22 ,$519.20 ,$321.26 ,$181.72 ,$584.10 ,$246.62 ,$649.00 ,$98.30 ,$311.52 
ST. MARY'S HOSPITAL - DECATUR,40200048,76885,HC US HIPS INFANT DYNAMIC,402,1 ,$576.00 ,$414.72 ,$79.91 ,$576.00 ,$203.85 ,$148.03 ,$316.80 ,$79.91 ,$161.28 ,$301.25 ,$79.91 ,$316.80 ,$79.91 ,$285.12 ,$218.96 ,$79.91 ,$285.12 ,$164.72 ,$403.20 ,$244.28 ,$460.80 ,$203.86 ,$79.91 ,$403.20 ,$79.91 ,$345.60 ,$81.51 ,$432.00 ,$317.95 ,$286.85 ,$317.95 ,$79.91 ,$317.95 ,$88.68 ,$576.00 ,$88.68 ,$489.60 ,$203.86 ,$399.17 ,$79.91 ,$576.00 ,$323.14 ,$79.91 ,$150.91 ,$576.00 , N/A , N/A ,$83.91 ,$460.80 ,$285.12 ,$161.28 ,$518.40 ,$218.88 ,$576.00 ,$79.91 ,$276.48 
ST. MARY'S HOSPITAL - DECATUR,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$924.00 ,$665.28 ,$28.15 ,$924.00 , N/A ,$45.88 ,$508.20 , N/A ,$258.72 ,$139.14 , N/A ,$146.46 , N/A ,$457.38 ,$40.23 , N/A ,$457.38 , N/A ,$646.80 ,$577.50 ,$739.20 , N/A , N/A ,$646.80 , N/A ,$554.40 , N/A ,$693.00 ,$510.05 ,$460.15 ,$510.05 , N/A ,$510.05 ,$28.15 ,$924.00 ,$28.15 ,$785.40 , N/A ,$640.33 , N/A ,$924.00 ,$518.36 , N/A ,$242.09 ,$924.00 ,$80.31 ,$76.66 , N/A ,$739.20 ,$457.38 ,$258.72 ,$831.60 ,$351.12 ,$830.00 , N/A ,$443.52 
ST. MARY'S HOSPITAL - DECATUR,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,"$1,243.00 ",$894.96 ,$29.71 ,"$1,243.00 ", N/A ,$50.54 ,$683.65 , N/A ,$348.04 ,$264.59 , N/A ,$278.52 , N/A ,$615.29 ,$51.44 , N/A ,$615.29 , N/A ,$870.10 ,$776.88 ,$994.40 , N/A , N/A ,$870.10 , N/A ,$745.80 , N/A ,$932.25 ,$686.14 ,$619.01 ,$686.14 , N/A ,$686.14 ,$35.99 ,"$1,243.00 ",$35.99 ,"$1,056.55 ", N/A ,$861.40 , N/A ,$29.71 ,$697.32 , N/A ,$325.67 ,"$1,243.00 ",$80.31 ,$76.66 , N/A ,$994.40 ,$615.29 ,$348.04 ,"$1,118.70 ",$472.34 ,$830.00 , N/A ,$596.64 
ST. MARY'S HOSPITAL - DECATUR,40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,$599.00 ,$431.28 ,$19.10 ,$599.00 , N/A ,$26.33 ,$329.45 , N/A ,$167.72 ,$109.78 , N/A ,$115.56 , N/A ,$296.51 ,$27.30 , N/A ,$296.51 , N/A ,$419.30 ,$374.38 ,$479.20 , N/A , N/A ,$419.30 , N/A ,$359.40 , N/A ,$449.25 ,$330.65 ,$298.30 ,$330.65 , N/A ,$330.65 ,$19.10 ,$599.00 ,$19.10 ,$509.15 , N/A ,$415.11 , N/A ,$599.00 ,$336.04 , N/A ,$156.94 ,$599.00 ,$80.31 ,$76.66 , N/A ,$479.20 ,$296.51 ,$167.72 ,$539.10 ,$227.62 ,$599.00 , N/A ,$287.52 
ST. MARY'S HOSPITAL - DECATUR,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$649.00 ,$467.28 ,$76.66 ,$649.00 , N/A ,$126.68 ,$356.95 , N/A ,$181.72 ,$339.43 , N/A ,$356.95 , N/A ,$321.26 ,$145.20 , N/A ,$321.26 , N/A ,$454.30 ,$405.63 ,$519.20 , N/A , N/A ,$454.30 , N/A ,$389.40 , N/A ,$486.75 ,$358.25 ,$323.20 ,$358.25 , N/A ,$358.25 ,$473.77 ,$649.00 ,$473.77 ,$551.65 , N/A ,$449.76 , N/A ,$649.00 ,$364.09 , N/A ,$170.04 ,$649.00 ,$80.31 ,$76.66 , N/A ,$519.20 ,$321.26 ,$181.72 ,$584.10 ,$246.62 ,$649.00 , N/A ,$311.52 
ST. MARY'S HOSPITAL - DECATUR,40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,"$2,861.00 ","$2,059.92 ",$105.05 ,"$2,861.00 ",$547.93 ,"$1,516.33 ","$1,573.55 ",$214.79 ,$801.08 ,"$1,496.30 ",$214.79 ,"$1,573.55 ",$214.79 ,"$1,416.20 ",$411.87 ,$214.79 ,"$1,416.20 ",$442.73 ,"$2,002.70 ",$503.55 ,"$2,288.80 ",$547.93 ,$214.79 ,"$2,002.70 ",$214.79 ,"$1,716.60 ",$219.09 ,"$2,145.75 ","$1,579.27 ","$1,424.78 ","$1,579.27 ",$214.79 ,"$1,579.27 ","$2,088.53 ","$2,861.00 ","$2,088.53 ","$2,431.85 ",$547.93 ,"$1,982.67 ",$214.79 ,"$2,861.00 ","$1,605.02 ",$214.79 ,$749.58 ,"$2,861.00 ",$110.06 ,$105.05 ,$225.53 ,"$2,288.80 ","$1,416.20 ",$801.08 ,"$2,574.90 ","$1,087.18 ",$830.00 ,$214.79 ,"$1,373.28 "
ST. MARY'S HOSPITAL - DECATUR,40200068,93976,HC DUPLEX ABD/PEL/RETRO LTD,402,1 ,"$1,635.00 ","$1,177.20 ",$98.30 ,"$1,635.00 ",$250.78 ,$866.55 ,$899.25 ,$98.30 ,$457.80 ,$855.11 ,$98.30 ,$899.25 ,$98.30 ,$809.33 ,$231.65 ,$98.30 ,$809.33 ,$202.63 ,"$1,144.50 ",$286.88 ,"$1,308.00 ",$250.78 ,$98.30 ,"$1,144.50 ",$98.30 ,$981.00 ,$100.27 ,"$1,226.25 ",$902.52 ,$814.23 ,$902.52 ,$98.30 ,$902.52 ,"$1,193.55 ","$1,635.00 ","$1,193.55 ","$1,389.75 ",$250.78 ,"$1,133.06 ",$98.30 ,"$1,635.00 ",$917.24 ,$98.30 ,$428.37 ,"$1,635.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,308.00 ",$809.33 ,$457.80 ,"$1,471.50 ",$621.30 ,$830.00 ,$98.30 ,$784.80 
ST. MARY'S HOSPITAL - DECATUR,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,"$1,635.00 ","$1,177.20 ",$98.30 ,"$1,635.00 ",$250.78 ,$866.55 ,$899.25 ,$98.30 ,$457.80 ,$855.11 ,$98.30 ,$899.25 ,$98.30 ,$809.33 ,$231.65 ,$98.30 ,$809.33 ,$202.63 ,"$1,144.50 ",$286.88 ,"$1,308.00 ",$250.78 ,$98.30 ,"$1,144.50 ",$98.30 ,$981.00 ,$100.27 ,"$1,226.25 ",$902.52 ,$814.23 ,$902.52 ,$98.30 ,$902.52 ,"$1,193.55 ","$1,635.00 ","$1,193.55 ","$1,389.75 ",$250.78 ,"$1,133.06 ",$98.30 ,"$1,635.00 ",$917.24 ,$98.30 ,$428.37 ,"$1,635.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,308.00 ",$809.33 ,$457.80 ,"$1,471.50 ",$621.30 ,$830.00 ,$98.30 ,$784.80 
ST. MARY'S HOSPITAL - DECATUR,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,"$1,457.00 ","$1,049.04 ",$105.05 ,"$1,457.00 ",$547.93 ,$772.21 ,$801.35 ,$214.79 ,$407.96 ,$762.01 ,$214.79 ,$801.35 ,$214.79 ,$721.22 ,$278.67 ,$214.79 ,$721.22 ,$442.73 ,"$1,019.90 ",$341.80 ,"$1,165.60 ",$547.93 ,$214.79 ,"$1,019.90 ",$214.79 ,$874.20 ,$219.09 ,"$1,092.75 ",$804.26 ,$725.59 ,$804.26 ,$214.79 ,$804.26 ,"$1,180.17 ","$1,457.00 ","$1,180.17 ","$1,238.45 ",$547.93 ,"$1,009.70 ",$214.79 ,"$1,457.00 ",$817.38 ,$214.79 ,$381.73 ,"$1,457.00 ",$110.06 ,$105.05 ,$225.53 ,"$1,165.60 ",$721.22 ,$407.96 ,"$1,311.30 ",$553.66 ,$792.61 ,$214.79 ,$699.36 
ST. MARY'S HOSPITAL - DECATUR,40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,$988.00 ,$711.36 ,$98.30 ,$988.00 ,$250.78 ,$523.64 ,$543.40 ,$98.30 ,$276.64 ,$516.72 ,$98.30 ,$543.40 ,$98.30 ,$489.06 ,$178.24 ,$98.30 ,$489.06 ,$202.63 ,$691.60 ,$224.55 ,$790.40 ,$250.78 ,$98.30 ,$691.60 ,$98.30 ,$592.80 ,$100.27 ,$741.00 ,$545.38 ,$492.02 ,$545.38 ,$98.30 ,$545.38 ,$721.24 ,$988.00 ,$721.24 ,$839.80 ,$250.78 ,$684.68 ,$98.30 ,$988.00 ,$554.27 ,$98.30 ,$258.86 ,$988.00 ,$110.06 ,$105.05 ,$103.22 ,$790.40 ,$489.06 ,$276.64 ,$889.20 ,$375.44 ,$830.00 ,$98.30 ,$474.24 
ST. MARY'S HOSPITAL - DECATUR,40200075,76706,HC US AORTA (SCREENING),402,1 ,$739.00 ,$532.08 ,$98.30 ,$739.00 ,$250.78 ,$155.05 ,$406.45 ,$98.30 ,$206.92 ,$386.50 ,$98.30 ,$406.45 ,$98.30 ,$365.81 ,$177.26 ,$98.30 ,$365.81 ,$202.63 ,$517.30 ,$191.98 ,$591.20 ,$250.78 ,$98.30 ,$517.30 ,$98.30 ,$443.40 ,$100.27 ,$554.25 ,$407.93 ,$368.02 ,$407.93 ,$98.30 ,$407.93 ,$123.99 ,$739.00 ,$123.99 ,$628.15 ,$250.78 ,$512.13 ,$98.30 ,$739.00 ,$414.58 ,$98.30 ,$193.62 ,$739.00 ,$110.06 ,$105.05 ,$103.22 ,$591.20 ,$365.81 ,$206.92 ,$665.10 ,$280.82 ,$739.00 ,$98.30 ,$354.72 
ST. MARY'S HOSPITAL - DECATUR,40200091,76886,HC US HIPS INFANT STATIC,402,1 ,$820.00 ,$590.40 ,$79.91 ,$820.00 ,$203.85 ,$139.75 ,$451.00 ,$79.91 ,$229.60 ,$428.86 ,$79.91 ,$451.00 ,$79.91 ,$405.90 ,$152.39 ,$79.91 ,$405.90 ,$164.72 ,$574.00 ,$169.88 ,$656.00 ,$203.86 ,$79.91 ,$574.00 ,$79.91 ,$492.00 ,$81.51 ,$615.00 ,$452.64 ,$408.36 ,$452.64 ,$79.91 ,$452.64 ,$88.68 ,$820.00 ,$88.68 ,$697.00 ,$203.86 ,$568.26 ,$79.91 ,$820.00 ,$460.02 ,$79.91 ,$214.84 ,$820.00 , N/A , N/A ,$83.91 ,$656.00 ,$405.90 ,$229.60 ,$738.00 ,$311.60 ,$820.00 ,$79.91 ,$393.60 
ST. MARY'S HOSPITAL - DECATUR,40200097,76816,HC US OB GROWTH FOLLOWUP EA ADDN,402,1 ,"$1,213.00 ",$873.36 ,$98.30 ,"$1,213.00 ",$250.78 ,$135.29 ,$667.15 ,$98.30 ,$339.64 ,$596.85 ,$98.30 ,$628.26 ,$98.30 ,$600.44 ,$145.80 ,$98.30 ,$600.44 ,$202.63 ,$849.10 ,$164.35 ,$970.40 ,$250.78 ,$98.30 ,$849.10 ,$98.30 ,$727.80 ,$100.27 ,$909.75 ,$669.58 ,$604.07 ,$669.58 ,$98.30 ,$669.58 ,$101.99 ,"$1,213.00 ",$101.99 ,"$1,031.05 ",$250.78 ,$840.61 ,$98.30 ,"$1,213.00 ",$680.49 ,$98.30 ,$317.81 ,"$1,213.00 ", N/A , N/A ,$103.22 ,$970.40 ,$600.44 ,$339.64 ,"$1,091.70 ",$460.94 ,$830.00 ,$98.30 ,$582.24 
ST. MARY'S HOSPITAL - DECATUR,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$313.00 ,$225.36 ,$47.71 ,$313.00 ,$214.33 ,$176.72 ,$172.15 ,$84.02 ,$87.64 ,$163.70 ,$84.02 ,$172.15 ,$84.02 ,$154.94 ,$202.13 ,$84.02 ,$154.94 ,$173.17 ,$219.10 ,$218.00 ,$250.40 ,$214.33 ,$84.02 ,$219.10 ,$84.02 ,$187.80 ,$85.69 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$84.02 ,$172.78 ,$141.40 ,$313.00 ,$141.40 ,$266.05 ,$214.33 ,$216.91 ,$84.02 ,$97.27 ,$175.59 ,$84.02 ,$82.01 ,$313.00 ,$49.98 ,$47.71 ,$88.22 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$284.00 ,$84.02 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$313.00 ,$225.36 ,$47.71 ,$313.00 ,$214.33 ,$176.72 ,$172.15 ,$84.02 ,$87.64 ,$163.70 ,$84.02 ,$172.15 ,$84.02 ,$154.94 ,$202.13 ,$84.02 ,$154.94 ,$173.17 ,$219.10 ,$218.00 ,$250.40 ,$214.33 ,$84.02 ,$219.10 ,$84.02 ,$187.80 ,$85.69 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$84.02 ,$172.78 ,$141.40 ,$313.00 ,$141.40 ,$266.05 ,$214.33 ,$216.91 ,$84.02 ,$97.27 ,$175.59 ,$84.02 ,$82.01 ,$313.00 ,$49.98 ,$47.71 ,$88.22 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$284.00 ,$84.02 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$148.00 ,$106.56 ,$21.80 ,$148.00 ,$55.63 ,$46.53 ,$81.40 ,$21.80 ,$41.44 ,$77.40 ,$21.80 ,$81.40 ,$21.80 ,$73.26 ,$23.18 ,$21.80 ,$73.26 ,$44.95 ,$103.60 ,$55.23 ,$118.40 ,$55.63 ,$21.80 ,$103.60 ,$21.80 ,$88.80 ,$22.25 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$21.80 ,$81.70 ,$35.81 ,$148.00 ,$35.81 ,$125.80 ,$55.63 ,$102.56 ,$21.80 ,$25.20 ,$83.03 ,$21.80 ,$38.78 ,$148.00 ,$49.98 ,$47.71 ,$22.89 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$148.00 ,$21.80 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,40400003,78814,HC PET W/CT TUMR LIMITED AREA,404,1 ,"$6,837.00 ","$4,922.64 ",$845.07 ,"$6,837.00 ","$3,494.60 ","$3,000.00 ","$3,760.35 ","$1,369.88 ","$1,914.36 ","$3,575.75 ","$1,369.88 ","$3,760.35 ","$1,369.88 ","$3,384.32 ","$2,053.19 ","$1,369.88 ","$3,384.32 ","$2,823.65 ","$4,785.90 ","$3,000.00 ","$5,469.60 ","$3,494.61 ","$1,369.88 ","$4,785.90 ","$1,369.88 ","$4,102.20 ","$1,397.28 ","$5,127.75 ","$3,774.02 ","$3,404.83 ","$3,774.02 ","$1,369.88 ","$3,774.02 ","$5,537.97 ","$6,837.00 ","$5,537.97 ","$5,811.45 ","$3,494.61 ","$4,738.04 ","$1,369.88 ","$6,837.00 ","$3,835.56 ","$1,369.88 ","$1,791.29 ","$6,837.00 ",$885.31 ,$845.07 ,"$1,438.38 ","$5,469.60 ","$3,384.32 ","$1,914.36 ","$6,153.30 ","$1,772.00 ","$2,971.00 ","$1,369.88 ","$3,281.76 "
ST. MARY'S HOSPITAL - DECATUR,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$6,990.00 ","$5,032.80 ",$845.07 ,"$6,990.00 ","$3,494.60 ","$3,000.00 ","$3,844.50 ","$1,369.88 ","$1,957.20 ","$3,655.77 ","$1,369.88 ","$3,844.50 ","$1,369.88 ","$3,460.05 ","$2,053.19 ","$1,369.88 ","$3,460.05 ","$2,823.65 ","$4,893.00 ","$3,000.00 ","$5,592.00 ","$3,494.61 ","$1,369.88 ","$4,893.00 ","$1,369.88 ","$4,194.00 ","$1,397.28 ","$5,242.50 ","$3,858.48 ","$3,481.02 ","$3,858.48 ","$1,369.88 ","$3,858.48 ","$5,661.90 ","$6,990.00 ","$5,661.90 ","$5,941.50 ","$3,494.61 ","$4,844.07 ","$1,369.88 ","$6,990.00 ","$3,921.39 ","$1,369.88 ","$1,831.38 ","$6,990.00 ",$885.31 ,$845.07 ,"$1,438.38 ","$5,592.00 ","$3,460.05 ","$1,957.20 ","$6,291.00 ","$1,772.00 ","$2,971.00 ","$1,369.88 ","$3,355.20 "
ST. MARY'S HOSPITAL - DECATUR,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$8,309.00 ","$5,982.48 ",$845.07 ,"$8,309.00 ","$3,494.60 ","$3,000.00 ","$4,569.95 ","$1,369.88 ","$2,326.52 ","$4,345.61 ","$1,369.88 ","$4,569.95 ","$1,369.88 ","$4,112.96 ","$2,053.19 ","$1,369.88 ","$4,112.96 ","$2,823.65 ","$5,816.30 ","$3,000.00 ","$6,647.20 ","$3,494.61 ","$1,369.88 ","$5,816.30 ","$1,369.88 ","$4,985.40 ","$1,397.28 ","$6,231.75 ","$4,586.57 ","$4,137.88 ","$4,586.57 ","$1,369.88 ","$4,586.57 ","$6,730.29 ","$8,309.00 ","$6,730.29 ","$7,062.65 ","$3,494.61 ","$5,758.14 ","$1,369.88 ","$8,309.00 ","$4,661.35 ","$1,369.88 ","$2,176.96 ","$8,309.00 ",$885.31 ,$845.07 ,"$1,438.38 ","$6,647.20 ","$4,112.96 ","$2,326.52 ","$7,478.10 ","$1,772.00 ","$2,971.00 ","$1,369.88 ","$3,988.32 "
ST. MARY'S HOSPITAL - DECATUR,41000002,31502,HC CHG TUBE TRACHEOTOMY,410,1 ,$998.00 ,$718.56 ,$65.06 ,$998.00 ,$487.65 ,$528.94 ,$548.90 ,$191.16 ,$279.44 ,$521.95 ,$191.16 ,$548.90 ,$191.16 ,$494.01 ,$65.06 ,$191.16 ,$494.01 ,$394.02 ,$698.60 ,$623.75 ,$798.40 ,$487.65 ,$191.16 ,$698.60 ,$191.16 ,$598.80 ,$194.98 ,$748.50 ,$550.90 ,$497.00 ,$550.90 ,$191.16 ,$550.90 ,$808.38 ,$998.00 ,$808.38 ,$848.30 ,$487.65 ,$691.61 ,$191.16 ,$998.00 ,$559.88 ,$191.16 ,$261.48 ,$998.00 ,$151.22 ,$144.34 ,$200.71 ,$798.40 ,$494.01 ,$279.44 ,$898.20 ,$379.24 ,$384.00 ,$191.16 ,$479.04 
ST. MARY'S HOSPITAL - DECATUR,41000004,N/A,HC COUGH ASSIST,410,1 ,$482.00 ,$347.04 ,$126.28 ,$482.00 , N/A ,$255.46 ,$265.10 , N/A ,$134.96 ,$252.09 , N/A ,$265.10 , N/A ,$238.59 ,$192.80 , N/A ,$238.59 , N/A ,$337.40 ,$301.25 ,$385.60 , N/A , N/A ,$337.40 , N/A ,$289.20 , N/A ,$361.50 ,$266.06 ,$240.04 ,$266.06 , N/A ,$266.06 ,$390.42 ,$482.00 ,$390.42 ,$409.70 , N/A ,$334.03 , N/A ,$482.00 ,$270.40 , N/A ,$126.28 ,$482.00 , N/A , N/A , N/A ,$385.60 ,$238.59 ,$134.96 ,$433.80 ,$183.16 ,$384.00 , N/A ,$231.36 
ST. MARY'S HOSPITAL - DECATUR,41000005,92950,HC CPR,480,1 ,$880.00 ,$633.60 ,$230.56 ,$880.00 ,$657.13 ,$466.40 ,$484.00 ,$257.59 ,$246.40 ,$460.24 ,$257.59 ,$484.00 ,$257.59 ,$435.60 ,$398.18 ,$257.59 ,$435.60 ,$530.96 ,$616.00 ,$550.00 ,$704.00 ,$657.13 ,$257.59 ,$616.00 ,$257.59 ,$528.00 ,$262.75 ,$660.00 ,$485.76 ,$438.24 ,$485.76 ,$257.59 ,$485.76 ,$712.80 ,$880.00 ,$712.80 ,$748.00 ,$657.13 ,$609.84 ,$257.59 ,$880.00 ,$493.68 ,$257.59 ,$230.56 ,$880.00 ,$488.73 ,$466.52 ,$270.47 ,$704.00 ,$435.60 ,$246.40 ,$792.00 ,$334.40 ,$880.00 ,$257.59 ,$422.40 
ST. MARY'S HOSPITAL - DECATUR,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,"$1,353.00 ",$974.16 ,$223.33 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$223.33 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000010,94002,HC VENTIL HI FREQ INTL DAY,410,1 ,"$1,353.00 ",$974.16 ,$223.33 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$223.33 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$986.00 ,$709.92 ,$91.64 ,$986.00 ,$449.33 ,$522.58 ,$542.30 ,$176.14 ,$276.08 ,$400.53 ,$176.14 ,$418.46 ,$176.14 ,$488.07 ,$91.64 ,$176.14 ,$488.07 ,$363.06 ,$690.20 ,$616.25 ,$788.80 ,$449.34 ,$176.14 ,$690.20 ,$176.14 ,$591.60 ,$179.66 ,$739.50 ,$544.27 ,$491.03 ,$544.27 ,$176.14 ,$544.27 ,$798.66 ,$986.00 ,$798.66 ,$838.10 ,$449.34 ,$683.30 ,$176.14 ,$986.00 ,$553.15 ,$176.14 ,$258.33 ,$986.00 ,$529.89 ,$505.81 ,$184.95 ,$788.80 ,$488.07 ,$276.08 ,$887.40 ,$374.68 ,$384.00 ,$176.14 ,$473.28 
ST. MARY'S HOSPITAL - DECATUR,41000015,94002,HC VENT NEONATAL INTL DAY,410,1 ,"$1,353.00 ",$974.16 ,$223.33 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$223.33 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000017,94002,HC VENT PEDS INIT DAY,410,1 ,"$1,353.00 ",$974.16 ,$223.33 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$223.33 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,"$1,353.00 ",$974.16 ,$159.40 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$159.40 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000028,94003,HC VENT HI FREQ SUBQ DAY,410,1 ,"$1,353.00 ",$974.16 ,$159.40 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$159.40 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$492.00 ,$354.24 ,$91.64 ,$505.81 ,$449.33 ,$260.76 ,$270.60 ,$176.14 ,$137.76 ,$257.32 ,$176.14 ,$270.60 ,$176.14 ,$243.54 ,$91.64 ,$176.14 ,$243.54 ,$363.06 ,$344.40 ,$307.50 ,$393.60 ,$449.34 ,$176.14 ,$344.40 ,$176.14 ,$295.20 ,$179.66 ,$369.00 ,$271.58 ,$245.02 ,$271.58 ,$176.14 ,$271.58 ,$398.52 ,$492.00 ,$398.52 ,$418.20 ,$449.34 ,$340.96 ,$176.14 ,$492.00 ,$276.01 ,$176.14 ,$128.90 ,$492.00 ,$492.00 ,$505.81 ,$184.95 ,$393.60 ,$243.54 ,$137.76 ,$442.80 ,$186.96 ,$384.00 ,$176.14 ,$236.16 
ST. MARY'S HOSPITAL - DECATUR,41000030,94003,HC VENT WEANING SUBQ DAY,410,1 ,"$1,621.00 ","$1,167.12 ",$159.40 ,"$1,621.00 ","$1,306.30 ",$859.13 ,$891.55 ,$512.07 ,$453.88 ,$847.78 ,$512.07 ,$891.55 ,$512.07 ,$802.40 ,$159.40 ,$512.07 ,$802.40 ,"$1,055.48 ","$1,134.70 ","$1,013.13 ","$1,296.80 ","$1,306.29 ",$512.07 ,"$1,134.70 ",$512.07 ,$972.60 ,$522.31 ,"$1,215.75 ",$894.79 ,$807.26 ,$894.79 ,$512.07 ,$894.79 ,"$1,313.01 ","$1,621.00 ","$1,313.01 ","$1,377.85 ","$1,306.29 ","$1,123.35 ",$512.07 ,"$1,621.00 ",$909.38 ,$512.07 ,$424.70 ,"$1,621.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,296.80 ",$802.40 ,$453.88 ,"$1,458.90 ",$615.98 ,$384.00 ,$512.07 ,$778.08 
ST. MARY'S HOSPITAL - DECATUR,41000031,94003,HC VENT NEONATL SUBQ DAY,410,1 ,"$1,353.00 ",$974.16 ,$159.40 ,"$1,353.00 ","$1,306.30 ",$717.09 ,$744.15 ,$512.07 ,$378.84 ,$707.62 ,$512.07 ,$744.15 ,$512.07 ,$669.74 ,$159.40 ,$512.07 ,$669.74 ,"$1,055.48 ",$947.10 ,$845.63 ,"$1,082.40 ","$1,306.29 ",$512.07 ,$947.10 ,$512.07 ,$811.80 ,$522.31 ,"$1,014.75 ",$746.86 ,$673.79 ,$746.86 ,$512.07 ,$746.86 ,"$1,095.93 ","$1,353.00 ","$1,095.93 ","$1,150.05 ","$1,306.29 ",$937.63 ,$512.07 ,"$1,353.00 ",$759.03 ,$512.07 ,$354.49 ,"$1,353.00 ",$529.89 ,$505.81 ,$537.68 ,"$1,082.40 ",$669.74 ,$378.84 ,"$1,217.70 ",$514.14 ,$384.00 ,$512.07 ,$649.44 
ST. MARY'S HOSPITAL - DECATUR,41000034,94640,HC IPPB,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000040,94640,HC EZ PAP TREATMENT,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000043,94640,HC PERI NEB WITH INSTRUCTION,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000044,94640,HC UPDRAFT W/INSTRUCT AND EVAL,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000047,94640,HC HIGH EFF NEB AERO W/INSTR/TEACH DEVICE,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000049,94642,HC AEROSOL INHALATION PENTAMIDINE,410,1 ,$677.00 ,$487.44 ,$102.95 ,$677.00 ,$449.33 ,$358.81 ,$372.35 ,$176.14 ,$189.56 ,$354.07 ,$176.14 ,$372.35 ,$176.14 ,$335.12 ,$102.95 ,$176.14 ,$335.12 ,$363.06 ,$473.90 ,$423.13 ,$541.60 ,$449.34 ,$176.14 ,$473.90 ,$176.14 ,$406.20 ,$179.66 ,$507.75 ,$373.70 ,$337.15 ,$373.70 ,$176.14 ,$373.70 ,$548.37 ,$677.00 ,$548.37 ,$575.45 ,$449.34 ,$469.16 ,$176.14 ,$677.00 ,$379.80 ,$176.14 ,$177.37 ,$677.00 ,$175.49 ,$167.52 ,$184.95 ,$541.60 ,$335.12 ,$189.56 ,$609.30 ,$257.26 ,$384.00 ,$176.14 ,$324.96 
ST. MARY'S HOSPITAL - DECATUR,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$414.00 ,$298.08 ,$51.65 ,$414.00 ,$272.45 ,$219.42 ,$227.70 ,$106.80 ,$115.92 ,$216.52 ,$106.80 ,$227.70 ,$106.80 ,$204.93 ,$109.35 ,$106.80 ,$204.93 ,$220.13 ,$289.80 ,$258.75 ,$331.20 ,$272.44 ,$106.80 ,$289.80 ,$106.80 ,$248.40 ,$108.94 ,$310.50 ,$228.53 ,$206.17 ,$228.53 ,$106.80 ,$228.53 ,$335.34 ,$414.00 ,$335.34 ,$351.90 ,$272.44 ,$286.90 ,$106.80 ,$414.00 ,$232.25 ,$106.80 ,$108.47 ,$414.00 ,$54.11 ,$51.65 ,$112.14 ,$331.20 ,$204.93 ,$115.92 ,$372.60 ,$157.32 ,$384.00 ,$106.80 ,$198.72 
ST. MARY'S HOSPITAL - DECATUR,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$343.00 ,$246.96 ,$36.87 ,$343.00 , N/A ,$181.79 ,$188.65 , N/A ,$96.04 ,$167.17 , N/A ,$174.65 , N/A ,$169.79 ,$36.87 , N/A ,$169.79 , N/A ,$240.10 ,$214.38 ,$274.40 , N/A , N/A ,$240.10 , N/A ,$205.80 , N/A ,$257.25 ,$189.34 ,$170.81 ,$189.34 , N/A ,$189.34 ,$277.83 ,$343.00 ,$277.83 ,$291.55 , N/A ,$237.70 , N/A ,$343.00 ,$192.42 , N/A ,$89.87 ,$343.00 ,$54.11 ,$51.65 , N/A ,$274.40 ,$169.79 ,$96.04 ,$308.70 ,$130.34 ,$343.00 , N/A ,$164.64 
ST. MARY'S HOSPITAL - DECATUR,41000052,94660,HC CPAP,410,1 ,$995.00 ,$716.40 ,$91.64 ,$995.00 ,$449.33 ,$527.35 ,$547.25 ,$176.14 ,$278.60 ,$400.53 ,$176.14 ,$418.46 ,$176.14 ,$492.53 ,$91.64 ,$176.14 ,$492.53 ,$363.06 ,$696.50 ,$621.88 ,$796.00 ,$449.34 ,$176.14 ,$696.50 ,$176.14 ,$597.00 ,$179.66 ,$746.25 ,$549.24 ,$495.51 ,$549.24 ,$176.14 ,$549.24 ,$805.95 ,$995.00 ,$805.95 ,$845.75 ,$449.34 ,$689.54 ,$176.14 ,$995.00 ,$558.20 ,$176.14 ,$260.69 ,$995.00 ,$529.89 ,$505.81 ,$184.95 ,$796.00 ,$492.53 ,$278.60 ,$895.50 ,$378.10 ,$384.00 ,$176.14 ,$477.60 
ST. MARY'S HOSPITAL - DECATUR,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$343.00 ,$246.96 ,$89.87 ,$505.81 ,$449.33 ,$181.79 ,$188.65 ,$176.14 ,$96.04 ,$179.39 ,$176.14 ,$188.65 ,$176.14 ,$169.79 ,$91.64 ,$176.14 ,$169.79 ,$343.00 ,$240.10 ,$214.38 ,$274.40 ,$449.34 ,$176.14 ,$240.10 ,$176.14 ,$205.80 ,$179.66 ,$257.25 ,$189.34 ,$170.81 ,$189.34 ,$176.14 ,$189.34 ,$277.83 ,$343.00 ,$277.83 ,$291.55 ,$343.00 ,$237.70 ,$176.14 ,$343.00 ,$192.42 ,$176.14 ,$89.87 ,$343.00 ,$343.00 ,$505.81 ,$184.95 ,$274.40 ,$169.79 ,$96.04 ,$308.70 ,$130.34 ,$343.00 ,$176.14 ,$164.64 
ST. MARY'S HOSPITAL - DECATUR,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$183.00 ,$131.76 ,$24.93 ,$449.34 ,$449.33 ,$96.99 ,$100.65 ,$176.14 ,$51.24 ,$95.71 ,$176.14 ,$100.65 ,$176.14 ,$90.59 ,$37.65 ,$176.14 ,$90.59 ,$183.00 ,$128.10 ,$114.38 ,$146.40 ,$449.34 ,$176.14 ,$128.10 ,$176.14 ,$109.80 ,$179.34 ,$137.25 ,$101.02 ,$91.13 ,$101.02 ,$176.14 ,$101.02 ,$148.23 ,$183.00 ,$148.23 ,$155.55 ,$183.00 ,$126.82 ,$176.14 ,$183.00 ,$102.66 ,$176.14 ,$47.95 ,$183.00 ,$26.11 ,$24.93 ,$184.95 ,$146.40 ,$90.59 ,$51.24 ,$164.70 ,$69.54 ,$183.00 ,$176.14 ,$87.84 
ST. MARY'S HOSPITAL - DECATUR,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$299.00 ,$215.28 ,$55.82 ,$299.00 ,$272.45 ,$158.47 ,$164.45 ,$106.80 ,$83.72 ,$156.38 ,$106.80 ,$164.45 ,$106.80 ,$148.01 ,$55.82 ,$106.80 ,$148.01 ,$220.13 ,$209.30 ,$186.88 ,$239.20 ,$272.44 ,$106.80 ,$209.30 ,$106.80 ,$179.40 ,$108.94 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$106.80 ,$165.05 ,$242.19 ,$299.00 ,$242.19 ,$254.15 ,$272.44 ,$207.21 ,$106.80 ,$299.00 ,$167.74 ,$106.80 ,$78.34 ,$299.00 ,$175.49 ,$167.52 ,$112.14 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$299.00 ,$106.80 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$299.00 ,$215.28 ,$55.82 ,$299.00 ,$272.45 ,$158.47 ,$164.45 ,$106.80 ,$83.72 ,$156.38 ,$106.80 ,$164.45 ,$106.80 ,$148.01 ,$55.82 ,$106.80 ,$148.01 ,$220.13 ,$209.30 ,$186.88 ,$239.20 ,$272.44 ,$106.80 ,$209.30 ,$106.80 ,$179.40 ,$108.94 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$106.80 ,$165.05 ,$242.19 ,$299.00 ,$242.19 ,$254.15 ,$272.44 ,$207.21 ,$106.80 ,$299.00 ,$167.74 ,$106.80 ,$78.34 ,$299.00 ,$175.49 ,$167.52 ,$112.14 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$299.00 ,$106.80 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$261.00 ,$187.92 ,$68.38 ,$272.45 ,$272.45 ,$138.33 ,$143.55 ,$106.80 ,$73.08 ,$136.50 ,$106.80 ,$143.55 ,$106.80 ,$129.20 ,$72.19 ,$106.80 ,$129.20 ,$220.13 ,$182.70 ,$163.13 ,$208.80 ,$272.44 ,$106.80 ,$182.70 ,$106.80 ,$156.60 ,$108.94 ,$195.75 ,$144.07 ,$129.98 ,$144.07 ,$106.80 ,$144.07 ,$211.41 ,$261.00 ,$211.41 ,$221.85 ,$261.00 ,$180.87 ,$106.80 ,$261.00 ,$146.42 ,$106.80 ,$68.38 ,$261.00 ,$175.49 ,$167.52 ,$112.14 ,$208.80 ,$129.20 ,$73.08 ,$234.90 ,$99.18 ,$261.00 ,$106.80 ,$125.28 
ST. MARY'S HOSPITAL - DECATUR,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$261.00 ,$187.92 ,$68.38 ,$272.45 ,$272.45 ,$138.33 ,$143.55 ,$106.80 ,$73.08 ,$136.50 ,$106.80 ,$143.55 ,$106.80 ,$129.20 ,$72.19 ,$106.80 ,$129.20 ,$220.13 ,$182.70 ,$163.13 ,$208.80 ,$272.44 ,$106.80 ,$182.70 ,$106.80 ,$156.60 ,$108.94 ,$195.75 ,$144.07 ,$129.98 ,$144.07 ,$106.80 ,$144.07 ,$211.41 ,$261.00 ,$211.41 ,$221.85 ,$261.00 ,$180.87 ,$106.80 ,$261.00 ,$146.42 ,$106.80 ,$68.38 ,$261.00 ,$175.49 ,$167.52 ,$112.14 ,$208.80 ,$129.20 ,$73.08 ,$234.90 ,$99.18 ,$261.00 ,$106.80 ,$125.28 
ST. MARY'S HOSPITAL - DECATUR,41000063,94772,HC PNEUMOGRAM PEDIATRIC,410,1 ,"$1,389.00 ","$1,000.08 ",$157.82 ,"$1,389.00 ","$1,134.33 ",$736.17 ,$763.95 ,$444.66 ,$388.92 ,$726.45 ,$444.66 ,$763.95 ,$444.66 ,$687.56 ,$555.60 ,$444.66 ,$687.56 ,$916.53 ,$972.30 ,$868.13 ,"$1,111.20 ","$1,134.32 ",$444.66 ,$972.30 ,$444.66 ,$833.40 ,$453.54 ,"$1,041.75 ",$766.73 ,$691.72 ,$766.73 ,$444.66 ,$766.73 ,"$1,125.09 ","$1,389.00 ","$1,125.09 ","$1,180.65 ","$1,134.32 ",$962.58 ,$444.66 ,"$1,389.00 ",$779.23 ,$444.66 ,$363.92 ,"$1,389.00 ",$165.33 ,$157.82 ,$466.89 ,"$1,111.20 ",$687.56 ,$388.92 ,"$1,250.10 ",$527.82 ,$384.00 ,$444.66 ,$666.72 
ST. MARY'S HOSPITAL - DECATUR,41000067,94799,HC PEP THERAPY FLUTTER,410,1 ,$316.00 ,$227.52 ,$51.65 ,$341.24 ,$341.23 ,$167.48 ,$173.80 ,$133.76 ,$88.48 ,$165.27 ,$133.76 ,$173.80 ,$133.76 ,$156.42 ,$126.40 ,$133.76 ,$156.42 ,$275.72 ,$221.20 ,$197.50 ,$252.80 ,$341.24 ,$133.76 ,$221.20 ,$133.76 ,$189.60 ,$136.44 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$133.76 ,$174.43 ,$255.96 ,$316.00 ,$255.96 ,$268.60 ,$316.00 ,$218.99 ,$133.76 ,$316.00 ,$177.28 ,$133.76 ,$82.79 ,$316.00 ,$54.11 ,$51.65 ,$140.44 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$316.00 ,$133.76 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$64.00 ,$46.08 ,$16.77 ,$167.52 ,$58.58 ,$33.92 ,$35.20 ,$22.96 ,$17.92 ,$33.47 ,$22.96 ,$35.20 ,$22.96 ,$31.68 ,$17.32 ,$22.96 ,$31.68 ,$47.32 ,$44.80 ,$40.00 ,$51.20 ,$58.57 ,$22.96 ,$44.80 ,$22.96 ,$38.40 ,$23.42 ,$48.00 ,$35.33 ,$31.87 ,$35.33 ,$22.96 ,$35.33 ,$51.84 ,$64.00 ,$51.84 ,$54.40 ,$58.57 ,$44.35 ,$22.96 ,$64.00 ,$35.90 ,$22.96 ,$16.77 ,$64.00 ,$64.00 ,$167.52 ,$24.11 ,$51.20 ,$31.68 ,$17.92 ,$57.60 ,$24.32 ,$64.00 ,$22.96 ,$30.72 
ST. MARY'S HOSPITAL - DECATUR,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$64.00 ,$46.08 ,$16.77 ,$167.52 ,$58.58 ,$33.92 ,$35.20 ,$22.96 ,$17.92 ,$33.47 ,$22.96 ,$35.20 ,$22.96 ,$31.68 ,$17.95 ,$22.96 ,$31.68 ,$47.32 ,$44.80 ,$40.00 ,$51.20 ,$58.57 ,$22.96 ,$44.80 ,$22.96 ,$38.40 ,$23.42 ,$48.00 ,$35.33 ,$31.87 ,$35.33 ,$22.96 ,$35.33 ,$51.84 ,$64.00 ,$51.84 ,$54.40 ,$58.57 ,$44.35 ,$22.96 ,$64.00 ,$35.90 ,$22.96 ,$16.77 ,$64.00 ,$64.00 ,$167.52 ,$24.11 ,$51.20 ,$31.68 ,$17.92 ,$57.60 ,$24.32 ,$64.00 ,$22.96 ,$30.72 
ST. MARY'S HOSPITAL - DECATUR,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$92.00 ,$66.24 ,$1.63 ,$92.00 ,$79.68 ,$48.76 ,$50.60 ,$31.23 ,$25.76 ,$48.12 ,$31.23 ,$50.60 ,$31.23 ,$45.54 ,$22.39 ,$31.23 ,$45.54 ,$64.38 ,$64.40 ,$57.50 ,$73.60 ,$79.68 ,$31.23 ,$64.40 ,$31.23 ,$55.20 ,$31.86 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$31.23 ,$50.78 ,$74.52 ,$92.00 ,$74.52 ,$78.20 ,$79.68 ,$63.76 ,$31.23 ,$92.00 ,$51.61 ,$31.23 ,$24.10 ,$92.00 ,$1.71 ,$1.63 ,$32.79 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$92.00 ,$31.23 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,41000074,94640,HC IPPB SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000075,94640,HC IPV INIT,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000077,94762,HC PULSE OX PER DAY,410,1 ,$456.00 ,$328.32 ,$51.65 ,$456.00 ,$341.23 ,$241.68 ,$250.80 ,$133.76 ,$127.68 ,$238.49 ,$133.76 ,$250.80 ,$133.76 ,$225.72 ,$55.58 ,$133.76 ,$225.72 ,$275.72 ,$319.20 ,$285.00 ,$364.80 ,$341.24 ,$133.76 ,$319.20 ,$133.76 ,$273.60 ,$136.44 ,$342.00 ,$251.71 ,$227.09 ,$251.71 ,$133.76 ,$251.71 ,$369.36 ,$456.00 ,$369.36 ,$387.60 ,$341.24 ,$316.01 ,$133.76 ,$456.00 ,$255.82 ,$133.76 ,$119.47 ,$456.00 ,$54.11 ,$51.65 ,$140.44 ,$364.80 ,$225.72 ,$127.68 ,$410.40 ,$173.28 ,$384.00 ,$133.76 ,$218.88 
ST. MARY'S HOSPITAL - DECATUR,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$995.00 ,$716.40 ,$91.64 ,$995.00 ,$449.33 ,$527.35 ,$547.25 ,$176.14 ,$278.60 ,$400.53 ,$176.14 ,$418.46 ,$176.14 ,$492.53 ,$91.64 ,$176.14 ,$492.53 ,$363.06 ,$696.50 ,$621.88 ,$796.00 ,$449.34 ,$176.14 ,$696.50 ,$176.14 ,$597.00 ,$179.66 ,$746.25 ,$549.24 ,$495.51 ,$549.24 ,$176.14 ,$549.24 ,$805.95 ,$995.00 ,$805.95 ,$845.75 ,$449.34 ,$689.54 ,$176.14 ,$995.00 ,$558.20 ,$176.14 ,$260.69 ,$995.00 ,$529.89 ,$505.81 ,$184.95 ,$796.00 ,$492.53 ,$278.60 ,$895.50 ,$378.10 ,$384.00 ,$176.14 ,$477.60 
ST. MARY'S HOSPITAL - DECATUR,41000086,94640,HC IPV SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000087,94669,HC MECHANICAL CHEST WALL OSCILLATION INITIAL,410,1 ,$540.00 ,$388.80 ,$1.63 ,$540.00 ,$449.33 ,$286.20 ,$297.00 ,$176.14 ,$151.20 ,$282.42 ,$176.14 ,$297.00 ,$176.14 ,$267.30 ,$70.87 ,$176.14 ,$267.30 ,$363.06 ,$378.00 ,$337.50 ,$432.00 ,$449.34 ,$176.14 ,$378.00 ,$176.14 ,$324.00 ,$179.66 ,$405.00 ,$298.08 ,$268.92 ,$298.08 ,$176.14 ,$298.08 ,$437.40 ,$540.00 ,$437.40 ,$459.00 ,$449.34 ,$374.22 ,$176.14 ,$540.00 ,$302.94 ,$176.14 ,$141.48 ,$540.00 ,$1.71 ,$1.63 ,$184.95 ,$432.00 ,$267.30 ,$151.20 ,$486.00 ,$205.20 ,$384.00 ,$176.14 ,$259.20 
ST. MARY'S HOSPITAL - DECATUR,41000088,94669,HC MECHANICAL CHEST WALL OSCILLATION SUBSQ,410,1 ,$540.00 ,$388.80 ,$1.63 ,$540.00 ,$449.33 ,$286.20 ,$297.00 ,$176.14 ,$151.20 ,$282.42 ,$176.14 ,$297.00 ,$176.14 ,$267.30 ,$70.87 ,$176.14 ,$267.30 ,$363.06 ,$378.00 ,$337.50 ,$432.00 ,$449.34 ,$176.14 ,$378.00 ,$176.14 ,$324.00 ,$179.66 ,$405.00 ,$298.08 ,$268.92 ,$298.08 ,$176.14 ,$298.08 ,$437.40 ,$540.00 ,$437.40 ,$459.00 ,$449.34 ,$374.22 ,$176.14 ,$540.00 ,$302.94 ,$176.14 ,$141.48 ,$540.00 ,$1.71 ,$1.63 ,$184.95 ,$432.00 ,$267.30 ,$151.20 ,$486.00 ,$205.20 ,$384.00 ,$176.14 ,$259.20 
ST. MARY'S HOSPITAL - DECATUR,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000093,94640,HC HELIOX INIT,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,41000094,94640,HC HELIOX SUBSQ,410,1 ,$524.00 ,$377.28 ,$39.99 ,$524.00 ,$449.33 ,$277.72 ,$288.20 ,$176.14 ,$146.72 ,$192.16 ,$176.14 ,$200.76 ,$176.14 ,$259.38 ,$39.99 ,$176.14 ,$259.38 ,$363.06 ,$366.80 ,$327.50 ,$419.20 ,$449.34 ,$176.14 ,$366.80 ,$176.14 ,$314.40 ,$179.66 ,$393.00 ,$289.25 ,$260.95 ,$289.25 ,$176.14 ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$449.34 ,$363.13 ,$176.14 ,$524.00 ,$293.96 ,$176.14 ,$137.29 ,$524.00 ,$175.49 ,$167.52 ,$184.95 ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$384.00 ,$176.14 ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,42000006,G0283,HC APPL NEUROSTIMULATOR TRANSCUT,420,1 ,$275.00 ,$198.00 ,$10.00 ,$275.00 ,$29.48 ,$130.00 ,$151.25 ,$11.55 ,$77.00 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$136.13 ,$10.00 ,$11.55 ,$136.13 ,$23.82 ,$192.50 ,$171.88 ,$220.00 ,$29.48 ,$11.55 ,$192.50 ,$11.55 ,$165.00 ,$11.79 ,$206.25 ,$151.80 ,$136.95 ,$151.80 ,$11.55 ,$151.80 ,$195.00 ,$275.00 ,$195.00 ,$233.75 ,$29.48 ,$190.58 ,$11.55 ,$275.00 ,$154.28 ,$11.55 ,$72.05 ,$275.00 ,$19.98 ,$19.07 ,$12.13 ,$220.00 ,$136.13 ,$77.00 ,$247.50 ,$104.50 ,$241.00 ,$11.55 ,$132.00 
ST. MARY'S HOSPITAL - DECATUR,42000008,95992,HC CANALITH REPOSITIONING,420,1 ,$150.00 ,$108.00 ,$39.30 ,$233.40 ,$106.53 ,$130.00 ,$82.50 ,$41.76 ,$42.00 ,$78.45 ,$41.76 ,$82.50 ,$41.76 ,$74.25 ,$58.85 ,$41.76 ,$74.25 ,$86.07 ,$105.00 ,$93.75 ,$120.00 ,$106.53 ,$41.76 ,$105.00 ,$41.76 ,$90.00 ,$42.59 ,$112.50 ,$82.80 ,$74.70 ,$82.80 ,$41.76 ,$82.80 ,$150.00 ,$150.00 ,$150.00 ,$127.50 ,$106.53 ,$103.95 ,$41.76 ,$150.00 ,$84.15 ,$41.76 ,$39.30 ,$150.00 ,$150.00 ,$233.40 ,$43.85 ,$120.00 ,$74.25 ,$42.00 ,$135.00 ,$57.00 ,$150.00 ,$41.76 ,$72.00 
ST. MARY'S HOSPITAL - DECATUR,42000009,97012,HC TRACTION MECH APP,420,1 ,$249.00 ,$179.28 ,$13.88 ,$249.00 ,$35.40 ,$130.00 ,$136.95 ,$13.88 ,$69.72 ,$105.32 ,$13.88 ,$110.04 ,$13.88 ,$123.26 ,$19.87 ,$13.88 ,$123.26 ,$28.60 ,$174.30 ,$155.63 ,$199.20 ,$35.40 ,$13.88 ,$174.30 ,$13.88 ,$149.40 ,$14.15 ,$186.75 ,$137.45 ,$124.00 ,$137.45 ,$13.88 ,$137.45 ,$195.00 ,$249.00 ,$195.00 ,$211.65 ,$35.40 ,$172.56 ,$13.88 ,$249.00 ,$139.69 ,$13.88 ,$65.24 ,$249.00 ,$19.98 ,$19.07 ,$14.57 ,$199.20 ,$123.26 ,$69.72 ,$224.10 ,$94.62 ,$241.00 ,$13.88 ,$119.52 
ST. MARY'S HOSPITAL - DECATUR,42000016,97022,HC WHIRLPOOL 15 MINUTES,420,1 ,$223.00 ,$160.56 ,$16.06 ,$223.00 ,$40.98 ,$130.00 ,$122.65 ,$16.06 ,$62.44 ,$116.63 ,$16.06 ,$122.65 ,$16.06 ,$110.39 ,$20.02 ,$16.06 ,$110.39 ,$33.11 ,$156.10 ,$139.38 ,$178.40 ,$40.98 ,$16.06 ,$156.10 ,$16.06 ,$133.80 ,$16.39 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$16.06 ,$123.10 ,$195.00 ,$223.00 ,$195.00 ,$189.55 ,$40.98 ,$154.54 ,$16.06 ,$223.00 ,$125.10 ,$16.06 ,$58.43 ,$223.00 ,$19.98 ,$19.07 ,$16.87 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$223.00 ,$16.06 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,42000017,97022,HC WHIRLPOOL 30 MINUTES,420,1 ,$223.00 ,$160.56 ,$16.06 ,$223.00 ,$40.98 ,$130.00 ,$122.65 ,$16.06 ,$62.44 ,$116.63 ,$16.06 ,$122.65 ,$16.06 ,$110.39 ,$20.02 ,$16.06 ,$110.39 ,$33.11 ,$156.10 ,$139.38 ,$178.40 ,$40.98 ,$16.06 ,$156.10 ,$16.06 ,$133.80 ,$16.39 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$16.06 ,$123.10 ,$195.00 ,$223.00 ,$195.00 ,$189.55 ,$40.98 ,$154.54 ,$16.06 ,$223.00 ,$125.10 ,$16.06 ,$58.43 ,$223.00 ,$19.98 ,$19.07 ,$16.87 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$223.00 ,$16.06 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,42000018,97022,HC WHIRLPOOL 45 MINUTES,420,1 ,$223.00 ,$160.56 ,$16.06 ,$223.00 ,$40.98 ,$130.00 ,$122.65 ,$16.06 ,$62.44 ,$116.63 ,$16.06 ,$122.65 ,$16.06 ,$110.39 ,$20.02 ,$16.06 ,$110.39 ,$33.11 ,$156.10 ,$139.38 ,$178.40 ,$40.98 ,$16.06 ,$156.10 ,$16.06 ,$133.80 ,$16.39 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$16.06 ,$123.10 ,$195.00 ,$223.00 ,$195.00 ,$189.55 ,$40.98 ,$154.54 ,$16.06 ,$223.00 ,$125.10 ,$16.06 ,$58.43 ,$223.00 ,$19.98 ,$19.07 ,$16.87 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$223.00 ,$16.06 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,42000019,97022,HC WHIRLPOOL 60 MINUTES,420,1 ,$223.00 ,$160.56 ,$16.06 ,$223.00 ,$40.98 ,$130.00 ,$122.65 ,$16.06 ,$62.44 ,$116.63 ,$16.06 ,$122.65 ,$16.06 ,$110.39 ,$20.02 ,$16.06 ,$110.39 ,$33.11 ,$156.10 ,$139.38 ,$178.40 ,$40.98 ,$16.06 ,$156.10 ,$16.06 ,$133.80 ,$16.39 ,$167.25 ,$123.10 ,$111.05 ,$123.10 ,$16.06 ,$123.10 ,$195.00 ,$223.00 ,$195.00 ,$189.55 ,$40.98 ,$154.54 ,$16.06 ,$223.00 ,$125.10 ,$16.06 ,$58.43 ,$223.00 ,$19.98 ,$19.07 ,$16.87 ,$178.40 ,$110.39 ,$62.44 ,$200.70 ,$84.74 ,$223.00 ,$16.06 ,$107.04 
ST. MARY'S HOSPITAL - DECATUR,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$207.00 ,$149.04 ,$13.88 ,$233.40 ,$35.40 ,$130.00 ,$113.85 ,$13.88 ,$57.96 ,$108.26 ,$13.88 ,$113.85 ,$13.88 ,$102.47 ,$16.88 ,$13.88 ,$102.47 ,$28.60 ,$144.90 ,$129.38 ,$165.60 ,$35.40 ,$13.88 ,$144.90 ,$13.88 ,$124.20 ,$14.15 ,$155.25 ,$114.26 ,$103.09 ,$114.26 ,$13.88 ,$114.26 ,$195.00 ,$207.00 ,$195.00 ,$175.95 ,$35.40 ,$143.45 ,$13.88 ,$207.00 ,$116.13 ,$13.88 ,$54.23 ,$207.00 ,$207.00 ,$233.40 ,$14.57 ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$207.00 ,$13.88 ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$316.00 ,$227.52 ,$18.75 ,$316.00 ,$47.83 ,$130.00 ,$173.80 ,$18.75 ,$88.48 ,$110.35 ,$18.75 ,$115.29 ,$18.75 ,$156.42 ,$23.35 ,$18.75 ,$156.42 ,$38.64 ,$221.20 ,$197.50 ,$252.80 ,$47.83 ,$18.75 ,$221.20 ,$18.75 ,$189.60 ,$19.12 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$18.75 ,$174.43 ,$195.00 ,$316.00 ,$195.00 ,$268.60 ,$47.83 ,$218.99 ,$18.75 ,$316.00 ,$177.28 ,$18.75 ,$82.79 ,$316.00 ,$244.52 ,$233.40 ,$19.69 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$241.00 ,$18.75 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$294.00 ,$211.68 ,$13.76 ,$294.00 ,$35.10 ,$130.00 ,$161.70 ,$13.76 ,$82.32 ,$85.96 ,$13.76 ,$89.81 ,$13.76 ,$145.53 ,$16.76 ,$13.76 ,$145.53 ,$28.36 ,$205.80 ,$183.75 ,$235.20 ,$35.10 ,$13.76 ,$205.80 ,$13.76 ,$176.40 ,$14.03 ,$220.50 ,$162.29 ,$146.41 ,$162.29 ,$13.76 ,$162.29 ,$195.00 ,$294.00 ,$195.00 ,$249.90 ,$35.10 ,$203.74 ,$13.76 ,$294.00 ,$164.93 ,$13.76 ,$77.03 ,$294.00 ,$244.52 ,$233.40 ,$14.45 ,$235.20 ,$145.53 ,$82.32 ,$264.60 ,$111.72 ,$241.00 ,$13.76 ,$141.12 
ST. MARY'S HOSPITAL - DECATUR,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$296.00 ,$213.12 ,$28.09 ,$296.00 ,$71.65 ,$130.00 ,$162.80 ,$28.09 ,$82.88 ,$154.81 ,$28.09 ,$162.80 ,$28.09 ,$146.52 ,$39.56 ,$28.09 ,$146.52 ,$57.89 ,$207.20 ,$185.00 ,$236.80 ,$71.65 ,$28.09 ,$207.20 ,$28.09 ,$177.60 ,$28.65 ,$222.00 ,$163.39 ,$147.41 ,$163.39 ,$28.09 ,$163.39 ,$195.00 ,$296.00 ,$195.00 ,$251.60 ,$71.65 ,$205.13 ,$28.09 ,$296.00 ,$166.06 ,$28.09 ,$77.55 ,$296.00 ,$244.52 ,$233.40 ,$29.49 ,$236.80 ,$146.52 ,$82.88 ,$266.40 ,$112.48 ,$241.00 ,$28.09 ,$142.08 
ST. MARY'S HOSPITAL - DECATUR,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$305.00 ,$219.60 ,$32.17 ,$305.00 ,$82.08 ,$130.00 ,$167.75 ,$32.17 ,$85.40 ,$159.52 ,$32.17 ,$167.75 ,$32.17 ,$150.98 ,$41.19 ,$32.17 ,$150.98 ,$66.32 ,$213.50 ,$190.63 ,$244.00 ,$82.08 ,$32.17 ,$213.50 ,$32.17 ,$183.00 ,$32.82 ,$228.75 ,$168.36 ,$151.89 ,$168.36 ,$32.17 ,$168.36 ,$195.00 ,$305.00 ,$195.00 ,$259.25 ,$82.08 ,$211.37 ,$32.17 ,$305.00 ,$171.11 ,$32.17 ,$79.91 ,$305.00 ,$244.52 ,$233.40 ,$33.78 ,$244.00 ,$150.98 ,$85.40 ,$274.50 ,$115.90 ,$241.00 ,$32.17 ,$146.40 
ST. MARY'S HOSPITAL - DECATUR,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$241.00 ,$173.52 ,$28.09 ,$241.00 ,$71.65 ,$130.00 ,$132.55 ,$28.09 ,$67.48 ,$126.04 ,$28.09 ,$132.55 ,$28.09 ,$119.30 ,$34.34 ,$28.09 ,$119.30 ,$57.89 ,$168.70 ,$150.63 ,$192.80 ,$71.65 ,$28.09 ,$168.70 ,$28.09 ,$144.60 ,$28.65 ,$180.75 ,$133.03 ,$120.02 ,$133.03 ,$28.09 ,$133.03 ,$195.00 ,$241.00 ,$195.00 ,$204.85 ,$71.65 ,$167.01 ,$28.09 ,$241.00 ,$135.20 ,$28.09 ,$63.14 ,$241.00 ,$241.00 ,$233.40 ,$29.49 ,$192.80 ,$119.30 ,$67.48 ,$216.90 ,$91.58 ,$241.00 ,$28.09 ,$115.68 
ST. MARY'S HOSPITAL - DECATUR,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$275.00 ,$198.00 ,$25.16 ,$275.00 ,$66.10 ,$130.00 ,$151.25 ,$25.91 ,$77.00 ,$129.04 ,$25.91 ,$134.82 ,$25.91 ,$136.13 ,$25.16 ,$25.91 ,$136.13 ,$53.41 ,$192.50 ,$171.88 ,$220.00 ,$66.10 ,$25.91 ,$192.50 ,$25.91 ,$165.00 ,$26.43 ,$206.25 ,$151.80 ,$136.95 ,$151.80 ,$25.91 ,$151.80 ,$195.00 ,$275.00 ,$195.00 ,$233.75 ,$66.10 ,$190.58 ,$25.91 ,$275.00 ,$154.28 ,$25.91 ,$72.05 ,$275.00 ,$244.52 ,$233.40 ,$27.20 ,$220.00 ,$136.13 ,$77.00 ,$247.50 ,$104.50 ,$241.00 ,$25.91 ,$132.00 
ST. MARY'S HOSPITAL - DECATUR,42000063,97150,HC GROUP TREATMENT 15MIN,420,1 ,$343.00 ,$246.96 ,$17.02 ,$343.00 ,$43.43 ,$130.00 ,$188.65 ,$17.02 ,$96.04 ,$130.05 ,$17.02 ,$135.87 ,$17.02 ,$169.79 ,$20.80 ,$17.02 ,$169.79 ,$35.09 ,$240.10 ,$214.38 ,$274.40 ,$43.43 ,$17.02 ,$240.10 ,$17.02 ,$205.80 ,$17.37 ,$257.25 ,$189.34 ,$170.81 ,$189.34 ,$17.02 ,$189.34 ,$195.00 ,$343.00 ,$195.00 ,$291.55 ,$43.43 ,$237.70 ,$17.02 ,$343.00 ,$192.42 ,$17.02 ,$89.87 ,$343.00 ,$79.77 ,$76.15 ,$17.88 ,$274.40 ,$169.79 ,$96.04 ,$308.70 ,$130.34 ,$241.00 ,$17.02 ,$164.64 
ST. MARY'S HOSPITAL - DECATUR,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$304.00 ,$218.88 ,$35.03 ,$304.00 ,$89.35 ,$130.00 ,$167.20 ,$35.03 ,$85.12 ,$158.99 ,$35.03 ,$167.20 ,$35.03 ,$150.48 ,$44.55 ,$35.03 ,$150.48 ,$72.19 ,$212.80 ,$190.00 ,$243.20 ,$89.35 ,$35.03 ,$212.80 ,$35.03 ,$182.40 ,$35.72 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$35.03 ,$167.81 ,$195.00 ,$304.00 ,$195.00 ,$258.40 ,$89.35 ,$210.67 ,$35.03 ,$304.00 ,$170.54 ,$35.03 ,$79.65 ,$304.00 ,$244.52 ,$233.40 ,$36.78 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$241.00 ,$35.03 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,"$1,454.00 ","$1,046.88 ",$13.92 ,"$1,454.00 ", N/A ,$130.00 ,$799.70 , N/A ,$407.12 ,$73.03 , N/A ,$76.30 , N/A ,$719.73 ,$13.92 , N/A ,$719.73 , N/A ,"$1,017.80 ",$908.75 ,"$1,163.20 ", N/A , N/A ,"$1,017.80 ", N/A ,$872.40 , N/A ,"$1,090.50 ",$802.61 ,$724.09 ,$802.61 , N/A ,$802.61 ,$195.00 ,"$1,454.00 ",$195.00 ,"$1,235.90 ", N/A ,"$1,007.62 ", N/A ,"$1,454.00 ",$815.69 , N/A ,$380.95 ,"$1,454.00 ",$86.41 ,$82.48 , N/A ,"$1,163.20 ",$719.73 ,$407.12 ,"$1,308.60 ",$552.52 ,$241.00 , N/A ,$697.92 
ST. MARY'S HOSPITAL - DECATUR,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$758.00 ,$545.76 ,$48.02 ,$758.00 , N/A ,$130.00 ,$416.90 , N/A ,$212.24 ,$254.87 , N/A ,$266.28 , N/A ,$375.21 ,$48.02 , N/A ,$375.21 , N/A ,$530.60 ,$473.75 ,$606.40 , N/A , N/A ,$530.60 , N/A ,$454.80 , N/A ,$568.50 ,$418.42 ,$377.48 ,$418.42 , N/A ,$418.42 ,$195.00 ,$758.00 ,$195.00 ,$644.30 , N/A ,$525.29 , N/A ,$758.00 ,$425.24 , N/A ,$198.60 ,$758.00 ,$208.15 ,$198.69 , N/A ,$606.40 ,$375.21 ,$212.24 ,$682.20 ,$288.04 ,$241.00 , N/A ,$363.84 
ST. MARY'S HOSPITAL - DECATUR,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,"$1,364.00 ",$982.08 ,$32.14 ,"$1,364.00 ",$102.55 ,$130.00 ,$750.20 ,$40.20 ,$381.92 ,$168.30 ,$40.20 ,$175.84 ,$40.20 ,$675.18 ,$32.14 ,$40.20 ,$675.18 ,$82.86 ,$954.80 ,$852.50 ,"$1,091.20 ",$102.55 ,$40.20 ,$954.80 ,$40.20 ,$818.40 ,$41.00 ,"$1,023.00 ",$752.93 ,$679.27 ,$752.93 ,$40.20 ,$752.93 ,$195.00 ,"$1,364.00 ",$195.00 ,"$1,159.40 ",$102.55 ,$945.25 ,$40.20 ,"$1,364.00 ",$765.20 ,$40.20 ,$357.37 ,"$1,364.00 ",$208.15 ,$198.69 ,$42.21 ,"$1,091.20 ",$675.18 ,$381.92 ,"$1,227.60 ",$518.32 ,$241.00 ,$40.20 ,$654.72 
ST. MARY'S HOSPITAL - DECATUR,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,"$1,454.00 ","$1,046.88 ",$34.74 ,"$1,454.00 ",$122.23 ,$130.00 ,$799.70 ,$47.91 ,$407.12 ,$181.64 ,$47.91 ,$189.77 ,$47.91 ,$719.73 ,$34.74 ,$47.91 ,$719.73 ,$98.76 ,"$1,017.80 ",$908.75 ,"$1,163.20 ",$122.23 ,$47.91 ,"$1,017.80 ",$47.91 ,$872.40 ,$48.87 ,"$1,090.50 ",$802.61 ,$724.09 ,$802.61 ,$47.91 ,$802.61 ,$195.00 ,"$1,454.00 ",$195.00 ,"$1,235.90 ",$122.23 ,"$1,007.62 ",$47.91 ,"$1,454.00 ",$815.69 ,$47.91 ,$380.95 ,"$1,454.00 ",$208.15 ,$198.69 ,$50.30 ,"$1,163.20 ",$719.73 ,$407.12 ,"$1,308.60 ",$552.52 ,$241.00 ,$47.91 ,$697.92 
ST. MARY'S HOSPITAL - DECATUR,42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$253.00 ,$182.16 ,$32.03 ,$253.00 ,$81.70 ,$134.09 ,$139.15 ,$32.03 ,$70.84 ,$132.32 ,$32.03 ,$139.15 ,$32.03 ,$125.24 ,$41.89 ,$32.03 ,$125.24 ,$66.01 ,$177.10 ,$158.13 ,$202.40 ,$81.70 ,$32.03 ,$177.10 ,$32.03 ,$151.80 ,$32.66 ,$189.75 ,$139.66 ,$125.99 ,$139.66 ,$32.03 ,$139.66 ,$195.00 ,$253.00 ,$195.00 ,$215.05 ,$81.70 ,$175.33 ,$32.03 ,$253.00 ,$141.93 ,$32.03 ,$66.29 ,$253.00 ,$244.52 ,$233.40 ,$33.62 ,$202.40 ,$125.24 ,$70.84 ,$227.70 ,$96.14 ,$241.00 ,$32.03 ,$121.44 
ST. MARY'S HOSPITAL - DECATUR,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$345.00 ,$248.40 ,$39.44 ,$345.00 ,$100.63 ,$130.00 ,$189.75 ,$39.44 ,$96.60 ,$180.44 ,$39.44 ,$189.75 ,$39.44 ,$170.78 ,$48.94 ,$39.44 ,$170.78 ,$81.31 ,$241.50 ,$215.63 ,$276.00 ,$100.63 ,$39.44 ,$241.50 ,$39.44 ,$207.00 ,$40.24 ,$258.75 ,$190.44 ,$171.81 ,$190.44 ,$39.44 ,$190.44 ,$195.00 ,$345.00 ,$195.00 ,$293.25 ,$100.63 ,$239.09 ,$39.44 ,$345.00 ,$193.55 ,$39.44 ,$90.39 ,$345.00 ,$244.52 ,$233.40 ,$41.41 ,$276.00 ,$170.78 ,$96.60 ,$310.50 ,$131.10 ,$241.00 ,$39.44 ,$165.60 
ST. MARY'S HOSPITAL - DECATUR,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$131.00 ,$94.32 ,$34.32 ,$233.40 ,$126.75 ,$130.00 ,$72.05 ,$49.69 ,$36.68 ,$68.51 ,$49.69 ,$72.05 ,$49.69 ,$64.85 ,$59.79 ,$49.69 ,$64.85 ,$102.41 ,$91.70 ,$81.88 ,$104.80 ,$126.75 ,$49.69 ,$91.70 ,$49.69 ,$78.60 ,$50.68 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$49.69 ,$72.31 ,$131.00 ,$131.00 ,$131.00 ,$111.35 ,$126.75 ,$90.78 ,$49.69 ,$131.00 ,$73.49 ,$49.69 ,$34.32 ,$131.00 ,$131.00 ,$233.40 ,$52.18 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$131.00 ,$49.69 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,42000110,G0283,HC ELECT STIM(UNATTEND) OTHER,420,1 ,$484.00 ,$348.48 ,$10.00 ,$484.00 ,$29.48 ,$130.00 ,$266.20 ,$11.55 ,$135.52 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$239.58 ,$10.00 ,$11.55 ,$239.58 ,$23.82 ,$338.80 ,$302.50 ,$387.20 ,$29.48 ,$11.55 ,$338.80 ,$11.55 ,$290.40 ,$11.79 ,$363.00 ,$267.17 ,$241.03 ,$267.17 ,$11.55 ,$267.17 ,$195.00 ,$484.00 ,$195.00 ,$411.40 ,$29.48 ,$335.41 ,$11.55 ,$484.00 ,$271.52 ,$11.55 ,$126.81 ,$484.00 ,$19.98 ,$19.07 ,$12.13 ,$387.20 ,$239.58 ,$135.52 ,$435.60 ,$183.92 ,$241.00 ,$11.55 ,$232.32 
ST. MARY'S HOSPITAL - DECATUR,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$305.00 ,$219.60 ,$34.84 ,$305.00 ,$88.88 ,$130.00 ,$167.75 ,$34.84 ,$85.40 ,$159.52 ,$34.84 ,$167.75 ,$34.84 ,$150.98 ,$43.54 ,$34.84 ,$150.98 ,$71.81 ,$213.50 ,$190.63 ,$244.00 ,$88.88 ,$34.84 ,$213.50 ,$34.84 ,$183.00 ,$35.53 ,$228.75 ,$168.36 ,$151.89 ,$168.36 ,$34.84 ,$168.36 ,$195.00 ,$305.00 ,$195.00 ,$259.25 ,$88.88 ,$211.37 ,$34.84 ,$305.00 ,$171.11 ,$34.84 ,$79.91 ,$305.00 ,$244.52 ,$233.40 ,$36.58 ,$244.00 ,$150.98 ,$85.40 ,$274.50 ,$115.90 ,$241.00 ,$34.84 ,$146.40 
ST. MARY'S HOSPITAL - DECATUR,42000204,97010,HC HOT/COLD PACK 15MIN,420,1 ,$86.00 ,$61.92 ,$3.00 ,$86.00 , N/A ,$86.00 ,$47.30 , N/A ,$24.08 ,$20.10 , N/A ,$21.00 , N/A ,$42.57 ,$3.00 , N/A ,$42.57 , N/A ,$60.20 ,$53.75 ,$68.80 , N/A , N/A ,$60.20 , N/A ,$51.60 , N/A ,$64.50 ,$47.47 ,$42.83 ,$47.47 , N/A ,$47.47 ,$86.00 ,$86.00 ,$86.00 ,$73.10 , N/A ,$59.60 , N/A ,$86.00 ,$48.25 , N/A ,$22.53 ,$86.00 ,$19.98 ,$19.07 , N/A ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$86.00 , N/A ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,42000205,97010,HC HOT/COLD PACK 30MIN,420,1 ,$86.00 ,$61.92 ,$3.00 ,$86.00 , N/A ,$86.00 ,$47.30 , N/A ,$24.08 ,$20.10 , N/A ,$21.00 , N/A ,$42.57 ,$3.00 , N/A ,$42.57 , N/A ,$60.20 ,$53.75 ,$68.80 , N/A , N/A ,$60.20 , N/A ,$51.60 , N/A ,$64.50 ,$47.47 ,$42.83 ,$47.47 , N/A ,$47.47 ,$86.00 ,$86.00 ,$86.00 ,$73.10 , N/A ,$59.60 , N/A ,$86.00 ,$48.25 , N/A ,$22.53 ,$86.00 ,$19.98 ,$19.07 , N/A ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$86.00 , N/A ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$422.00 ,$303.84 ,$10.00 ,$422.00 ,$29.48 ,$130.00 ,$232.10 ,$11.55 ,$118.16 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$208.89 ,$10.00 ,$11.55 ,$208.89 ,$23.82 ,$295.40 ,$263.75 ,$337.60 ,$29.48 ,$11.55 ,$295.40 ,$11.55 ,$253.20 ,$11.79 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$11.55 ,$232.94 ,$195.00 ,$422.00 ,$195.00 ,$358.70 ,$29.48 ,$292.45 ,$11.55 ,$422.00 ,$236.74 ,$11.55 ,$110.56 ,$422.00 ,$19.98 ,$19.07 ,$12.13 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$241.00 ,$11.55 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$422.00 ,$303.84 ,$10.00 ,$422.00 ,$29.48 ,$130.00 ,$232.10 ,$11.55 ,$118.16 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$208.89 ,$10.00 ,$11.55 ,$208.89 ,$23.82 ,$295.40 ,$263.75 ,$337.60 ,$29.48 ,$11.55 ,$295.40 ,$11.55 ,$253.20 ,$11.79 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$11.55 ,$232.94 ,$195.00 ,$422.00 ,$195.00 ,$358.70 ,$29.48 ,$292.45 ,$11.55 ,$422.00 ,$236.74 ,$11.55 ,$110.56 ,$422.00 ,$19.98 ,$19.07 ,$12.13 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$241.00 ,$11.55 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$422.00 ,$303.84 ,$10.00 ,$422.00 ,$29.48 ,$130.00 ,$232.10 ,$11.55 ,$118.16 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$208.89 ,$10.00 ,$11.55 ,$208.89 ,$23.82 ,$295.40 ,$263.75 ,$337.60 ,$29.48 ,$11.55 ,$295.40 ,$11.55 ,$253.20 ,$11.79 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$11.55 ,$232.94 ,$195.00 ,$422.00 ,$195.00 ,$358.70 ,$29.48 ,$292.45 ,$11.55 ,$422.00 ,$236.74 ,$11.55 ,$110.56 ,$422.00 ,$19.98 ,$19.07 ,$12.13 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$241.00 ,$11.55 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$422.00 ,$303.84 ,$10.00 ,$422.00 ,$29.48 ,$130.00 ,$232.10 ,$11.55 ,$118.16 ,$67.00 ,$11.55 ,$70.00 ,$11.55 ,$208.89 ,$10.00 ,$11.55 ,$208.89 ,$23.82 ,$295.40 ,$263.75 ,$337.60 ,$29.48 ,$11.55 ,$295.40 ,$11.55 ,$253.20 ,$11.79 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$11.55 ,$232.94 ,$195.00 ,$422.00 ,$195.00 ,$358.70 ,$29.48 ,$292.45 ,$11.55 ,$422.00 ,$236.74 ,$11.55 ,$110.56 ,$422.00 ,$19.98 ,$19.07 ,$12.13 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$241.00 ,$11.55 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$148.00 ,$106.56 ,$11.25 ,$148.00 ,$28.70 ,$130.00 ,$81.40 ,$11.25 ,$41.44 ,$77.40 ,$11.25 ,$81.40 ,$11.25 ,$73.26 ,$14.37 ,$11.25 ,$73.26 ,$23.19 ,$103.60 ,$92.50 ,$118.40 ,$28.70 ,$11.25 ,$103.60 ,$11.25 ,$88.80 ,$11.48 ,$111.00 ,$81.70 ,$73.70 ,$81.70 ,$11.25 ,$81.70 ,$148.00 ,$148.00 ,$148.00 ,$125.80 ,$28.70 ,$102.56 ,$11.25 ,$148.00 ,$83.03 ,$11.25 ,$38.78 ,$148.00 ,$19.98 ,$19.07 ,$11.81 ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$148.00 ,$11.25 ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,42000270,20560,HC NEEDLE INSERTION W/O INJ 1-2 MUSC SELF PAY,420,1 ,$30.00 ,$21.60 ,$7.86 ,$58.58 ,$58.58 ,$30.00 ,$16.50 ,$22.96 ,$8.40 ,$15.69 ,$22.96 ,$16.50 ,$22.96 ,$14.85 ,$30.00 ,$22.96 ,$14.85 ,$30.00 ,$21.00 ,$18.75 ,$24.00 ,$58.57 ,$22.96 ,$21.00 ,$22.96 ,$18.00 ,$23.42 ,$22.50 ,$16.56 ,$14.94 ,$16.56 ,$22.96 ,$16.56 ,$30.00 ,$30.00 ,$30.00 ,$25.50 ,$30.00 ,$20.79 ,$22.96 ,$30.00 ,$16.83 ,$22.96 ,$7.86 ,$30.00 ,$19.98 ,$19.07 ,$24.11 ,$24.00 ,$14.85 ,$8.40 ,$27.00 ,$11.40 ,$30.00 ,$22.96 ,$14.40 
ST. MARY'S HOSPITAL - DECATUR,42000271,20561,HC NEEDLE INSERTION W/O INJ 3+ MUSC SELF PAY,420,1 ,$40.00 ,$28.80 ,$10.48 ,$58.58 ,$58.58 ,$40.00 ,$22.00 ,$22.96 ,$11.20 ,$20.92 ,$22.96 ,$22.00 ,$22.96 ,$19.80 ,$40.00 ,$22.96 ,$19.80 ,$40.00 ,$28.00 ,$25.00 ,$32.00 ,$58.57 ,$22.96 ,$28.00 ,$22.96 ,$24.00 ,$23.42 ,$30.00 ,$22.08 ,$19.92 ,$22.08 ,$22.96 ,$22.08 ,$40.00 ,$40.00 ,$40.00 ,$34.00 ,$40.00 ,$27.72 ,$22.96 ,$40.00 ,$22.44 ,$22.96 ,$10.48 ,$40.00 ,$19.98 ,$19.07 ,$24.11 ,$32.00 ,$19.80 ,$11.20 ,$36.00 ,$15.20 ,$40.00 ,$22.96 ,$19.20 
ST. MARY'S HOSPITAL - DECATUR,42000272,N/A,HC PHYSICAL EXERCISE REHAB MONTHLY,420,1 ,$99.00 ,$71.28 ,$25.94 ,$99.00 , N/A ,$99.00 ,$54.45 , N/A ,$27.72 ,$51.78 , N/A ,$54.45 , N/A ,$49.01 ,$39.60 , N/A ,$49.01 , N/A ,$69.30 ,$61.88 ,$79.20 , N/A , N/A ,$69.30 , N/A ,$59.40 , N/A ,$74.25 ,$54.65 ,$49.30 ,$54.65 , N/A ,$54.65 ,$99.00 ,$99.00 ,$99.00 ,$84.15 , N/A ,$68.61 , N/A ,$99.00 ,$55.54 , N/A ,$25.94 ,$99.00 , N/A , N/A , N/A ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$99.00 , N/A ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,42400043,97161,HC PT EVAL LOW COMPLEXITY 15MIN,424,1 ,$402.00 ,$289.44 ,$90.33 ,$402.00 ,$244.53 ,$130.00 ,$221.10 ,$95.85 ,$112.56 ,$210.25 ,$95.85 ,$221.10 ,$95.85 ,$198.99 ,$90.33 ,$95.85 ,$198.99 ,$197.58 ,$281.40 ,$251.25 ,$321.60 ,$244.53 ,$95.85 ,$281.40 ,$95.85 ,$241.20 ,$97.77 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$95.85 ,$221.90 ,$195.00 ,$402.00 ,$195.00 ,$341.70 ,$244.53 ,$278.59 ,$95.85 ,$402.00 ,$225.52 ,$95.85 ,$105.32 ,$402.00 ,$244.52 ,$233.40 ,$100.65 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$241.00 ,$95.85 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$402.00 ,$289.44 ,$90.33 ,$402.00 ,$244.53 ,$130.00 ,$221.10 ,$95.85 ,$112.56 ,$210.25 ,$95.85 ,$221.10 ,$95.85 ,$198.99 ,$90.33 ,$95.85 ,$198.99 ,$197.58 ,$281.40 ,$251.25 ,$321.60 ,$244.53 ,$95.85 ,$281.40 ,$95.85 ,$241.20 ,$97.77 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$95.85 ,$221.90 ,$195.00 ,$402.00 ,$195.00 ,$341.70 ,$244.53 ,$278.59 ,$95.85 ,$402.00 ,$225.52 ,$95.85 ,$105.32 ,$402.00 ,$244.52 ,$233.40 ,$100.65 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$241.00 ,$95.85 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$402.00 ,$289.44 ,$90.33 ,$402.00 ,$244.53 ,$130.00 ,$221.10 ,$95.85 ,$112.56 ,$210.25 ,$95.85 ,$221.10 ,$95.85 ,$198.99 ,$90.33 ,$95.85 ,$198.99 ,$197.58 ,$281.40 ,$251.25 ,$321.60 ,$244.53 ,$95.85 ,$281.40 ,$95.85 ,$241.20 ,$97.77 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$95.85 ,$221.90 ,$195.00 ,$402.00 ,$195.00 ,$341.70 ,$244.53 ,$278.59 ,$95.85 ,$402.00 ,$225.52 ,$95.85 ,$105.32 ,$402.00 ,$244.52 ,$233.40 ,$100.65 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$241.00 ,$95.85 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$402.00 ,$289.44 ,$90.33 ,$402.00 ,$244.53 ,$130.00 ,$221.10 ,$95.85 ,$112.56 ,$210.25 ,$95.85 ,$221.10 ,$95.85 ,$198.99 ,$90.33 ,$95.85 ,$198.99 ,$197.58 ,$281.40 ,$251.25 ,$321.60 ,$244.53 ,$95.85 ,$281.40 ,$95.85 ,$241.20 ,$97.77 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$95.85 ,$221.90 ,$195.00 ,$402.00 ,$195.00 ,$341.70 ,$244.53 ,$278.59 ,$95.85 ,$402.00 ,$225.52 ,$95.85 ,$105.32 ,$402.00 ,$244.52 ,$233.40 ,$100.65 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$241.00 ,$95.85 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,42400055,97162,HC PT EVAL MOD COMPLEXITY 15MIN,424,1 ,$538.00 ,$387.36 ,$95.85 ,$538.00 ,$244.53 ,$130.00 ,$295.90 ,$95.85 ,$150.64 ,$281.37 ,$95.85 ,$295.90 ,$95.85 ,$266.31 ,$100.36 ,$95.85 ,$266.31 ,$197.58 ,$376.60 ,$336.25 ,$430.40 ,$244.53 ,$95.85 ,$376.60 ,$95.85 ,$322.80 ,$97.77 ,$403.50 ,$296.98 ,$267.92 ,$296.98 ,$95.85 ,$296.98 ,$195.00 ,$538.00 ,$195.00 ,$457.30 ,$244.53 ,$372.83 ,$95.85 ,$538.00 ,$301.82 ,$95.85 ,$140.96 ,$538.00 ,$244.52 ,$233.40 ,$100.65 ,$430.40 ,$266.31 ,$150.64 ,$484.20 ,$204.44 ,$241.00 ,$95.85 ,$258.24 
ST. MARY'S HOSPITAL - DECATUR,42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$538.00 ,$387.36 ,$95.85 ,$538.00 ,$244.53 ,$130.00 ,$295.90 ,$95.85 ,$150.64 ,$281.37 ,$95.85 ,$295.90 ,$95.85 ,$266.31 ,$100.36 ,$95.85 ,$266.31 ,$197.58 ,$376.60 ,$336.25 ,$430.40 ,$244.53 ,$95.85 ,$376.60 ,$95.85 ,$322.80 ,$97.77 ,$403.50 ,$296.98 ,$267.92 ,$296.98 ,$95.85 ,$296.98 ,$195.00 ,$538.00 ,$195.00 ,$457.30 ,$244.53 ,$372.83 ,$95.85 ,$538.00 ,$301.82 ,$95.85 ,$140.96 ,$538.00 ,$244.52 ,$233.40 ,$100.65 ,$430.40 ,$266.31 ,$150.64 ,$484.20 ,$204.44 ,$241.00 ,$95.85 ,$258.24 
ST. MARY'S HOSPITAL - DECATUR,42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$538.00 ,$387.36 ,$95.85 ,$538.00 ,$244.53 ,$130.00 ,$295.90 ,$95.85 ,$150.64 ,$281.37 ,$95.85 ,$295.90 ,$95.85 ,$266.31 ,$100.36 ,$95.85 ,$266.31 ,$197.58 ,$376.60 ,$336.25 ,$430.40 ,$244.53 ,$95.85 ,$376.60 ,$95.85 ,$322.80 ,$97.77 ,$403.50 ,$296.98 ,$267.92 ,$296.98 ,$95.85 ,$296.98 ,$195.00 ,$538.00 ,$195.00 ,$457.30 ,$244.53 ,$372.83 ,$95.85 ,$538.00 ,$301.82 ,$95.85 ,$140.96 ,$538.00 ,$244.52 ,$233.40 ,$100.65 ,$430.40 ,$266.31 ,$150.64 ,$484.20 ,$204.44 ,$241.00 ,$95.85 ,$258.24 
ST. MARY'S HOSPITAL - DECATUR,42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$538.00 ,$387.36 ,$95.85 ,$538.00 ,$244.53 ,$130.00 ,$295.90 ,$95.85 ,$150.64 ,$281.37 ,$95.85 ,$295.90 ,$95.85 ,$266.31 ,$100.36 ,$95.85 ,$266.31 ,$197.58 ,$376.60 ,$336.25 ,$430.40 ,$244.53 ,$95.85 ,$376.60 ,$95.85 ,$322.80 ,$97.77 ,$403.50 ,$296.98 ,$267.92 ,$296.98 ,$95.85 ,$296.98 ,$195.00 ,$538.00 ,$195.00 ,$457.30 ,$244.53 ,$372.83 ,$95.85 ,$538.00 ,$301.82 ,$95.85 ,$140.96 ,$538.00 ,$244.52 ,$233.40 ,$100.65 ,$430.40 ,$266.31 ,$150.64 ,$484.20 ,$204.44 ,$241.00 ,$95.85 ,$258.24 
ST. MARY'S HOSPITAL - DECATUR,42400067,97163,HC PT EVAL HIGH COMPLEXITY 15MIN,424,1 ,$670.00 ,$482.40 ,$95.85 ,$670.00 ,$244.53 ,$130.00 ,$368.50 ,$95.85 ,$187.60 ,$350.41 ,$95.85 ,$368.50 ,$95.85 ,$331.65 ,$110.39 ,$95.85 ,$331.65 ,$197.58 ,$469.00 ,$418.75 ,$536.00 ,$244.53 ,$95.85 ,$469.00 ,$95.85 ,$402.00 ,$97.77 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$95.85 ,$369.84 ,$195.00 ,$670.00 ,$195.00 ,$569.50 ,$244.53 ,$464.31 ,$95.85 ,$670.00 ,$375.87 ,$95.85 ,$175.54 ,$670.00 ,$244.52 ,$233.40 ,$100.65 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$241.00 ,$95.85 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,42400068,97163,HC PT EVAL HIGH COMPLEXITY 30MIN,424,1 ,$670.00 ,$482.40 ,$95.85 ,$670.00 ,$244.53 ,$130.00 ,$368.50 ,$95.85 ,$187.60 ,$350.41 ,$95.85 ,$368.50 ,$95.85 ,$331.65 ,$110.39 ,$95.85 ,$331.65 ,$197.58 ,$469.00 ,$418.75 ,$536.00 ,$244.53 ,$95.85 ,$469.00 ,$95.85 ,$402.00 ,$97.77 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$95.85 ,$369.84 ,$195.00 ,$670.00 ,$195.00 ,$569.50 ,$244.53 ,$464.31 ,$95.85 ,$670.00 ,$375.87 ,$95.85 ,$175.54 ,$670.00 ,$244.52 ,$233.40 ,$100.65 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$241.00 ,$95.85 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$670.00 ,$482.40 ,$95.85 ,$670.00 ,$244.53 ,$130.00 ,$368.50 ,$95.85 ,$187.60 ,$350.41 ,$95.85 ,$368.50 ,$95.85 ,$331.65 ,$110.39 ,$95.85 ,$331.65 ,$197.58 ,$469.00 ,$418.75 ,$536.00 ,$244.53 ,$95.85 ,$469.00 ,$95.85 ,$402.00 ,$97.77 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$95.85 ,$369.84 ,$195.00 ,$670.00 ,$195.00 ,$569.50 ,$244.53 ,$464.31 ,$95.85 ,$670.00 ,$375.87 ,$95.85 ,$175.54 ,$670.00 ,$244.52 ,$233.40 ,$100.65 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$241.00 ,$95.85 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,42400070,97163,HC PT EVAL HIGH COMPLEXITY 60MIN,424,1 ,$670.00 ,$482.40 ,$95.85 ,$670.00 ,$244.53 ,$130.00 ,$368.50 ,$95.85 ,$187.60 ,$350.41 ,$95.85 ,$368.50 ,$95.85 ,$331.65 ,$110.39 ,$95.85 ,$331.65 ,$197.58 ,$469.00 ,$418.75 ,$536.00 ,$244.53 ,$95.85 ,$469.00 ,$95.85 ,$402.00 ,$97.77 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$95.85 ,$369.84 ,$195.00 ,$670.00 ,$195.00 ,$569.50 ,$244.53 ,$464.31 ,$95.85 ,$670.00 ,$375.87 ,$95.85 ,$175.54 ,$670.00 ,$244.52 ,$233.40 ,$100.65 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$241.00 ,$95.85 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$181.00 ,$130.32 ,$47.42 ,$233.40 ,$169.13 ,$130.00 ,$99.55 ,$66.30 ,$50.68 ,$94.66 ,$66.30 ,$99.55 ,$66.30 ,$89.60 ,$61.49 ,$66.30 ,$89.60 ,$136.65 ,$126.70 ,$113.13 ,$144.80 ,$169.13 ,$66.30 ,$126.70 ,$66.30 ,$108.60 ,$67.62 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$66.30 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$169.13 ,$125.43 ,$66.30 ,$181.00 ,$101.54 ,$66.30 ,$47.42 ,$181.00 ,$181.00 ,$233.40 ,$69.61 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$66.30 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$181.00 ,$130.32 ,$47.42 ,$233.40 ,$169.13 ,$130.00 ,$99.55 ,$66.30 ,$50.68 ,$94.66 ,$66.30 ,$99.55 ,$66.30 ,$89.60 ,$61.49 ,$66.30 ,$89.60 ,$136.65 ,$126.70 ,$113.13 ,$144.80 ,$169.13 ,$66.30 ,$126.70 ,$66.30 ,$108.60 ,$67.62 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$66.30 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$169.13 ,$125.43 ,$66.30 ,$181.00 ,$101.54 ,$66.30 ,$47.42 ,$181.00 ,$181.00 ,$233.40 ,$69.61 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$66.30 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$181.00 ,$130.32 ,$47.42 ,$233.40 ,$169.13 ,$130.00 ,$99.55 ,$66.30 ,$50.68 ,$94.66 ,$66.30 ,$99.55 ,$66.30 ,$89.60 ,$61.49 ,$66.30 ,$89.60 ,$136.65 ,$126.70 ,$113.13 ,$144.80 ,$169.13 ,$66.30 ,$126.70 ,$66.30 ,$108.60 ,$67.62 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$66.30 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$169.13 ,$125.43 ,$66.30 ,$181.00 ,$101.54 ,$66.30 ,$47.42 ,$181.00 ,$181.00 ,$233.40 ,$69.61 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$66.30 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,42400082,97164,HC PT RE-EVAL 60MIN,424,1 ,$181.00 ,$130.32 ,$47.42 ,$233.40 ,$169.13 ,$130.00 ,$99.55 ,$66.30 ,$50.68 ,$94.66 ,$66.30 ,$99.55 ,$66.30 ,$89.60 ,$61.49 ,$66.30 ,$89.60 ,$136.65 ,$126.70 ,$113.13 ,$144.80 ,$169.13 ,$66.30 ,$126.70 ,$66.30 ,$108.60 ,$67.62 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$66.30 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$169.13 ,$125.43 ,$66.30 ,$181.00 ,$101.54 ,$66.30 ,$47.42 ,$181.00 ,$181.00 ,$233.40 ,$69.61 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$66.30 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,42400087,97161,HC PT EVAL LOW COMPLEXITY,424,1 ,$402.00 ,$289.44 ,$90.33 ,$402.00 ,$244.53 ,$130.00 ,$221.10 ,$95.85 ,$112.56 ,$210.25 ,$95.85 ,$221.10 ,$95.85 ,$198.99 ,$90.33 ,$95.85 ,$198.99 ,$197.58 ,$281.40 ,$251.25 ,$321.60 ,$244.53 ,$95.85 ,$281.40 ,$95.85 ,$241.20 ,$97.77 ,$301.50 ,$221.90 ,$200.20 ,$221.90 ,$95.85 ,$221.90 ,$195.00 ,$402.00 ,$195.00 ,$341.70 ,$244.53 ,$278.59 ,$95.85 ,$402.00 ,$225.52 ,$95.85 ,$105.32 ,$402.00 ,$244.52 ,$233.40 ,$100.65 ,$321.60 ,$198.99 ,$112.56 ,$361.80 ,$152.76 ,$241.00 ,$95.85 ,$192.96 
ST. MARY'S HOSPITAL - DECATUR,42400088,97162,HC PT EVAL MOD COMPLEXITY,424,1 ,$538.00 ,$387.36 ,$95.85 ,$538.00 ,$244.53 ,$130.00 ,$295.90 ,$95.85 ,$150.64 ,$281.37 ,$95.85 ,$295.90 ,$95.85 ,$266.31 ,$100.36 ,$95.85 ,$266.31 ,$197.58 ,$376.60 ,$336.25 ,$430.40 ,$244.53 ,$95.85 ,$376.60 ,$95.85 ,$322.80 ,$97.77 ,$403.50 ,$296.98 ,$267.92 ,$296.98 ,$95.85 ,$296.98 ,$195.00 ,$538.00 ,$195.00 ,$457.30 ,$244.53 ,$372.83 ,$95.85 ,$538.00 ,$301.82 ,$95.85 ,$140.96 ,$538.00 ,$244.52 ,$233.40 ,$100.65 ,$430.40 ,$266.31 ,$150.64 ,$484.20 ,$204.44 ,$241.00 ,$95.85 ,$258.24 
ST. MARY'S HOSPITAL - DECATUR,42400089,97163,HC PT EVAL HIGH COMPLEXITY,424,1 ,$670.00 ,$482.40 ,$95.85 ,$670.00 ,$244.53 ,$130.00 ,$368.50 ,$95.85 ,$187.60 ,$350.41 ,$95.85 ,$368.50 ,$95.85 ,$331.65 ,$110.39 ,$95.85 ,$331.65 ,$197.58 ,$469.00 ,$418.75 ,$536.00 ,$244.53 ,$95.85 ,$469.00 ,$95.85 ,$402.00 ,$97.77 ,$502.50 ,$369.84 ,$333.66 ,$369.84 ,$95.85 ,$369.84 ,$195.00 ,$670.00 ,$195.00 ,$569.50 ,$244.53 ,$464.31 ,$95.85 ,$670.00 ,$375.87 ,$95.85 ,$175.54 ,$670.00 ,$244.52 ,$233.40 ,$100.65 ,$536.00 ,$331.65 ,$187.60 ,$603.00 ,$254.60 ,$241.00 ,$95.85 ,$321.60 
ST. MARY'S HOSPITAL - DECATUR,43000012,97018,HC PARAFFIN BATH,430,1 ,$239.00 ,$172.08 ,$5.45 ,$239.00 ,$13.90 ,$130.00 ,$131.45 ,$5.45 ,$66.92 ,$125.00 ,$5.45 ,$131.45 ,$5.45 ,$118.31 ,$14.08 ,$5.45 ,$118.31 ,$11.23 ,$167.30 ,$149.38 ,$191.20 ,$13.90 ,$5.45 ,$167.30 ,$5.45 ,$143.40 ,$5.56 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$5.45 ,$131.93 ,$195.00 ,$239.00 ,$195.00 ,$203.15 ,$13.90 ,$165.63 ,$5.45 ,$239.00 ,$134.08 ,$5.45 ,$62.62 ,$239.00 ,$19.98 ,$19.07 ,$5.72 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$239.00 ,$5.45 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$399.00 ,$287.28 ,$47.71 ,$399.00 ,$150.70 ,$130.00 ,$219.45 ,$59.07 ,$111.72 ,$208.68 ,$59.07 ,$219.45 ,$59.07 ,$197.51 ,$47.71 ,$59.07 ,$197.51 ,$121.77 ,$279.30 ,$249.38 ,$319.20 ,$150.70 ,$59.07 ,$279.30 ,$59.07 ,$239.40 ,$60.26 ,$299.25 ,$220.25 ,$198.70 ,$220.25 ,$59.07 ,$220.25 ,$195.00 ,$399.00 ,$195.00 ,$339.15 ,$150.70 ,$276.51 ,$59.07 ,$399.00 ,$223.84 ,$59.07 ,$104.54 ,$399.00 ,$388.97 ,$371.29 ,$62.02 ,$319.20 ,$197.51 ,$111.72 ,$359.10 ,$151.62 ,$241.00 ,$59.07 ,$191.52 
ST. MARY'S HOSPITAL - DECATUR,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$274.00 ,$197.28 ,$31.11 ,$371.29 ,$79.38 ,$130.00 ,$150.70 ,$31.11 ,$76.72 ,$143.30 ,$31.11 ,$150.70 ,$31.11 ,$135.63 ,$38.51 ,$31.11 ,$135.63 ,$64.14 ,$191.80 ,$171.25 ,$219.20 ,$79.38 ,$31.11 ,$191.80 ,$31.11 ,$164.40 ,$31.74 ,$205.50 ,$151.25 ,$136.45 ,$151.25 ,$31.11 ,$151.25 ,$195.00 ,$274.00 ,$195.00 ,$232.90 ,$79.38 ,$189.88 ,$31.11 ,$274.00 ,$153.71 ,$31.11 ,$71.79 ,$274.00 ,$274.00 ,$371.29 ,$32.67 ,$219.20 ,$135.63 ,$76.72 ,$246.60 ,$104.12 ,$241.00 ,$31.11 ,$131.52 
ST. MARY'S HOSPITAL - DECATUR,43000023,97537,HC WORK TASK ANALYSIS EA 15 MIN,430,1 ,$318.00 ,$228.96 ,$30.30 ,$371.29 ,$77.30 ,$130.00 ,$174.90 ,$30.30 ,$89.04 ,$166.31 ,$30.30 ,$174.90 ,$30.30 ,$157.41 ,$37.10 ,$30.30 ,$157.41 ,$62.46 ,$222.60 ,$198.75 ,$254.40 ,$77.30 ,$30.30 ,$222.60 ,$30.30 ,$190.80 ,$30.91 ,$238.50 ,$175.54 ,$158.36 ,$175.54 ,$30.30 ,$175.54 ,$195.00 ,$318.00 ,$195.00 ,$270.30 ,$77.30 ,$220.37 ,$30.30 ,$318.00 ,$178.40 ,$30.30 ,$83.32 ,$318.00 ,$318.00 ,$371.29 ,$31.82 ,$254.40 ,$157.41 ,$89.04 ,$286.20 ,$120.84 ,$241.00 ,$30.30 ,$152.64 
ST. MARY'S HOSPITAL - DECATUR,43000024,97542,HC SEATING CLINIC EA 15 MIN,430,1 ,$197.00 ,$141.84 ,$30.30 ,$371.29 ,$77.30 ,$130.00 ,$108.35 ,$30.30 ,$55.16 ,$103.03 ,$30.30 ,$108.35 ,$30.30 ,$97.52 ,$37.48 ,$30.30 ,$97.52 ,$62.46 ,$137.90 ,$123.13 ,$157.60 ,$77.30 ,$30.30 ,$137.90 ,$30.30 ,$118.20 ,$30.91 ,$147.75 ,$108.74 ,$98.11 ,$108.74 ,$30.30 ,$108.74 ,$195.00 ,$197.00 ,$195.00 ,$167.45 ,$77.30 ,$136.52 ,$30.30 ,$197.00 ,$110.52 ,$30.30 ,$51.61 ,$197.00 ,$197.00 ,$371.29 ,$31.82 ,$157.60 ,$97.52 ,$55.16 ,$177.30 ,$74.86 ,$197.00 ,$30.30 ,$94.56 
ST. MARY'S HOSPITAL - DECATUR,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$336.00 ,$241.92 ,$45.50 ,$336.00 ,$116.08 ,$130.00 ,$184.80 ,$45.50 ,$94.08 ,$175.73 ,$45.50 ,$184.80 ,$45.50 ,$166.32 ,$56.62 ,$45.50 ,$166.32 ,$93.79 ,$235.20 ,$210.00 ,$268.80 ,$116.08 ,$45.50 ,$235.20 ,$45.50 ,$201.60 ,$46.41 ,$252.00 ,$185.47 ,$167.33 ,$185.47 ,$45.50 ,$185.47 ,$195.00 ,$336.00 ,$195.00 ,$285.60 ,$116.08 ,$232.85 ,$45.50 ,$336.00 ,$188.50 ,$45.50 ,$88.03 ,$336.00 ,$244.52 ,$233.40 ,$47.77 ,$268.80 ,$166.32 ,$94.08 ,$302.40 ,$127.68 ,$241.00 ,$45.50 ,$161.28 
ST. MARY'S HOSPITAL - DECATUR,43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$239.00 ,$172.08 ,$5.45 ,$239.00 ,$13.90 ,$130.00 ,$131.45 ,$5.45 ,$66.92 ,$125.00 ,$5.45 ,$131.45 ,$5.45 ,$118.31 ,$14.08 ,$5.45 ,$118.31 ,$11.23 ,$167.30 ,$149.38 ,$191.20 ,$13.90 ,$5.45 ,$167.30 ,$5.45 ,$143.40 ,$5.56 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$5.45 ,$131.93 ,$195.00 ,$239.00 ,$195.00 ,$203.15 ,$13.90 ,$165.63 ,$5.45 ,$239.00 ,$134.08 ,$5.45 ,$62.62 ,$239.00 ,$19.98 ,$19.07 ,$5.72 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$239.00 ,$5.45 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$239.00 ,$172.08 ,$5.45 ,$239.00 ,$13.90 ,$130.00 ,$131.45 ,$5.45 ,$66.92 ,$125.00 ,$5.45 ,$131.45 ,$5.45 ,$118.31 ,$14.08 ,$5.45 ,$118.31 ,$11.23 ,$167.30 ,$149.38 ,$191.20 ,$13.90 ,$5.45 ,$167.30 ,$5.45 ,$143.40 ,$5.56 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$5.45 ,$131.93 ,$195.00 ,$239.00 ,$195.00 ,$203.15 ,$13.90 ,$165.63 ,$5.45 ,$239.00 ,$134.08 ,$5.45 ,$62.62 ,$239.00 ,$19.98 ,$19.07 ,$5.72 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$239.00 ,$5.45 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$480.00 ,$345.60 ,$19.07 ,$480.00 ,$55.80 ,$130.00 ,$264.00 ,$21.87 ,$134.40 ,$251.04 ,$21.87 ,$264.00 ,$21.87 ,$237.60 ,$27.01 ,$21.87 ,$237.60 ,$45.09 ,$336.00 ,$300.00 ,$384.00 ,$55.80 ,$21.87 ,$336.00 ,$21.87 ,$288.00 ,$22.31 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$21.87 ,$264.96 ,$195.00 ,$480.00 ,$195.00 ,$408.00 ,$55.80 ,$332.64 ,$21.87 ,$480.00 ,$269.28 ,$21.87 ,$125.76 ,$480.00 ,$19.98 ,$19.07 ,$22.97 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$241.00 ,$21.87 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$368.00 ,$264.96 ,$19.07 ,$368.00 ,$53.35 ,$130.00 ,$202.40 ,$20.91 ,$103.04 ,$192.46 ,$20.91 ,$202.40 ,$20.91 ,$182.16 ,$26.20 ,$20.91 ,$182.16 ,$43.11 ,$257.60 ,$230.00 ,$294.40 ,$53.35 ,$20.91 ,$257.60 ,$20.91 ,$220.80 ,$21.33 ,$276.00 ,$203.14 ,$183.26 ,$203.14 ,$20.91 ,$203.14 ,$195.00 ,$368.00 ,$195.00 ,$312.80 ,$53.35 ,$255.02 ,$20.91 ,$368.00 ,$206.45 ,$20.91 ,$96.42 ,$368.00 ,$19.98 ,$19.07 ,$21.96 ,$294.40 ,$182.16 ,$103.04 ,$331.20 ,$139.84 ,$241.00 ,$20.91 ,$176.64 
ST. MARY'S HOSPITAL - DECATUR,43400034,97165,HC OT EVAL LOW COMPLEXITY 15MIN,434,1 ,$394.00 ,$283.68 ,$95.85 ,$394.00 ,$244.53 ,$130.00 ,$216.70 ,$95.85 ,$110.32 ,$206.06 ,$95.85 ,$216.70 ,$95.85 ,$195.03 ,$97.40 ,$95.85 ,$195.03 ,$197.58 ,$275.80 ,$246.25 ,$315.20 ,$244.53 ,$95.85 ,$275.80 ,$95.85 ,$236.40 ,$97.77 ,$295.50 ,$217.49 ,$196.21 ,$217.49 ,$95.85 ,$217.49 ,$195.00 ,$394.00 ,$195.00 ,$334.90 ,$244.53 ,$273.04 ,$95.85 ,$394.00 ,$221.03 ,$95.85 ,$103.23 ,$394.00 ,$388.97 ,$371.29 ,$100.65 ,$315.20 ,$195.03 ,$110.32 ,$354.60 ,$149.72 ,$241.00 ,$95.85 ,$189.12 
ST. MARY'S HOSPITAL - DECATUR,43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$394.00 ,$283.68 ,$95.85 ,$394.00 ,$244.53 ,$130.00 ,$216.70 ,$95.85 ,$110.32 ,$206.06 ,$95.85 ,$216.70 ,$95.85 ,$195.03 ,$97.40 ,$95.85 ,$195.03 ,$197.58 ,$275.80 ,$246.25 ,$315.20 ,$244.53 ,$95.85 ,$275.80 ,$95.85 ,$236.40 ,$97.77 ,$295.50 ,$217.49 ,$196.21 ,$217.49 ,$95.85 ,$217.49 ,$195.00 ,$394.00 ,$195.00 ,$334.90 ,$244.53 ,$273.04 ,$95.85 ,$394.00 ,$221.03 ,$95.85 ,$103.23 ,$394.00 ,$388.97 ,$371.29 ,$100.65 ,$315.20 ,$195.03 ,$110.32 ,$354.60 ,$149.72 ,$241.00 ,$95.85 ,$189.12 
ST. MARY'S HOSPITAL - DECATUR,43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$394.00 ,$283.68 ,$95.85 ,$394.00 ,$244.53 ,$130.00 ,$216.70 ,$95.85 ,$110.32 ,$206.06 ,$95.85 ,$216.70 ,$95.85 ,$195.03 ,$97.40 ,$95.85 ,$195.03 ,$197.58 ,$275.80 ,$246.25 ,$315.20 ,$244.53 ,$95.85 ,$275.80 ,$95.85 ,$236.40 ,$97.77 ,$295.50 ,$217.49 ,$196.21 ,$217.49 ,$95.85 ,$217.49 ,$195.00 ,$394.00 ,$195.00 ,$334.90 ,$244.53 ,$273.04 ,$95.85 ,$394.00 ,$221.03 ,$95.85 ,$103.23 ,$394.00 ,$388.97 ,$371.29 ,$100.65 ,$315.20 ,$195.03 ,$110.32 ,$354.60 ,$149.72 ,$241.00 ,$95.85 ,$189.12 
ST. MARY'S HOSPITAL - DECATUR,43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$394.00 ,$283.68 ,$95.85 ,$394.00 ,$244.53 ,$130.00 ,$216.70 ,$95.85 ,$110.32 ,$206.06 ,$95.85 ,$216.70 ,$95.85 ,$195.03 ,$97.40 ,$95.85 ,$195.03 ,$197.58 ,$275.80 ,$246.25 ,$315.20 ,$244.53 ,$95.85 ,$275.80 ,$95.85 ,$236.40 ,$97.77 ,$295.50 ,$217.49 ,$196.21 ,$217.49 ,$95.85 ,$217.49 ,$195.00 ,$394.00 ,$195.00 ,$334.90 ,$244.53 ,$273.04 ,$95.85 ,$394.00 ,$221.03 ,$95.85 ,$103.23 ,$394.00 ,$388.97 ,$371.29 ,$100.65 ,$315.20 ,$195.03 ,$110.32 ,$354.60 ,$149.72 ,$241.00 ,$95.85 ,$189.12 
ST. MARY'S HOSPITAL - DECATUR,43400046,97166,HC OT EVAL MOD COMPLEXITY 15MIN,434,1 ,$523.00 ,$376.56 ,$95.85 ,$523.00 ,$244.53 ,$130.00 ,$287.65 ,$95.85 ,$146.44 ,$273.53 ,$95.85 ,$287.65 ,$95.85 ,$258.89 ,$97.40 ,$95.85 ,$258.89 ,$197.58 ,$366.10 ,$326.88 ,$418.40 ,$244.53 ,$95.85 ,$366.10 ,$95.85 ,$313.80 ,$97.77 ,$392.25 ,$288.70 ,$260.45 ,$288.70 ,$95.85 ,$288.70 ,$195.00 ,$523.00 ,$195.00 ,$444.55 ,$244.53 ,$362.44 ,$95.85 ,$523.00 ,$293.40 ,$95.85 ,$137.03 ,$523.00 ,$388.97 ,$371.29 ,$100.65 ,$418.40 ,$258.89 ,$146.44 ,$470.70 ,$198.74 ,$241.00 ,$95.85 ,$251.04 
ST. MARY'S HOSPITAL - DECATUR,43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$523.00 ,$376.56 ,$95.85 ,$523.00 ,$244.53 ,$130.00 ,$287.65 ,$95.85 ,$146.44 ,$273.53 ,$95.85 ,$287.65 ,$95.85 ,$258.89 ,$97.40 ,$95.85 ,$258.89 ,$197.58 ,$366.10 ,$326.88 ,$418.40 ,$244.53 ,$95.85 ,$366.10 ,$95.85 ,$313.80 ,$97.77 ,$392.25 ,$288.70 ,$260.45 ,$288.70 ,$95.85 ,$288.70 ,$195.00 ,$523.00 ,$195.00 ,$444.55 ,$244.53 ,$362.44 ,$95.85 ,$523.00 ,$293.40 ,$95.85 ,$137.03 ,$523.00 ,$388.97 ,$371.29 ,$100.65 ,$418.40 ,$258.89 ,$146.44 ,$470.70 ,$198.74 ,$241.00 ,$95.85 ,$251.04 
ST. MARY'S HOSPITAL - DECATUR,43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$523.00 ,$376.56 ,$95.85 ,$523.00 ,$244.53 ,$130.00 ,$287.65 ,$95.85 ,$146.44 ,$273.53 ,$95.85 ,$287.65 ,$95.85 ,$258.89 ,$97.40 ,$95.85 ,$258.89 ,$197.58 ,$366.10 ,$326.88 ,$418.40 ,$244.53 ,$95.85 ,$366.10 ,$95.85 ,$313.80 ,$97.77 ,$392.25 ,$288.70 ,$260.45 ,$288.70 ,$95.85 ,$288.70 ,$195.00 ,$523.00 ,$195.00 ,$444.55 ,$244.53 ,$362.44 ,$95.85 ,$523.00 ,$293.40 ,$95.85 ,$137.03 ,$523.00 ,$388.97 ,$371.29 ,$100.65 ,$418.40 ,$258.89 ,$146.44 ,$470.70 ,$198.74 ,$241.00 ,$95.85 ,$251.04 
ST. MARY'S HOSPITAL - DECATUR,43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$523.00 ,$376.56 ,$95.85 ,$523.00 ,$244.53 ,$130.00 ,$287.65 ,$95.85 ,$146.44 ,$273.53 ,$95.85 ,$287.65 ,$95.85 ,$258.89 ,$97.40 ,$95.85 ,$258.89 ,$197.58 ,$366.10 ,$326.88 ,$418.40 ,$244.53 ,$95.85 ,$366.10 ,$95.85 ,$313.80 ,$97.77 ,$392.25 ,$288.70 ,$260.45 ,$288.70 ,$95.85 ,$288.70 ,$195.00 ,$523.00 ,$195.00 ,$444.55 ,$244.53 ,$362.44 ,$95.85 ,$523.00 ,$293.40 ,$95.85 ,$137.03 ,$523.00 ,$388.97 ,$371.29 ,$100.65 ,$418.40 ,$258.89 ,$146.44 ,$470.70 ,$198.74 ,$241.00 ,$95.85 ,$251.04 
ST. MARY'S HOSPITAL - DECATUR,43400058,97167,HC OT EVAL HIGH COMPLEXITY 15MIN,434,1 ,$655.00 ,$471.60 ,$95.85 ,$655.00 ,$244.53 ,$130.00 ,$360.25 ,$95.85 ,$183.40 ,$342.57 ,$95.85 ,$360.25 ,$95.85 ,$324.23 ,$97.40 ,$95.85 ,$324.23 ,$197.58 ,$458.50 ,$409.38 ,$524.00 ,$244.53 ,$95.85 ,$458.50 ,$95.85 ,$393.00 ,$97.77 ,$491.25 ,$361.56 ,$326.19 ,$361.56 ,$95.85 ,$361.56 ,$195.00 ,$655.00 ,$195.00 ,$556.75 ,$244.53 ,$453.92 ,$95.85 ,$655.00 ,$367.46 ,$95.85 ,$171.61 ,$655.00 ,$388.97 ,$371.29 ,$100.65 ,$524.00 ,$324.23 ,$183.40 ,$589.50 ,$248.90 ,$241.00 ,$95.85 ,$314.40 
ST. MARY'S HOSPITAL - DECATUR,43400059,97167,HC OT EVAL HIGH COMPLEXITY 30MIN,434,1 ,$655.00 ,$471.60 ,$95.85 ,$655.00 ,$244.53 ,$130.00 ,$360.25 ,$95.85 ,$183.40 ,$342.57 ,$95.85 ,$360.25 ,$95.85 ,$324.23 ,$97.40 ,$95.85 ,$324.23 ,$197.58 ,$458.50 ,$409.38 ,$524.00 ,$244.53 ,$95.85 ,$458.50 ,$95.85 ,$393.00 ,$97.77 ,$491.25 ,$361.56 ,$326.19 ,$361.56 ,$95.85 ,$361.56 ,$195.00 ,$655.00 ,$195.00 ,$556.75 ,$244.53 ,$453.92 ,$95.85 ,$655.00 ,$367.46 ,$95.85 ,$171.61 ,$655.00 ,$388.97 ,$371.29 ,$100.65 ,$524.00 ,$324.23 ,$183.40 ,$589.50 ,$248.90 ,$241.00 ,$95.85 ,$314.40 
ST. MARY'S HOSPITAL - DECATUR,43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$655.00 ,$471.60 ,$95.85 ,$655.00 ,$244.53 ,$130.00 ,$360.25 ,$95.85 ,$183.40 ,$342.57 ,$95.85 ,$360.25 ,$95.85 ,$324.23 ,$97.40 ,$95.85 ,$324.23 ,$197.58 ,$458.50 ,$409.38 ,$524.00 ,$244.53 ,$95.85 ,$458.50 ,$95.85 ,$393.00 ,$97.77 ,$491.25 ,$361.56 ,$326.19 ,$361.56 ,$95.85 ,$361.56 ,$195.00 ,$655.00 ,$195.00 ,$556.75 ,$244.53 ,$453.92 ,$95.85 ,$655.00 ,$367.46 ,$95.85 ,$171.61 ,$655.00 ,$388.97 ,$371.29 ,$100.65 ,$524.00 ,$324.23 ,$183.40 ,$589.50 ,$248.90 ,$241.00 ,$95.85 ,$314.40 
ST. MARY'S HOSPITAL - DECATUR,43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$655.00 ,$471.60 ,$95.85 ,$655.00 ,$244.53 ,$130.00 ,$360.25 ,$95.85 ,$183.40 ,$342.57 ,$95.85 ,$360.25 ,$95.85 ,$324.23 ,$97.40 ,$95.85 ,$324.23 ,$197.58 ,$458.50 ,$409.38 ,$524.00 ,$244.53 ,$95.85 ,$458.50 ,$95.85 ,$393.00 ,$97.77 ,$491.25 ,$361.56 ,$326.19 ,$361.56 ,$95.85 ,$361.56 ,$195.00 ,$655.00 ,$195.00 ,$556.75 ,$244.53 ,$453.92 ,$95.85 ,$655.00 ,$367.46 ,$95.85 ,$171.61 ,$655.00 ,$388.97 ,$371.29 ,$100.65 ,$524.00 ,$324.23 ,$183.40 ,$589.50 ,$248.90 ,$241.00 ,$95.85 ,$314.40 
ST. MARY'S HOSPITAL - DECATUR,43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400073,97168,HC OT RE-EVAL 60MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400074,97168,HC OT RE-EVAL 75MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400075,97168,HC OT RE-EVAL 90MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400076,97168,HC OT RE-EVAL 105MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,43400077,97168,HC OT RE-EVAL 120MIN,434,1 ,$181.00 ,$130.32 ,$47.42 ,$371.29 ,$168.35 ,$130.00 ,$99.55 ,$65.99 ,$50.68 ,$94.66 ,$65.99 ,$99.55 ,$65.99 ,$89.60 ,$69.96 ,$65.99 ,$89.60 ,$136.03 ,$126.70 ,$113.13 ,$144.80 ,$168.35 ,$65.99 ,$126.70 ,$65.99 ,$108.60 ,$67.32 ,$135.75 ,$99.91 ,$90.14 ,$99.91 ,$65.99 ,$99.91 ,$181.00 ,$181.00 ,$181.00 ,$153.85 ,$168.35 ,$125.43 ,$65.99 ,$181.00 ,$101.54 ,$65.99 ,$47.42 ,$181.00 ,$181.00 ,$371.29 ,$69.30 ,$144.80 ,$89.60 ,$50.68 ,$162.90 ,$68.78 ,$181.00 ,$65.99 ,$86.88 
ST. MARY'S HOSPITAL - DECATUR,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$453.00 ,$326.16 ,$73.34 ,$453.00 ,$187.10 ,$130.00 ,$249.15 ,$73.34 ,$126.84 ,$236.92 ,$73.34 ,$249.15 ,$73.34 ,$224.24 ,$120.43 ,$73.34 ,$224.24 ,$151.18 ,$317.10 ,$283.13 ,$362.40 ,$187.10 ,$73.34 ,$317.10 ,$73.34 ,$271.80 ,$74.81 ,$339.75 ,$250.06 ,$225.59 ,$250.06 ,$73.34 ,$250.06 ,$195.00 ,$453.00 ,$195.00 ,$385.05 ,$187.10 ,$313.93 ,$73.34 ,$453.00 ,$254.13 ,$73.34 ,$118.69 ,$453.00 ,$180.74 ,$172.53 ,$77.01 ,$362.40 ,$224.24 ,$126.84 ,$407.70 ,$172.14 ,$241.00 ,$73.34 ,$217.44 
ST. MARY'S HOSPITAL - DECATUR,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$453.00 ,$326.16 ,$73.34 ,$453.00 ,$187.10 ,$130.00 ,$249.15 ,$73.34 ,$126.84 ,$236.92 ,$73.34 ,$249.15 ,$73.34 ,$224.24 ,$120.43 ,$73.34 ,$224.24 ,$151.18 ,$317.10 ,$283.13 ,$362.40 ,$187.10 ,$73.34 ,$317.10 ,$73.34 ,$271.80 ,$74.81 ,$339.75 ,$250.06 ,$225.59 ,$250.06 ,$73.34 ,$250.06 ,$195.00 ,$453.00 ,$195.00 ,$385.05 ,$187.10 ,$313.93 ,$73.34 ,$453.00 ,$254.13 ,$73.34 ,$118.69 ,$453.00 ,$180.74 ,$172.53 ,$77.01 ,$362.40 ,$224.24 ,$126.84 ,$407.70 ,$172.14 ,$241.00 ,$73.34 ,$217.44 
ST. MARY'S HOSPITAL - DECATUR,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$453.00 ,$326.16 ,$73.34 ,$453.00 ,$187.10 ,$130.00 ,$249.15 ,$73.34 ,$126.84 ,$236.92 ,$73.34 ,$249.15 ,$73.34 ,$224.24 ,$120.43 ,$73.34 ,$224.24 ,$151.18 ,$317.10 ,$283.13 ,$362.40 ,$187.10 ,$73.34 ,$317.10 ,$73.34 ,$271.80 ,$74.81 ,$339.75 ,$250.06 ,$225.59 ,$250.06 ,$73.34 ,$250.06 ,$195.00 ,$453.00 ,$195.00 ,$385.05 ,$187.10 ,$313.93 ,$73.34 ,$453.00 ,$254.13 ,$73.34 ,$118.69 ,$453.00 ,$180.74 ,$172.53 ,$77.01 ,$362.40 ,$224.24 ,$126.84 ,$407.70 ,$172.14 ,$241.00 ,$73.34 ,$217.44 
ST. MARY'S HOSPITAL - DECATUR,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$453.00 ,$326.16 ,$73.34 ,$453.00 ,$187.10 ,$130.00 ,$249.15 ,$73.34 ,$126.84 ,$236.92 ,$73.34 ,$249.15 ,$73.34 ,$224.24 ,$120.43 ,$73.34 ,$224.24 ,$151.18 ,$317.10 ,$283.13 ,$362.40 ,$187.10 ,$73.34 ,$317.10 ,$73.34 ,$271.80 ,$74.81 ,$339.75 ,$250.06 ,$225.59 ,$250.06 ,$73.34 ,$250.06 ,$195.00 ,$453.00 ,$195.00 ,$385.05 ,$187.10 ,$313.93 ,$73.34 ,$453.00 ,$254.13 ,$73.34 ,$118.69 ,$453.00 ,$180.74 ,$172.53 ,$77.01 ,$362.40 ,$224.24 ,$126.84 ,$407.70 ,$172.14 ,$241.00 ,$73.34 ,$217.44 
ST. MARY'S HOSPITAL - DECATUR,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$257.00 ,$185.04 ,$67.33 ,$257.00 ,$206.73 ,$130.00 ,$141.35 ,$81.04 ,$71.96 ,$134.41 ,$81.04 ,$141.35 ,$81.04 ,$127.22 ,$146.42 ,$81.04 ,$127.22 ,$167.03 ,$179.90 ,$160.63 ,$205.60 ,$206.73 ,$81.04 ,$179.90 ,$81.04 ,$154.20 ,$82.65 ,$192.75 ,$141.86 ,$127.99 ,$141.86 ,$81.04 ,$141.86 ,$195.00 ,$257.00 ,$195.00 ,$218.45 ,$206.73 ,$178.10 ,$81.04 ,$257.00 ,$144.18 ,$81.04 ,$67.33 ,$257.00 ,$180.74 ,$172.53 ,$85.08 ,$205.60 ,$127.22 ,$71.96 ,$231.30 ,$97.66 ,$241.00 ,$81.04 ,$123.36 
ST. MARY'S HOSPITAL - DECATUR,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$257.00 ,$185.04 ,$67.33 ,$257.00 ,$206.73 ,$130.00 ,$141.35 ,$81.04 ,$71.96 ,$134.41 ,$81.04 ,$141.35 ,$81.04 ,$127.22 ,$146.42 ,$81.04 ,$127.22 ,$167.03 ,$179.90 ,$160.63 ,$205.60 ,$206.73 ,$81.04 ,$179.90 ,$81.04 ,$154.20 ,$82.65 ,$192.75 ,$141.86 ,$127.99 ,$141.86 ,$81.04 ,$141.86 ,$195.00 ,$257.00 ,$195.00 ,$218.45 ,$206.73 ,$178.10 ,$81.04 ,$257.00 ,$144.18 ,$81.04 ,$67.33 ,$257.00 ,$180.74 ,$172.53 ,$85.08 ,$205.60 ,$127.22 ,$71.96 ,$231.30 ,$97.66 ,$241.00 ,$81.04 ,$123.36 
ST. MARY'S HOSPITAL - DECATUR,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$257.00 ,$185.04 ,$67.33 ,$257.00 ,$206.73 ,$130.00 ,$141.35 ,$81.04 ,$71.96 ,$134.41 ,$81.04 ,$141.35 ,$81.04 ,$127.22 ,$146.42 ,$81.04 ,$127.22 ,$167.03 ,$179.90 ,$160.63 ,$205.60 ,$206.73 ,$81.04 ,$179.90 ,$81.04 ,$154.20 ,$82.65 ,$192.75 ,$141.86 ,$127.99 ,$141.86 ,$81.04 ,$141.86 ,$195.00 ,$257.00 ,$195.00 ,$218.45 ,$206.73 ,$178.10 ,$81.04 ,$257.00 ,$144.18 ,$81.04 ,$67.33 ,$257.00 ,$180.74 ,$172.53 ,$85.08 ,$205.60 ,$127.22 ,$71.96 ,$231.30 ,$97.66 ,$241.00 ,$81.04 ,$123.36 
ST. MARY'S HOSPITAL - DECATUR,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$257.00 ,$185.04 ,$67.33 ,$257.00 ,$206.73 ,$130.00 ,$141.35 ,$81.04 ,$71.96 ,$134.41 ,$81.04 ,$141.35 ,$81.04 ,$127.22 ,$146.42 ,$81.04 ,$127.22 ,$167.03 ,$179.90 ,$160.63 ,$205.60 ,$206.73 ,$81.04 ,$179.90 ,$81.04 ,$154.20 ,$82.65 ,$192.75 ,$141.86 ,$127.99 ,$141.86 ,$81.04 ,$141.86 ,$195.00 ,$257.00 ,$195.00 ,$218.45 ,$206.73 ,$178.10 ,$81.04 ,$257.00 ,$144.18 ,$81.04 ,$67.33 ,$257.00 ,$180.74 ,$172.53 ,$85.08 ,$205.60 ,$127.22 ,$71.96 ,$231.30 ,$97.66 ,$241.00 ,$81.04 ,$123.36 
ST. MARY'S HOSPITAL - DECATUR,44000042,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 15MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$250.40 ,$250.40 ,$130.00 ,$87.45 ,$98.16 ,$44.52 ,$83.16 ,$98.16 ,$87.45 ,$98.16 ,$78.71 ,$156.75 ,$98.16 ,$78.71 ,$159.00 ,$111.30 ,$99.38 ,$127.20 ,$250.40 ,$98.16 ,$111.30 ,$98.16 ,$95.40 ,$100.12 ,$119.25 ,$87.77 ,$79.18 ,$87.77 ,$98.16 ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 ,$159.00 ,$110.19 ,$98.16 ,$159.00 ,$89.20 ,$98.16 ,$41.66 ,$159.00 ,$159.00 ,$172.53 ,$103.07 ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 ,$98.16 ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000043,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 30MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$250.40 ,$250.40 ,$130.00 ,$87.45 ,$98.16 ,$44.52 ,$83.16 ,$98.16 ,$87.45 ,$98.16 ,$78.71 ,$156.75 ,$98.16 ,$78.71 ,$159.00 ,$111.30 ,$99.38 ,$127.20 ,$250.40 ,$98.16 ,$111.30 ,$98.16 ,$95.40 ,$100.12 ,$119.25 ,$87.77 ,$79.18 ,$87.77 ,$98.16 ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 ,$159.00 ,$110.19 ,$98.16 ,$159.00 ,$89.20 ,$98.16 ,$41.66 ,$159.00 ,$159.00 ,$172.53 ,$103.07 ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 ,$98.16 ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000044,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 45MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$250.40 ,$250.40 ,$130.00 ,$87.45 ,$98.16 ,$44.52 ,$83.16 ,$98.16 ,$87.45 ,$98.16 ,$78.71 ,$156.75 ,$98.16 ,$78.71 ,$159.00 ,$111.30 ,$99.38 ,$127.20 ,$250.40 ,$98.16 ,$111.30 ,$98.16 ,$95.40 ,$100.12 ,$119.25 ,$87.77 ,$79.18 ,$87.77 ,$98.16 ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 ,$159.00 ,$110.19 ,$98.16 ,$159.00 ,$89.20 ,$98.16 ,$41.66 ,$159.00 ,$159.00 ,$172.53 ,$103.07 ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 ,$98.16 ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000045,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 60MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$250.40 ,$250.40 ,$130.00 ,$87.45 ,$98.16 ,$44.52 ,$83.16 ,$98.16 ,$87.45 ,$98.16 ,$78.71 ,$156.75 ,$98.16 ,$78.71 ,$159.00 ,$111.30 ,$99.38 ,$127.20 ,$250.40 ,$98.16 ,$111.30 ,$98.16 ,$95.40 ,$100.12 ,$119.25 ,$87.77 ,$79.18 ,$87.77 ,$98.16 ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 ,$159.00 ,$110.19 ,$98.16 ,$159.00 ,$89.20 ,$98.16 ,$41.66 ,$159.00 ,$159.00 ,$172.53 ,$103.07 ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 ,$98.16 ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000055,96125,HC COGNITIVE PERF TESTING PER HOUR,440,1 ,$336.00 ,$241.92 ,$88.03 ,$554.98 ,$250.20 ,$130.00 ,$184.80 ,$98.08 ,$94.08 ,$175.73 ,$98.08 ,$184.80 ,$98.08 ,$166.32 ,$251.09 ,$98.08 ,$166.32 ,$202.16 ,$235.20 ,$210.00 ,$268.80 ,$250.20 ,$98.08 ,$235.20 ,$98.08 ,$201.60 ,$100.04 ,$252.00 ,$185.47 ,$167.33 ,$185.47 ,$98.08 ,$185.47 ,$195.00 ,$336.00 ,$195.00 ,$285.60 ,$250.20 ,$232.85 ,$98.08 ,$336.00 ,$188.50 ,$98.08 ,$88.03 ,$336.00 ,$336.00 ,$554.98 ,$102.98 ,$268.80 ,$166.32 ,$94.08 ,$302.40 ,$127.68 ,$241.00 ,$98.08 ,$161.28 
ST. MARY'S HOSPITAL - DECATUR,44000062,92606,HC THERAP SVC NON-SPEECH DVC -15 MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$172.53 , N/A ,$130.00 ,$87.45 , N/A ,$44.52 ,$83.16 , N/A ,$87.45 , N/A ,$78.71 ,$105.30 , N/A ,$78.71 , N/A ,$111.30 ,$99.38 ,$127.20 , N/A , N/A ,$111.30 , N/A ,$95.40 , N/A ,$119.25 ,$87.77 ,$79.18 ,$87.77 , N/A ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 , N/A ,$110.19 , N/A ,$159.00 ,$89.20 , N/A ,$41.66 ,$159.00 ,$159.00 ,$172.53 , N/A ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 , N/A ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000063,92606,HC THERAP SVC NON-SPEECH DVC -30 MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$172.53 , N/A ,$130.00 ,$87.45 , N/A ,$44.52 ,$83.16 , N/A ,$87.45 , N/A ,$78.71 ,$105.30 , N/A ,$78.71 , N/A ,$111.30 ,$99.38 ,$127.20 , N/A , N/A ,$111.30 , N/A ,$95.40 , N/A ,$119.25 ,$87.77 ,$79.18 ,$87.77 , N/A ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 , N/A ,$110.19 , N/A ,$159.00 ,$89.20 , N/A ,$41.66 ,$159.00 ,$159.00 ,$172.53 , N/A ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 , N/A ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000064,92606,HC THERAP SVC NON-SPEECH DVC -45 MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$172.53 , N/A ,$130.00 ,$87.45 , N/A ,$44.52 ,$83.16 , N/A ,$87.45 , N/A ,$78.71 ,$105.30 , N/A ,$78.71 , N/A ,$111.30 ,$99.38 ,$127.20 , N/A , N/A ,$111.30 , N/A ,$95.40 , N/A ,$119.25 ,$87.77 ,$79.18 ,$87.77 , N/A ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 , N/A ,$110.19 , N/A ,$159.00 ,$89.20 , N/A ,$41.66 ,$159.00 ,$159.00 ,$172.53 , N/A ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 , N/A ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44000065,92606,HC THERAP SVC NON-SPEECH DVC -60 MIN,440,1 ,$159.00 ,$114.48 ,$41.66 ,$172.53 , N/A ,$130.00 ,$87.45 , N/A ,$44.52 ,$83.16 , N/A ,$87.45 , N/A ,$78.71 ,$105.30 , N/A ,$78.71 , N/A ,$111.30 ,$99.38 ,$127.20 , N/A , N/A ,$111.30 , N/A ,$95.40 , N/A ,$119.25 ,$87.77 ,$79.18 ,$87.77 , N/A ,$87.77 ,$159.00 ,$159.00 ,$159.00 ,$135.15 , N/A ,$110.19 , N/A ,$159.00 ,$89.20 , N/A ,$41.66 ,$159.00 ,$159.00 ,$172.53 , N/A ,$127.20 ,$78.71 ,$44.52 ,$143.10 ,$60.42 ,$159.00 , N/A ,$76.32 
ST. MARY'S HOSPITAL - DECATUR,44200001,96105,HC ASSESS. APHASIA PER HOUR,442,1 ,$683.00 ,$491.76 ,$94.18 ,$683.00 ,$240.25 ,$130.00 ,$375.65 ,$94.18 ,$191.24 ,$357.21 ,$94.18 ,$375.65 ,$94.18 ,$338.09 ,$239.70 ,$94.18 ,$338.09 ,$194.12 ,$478.10 ,$426.88 ,$546.40 ,$240.25 ,$94.18 ,$478.10 ,$94.18 ,$409.80 ,$96.06 ,$512.25 ,$377.02 ,$340.13 ,$377.02 ,$94.18 ,$377.02 ,$195.00 ,$683.00 ,$195.00 ,$580.55 ,$240.25 ,$473.32 ,$94.18 ,$683.00 ,$383.16 ,$94.18 ,$178.95 ,$683.00 ,$581.41 ,$554.98 ,$98.89 ,$546.40 ,$338.09 ,$191.24 ,$614.70 ,$259.54 ,$241.00 ,$94.18 ,$327.84 
ST. MARY'S HOSPITAL - DECATUR,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$600.00 ,$432.00 ,$80.92 ,$600.00 ,$206.43 ,$130.00 ,$330.00 ,$80.92 ,$168.00 ,$313.80 ,$80.92 ,$330.00 ,$80.92 ,$297.00 ,$144.89 ,$80.92 ,$297.00 ,$166.79 ,$420.00 ,$375.00 ,$480.00 ,$206.43 ,$80.92 ,$420.00 ,$80.92 ,$360.00 ,$82.54 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$80.92 ,$331.20 ,$195.00 ,$600.00 ,$195.00 ,$510.00 ,$206.43 ,$415.80 ,$80.92 ,$600.00 ,$336.60 ,$80.92 ,$157.20 ,$600.00 ,$180.74 ,$172.53 ,$84.97 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$241.00 ,$80.92 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,44400018,92610,HC DYSPHAGIA EVALUATION  30MIN,444,1 ,$600.00 ,$432.00 ,$80.92 ,$600.00 ,$206.43 ,$130.00 ,$330.00 ,$80.92 ,$168.00 ,$313.80 ,$80.92 ,$330.00 ,$80.92 ,$297.00 ,$144.89 ,$80.92 ,$297.00 ,$166.79 ,$420.00 ,$375.00 ,$480.00 ,$206.43 ,$80.92 ,$420.00 ,$80.92 ,$360.00 ,$82.54 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$80.92 ,$331.20 ,$195.00 ,$600.00 ,$195.00 ,$510.00 ,$206.43 ,$415.80 ,$80.92 ,$600.00 ,$336.60 ,$80.92 ,$157.20 ,$600.00 ,$180.74 ,$172.53 ,$84.97 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$241.00 ,$80.92 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$600.00 ,$432.00 ,$80.92 ,$600.00 ,$206.43 ,$130.00 ,$330.00 ,$80.92 ,$168.00 ,$313.80 ,$80.92 ,$330.00 ,$80.92 ,$297.00 ,$144.89 ,$80.92 ,$297.00 ,$166.79 ,$420.00 ,$375.00 ,$480.00 ,$206.43 ,$80.92 ,$420.00 ,$80.92 ,$360.00 ,$82.54 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$80.92 ,$331.20 ,$195.00 ,$600.00 ,$195.00 ,$510.00 ,$206.43 ,$415.80 ,$80.92 ,$600.00 ,$336.60 ,$80.92 ,$157.20 ,$600.00 ,$180.74 ,$172.53 ,$84.97 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$241.00 ,$80.92 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$600.00 ,$432.00 ,$80.92 ,$600.00 ,$206.43 ,$130.00 ,$330.00 ,$80.92 ,$168.00 ,$313.80 ,$80.92 ,$330.00 ,$80.92 ,$297.00 ,$144.89 ,$80.92 ,$297.00 ,$166.79 ,$420.00 ,$375.00 ,$480.00 ,$206.43 ,$80.92 ,$420.00 ,$80.92 ,$360.00 ,$82.54 ,$450.00 ,$331.20 ,$298.80 ,$331.20 ,$80.92 ,$331.20 ,$195.00 ,$600.00 ,$195.00 ,$510.00 ,$206.43 ,$415.80 ,$80.92 ,$600.00 ,$336.60 ,$80.92 ,$157.20 ,$600.00 ,$180.74 ,$172.53 ,$84.97 ,$480.00 ,$297.00 ,$168.00 ,$540.00 ,$228.00 ,$241.00 ,$80.92 ,$288.00 
ST. MARY'S HOSPITAL - DECATUR,44400029,92611,HC DYSPHAGIA EVAL-VIDEO 15MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400030,92611,HC DYSPHAGIA EVAL-VIDEO 30MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400031,92611,HC DYSPHAGIA EVAL-VIDEO 45MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400032,92611,HC DYSPHAGIA EVAL-VIDEO 60MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400033,92611,HC DYSPHAGIA EVAL-VIDEO,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$695.00 ,$500.40 ,$127.22 ,$695.00 ,$324.55 ,$130.00 ,$382.25 ,$127.22 ,$194.60 ,$363.49 ,$127.22 ,$382.25 ,$127.22 ,$344.03 ,$187.79 ,$127.22 ,$344.03 ,$262.24 ,$486.50 ,$434.38 ,$556.00 ,$324.55 ,$127.22 ,$486.50 ,$127.22 ,$417.00 ,$129.77 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$127.22 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$324.55 ,$481.64 ,$127.22 ,$695.00 ,$389.90 ,$127.22 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$133.58 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$127.22 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400041,92522,HC EVALUATE SPEECH PRODUCTION 15MIN,444,1 ,$695.00 ,$500.40 ,$106.72 ,$695.00 ,$272.25 ,$130.00 ,$382.25 ,$106.72 ,$194.60 ,$363.49 ,$106.72 ,$382.25 ,$106.72 ,$344.03 ,$153.05 ,$106.72 ,$344.03 ,$219.98 ,$486.50 ,$434.38 ,$556.00 ,$272.25 ,$106.72 ,$486.50 ,$106.72 ,$417.00 ,$108.86 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$106.72 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$272.25 ,$481.64 ,$106.72 ,$695.00 ,$389.90 ,$106.72 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$112.06 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$106.72 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$695.00 ,$500.40 ,$130.00 ,$695.00 ,$556.38 ,$130.00 ,$382.25 ,$218.10 ,$194.60 ,$363.49 ,$218.10 ,$382.25 ,$218.10 ,$344.03 ,$324.11 ,$218.10 ,$344.03 ,$449.55 ,$486.50 ,$434.38 ,$556.00 ,$556.38 ,$218.10 ,$486.50 ,$218.10 ,$417.00 ,$222.46 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$218.10 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$556.38 ,$481.64 ,$218.10 ,$695.00 ,$389.90 ,$218.10 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$229.01 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$218.10 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$695.00 ,$500.40 ,$105.51 ,$695.00 ,$269.15 ,$130.00 ,$382.25 ,$105.51 ,$194.60 ,$363.49 ,$105.51 ,$382.25 ,$105.51 ,$344.03 ,$147.88 ,$105.51 ,$344.03 ,$217.47 ,$486.50 ,$434.38 ,$556.00 ,$269.15 ,$105.51 ,$486.50 ,$105.51 ,$417.00 ,$107.61 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$105.51 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$269.15 ,$481.64 ,$105.51 ,$695.00 ,$389.90 ,$105.51 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$110.78 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$105.51 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400045,92607,HC EVAL AAC; SP GEN 1ST HR,444,1 ,$292.00 ,$210.24 ,$76.50 ,$300.15 ,$300.15 ,$130.00 ,$160.60 ,$117.66 ,$81.76 ,$152.72 ,$117.66 ,$160.60 ,$117.66 ,$144.54 ,$188.17 ,$117.66 ,$144.54 ,$242.52 ,$204.40 ,$182.50 ,$233.60 ,$300.15 ,$117.66 ,$204.40 ,$117.66 ,$175.20 ,$120.01 ,$219.00 ,$161.18 ,$145.42 ,$161.18 ,$117.66 ,$161.18 ,$195.00 ,$292.00 ,$195.00 ,$248.20 ,$292.00 ,$202.36 ,$117.66 ,$292.00 ,$163.81 ,$117.66 ,$76.50 ,$292.00 ,$180.74 ,$172.53 ,$123.54 ,$233.60 ,$144.54 ,$81.76 ,$262.80 ,$110.96 ,$241.00 ,$117.66 ,$140.16 
ST. MARY'S HOSPITAL - DECATUR,44400046,92608,HC EVAL AAC ADD 1/2 HR,444,1 ,$106.00 ,$76.32 ,$27.77 ,$172.53 ,$117.88 ,$106.00 ,$58.30 ,$46.21 ,$29.68 ,$55.44 ,$46.21 ,$58.30 ,$46.21 ,$52.47 ,$74.68 ,$46.21 ,$52.47 ,$95.24 ,$74.20 ,$66.25 ,$84.80 ,$117.88 ,$46.21 ,$74.20 ,$46.21 ,$63.60 ,$47.13 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$46.21 ,$58.51 ,$106.00 ,$106.00 ,$106.00 ,$90.10 ,$106.00 ,$73.46 ,$46.21 ,$106.00 ,$59.47 ,$46.21 ,$27.77 ,$106.00 ,$106.00 ,$172.53 ,$48.52 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$106.00 ,$46.21 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,44400047,92605,HC EVAL NON SP GEN DEVICE,444,1 ,$239.00 ,$172.08 ,$62.62 ,$239.00 , N/A ,$130.00 ,$131.45 , N/A ,$66.92 ,$125.00 , N/A ,$131.45 , N/A ,$118.31 ,$131.87 , N/A ,$118.31 , N/A ,$167.30 ,$149.38 ,$191.20 , N/A , N/A ,$167.30 , N/A ,$143.40 , N/A ,$179.25 ,$131.93 ,$119.02 ,$131.93 , N/A ,$131.93 ,$195.00 ,$239.00 ,$195.00 ,$203.15 , N/A ,$165.63 , N/A ,$239.00 ,$134.08 , N/A ,$62.62 ,$239.00 ,$180.74 ,$172.53 , N/A ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$239.00 , N/A ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$695.00 ,$500.40 ,$127.22 ,$695.00 ,$324.55 ,$130.00 ,$382.25 ,$127.22 ,$194.60 ,$363.49 ,$127.22 ,$382.25 ,$127.22 ,$344.03 ,$187.79 ,$127.22 ,$344.03 ,$262.24 ,$486.50 ,$434.38 ,$556.00 ,$324.55 ,$127.22 ,$486.50 ,$127.22 ,$417.00 ,$129.77 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$127.22 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$324.55 ,$481.64 ,$127.22 ,$695.00 ,$389.90 ,$127.22 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$133.58 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$127.22 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$695.00 ,$500.40 ,$127.22 ,$695.00 ,$324.55 ,$130.00 ,$382.25 ,$127.22 ,$194.60 ,$363.49 ,$127.22 ,$382.25 ,$127.22 ,$344.03 ,$187.79 ,$127.22 ,$344.03 ,$262.24 ,$486.50 ,$434.38 ,$556.00 ,$324.55 ,$127.22 ,$486.50 ,$127.22 ,$417.00 ,$129.77 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$127.22 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$324.55 ,$481.64 ,$127.22 ,$695.00 ,$389.90 ,$127.22 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$133.58 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$127.22 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$695.00 ,$500.40 ,$127.22 ,$695.00 ,$324.55 ,$130.00 ,$382.25 ,$127.22 ,$194.60 ,$363.49 ,$127.22 ,$382.25 ,$127.22 ,$344.03 ,$187.79 ,$127.22 ,$344.03 ,$262.24 ,$486.50 ,$434.38 ,$556.00 ,$324.55 ,$127.22 ,$486.50 ,$127.22 ,$417.00 ,$129.77 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$127.22 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$324.55 ,$481.64 ,$127.22 ,$695.00 ,$389.90 ,$127.22 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$133.58 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$127.22 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$695.00 ,$500.40 ,$106.72 ,$695.00 ,$272.25 ,$130.00 ,$382.25 ,$106.72 ,$194.60 ,$363.49 ,$106.72 ,$382.25 ,$106.72 ,$344.03 ,$153.05 ,$106.72 ,$344.03 ,$219.98 ,$486.50 ,$434.38 ,$556.00 ,$272.25 ,$106.72 ,$486.50 ,$106.72 ,$417.00 ,$108.86 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$106.72 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$272.25 ,$481.64 ,$106.72 ,$695.00 ,$389.90 ,$106.72 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$112.06 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$106.72 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$695.00 ,$500.40 ,$106.72 ,$695.00 ,$272.25 ,$130.00 ,$382.25 ,$106.72 ,$194.60 ,$363.49 ,$106.72 ,$382.25 ,$106.72 ,$344.03 ,$153.05 ,$106.72 ,$344.03 ,$219.98 ,$486.50 ,$434.38 ,$556.00 ,$272.25 ,$106.72 ,$486.50 ,$106.72 ,$417.00 ,$108.86 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$106.72 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$272.25 ,$481.64 ,$106.72 ,$695.00 ,$389.90 ,$106.72 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$112.06 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$106.72 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$695.00 ,$500.40 ,$106.72 ,$695.00 ,$272.25 ,$130.00 ,$382.25 ,$106.72 ,$194.60 ,$363.49 ,$106.72 ,$382.25 ,$106.72 ,$344.03 ,$153.05 ,$106.72 ,$344.03 ,$219.98 ,$486.50 ,$434.38 ,$556.00 ,$272.25 ,$106.72 ,$486.50 ,$106.72 ,$417.00 ,$108.86 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$106.72 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$272.25 ,$481.64 ,$106.72 ,$695.00 ,$389.90 ,$106.72 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$112.06 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$106.72 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$695.00 ,$500.40 ,$130.00 ,$695.00 ,$556.38 ,$130.00 ,$382.25 ,$218.10 ,$194.60 ,$363.49 ,$218.10 ,$382.25 ,$218.10 ,$344.03 ,$324.11 ,$218.10 ,$344.03 ,$449.55 ,$486.50 ,$434.38 ,$556.00 ,$556.38 ,$218.10 ,$486.50 ,$218.10 ,$417.00 ,$222.46 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$218.10 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$556.38 ,$481.64 ,$218.10 ,$695.00 ,$389.90 ,$218.10 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$229.01 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$218.10 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$695.00 ,$500.40 ,$130.00 ,$695.00 ,$556.38 ,$130.00 ,$382.25 ,$218.10 ,$194.60 ,$363.49 ,$218.10 ,$382.25 ,$218.10 ,$344.03 ,$324.11 ,$218.10 ,$344.03 ,$449.55 ,$486.50 ,$434.38 ,$556.00 ,$556.38 ,$218.10 ,$486.50 ,$218.10 ,$417.00 ,$222.46 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$218.10 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$556.38 ,$481.64 ,$218.10 ,$695.00 ,$389.90 ,$218.10 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$229.01 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$218.10 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$695.00 ,$500.40 ,$130.00 ,$695.00 ,$556.38 ,$130.00 ,$382.25 ,$218.10 ,$194.60 ,$363.49 ,$218.10 ,$382.25 ,$218.10 ,$344.03 ,$324.11 ,$218.10 ,$344.03 ,$449.55 ,$486.50 ,$434.38 ,$556.00 ,$556.38 ,$218.10 ,$486.50 ,$218.10 ,$417.00 ,$222.46 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$218.10 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$556.38 ,$481.64 ,$218.10 ,$695.00 ,$389.90 ,$218.10 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$229.01 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$218.10 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$695.00 ,$500.40 ,$105.51 ,$695.00 ,$269.15 ,$130.00 ,$382.25 ,$105.51 ,$194.60 ,$363.49 ,$105.51 ,$382.25 ,$105.51 ,$344.03 ,$147.88 ,$105.51 ,$344.03 ,$217.47 ,$486.50 ,$434.38 ,$556.00 ,$269.15 ,$105.51 ,$486.50 ,$105.51 ,$417.00 ,$107.61 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$105.51 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$269.15 ,$481.64 ,$105.51 ,$695.00 ,$389.90 ,$105.51 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$110.78 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$105.51 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$695.00 ,$500.40 ,$105.51 ,$695.00 ,$269.15 ,$130.00 ,$382.25 ,$105.51 ,$194.60 ,$363.49 ,$105.51 ,$382.25 ,$105.51 ,$344.03 ,$147.88 ,$105.51 ,$344.03 ,$217.47 ,$486.50 ,$434.38 ,$556.00 ,$269.15 ,$105.51 ,$486.50 ,$105.51 ,$417.00 ,$107.61 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$105.51 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$269.15 ,$481.64 ,$105.51 ,$695.00 ,$389.90 ,$105.51 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$110.78 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$105.51 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$695.00 ,$500.40 ,$105.51 ,$695.00 ,$269.15 ,$130.00 ,$382.25 ,$105.51 ,$194.60 ,$363.49 ,$105.51 ,$382.25 ,$105.51 ,$344.03 ,$147.88 ,$105.51 ,$344.03 ,$217.47 ,$486.50 ,$434.38 ,$556.00 ,$269.15 ,$105.51 ,$486.50 ,$105.51 ,$417.00 ,$107.61 ,$521.25 ,$383.64 ,$346.11 ,$383.64 ,$105.51 ,$383.64 ,$195.00 ,$695.00 ,$195.00 ,$590.75 ,$269.15 ,$481.64 ,$105.51 ,$695.00 ,$389.90 ,$105.51 ,$182.09 ,$695.00 ,$180.74 ,$172.53 ,$110.78 ,$556.00 ,$344.03 ,$194.60 ,$625.50 ,$264.10 ,$241.00 ,$105.51 ,$333.60 
ST. MARY'S HOSPITAL - DECATUR,44400084,92611,HC DYSPHAGIA EVAL-VIDEO 75MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,44400085,92611,HC DYSPHAGIA EVAL-VIDEO 90MIN,444,1 ,$627.00 ,$451.44 ,$38.44 ,$627.00 ,$223.43 ,$130.00 ,$344.85 ,$87.58 ,$175.56 ,$327.92 ,$87.58 ,$344.85 ,$87.58 ,$310.37 ,$130.78 ,$87.58 ,$310.37 ,$180.53 ,$438.90 ,$391.88 ,$501.60 ,$223.43 ,$87.58 ,$438.90 ,$87.58 ,$376.20 ,$89.34 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$87.58 ,$346.10 ,$195.00 ,$627.00 ,$195.00 ,$532.95 ,$223.43 ,$434.51 ,$87.58 ,$627.00 ,$351.75 ,$87.58 ,$164.27 ,$627.00 ,$40.27 ,$38.44 ,$91.96 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$241.00 ,$87.58 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,"$1,140.00 ",$820.80 ,$298.68 ,"$1,140.00 ",$875.38 ,$604.20 ,$627.00 ,$343.15 ,$319.20 ,$596.22 ,$343.15 ,$627.00 ,$343.15 ,$564.30 ,$564.30 ,$343.15 ,$564.30 ,$707.30 ,$798.00 ,$712.50 ,$912.00 ,$875.37 ,$343.15 ,$798.00 ,$343.15 ,$684.00 ,$350.01 ,$855.00 ,$629.28 ,$567.72 ,$629.28 ,$343.15 ,$629.28 ,$923.40 ,"$1,140.00 ",$923.40 ,$969.00 ,$875.37 ,$790.02 ,$343.15 ,"$1,140.00 ",$639.54 ,$343.15 ,$298.68 ,"$1,140.00 ", N/A , N/A ,$360.31 ,$912.00 ,$564.30 ,$319.20 ,"$1,026.00 ",$433.20 ,$348.00 ,$343.15 ,$547.20 
ST. MARY'S HOSPITAL - DECATUR,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$476.00 ,$342.72 ,$124.71 ,"$1,522.75 ","$1,522.75 ",$252.28 ,$261.80 ,$596.92 ,$133.28 ,$248.95 ,$596.92 ,$261.80 ,$466.48 ,$235.62 ,$235.62 ,$466.48 ,$235.62 ,$476.00 ,$333.20 ,$297.50 ,$380.80 ,"$1,522.74 ",$596.92 ,$333.20 ,$596.92 ,$285.60 ,$466.48 ,$357.00 ,$262.75 ,$237.05 ,$262.75 ,$596.92 ,$262.75 ,$385.56 ,$476.00 ,$385.56 ,$404.60 ,$476.00 ,$329.87 ,$466.48 ,$476.00 ,$267.04 ,$596.92 ,$124.71 ,$476.00 , N/A , N/A ,$626.77 ,$380.80 ,$235.62 ,$133.28 ,$428.40 ,$180.88 ,$348.00 ,$596.92 ,$228.48 
ST. MARY'S HOSPITAL - DECATUR,45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$1,770.00 ","$1,274.40 ",$348.00 ,"$1,770.00 ","$1,522.75 ",$938.10 ,$973.50 ,$596.92 ,$495.60 ,$925.71 ,$596.92 ,$973.50 ,$596.92 ,$876.15 ,$876.15 ,$596.92 ,$876.15 ,"$1,230.38 ","$1,239.00 ","$1,106.25 ","$1,416.00 ","$1,522.74 ",$596.92 ,"$1,239.00 ",$596.92 ,"$1,062.00 ",$608.85 ,"$1,327.50 ",$977.04 ,$881.46 ,$977.04 ,$596.92 ,$977.04 ,"$1,433.70 ","$1,770.00 ","$1,433.70 ","$1,504.50 ","$1,522.74 ","$1,226.61 ",$596.92 ,"$1,770.00 ",$992.97 ,$596.92 ,$463.74 ,"$1,770.00 ", N/A , N/A ,$626.77 ,"$1,416.00 ",$876.15 ,$495.60 ,"$1,593.00 ",$672.60 ,$348.00 ,$596.92 ,$849.60 
ST. MARY'S HOSPITAL - DECATUR,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$476.00 ,$342.72 ,$124.71 ,$875.38 ,$875.38 ,$252.28 ,$261.80 ,$343.15 ,$133.28 ,$248.95 ,$343.15 ,$261.80 ,$343.15 ,$235.62 ,$235.62 ,$343.15 ,$235.62 ,$476.00 ,$333.20 ,$297.50 ,$380.80 ,$875.37 ,$343.15 ,$333.20 ,$343.15 ,$285.60 ,$350.01 ,$357.00 ,$262.75 ,$237.05 ,$262.75 ,$343.15 ,$262.75 ,$385.56 ,$476.00 ,$385.56 ,$404.60 ,$476.00 ,$329.87 ,$343.15 ,$476.00 ,$267.04 ,$343.15 ,$124.71 ,$476.00 , N/A , N/A ,$360.31 ,$380.80 ,$235.62 ,$133.28 ,$428.40 ,$180.88 ,$348.00 ,$343.15 ,$228.48 
ST. MARY'S HOSPITAL - DECATUR,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$299.00 ,$215.28 ,$78.34 ,$423.73 ,$423.73 ,$158.47 ,$164.45 ,$166.10 ,$83.72 ,$156.38 ,$166.10 ,$164.45 ,$166.10 ,$148.01 ,$148.01 ,$166.10 ,$148.01 ,$299.00 ,$209.30 ,$186.88 ,$239.20 ,$423.71 ,$166.10 ,$209.30 ,$166.10 ,$179.40 ,$169.41 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$166.10 ,$165.05 ,$242.19 ,$299.00 ,$242.19 ,$254.15 ,$299.00 ,$207.21 ,$166.10 ,$299.00 ,$167.74 ,$166.10 ,$78.34 ,$299.00 , N/A , N/A ,$174.40 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$299.00 ,$166.10 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$197.00 ,$141.84 ,$51.61 ,$197.00 , N/A ,$104.41 ,$108.35 , N/A ,$55.16 ,$103.03 , N/A ,$108.35 , N/A ,$97.52 ,$97.52 , N/A ,$97.52 , N/A ,$137.90 ,$123.13 ,$157.60 , N/A , N/A ,$137.90 , N/A ,$118.20 , N/A ,$147.75 ,$108.74 ,$98.11 ,$108.74 , N/A ,$108.74 ,$159.57 ,$197.00 ,$159.57 ,$167.45 , N/A ,$136.52 , N/A ,$197.00 ,$110.52 , N/A ,$51.61 ,$197.00 , N/A , N/A , N/A ,$157.60 ,$97.52 ,$55.16 ,$177.30 ,$74.86 ,$197.00 , N/A ,$94.56 
ST. MARY'S HOSPITAL - DECATUR,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000012,11760,HC REPAIR NAIL BED,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,"$1,147.00 ",$825.84 ,$300.51 ,"$1,147.00 ",$875.38 ,$607.91 ,$630.85 ,$343.15 ,$321.16 ,$599.88 ,$343.15 ,$630.85 ,$343.15 ,$567.77 ,$567.77 ,$343.15 ,$567.77 ,$707.30 ,$802.90 ,$716.88 ,$917.60 ,$875.37 ,$343.15 ,$802.90 ,$343.15 ,$688.20 ,$350.01 ,$860.25 ,$633.14 ,$571.21 ,$633.14 ,$343.15 ,$633.14 ,$929.07 ,"$1,147.00 ",$929.07 ,$974.95 ,$875.37 ,$794.87 ,$343.15 ,"$1,147.00 ",$643.47 ,$343.15 ,$300.51 ,"$1,147.00 ", N/A , N/A ,$360.31 ,$917.60 ,$567.77 ,$321.16 ,"$1,032.30 ",$435.86 ,$348.00 ,$343.15 ,$550.56 
ST. MARY'S HOSPITAL - DECATUR,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$497.00 ,$357.84 ,$130.21 ,$497.00 ,$423.73 ,$263.41 ,$273.35 ,$166.10 ,$139.16 ,$259.93 ,$166.10 ,$273.35 ,$166.10 ,$246.02 ,$246.02 ,$166.10 ,$246.02 ,$342.36 ,$347.90 ,$310.63 ,$397.60 ,$423.71 ,$166.10 ,$347.90 ,$166.10 ,$298.20 ,$169.41 ,$372.75 ,$274.34 ,$247.51 ,$274.34 ,$166.10 ,$274.34 ,$402.57 ,$497.00 ,$402.57 ,$422.45 ,$423.71 ,$344.42 ,$166.10 ,$497.00 ,$278.82 ,$166.10 ,$130.21 ,$497.00 , N/A , N/A ,$174.40 ,$397.60 ,$246.02 ,$139.16 ,$447.30 ,$188.86 ,$348.00 ,$166.10 ,$238.56 
ST. MARY'S HOSPITAL - DECATUR,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$761.00 ,$547.92 ,$166.10 ,$761.00 ,$423.73 ,$403.33 ,$418.55 ,$166.10 ,$213.08 ,$398.00 ,$166.10 ,$418.55 ,$166.10 ,$376.70 ,$376.70 ,$166.10 ,$376.70 ,$342.36 ,$532.70 ,$475.63 ,$608.80 ,$423.71 ,$166.10 ,$532.70 ,$166.10 ,$456.60 ,$169.41 ,$570.75 ,$420.07 ,$378.98 ,$420.07 ,$166.10 ,$420.07 ,$616.41 ,$761.00 ,$616.41 ,$646.85 ,$423.71 ,$527.37 ,$166.10 ,$761.00 ,$426.92 ,$166.10 ,$199.38 ,$761.00 , N/A , N/A ,$174.40 ,$608.80 ,$376.70 ,$213.08 ,$684.90 ,$289.18 ,$348.00 ,$166.10 ,$365.28 
ST. MARY'S HOSPITAL - DECATUR,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$471.00 ,$339.12 ,$123.40 ,$471.00 ,$423.73 ,$249.63 ,$259.05 ,$166.10 ,$131.88 ,$246.33 ,$166.10 ,$259.05 ,$166.10 ,$233.15 ,$233.15 ,$166.10 ,$233.15 ,$342.36 ,$329.70 ,$294.38 ,$376.80 ,$423.71 ,$166.10 ,$329.70 ,$166.10 ,$282.60 ,$169.41 ,$353.25 ,$259.99 ,$234.56 ,$259.99 ,$166.10 ,$259.99 ,$381.51 ,$471.00 ,$381.51 ,$400.35 ,$423.71 ,$326.40 ,$166.10 ,$471.00 ,$264.23 ,$166.10 ,$123.40 ,$471.00 , N/A , N/A ,$174.40 ,$376.80 ,$233.15 ,$131.88 ,$423.90 ,$178.98 ,$348.00 ,$166.10 ,$226.08 
ST. MARY'S HOSPITAL - DECATUR,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,"$1,522.00 ","$1,095.84 ",$166.10 ,"$1,522.00 ",$423.73 ,$806.66 ,$837.10 ,$166.10 ,$426.16 ,$796.01 ,$166.10 ,$837.10 ,$166.10 ,$753.39 ,$753.39 ,$166.10 ,$753.39 ,$342.36 ,"$1,065.40 ",$951.25 ,"$1,217.60 ",$423.71 ,$166.10 ,"$1,065.40 ",$166.10 ,$913.20 ,$169.41 ,"$1,141.50 ",$840.14 ,$757.96 ,$840.14 ,$166.10 ,$840.14 ,"$1,232.82 ","$1,522.00 ","$1,232.82 ","$1,293.70 ",$423.71 ,"$1,054.75 ",$166.10 ,"$1,522.00 ",$853.84 ,$166.10 ,$398.76 ,"$1,522.00 ", N/A , N/A ,$174.40 ,"$1,217.60 ",$753.39 ,$426.16 ,"$1,369.80 ",$578.36 ,$348.00 ,$166.10 ,$730.56 
ST. MARY'S HOSPITAL - DECATUR,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$445.00 ,$320.40 ,$116.59 ,$445.00 ,$423.73 ,$235.85 ,$244.75 ,$166.10 ,$124.60 ,$232.74 ,$166.10 ,$244.75 ,$166.10 ,$220.28 ,$220.28 ,$166.10 ,$220.28 ,$342.36 ,$311.50 ,$278.13 ,$356.00 ,$423.71 ,$166.10 ,$311.50 ,$166.10 ,$267.00 ,$169.41 ,$333.75 ,$245.64 ,$221.61 ,$245.64 ,$166.10 ,$245.64 ,$360.45 ,$445.00 ,$360.45 ,$378.25 ,$423.71 ,$308.39 ,$166.10 ,$445.00 ,$249.65 ,$166.10 ,$116.59 ,$445.00 , N/A , N/A ,$174.40 ,$356.00 ,$220.28 ,$124.60 ,$400.50 ,$169.10 ,$348.00 ,$166.10 ,$213.60 
ST. MARY'S HOSPITAL - DECATUR,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$445.00 ,$320.40 ,$116.59 ,$445.00 ,$423.73 ,$235.85 ,$244.75 ,$166.10 ,$124.60 ,$232.74 ,$166.10 ,$244.75 ,$166.10 ,$220.28 ,$220.28 ,$166.10 ,$220.28 ,$342.36 ,$311.50 ,$278.13 ,$356.00 ,$423.71 ,$166.10 ,$311.50 ,$166.10 ,$267.00 ,$169.41 ,$333.75 ,$245.64 ,$221.61 ,$245.64 ,$166.10 ,$245.64 ,$360.45 ,$445.00 ,$360.45 ,$378.25 ,$423.71 ,$308.39 ,$166.10 ,$445.00 ,$249.65 ,$166.10 ,$116.59 ,$445.00 , N/A , N/A ,$174.40 ,$356.00 ,$220.28 ,$124.60 ,$400.50 ,$169.10 ,$348.00 ,$166.10 ,$213.60 
ST. MARY'S HOSPITAL - DECATUR,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$422.00 ,$303.84 ,$110.56 ,$423.73 ,$423.73 ,$223.66 ,$232.10 ,$166.10 ,$118.16 ,$220.71 ,$166.10 ,$232.10 ,$166.10 ,$208.89 ,$208.89 ,$166.10 ,$208.89 ,$342.36 ,$295.40 ,$263.75 ,$337.60 ,$423.71 ,$166.10 ,$295.40 ,$166.10 ,$253.20 ,$169.41 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$166.10 ,$232.94 ,$341.82 ,$422.00 ,$341.82 ,$358.70 ,$422.00 ,$292.45 ,$166.10 ,$422.00 ,$236.74 ,$166.10 ,$110.56 ,$422.00 , N/A , N/A ,$174.40 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$348.00 ,$166.10 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$422.00 ,$303.84 ,$110.56 ,$423.73 ,$423.73 ,$223.66 ,$232.10 ,$166.10 ,$118.16 ,$220.71 ,$166.10 ,$232.10 ,$166.10 ,$208.89 ,$208.89 ,$166.10 ,$208.89 ,$342.36 ,$295.40 ,$263.75 ,$337.60 ,$423.71 ,$166.10 ,$295.40 ,$166.10 ,$253.20 ,$169.41 ,$316.50 ,$232.94 ,$210.16 ,$232.94 ,$166.10 ,$232.94 ,$341.82 ,$422.00 ,$341.82 ,$358.70 ,$422.00 ,$292.45 ,$166.10 ,$422.00 ,$236.74 ,$166.10 ,$110.56 ,$422.00 , N/A , N/A ,$174.40 ,$337.60 ,$208.89 ,$118.16 ,$379.80 ,$160.36 ,$348.00 ,$166.10 ,$202.56 
ST. MARY'S HOSPITAL - DECATUR,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000025,12017,HC SIMP F/E/E/N/L/MM 20.1-30.0CM,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000027,12020,HC SIMP SUPERFICIAL DEHISCENCE,450,1 ,"$1,635.00 ","$1,177.20 ",$348.00 ,"$1,635.00 ","$1,363.15 ",$866.55 ,$899.25 ,$534.35 ,$457.80 ,$855.11 ,$534.35 ,$899.25 ,$534.35 ,$809.33 ,$809.33 ,$534.35 ,$809.33 ,"$1,101.42 ","$1,144.50 ","$1,021.88 ","$1,308.00 ","$1,363.14 ",$534.35 ,"$1,144.50 ",$534.35 ,$981.00 ,$545.04 ,"$1,226.25 ",$902.52 ,$814.23 ,$902.52 ,$534.35 ,$902.52 ,"$1,324.35 ","$1,635.00 ","$1,324.35 ","$1,389.75 ","$1,363.14 ","$1,133.06 ",$534.35 ,"$1,635.00 ",$917.24 ,$534.35 ,$428.37 ,"$1,635.00 ", N/A , N/A ,$561.07 ,"$1,308.00 ",$809.33 ,$457.80 ,"$1,471.50 ",$621.30 ,$348.00 ,$534.35 ,$784.80 
ST. MARY'S HOSPITAL - DECATUR,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,$964.00 ,$694.08 ,$252.57 ,$964.00 ,$875.38 ,$510.92 ,$530.20 ,$343.15 ,$269.92 ,$504.17 ,$343.15 ,$530.20 ,$343.15 ,$477.18 ,$477.18 ,$343.15 ,$477.18 ,$707.30 ,$674.80 ,$602.50 ,$771.20 ,$875.37 ,$343.15 ,$674.80 ,$343.15 ,$578.40 ,$350.01 ,$723.00 ,$532.13 ,$480.07 ,$532.13 ,$343.15 ,$532.13 ,$780.84 ,$964.00 ,$780.84 ,$819.40 ,$875.37 ,$668.05 ,$343.15 ,$964.00 ,$540.80 ,$343.15 ,$252.57 ,$964.00 , N/A , N/A ,$360.31 ,$771.20 ,$477.18 ,$269.92 ,$867.60 ,$366.32 ,$348.00 ,$343.15 ,$462.72 
ST. MARY'S HOSPITAL - DECATUR,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$480.00 ,$345.60 ,$125.76 ,$875.38 ,$875.38 ,$254.40 ,$264.00 ,$343.15 ,$134.40 ,$251.04 ,$343.15 ,$264.00 ,$343.15 ,$237.60 ,$237.60 ,$343.15 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,$875.37 ,$343.15 ,$336.00 ,$343.15 ,$288.00 ,$350.01 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$343.15 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$343.15 ,$480.00 ,$269.28 ,$343.15 ,$125.76 ,$480.00 , N/A , N/A ,$360.31 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$343.15 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$480.00 ,$345.60 ,$125.76 ,$875.38 ,$875.38 ,$254.40 ,$264.00 ,$343.15 ,$134.40 ,$251.04 ,$343.15 ,$264.00 ,$343.15 ,$237.60 ,$237.60 ,$343.15 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,$875.37 ,$343.15 ,$336.00 ,$343.15 ,$288.00 ,$350.01 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$343.15 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$343.15 ,$480.00 ,$269.28 ,$343.15 ,$125.76 ,$480.00 , N/A , N/A ,$360.31 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$343.15 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$472.00 ,$339.84 ,$123.66 ,$875.38 ,$875.38 ,$250.16 ,$259.60 ,$343.15 ,$132.16 ,$246.86 ,$343.15 ,$259.60 ,$343.15 ,$233.64 ,$233.64 ,$343.15 ,$233.64 ,$472.00 ,$330.40 ,$295.00 ,$377.60 ,$875.37 ,$343.15 ,$330.40 ,$343.15 ,$283.20 ,$350.01 ,$354.00 ,$260.54 ,$235.06 ,$260.54 ,$343.15 ,$260.54 ,$382.32 ,$472.00 ,$382.32 ,$401.20 ,$472.00 ,$327.10 ,$343.15 ,$472.00 ,$264.79 ,$343.15 ,$123.66 ,$472.00 , N/A , N/A ,$360.31 ,$377.60 ,$233.64 ,$132.16 ,$424.80 ,$179.36 ,$348.00 ,$343.15 ,$226.56 
ST. MARY'S HOSPITAL - DECATUR,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$472.00 ,$339.84 ,$123.66 ,$875.38 ,$875.38 ,$250.16 ,$259.60 ,$343.15 ,$132.16 ,$246.86 ,$343.15 ,$259.60 ,$343.15 ,$233.64 ,$233.64 ,$343.15 ,$233.64 ,$472.00 ,$330.40 ,$295.00 ,$377.60 ,$875.37 ,$343.15 ,$330.40 ,$343.15 ,$283.20 ,$350.01 ,$354.00 ,$260.54 ,$235.06 ,$260.54 ,$343.15 ,$260.54 ,$382.32 ,$472.00 ,$382.32 ,$401.20 ,$472.00 ,$327.10 ,$343.15 ,$472.00 ,$264.79 ,$343.15 ,$123.66 ,$472.00 , N/A , N/A ,$360.31 ,$377.60 ,$233.64 ,$132.16 ,$424.80 ,$179.36 ,$348.00 ,$343.15 ,$226.56 
ST. MARY'S HOSPITAL - DECATUR,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$472.00 ,$339.84 ,$123.66 ,$875.38 ,$875.38 ,$250.16 ,$259.60 ,$343.15 ,$132.16 ,$246.86 ,$343.15 ,$259.60 ,$343.15 ,$233.64 ,$233.64 ,$343.15 ,$233.64 ,$472.00 ,$330.40 ,$295.00 ,$377.60 ,$875.37 ,$343.15 ,$330.40 ,$343.15 ,$283.20 ,$350.01 ,$354.00 ,$260.54 ,$235.06 ,$260.54 ,$343.15 ,$260.54 ,$382.32 ,$472.00 ,$382.32 ,$401.20 ,$472.00 ,$327.10 ,$343.15 ,$472.00 ,$264.79 ,$343.15 ,$123.66 ,$472.00 , N/A , N/A ,$360.31 ,$377.60 ,$233.64 ,$132.16 ,$424.80 ,$179.36 ,$348.00 ,$343.15 ,$226.56 
ST. MARY'S HOSPITAL - DECATUR,45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,$480.00 ,$345.60 ,$125.76 ,$875.38 ,$875.38 ,$254.40 ,$264.00 ,$343.15 ,$134.40 ,$251.04 ,$343.15 ,$264.00 ,$343.15 ,$237.60 ,$237.60 ,$343.15 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,$875.37 ,$343.15 ,$336.00 ,$343.15 ,$288.00 ,$350.01 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$343.15 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$343.15 ,$480.00 ,$269.28 ,$343.15 ,$125.76 ,$480.00 , N/A , N/A ,$360.31 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$343.15 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,$800.00 ,$576.00 ,$209.60 ,"$1,363.15 ","$1,363.15 ",$424.00 ,$440.00 ,$534.35 ,$224.00 ,$418.40 ,$534.35 ,$440.00 ,$534.35 ,$396.00 ,$396.00 ,$534.35 ,$396.00 ,$800.00 ,$560.00 ,$500.00 ,$640.00 ,"$1,363.14 ",$534.35 ,$560.00 ,$534.35 ,$480.00 ,$545.04 ,$600.00 ,$441.60 ,$398.40 ,$441.60 ,$534.35 ,$441.60 ,$648.00 ,$800.00 ,$648.00 ,$680.00 ,$800.00 ,$554.40 ,$534.35 ,$800.00 ,$448.80 ,$534.35 ,$209.60 ,$800.00 , N/A , N/A ,$561.07 ,$640.00 ,$396.00 ,$224.00 ,$720.00 ,$304.00 ,$348.00 ,$534.35 ,$384.00 
ST. MARY'S HOSPITAL - DECATUR,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$889.00 ,$640.08 ,$232.92 ,"$1,363.15 ","$1,363.15 ",$471.17 ,$488.95 ,$534.35 ,$248.92 ,$464.95 ,$534.35 ,$488.95 ,$534.35 ,$440.06 ,$440.06 ,$534.35 ,$440.06 ,$889.00 ,$622.30 ,$555.63 ,$711.20 ,"$1,363.14 ",$534.35 ,$622.30 ,$534.35 ,$533.40 ,$545.04 ,$666.75 ,$490.73 ,$442.72 ,$490.73 ,$534.35 ,$490.73 ,$720.09 ,$889.00 ,$720.09 ,$755.65 ,$889.00 ,$616.08 ,$534.35 ,$889.00 ,$498.73 ,$534.35 ,$232.92 ,$889.00 , N/A , N/A ,$561.07 ,$711.20 ,$440.06 ,$248.92 ,$800.10 ,$337.82 ,$348.00 ,$534.35 ,$426.72 
ST. MARY'S HOSPITAL - DECATUR,45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,$571.00 ,$411.12 ,$149.60 ,$571.00 , N/A ,$302.63 ,$314.05 , N/A ,$159.88 ,$298.63 , N/A ,$314.05 , N/A ,$282.65 ,$282.65 , N/A ,$282.65 , N/A ,$399.70 ,$356.88 ,$456.80 , N/A , N/A ,$399.70 , N/A ,$342.60 , N/A ,$428.25 ,$315.19 ,$284.36 ,$315.19 , N/A ,$315.19 ,$462.51 ,$571.00 ,$462.51 ,$485.35 , N/A ,$395.70 , N/A ,$571.00 ,$320.33 , N/A ,$149.60 ,$571.00 , N/A , N/A , N/A ,$456.80 ,$282.65 ,$159.88 ,$513.90 ,$216.98 ,$348.00 , N/A ,$274.08 
ST. MARY'S HOSPITAL - DECATUR,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,"$1,756.00 ","$1,264.32 ",$343.15 ,"$1,756.00 ",$875.38 ,$930.68 ,$965.80 ,$343.15 ,$491.68 ,$918.39 ,$343.15 ,$965.80 ,$343.15 ,$869.22 ,$869.22 ,$343.15 ,$869.22 ,$707.30 ,"$1,229.20 ","$1,097.50 ","$1,404.80 ",$875.37 ,$343.15 ,"$1,229.20 ",$343.15 ,"$1,053.60 ",$350.01 ,"$1,317.00 ",$969.31 ,$874.49 ,$969.31 ,$343.15 ,$969.31 ,"$1,422.36 ","$1,756.00 ","$1,422.36 ","$1,492.60 ",$875.37 ,"$1,216.91 ",$343.15 ,"$1,756.00 ",$985.12 ,$343.15 ,$460.07 ,"$1,756.00 ", N/A , N/A ,$360.31 ,"$1,404.80 ",$869.22 ,$491.68 ,"$1,580.40 ",$667.28 ,$348.00 ,$343.15 ,$842.88 
ST. MARY'S HOSPITAL - DECATUR,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,"$1,085.00 ",$781.20 ,$284.27 ,"$1,363.15 ","$1,363.15 ",$575.05 ,$596.75 ,$534.35 ,$303.80 ,$567.46 ,$534.35 ,$596.75 ,$534.35 ,$537.08 ,$537.08 ,$534.35 ,$537.08 ,"$1,085.00 ",$759.50 ,$678.13 ,$868.00 ,"$1,363.14 ",$534.35 ,$759.50 ,$534.35 ,$651.00 ,$545.04 ,$813.75 ,$598.92 ,$540.33 ,$598.92 ,$534.35 ,$598.92 ,$878.85 ,"$1,085.00 ",$878.85 ,$922.25 ,"$1,085.00 ",$751.91 ,$534.35 ,"$1,085.00 ",$608.69 ,$534.35 ,$284.27 ,"$1,085.00 ", N/A , N/A ,$561.07 ,$868.00 ,$537.08 ,$303.80 ,$976.50 ,$412.30 ,$348.00 ,$534.35 ,$520.80 
ST. MARY'S HOSPITAL - DECATUR,45000056,13133,HC CMPLX F/C/C/M/N/A/G/H/F EA ADDL 5 CM OR LESS,450,1 ,"$1,641.00 ","$1,181.52 ",$348.00 ,"$1,641.00 ", N/A ,$869.73 ,$902.55 , N/A ,$459.48 ,$858.24 , N/A ,$902.55 , N/A ,$812.30 ,$812.30 , N/A ,$812.30 , N/A ,"$1,148.70 ","$1,025.63 ","$1,312.80 ", N/A , N/A ,"$1,148.70 ", N/A ,$984.60 , N/A ,"$1,230.75 ",$905.83 ,$817.22 ,$905.83 , N/A ,$905.83 ,"$1,329.21 ","$1,641.00 ","$1,329.21 ","$1,394.85 ", N/A ,"$1,137.21 ", N/A ,"$1,641.00 ",$920.60 , N/A ,$429.94 ,"$1,641.00 ", N/A , N/A , N/A ,"$1,312.80 ",$812.30 ,$459.48 ,"$1,476.90 ",$623.58 ,$348.00 , N/A ,$787.68 
ST. MARY'S HOSPITAL - DECATUR,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,"$3,345.00 ","$2,408.40 ",$348.00 ,"$3,345.00 ","$1,363.15 ","$1,772.85 ","$1,839.75 ",$534.35 ,$936.60 ,"$1,749.44 ",$534.35 ,"$1,839.75 ",$534.35 ,"$1,655.78 ","$1,655.78 ",$534.35 ,"$1,655.78 ","$1,101.42 ","$2,341.50 ","$2,090.63 ","$2,676.00 ","$1,363.14 ",$534.35 ,"$2,341.50 ",$534.35 ,"$2,007.00 ",$545.04 ,"$2,508.75 ","$1,665.81 ","$1,498.56 ","$1,665.81 ",$534.35 ,"$1,665.81 ","$2,709.45 ","$3,345.00 ","$2,709.45 ","$2,843.25 ","$1,363.14 ","$2,318.09 ",$534.35 ,"$3,345.00 ","$1,876.55 ",$534.35 ,$876.39 ,"$3,345.00 ", N/A , N/A ,$561.07 ,"$2,676.00 ","$1,655.78 ",$936.60 ,"$3,010.50 ","$1,271.10 ",$348.00 ,$534.35 ,"$1,605.60 "
ST. MARY'S HOSPITAL - DECATUR,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,"$1,225.00 ",$882.00 ,$166.10 ,"$1,225.00 ",$423.73 ,$649.25 ,$673.75 ,$166.10 ,$343.00 ,$640.68 ,$166.10 ,$673.75 ,$166.10 ,$606.38 ,$606.38 ,$166.10 ,$606.38 ,$342.36 ,$857.50 ,$765.63 ,$980.00 ,$423.71 ,$166.10 ,$857.50 ,$166.10 ,$735.00 ,$169.41 ,$918.75 ,$676.20 ,$610.05 ,$676.20 ,$166.10 ,$676.20 ,$992.25 ,"$1,225.00 ",$992.25 ,"$1,041.25 ",$423.71 ,$848.93 ,$166.10 ,"$1,225.00 ",$687.23 ,$166.10 ,$320.95 ,"$1,225.00 ", N/A , N/A ,$174.40 ,$980.00 ,$606.38 ,$343.00 ,"$1,102.50 ",$465.50 ,$348.00 ,$166.10 ,$588.00 
ST. MARY'S HOSPITAL - DECATUR,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$288.00 ,$207.36 ,$75.46 ,$423.73 ,$423.73 ,$152.64 ,$158.40 ,$166.10 ,$80.64 ,$150.62 ,$166.10 ,$158.40 ,$166.10 ,$142.56 ,$142.56 ,$166.10 ,$142.56 ,$288.00 ,$201.60 ,$180.00 ,$230.40 ,$423.71 ,$166.10 ,$201.60 ,$166.10 ,$172.80 ,$169.41 ,$216.00 ,$158.98 ,$143.42 ,$158.98 ,$166.10 ,$158.98 ,$233.28 ,$288.00 ,$233.28 ,$244.80 ,$288.00 ,$199.58 ,$166.10 ,$288.00 ,$161.57 ,$166.10 ,$75.46 ,$288.00 , N/A , N/A ,$174.40 ,$230.40 ,$142.56 ,$80.64 ,$259.20 ,$109.44 ,$288.00 ,$166.10 ,$138.24 
ST. MARY'S HOSPITAL - DECATUR,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$939.00 ,$676.08 ,$166.10 ,$939.00 ,$423.73 ,$497.67 ,$516.45 ,$166.10 ,$262.92 ,$491.10 ,$166.10 ,$516.45 ,$166.10 ,$464.81 ,$464.81 ,$166.10 ,$464.81 ,$342.36 ,$657.30 ,$586.88 ,$751.20 ,$423.71 ,$166.10 ,$657.30 ,$166.10 ,$563.40 ,$169.41 ,$704.25 ,$518.33 ,$467.62 ,$518.33 ,$166.10 ,$518.33 ,$760.59 ,$939.00 ,$760.59 ,$798.15 ,$423.71 ,$650.73 ,$166.10 ,$939.00 ,$526.78 ,$166.10 ,$246.02 ,$939.00 , N/A , N/A ,$174.40 ,$751.20 ,$464.81 ,$262.92 ,$845.10 ,$356.82 ,$348.00 ,$166.10 ,$450.72 
ST. MARY'S HOSPITAL - DECATUR,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,"$1,194.00 ",$859.68 ,$312.83 ,"$1,194.00 ",$875.38 ,$632.82 ,$656.70 ,$343.15 ,$334.32 ,$624.46 ,$343.15 ,$656.70 ,$343.15 ,$591.03 ,$591.03 ,$343.15 ,$591.03 ,$707.30 ,$835.80 ,$746.25 ,$955.20 ,$875.37 ,$343.15 ,$835.80 ,$343.15 ,$716.40 ,$350.01 ,$895.50 ,$659.09 ,$594.61 ,$659.09 ,$343.15 ,$659.09 ,$967.14 ,"$1,194.00 ",$967.14 ,"$1,014.90 ",$875.37 ,$827.44 ,$343.15 ,"$1,194.00 ",$669.83 ,$343.15 ,$312.83 ,"$1,194.00 ", N/A , N/A ,$360.31 ,$955.20 ,$591.03 ,$334.32 ,"$1,074.60 ",$453.72 ,$348.00 ,$343.15 ,$573.12 
ST. MARY'S HOSPITAL - DECATUR,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$843.00 ,$606.96 ,$166.10 ,$843.00 ,$423.73 ,$446.79 ,$463.65 ,$166.10 ,$236.04 ,$440.89 ,$166.10 ,$463.65 ,$166.10 ,$417.29 ,$417.29 ,$166.10 ,$417.29 ,$342.36 ,$590.10 ,$526.88 ,$674.40 ,$423.71 ,$166.10 ,$590.10 ,$166.10 ,$505.80 ,$169.41 ,$632.25 ,$465.34 ,$419.81 ,$465.34 ,$166.10 ,$465.34 ,$682.83 ,$843.00 ,$682.83 ,$716.55 ,$423.71 ,$584.20 ,$166.10 ,$843.00 ,$472.92 ,$166.10 ,$220.87 ,$843.00 , N/A , N/A ,$174.40 ,$674.40 ,$417.29 ,$236.04 ,$758.70 ,$320.34 ,$348.00 ,$166.10 ,$404.64 
ST. MARY'S HOSPITAL - DECATUR,45000068,20103,HC EXPL PENTR WOUND EXTREMITY,450,1 ,"$1,178.00 ",$848.16 ,$308.64 ,"$3,518.55 ","$3,518.55 ",$624.34 ,$647.90 ,"$1,379.27 ",$329.84 ,$616.09 ,"$1,379.27 ",$647.90 ,"$1,154.44 ",$583.11 ,$583.11 ,"$1,154.44 ",$583.11 ,"$1,178.00 ",$824.60 ,$736.25 ,$942.40 ,"$3,518.54 ","$1,379.27 ",$824.60 ,"$1,379.27 ",$706.80 ,"$1,154.44 ",$883.50 ,$650.26 ,$586.64 ,$650.26 ,"$1,379.27 ",$650.26 ,$954.18 ,"$1,178.00 ",$954.18 ,"$1,001.30 ","$1,178.00 ",$816.35 ,"$1,154.44 ","$1,178.00 ",$660.86 ,"$1,379.27 ",$308.64 ,"$1,178.00 ", N/A , N/A ,"$1,448.23 ",$942.40 ,$583.11 ,$329.84 ,"$1,060.20 ",$447.64 ,$348.00 ,"$1,379.27 ",$565.44 
ST. MARY'S HOSPITAL - DECATUR,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$623.00 ,$448.56 ,$163.23 ,$637.98 ,$637.98 ,$330.19 ,$342.65 ,$250.09 ,$174.44 ,$325.83 ,$250.09 ,$342.65 ,$250.09 ,$308.39 ,$308.39 ,$250.09 ,$308.39 ,$515.47 ,$436.10 ,$389.38 ,$498.40 ,$637.96 ,$250.09 ,$436.10 ,$250.09 ,$373.80 ,$255.08 ,$467.25 ,$343.90 ,$310.25 ,$343.90 ,$250.09 ,$343.90 ,$504.63 ,$623.00 ,$504.63 ,$529.55 ,$623.00 ,$431.74 ,$250.09 ,$623.00 ,$349.50 ,$250.09 ,$163.23 ,$623.00 , N/A , N/A ,$262.59 ,$498.40 ,$308.39 ,$174.44 ,$560.70 ,$236.74 ,$348.00 ,$250.09 ,$299.04 
ST. MARY'S HOSPITAL - DECATUR,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$833.00 ,$599.76 ,$218.25 ,$833.00 ,$637.98 ,$441.49 ,$458.15 ,$250.09 ,$233.24 ,$435.66 ,$250.09 ,$458.15 ,$250.09 ,$412.34 ,$412.34 ,$250.09 ,$412.34 ,$515.47 ,$583.10 ,$520.63 ,$666.40 ,$637.96 ,$250.09 ,$583.10 ,$250.09 ,$499.80 ,$255.08 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$250.09 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$637.96 ,$577.27 ,$250.09 ,$833.00 ,$467.31 ,$250.09 ,$218.25 ,$833.00 , N/A , N/A ,$262.59 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$316.54 ,$348.00 ,$250.09 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,541.00 ","$1,109.52 ",$250.09 ,"$1,541.00 ",$637.98 ,$816.73 ,$847.55 ,$250.09 ,$431.48 ,$805.94 ,$250.09 ,$847.55 ,$250.09 ,$762.80 ,$762.80 ,$250.09 ,$762.80 ,$515.47 ,"$1,078.70 ",$963.13 ,"$1,232.80 ",$637.96 ,$250.09 ,"$1,078.70 ",$250.09 ,$924.60 ,$255.08 ,"$1,155.75 ",$850.63 ,$767.42 ,$850.63 ,$250.09 ,$850.63 ,"$1,248.21 ","$1,541.00 ","$1,248.21 ","$1,309.85 ",$637.96 ,"$1,067.91 ",$250.09 ,"$1,541.00 ",$864.50 ,$250.09 ,$403.74 ,"$1,541.00 ", N/A , N/A ,$262.59 ,"$1,232.80 ",$762.80 ,$431.48 ,"$1,386.90 ",$585.58 ,$348.00 ,$250.09 ,$739.68 
ST. MARY'S HOSPITAL - DECATUR,45000072,20612,HC INJ GANGLION CYST,450,1 ,"$1,008.00 ",$725.76 ,$250.09 ,"$1,008.00 ",$637.98 ,$534.24 ,$554.40 ,$250.09 ,$282.24 ,$527.18 ,$250.09 ,$554.40 ,$250.09 ,$498.96 ,$498.96 ,$250.09 ,$498.96 ,$515.47 ,$705.60 ,$630.00 ,$806.40 ,$637.96 ,$250.09 ,$705.60 ,$250.09 ,$604.80 ,$255.08 ,$756.00 ,$556.42 ,$501.98 ,$556.42 ,$250.09 ,$556.42 ,$816.48 ,"$1,008.00 ",$816.48 ,$856.80 ,$637.96 ,$698.54 ,$250.09 ,"$1,008.00 ",$565.49 ,$250.09 ,$264.10 ,"$1,008.00 ", N/A , N/A ,$262.59 ,$806.40 ,$498.96 ,$282.24 ,$907.20 ,$383.04 ,$348.00 ,$250.09 ,$483.84 
ST. MARY'S HOSPITAL - DECATUR,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,"$2,603.00 ","$1,874.16 ",$190.40 ,"$2,603.00 ",$485.73 ,"$1,379.59 ","$1,431.65 ",$190.40 ,$728.84 ,"$1,361.37 ",$190.40 ,"$1,431.65 ",$190.40 ,"$1,288.49 ","$1,288.49 ",$190.40 ,"$1,288.49 ",$392.47 ,"$1,822.10 ","$1,626.88 ","$2,082.40 ",$485.73 ,$190.40 ,"$1,822.10 ",$190.40 ,"$1,561.80 ",$194.22 ,"$1,952.25 ","$1,436.86 ","$1,296.29 ","$1,436.86 ",$190.40 ,"$1,436.86 ","$2,108.43 ","$2,603.00 ","$2,108.43 ","$2,212.55 ",$485.73 ,"$1,803.88 ",$190.40 ,"$2,603.00 ","$1,460.28 ",$190.40 ,$681.99 ,"$2,603.00 ", N/A , N/A ,$199.92 ,"$2,082.40 ","$1,288.49 ",$728.84 ,"$2,342.70 ",$989.14 ,$348.00 ,$190.40 ,"$1,249.44 "
ST. MARY'S HOSPITAL - DECATUR,45000077,24605,HC CL TX ELBOW DISLOCATION W ANESTH,450,1 ,"$3,821.00 ","$2,751.12 ",$348.00 ,"$3,821.00 ","$3,365.95 ","$2,025.13 ","$2,101.55 ","$1,319.45 ","$1,069.88 ","$1,998.38 ","$1,319.45 ","$2,101.55 ","$1,319.45 ","$1,891.40 ","$1,891.40 ","$1,319.45 ","$1,891.40 ","$2,719.69 ","$2,674.70 ","$2,388.13 ","$3,056.80 ","$3,365.96 ","$1,319.45 ","$2,674.70 ","$1,319.45 ","$2,292.60 ","$1,345.84 ","$2,865.75 ","$1,902.86 ","$1,711.81 ","$1,902.86 ","$1,319.45 ","$1,902.86 ","$3,095.01 ","$3,821.00 ","$3,095.01 ","$3,247.85 ","$3,365.96 ","$2,647.95 ","$1,319.45 ","$3,821.00 ","$2,143.58 ","$1,319.45 ","$1,001.10 ","$3,821.00 ", N/A , N/A ,"$1,385.43 ","$3,056.80 ","$1,891.40 ","$1,069.88 ","$3,438.90 ","$1,451.98 ",$348.00 ,"$1,319.45 ","$1,834.08 "
ST. MARY'S HOSPITAL - DECATUR,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$480.00 ,$345.60 ,$125.76 ,$485.73 ,$485.73 ,$254.40 ,$264.00 ,$190.40 ,$134.40 ,$251.04 ,$190.40 ,$264.00 ,$190.40 ,$237.60 ,$237.60 ,$190.40 ,$237.60 ,$392.47 ,$336.00 ,$300.00 ,$384.00 ,$485.73 ,$190.40 ,$336.00 ,$190.40 ,$288.00 ,$194.22 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$190.40 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$190.40 ,$480.00 ,$269.28 ,$190.40 ,$125.76 ,$480.00 , N/A , N/A ,$199.92 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$190.40 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$3,924.00 ","$2,825.28 ",$348.00 ,"$3,924.00 ","$3,518.55 ","$2,079.72 ","$2,158.20 ","$1,379.27 ","$1,098.72 ","$2,052.25 ","$1,379.27 ","$2,158.20 ","$1,379.27 ","$1,942.38 ","$1,942.38 ","$1,379.27 ","$1,942.38 ","$2,842.98 ","$2,746.80 ","$2,452.50 ","$3,139.20 ","$3,518.54 ","$1,379.27 ","$2,746.80 ","$1,379.27 ","$2,354.40 ","$1,406.86 ","$2,943.00 ","$1,954.15 ","$1,757.95 ","$1,954.15 ","$1,379.27 ","$1,954.15 ","$3,178.44 ","$3,924.00 ","$3,178.44 ","$3,335.40 ","$3,518.54 ","$2,719.33 ","$1,379.27 ","$3,924.00 ","$2,201.36 ","$1,379.27 ","$1,028.09 ","$3,924.00 ", N/A , N/A ,"$1,448.23 ","$3,139.20 ","$1,942.38 ","$1,098.72 ","$3,531.60 ","$1,491.12 ",$348.00 ,"$1,379.27 ","$1,883.52 "
ST. MARY'S HOSPITAL - DECATUR,45000085,26410,HC RPR TENDON HAND EXTEN W/O,450,1 ,"$3,673.00 ","$2,644.56 ",$348.00 ,"$3,673.00 ","$3,365.95 ","$1,946.69 ","$2,020.15 ","$1,319.45 ","$1,028.44 ","$1,920.98 ","$1,319.45 ","$2,020.15 ","$1,319.45 ","$1,818.14 ","$1,818.14 ","$1,319.45 ","$1,818.14 ","$2,719.69 ","$2,571.10 ","$2,295.63 ","$2,938.40 ","$3,365.96 ","$1,319.45 ","$2,571.10 ","$1,319.45 ","$2,203.80 ","$1,345.84 ","$2,754.75 ","$1,829.15 ","$1,645.50 ","$1,829.15 ","$1,319.45 ","$1,829.15 ","$2,975.13 ","$3,673.00 ","$2,975.13 ","$3,122.05 ","$3,365.96 ","$2,545.39 ","$1,319.45 ","$3,673.00 ","$2,060.55 ","$1,319.45 ",$962.33 ,"$3,673.00 ", N/A , N/A ,"$1,385.43 ","$2,938.40 ","$1,818.14 ","$1,028.44 ","$3,305.70 ","$1,395.74 ",$348.00 ,"$1,319.45 ","$1,763.04 "
ST. MARY'S HOSPITAL - DECATUR,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,"$1,079.00 ",$776.88 ,$190.40 ,"$1,079.00 ",$485.73 ,$571.87 ,$593.45 ,$190.40 ,$302.12 ,$564.32 ,$190.40 ,$593.45 ,$190.40 ,$534.11 ,$534.11 ,$190.40 ,$534.11 ,$392.47 ,$755.30 ,$674.38 ,$863.20 ,$485.73 ,$190.40 ,$755.30 ,$190.40 ,$647.40 ,$194.22 ,$809.25 ,$595.61 ,$537.34 ,$595.61 ,$190.40 ,$595.61 ,$873.99 ,"$1,079.00 ",$873.99 ,$917.15 ,$485.73 ,$747.75 ,$190.40 ,"$1,079.00 ",$605.32 ,$190.40 ,$282.70 ,"$1,079.00 ", N/A , N/A ,$199.92 ,$863.20 ,$534.11 ,$302.12 ,$971.10 ,$410.02 ,$348.00 ,$190.40 ,$517.92 
ST. MARY'S HOSPITAL - DECATUR,45000089,26755,HC TX FX PHALANX DIST W/MAN CLS,450,1 ,$871.00 ,$627.12 ,$190.40 ,$871.00 ,$485.73 ,$461.63 ,$479.05 ,$190.40 ,$243.88 ,$455.53 ,$190.40 ,$479.05 ,$190.40 ,$431.15 ,$431.15 ,$190.40 ,$431.15 ,$392.47 ,$609.70 ,$544.38 ,$696.80 ,$485.73 ,$190.40 ,$609.70 ,$190.40 ,$522.60 ,$194.22 ,$653.25 ,$480.79 ,$433.76 ,$480.79 ,$190.40 ,$480.79 ,$705.51 ,$871.00 ,$705.51 ,$740.35 ,$485.73 ,$603.60 ,$190.40 ,$871.00 ,$488.63 ,$190.40 ,$228.20 ,$871.00 , N/A , N/A ,$199.92 ,$696.80 ,$431.15 ,$243.88 ,$783.90 ,$330.98 ,$348.00 ,$190.40 ,$418.08 
ST. MARY'S HOSPITAL - DECATUR,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$5,282.00 ","$3,803.04 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$2,905.10 ","$2,737.89 ","$1,478.96 ","$2,762.49 ","$2,737.89 ","$2,905.10 ","$2,737.89 ","$2,614.59 ","$2,614.59 ","$2,737.89 ","$2,614.59 ","$5,282.00 ","$3,697.40 ","$3,301.25 ","$4,225.60 ","$6,984.44 ","$2,737.89 ","$3,697.40 ","$2,737.89 ","$3,169.20 ","$2,792.66 ","$3,961.50 ","$2,630.44 ","$2,366.34 ","$2,630.44 ","$2,737.89 ","$2,630.44 ","$3,900.00 ","$5,282.00 ","$3,900.00 ","$4,489.70 ","$5,282.00 ","$3,660.43 ","$2,737.89 ","$5,282.00 ","$2,963.20 ","$2,737.89 ","$1,383.88 ","$5,282.00 ", N/A , N/A ,"$2,874.79 ","$4,225.60 ","$2,614.59 ","$1,478.96 ","$4,753.80 ","$2,007.16 ",$348.00 ,"$2,737.89 ","$2,535.36 "
ST. MARY'S HOSPITAL - DECATUR,45000092,27250,HC TX DISCL HIP CLOSED W/O ANES,450,1 ,"$1,764.00 ","$1,270.08 ",$190.40 ,"$1,764.00 ",$485.73 ,$934.92 ,$970.20 ,$190.40 ,$493.92 ,$922.57 ,$190.40 ,$970.20 ,$190.40 ,$873.18 ,$873.18 ,$190.40 ,$873.18 ,$392.47 ,"$1,234.80 ","$1,102.50 ","$1,411.20 ",$485.73 ,$190.40 ,"$1,234.80 ",$190.40 ,"$1,058.40 ",$194.22 ,"$1,323.00 ",$973.73 ,$878.47 ,$973.73 ,$190.40 ,$973.73 ,"$1,428.84 ","$1,764.00 ","$1,428.84 ","$1,499.40 ",$485.73 ,"$1,222.45 ",$190.40 ,"$1,764.00 ",$989.60 ,$190.40 ,$462.17 ,"$1,764.00 ", N/A , N/A ,$199.92 ,"$1,411.20 ",$873.18 ,$493.92 ,"$1,587.60 ",$670.32 ,$348.00 ,$190.40 ,$846.72 
ST. MARY'S HOSPITAL - DECATUR,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$296.00 ,$213.12 ,$77.55 ,$485.73 ,$485.73 ,$156.88 ,$162.80 ,$190.40 ,$82.88 ,$154.81 ,$190.40 ,$162.80 ,$190.40 ,$146.52 ,$146.52 ,$190.40 ,$146.52 ,$296.00 ,$207.20 ,$185.00 ,$236.80 ,$485.73 ,$190.40 ,$207.20 ,$190.40 ,$177.60 ,$194.22 ,$222.00 ,$163.39 ,$147.41 ,$163.39 ,$190.40 ,$163.39 ,$239.76 ,$296.00 ,$239.76 ,$251.60 ,$296.00 ,$205.13 ,$190.40 ,$296.00 ,$166.06 ,$190.40 ,$77.55 ,$296.00 , N/A , N/A ,$199.92 ,$236.80 ,$146.52 ,$82.88 ,$266.40 ,$112.48 ,$296.00 ,$190.40 ,$142.08 
ST. MARY'S HOSPITAL - DECATUR,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,"$1,194.00 ",$859.68 ,$190.40 ,"$1,194.00 ",$485.73 ,$632.82 ,$656.70 ,$190.40 ,$334.32 ,$624.46 ,$190.40 ,$656.70 ,$190.40 ,$591.03 ,$591.03 ,$190.40 ,$591.03 ,$392.47 ,$835.80 ,$746.25 ,$955.20 ,$485.73 ,$190.40 ,$835.80 ,$190.40 ,$716.40 ,$194.22 ,$895.50 ,$659.09 ,$594.61 ,$659.09 ,$190.40 ,$659.09 ,$967.14 ,"$1,194.00 ",$967.14 ,"$1,014.90 ",$485.73 ,$827.44 ,$190.40 ,"$1,194.00 ",$669.83 ,$190.40 ,$312.83 ,"$1,194.00 ", N/A , N/A ,$199.92 ,$955.20 ,$591.03 ,$334.32 ,"$1,074.60 ",$453.72 ,$348.00 ,$190.40 ,$573.12 
ST. MARY'S HOSPITAL - DECATUR,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$1,825.00 ","$1,314.00 ",$348.00 ,"$1,825.00 ","$1,522.75 ",$967.25 ,"$1,003.75 ",$596.92 ,$511.00 ,$954.48 ,$596.92 ,"$1,003.75 ",$596.92 ,$903.38 ,$903.38 ,$596.92 ,$903.38 ,"$1,230.38 ","$1,277.50 ","$1,140.63 ","$1,460.00 ","$1,522.74 ",$596.92 ,"$1,277.50 ",$596.92 ,"$1,095.00 ",$608.85 ,"$1,368.75 ","$1,007.40 ",$908.85 ,"$1,007.40 ",$596.92 ,"$1,007.40 ","$1,478.25 ","$1,825.00 ","$1,478.25 ","$1,551.25 ","$1,522.74 ","$1,264.73 ",$596.92 ,"$1,825.00 ","$1,023.83 ",$596.92 ,$478.15 ,"$1,825.00 ", N/A , N/A ,$626.77 ,"$1,460.00 ",$903.38 ,$511.00 ,"$1,642.50 ",$693.50 ,$348.00 ,$596.92 ,$876.00 
ST. MARY'S HOSPITAL - DECATUR,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$702.00 ,$505.44 ,$183.92 ,$702.00 ,$562.93 ,$372.06 ,$386.10 ,$220.67 ,$196.56 ,$367.15 ,$220.67 ,$386.10 ,$220.67 ,$347.49 ,$347.49 ,$220.67 ,$347.49 ,$454.84 ,$491.40 ,$438.75 ,$561.60 ,$562.92 ,$220.67 ,$491.40 ,$220.67 ,$421.20 ,$225.08 ,$526.50 ,$387.50 ,$349.60 ,$387.50 ,$220.67 ,$387.50 ,$568.62 ,$702.00 ,$568.62 ,$596.70 ,$562.92 ,$486.49 ,$220.67 ,$702.00 ,$393.82 ,$220.67 ,$183.92 ,$702.00 , N/A , N/A ,$231.70 ,$561.60 ,$347.49 ,$196.56 ,$631.80 ,$266.76 ,$348.00 ,$220.67 ,$336.96 
ST. MARY'S HOSPITAL - DECATUR,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$316.00 ,$227.52 ,$82.79 ,$562.93 ,$562.93 ,$167.48 ,$173.80 ,$220.67 ,$88.48 ,$165.27 ,$220.67 ,$173.80 ,$220.67 ,$156.42 ,$156.42 ,$220.67 ,$156.42 ,$316.00 ,$221.20 ,$197.50 ,$252.80 ,$562.92 ,$220.67 ,$221.20 ,$220.67 ,$189.60 ,$225.08 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$220.67 ,$174.43 ,$255.96 ,$316.00 ,$255.96 ,$268.60 ,$316.00 ,$218.99 ,$220.67 ,$316.00 ,$177.28 ,$220.67 ,$82.79 ,$316.00 , N/A , N/A ,$231.70 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$316.00 ,$220.67 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$869.00 ,$625.68 ,$134.06 ,$869.00 ,$342.00 ,$460.57 ,$477.95 ,$134.06 ,$243.32 ,$454.49 ,$134.06 ,$477.95 ,$134.06 ,$430.16 ,$430.16 ,$134.06 ,$430.16 ,$276.35 ,$608.30 ,$543.13 ,$695.20 ,$342.01 ,$134.06 ,$608.30 ,$134.06 ,$521.40 ,$136.75 ,$651.75 ,$479.69 ,$432.76 ,$479.69 ,$134.06 ,$479.69 ,$703.89 ,$869.00 ,$703.89 ,$738.65 ,$342.01 ,$602.22 ,$134.06 ,$869.00 ,$487.51 ,$134.06 ,$227.68 ,$869.00 , N/A , N/A ,$140.77 ,$695.20 ,$430.16 ,$243.32 ,$782.10 ,$330.22 ,$348.00 ,$134.06 ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$743.00 ,$534.96 ,$106.80 ,$743.00 ,$272.45 ,$393.79 ,$408.65 ,$106.80 ,$208.04 ,$388.59 ,$106.80 ,$408.65 ,$106.80 ,$367.79 ,$367.79 ,$106.80 ,$367.79 ,$220.13 ,$520.10 ,$464.38 ,$594.40 ,$272.44 ,$106.80 ,$520.10 ,$106.80 ,$445.80 ,$108.94 ,$557.25 ,$410.14 ,$370.01 ,$410.14 ,$106.80 ,$410.14 ,$601.83 ,$743.00 ,$601.83 ,$631.55 ,$272.44 ,$514.90 ,$106.80 ,$743.00 ,$416.82 ,$106.80 ,$194.67 ,$743.00 , N/A , N/A ,$112.14 ,$594.40 ,$367.79 ,$208.04 ,$668.70 ,$282.34 ,$348.00 ,$106.80 ,$356.64 
ST. MARY'S HOSPITAL - DECATUR,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45000105,29240,HC STRAPPING SHLDR,450,1 ,$987.00 ,$710.64 ,$106.80 ,$987.00 ,$272.45 ,$523.11 ,$542.85 ,$106.80 ,$276.36 ,$516.20 ,$106.80 ,$542.85 ,$106.80 ,$488.57 ,$488.57 ,$106.80 ,$488.57 ,$220.13 ,$690.90 ,$616.88 ,$789.60 ,$272.44 ,$106.80 ,$690.90 ,$106.80 ,$592.20 ,$108.94 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$106.80 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$272.44 ,$683.99 ,$106.80 ,$987.00 ,$553.71 ,$106.80 ,$258.59 ,$987.00 , N/A , N/A ,$112.14 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$106.80 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$677.00 ,$487.44 ,$177.37 ,$677.00 ,$562.93 ,$358.81 ,$372.35 ,$220.67 ,$189.56 ,$354.07 ,$220.67 ,$372.35 ,$220.67 ,$335.12 ,$335.12 ,$220.67 ,$335.12 ,$454.84 ,$473.90 ,$423.13 ,$541.60 ,$562.92 ,$220.67 ,$473.90 ,$220.67 ,$406.20 ,$225.08 ,$507.75 ,$373.70 ,$337.15 ,$373.70 ,$220.67 ,$373.70 ,$548.37 ,$677.00 ,$548.37 ,$575.45 ,$562.92 ,$469.16 ,$220.67 ,$677.00 ,$379.80 ,$220.67 ,$177.37 ,$677.00 , N/A , N/A ,$231.70 ,$541.60 ,$335.12 ,$189.56 ,$609.30 ,$257.26 ,$348.00 ,$220.67 ,$324.96 
ST. MARY'S HOSPITAL - DECATUR,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$680.00 ,$489.60 ,$134.06 ,$680.00 ,$342.00 ,$360.40 ,$374.00 ,$134.06 ,$190.40 ,$355.64 ,$134.06 ,$374.00 ,$134.06 ,$336.60 ,$336.60 ,$134.06 ,$336.60 ,$276.35 ,$476.00 ,$425.00 ,$544.00 ,$342.01 ,$134.06 ,$476.00 ,$134.06 ,$408.00 ,$136.75 ,$510.00 ,$375.36 ,$338.64 ,$375.36 ,$134.06 ,$375.36 ,$550.80 ,$680.00 ,$550.80 ,$578.00 ,$342.01 ,$471.24 ,$134.06 ,$680.00 ,$381.48 ,$134.06 ,$178.16 ,$680.00 , N/A , N/A ,$140.77 ,$544.00 ,$336.60 ,$190.40 ,$612.00 ,$258.40 ,$348.00 ,$134.06 ,$326.40 
ST. MARY'S HOSPITAL - DECATUR,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$638.00 ,$459.36 ,$134.06 ,$638.00 ,$342.00 ,$338.14 ,$350.90 ,$134.06 ,$178.64 ,$333.67 ,$134.06 ,$350.90 ,$134.06 ,$315.81 ,$315.81 ,$134.06 ,$315.81 ,$276.35 ,$446.60 ,$398.75 ,$510.40 ,$342.01 ,$134.06 ,$446.60 ,$134.06 ,$382.80 ,$136.75 ,$478.50 ,$352.18 ,$317.72 ,$352.18 ,$134.06 ,$352.18 ,$516.78 ,$638.00 ,$516.78 ,$542.30 ,$342.01 ,$442.13 ,$134.06 ,$638.00 ,$357.92 ,$134.06 ,$167.16 ,$638.00 , N/A , N/A ,$140.77 ,$510.40 ,$315.81 ,$178.64 ,$574.20 ,$242.44 ,$348.00 ,$134.06 ,$306.24 
ST. MARY'S HOSPITAL - DECATUR,45000109,29705,HC REM/BIV CAST ARM/LEG,450,1 ,$513.00 ,$369.36 ,$134.41 ,$562.93 ,$562.93 ,$271.89 ,$282.15 ,$220.67 ,$143.64 ,$268.30 ,$220.67 ,$282.15 ,$220.67 ,$253.94 ,$253.94 ,$220.67 ,$253.94 ,$454.84 ,$359.10 ,$320.63 ,$410.40 ,$562.92 ,$220.67 ,$359.10 ,$220.67 ,$307.80 ,$225.08 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,$220.67 ,$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$220.67 ,$513.00 ,$287.79 ,$220.67 ,$134.41 ,$513.00 , N/A , N/A ,$231.70 ,$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,$220.67 ,$246.24 
ST. MARY'S HOSPITAL - DECATUR,45000110,30300,HC REM FB INTRANASAL,450,1 ,$173.00 ,$124.56 ,$45.33 ,$272.45 ,$272.45 ,$91.69 ,$95.15 ,$106.80 ,$48.44 ,$90.48 ,$106.80 ,$95.15 ,$106.80 ,$85.64 ,$85.64 ,$106.80 ,$85.64 ,$173.00 ,$121.10 ,$108.13 ,$138.40 ,$272.44 ,$106.80 ,$121.10 ,$106.80 ,$103.80 ,$108.94 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$106.80 ,$95.50 ,$140.13 ,$173.00 ,$140.13 ,$147.05 ,$173.00 ,$119.89 ,$106.80 ,$173.00 ,$97.05 ,$106.80 ,$45.33 ,$173.00 , N/A , N/A ,$112.14 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 ,$173.00 ,$106.80 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$935.00 ,$673.20 ,$106.80 ,$935.00 ,$272.45 ,$495.55 ,$514.25 ,$106.80 ,$261.80 ,$489.01 ,$106.80 ,$514.25 ,$106.80 ,$462.83 ,$462.83 ,$106.80 ,$462.83 ,$220.13 ,$654.50 ,$584.38 ,$748.00 ,$272.44 ,$106.80 ,$654.50 ,$106.80 ,$561.00 ,$108.94 ,$701.25 ,$516.12 ,$465.63 ,$516.12 ,$106.80 ,$516.12 ,$757.35 ,$935.00 ,$757.35 ,$794.75 ,$272.44 ,$647.96 ,$106.80 ,$935.00 ,$524.54 ,$106.80 ,$244.97 ,$935.00 , N/A , N/A ,$112.14 ,$748.00 ,$462.83 ,$261.80 ,$841.50 ,$355.30 ,$348.00 ,$106.80 ,$448.80 
ST. MARY'S HOSPITAL - DECATUR,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$488.00 ,$351.36 ,$106.80 ,$488.00 ,$272.45 ,$258.64 ,$268.40 ,$106.80 ,$136.64 ,$255.22 ,$106.80 ,$268.40 ,$106.80 ,$241.56 ,$241.56 ,$106.80 ,$241.56 ,$220.13 ,$341.60 ,$305.00 ,$390.40 ,$272.44 ,$106.80 ,$341.60 ,$106.80 ,$292.80 ,$108.94 ,$366.00 ,$269.38 ,$243.02 ,$269.38 ,$106.80 ,$269.38 ,$395.28 ,$488.00 ,$395.28 ,$414.80 ,$272.44 ,$338.18 ,$106.80 ,$488.00 ,$273.77 ,$106.80 ,$127.86 ,$488.00 , N/A , N/A ,$112.14 ,$390.40 ,$241.56 ,$136.64 ,$439.20 ,$185.44 ,$348.00 ,$106.80 ,$234.24 
ST. MARY'S HOSPITAL - DECATUR,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$946.00 ,$681.12 ,$106.80 ,$946.00 ,$272.45 ,$501.38 ,$520.30 ,$106.80 ,$264.88 ,$494.76 ,$106.80 ,$520.30 ,$106.80 ,$468.27 ,$468.27 ,$106.80 ,$468.27 ,$220.13 ,$662.20 ,$591.25 ,$756.80 ,$272.44 ,$106.80 ,$662.20 ,$106.80 ,$567.60 ,$108.94 ,$709.50 ,$522.19 ,$471.11 ,$522.19 ,$106.80 ,$522.19 ,$766.26 ,$946.00 ,$766.26 ,$804.10 ,$272.44 ,$655.58 ,$106.80 ,$946.00 ,$530.71 ,$106.80 ,$247.85 ,$946.00 , N/A , N/A ,$112.14 ,$756.80 ,$468.27 ,$264.88 ,$851.40 ,$359.48 ,$348.00 ,$106.80 ,$454.08 
ST. MARY'S HOSPITAL - DECATUR,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$770.00 ,$554.40 ,$201.74 ,$885.93 ,$885.93 ,$408.10 ,$423.50 ,$347.28 ,$215.60 ,$402.71 ,$347.28 ,$423.50 ,$347.28 ,$381.15 ,$381.15 ,$347.28 ,$381.15 ,$715.83 ,$539.00 ,$481.25 ,$616.00 ,$885.93 ,$347.28 ,$539.00 ,$347.28 ,$462.00 ,$354.23 ,$577.50 ,$425.04 ,$383.46 ,$425.04 ,$347.28 ,$425.04 ,$623.70 ,$770.00 ,$623.70 ,$654.50 ,$770.00 ,$533.61 ,$347.28 ,$770.00 ,$431.97 ,$347.28 ,$201.74 ,$770.00 , N/A , N/A ,$364.65 ,$616.00 ,$381.15 ,$215.60 ,$693.00 ,$292.60 ,$348.00 ,$347.28 ,$369.60 
ST. MARY'S HOSPITAL - DECATUR,45000133,40650,HC RPR LIP FULL THICK VERMILN,450,1 ,"$1,773.00 ","$1,276.56 ",$348.00 ,"$1,773.00 ","$1,071.88 ",$939.69 ,$975.15 ,$420.17 ,$496.44 ,$927.28 ,$420.17 ,$975.15 ,$420.17 ,$877.64 ,$877.64 ,$420.17 ,$877.64 ,$866.08 ,"$1,241.10 ","$1,108.13 ","$1,418.40 ","$1,071.88 ",$420.17 ,"$1,241.10 ",$420.17 ,"$1,063.80 ",$428.58 ,"$1,329.75 ",$978.70 ,$882.95 ,$978.70 ,$420.17 ,$978.70 ,"$1,436.13 ","$1,773.00 ","$1,436.13 ","$1,507.05 ","$1,071.88 ","$1,228.69 ",$420.17 ,"$1,773.00 ",$994.65 ,$420.17 ,$464.53 ,"$1,773.00 ", N/A , N/A ,$441.19 ,"$1,418.40 ",$877.64 ,$496.44 ,"$1,595.70 ",$673.74 ,$348.00 ,$420.17 ,$851.04 
ST. MARY'S HOSPITAL - DECATUR,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,"$1,735.00 ","$1,249.20 ",$348.00 ,"$1,735.00 ","$1,522.75 ",$919.55 ,$954.25 ,$596.92 ,$485.80 ,$907.41 ,$596.92 ,$954.25 ,$596.92 ,$858.83 ,$858.83 ,$596.92 ,$858.83 ,"$1,230.38 ","$1,214.50 ","$1,084.38 ","$1,388.00 ","$1,522.74 ",$596.92 ,"$1,214.50 ",$596.92 ,"$1,041.00 ",$608.85 ,"$1,301.25 ",$957.72 ,$864.03 ,$957.72 ,$596.92 ,$957.72 ,"$1,405.35 ","$1,735.00 ","$1,405.35 ","$1,474.75 ","$1,522.74 ","$1,202.36 ",$596.92 ,"$1,735.00 ",$973.34 ,$596.92 ,$454.57 ,"$1,735.00 ", N/A , N/A ,$626.77 ,"$1,388.00 ",$858.83 ,$485.80 ,"$1,561.50 ",$659.30 ,$348.00 ,$596.92 ,$832.80 
ST. MARY'S HOSPITAL - DECATUR,45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$273.00 ,$196.56 ,$71.53 ,$487.65 ,$487.65 ,$144.69 ,$150.15 ,$191.16 ,$76.44 ,$142.78 ,$191.16 ,$150.15 ,$191.16 ,$135.14 ,$135.14 ,$191.16 ,$135.14 ,$273.00 ,$191.10 ,$170.63 ,$218.40 ,$487.65 ,$191.16 ,$191.10 ,$191.16 ,$163.80 ,$194.98 ,$204.75 ,$150.70 ,$135.95 ,$150.70 ,$191.16 ,$150.70 ,$221.13 ,$273.00 ,$221.13 ,$232.05 ,$273.00 ,$189.19 ,$191.16 ,$273.00 ,$153.15 ,$191.16 ,$71.53 ,$273.00 , N/A , N/A ,$200.71 ,$218.40 ,$135.14 ,$76.44 ,$245.70 ,$103.74 ,$273.00 ,$191.16 ,$131.04 
ST. MARY'S HOSPITAL - DECATUR,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$473.00 ,$340.56 ,$123.93 ,$885.93 ,$885.93 ,$250.69 ,$260.15 ,$347.28 ,$132.44 ,$247.38 ,$347.28 ,$260.15 ,$347.28 ,$234.14 ,$234.14 ,$347.28 ,$234.14 ,$473.00 ,$331.10 ,$295.63 ,$378.40 ,$885.93 ,$347.28 ,$331.10 ,$347.28 ,$283.80 ,$354.23 ,$354.75 ,$261.10 ,$235.55 ,$261.10 ,$347.28 ,$261.10 ,$383.13 ,$473.00 ,$383.13 ,$402.05 ,$473.00 ,$327.79 ,$347.28 ,$473.00 ,$265.35 ,$347.28 ,$123.93 ,$473.00 , N/A , N/A ,$364.65 ,$378.40 ,$234.14 ,$132.44 ,$425.70 ,$179.74 ,$348.00 ,$347.28 ,$227.04 
ST. MARY'S HOSPITAL - DECATUR,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,"$1,065.00 ",$766.80 ,$106.80 ,"$1,065.00 ",$272.45 ,$564.45 ,$585.75 ,$106.80 ,$298.20 ,$557.00 ,$106.80 ,$585.75 ,$106.80 ,$527.18 ,$527.18 ,$106.80 ,$527.18 ,$220.13 ,$745.50 ,$665.63 ,$852.00 ,$272.44 ,$106.80 ,$745.50 ,$106.80 ,$639.00 ,$108.94 ,$798.75 ,$587.88 ,$530.37 ,$587.88 ,$106.80 ,$587.88 ,$862.65 ,"$1,065.00 ",$862.65 ,$905.25 ,$272.44 ,$738.05 ,$106.80 ,"$1,065.00 ",$597.47 ,$106.80 ,$279.03 ,"$1,065.00 ", N/A , N/A ,$112.14 ,$852.00 ,$527.18 ,$298.20 ,$958.50 ,$404.70 ,$348.00 ,$106.80 ,$511.20 
ST. MARY'S HOSPITAL - DECATUR,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$786.00 ,$565.92 ,$191.16 ,$786.00 ,$487.65 ,$416.58 ,$432.30 ,$191.16 ,$220.08 ,$411.08 ,$191.16 ,$432.30 ,$191.16 ,$389.07 ,$389.07 ,$191.16 ,$389.07 ,$394.02 ,$550.20 ,$491.25 ,$628.80 ,$487.65 ,$191.16 ,$550.20 ,$191.16 ,$471.60 ,$194.98 ,$589.50 ,$433.87 ,$391.43 ,$433.87 ,$191.16 ,$433.87 ,$636.66 ,$786.00 ,$636.66 ,$668.10 ,$487.65 ,$544.70 ,$191.16 ,$786.00 ,$440.95 ,$191.16 ,$205.93 ,$786.00 , N/A , N/A ,$200.71 ,$628.80 ,$389.07 ,$220.08 ,$707.40 ,$298.68 ,$348.00 ,$191.16 ,$377.28 
ST. MARY'S HOSPITAL - DECATUR,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$153.00 ,$110.16 ,$40.09 ,$657.13 ,$657.13 ,$81.09 ,$84.15 ,$257.59 ,$42.84 ,$80.02 ,$257.59 ,$84.15 ,$149.94 ,$75.74 ,$75.74 ,$149.94 ,$75.74 ,$153.00 ,$107.10 ,$95.63 ,$122.40 ,$657.13 ,$257.59 ,$107.10 ,$257.59 ,$91.80 ,$149.94 ,$114.75 ,$84.46 ,$76.19 ,$84.46 ,$257.59 ,$84.46 ,$123.93 ,$153.00 ,$123.93 ,$130.05 ,$153.00 ,$106.03 ,$149.94 ,$153.00 ,$85.83 ,$257.59 ,$40.09 ,$153.00 , N/A , N/A ,$270.47 ,$122.40 ,$75.74 ,$42.84 ,$137.70 ,$58.14 ,$153.00 ,$257.59 ,$73.44 
ST. MARY'S HOSPITAL - DECATUR,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$7,163.00 ","$5,157.36 ",$348.00 ,"$7,163.00 ","$2,540.95 ","$2,450.00 ","$3,939.65 ",$996.05 ,"$2,005.64 ","$3,610.00 ",$996.05 ,"$3,800.00 ",$996.05 ,"$3,420.00 ","$3,420.00 ",$996.05 ,"$3,420.00 ","$2,053.08 ","$5,014.10 ","$4,476.88 ","$5,730.40 ","$2,540.94 ",$996.05 ,"$5,014.10 ",$996.05 ,"$4,297.80 ","$1,015.97 ","$5,372.25 ","$3,567.17 ","$3,209.02 ","$3,567.17 ",$996.05 ,"$3,567.17 ","$3,900.00 ","$7,163.00 ","$3,900.00 ","$6,088.55 ","$2,540.94 ","$4,963.96 ",$996.05 ,"$7,163.00 ","$4,018.44 ",$996.05 ,"$1,876.71 ","$7,163.00 ", N/A , N/A ,"$1,045.86 ","$5,730.40 ","$3,420.00 ","$2,005.64 ","$6,446.70 ","$2,721.94 ",$348.00 ,$996.05 ,"$3,438.24 "
ST. MARY'S HOSPITAL - DECATUR,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$830.00 ,$597.60 ,$217.46 ,"$1,949.95 ","$1,949.95 ",$439.90 ,$456.50 ,$764.38 ,$232.40 ,$434.09 ,$764.38 ,$456.50 ,$764.38 ,$410.85 ,$410.85 ,$764.38 ,$410.85 ,$830.00 ,$581.00 ,$518.75 ,$664.00 ,"$1,949.95 ",$764.38 ,$581.00 ,$764.38 ,$498.00 ,$779.67 ,$622.50 ,$458.16 ,$413.34 ,$458.16 ,$764.38 ,$458.16 ,$672.30 ,$830.00 ,$672.30 ,$705.50 ,$830.00 ,$575.19 ,$764.38 ,$830.00 ,$465.63 ,$764.38 ,$217.46 ,$830.00 , N/A , N/A ,$802.60 ,$664.00 ,$410.85 ,$232.40 ,$747.00 ,$315.40 ,$348.00 ,$764.38 ,$398.40 
ST. MARY'S HOSPITAL - DECATUR,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,"$1,077.00 ",$775.44 ,$197.64 ,"$1,077.00 ",$504.18 ,$570.81 ,$592.35 ,$197.64 ,$301.56 ,$563.27 ,$197.64 ,$592.35 ,$197.64 ,$533.12 ,$533.12 ,$197.64 ,$533.12 ,$407.37 ,$753.90 ,$673.13 ,$861.60 ,$504.17 ,$197.64 ,$753.90 ,$197.64 ,$646.20 ,$201.59 ,$807.75 ,$594.50 ,$536.35 ,$594.50 ,$197.64 ,$594.50 ,$872.37 ,"$1,077.00 ",$872.37 ,$915.45 ,$504.17 ,$746.36 ,$197.64 ,"$1,077.00 ",$604.20 ,$197.64 ,$282.17 ,"$1,077.00 ", N/A , N/A ,$207.51 ,$861.60 ,$533.12 ,$301.56 ,$969.30 ,$409.26 ,$348.00 ,$197.64 ,$516.96 
ST. MARY'S HOSPITAL - DECATUR,45000149,46320,HC EXCISION THROMBOSED HEMORRHOID; EXTERNAL,450,1 ,"$9,376.00 ","$6,750.72 ",$348.00 ,"$9,376.00 ","$2,540.95 ","$2,450.00 ","$5,156.80 ",$996.05 ,"$2,625.28 ","$3,610.00 ",$996.05 ,"$3,800.00 ",$996.05 ,"$3,420.00 ","$3,420.00 ",$996.05 ,"$3,420.00 ","$2,053.08 ","$6,563.20 ","$5,000.00 ","$7,500.80 ","$2,540.94 ",$996.05 ,"$6,563.20 ",$996.05 ,"$5,625.60 ","$1,015.97 ","$7,032.00 ","$4,669.25 ","$4,200.45 ","$4,669.25 ",$996.05 ,"$4,669.25 ","$3,900.00 ","$9,376.00 ","$3,900.00 ","$7,969.60 ","$2,540.94 ","$6,497.57 ",$996.05 ,"$9,376.00 ","$5,259.94 ",$996.05 ,"$2,456.51 ","$9,376.00 ", N/A , N/A ,"$1,045.86 ","$7,500.80 ","$3,420.00 ","$2,625.28 ","$8,438.40 ","$3,562.88 ",$348.00 ,$996.05 ,"$4,500.48 "
ST. MARY'S HOSPITAL - DECATUR,45000150,46600,HC ANOSCOPY,450,1 ,$630.00 ,$453.60 ,$106.80 ,$630.00 ,$272.45 ,$333.90 ,$346.50 ,$106.80 ,$176.40 ,$329.49 ,$106.80 ,$346.50 ,$106.80 ,$311.85 ,$311.85 ,$106.80 ,$311.85 ,$220.13 ,$441.00 ,$393.75 ,$504.00 ,$272.44 ,$106.80 ,$441.00 ,$106.80 ,$378.00 ,$108.94 ,$472.50 ,$347.76 ,$313.74 ,$347.76 ,$106.80 ,$347.76 ,$510.30 ,$630.00 ,$510.30 ,$535.50 ,$272.44 ,$436.59 ,$106.80 ,$630.00 ,$353.43 ,$106.80 ,$165.06 ,$630.00 , N/A , N/A ,$112.14 ,$504.00 ,$311.85 ,$176.40 ,$567.00 ,$239.40 ,$348.00 ,$106.80 ,$302.40 
ST. MARY'S HOSPITAL - DECATUR,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$304.00 ,$218.88 ,$79.65 ,$504.18 ,$504.18 ,$161.12 ,$167.20 ,$197.64 ,$85.12 ,$158.99 ,$197.64 ,$167.20 ,$197.64 ,$150.48 ,$150.48 ,$197.64 ,$150.48 ,$304.00 ,$212.80 ,$190.00 ,$243.20 ,$504.17 ,$197.64 ,$212.80 ,$197.64 ,$182.40 ,$201.59 ,$228.00 ,$167.81 ,$151.39 ,$167.81 ,$197.64 ,$167.81 ,$246.24 ,$304.00 ,$246.24 ,$258.40 ,$304.00 ,$210.67 ,$197.64 ,$304.00 ,$170.54 ,$197.64 ,$79.65 ,$304.00 , N/A , N/A ,$207.51 ,$243.20 ,$150.48 ,$85.12 ,$273.60 ,$115.52 ,$304.00 ,$197.64 ,$145.92 
ST. MARY'S HOSPITAL - DECATUR,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$939.00 ,$676.08 ,$197.64 ,$939.00 ,$504.18 ,$497.67 ,$516.45 ,$197.64 ,$262.92 ,$491.10 ,$197.64 ,$516.45 ,$197.64 ,$464.81 ,$464.81 ,$197.64 ,$464.81 ,$407.37 ,$657.30 ,$586.88 ,$751.20 ,$504.17 ,$197.64 ,$657.30 ,$197.64 ,$563.40 ,$201.59 ,$704.25 ,$518.33 ,$467.62 ,$518.33 ,$197.64 ,$518.33 ,$760.59 ,$939.00 ,$760.59 ,$798.15 ,$504.17 ,$650.73 ,$197.64 ,$939.00 ,$526.78 ,$197.64 ,$246.02 ,$939.00 , N/A , N/A ,$207.51 ,$751.20 ,$464.81 ,$262.92 ,$845.10 ,$356.82 ,$348.00 ,$197.64 ,$450.72 
ST. MARY'S HOSPITAL - DECATUR,45000159,54220,HC IRRIG CORPORA CAVNOSA,450,1 ,"$1,228.00 ",$884.16 ,$197.64 ,"$1,228.00 ",$504.18 ,$650.84 ,$675.40 ,$197.64 ,$343.84 ,$642.24 ,$197.64 ,$675.40 ,$197.64 ,$607.86 ,$607.86 ,$197.64 ,$607.86 ,$407.37 ,$859.60 ,$767.50 ,$982.40 ,$504.17 ,$197.64 ,$859.60 ,$197.64 ,$736.80 ,$201.59 ,$921.00 ,$677.86 ,$611.54 ,$677.86 ,$197.64 ,$677.86 ,$994.68 ,"$1,228.00 ",$994.68 ,"$1,043.80 ",$504.17 ,$851.00 ,$197.64 ,"$1,228.00 ",$688.91 ,$197.64 ,$321.74 ,"$1,228.00 ", N/A , N/A ,$207.51 ,$982.40 ,$607.86 ,$343.84 ,"$1,105.20 ",$466.64 ,$348.00 ,$197.64 ,$589.44 
ST. MARY'S HOSPITAL - DECATUR,45000160,54450,HC MANIP FORESKIN STRETCH,450,1 ,"$2,467.00 ","$1,776.24 ",$197.64 ,"$2,467.00 ",$504.18 ,"$1,307.51 ","$1,356.85 ",$197.64 ,$690.76 ,"$1,290.24 ",$197.64 ,"$1,356.85 ",$197.64 ,"$1,221.17 ","$1,221.17 ",$197.64 ,"$1,221.17 ",$407.37 ,"$1,726.90 ","$1,541.88 ","$1,973.60 ",$504.17 ,$197.64 ,"$1,726.90 ",$197.64 ,"$1,480.20 ",$201.59 ,"$1,850.25 ","$1,361.78 ","$1,228.57 ","$1,361.78 ",$197.64 ,"$1,361.78 ","$1,998.27 ","$2,467.00 ","$1,998.27 ","$2,096.95 ",$504.17 ,"$1,709.63 ",$197.64 ,"$2,467.00 ","$1,383.99 ",$197.64 ,$646.35 ,"$2,467.00 ", N/A , N/A ,$207.51 ,"$1,973.60 ","$1,221.17 ",$690.76 ,"$2,220.30 ",$937.46 ,$348.00 ,$197.64 ,"$1,184.16 "
ST. MARY'S HOSPITAL - DECATUR,45000161,54700,HC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,450,1 ,"$9,730.00 ","$7,005.60 ",$348.00 ,"$9,730.00 ","$4,352.30 ","$2,450.00 ","$5,351.50 ","$1,706.10 ","$2,724.40 ","$3,610.00 ","$1,706.10 ","$3,800.00 ","$1,706.10 ","$3,420.00 ","$3,420.00 ","$1,706.10 ","$3,420.00 ","$3,516.65 ","$6,811.00 ","$5,000.00 ","$7,784.00 ","$4,352.29 ","$1,706.10 ","$6,811.00 ","$1,706.10 ","$5,838.00 ","$1,740.22 ","$7,297.50 ","$4,845.54 ","$4,359.04 ","$4,845.54 ","$1,706.10 ","$4,845.54 ","$3,900.00 ","$9,730.00 ","$3,900.00 ","$8,270.50 ","$4,352.29 ","$6,742.89 ","$1,706.10 ","$9,730.00 ","$5,458.53 ","$1,706.10 ","$2,549.26 ","$9,730.00 ", N/A , N/A ,"$1,791.41 ","$7,784.00 ","$3,420.00 ","$2,724.40 ","$8,757.00 ","$3,697.40 ",$348.00 ,"$1,706.10 ","$4,670.40 "
ST. MARY'S HOSPITAL - DECATUR,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$926.00 ,$666.72 ,$242.61 ,$926.00 ,$685.05 ,$490.78 ,$509.30 ,$268.54 ,$259.28 ,$484.30 ,$268.54 ,$509.30 ,$268.54 ,$458.37 ,$458.37 ,$268.54 ,$458.37 ,$553.52 ,$648.20 ,$578.75 ,$740.80 ,$685.06 ,$268.54 ,$648.20 ,$268.54 ,$555.60 ,$273.91 ,$694.50 ,$511.15 ,$461.15 ,$511.15 ,$268.54 ,$511.15 ,$750.06 ,$926.00 ,$750.06 ,$787.10 ,$685.06 ,$641.72 ,$268.54 ,$926.00 ,$519.49 ,$268.54 ,$242.61 ,$926.00 , N/A , N/A ,$281.97 ,$740.80 ,$458.37 ,$259.28 ,$833.40 ,$351.88 ,$348.00 ,$268.54 ,$444.48 
ST. MARY'S HOSPITAL - DECATUR,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$889.00 ,$640.08 ,$163.85 ,$889.00 ,$417.98 ,$471.17 ,$488.95 ,$163.85 ,$248.92 ,$464.95 ,$163.85 ,$488.95 ,$163.85 ,$440.06 ,$440.06 ,$163.85 ,$440.06 ,$337.72 ,$622.30 ,$555.63 ,$711.20 ,$417.96 ,$163.85 ,$622.30 ,$163.85 ,$533.40 ,$167.12 ,$666.75 ,$490.73 ,$442.72 ,$490.73 ,$163.85 ,$490.73 ,$720.09 ,$889.00 ,$720.09 ,$755.65 ,$417.96 ,$616.08 ,$163.85 ,$889.00 ,$498.73 ,$163.85 ,$232.92 ,$889.00 , N/A , N/A ,$172.04 ,$711.20 ,$440.06 ,$248.92 ,$800.10 ,$337.82 ,$348.00 ,$163.85 ,$426.72 
ST. MARY'S HOSPITAL - DECATUR,45000165,58301,HC REM DVC INTRAUTERINE,450,1 ,$743.00 ,$534.96 ,$194.67 ,$743.00 ,$685.05 ,$393.79 ,$408.65 ,$268.54 ,$208.04 ,$388.59 ,$268.54 ,$408.65 ,$268.54 ,$367.79 ,$367.79 ,$268.54 ,$367.79 ,$553.52 ,$520.10 ,$464.38 ,$594.40 ,$685.06 ,$268.54 ,$520.10 ,$268.54 ,$445.80 ,$273.91 ,$557.25 ,$410.14 ,$370.01 ,$410.14 ,$268.54 ,$410.14 ,$601.83 ,$743.00 ,$601.83 ,$631.55 ,$685.06 ,$514.90 ,$268.54 ,$743.00 ,$416.82 ,$268.54 ,$194.67 ,$743.00 , N/A , N/A ,$281.97 ,$594.40 ,$367.79 ,$208.04 ,$668.70 ,$282.34 ,$348.00 ,$268.54 ,$356.64 
ST. MARY'S HOSPITAL - DECATUR,45000166,59414,HC DELIVERY OF PLACENTA,450,1 ,"$1,370.00 ",$986.40 ,$348.00 ,"$6,634.31 ","$6,634.30 ",$726.10 ,$753.50 ,"$2,600.65 ",$383.60 ,$716.51 ,"$2,600.65 ",$753.50 ,"$1,342.60 ",$678.15 ,$678.15 ,"$1,342.60 ",$678.15 ,"$1,370.00 ",$959.00 ,$856.25 ,"$1,096.00 ","$6,634.31 ","$2,600.65 ",$959.00 ,"$2,600.65 ",$822.00 ,"$1,342.60 ","$1,027.50 ",$756.24 ,$682.26 ,$756.24 ,"$2,600.65 ",$756.24 ,"$1,109.70 ","$1,370.00 ","$1,109.70 ","$1,164.50 ","$1,370.00 ",$949.41 ,"$1,342.60 ","$1,370.00 ",$768.57 ,"$2,600.65 ",$358.94 ,"$1,370.00 ", N/A , N/A ,"$2,730.68 ","$1,096.00 ",$678.15 ,$383.60 ,"$1,233.00 ",$520.60 ,$348.00 ,"$2,600.65 ",$657.60 
ST. MARY'S HOSPITAL - DECATUR,45000168,64400,HC DENTAL BLOCK,450,1 ,"$1,596.00 ","$1,149.12 ",$250.09 ,"$1,596.00 ",$637.98 ,$845.88 ,$877.80 ,$250.09 ,$446.88 ,$834.71 ,$250.09 ,$877.80 ,$250.09 ,$790.02 ,$790.02 ,$250.09 ,$790.02 ,$515.47 ,"$1,117.20 ",$997.50 ,"$1,276.80 ",$637.96 ,$250.09 ,"$1,117.20 ",$250.09 ,$957.60 ,$255.08 ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 ,$250.09 ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ",$637.96 ,"$1,106.03 ",$250.09 ,"$1,596.00 ",$895.36 ,$250.09 ,$418.15 ,"$1,596.00 ", N/A , N/A ,$262.59 ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$348.00 ,$250.09 ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$833.00 ,$599.76 ,$218.25 ,$833.00 ,$637.98 ,$441.49 ,$458.15 ,$250.09 ,$233.24 ,$435.66 ,$250.09 ,$458.15 ,$250.09 ,$412.34 ,$412.34 ,$250.09 ,$412.34 ,$515.47 ,$583.10 ,$520.63 ,$666.40 ,$637.96 ,$250.09 ,$583.10 ,$250.09 ,$499.80 ,$255.08 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$250.09 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$637.96 ,$577.27 ,$250.09 ,$833.00 ,$467.31 ,$250.09 ,$218.25 ,$833.00 , N/A , N/A ,$262.59 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$316.54 ,$348.00 ,$250.09 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,890.00 ","$1,360.80 ",$348.00 ,"$1,890.00 ","$1,511.88 ","$1,001.70 ","$1,039.50 ",$592.65 ,$529.20 ,$988.47 ,$592.65 ,"$1,039.50 ",$592.65 ,$935.55 ,$935.55 ,$592.65 ,$935.55 ,"$1,221.60 ","$1,323.00 ","$1,181.25 ","$1,512.00 ","$1,511.88 ",$592.65 ,"$1,323.00 ",$592.65 ,"$1,134.00 ",$604.51 ,"$1,417.50 ","$1,043.28 ",$941.22 ,"$1,043.28 ",$592.65 ,"$1,043.28 ","$1,530.90 ","$1,890.00 ","$1,530.90 ","$1,606.50 ","$1,511.88 ","$1,309.77 ",$592.65 ,"$1,890.00 ","$1,060.29 ",$592.65 ,$495.18 ,"$1,890.00 ", N/A , N/A ,$622.29 ,"$1,512.00 ",$935.55 ,$529.20 ,"$1,701.00 ",$718.20 ,$348.00 ,$592.65 ,$907.20 
ST. MARY'S HOSPITAL - DECATUR,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,"$1,103.00 ",$794.16 ,$106.80 ,"$1,103.00 ",$272.45 ,$584.59 ,$606.65 ,$106.80 ,$308.84 ,$576.87 ,$106.80 ,$606.65 ,$106.80 ,$545.99 ,$545.99 ,$106.80 ,$545.99 ,$220.13 ,$772.10 ,$689.38 ,$882.40 ,$272.44 ,$106.80 ,$772.10 ,$106.80 ,$661.80 ,$108.94 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$106.80 ,$608.86 ,$893.43 ,"$1,103.00 ",$893.43 ,$937.55 ,$272.44 ,$764.38 ,$106.80 ,"$1,103.00 ",$618.78 ,$106.80 ,$288.99 ,"$1,103.00 ", N/A , N/A ,$112.14 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$348.00 ,$106.80 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,"$1,115.00 ",$802.80 ,$292.13 ,"$1,115.00 ",$885.93 ,$590.95 ,$613.25 ,$347.28 ,$312.20 ,$583.15 ,$347.28 ,$613.25 ,$347.28 ,$551.93 ,$551.93 ,$347.28 ,$551.93 ,$715.83 ,$780.50 ,$696.88 ,$892.00 ,$885.93 ,$347.28 ,$780.50 ,$347.28 ,$669.00 ,$354.23 ,$836.25 ,$615.48 ,$555.27 ,$615.48 ,$347.28 ,$615.48 ,$903.15 ,"$1,115.00 ",$903.15 ,$947.75 ,$885.93 ,$772.70 ,$347.28 ,"$1,115.00 ",$625.52 ,$347.28 ,$292.13 ,"$1,115.00 ", N/A , N/A ,$364.65 ,$892.00 ,$551.93 ,$312.20 ,"$1,003.50 ",$423.70 ,$348.00 ,$347.28 ,$535.20 
ST. MARY'S HOSPITAL - DECATUR,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$437.00 ,$314.64 ,$106.80 ,$437.00 ,$272.45 ,$231.61 ,$240.35 ,$106.80 ,$122.36 ,$228.55 ,$106.80 ,$240.35 ,$106.80 ,$216.32 ,$216.32 ,$106.80 ,$216.32 ,$220.13 ,$305.90 ,$273.13 ,$349.60 ,$272.44 ,$106.80 ,$305.90 ,$106.80 ,$262.20 ,$108.94 ,$327.75 ,$241.22 ,$217.63 ,$241.22 ,$106.80 ,$241.22 ,$353.97 ,$437.00 ,$353.97 ,$371.45 ,$272.44 ,$302.84 ,$106.80 ,$437.00 ,$245.16 ,$106.80 ,$114.49 ,$437.00 , N/A , N/A ,$112.14 ,$349.60 ,$216.32 ,$122.36 ,$393.30 ,$166.06 ,$348.00 ,$106.80 ,$209.76 
ST. MARY'S HOSPITAL - DECATUR,45000177,67700,HC I AND D ABSCESS EYELID,450,1 ,"$1,296.00 ",$933.12 ,$243.48 ,"$1,296.00 ",$621.13 ,$686.88 ,$712.80 ,$243.48 ,$362.88 ,$677.81 ,$243.48 ,$712.80 ,$243.48 ,$641.52 ,$641.52 ,$243.48 ,$641.52 ,$501.86 ,$907.20 ,$810.00 ,"$1,036.80 ",$621.12 ,$243.48 ,$907.20 ,$243.48 ,$777.60 ,$248.35 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$243.48 ,$715.39 ,"$1,049.76 ","$1,296.00 ","$1,049.76 ","$1,101.60 ",$621.12 ,$898.13 ,$243.48 ,"$1,296.00 ",$727.06 ,$243.48 ,$339.55 ,"$1,296.00 ", N/A , N/A ,$255.65 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,$348.00 ,$243.48 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,"$1,243.00 ",$894.96 ,$325.67 ,"$1,522.75 ","$1,522.75 ",$658.79 ,$683.65 ,$596.92 ,$348.04 ,$650.09 ,$596.92 ,$683.65 ,$596.92 ,$615.29 ,$615.29 ,$596.92 ,$615.29 ,"$1,230.38 ",$870.10 ,$776.88 ,$994.40 ,"$1,522.74 ",$596.92 ,$870.10 ,$596.92 ,$745.80 ,$608.85 ,$932.25 ,$686.14 ,$619.01 ,$686.14 ,$596.92 ,$686.14 ,"$1,006.83 ","$1,243.00 ","$1,006.83 ","$1,056.55 ","$1,243.00 ",$861.40 ,$596.92 ,"$1,243.00 ",$697.32 ,$596.92 ,$325.67 ,"$1,243.00 ", N/A , N/A ,$626.77 ,$994.40 ,$615.29 ,$348.04 ,"$1,118.70 ",$472.34 ,$348.00 ,$596.92 ,$596.64 
ST. MARY'S HOSPITAL - DECATUR,45000181,69200,HC FB REMOVAL EAR,450,1 ,$555.00 ,$399.60 ,$106.80 ,$555.00 ,$272.45 ,$294.15 ,$305.25 ,$106.80 ,$155.40 ,$290.27 ,$106.80 ,$305.25 ,$106.80 ,$274.73 ,$274.73 ,$106.80 ,$274.73 ,$220.13 ,$388.50 ,$346.88 ,$444.00 ,$272.44 ,$106.80 ,$388.50 ,$106.80 ,$333.00 ,$108.94 ,$416.25 ,$306.36 ,$276.39 ,$306.36 ,$106.80 ,$306.36 ,$449.55 ,$555.00 ,$449.55 ,$471.75 ,$272.44 ,$384.62 ,$106.80 ,$555.00 ,$311.36 ,$106.80 ,$145.41 ,$555.00 , N/A , N/A ,$112.14 ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 ,$348.00 ,$106.80 ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$357.00 ,$257.04 ,$52.87 ,$357.00 ,$134.88 ,$189.21 ,$196.35 ,$52.87 ,$99.96 ,$186.71 ,$52.87 ,$196.35 ,$52.87 ,$176.72 ,$176.72 ,$52.87 ,$176.72 ,$108.98 ,$249.90 ,$223.13 ,$285.60 ,$134.87 ,$52.87 ,$249.90 ,$52.87 ,$214.20 ,$53.93 ,$267.75 ,$197.06 ,$177.79 ,$197.06 ,$52.87 ,$197.06 ,$289.17 ,$357.00 ,$289.17 ,$303.45 ,$134.87 ,$247.40 ,$52.87 ,$357.00 ,$200.28 ,$52.87 ,$93.53 ,$357.00 , N/A , N/A ,$55.52 ,$285.60 ,$176.72 ,$99.96 ,$321.30 ,$135.66 ,$348.00 ,$52.87 ,$171.36 
ST. MARY'S HOSPITAL - DECATUR,45000187,92977,HC THROMBOLYSIS CORONARY IV INFS,450,1 ,$525.00 ,$378.00 ,$137.55 ,$780.46 ,$780.45 ,$278.25 ,$288.75 ,$305.94 ,$147.00 ,$274.58 ,$305.94 ,$288.75 ,$305.94 ,$259.88 ,$259.88 ,$305.94 ,$259.88 ,$525.00 ,$367.50 ,$328.13 ,$420.00 ,$780.46 ,$305.94 ,$367.50 ,$305.94 ,$315.00 ,$312.06 ,$393.75 ,$289.80 ,$261.45 ,$289.80 ,$305.94 ,$289.80 ,$425.25 ,$525.00 ,$425.25 ,$446.25 ,$525.00 ,$363.83 ,$305.94 ,$525.00 ,$294.53 ,$305.94 ,$137.55 ,$525.00 , N/A , N/A ,$321.23 ,$420.00 ,$259.88 ,$147.00 ,$472.50 ,$199.50 ,$348.00 ,$305.94 ,$252.00 
ST. MARY'S HOSPITAL - DECATUR,45000188,99281,HC ER LEVEL 1,450,1 ,$198.00 ,$142.56 ,$51.88 ,$198.00 ,$176.20 ,$104.94 ,$108.90 ,$69.07 ,$55.44 ,$103.55 ,$69.07 ,$108.90 ,$69.07 ,$98.01 ,$98.01 ,$69.07 ,$98.01 ,$142.36 ,$138.60 ,$123.75 ,$158.40 ,$176.19 ,$69.07 ,$138.60 ,$69.07 ,$118.80 ,$70.45 ,$148.50 ,$109.30 ,$98.60 ,$109.30 ,$69.07 ,$109.30 ,$160.38 ,$198.00 ,$160.38 ,$168.30 ,$176.19 ,$137.21 ,$69.07 ,$198.00 ,$111.08 ,$69.07 ,$51.88 ,$198.00 , N/A , N/A ,$72.52 ,$158.40 ,$98.01 ,$55.44 ,$178.20 ,$198.00 ,$198.00 ,$69.07 ,$95.04 
ST. MARY'S HOSPITAL - DECATUR,45000189,99282,HC ER LEVEL 2,450,1 ,$390.00 ,$280.80 ,$102.18 ,$390.00 ,$327.78 ,$206.70 ,$214.50 ,$128.49 ,$109.20 ,$203.97 ,$128.49 ,$214.50 ,$128.49 ,$193.05 ,$193.05 ,$128.49 ,$193.05 ,$264.84 ,$273.00 ,$243.75 ,$312.00 ,$327.77 ,$128.49 ,$273.00 ,$128.49 ,$234.00 ,$131.06 ,$292.50 ,$215.28 ,$194.22 ,$215.28 ,$128.49 ,$215.28 ,$315.90 ,$390.00 ,$315.90 ,$331.50 ,$327.77 ,$270.27 ,$128.49 ,$390.00 ,$218.79 ,$128.49 ,$102.18 ,$390.00 , N/A , N/A ,$134.92 ,$312.00 ,$193.05 ,$109.20 ,$351.00 ,$277.00 ,$390.00 ,$128.49 ,$187.20 
ST. MARY'S HOSPITAL - DECATUR,45000190,99283,HC ER LEVEL 3,450,1 ,"$1,039.00 ",$748.08 ,$225.38 ,"$1,039.00 ",$574.95 ,$550.67 ,$571.45 ,$225.38 ,$290.92 ,$543.40 ,$225.38 ,$571.45 ,$225.38 ,$514.31 ,$514.31 ,$225.38 ,$514.31 ,$464.55 ,$727.30 ,$649.38 ,$831.20 ,$574.94 ,$225.38 ,$727.30 ,$225.38 ,$623.40 ,$229.88 ,$779.25 ,$573.53 ,$517.42 ,$573.53 ,$225.38 ,$573.53 ,$841.59 ,"$1,039.00 ",$841.59 ,$883.15 ,$574.94 ,$720.03 ,$225.38 ,"$1,039.00 ",$582.88 ,$225.38 ,$272.22 ,"$1,039.00 ", N/A , N/A ,$236.65 ,$831.20 ,$514.31 ,$290.92 ,$935.10 ,$494.00 ,"$1,039.00 ",$225.38 ,$498.72 
ST. MARY'S HOSPITAL - DECATUR,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,326.00 ",$954.72 ,$97.10 ,"$1,326.00 ",$895.40 ,$702.78 ,$729.30 ,$351.00 ,$371.28 ,$693.50 ,$351.00 ,$729.30 ,$351.00 ,$656.37 ,$656.37 ,$351.00 ,$656.37 ,$723.49 ,$928.20 ,$828.75 ,"$1,060.80 ",$895.41 ,$351.00 ,$928.20 ,$351.00 ,$795.60 ,$358.02 ,$994.50 ,$731.95 ,$660.35 ,$731.95 ,$351.00 ,$731.95 ,"$1,074.06 ","$1,326.00 ","$1,074.06 ","$1,127.10 ",$895.41 ,$918.92 ,$351.00 ,"$1,326.00 ",$743.89 ,$351.00 ,$347.41 ,"$1,326.00 ",$101.73 ,$97.10 ,$368.55 ,"$1,060.80 ",$656.37 ,$371.28 ,"$1,193.40 ","$1,002.00 ","$1,326.00 ",$351.00 ,$636.48 
ST. MARY'S HOSPITAL - DECATUR,45000192,99285,HC ER LEVEL 5,450,1 ,"$2,205.00 ","$1,587.60 ",$97.10 ,"$2,205.00 ","$1,286.08 ","$1,168.65 ","$1,212.75 ",$504.14 ,$617.40 ,"$1,153.22 ",$504.14 ,"$1,212.75 ",$504.14 ,"$1,091.48 ","$1,091.48 ",$504.14 ,"$1,091.48 ","$1,039.16 ","$1,543.50 ","$1,378.13 ","$1,764.00 ","$1,286.09 ",$504.14 ,"$1,543.50 ",$504.14 ,"$1,323.00 ",$514.23 ,"$1,653.75 ","$1,217.16 ","$1,098.09 ","$1,217.16 ",$504.14 ,"$1,217.16 ","$1,786.05 ","$2,205.00 ","$1,786.05 ","$1,874.25 ","$1,286.09 ","$1,528.07 ",$504.14 ,"$2,205.00 ","$1,237.01 ",$504.14 ,$577.71 ,"$2,205.00 ",$101.73 ,$97.10 ,$529.35 ,"$1,764.00 ","$1,091.48 ",$617.40 ,"$1,984.50 ","$1,498.00 ","$2,205.00 ",$504.14 ,"$1,058.40 "
ST. MARY'S HOSPITAL - DECATUR,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$3,354.00 ","$2,414.88 ",$97.10 ,"$3,354.00 ","$1,801.38 ","$1,777.62 ","$1,844.70 ",$706.14 ,$939.12 ,"$1,754.14 ",$706.14 ,"$1,844.70 ",$706.14 ,"$1,660.23 ","$1,660.23 ",$706.14 ,"$1,660.23 ","$1,455.51 ","$2,347.80 ","$2,096.25 ","$2,683.20 ","$1,801.38 ",$706.14 ,"$2,347.80 ",$706.14 ,"$2,012.40 ",$720.26 ,"$2,515.50 ","$1,670.29 ","$1,502.59 ","$1,670.29 ",$706.14 ,"$1,670.29 ","$2,716.74 ","$3,354.00 ","$2,716.74 ","$2,850.90 ","$1,801.38 ","$2,324.32 ",$706.14 ,"$3,354.00 ","$1,881.59 ",$706.14 ,$878.75 ,"$3,354.00 ",$101.73 ,$97.10 ,$741.45 ,"$2,683.20 ","$1,660.23 ",$939.12 ,"$3,018.60 ","$1,274.52 ","$3,354.00 ",$706.14 ,"$1,609.92 "
ST. MARY'S HOSPITAL - DECATUR,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,"$1,055.00 ",$759.60 ,$276.41 ,"$1,055.00 ", N/A ,$559.15 ,$580.25 , N/A ,$295.40 ,$551.77 , N/A ,$580.25 , N/A ,$522.23 ,$522.23 , N/A ,$522.23 , N/A ,$738.50 ,$659.38 ,$844.00 , N/A , N/A ,$738.50 , N/A ,$633.00 , N/A ,$791.25 ,$582.36 ,$525.39 ,$582.36 , N/A ,$582.36 ,$854.55 ,"$1,055.00 ",$854.55 ,$896.75 , N/A ,$731.12 , N/A ,"$1,055.00 ",$591.86 , N/A ,$276.41 ,"$1,055.00 ", N/A , N/A , N/A ,$844.00 ,$522.23 ,$295.40 ,$949.50 ,$400.90 ,$348.00 , N/A ,$506.40 
ST. MARY'S HOSPITAL - DECATUR,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,$513.00 ,$369.36 ,$134.41 ,"$3,365.96 ","$3,365.95 ",$271.89 ,$282.15 ,"$1,319.45 ",$143.64 ,$268.30 ,"$1,319.45 ",$282.15 ,$502.74 ,$253.94 ,$253.94 ,$502.74 ,$253.94 ,$513.00 ,$359.10 ,$320.63 ,$410.40 ,"$3,365.96 ","$1,319.45 ",$359.10 ,"$1,319.45 ",$307.80 ,$502.74 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,"$1,319.45 ",$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$502.74 ,$513.00 ,$287.79 ,"$1,319.45 ",$134.41 ,$513.00 , N/A , N/A ,"$1,385.43 ",$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,"$1,319.45 ",$246.24 
ST. MARY'S HOSPITAL - DECATUR,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$749.00 ,$539.28 ,$190.40 ,$749.00 ,$485.73 ,$396.97 ,$411.95 ,$190.40 ,$209.72 ,$391.73 ,$190.40 ,$411.95 ,$190.40 ,$370.76 ,$370.76 ,$190.40 ,$370.76 ,$392.47 ,$524.30 ,$468.13 ,$599.20 ,$485.73 ,$190.40 ,$524.30 ,$190.40 ,$449.40 ,$194.22 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$190.40 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$485.73 ,$519.06 ,$190.40 ,$749.00 ,$420.19 ,$190.40 ,$196.24 ,$749.00 , N/A , N/A ,$199.92 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$190.40 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$884.00 ,$636.48 ,$190.40 ,$884.00 ,$485.73 ,$468.52 ,$486.20 ,$190.40 ,$247.52 ,$462.33 ,$190.40 ,$486.20 ,$190.40 ,$437.58 ,$437.58 ,$190.40 ,$437.58 ,$392.47 ,$618.80 ,$552.50 ,$707.20 ,$485.73 ,$190.40 ,$618.80 ,$190.40 ,$530.40 ,$194.22 ,$663.00 ,$487.97 ,$440.23 ,$487.97 ,$190.40 ,$487.97 ,$716.04 ,$884.00 ,$716.04 ,$751.40 ,$485.73 ,$612.61 ,$190.40 ,$884.00 ,$495.92 ,$190.40 ,$231.61 ,$884.00 , N/A , N/A ,$199.92 ,$707.20 ,$437.58 ,$247.52 ,$795.60 ,$335.92 ,$348.00 ,$190.40 ,$424.32 
ST. MARY'S HOSPITAL - DECATUR,45000200,35206,HC RPR VESSEL EXTREM UPR,450,1 ,"$5,359.00 ","$3,858.48 ",$348.00 ,"$6,989.86 ","$6,989.85 ","$2,450.00 ","$2,947.45 ","$2,740.02 ","$1,500.52 ","$2,802.76 ","$2,740.02 ","$2,947.45 ","$2,740.02 ","$2,652.71 ","$2,652.71 ","$2,740.02 ","$2,652.71 ","$5,359.00 ","$3,751.30 ","$3,349.38 ","$4,287.20 ","$6,989.86 ","$2,740.02 ","$3,751.30 ","$2,740.02 ","$3,215.40 ","$2,794.82 ","$4,019.25 ","$2,668.78 ","$2,400.83 ","$2,668.78 ","$2,740.02 ","$2,668.78 ","$3,900.00 ","$5,359.00 ","$3,900.00 ","$4,555.15 ","$5,359.00 ","$3,713.79 ","$2,740.02 ","$5,359.00 ","$3,006.40 ","$2,740.02 ","$1,404.06 ","$5,359.00 ", N/A , N/A ,"$2,877.03 ","$4,287.20 ","$2,652.71 ","$1,500.52 ","$4,823.10 ","$2,036.42 ",$348.00 ,"$2,740.02 ","$2,572.32 "
ST. MARY'S HOSPITAL - DECATUR,45000203,27840,HC TX DISL ANKLE W/O ANES CLS,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,"$3,924.00 ","$2,825.28 ",$348.00 ,"$3,924.00 ","$3,518.55 ","$2,079.72 ","$2,158.20 ","$1,379.27 ","$1,098.72 ","$2,052.25 ","$1,379.27 ","$2,158.20 ","$1,379.27 ","$1,942.38 ","$1,942.38 ","$1,379.27 ","$1,942.38 ","$2,842.98 ","$2,746.80 ","$2,452.50 ","$3,139.20 ","$3,518.54 ","$1,379.27 ","$2,746.80 ","$1,379.27 ","$2,354.40 ","$1,406.86 ","$2,943.00 ","$1,954.15 ","$1,757.95 ","$1,954.15 ","$1,379.27 ","$1,954.15 ","$3,178.44 ","$3,924.00 ","$3,178.44 ","$3,335.40 ","$3,518.54 ","$2,719.33 ","$1,379.27 ","$3,924.00 ","$2,201.36 ","$1,379.27 ","$1,028.09 ","$3,924.00 ", N/A , N/A ,"$1,448.23 ","$3,139.20 ","$1,942.38 ","$1,098.72 ","$3,531.60 ","$1,491.12 ",$348.00 ,"$1,379.27 ","$1,883.52 "
ST. MARY'S HOSPITAL - DECATUR,45000210,25680,HC CLSD WRIST FX W/MANIP,450,1 ,"$1,270.00 ",$914.40 ,$190.40 ,"$1,270.00 ",$485.73 ,$673.10 ,$698.50 ,$190.40 ,$355.60 ,$664.21 ,$190.40 ,$698.50 ,$190.40 ,$628.65 ,$628.65 ,$190.40 ,$628.65 ,$392.47 ,$889.00 ,$793.75 ,"$1,016.00 ",$485.73 ,$190.40 ,$889.00 ,$190.40 ,$762.00 ,$194.22 ,$952.50 ,$701.04 ,$632.46 ,$701.04 ,$190.40 ,$701.04 ,"$1,028.70 ","$1,270.00 ","$1,028.70 ","$1,079.50 ",$485.73 ,$880.11 ,$190.40 ,"$1,270.00 ",$712.47 ,$190.40 ,$332.74 ,"$1,270.00 ", N/A , N/A ,$199.92 ,"$1,016.00 ",$628.65 ,$355.60 ,"$1,143.00 ",$482.60 ,$348.00 ,$190.40 ,$609.60 
ST. MARY'S HOSPITAL - DECATUR,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$6,096.00 ","$4,389.12 ",$348.00 ,"$6,096.00 ","$3,365.95 ","$2,450.00 ","$3,352.80 ","$1,319.45 ","$1,706.88 ","$3,188.21 ","$1,319.45 ","$3,352.80 ","$1,319.45 ","$3,017.52 ","$3,017.52 ","$1,319.45 ","$3,017.52 ","$2,719.69 ","$4,267.20 ","$3,810.00 ","$4,876.80 ","$3,365.96 ","$1,319.45 ","$4,267.20 ","$1,319.45 ","$3,657.60 ","$1,345.84 ","$4,572.00 ","$3,035.81 ","$2,731.01 ","$3,035.81 ","$1,319.45 ","$3,035.81 ","$3,900.00 ","$6,096.00 ","$3,900.00 ","$5,181.60 ","$3,365.96 ","$4,224.53 ","$1,319.45 ","$6,096.00 ","$3,419.86 ","$1,319.45 ","$1,597.15 ","$6,096.00 ", N/A , N/A ,"$1,385.43 ","$4,876.80 ","$3,017.52 ","$1,706.88 ","$5,486.40 ","$2,316.48 ",$348.00 ,"$1,319.45 ","$2,926.08 "
ST. MARY'S HOSPITAL - DECATUR,45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,"$1,071.00 ",$771.12 ,$280.60 ,"$1,071.00 ",$780.45 ,$567.63 ,$589.05 ,$305.94 ,$299.88 ,$560.13 ,$305.94 ,$589.05 ,$305.94 ,$530.15 ,$530.15 ,$305.94 ,$530.15 ,$630.61 ,$749.70 ,$669.38 ,$856.80 ,$780.46 ,$305.94 ,$749.70 ,$305.94 ,$642.60 ,$312.06 ,$803.25 ,$591.19 ,$533.36 ,$591.19 ,$305.94 ,$591.19 ,$867.51 ,"$1,071.00 ",$867.51 ,$910.35 ,$780.46 ,$742.20 ,$305.94 ,"$1,071.00 ",$600.83 ,$305.94 ,$280.60 ,"$1,071.00 ", N/A , N/A ,$321.23 ,$856.80 ,$530.15 ,$299.88 ,$963.90 ,$406.98 ,$348.00 ,$305.94 ,$514.08 
ST. MARY'S HOSPITAL - DECATUR,45000215,27786,HC DIST FIB FX W/O MANIP,450,1 ,$765.00 ,$550.80 ,$190.40 ,$765.00 ,$485.73 ,$405.45 ,$420.75 ,$190.40 ,$214.20 ,$400.10 ,$190.40 ,$420.75 ,$190.40 ,$378.68 ,$378.68 ,$190.40 ,$378.68 ,$392.47 ,$535.50 ,$478.13 ,$612.00 ,$485.73 ,$190.40 ,$535.50 ,$190.40 ,$459.00 ,$194.22 ,$573.75 ,$422.28 ,$380.97 ,$422.28 ,$190.40 ,$422.28 ,$619.65 ,$765.00 ,$619.65 ,$650.25 ,$485.73 ,$530.15 ,$190.40 ,$765.00 ,$429.17 ,$190.40 ,$200.43 ,$765.00 , N/A , N/A ,$199.92 ,$612.00 ,$378.68 ,$214.20 ,$688.50 ,$290.70 ,$348.00 ,$190.40 ,$367.20 
ST. MARY'S HOSPITAL - DECATUR,45000216,41899,HC DENTOALVEOLAR STRUCT PROC,450,1 ,"$7,890.00 ","$5,680.80 ",$191.16 ,"$7,890.00 ",$487.65 ,"$2,450.00 ","$4,339.50 ",$191.16 ,"$2,209.20 ","$3,610.00 ",$191.16 ,"$3,800.00 ",$191.16 ,"$3,420.00 ","$3,420.00 ",$191.16 ,"$3,420.00 ",$394.02 ,"$5,523.00 ","$4,931.25 ","$6,312.00 ",$487.65 ,$191.16 ,"$5,523.00 ",$191.16 ,"$4,734.00 ",$194.98 ,"$5,917.50 ","$3,929.22 ","$3,534.72 ","$3,929.22 ",$191.16 ,"$3,929.22 ","$3,900.00 ","$7,890.00 ","$3,900.00 ","$6,706.50 ",$487.65 ,"$5,467.77 ",$191.16 ,"$7,890.00 ","$4,426.29 ",$191.16 ,"$2,067.18 ","$7,890.00 ", N/A , N/A ,$200.71 ,"$6,312.00 ","$3,420.00 ","$2,209.20 ","$7,101.00 ","$2,998.20 ",$348.00 ,$191.16 ,"$3,787.20 "
ST. MARY'S HOSPITAL - DECATUR,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$362.00 ,$260.64 ,$94.84 ,"$3,365.96 ","$3,365.95 ",$191.86 ,$199.10 ,"$1,319.45 ",$101.36 ,$189.33 ,"$1,319.45 ",$199.10 ,$354.76 ,$179.19 ,$179.19 ,$354.76 ,$179.19 ,$362.00 ,$253.40 ,$226.25 ,$289.60 ,"$3,365.96 ","$1,319.45 ",$253.40 ,"$1,319.45 ",$217.20 ,$354.76 ,$271.50 ,$199.82 ,$180.28 ,$199.82 ,"$1,319.45 ",$199.82 ,$293.22 ,$362.00 ,$293.22 ,$307.70 ,$362.00 ,$250.87 ,$354.76 ,$362.00 ,$203.08 ,"$1,319.45 ",$94.84 ,$362.00 , N/A , N/A ,"$1,385.43 ",$289.60 ,$179.19 ,$101.36 ,$325.80 ,$137.56 ,$348.00 ,"$1,319.45 ",$173.76 
ST. MARY'S HOSPITAL - DECATUR,45000220,29280,HC STRAPPING HAND/FINGER,450,1 ,$558.00 ,$401.76 ,$52.87 ,$558.00 ,$134.88 ,$295.74 ,$306.90 ,$52.87 ,$156.24 ,$291.83 ,$52.87 ,$306.90 ,$52.87 ,$276.21 ,$276.21 ,$52.87 ,$276.21 ,$108.98 ,$390.60 ,$348.75 ,$446.40 ,$134.87 ,$52.87 ,$390.60 ,$52.87 ,$334.80 ,$53.93 ,$418.50 ,$308.02 ,$277.88 ,$308.02 ,$52.87 ,$308.02 ,$451.98 ,$558.00 ,$451.98 ,$474.30 ,$134.87 ,$386.69 ,$52.87 ,$558.00 ,$313.04 ,$52.87 ,$146.20 ,$558.00 , N/A , N/A ,$55.52 ,$446.40 ,$276.21 ,$156.24 ,$502.20 ,$212.04 ,$348.00 ,$52.87 ,$267.84 
ST. MARY'S HOSPITAL - DECATUR,45000222,29540,HC STRAPPING; ANKLE,450,1 ,$413.00 ,$297.36 ,$108.21 ,$413.00 ,$342.00 ,$218.89 ,$227.15 ,$134.06 ,$115.64 ,$216.00 ,$134.06 ,$227.15 ,$134.06 ,$204.44 ,$204.44 ,$134.06 ,$204.44 ,$276.35 ,$289.10 ,$258.13 ,$330.40 ,$342.01 ,$134.06 ,$289.10 ,$134.06 ,$247.80 ,$136.75 ,$309.75 ,$227.98 ,$205.67 ,$227.98 ,$134.06 ,$227.98 ,$334.53 ,$413.00 ,$334.53 ,$351.05 ,$342.01 ,$286.21 ,$134.06 ,$413.00 ,$231.69 ,$134.06 ,$108.21 ,$413.00 , N/A , N/A ,$140.77 ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$348.00 ,$134.06 ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$560.00 ,$403.20 ,$146.72 ,$560.00 ,$485.73 ,$296.80 ,$308.00 ,$190.40 ,$156.80 ,$292.88 ,$190.40 ,$308.00 ,$190.40 ,$277.20 ,$277.20 ,$190.40 ,$277.20 ,$392.47 ,$392.00 ,$350.00 ,$448.00 ,$485.73 ,$190.40 ,$392.00 ,$190.40 ,$336.00 ,$194.22 ,$420.00 ,$309.12 ,$278.88 ,$309.12 ,$190.40 ,$309.12 ,$453.60 ,$560.00 ,$453.60 ,$476.00 ,$485.73 ,$388.08 ,$190.40 ,$560.00 ,$314.16 ,$190.40 ,$146.72 ,$560.00 , N/A , N/A ,$199.92 ,$448.00 ,$277.20 ,$156.80 ,$504.00 ,$212.80 ,$348.00 ,$190.40 ,$268.80 
ST. MARY'S HOSPITAL - DECATUR,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$785.00 ,$565.20 ,$190.40 ,$785.00 ,$485.73 ,$416.05 ,$431.75 ,$190.40 ,$219.80 ,$410.56 ,$190.40 ,$431.75 ,$190.40 ,$388.58 ,$388.58 ,$190.40 ,$388.58 ,$392.47 ,$549.50 ,$490.63 ,$628.00 ,$485.73 ,$190.40 ,$549.50 ,$190.40 ,$471.00 ,$194.22 ,$588.75 ,$433.32 ,$390.93 ,$433.32 ,$190.40 ,$433.32 ,$635.85 ,$785.00 ,$635.85 ,$667.25 ,$485.73 ,$544.01 ,$190.40 ,$785.00 ,$440.39 ,$190.40 ,$205.67 ,$785.00 , N/A , N/A ,$199.92 ,$628.00 ,$388.58 ,$219.80 ,$706.50 ,$298.30 ,$348.00 ,$190.40 ,$376.80 
ST. MARY'S HOSPITAL - DECATUR,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$718.00 ,$516.96 ,$188.12 ,"$3,365.96 ","$3,365.95 ",$380.54 ,$394.90 ,"$1,319.45 ",$201.04 ,$375.51 ,"$1,319.45 ",$394.90 ,$703.64 ,$355.41 ,$355.41 ,$703.64 ,$355.41 ,$718.00 ,$502.60 ,$448.75 ,$574.40 ,"$3,365.96 ","$1,319.45 ",$502.60 ,"$1,319.45 ",$430.80 ,$703.64 ,$538.50 ,$396.34 ,$357.56 ,$396.34 ,"$1,319.45 ",$396.34 ,$581.58 ,$718.00 ,$581.58 ,$610.30 ,$718.00 ,$497.57 ,$703.64 ,$718.00 ,$402.80 ,"$1,319.45 ",$188.12 ,$718.00 , N/A , N/A ,"$1,385.43 ",$574.40 ,$355.41 ,$201.04 ,$646.20 ,$272.84 ,$348.00 ,"$1,319.45 ",$344.64 
ST. MARY'S HOSPITAL - DECATUR,45000232,26600,HC CLSD METACARPAL W/O MANIP,450,1 ,$748.00 ,$538.56 ,$190.40 ,$748.00 ,$485.73 ,$396.44 ,$411.40 ,$190.40 ,$209.44 ,$391.20 ,$190.40 ,$411.40 ,$190.40 ,$370.26 ,$370.26 ,$190.40 ,$370.26 ,$392.47 ,$523.60 ,$467.50 ,$598.40 ,$485.73 ,$190.40 ,$523.60 ,$190.40 ,$448.80 ,$194.22 ,$561.00 ,$412.90 ,$372.50 ,$412.90 ,$190.40 ,$412.90 ,$605.88 ,$748.00 ,$605.88 ,$635.80 ,$485.73 ,$518.36 ,$190.40 ,$748.00 ,$419.63 ,$190.40 ,$195.98 ,$748.00 , N/A , N/A ,$199.92 ,$598.40 ,$370.26 ,$209.44 ,$673.20 ,$284.24 ,$348.00 ,$190.40 ,$359.04 
ST. MARY'S HOSPITAL - DECATUR,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,"$1,300.00 ",$936.00 ,$190.40 ,"$1,300.00 ",$485.73 ,$689.00 ,$715.00 ,$190.40 ,$364.00 ,$679.90 ,$190.40 ,$715.00 ,$190.40 ,$643.50 ,$643.50 ,$190.40 ,$643.50 ,$392.47 ,$910.00 ,$812.50 ,"$1,040.00 ",$485.73 ,$190.40 ,$910.00 ,$190.40 ,$780.00 ,$194.22 ,$975.00 ,$717.60 ,$647.40 ,$717.60 ,$190.40 ,$717.60 ,"$1,053.00 ","$1,300.00 ","$1,053.00 ","$1,105.00 ",$485.73 ,$900.90 ,$190.40 ,"$1,300.00 ",$729.30 ,$190.40 ,$340.60 ,"$1,300.00 ", N/A , N/A ,$199.92 ,"$1,040.00 ",$643.50 ,$364.00 ,"$1,170.00 ",$494.00 ,$348.00 ,$190.40 ,$624.00 
ST. MARY'S HOSPITAL - DECATUR,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$586.00 ,$421.92 ,$153.53 ,$586.00 ,$485.73 ,$310.58 ,$322.30 ,$190.40 ,$164.08 ,$306.48 ,$190.40 ,$322.30 ,$190.40 ,$290.07 ,$290.07 ,$190.40 ,$290.07 ,$392.47 ,$410.20 ,$366.25 ,$468.80 ,$485.73 ,$190.40 ,$410.20 ,$190.40 ,$351.60 ,$194.22 ,$439.50 ,$323.47 ,$291.83 ,$323.47 ,$190.40 ,$323.47 ,$474.66 ,$586.00 ,$474.66 ,$498.10 ,$485.73 ,$406.10 ,$190.40 ,$586.00 ,$328.75 ,$190.40 ,$153.53 ,$586.00 , N/A , N/A ,$199.92 ,$468.80 ,$290.07 ,$164.08 ,$527.40 ,$222.68 ,$348.00 ,$190.40 ,$281.28 
ST. MARY'S HOSPITAL - DECATUR,45000249,28515,HC TOE FX W/MANIP,450,1 ,"$1,258.00 ",$905.76 ,$190.40 ,"$1,258.00 ",$485.73 ,$666.74 ,$691.90 ,$190.40 ,$352.24 ,$657.93 ,$190.40 ,$691.90 ,$190.40 ,$622.71 ,$622.71 ,$190.40 ,$622.71 ,$392.47 ,$880.60 ,$786.25 ,"$1,006.40 ",$485.73 ,$190.40 ,$880.60 ,$190.40 ,$754.80 ,$194.22 ,$943.50 ,$694.42 ,$626.48 ,$694.42 ,$190.40 ,$694.42 ,"$1,018.98 ","$1,258.00 ","$1,018.98 ","$1,069.30 ",$485.73 ,$871.79 ,$190.40 ,"$1,258.00 ",$705.74 ,$190.40 ,$329.60 ,"$1,258.00 ", N/A , N/A ,$199.92 ,"$1,006.40 ",$622.71 ,$352.24 ,"$1,132.20 ",$478.04 ,$348.00 ,$190.40 ,$603.84 
ST. MARY'S HOSPITAL - DECATUR,45000258,29345,HC LONG LEG CAST,450,1 ,$854.00 ,$614.88 ,$220.67 ,$854.00 ,$562.93 ,$452.62 ,$469.70 ,$220.67 ,$239.12 ,$446.64 ,$220.67 ,$469.70 ,$220.67 ,$422.73 ,$422.73 ,$220.67 ,$422.73 ,$454.84 ,$597.80 ,$533.75 ,$683.20 ,$562.92 ,$220.67 ,$597.80 ,$220.67 ,$512.40 ,$225.08 ,$640.50 ,$471.41 ,$425.29 ,$471.41 ,$220.67 ,$471.41 ,$691.74 ,$854.00 ,$691.74 ,$725.90 ,$562.92 ,$591.82 ,$220.67 ,$854.00 ,$479.09 ,$220.67 ,$223.75 ,$854.00 , N/A , N/A ,$231.70 ,$683.20 ,$422.73 ,$239.12 ,$768.60 ,$324.52 ,$348.00 ,$220.67 ,$409.92 
ST. MARY'S HOSPITAL - DECATUR,45000265,55899,HC INC AND DRAINAGE;SCROTUM,450,1 ,$463.00 ,$333.36 ,$121.31 ,$504.18 ,$504.18 ,$245.39 ,$254.65 ,$197.64 ,$129.64 ,$242.15 ,$197.64 ,$254.65 ,$197.64 ,$229.19 ,$229.19 ,$197.64 ,$229.19 ,$407.37 ,$324.10 ,$289.38 ,$370.40 ,$504.17 ,$197.64 ,$324.10 ,$197.64 ,$277.80 ,$201.59 ,$347.25 ,$255.58 ,$230.57 ,$255.58 ,$197.64 ,$255.58 ,$375.03 ,$463.00 ,$375.03 ,$393.55 ,$463.00 ,$320.86 ,$197.64 ,$463.00 ,$259.74 ,$197.64 ,$121.31 ,$463.00 , N/A , N/A ,$207.51 ,$370.40 ,$229.19 ,$129.64 ,$416.70 ,$175.94 ,$348.00 ,$197.64 ,$222.24 
ST. MARY'S HOSPITAL - DECATUR,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$2,073.00 ","$1,492.56 ",$348.00 ,"$2,073.00 ","$1,511.88 ","$1,098.69 ","$1,140.15 ",$592.65 ,$580.44 ,"$1,084.18 ",$592.65 ,"$1,140.15 ",$592.65 ,"$1,026.14 ","$1,026.14 ",$592.65 ,"$1,026.14 ","$1,221.60 ","$1,451.10 ","$1,295.63 ","$1,658.40 ","$1,511.88 ",$592.65 ,"$1,451.10 ",$592.65 ,"$1,243.80 ",$604.51 ,"$1,554.75 ","$1,144.30 ","$1,032.35 ","$1,144.30 ",$592.65 ,"$1,144.30 ","$1,679.13 ","$2,073.00 ","$1,679.13 ","$1,762.05 ","$1,511.88 ","$1,436.59 ",$592.65 ,"$2,073.00 ","$1,162.95 ",$592.65 ,$543.13 ,"$2,073.00 ", N/A , N/A ,$622.29 ,"$1,658.40 ","$1,026.14 ",$580.44 ,"$1,865.70 ",$787.74 ,$348.00 ,$592.65 ,$995.04 
ST. MARY'S HOSPITAL - DECATUR,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$4,028.00 ","$2,900.16 ",$250.09 ,"$4,028.00 ",$637.98 ,"$2,134.84 ","$2,215.40 ",$250.09 ,"$1,127.84 ","$2,106.64 ",$250.09 ,"$2,215.40 ",$250.09 ,"$1,993.86 ","$1,993.86 ",$250.09 ,"$1,993.86 ",$515.47 ,"$2,819.60 ","$2,517.50 ","$3,222.40 ",$637.96 ,$250.09 ,"$2,819.60 ",$250.09 ,"$2,416.80 ",$255.08 ,"$3,021.00 ","$2,005.94 ","$1,804.54 ","$2,005.94 ",$250.09 ,"$2,005.94 ","$3,262.68 ","$4,028.00 ","$3,262.68 ","$3,423.80 ",$637.96 ,"$2,791.40 ",$250.09 ,"$4,028.00 ","$2,259.71 ",$250.09 ,"$1,055.34 ","$4,028.00 ", N/A , N/A ,$262.59 ,"$3,222.40 ","$1,993.86 ","$1,127.84 ","$3,625.20 ","$1,530.64 ",$348.00 ,$250.09 ,"$1,933.44 "
ST. MARY'S HOSPITAL - DECATUR,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$185.00 ,$133.20 ,$48.47 ,$185.00 ,$134.88 ,$98.05 ,$101.75 ,$52.87 ,$51.80 ,$96.76 ,$52.87 ,$101.75 ,$52.87 ,$91.58 ,$91.58 ,$52.87 ,$91.58 ,$108.98 ,$129.50 ,$115.63 ,$148.00 ,$134.87 ,$52.87 ,$129.50 ,$52.87 ,$111.00 ,$53.93 ,$138.75 ,$102.12 ,$92.13 ,$102.12 ,$52.87 ,$102.12 ,$149.85 ,$185.00 ,$149.85 ,$157.25 ,$134.87 ,$128.21 ,$52.87 ,$185.00 ,$103.79 ,$52.87 ,$48.47 ,$185.00 , N/A , N/A ,$55.52 ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$185.00 ,$52.87 ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,45000274,99281,HC ER LEVEL 1-25,450,1 ,$198.00 ,$142.56 ,$51.88 ,$198.00 ,$176.20 ,$104.94 ,$108.90 ,$69.07 ,$55.44 ,$103.55 ,$69.07 ,$108.90 ,$69.07 ,$98.01 ,$98.01 ,$69.07 ,$98.01 ,$142.36 ,$138.60 ,$123.75 ,$158.40 ,$176.19 ,$69.07 ,$138.60 ,$69.07 ,$118.80 ,$70.45 ,$148.50 ,$109.30 ,$98.60 ,$109.30 ,$69.07 ,$109.30 ,$160.38 ,$198.00 ,$160.38 ,$168.30 ,$176.19 ,$137.21 ,$69.07 ,$198.00 ,$111.08 ,$69.07 ,$51.88 ,$198.00 , N/A , N/A ,$72.52 ,$158.40 ,$98.01 ,$55.44 ,$178.20 ,$198.00 ,$198.00 ,$69.07 ,$95.04 
ST. MARY'S HOSPITAL - DECATUR,45000275,99282,HC ER LEVEL 2-25,450,1 ,$390.00 ,$280.80 ,$102.18 ,$390.00 ,$327.78 ,$206.70 ,$214.50 ,$128.49 ,$109.20 ,$203.97 ,$128.49 ,$214.50 ,$128.49 ,$193.05 ,$193.05 ,$128.49 ,$193.05 ,$264.84 ,$273.00 ,$243.75 ,$312.00 ,$327.77 ,$128.49 ,$273.00 ,$128.49 ,$234.00 ,$131.06 ,$292.50 ,$215.28 ,$194.22 ,$215.28 ,$128.49 ,$215.28 ,$315.90 ,$390.00 ,$315.90 ,$331.50 ,$327.77 ,$270.27 ,$128.49 ,$390.00 ,$218.79 ,$128.49 ,$102.18 ,$390.00 , N/A , N/A ,$134.92 ,$312.00 ,$193.05 ,$109.20 ,$351.00 ,$277.00 ,$390.00 ,$128.49 ,$187.20 
ST. MARY'S HOSPITAL - DECATUR,45000276,99283,HC ER LEVEL 3-25,450,1 ,"$1,039.00 ",$748.08 ,$225.38 ,"$1,039.00 ",$574.95 ,$550.67 ,$571.45 ,$225.38 ,$290.92 ,$543.40 ,$225.38 ,$571.45 ,$225.38 ,$514.31 ,$514.31 ,$225.38 ,$514.31 ,$464.55 ,$727.30 ,$649.38 ,$831.20 ,$574.94 ,$225.38 ,$727.30 ,$225.38 ,$623.40 ,$229.88 ,$779.25 ,$573.53 ,$517.42 ,$573.53 ,$225.38 ,$573.53 ,$841.59 ,"$1,039.00 ",$841.59 ,$883.15 ,$574.94 ,$720.03 ,$225.38 ,"$1,039.00 ",$582.88 ,$225.38 ,$272.22 ,"$1,039.00 ", N/A , N/A ,$236.65 ,$831.20 ,$514.31 ,$290.92 ,$935.10 ,$494.00 ,"$1,039.00 ",$225.38 ,$498.72 
ST. MARY'S HOSPITAL - DECATUR,45000277,99284,HC ER LEVEL 4-25,450,1 ,"$1,326.00 ",$954.72 ,$97.10 ,"$1,326.00 ",$895.40 ,$702.78 ,$729.30 ,$351.00 ,$371.28 ,$693.50 ,$351.00 ,$729.30 ,$351.00 ,$656.37 ,$656.37 ,$351.00 ,$656.37 ,$723.49 ,$928.20 ,$828.75 ,"$1,060.80 ",$895.41 ,$351.00 ,$928.20 ,$351.00 ,$795.60 ,$358.02 ,$994.50 ,$731.95 ,$660.35 ,$731.95 ,$351.00 ,$731.95 ,"$1,074.06 ","$1,326.00 ","$1,074.06 ","$1,127.10 ",$895.41 ,$918.92 ,$351.00 ,"$1,326.00 ",$743.89 ,$351.00 ,$347.41 ,"$1,326.00 ",$101.73 ,$97.10 ,$368.55 ,"$1,060.80 ",$656.37 ,$371.28 ,"$1,193.40 ","$1,002.00 ","$1,326.00 ",$351.00 ,$636.48 
ST. MARY'S HOSPITAL - DECATUR,45000278,99285,HC ER LEVEL 5-25,450,1 ,"$2,205.00 ","$1,587.60 ",$97.10 ,"$2,205.00 ","$1,286.08 ","$1,168.65 ","$1,212.75 ",$504.14 ,$617.40 ,"$1,153.22 ",$504.14 ,"$1,212.75 ",$504.14 ,"$1,091.48 ","$1,091.48 ",$504.14 ,"$1,091.48 ","$1,039.16 ","$1,543.50 ","$1,378.13 ","$1,764.00 ","$1,286.09 ",$504.14 ,"$1,543.50 ",$504.14 ,"$1,323.00 ",$514.23 ,"$1,653.75 ","$1,217.16 ","$1,098.09 ","$1,217.16 ",$504.14 ,"$1,217.16 ","$1,786.05 ","$2,205.00 ","$1,786.05 ","$1,874.25 ","$1,286.09 ","$1,528.07 ",$504.14 ,"$2,205.00 ","$1,237.01 ",$504.14 ,$577.71 ,"$2,205.00 ",$101.73 ,$97.10 ,$529.35 ,"$1,764.00 ","$1,091.48 ",$617.40 ,"$1,984.50 ","$1,498.00 ","$2,205.00 ",$504.14 ,"$1,058.40 "
ST. MARY'S HOSPITAL - DECATUR,45000279,99291,HC CRITICAL CARE 30-74 MIN -25,450,1 ,"$3,354.00 ","$2,414.88 ",$97.10 ,"$3,354.00 ","$1,801.38 ","$1,777.62 ","$1,844.70 ",$706.14 ,$939.12 ,"$1,754.14 ",$706.14 ,"$1,844.70 ",$706.14 ,"$1,660.23 ","$1,660.23 ",$706.14 ,"$1,660.23 ","$1,455.51 ","$2,347.80 ","$2,096.25 ","$2,683.20 ","$1,801.38 ",$706.14 ,"$2,347.80 ",$706.14 ,"$2,012.40 ",$720.26 ,"$2,515.50 ","$1,670.29 ","$1,502.59 ","$1,670.29 ",$706.14 ,"$1,670.29 ","$2,716.74 ","$3,354.00 ","$2,716.74 ","$2,850.90 ","$1,801.38 ","$2,324.32 ",$706.14 ,"$3,354.00 ","$1,881.59 ",$706.14 ,$878.75 ,"$3,354.00 ",$101.73 ,$97.10 ,$741.45 ,"$2,683.20 ","$1,660.23 ",$939.12 ,"$3,018.60 ","$1,274.52 ","$3,354.00 ",$706.14 ,"$1,609.92 "
ST. MARY'S HOSPITAL - DECATUR,45000287,11402,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,450,1 ,"$4,494.00 ","$3,235.68 ",$348.00 ,"$4,494.00 ","$1,522.75 ","$2,381.82 ","$2,471.70 ",$596.92 ,"$1,258.32 ","$2,350.36 ",$596.92 ,"$2,471.70 ",$596.92 ,"$2,224.53 ","$2,224.53 ",$596.92 ,"$2,224.53 ","$1,230.38 ","$3,145.80 ","$2,808.75 ","$3,595.20 ","$1,522.74 ",$596.92 ,"$3,145.80 ",$596.92 ,"$2,696.40 ",$608.85 ,"$3,370.50 ","$2,238.01 ","$2,013.31 ","$2,238.01 ",$596.92 ,"$2,238.01 ","$3,640.14 ","$4,494.00 ","$3,640.14 ","$3,819.90 ","$1,522.74 ","$3,114.34 ",$596.92 ,"$4,494.00 ","$2,521.13 ",$596.92 ,"$1,177.43 ","$4,494.00 ", N/A , N/A ,$626.77 ,"$3,595.20 ","$2,224.53 ","$1,258.32 ","$4,044.60 ","$1,707.72 ",$348.00 ,$596.92 ,"$2,157.12 "
ST. MARY'S HOSPITAL - DECATUR,45000290,11420,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,450,1 ,"$1,992.00 ","$1,434.24 ",$348.00 ,"$3,518.55 ","$3,518.55 ","$1,055.76 ","$1,095.60 ","$1,379.27 ",$557.76 ,"$1,041.82 ","$1,379.27 ","$1,095.60 ","$1,379.27 ",$986.04 ,$986.04 ,"$1,379.27 ",$986.04 ,"$1,992.00 ","$1,394.40 ","$1,245.00 ","$1,593.60 ","$3,518.54 ","$1,379.27 ","$1,394.40 ","$1,379.27 ","$1,195.20 ","$1,406.86 ","$1,494.00 ","$1,099.58 ",$992.02 ,"$1,099.58 ","$1,379.27 ","$1,099.58 ","$1,613.52 ","$1,992.00 ","$1,613.52 ","$1,693.20 ","$1,992.00 ","$1,380.46 ","$1,379.27 ","$1,992.00 ","$1,117.51 ","$1,379.27 ",$521.90 ,"$1,992.00 ", N/A , N/A ,"$1,448.23 ","$1,593.60 ",$986.04 ,$557.76 ,"$1,792.80 ",$756.96 ,$348.00 ,"$1,379.27 ",$956.16 
ST. MARY'S HOSPITAL - DECATUR,45000291,11422,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM,450,1 ,"$4,577.00 ","$3,295.44 ",$348.00 ,"$4,577.00 ","$3,518.55 ","$2,425.81 ","$2,517.35 ","$1,379.27 ","$1,281.56 ","$2,393.77 ","$1,379.27 ","$2,517.35 ","$1,379.27 ","$2,265.62 ","$2,265.62 ","$1,379.27 ","$2,265.62 ","$2,842.98 ","$3,203.90 ","$2,860.63 ","$3,661.60 ","$3,518.54 ","$1,379.27 ","$3,203.90 ","$1,379.27 ","$2,746.20 ","$1,406.86 ","$3,432.75 ","$2,279.35 ","$2,050.50 ","$2,279.35 ","$1,379.27 ","$2,279.35 ","$3,707.37 ","$4,577.00 ","$3,707.37 ","$3,890.45 ","$3,518.54 ","$3,171.86 ","$1,379.27 ","$4,577.00 ","$2,567.70 ","$1,379.27 ","$1,199.17 ","$4,577.00 ", N/A , N/A ,"$1,448.23 ","$3,661.60 ","$2,265.62 ","$1,281.56 ","$4,119.30 ","$1,739.26 ",$348.00 ,"$1,379.27 ","$2,196.96 "
ST. MARY'S HOSPITAL - DECATUR,45000298,20102,HC EXPLORE WOUND ABDOMEN/FLANK/BACK,450,1 ,"$6,677.00 ","$4,807.44 ",$348.00 ,"$6,677.00 ","$4,049.55 ","$2,450.00 ","$3,672.35 ","$1,587.42 ","$1,869.56 ","$3,492.07 ","$1,587.42 ","$3,672.35 ","$1,587.42 ","$3,305.12 ","$3,305.12 ","$1,587.42 ","$3,305.12 ","$3,272.04 ","$4,673.90 ","$4,173.13 ","$5,341.60 ","$4,049.56 ","$1,587.42 ","$4,673.90 ","$1,587.42 ","$4,006.20 ","$1,619.18 ","$5,007.75 ","$3,325.15 ","$2,991.30 ","$3,325.15 ","$1,587.42 ","$3,325.15 ","$3,900.00 ","$6,677.00 ","$3,900.00 ","$5,675.45 ","$4,049.56 ","$4,627.16 ","$1,587.42 ","$6,677.00 ","$3,745.80 ","$1,587.42 ","$1,749.37 ","$6,677.00 ", N/A , N/A ,"$1,666.79 ","$5,341.60 ","$3,305.12 ","$1,869.56 ","$6,009.30 ","$2,537.26 ",$348.00 ,"$1,587.42 ","$3,204.96 "
ST. MARY'S HOSPITAL - DECATUR,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,$979.00 ,$704.88 ,$256.50 ,"$3,518.55 ","$3,518.55 ",$518.87 ,$538.45 ,"$1,379.27 ",$274.12 ,$512.02 ,"$1,379.27 ",$538.45 ,$959.42 ,$484.61 ,$484.61 ,$959.42 ,$484.61 ,$979.00 ,$685.30 ,$611.88 ,$783.20 ,"$3,518.54 ","$1,379.27 ",$685.30 ,"$1,379.27 ",$587.40 ,$959.42 ,$734.25 ,$540.41 ,$487.54 ,$540.41 ,"$1,379.27 ",$540.41 ,$792.99 ,$979.00 ,$792.99 ,$832.15 ,$979.00 ,$678.45 ,$959.42 ,$979.00 ,$549.22 ,"$1,379.27 ",$256.50 ,$979.00 , N/A , N/A ,"$1,448.23 ",$783.20 ,$484.61 ,$274.12 ,$881.10 ,$372.02 ,$348.00 ,"$1,379.27 ",$469.92 
ST. MARY'S HOSPITAL - DECATUR,45000303,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP,450,1 ,"$5,201.00 ","$3,744.72 ",$348.00 ,"$5,201.00 ","$3,365.95 ","$2,450.00 ","$2,860.55 ","$1,319.45 ","$1,456.28 ","$2,720.12 ","$1,319.45 ","$2,860.55 ","$1,319.45 ","$2,574.50 ","$2,574.50 ","$1,319.45 ","$2,574.50 ","$2,719.69 ","$3,640.70 ","$3,250.63 ","$4,160.80 ","$3,365.96 ","$1,319.45 ","$3,640.70 ","$1,319.45 ","$3,120.60 ","$1,345.84 ","$3,900.75 ","$2,590.10 ","$2,330.05 ","$2,590.10 ","$1,319.45 ","$2,590.10 ","$3,900.00 ","$5,201.00 ","$3,900.00 ","$4,420.85 ","$3,365.96 ","$3,604.29 ","$1,319.45 ","$5,201.00 ","$2,917.76 ","$1,319.45 ","$1,362.66 ","$5,201.00 ", N/A , N/A ,"$1,385.43 ","$4,160.80 ","$2,574.50 ","$1,456.28 ","$4,680.90 ","$1,976.38 ",$348.00 ,"$1,319.45 ","$2,496.48 "
ST. MARY'S HOSPITAL - DECATUR,45000304,25650,HC CLOSED TX ULNAR STYLOID FX,450,1 ,$816.00 ,$587.52 ,$190.40 ,$816.00 ,$485.73 ,$432.48 ,$448.80 ,$190.40 ,$228.48 ,$426.77 ,$190.40 ,$448.80 ,$190.40 ,$403.92 ,$403.92 ,$190.40 ,$403.92 ,$392.47 ,$571.20 ,$510.00 ,$652.80 ,$485.73 ,$190.40 ,$571.20 ,$190.40 ,$489.60 ,$194.22 ,$612.00 ,$450.43 ,$406.37 ,$450.43 ,$190.40 ,$450.43 ,$660.96 ,$816.00 ,$660.96 ,$693.60 ,$485.73 ,$565.49 ,$190.40 ,$816.00 ,$457.78 ,$190.40 ,$213.79 ,$816.00 , N/A , N/A ,$199.92 ,$652.80 ,$403.92 ,$228.48 ,$734.40 ,$310.08 ,$348.00 ,$190.40 ,$391.68 
ST. MARY'S HOSPITAL - DECATUR,45000306,28192,HC REMOVE FOREIGN BODY FOOT DEEP,450,1 ,"$6,989.00 ","$5,032.08 ",$348.00 ,"$6,989.00 ","$3,518.55 ","$2,450.00 ","$3,843.95 ","$1,379.27 ","$1,956.92 ","$3,610.00 ","$1,379.27 ","$3,800.00 ","$1,379.27 ","$3,420.00 ","$3,420.00 ","$1,379.27 ","$3,420.00 ","$2,842.98 ","$4,892.30 ","$4,368.13 ","$5,591.20 ","$3,518.54 ","$1,379.27 ","$4,892.30 ","$1,379.27 ","$4,193.40 ","$1,406.86 ","$5,241.75 ","$3,480.52 ","$3,131.07 ","$3,480.52 ","$1,379.27 ","$3,480.52 ","$3,900.00 ","$6,989.00 ","$3,900.00 ","$5,940.65 ","$3,518.54 ","$4,843.38 ","$1,379.27 ","$6,989.00 ","$3,920.83 ","$1,379.27 ","$1,831.12 ","$6,989.00 ", N/A , N/A ,"$1,448.23 ","$5,591.20 ","$3,420.00 ","$1,956.92 ","$6,290.10 ","$2,655.82 ",$348.00 ,"$1,379.27 ","$3,354.72 "
ST. MARY'S HOSPITAL - DECATUR,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$996.00 ,$717.12 ,$190.40 ,$996.00 ,$485.73 ,$527.88 ,$547.80 ,$190.40 ,$278.88 ,$520.91 ,$190.40 ,$547.80 ,$190.40 ,$493.02 ,$493.02 ,$190.40 ,$493.02 ,$392.47 ,$697.20 ,$622.50 ,$796.80 ,$485.73 ,$190.40 ,$697.20 ,$190.40 ,$597.60 ,$194.22 ,$747.00 ,$549.79 ,$496.01 ,$549.79 ,$190.40 ,$549.79 ,$806.76 ,$996.00 ,$806.76 ,$846.60 ,$485.73 ,$690.23 ,$190.40 ,$996.00 ,$558.76 ,$190.40 ,$260.95 ,$996.00 , N/A , N/A ,$199.92 ,$796.80 ,$493.02 ,$278.88 ,$896.40 ,$378.48 ,$348.00 ,$190.40 ,$478.08 
ST. MARY'S HOSPITAL - DECATUR,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$97.00 ,$69.84 ,$25.41 ,$419.43 ,$419.43 ,$51.41 ,$53.35 ,$164.41 ,$27.16 ,$50.73 ,$164.41 ,$53.35 ,$95.06 ,$48.02 ,$48.02 ,$95.06 ,$48.02 ,$97.00 ,$67.90 ,$60.63 ,$77.60 ,$419.42 ,$164.41 ,$67.90 ,$164.41 ,$58.20 ,$95.06 ,$72.75 ,$53.54 ,$48.31 ,$53.54 ,$164.41 ,$53.54 ,$78.57 ,$97.00 ,$78.57 ,$82.45 ,$97.00 ,$67.22 ,$95.06 ,$97.00 ,$54.42 ,$164.41 ,$25.41 ,$97.00 , N/A , N/A ,$172.64 ,$77.60 ,$48.02 ,$27.16 ,$87.30 ,$36.86 ,$97.00 ,$164.41 ,$46.56 
ST. MARY'S HOSPITAL - DECATUR,45000311,40804,HC REMOVE FOREIGN BODY MOUTH SIMPLE,450,1 ,$908.00 ,$653.76 ,$237.90 ,"$1,936.98 ","$1,936.98 ",$481.24 ,$499.40 ,$759.29 ,$254.24 ,$474.88 ,$759.29 ,$499.40 ,$759.29 ,$449.46 ,$449.46 ,$759.29 ,$449.46 ,$908.00 ,$635.60 ,$567.50 ,$726.40 ,"$1,936.98 ",$759.29 ,$635.60 ,$759.29 ,$544.80 ,$774.48 ,$681.00 ,$501.22 ,$452.18 ,$501.22 ,$759.29 ,$501.22 ,$735.48 ,$908.00 ,$735.48 ,$771.80 ,$908.00 ,$629.24 ,$759.29 ,$908.00 ,$509.39 ,$759.29 ,$237.90 ,$908.00 , N/A , N/A ,$797.26 ,$726.40 ,$449.46 ,$254.24 ,$817.20 ,$345.04 ,$348.00 ,$759.29 ,$435.84 
ST. MARY'S HOSPITAL - DECATUR,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$926.00 ,$666.72 ,$190.40 ,$926.00 ,$485.73 ,$490.78 ,$509.30 ,$190.40 ,$259.28 ,$484.30 ,$190.40 ,$509.30 ,$190.40 ,$458.37 ,$458.37 ,$190.40 ,$458.37 ,$392.47 ,$648.20 ,$578.75 ,$740.80 ,$485.73 ,$190.40 ,$648.20 ,$190.40 ,$555.60 ,$194.22 ,$694.50 ,$511.15 ,$461.15 ,$511.15 ,$190.40 ,$511.15 ,$750.06 ,$926.00 ,$750.06 ,$787.10 ,$485.73 ,$641.72 ,$190.40 ,$926.00 ,$519.49 ,$190.40 ,$242.61 ,$926.00 , N/A , N/A ,$199.92 ,$740.80 ,$458.37 ,$259.28 ,$833.40 ,$351.88 ,$348.00 ,$190.40 ,$444.48 
ST. MARY'S HOSPITAL - DECATUR,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$279.00 ,$200.88 ,$73.10 ,"$3,365.96 ","$3,365.95 ",$147.87 ,$153.45 ,"$1,319.45 ",$78.12 ,$145.92 ,"$1,319.45 ",$153.45 ,$273.42 ,$138.11 ,$138.11 ,$273.42 ,$138.11 ,$279.00 ,$195.30 ,$174.38 ,$223.20 ,"$3,365.96 ","$1,319.45 ",$195.30 ,"$1,319.45 ",$167.40 ,$273.42 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,"$1,319.45 ",$154.01 ,$225.99 ,$279.00 ,$225.99 ,$237.15 ,$279.00 ,$193.35 ,$273.42 ,$279.00 ,$156.52 ,"$1,319.45 ",$73.10 ,$279.00 , N/A , N/A ,"$1,385.43 ",$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$279.00 ,"$1,319.45 ",$133.92 
ST. MARY'S HOSPITAL - DECATUR,45000330,27760,HC CLSD TX FX MEDIAL MALLEOLUS W/O MANIP,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$597.00 ,$429.84 ,$156.41 ,$597.00 ,$485.73 ,$316.41 ,$328.35 ,$190.40 ,$167.16 ,$312.23 ,$190.40 ,$328.35 ,$190.40 ,$295.52 ,$295.52 ,$190.40 ,$295.52 ,$392.47 ,$417.90 ,$373.13 ,$477.60 ,$485.73 ,$190.40 ,$417.90 ,$190.40 ,$358.20 ,$194.22 ,$447.75 ,$329.54 ,$297.31 ,$329.54 ,$190.40 ,$329.54 ,$483.57 ,$597.00 ,$483.57 ,$507.45 ,$485.73 ,$413.72 ,$190.40 ,$597.00 ,$334.92 ,$190.40 ,$156.41 ,$597.00 , N/A , N/A ,$199.92 ,$477.60 ,$295.52 ,$167.16 ,$537.30 ,$226.86 ,$348.00 ,$190.40 ,$286.56 
ST. MARY'S HOSPITAL - DECATUR,45000334,29260,HC STRAPPING ELBOW/WRIST,450,1 ,$987.00 ,$710.64 ,$52.87 ,$987.00 ,$134.88 ,$523.11 ,$542.85 ,$52.87 ,$276.36 ,$516.20 ,$52.87 ,$542.85 ,$52.87 ,$488.57 ,$488.57 ,$52.87 ,$488.57 ,$108.98 ,$690.90 ,$616.88 ,$789.60 ,$134.87 ,$52.87 ,$690.90 ,$52.87 ,$592.20 ,$53.93 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$52.87 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$134.87 ,$683.99 ,$52.87 ,$987.00 ,$553.71 ,$52.87 ,$258.59 ,$987.00 , N/A , N/A ,$55.52 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$52.87 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000335,29530,HC STRAPPING KNEE,450,1 ,$484.00 ,$348.48 ,$106.80 ,$484.00 ,$272.45 ,$256.52 ,$266.20 ,$106.80 ,$135.52 ,$253.13 ,$106.80 ,$266.20 ,$106.80 ,$239.58 ,$239.58 ,$106.80 ,$239.58 ,$220.13 ,$338.80 ,$302.50 ,$387.20 ,$272.44 ,$106.80 ,$338.80 ,$106.80 ,$290.40 ,$108.94 ,$363.00 ,$267.17 ,$241.03 ,$267.17 ,$106.80 ,$267.17 ,$392.04 ,$484.00 ,$392.04 ,$411.40 ,$272.44 ,$335.41 ,$106.80 ,$484.00 ,$271.52 ,$106.80 ,$126.81 ,$484.00 , N/A , N/A ,$112.14 ,$387.20 ,$239.58 ,$135.52 ,$435.60 ,$183.92 ,$348.00 ,$106.80 ,$232.32 
ST. MARY'S HOSPITAL - DECATUR,45000336,29550,HC STRAPPING TOES,450,1 ,$371.00 ,$267.12 ,$52.87 ,$371.00 ,$134.88 ,$196.63 ,$204.05 ,$52.87 ,$103.88 ,$194.03 ,$52.87 ,$204.05 ,$52.87 ,$183.65 ,$183.65 ,$52.87 ,$183.65 ,$108.98 ,$259.70 ,$231.88 ,$296.80 ,$134.87 ,$52.87 ,$259.70 ,$52.87 ,$222.60 ,$53.93 ,$278.25 ,$204.79 ,$184.76 ,$204.79 ,$52.87 ,$204.79 ,$300.51 ,$371.00 ,$300.51 ,$315.35 ,$134.87 ,$257.10 ,$52.87 ,$371.00 ,$208.13 ,$52.87 ,$97.20 ,$371.00 , N/A , N/A ,$55.52 ,$296.80 ,$183.65 ,$103.88 ,$333.90 ,$140.98 ,$348.00 ,$52.87 ,$178.08 
ST. MARY'S HOSPITAL - DECATUR,45000337,29730,HC WINDOWING OF CAST,450,1 ,$533.00 ,$383.76 ,$134.06 ,$533.00 ,$342.00 ,$282.49 ,$293.15 ,$134.06 ,$149.24 ,$278.76 ,$134.06 ,$293.15 ,$134.06 ,$263.84 ,$263.84 ,$134.06 ,$263.84 ,$276.35 ,$373.10 ,$333.13 ,$426.40 ,$342.01 ,$134.06 ,$373.10 ,$134.06 ,$319.80 ,$136.75 ,$399.75 ,$294.22 ,$265.43 ,$294.22 ,$134.06 ,$294.22 ,$431.73 ,$533.00 ,$431.73 ,$453.05 ,$342.01 ,$369.37 ,$134.06 ,$533.00 ,$299.01 ,$134.06 ,$139.65 ,$533.00 , N/A , N/A ,$140.77 ,$426.40 ,$263.84 ,$149.24 ,$479.70 ,$202.54 ,$348.00 ,$134.06 ,$255.84 
ST. MARY'S HOSPITAL - DECATUR,45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$959.00 ,$690.48 ,$191.16 ,$959.00 ,$487.65 ,$508.27 ,$527.45 ,$191.16 ,$268.52 ,$501.56 ,$191.16 ,$527.45 ,$191.16 ,$474.71 ,$474.71 ,$191.16 ,$474.71 ,$394.02 ,$671.30 ,$599.38 ,$767.20 ,$487.65 ,$191.16 ,$671.30 ,$191.16 ,$575.40 ,$194.98 ,$719.25 ,$529.37 ,$477.58 ,$529.37 ,$191.16 ,$529.37 ,$776.79 ,$959.00 ,$776.79 ,$815.15 ,$487.65 ,$664.59 ,$191.16 ,$959.00 ,$538.00 ,$191.16 ,$251.26 ,$959.00 , N/A , N/A ,$200.71 ,$767.20 ,$474.71 ,$268.52 ,$863.10 ,$364.42 ,$348.00 ,$191.16 ,$460.32 
ST. MARY'S HOSPITAL - DECATUR,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$185.00 ,$133.20 ,$48.47 ,$185.00 ,$134.88 ,$98.05 ,$101.75 ,$52.87 ,$51.80 ,$96.76 ,$52.87 ,$101.75 ,$52.87 ,$91.58 ,$91.58 ,$52.87 ,$91.58 ,$108.98 ,$129.50 ,$115.63 ,$148.00 ,$134.87 ,$52.87 ,$129.50 ,$52.87 ,$111.00 ,$53.93 ,$138.75 ,$102.12 ,$92.13 ,$102.12 ,$52.87 ,$102.12 ,$149.85 ,$185.00 ,$149.85 ,$157.25 ,$134.87 ,$128.21 ,$52.87 ,$185.00 ,$103.79 ,$52.87 ,$48.47 ,$185.00 , N/A , N/A ,$55.52 ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$185.00 ,$52.87 ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$185.00 ,$133.20 ,$48.47 ,$185.00 ,$134.88 ,$98.05 ,$101.75 ,$52.87 ,$51.80 ,$96.76 ,$52.87 ,$101.75 ,$52.87 ,$91.58 ,$91.58 ,$52.87 ,$91.58 ,$108.98 ,$129.50 ,$115.63 ,$148.00 ,$134.87 ,$52.87 ,$129.50 ,$52.87 ,$111.00 ,$53.93 ,$138.75 ,$102.12 ,$92.13 ,$102.12 ,$52.87 ,$102.12 ,$149.85 ,$185.00 ,$149.85 ,$157.25 ,$134.87 ,$128.21 ,$52.87 ,$185.00 ,$103.79 ,$52.87 ,$48.47 ,$185.00 , N/A , N/A ,$55.52 ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$185.00 ,$52.87 ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,45000352,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-50,450,1 ,$185.00 ,$133.20 ,$48.47 ,$185.00 ,$134.88 ,$98.05 ,$101.75 ,$52.87 ,$51.80 ,$96.76 ,$52.87 ,$101.75 ,$52.87 ,$91.58 ,$91.58 ,$52.87 ,$91.58 ,$108.98 ,$129.50 ,$115.63 ,$148.00 ,$134.87 ,$52.87 ,$129.50 ,$52.87 ,$111.00 ,$53.93 ,$138.75 ,$102.12 ,$92.13 ,$102.12 ,$52.87 ,$102.12 ,$149.85 ,$185.00 ,$149.85 ,$157.25 ,$134.87 ,$128.21 ,$52.87 ,$185.00 ,$103.79 ,$52.87 ,$48.47 ,$185.00 , N/A , N/A ,$55.52 ,$148.00 ,$91.58 ,$51.80 ,$166.50 ,$70.30 ,$185.00 ,$52.87 ,$88.80 
ST. MARY'S HOSPITAL - DECATUR,45000353,21480,HC TX DISL JAW CLS-LT,450,1 ,$884.00 ,$636.48 ,$190.40 ,$884.00 ,$485.73 ,$468.52 ,$486.20 ,$190.40 ,$247.52 ,$462.33 ,$190.40 ,$486.20 ,$190.40 ,$437.58 ,$437.58 ,$190.40 ,$437.58 ,$392.47 ,$618.80 ,$552.50 ,$707.20 ,$485.73 ,$190.40 ,$618.80 ,$190.40 ,$530.40 ,$194.22 ,$663.00 ,$487.97 ,$440.23 ,$487.97 ,$190.40 ,$487.97 ,$716.04 ,$884.00 ,$716.04 ,$751.40 ,$485.73 ,$612.61 ,$190.40 ,$884.00 ,$495.92 ,$190.40 ,$231.61 ,$884.00 , N/A , N/A ,$199.92 ,$707.20 ,$437.58 ,$247.52 ,$795.60 ,$335.92 ,$348.00 ,$190.40 ,$424.32 
ST. MARY'S HOSPITAL - DECATUR,45000354,21480,HC TX DISL JAW CLS-RT,450,1 ,$884.00 ,$636.48 ,$190.40 ,$884.00 ,$485.73 ,$468.52 ,$486.20 ,$190.40 ,$247.52 ,$462.33 ,$190.40 ,$486.20 ,$190.40 ,$437.58 ,$437.58 ,$190.40 ,$437.58 ,$392.47 ,$618.80 ,$552.50 ,$707.20 ,$485.73 ,$190.40 ,$618.80 ,$190.40 ,$530.40 ,$194.22 ,$663.00 ,$487.97 ,$440.23 ,$487.97 ,$190.40 ,$487.97 ,$716.04 ,$884.00 ,$716.04 ,$751.40 ,$485.73 ,$612.61 ,$190.40 ,$884.00 ,$495.92 ,$190.40 ,$231.61 ,$884.00 , N/A , N/A ,$199.92 ,$707.20 ,$437.58 ,$247.52 ,$795.60 ,$335.92 ,$348.00 ,$190.40 ,$424.32 
ST. MARY'S HOSPITAL - DECATUR,45000357,23650,HC TX DISL SHLDR W/MAN CLS-LT,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000358,23650,HC TX DISL SHLDR W/MAN CLS-RT,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000365,24600,HC TX DISL ELBOW W/O ANES CLS-LT,450,1 ,"$2,603.00 ","$1,874.16 ",$190.40 ,"$2,603.00 ",$485.73 ,"$1,379.59 ","$1,431.65 ",$190.40 ,$728.84 ,"$1,361.37 ",$190.40 ,"$1,431.65 ",$190.40 ,"$1,288.49 ","$1,288.49 ",$190.40 ,"$1,288.49 ",$392.47 ,"$1,822.10 ","$1,626.88 ","$2,082.40 ",$485.73 ,$190.40 ,"$1,822.10 ",$190.40 ,"$1,561.80 ",$194.22 ,"$1,952.25 ","$1,436.86 ","$1,296.29 ","$1,436.86 ",$190.40 ,"$1,436.86 ","$2,108.43 ","$2,603.00 ","$2,108.43 ","$2,212.55 ",$485.73 ,"$1,803.88 ",$190.40 ,"$2,603.00 ","$1,460.28 ",$190.40 ,$681.99 ,"$2,603.00 ", N/A , N/A ,$199.92 ,"$2,082.40 ","$1,288.49 ",$728.84 ,"$2,342.70 ",$989.14 ,$348.00 ,$190.40 ,"$1,249.44 "
ST. MARY'S HOSPITAL - DECATUR,45000366,24600,HC TX DISL ELBOW W/O ANES CLS-RT,450,1 ,"$2,603.00 ","$1,874.16 ",$190.40 ,"$2,603.00 ",$485.73 ,"$1,379.59 ","$1,431.65 ",$190.40 ,$728.84 ,"$1,361.37 ",$190.40 ,"$1,431.65 ",$190.40 ,"$1,288.49 ","$1,288.49 ",$190.40 ,"$1,288.49 ",$392.47 ,"$1,822.10 ","$1,626.88 ","$2,082.40 ",$485.73 ,$190.40 ,"$1,822.10 ",$190.40 ,"$1,561.80 ",$194.22 ,"$1,952.25 ","$1,436.86 ","$1,296.29 ","$1,436.86 ",$190.40 ,"$1,436.86 ","$2,108.43 ","$2,603.00 ","$2,108.43 ","$2,212.55 ",$485.73 ,"$1,803.88 ",$190.40 ,"$2,603.00 ","$1,460.28 ",$190.40 ,$681.99 ,"$2,603.00 ", N/A , N/A ,$199.92 ,"$2,082.40 ","$1,288.49 ",$728.84 ,"$2,342.70 ",$989.14 ,$348.00 ,$190.40 ,"$1,249.44 "
ST. MARY'S HOSPITAL - DECATUR,45000369,24640,HC DISLOCATION NURSEMAID ELBOW-LT,450,1 ,$480.00 ,$345.60 ,$125.76 ,$485.73 ,$485.73 ,$254.40 ,$264.00 ,$190.40 ,$134.40 ,$251.04 ,$190.40 ,$264.00 ,$190.40 ,$237.60 ,$237.60 ,$190.40 ,$237.60 ,$392.47 ,$336.00 ,$300.00 ,$384.00 ,$485.73 ,$190.40 ,$336.00 ,$190.40 ,$288.00 ,$194.22 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$190.40 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$190.40 ,$480.00 ,$269.28 ,$190.40 ,$125.76 ,$480.00 , N/A , N/A ,$199.92 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$190.40 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000370,24640,HC DISLOCATION NURSEMAID ELBOW-RT,450,1 ,$480.00 ,$345.60 ,$125.76 ,$485.73 ,$485.73 ,$254.40 ,$264.00 ,$190.40 ,$134.40 ,$251.04 ,$190.40 ,$264.00 ,$190.40 ,$237.60 ,$237.60 ,$190.40 ,$237.60 ,$392.47 ,$336.00 ,$300.00 ,$384.00 ,$485.73 ,$190.40 ,$336.00 ,$190.40 ,$288.00 ,$194.22 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$190.40 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$190.40 ,$480.00 ,$269.28 ,$190.40 ,$125.76 ,$480.00 , N/A , N/A ,$199.92 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$190.40 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000371,25505,HC RADIUS FX W MANIP-LT,450,1 ,$718.00 ,$516.96 ,$188.12 ,"$3,365.96 ","$3,365.95 ",$380.54 ,$394.90 ,"$1,319.45 ",$201.04 ,$375.51 ,"$1,319.45 ",$394.90 ,$703.64 ,$355.41 ,$355.41 ,$703.64 ,$355.41 ,$718.00 ,$502.60 ,$448.75 ,$574.40 ,"$3,365.96 ","$1,319.45 ",$502.60 ,"$1,319.45 ",$430.80 ,$703.64 ,$538.50 ,$396.34 ,$357.56 ,$396.34 ,"$1,319.45 ",$396.34 ,$581.58 ,$718.00 ,$581.58 ,$610.30 ,$718.00 ,$497.57 ,$703.64 ,$718.00 ,$402.80 ,"$1,319.45 ",$188.12 ,$718.00 , N/A , N/A ,"$1,385.43 ",$574.40 ,$355.41 ,$201.04 ,$646.20 ,$272.84 ,$348.00 ,"$1,319.45 ",$344.64 
ST. MARY'S HOSPITAL - DECATUR,45000372,25505,HC RADIUS FX W MANIP-RT,450,1 ,$718.00 ,$516.96 ,$188.12 ,"$3,365.96 ","$3,365.95 ",$380.54 ,$394.90 ,"$1,319.45 ",$201.04 ,$375.51 ,"$1,319.45 ",$394.90 ,$703.64 ,$355.41 ,$355.41 ,$703.64 ,$355.41 ,$718.00 ,$502.60 ,$448.75 ,$574.40 ,"$3,365.96 ","$1,319.45 ",$502.60 ,"$1,319.45 ",$430.80 ,$703.64 ,$538.50 ,$396.34 ,$357.56 ,$396.34 ,"$1,319.45 ",$396.34 ,$581.58 ,$718.00 ,$581.58 ,$610.30 ,$718.00 ,$497.57 ,$703.64 ,$718.00 ,$402.80 ,"$1,319.45 ",$188.12 ,$718.00 , N/A , N/A ,"$1,385.43 ",$574.40 ,$355.41 ,$201.04 ,$646.20 ,$272.84 ,$348.00 ,"$1,319.45 ",$344.64 
ST. MARY'S HOSPITAL - DECATUR,45000373,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-LT,450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000374,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-RT,450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000375,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000376,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",450,1 ,$548.00 ,$394.56 ,$143.58 ,"$3,365.96 ","$3,365.95 ",$290.44 ,$301.40 ,"$1,319.45 ",$153.44 ,$286.60 ,"$1,319.45 ",$301.40 ,$537.04 ,$271.26 ,$271.26 ,$537.04 ,$271.26 ,$548.00 ,$383.60 ,$342.50 ,$438.40 ,"$3,365.96 ","$1,319.45 ",$383.60 ,"$1,319.45 ",$328.80 ,$537.04 ,$411.00 ,$302.50 ,$272.90 ,$302.50 ,"$1,319.45 ",$302.50 ,$443.88 ,$548.00 ,$443.88 ,$465.80 ,$548.00 ,$379.76 ,$537.04 ,$548.00 ,$307.43 ,"$1,319.45 ",$143.58 ,$548.00 , N/A , N/A ,"$1,385.43 ",$438.40 ,$271.26 ,$153.44 ,$493.20 ,$208.24 ,$348.00 ,"$1,319.45 ",$263.04 
ST. MARY'S HOSPITAL - DECATUR,45000379,26600,HC CLSD METACARPAL W/O MANIP-LT,450,1 ,$748.00 ,$538.56 ,$190.40 ,$748.00 ,$485.73 ,$396.44 ,$411.40 ,$190.40 ,$209.44 ,$391.20 ,$190.40 ,$411.40 ,$190.40 ,$370.26 ,$370.26 ,$190.40 ,$370.26 ,$392.47 ,$523.60 ,$467.50 ,$598.40 ,$485.73 ,$190.40 ,$523.60 ,$190.40 ,$448.80 ,$194.22 ,$561.00 ,$412.90 ,$372.50 ,$412.90 ,$190.40 ,$412.90 ,$605.88 ,$748.00 ,$605.88 ,$635.80 ,$485.73 ,$518.36 ,$190.40 ,$748.00 ,$419.63 ,$190.40 ,$195.98 ,$748.00 , N/A , N/A ,$199.92 ,$598.40 ,$370.26 ,$209.44 ,$673.20 ,$284.24 ,$348.00 ,$190.40 ,$359.04 
ST. MARY'S HOSPITAL - DECATUR,45000380,26600,HC CLSD METACARPAL W/O MANIP-RT,450,1 ,$748.00 ,$538.56 ,$190.40 ,$748.00 ,$485.73 ,$396.44 ,$411.40 ,$190.40 ,$209.44 ,$391.20 ,$190.40 ,$411.40 ,$190.40 ,$370.26 ,$370.26 ,$190.40 ,$370.26 ,$392.47 ,$523.60 ,$467.50 ,$598.40 ,$485.73 ,$190.40 ,$523.60 ,$190.40 ,$448.80 ,$194.22 ,$561.00 ,$412.90 ,$372.50 ,$412.90 ,$190.40 ,$412.90 ,$605.88 ,$748.00 ,$605.88 ,$635.80 ,$485.73 ,$518.36 ,$190.40 ,$748.00 ,$419.63 ,$190.40 ,$195.98 ,$748.00 , N/A , N/A ,$199.92 ,$598.40 ,$370.26 ,$209.44 ,$673.20 ,$284.24 ,$348.00 ,$190.40 ,$359.04 
ST. MARY'S HOSPITAL - DECATUR,45000381,26605,HC CLSD METACARPAL FX W/MANIP-LT,450,1 ,$785.00 ,$565.20 ,$190.40 ,$785.00 ,$485.73 ,$416.05 ,$431.75 ,$190.40 ,$219.80 ,$410.56 ,$190.40 ,$431.75 ,$190.40 ,$388.58 ,$388.58 ,$190.40 ,$388.58 ,$392.47 ,$549.50 ,$490.63 ,$628.00 ,$485.73 ,$190.40 ,$549.50 ,$190.40 ,$471.00 ,$194.22 ,$588.75 ,$433.32 ,$390.93 ,$433.32 ,$190.40 ,$433.32 ,$635.85 ,$785.00 ,$635.85 ,$667.25 ,$485.73 ,$544.01 ,$190.40 ,$785.00 ,$440.39 ,$190.40 ,$205.67 ,$785.00 , N/A , N/A ,$199.92 ,$628.00 ,$388.58 ,$219.80 ,$706.50 ,$298.30 ,$348.00 ,$190.40 ,$376.80 
ST. MARY'S HOSPITAL - DECATUR,45000382,26605,HC CLSD METACARPAL FX W/MANIP-RT,450,1 ,$785.00 ,$565.20 ,$190.40 ,$785.00 ,$485.73 ,$416.05 ,$431.75 ,$190.40 ,$219.80 ,$410.56 ,$190.40 ,$431.75 ,$190.40 ,$388.58 ,$388.58 ,$190.40 ,$388.58 ,$392.47 ,$549.50 ,$490.63 ,$628.00 ,$485.73 ,$190.40 ,$549.50 ,$190.40 ,$471.00 ,$194.22 ,$588.75 ,$433.32 ,$390.93 ,$433.32 ,$190.40 ,$433.32 ,$635.85 ,$785.00 ,$635.85 ,$667.25 ,$485.73 ,$544.01 ,$190.40 ,$785.00 ,$440.39 ,$190.40 ,$205.67 ,$785.00 , N/A , N/A ,$199.92 ,$628.00 ,$388.58 ,$219.80 ,$706.50 ,$298.30 ,$348.00 ,$190.40 ,$376.80 
ST. MARY'S HOSPITAL - DECATUR,45000386,26670,HC HAND DISL W/MANIP W/O ANES-RT,450,1 ,"$1,300.00 ",$936.00 ,$190.40 ,"$1,300.00 ",$485.73 ,$689.00 ,$715.00 ,$190.40 ,$364.00 ,$679.90 ,$190.40 ,$715.00 ,$190.40 ,$643.50 ,$643.50 ,$190.40 ,$643.50 ,$392.47 ,$910.00 ,$812.50 ,"$1,040.00 ",$485.73 ,$190.40 ,$910.00 ,$190.40 ,$780.00 ,$194.22 ,$975.00 ,$717.60 ,$647.40 ,$717.60 ,$190.40 ,$717.60 ,"$1,053.00 ","$1,300.00 ","$1,053.00 ","$1,105.00 ",$485.73 ,$900.90 ,$190.40 ,"$1,300.00 ",$729.30 ,$190.40 ,$340.60 ,"$1,300.00 ", N/A , N/A ,$199.92 ,"$1,040.00 ",$643.50 ,$364.00 ,"$1,170.00 ",$494.00 ,$348.00 ,$190.40 ,$624.00 
ST. MARY'S HOSPITAL - DECATUR,45000387,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-LT,450,1 ,$296.00 ,$213.12 ,$77.55 ,$485.73 ,$485.73 ,$156.88 ,$162.80 ,$190.40 ,$82.88 ,$154.81 ,$190.40 ,$162.80 ,$190.40 ,$146.52 ,$146.52 ,$190.40 ,$146.52 ,$296.00 ,$207.20 ,$185.00 ,$236.80 ,$485.73 ,$190.40 ,$207.20 ,$190.40 ,$177.60 ,$194.22 ,$222.00 ,$163.39 ,$147.41 ,$163.39 ,$190.40 ,$163.39 ,$239.76 ,$296.00 ,$239.76 ,$251.60 ,$296.00 ,$205.13 ,$190.40 ,$296.00 ,$166.06 ,$190.40 ,$77.55 ,$296.00 , N/A , N/A ,$199.92 ,$236.80 ,$146.52 ,$82.88 ,$266.40 ,$112.48 ,$296.00 ,$190.40 ,$142.08 
ST. MARY'S HOSPITAL - DECATUR,45000388,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-RT,450,1 ,$296.00 ,$213.12 ,$77.55 ,$485.73 ,$485.73 ,$156.88 ,$162.80 ,$190.40 ,$82.88 ,$154.81 ,$190.40 ,$162.80 ,$190.40 ,$146.52 ,$146.52 ,$190.40 ,$146.52 ,$296.00 ,$207.20 ,$185.00 ,$236.80 ,$485.73 ,$190.40 ,$207.20 ,$190.40 ,$177.60 ,$194.22 ,$222.00 ,$163.39 ,$147.41 ,$163.39 ,$190.40 ,$163.39 ,$239.76 ,$296.00 ,$239.76 ,$251.60 ,$296.00 ,$205.13 ,$190.40 ,$296.00 ,$166.06 ,$190.40 ,$77.55 ,$296.00 , N/A , N/A ,$199.92 ,$236.80 ,$146.52 ,$82.88 ,$266.40 ,$112.48 ,$296.00 ,$190.40 ,$142.08 
ST. MARY'S HOSPITAL - DECATUR,45000389,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-LT,450,1 ,$926.00 ,$666.72 ,$190.40 ,$926.00 ,$485.73 ,$490.78 ,$509.30 ,$190.40 ,$259.28 ,$484.30 ,$190.40 ,$509.30 ,$190.40 ,$458.37 ,$458.37 ,$190.40 ,$458.37 ,$392.47 ,$648.20 ,$578.75 ,$740.80 ,$485.73 ,$190.40 ,$648.20 ,$190.40 ,$555.60 ,$194.22 ,$694.50 ,$511.15 ,$461.15 ,$511.15 ,$190.40 ,$511.15 ,$750.06 ,$926.00 ,$750.06 ,$787.10 ,$485.73 ,$641.72 ,$190.40 ,$926.00 ,$519.49 ,$190.40 ,$242.61 ,$926.00 , N/A , N/A ,$199.92 ,$740.80 ,$458.37 ,$259.28 ,$833.40 ,$351.88 ,$348.00 ,$190.40 ,$444.48 
ST. MARY'S HOSPITAL - DECATUR,45000390,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-RT,450,1 ,$926.00 ,$666.72 ,$190.40 ,$926.00 ,$485.73 ,$490.78 ,$509.30 ,$190.40 ,$259.28 ,$484.30 ,$190.40 ,$509.30 ,$190.40 ,$458.37 ,$458.37 ,$190.40 ,$458.37 ,$392.47 ,$648.20 ,$578.75 ,$740.80 ,$485.73 ,$190.40 ,$648.20 ,$190.40 ,$555.60 ,$194.22 ,$694.50 ,$511.15 ,$461.15 ,$511.15 ,$190.40 ,$511.15 ,$750.06 ,$926.00 ,$750.06 ,$787.10 ,$485.73 ,$641.72 ,$190.40 ,$926.00 ,$519.49 ,$190.40 ,$242.61 ,$926.00 , N/A , N/A ,$199.92 ,$740.80 ,$458.37 ,$259.28 ,$833.40 ,$351.88 ,$348.00 ,$190.40 ,$444.48 
ST. MARY'S HOSPITAL - DECATUR,45000391,27560,HC TX DSL PTLR W/O ANS CL-LT,450,1 ,"$1,194.00 ",$859.68 ,$190.40 ,"$1,194.00 ",$485.73 ,$632.82 ,$656.70 ,$190.40 ,$334.32 ,$624.46 ,$190.40 ,$656.70 ,$190.40 ,$591.03 ,$591.03 ,$190.40 ,$591.03 ,$392.47 ,$835.80 ,$746.25 ,$955.20 ,$485.73 ,$190.40 ,$835.80 ,$190.40 ,$716.40 ,$194.22 ,$895.50 ,$659.09 ,$594.61 ,$659.09 ,$190.40 ,$659.09 ,$967.14 ,"$1,194.00 ",$967.14 ,"$1,014.90 ",$485.73 ,$827.44 ,$190.40 ,"$1,194.00 ",$669.83 ,$190.40 ,$312.83 ,"$1,194.00 ", N/A , N/A ,$199.92 ,$955.20 ,$591.03 ,$334.32 ,"$1,074.60 ",$453.72 ,$348.00 ,$190.40 ,$573.12 
ST. MARY'S HOSPITAL - DECATUR,45000392,27560,HC TX DSL PTLR W/O ANS CL-RT,450,1 ,"$1,194.00 ",$859.68 ,$190.40 ,"$1,194.00 ",$485.73 ,$632.82 ,$656.70 ,$190.40 ,$334.32 ,$624.46 ,$190.40 ,$656.70 ,$190.40 ,$591.03 ,$591.03 ,$190.40 ,$591.03 ,$392.47 ,$835.80 ,$746.25 ,$955.20 ,$485.73 ,$190.40 ,$835.80 ,$190.40 ,$716.40 ,$194.22 ,$895.50 ,$659.09 ,$594.61 ,$659.09 ,$190.40 ,$659.09 ,$967.14 ,"$1,194.00 ",$967.14 ,"$1,014.90 ",$485.73 ,$827.44 ,$190.40 ,"$1,194.00 ",$669.83 ,$190.40 ,$312.83 ,"$1,194.00 ", N/A , N/A ,$199.92 ,$955.20 ,$591.03 ,$334.32 ,"$1,074.60 ",$453.72 ,$348.00 ,$190.40 ,$573.12 
ST. MARY'S HOSPITAL - DECATUR,45000397,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-LT,450,1 ,$362.00 ,$260.64 ,$94.84 ,"$3,365.96 ","$3,365.95 ",$191.86 ,$199.10 ,"$1,319.45 ",$101.36 ,$189.33 ,"$1,319.45 ",$199.10 ,$354.76 ,$179.19 ,$179.19 ,$354.76 ,$179.19 ,$362.00 ,$253.40 ,$226.25 ,$289.60 ,"$3,365.96 ","$1,319.45 ",$253.40 ,"$1,319.45 ",$217.20 ,$354.76 ,$271.50 ,$199.82 ,$180.28 ,$199.82 ,"$1,319.45 ",$199.82 ,$293.22 ,$362.00 ,$293.22 ,$307.70 ,$362.00 ,$250.87 ,$354.76 ,$362.00 ,$203.08 ,"$1,319.45 ",$94.84 ,$362.00 , N/A , N/A ,"$1,385.43 ",$289.60 ,$179.19 ,$101.36 ,$325.80 ,$137.56 ,$348.00 ,"$1,319.45 ",$173.76 
ST. MARY'S HOSPITAL - DECATUR,45000398,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-RT,450,1 ,$362.00 ,$260.64 ,$94.84 ,"$3,365.96 ","$3,365.95 ",$191.86 ,$199.10 ,"$1,319.45 ",$101.36 ,$189.33 ,"$1,319.45 ",$199.10 ,$354.76 ,$179.19 ,$179.19 ,$354.76 ,$179.19 ,$362.00 ,$253.40 ,$226.25 ,$289.60 ,"$3,365.96 ","$1,319.45 ",$253.40 ,"$1,319.45 ",$217.20 ,$354.76 ,$271.50 ,$199.82 ,$180.28 ,$199.82 ,"$1,319.45 ",$199.82 ,$293.22 ,$362.00 ,$293.22 ,$307.70 ,$362.00 ,$250.87 ,$354.76 ,$362.00 ,$203.08 ,"$1,319.45 ",$94.84 ,$362.00 , N/A , N/A ,"$1,385.43 ",$289.60 ,$179.19 ,$101.36 ,$325.80 ,$137.56 ,$348.00 ,"$1,319.45 ",$173.76 
ST. MARY'S HOSPITAL - DECATUR,45000403,29065,HC APPL CAST ARM LONG-LT,450,1 ,$702.00 ,$505.44 ,$183.92 ,$702.00 ,$562.93 ,$372.06 ,$386.10 ,$220.67 ,$196.56 ,$367.15 ,$220.67 ,$386.10 ,$220.67 ,$347.49 ,$347.49 ,$220.67 ,$347.49 ,$454.84 ,$491.40 ,$438.75 ,$561.60 ,$562.92 ,$220.67 ,$491.40 ,$220.67 ,$421.20 ,$225.08 ,$526.50 ,$387.50 ,$349.60 ,$387.50 ,$220.67 ,$387.50 ,$568.62 ,$702.00 ,$568.62 ,$596.70 ,$562.92 ,$486.49 ,$220.67 ,$702.00 ,$393.82 ,$220.67 ,$183.92 ,$702.00 , N/A , N/A ,$231.70 ,$561.60 ,$347.49 ,$196.56 ,$631.80 ,$266.76 ,$348.00 ,$220.67 ,$336.96 
ST. MARY'S HOSPITAL - DECATUR,45000404,29065,HC APPL CAST ARM LONG-RT,450,1 ,$702.00 ,$505.44 ,$183.92 ,$702.00 ,$562.93 ,$372.06 ,$386.10 ,$220.67 ,$196.56 ,$367.15 ,$220.67 ,$386.10 ,$220.67 ,$347.49 ,$347.49 ,$220.67 ,$347.49 ,$454.84 ,$491.40 ,$438.75 ,$561.60 ,$562.92 ,$220.67 ,$491.40 ,$220.67 ,$421.20 ,$225.08 ,$526.50 ,$387.50 ,$349.60 ,$387.50 ,$220.67 ,$387.50 ,$568.62 ,$702.00 ,$568.62 ,$596.70 ,$562.92 ,$486.49 ,$220.67 ,$702.00 ,$393.82 ,$220.67 ,$183.92 ,$702.00 , N/A , N/A ,$231.70 ,$561.60 ,$347.49 ,$196.56 ,$631.80 ,$266.76 ,$348.00 ,$220.67 ,$336.96 
ST. MARY'S HOSPITAL - DECATUR,45000405,29105,HC APPL SPLNT ARM LONG-LT,450,1 ,$869.00 ,$625.68 ,$134.06 ,$869.00 ,$342.00 ,$460.57 ,$477.95 ,$134.06 ,$243.32 ,$454.49 ,$134.06 ,$477.95 ,$134.06 ,$430.16 ,$430.16 ,$134.06 ,$430.16 ,$276.35 ,$608.30 ,$543.13 ,$695.20 ,$342.01 ,$134.06 ,$608.30 ,$134.06 ,$521.40 ,$136.75 ,$651.75 ,$479.69 ,$432.76 ,$479.69 ,$134.06 ,$479.69 ,$703.89 ,$869.00 ,$703.89 ,$738.65 ,$342.01 ,$602.22 ,$134.06 ,$869.00 ,$487.51 ,$134.06 ,$227.68 ,$869.00 , N/A , N/A ,$140.77 ,$695.20 ,$430.16 ,$243.32 ,$782.10 ,$330.22 ,$348.00 ,$134.06 ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,45000406,29105,HC APPL SPLNT ARM LONG-RT,450,1 ,$869.00 ,$625.68 ,$134.06 ,$869.00 ,$342.00 ,$460.57 ,$477.95 ,$134.06 ,$243.32 ,$454.49 ,$134.06 ,$477.95 ,$134.06 ,$430.16 ,$430.16 ,$134.06 ,$430.16 ,$276.35 ,$608.30 ,$543.13 ,$695.20 ,$342.01 ,$134.06 ,$608.30 ,$134.06 ,$521.40 ,$136.75 ,$651.75 ,$479.69 ,$432.76 ,$479.69 ,$134.06 ,$479.69 ,$703.89 ,$869.00 ,$703.89 ,$738.65 ,$342.01 ,$602.22 ,$134.06 ,$869.00 ,$487.51 ,$134.06 ,$227.68 ,$869.00 , N/A , N/A ,$140.77 ,$695.20 ,$430.16 ,$243.32 ,$782.10 ,$330.22 ,$348.00 ,$134.06 ,$417.12 
ST. MARY'S HOSPITAL - DECATUR,45000407,29126,HC APPL SHRT ARM SPLNT DYNAM-LT,450,1 ,$800.00 ,$576.00 ,$106.80 ,$800.00 ,$272.45 ,$424.00 ,$440.00 ,$106.80 ,$224.00 ,$418.40 ,$106.80 ,$440.00 ,$106.80 ,$396.00 ,$396.00 ,$106.80 ,$396.00 ,$220.13 ,$560.00 ,$500.00 ,$640.00 ,$272.44 ,$106.80 ,$560.00 ,$106.80 ,$480.00 ,$108.94 ,$600.00 ,$441.60 ,$398.40 ,$441.60 ,$106.80 ,$441.60 ,$648.00 ,$800.00 ,$648.00 ,$680.00 ,$272.44 ,$554.40 ,$106.80 ,$800.00 ,$448.80 ,$106.80 ,$209.60 ,$800.00 , N/A , N/A ,$112.14 ,$640.00 ,$396.00 ,$224.00 ,$720.00 ,$304.00 ,$348.00 ,$106.80 ,$384.00 
ST. MARY'S HOSPITAL - DECATUR,45000408,29126,HC APPL SHRT ARM SPLNT DYNAM-RT,450,1 ,$800.00 ,$576.00 ,$106.80 ,$800.00 ,$272.45 ,$424.00 ,$440.00 ,$106.80 ,$224.00 ,$418.40 ,$106.80 ,$440.00 ,$106.80 ,$396.00 ,$396.00 ,$106.80 ,$396.00 ,$220.13 ,$560.00 ,$500.00 ,$640.00 ,$272.44 ,$106.80 ,$560.00 ,$106.80 ,$480.00 ,$108.94 ,$600.00 ,$441.60 ,$398.40 ,$441.60 ,$106.80 ,$441.60 ,$648.00 ,$800.00 ,$648.00 ,$680.00 ,$272.44 ,$554.40 ,$106.80 ,$800.00 ,$448.80 ,$106.80 ,$209.60 ,$800.00 , N/A , N/A ,$112.14 ,$640.00 ,$396.00 ,$224.00 ,$720.00 ,$304.00 ,$348.00 ,$106.80 ,$384.00 
ST. MARY'S HOSPITAL - DECATUR,45000409,29240,HC STRAPPING SHLDR-LT,450,1 ,$987.00 ,$710.64 ,$106.80 ,$987.00 ,$272.45 ,$523.11 ,$542.85 ,$106.80 ,$276.36 ,$516.20 ,$106.80 ,$542.85 ,$106.80 ,$488.57 ,$488.57 ,$106.80 ,$488.57 ,$220.13 ,$690.90 ,$616.88 ,$789.60 ,$272.44 ,$106.80 ,$690.90 ,$106.80 ,$592.20 ,$108.94 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$106.80 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$272.44 ,$683.99 ,$106.80 ,$987.00 ,$553.71 ,$106.80 ,$258.59 ,$987.00 , N/A , N/A ,$112.14 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$106.80 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000410,29240,HC STRAPPING SHLDR-RT,450,1 ,$987.00 ,$710.64 ,$106.80 ,$987.00 ,$272.45 ,$523.11 ,$542.85 ,$106.80 ,$276.36 ,$516.20 ,$106.80 ,$542.85 ,$106.80 ,$488.57 ,$488.57 ,$106.80 ,$488.57 ,$220.13 ,$690.90 ,$616.88 ,$789.60 ,$272.44 ,$106.80 ,$690.90 ,$106.80 ,$592.20 ,$108.94 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$106.80 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$272.44 ,$683.99 ,$106.80 ,$987.00 ,$553.71 ,$106.80 ,$258.59 ,$987.00 , N/A , N/A ,$112.14 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$106.80 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000411,29260,HC STRAPPING ELBOW/WRIST-LT,450,1 ,$987.00 ,$710.64 ,$52.87 ,$987.00 ,$134.88 ,$523.11 ,$542.85 ,$52.87 ,$276.36 ,$516.20 ,$52.87 ,$542.85 ,$52.87 ,$488.57 ,$488.57 ,$52.87 ,$488.57 ,$108.98 ,$690.90 ,$616.88 ,$789.60 ,$134.87 ,$52.87 ,$690.90 ,$52.87 ,$592.20 ,$53.93 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$52.87 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$134.87 ,$683.99 ,$52.87 ,$987.00 ,$553.71 ,$52.87 ,$258.59 ,$987.00 , N/A , N/A ,$55.52 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$52.87 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000412,29260,HC STRAPPING ELBOW/WRIST-RT,450,1 ,$987.00 ,$710.64 ,$52.87 ,$987.00 ,$134.88 ,$523.11 ,$542.85 ,$52.87 ,$276.36 ,$516.20 ,$52.87 ,$542.85 ,$52.87 ,$488.57 ,$488.57 ,$52.87 ,$488.57 ,$108.98 ,$690.90 ,$616.88 ,$789.60 ,$134.87 ,$52.87 ,$690.90 ,$52.87 ,$592.20 ,$53.93 ,$740.25 ,$544.82 ,$491.53 ,$544.82 ,$52.87 ,$544.82 ,$799.47 ,$987.00 ,$799.47 ,$838.95 ,$134.87 ,$683.99 ,$52.87 ,$987.00 ,$553.71 ,$52.87 ,$258.59 ,$987.00 , N/A , N/A ,$55.52 ,$789.60 ,$488.57 ,$276.36 ,$888.30 ,$375.06 ,$348.00 ,$52.87 ,$473.76 
ST. MARY'S HOSPITAL - DECATUR,45000413,29345,HC LONG LEG CAST-LT,450,1 ,$854.00 ,$614.88 ,$220.67 ,$854.00 ,$562.93 ,$452.62 ,$469.70 ,$220.67 ,$239.12 ,$446.64 ,$220.67 ,$469.70 ,$220.67 ,$422.73 ,$422.73 ,$220.67 ,$422.73 ,$454.84 ,$597.80 ,$533.75 ,$683.20 ,$562.92 ,$220.67 ,$597.80 ,$220.67 ,$512.40 ,$225.08 ,$640.50 ,$471.41 ,$425.29 ,$471.41 ,$220.67 ,$471.41 ,$691.74 ,$854.00 ,$691.74 ,$725.90 ,$562.92 ,$591.82 ,$220.67 ,$854.00 ,$479.09 ,$220.67 ,$223.75 ,$854.00 , N/A , N/A ,$231.70 ,$683.20 ,$422.73 ,$239.12 ,$768.60 ,$324.52 ,$348.00 ,$220.67 ,$409.92 
ST. MARY'S HOSPITAL - DECATUR,45000414,29345,HC LONG LEG CAST-RT,450,1 ,$854.00 ,$614.88 ,$220.67 ,$854.00 ,$562.93 ,$452.62 ,$469.70 ,$220.67 ,$239.12 ,$446.64 ,$220.67 ,$469.70 ,$220.67 ,$422.73 ,$422.73 ,$220.67 ,$422.73 ,$454.84 ,$597.80 ,$533.75 ,$683.20 ,$562.92 ,$220.67 ,$597.80 ,$220.67 ,$512.40 ,$225.08 ,$640.50 ,$471.41 ,$425.29 ,$471.41 ,$220.67 ,$471.41 ,$691.74 ,$854.00 ,$691.74 ,$725.90 ,$562.92 ,$591.82 ,$220.67 ,$854.00 ,$479.09 ,$220.67 ,$223.75 ,$854.00 , N/A , N/A ,$231.70 ,$683.20 ,$422.73 ,$239.12 ,$768.60 ,$324.52 ,$348.00 ,$220.67 ,$409.92 
ST. MARY'S HOSPITAL - DECATUR,45000415,29405,HC APPLY SHORT LEG CAST-LT,450,1 ,$677.00 ,$487.44 ,$177.37 ,$677.00 ,$562.93 ,$358.81 ,$372.35 ,$220.67 ,$189.56 ,$354.07 ,$220.67 ,$372.35 ,$220.67 ,$335.12 ,$335.12 ,$220.67 ,$335.12 ,$454.84 ,$473.90 ,$423.13 ,$541.60 ,$562.92 ,$220.67 ,$473.90 ,$220.67 ,$406.20 ,$225.08 ,$507.75 ,$373.70 ,$337.15 ,$373.70 ,$220.67 ,$373.70 ,$548.37 ,$677.00 ,$548.37 ,$575.45 ,$562.92 ,$469.16 ,$220.67 ,$677.00 ,$379.80 ,$220.67 ,$177.37 ,$677.00 , N/A , N/A ,$231.70 ,$541.60 ,$335.12 ,$189.56 ,$609.30 ,$257.26 ,$348.00 ,$220.67 ,$324.96 
ST. MARY'S HOSPITAL - DECATUR,45000416,29405,HC APPLY SHORT LEG CAST-RT,450,1 ,$677.00 ,$487.44 ,$177.37 ,$677.00 ,$562.93 ,$358.81 ,$372.35 ,$220.67 ,$189.56 ,$354.07 ,$220.67 ,$372.35 ,$220.67 ,$335.12 ,$335.12 ,$220.67 ,$335.12 ,$454.84 ,$473.90 ,$423.13 ,$541.60 ,$562.92 ,$220.67 ,$473.90 ,$220.67 ,$406.20 ,$225.08 ,$507.75 ,$373.70 ,$337.15 ,$373.70 ,$220.67 ,$373.70 ,$548.37 ,$677.00 ,$548.37 ,$575.45 ,$562.92 ,$469.16 ,$220.67 ,$677.00 ,$379.80 ,$220.67 ,$177.37 ,$677.00 , N/A , N/A ,$231.70 ,$541.60 ,$335.12 ,$189.56 ,$609.30 ,$257.26 ,$348.00 ,$220.67 ,$324.96 
ST. MARY'S HOSPITAL - DECATUR,45000417,29505,HC APPL LONG LEG SPLNT-LT,450,1 ,$680.00 ,$489.60 ,$134.06 ,$680.00 ,$342.00 ,$360.40 ,$374.00 ,$134.06 ,$190.40 ,$355.64 ,$134.06 ,$374.00 ,$134.06 ,$336.60 ,$336.60 ,$134.06 ,$336.60 ,$276.35 ,$476.00 ,$425.00 ,$544.00 ,$342.01 ,$134.06 ,$476.00 ,$134.06 ,$408.00 ,$136.75 ,$510.00 ,$375.36 ,$338.64 ,$375.36 ,$134.06 ,$375.36 ,$550.80 ,$680.00 ,$550.80 ,$578.00 ,$342.01 ,$471.24 ,$134.06 ,$680.00 ,$381.48 ,$134.06 ,$178.16 ,$680.00 , N/A , N/A ,$140.77 ,$544.00 ,$336.60 ,$190.40 ,$612.00 ,$258.40 ,$348.00 ,$134.06 ,$326.40 
ST. MARY'S HOSPITAL - DECATUR,45000418,29505,HC APPL LONG LEG SPLNT-RT,450,1 ,$680.00 ,$489.60 ,$134.06 ,$680.00 ,$342.00 ,$360.40 ,$374.00 ,$134.06 ,$190.40 ,$355.64 ,$134.06 ,$374.00 ,$134.06 ,$336.60 ,$336.60 ,$134.06 ,$336.60 ,$276.35 ,$476.00 ,$425.00 ,$544.00 ,$342.01 ,$134.06 ,$476.00 ,$134.06 ,$408.00 ,$136.75 ,$510.00 ,$375.36 ,$338.64 ,$375.36 ,$134.06 ,$375.36 ,$550.80 ,$680.00 ,$550.80 ,$578.00 ,$342.01 ,$471.24 ,$134.06 ,$680.00 ,$381.48 ,$134.06 ,$178.16 ,$680.00 , N/A , N/A ,$140.77 ,$544.00 ,$336.60 ,$190.40 ,$612.00 ,$258.40 ,$348.00 ,$134.06 ,$326.40 
ST. MARY'S HOSPITAL - DECATUR,45000419,29515,HC APPL SHRT LEG SPLNT FAC-LT,450,1 ,$638.00 ,$459.36 ,$134.06 ,$638.00 ,$342.00 ,$338.14 ,$350.90 ,$134.06 ,$178.64 ,$333.67 ,$134.06 ,$350.90 ,$134.06 ,$315.81 ,$315.81 ,$134.06 ,$315.81 ,$276.35 ,$446.60 ,$398.75 ,$510.40 ,$342.01 ,$134.06 ,$446.60 ,$134.06 ,$382.80 ,$136.75 ,$478.50 ,$352.18 ,$317.72 ,$352.18 ,$134.06 ,$352.18 ,$516.78 ,$638.00 ,$516.78 ,$542.30 ,$342.01 ,$442.13 ,$134.06 ,$638.00 ,$357.92 ,$134.06 ,$167.16 ,$638.00 , N/A , N/A ,$140.77 ,$510.40 ,$315.81 ,$178.64 ,$574.20 ,$242.44 ,$348.00 ,$134.06 ,$306.24 
ST. MARY'S HOSPITAL - DECATUR,45000420,29515,HC APPL SHRT LEG SPLNT FAC-RT,450,1 ,$638.00 ,$459.36 ,$134.06 ,$638.00 ,$342.00 ,$338.14 ,$350.90 ,$134.06 ,$178.64 ,$333.67 ,$134.06 ,$350.90 ,$134.06 ,$315.81 ,$315.81 ,$134.06 ,$315.81 ,$276.35 ,$446.60 ,$398.75 ,$510.40 ,$342.01 ,$134.06 ,$446.60 ,$134.06 ,$382.80 ,$136.75 ,$478.50 ,$352.18 ,$317.72 ,$352.18 ,$134.06 ,$352.18 ,$516.78 ,$638.00 ,$516.78 ,$542.30 ,$342.01 ,$442.13 ,$134.06 ,$638.00 ,$357.92 ,$134.06 ,$167.16 ,$638.00 , N/A , N/A ,$140.77 ,$510.40 ,$315.81 ,$178.64 ,$574.20 ,$242.44 ,$348.00 ,$134.06 ,$306.24 
ST. MARY'S HOSPITAL - DECATUR,45000421,29530,HC STRAPPING KNEE-LT,450,1 ,$484.00 ,$348.48 ,$106.80 ,$484.00 ,$272.45 ,$256.52 ,$266.20 ,$106.80 ,$135.52 ,$253.13 ,$106.80 ,$266.20 ,$106.80 ,$239.58 ,$239.58 ,$106.80 ,$239.58 ,$220.13 ,$338.80 ,$302.50 ,$387.20 ,$272.44 ,$106.80 ,$338.80 ,$106.80 ,$290.40 ,$108.94 ,$363.00 ,$267.17 ,$241.03 ,$267.17 ,$106.80 ,$267.17 ,$392.04 ,$484.00 ,$392.04 ,$411.40 ,$272.44 ,$335.41 ,$106.80 ,$484.00 ,$271.52 ,$106.80 ,$126.81 ,$484.00 , N/A , N/A ,$112.14 ,$387.20 ,$239.58 ,$135.52 ,$435.60 ,$183.92 ,$348.00 ,$106.80 ,$232.32 
ST. MARY'S HOSPITAL - DECATUR,45000422,29530,HC STRAPPING KNEE-RT,450,1 ,$484.00 ,$348.48 ,$106.80 ,$484.00 ,$272.45 ,$256.52 ,$266.20 ,$106.80 ,$135.52 ,$253.13 ,$106.80 ,$266.20 ,$106.80 ,$239.58 ,$239.58 ,$106.80 ,$239.58 ,$220.13 ,$338.80 ,$302.50 ,$387.20 ,$272.44 ,$106.80 ,$338.80 ,$106.80 ,$290.40 ,$108.94 ,$363.00 ,$267.17 ,$241.03 ,$267.17 ,$106.80 ,$267.17 ,$392.04 ,$484.00 ,$392.04 ,$411.40 ,$272.44 ,$335.41 ,$106.80 ,$484.00 ,$271.52 ,$106.80 ,$126.81 ,$484.00 , N/A , N/A ,$112.14 ,$387.20 ,$239.58 ,$135.52 ,$435.60 ,$183.92 ,$348.00 ,$106.80 ,$232.32 
ST. MARY'S HOSPITAL - DECATUR,45000425,30901,HC CNTRL NOSEBLEED ANT SMP-LT,450,1 ,$935.00 ,$673.20 ,$106.80 ,$935.00 ,$272.45 ,$495.55 ,$514.25 ,$106.80 ,$261.80 ,$489.01 ,$106.80 ,$514.25 ,$106.80 ,$462.83 ,$462.83 ,$106.80 ,$462.83 ,$220.13 ,$654.50 ,$584.38 ,$748.00 ,$272.44 ,$106.80 ,$654.50 ,$106.80 ,$561.00 ,$108.94 ,$701.25 ,$516.12 ,$465.63 ,$516.12 ,$106.80 ,$516.12 ,$757.35 ,$935.00 ,$757.35 ,$794.75 ,$272.44 ,$647.96 ,$106.80 ,$935.00 ,$524.54 ,$106.80 ,$244.97 ,$935.00 , N/A , N/A ,$112.14 ,$748.00 ,$462.83 ,$261.80 ,$841.50 ,$355.30 ,$348.00 ,$106.80 ,$448.80 
ST. MARY'S HOSPITAL - DECATUR,45000426,30901,HC CNTRL NOSEBLEED ANT SMP-RT,450,1 ,$935.00 ,$673.20 ,$106.80 ,$935.00 ,$272.45 ,$495.55 ,$514.25 ,$106.80 ,$261.80 ,$489.01 ,$106.80 ,$514.25 ,$106.80 ,$462.83 ,$462.83 ,$106.80 ,$462.83 ,$220.13 ,$654.50 ,$584.38 ,$748.00 ,$272.44 ,$106.80 ,$654.50 ,$106.80 ,$561.00 ,$108.94 ,$701.25 ,$516.12 ,$465.63 ,$516.12 ,$106.80 ,$516.12 ,$757.35 ,$935.00 ,$757.35 ,$794.75 ,$272.44 ,$647.96 ,$106.80 ,$935.00 ,$524.54 ,$106.80 ,$244.97 ,$935.00 , N/A , N/A ,$112.14 ,$748.00 ,$462.83 ,$261.80 ,$841.50 ,$355.30 ,$348.00 ,$106.80 ,$448.80 
ST. MARY'S HOSPITAL - DECATUR,45000427,30903,HC CNTRL NOSEBLEED ANT CPLX-LT,450,1 ,$488.00 ,$351.36 ,$106.80 ,$488.00 ,$272.45 ,$258.64 ,$268.40 ,$106.80 ,$136.64 ,$255.22 ,$106.80 ,$268.40 ,$106.80 ,$241.56 ,$241.56 ,$106.80 ,$241.56 ,$220.13 ,$341.60 ,$305.00 ,$390.40 ,$272.44 ,$106.80 ,$341.60 ,$106.80 ,$292.80 ,$108.94 ,$366.00 ,$269.38 ,$243.02 ,$269.38 ,$106.80 ,$269.38 ,$395.28 ,$488.00 ,$395.28 ,$414.80 ,$272.44 ,$338.18 ,$106.80 ,$488.00 ,$273.77 ,$106.80 ,$127.86 ,$488.00 , N/A , N/A ,$112.14 ,$390.40 ,$241.56 ,$136.64 ,$439.20 ,$185.44 ,$348.00 ,$106.80 ,$234.24 
ST. MARY'S HOSPITAL - DECATUR,45000428,30903,HC CNTRL NOSEBLEED ANT CPLX-RT,450,1 ,$488.00 ,$351.36 ,$106.80 ,$488.00 ,$272.45 ,$258.64 ,$268.40 ,$106.80 ,$136.64 ,$255.22 ,$106.80 ,$268.40 ,$106.80 ,$241.56 ,$241.56 ,$106.80 ,$241.56 ,$220.13 ,$341.60 ,$305.00 ,$390.40 ,$272.44 ,$106.80 ,$341.60 ,$106.80 ,$292.80 ,$108.94 ,$366.00 ,$269.38 ,$243.02 ,$269.38 ,$106.80 ,$269.38 ,$395.28 ,$488.00 ,$395.28 ,$414.80 ,$272.44 ,$338.18 ,$106.80 ,$488.00 ,$273.77 ,$106.80 ,$127.86 ,$488.00 , N/A , N/A ,$112.14 ,$390.40 ,$241.56 ,$136.64 ,$439.20 ,$185.44 ,$348.00 ,$106.80 ,$234.24 
ST. MARY'S HOSPITAL - DECATUR,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,"$2,583.00 ","$1,859.76 ",$348.00 ,"$3,491.10 ","$3,491.10 ","$1,368.99 ","$1,420.65 ","$1,368.51 ",$723.24 ,"$1,350.91 ","$1,368.51 ","$1,420.65 ","$1,368.51 ","$1,278.59 ","$1,278.59 ","$1,368.51 ","$1,278.59 ","$2,583.00 ","$1,808.10 ","$1,614.38 ","$2,066.40 ","$3,491.09 ","$1,368.51 ","$1,808.10 ","$1,368.51 ","$1,549.80 ","$1,395.88 ","$1,937.25 ","$1,425.82 ","$1,286.33 ","$1,425.82 ","$1,368.51 ","$1,425.82 ","$2,092.23 ","$2,583.00 ","$2,092.23 ","$2,195.55 ","$2,583.00 ","$1,790.02 ","$1,368.51 ","$2,583.00 ","$1,449.06 ","$1,368.51 ",$676.75 ,"$2,583.00 ", N/A , N/A ,"$1,436.93 ","$2,066.40 ","$1,278.59 ",$723.24 ,"$2,324.70 ",$981.54 ,$348.00 ,"$1,368.51 ","$1,239.84 "
ST. MARY'S HOSPITAL - DECATUR,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,"$2,583.00 ","$1,859.76 ",$348.00 ,"$3,491.10 ","$3,491.10 ","$1,368.99 ","$1,420.65 ","$1,368.51 ",$723.24 ,"$1,350.91 ","$1,368.51 ","$1,420.65 ","$1,368.51 ","$1,278.59 ","$1,278.59 ","$1,368.51 ","$1,278.59 ","$2,583.00 ","$1,808.10 ","$1,614.38 ","$2,066.40 ","$3,491.09 ","$1,368.51 ","$1,808.10 ","$1,368.51 ","$1,549.80 ","$1,395.88 ","$1,937.25 ","$1,425.82 ","$1,286.33 ","$1,425.82 ","$1,368.51 ","$1,425.82 ","$2,092.23 ","$2,583.00 ","$2,092.23 ","$2,195.55 ","$2,583.00 ","$1,790.02 ","$1,368.51 ","$2,583.00 ","$1,449.06 ","$1,368.51 ",$676.75 ,"$2,583.00 ", N/A , N/A ,"$1,436.93 ","$2,066.40 ","$1,278.59 ",$723.24 ,"$2,324.70 ",$981.54 ,$348.00 ,"$1,368.51 ","$1,239.84 "
ST. MARY'S HOSPITAL - DECATUR,45000433,32554,HC THORACENTESIS ASPIRATION WO IMAGING-LT,450,1 ,"$3,094.00 ","$2,227.68 ",$348.00 ,"$3,094.00 ","$1,357.40 ","$1,639.82 ","$1,701.70 ",$532.10 ,$866.32 ,"$1,618.16 ",$532.10 ,"$1,701.70 ",$532.10 ,"$1,531.53 ","$1,531.53 ",$532.10 ,"$1,531.53 ","$1,096.77 ","$2,165.80 ","$1,933.75 ","$2,475.20 ","$1,357.39 ",$532.10 ,"$2,165.80 ",$532.10 ,"$1,856.40 ",$542.74 ,"$2,320.50 ","$1,629.00 ","$1,464.00 ","$1,629.00 ",$532.10 ,"$1,629.00 ","$2,506.14 ","$3,094.00 ","$2,506.14 ","$2,629.90 ","$1,357.39 ","$2,144.14 ",$532.10 ,"$3,094.00 ","$1,735.73 ",$532.10 ,$810.63 ,"$3,094.00 ", N/A , N/A ,$558.71 ,"$2,475.20 ","$1,531.53 ",$866.32 ,"$2,784.60 ","$1,175.72 ",$348.00 ,$532.10 ,"$1,485.12 "
ST. MARY'S HOSPITAL - DECATUR,45000434,32554,HC THORACENTESIS ASPIRATION WO IMAGING-RT,450,1 ,"$3,094.00 ","$2,227.68 ",$348.00 ,"$3,094.00 ","$1,357.40 ","$1,639.82 ","$1,701.70 ",$532.10 ,$866.32 ,"$1,618.16 ",$532.10 ,"$1,701.70 ",$532.10 ,"$1,531.53 ","$1,531.53 ",$532.10 ,"$1,531.53 ","$1,096.77 ","$2,165.80 ","$1,933.75 ","$2,475.20 ","$1,357.39 ",$532.10 ,"$2,165.80 ",$532.10 ,"$1,856.40 ",$542.74 ,"$2,320.50 ","$1,629.00 ","$1,464.00 ","$1,629.00 ",$532.10 ,"$1,629.00 ","$2,506.14 ","$3,094.00 ","$2,506.14 ","$2,629.90 ","$1,357.39 ","$2,144.14 ",$532.10 ,"$3,094.00 ","$1,735.73 ",$532.10 ,$810.63 ,"$3,094.00 ", N/A , N/A ,$558.71 ,"$2,475.20 ","$1,531.53 ",$866.32 ,"$2,784.60 ","$1,175.72 ",$348.00 ,$532.10 ,"$1,485.12 "
ST. MARY'S HOSPITAL - DECATUR,45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,"$1,890.00 ","$1,360.80 ",$348.00 ,"$1,890.00 ","$1,511.88 ","$1,001.70 ","$1,039.50 ",$592.65 ,$529.20 ,$988.47 ,$592.65 ,"$1,039.50 ",$592.65 ,$935.55 ,$935.55 ,$592.65 ,$935.55 ,"$1,221.60 ","$1,323.00 ","$1,181.25 ","$1,512.00 ","$1,511.88 ",$592.65 ,"$1,323.00 ",$592.65 ,"$1,134.00 ",$604.51 ,"$1,417.50 ","$1,043.28 ",$941.22 ,"$1,043.28 ",$592.65 ,"$1,043.28 ","$1,530.90 ","$1,890.00 ","$1,530.90 ","$1,606.50 ","$1,511.88 ","$1,309.77 ",$592.65 ,"$1,890.00 ","$1,060.29 ",$592.65 ,$495.18 ,"$1,890.00 ", N/A , N/A ,$622.29 ,"$1,512.00 ",$935.55 ,$529.20 ,"$1,701.00 ",$718.20 ,$348.00 ,$592.65 ,$907.20 
ST. MARY'S HOSPITAL - DECATUR,45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,"$1,890.00 ","$1,360.80 ",$348.00 ,"$1,890.00 ","$1,511.88 ","$1,001.70 ","$1,039.50 ",$592.65 ,$529.20 ,$988.47 ,$592.65 ,"$1,039.50 ",$592.65 ,$935.55 ,$935.55 ,$592.65 ,$935.55 ,"$1,221.60 ","$1,323.00 ","$1,181.25 ","$1,512.00 ","$1,511.88 ",$592.65 ,"$1,323.00 ",$592.65 ,"$1,134.00 ",$604.51 ,"$1,417.50 ","$1,043.28 ",$941.22 ,"$1,043.28 ",$592.65 ,"$1,043.28 ","$1,530.90 ","$1,890.00 ","$1,530.90 ","$1,606.50 ","$1,511.88 ","$1,309.77 ",$592.65 ,"$1,890.00 ","$1,060.29 ",$592.65 ,$495.18 ,"$1,890.00 ", N/A , N/A ,$622.29 ,"$1,512.00 ",$935.55 ,$529.20 ,"$1,701.00 ",$718.20 ,$348.00 ,$592.65 ,$907.20 
ST. MARY'S HOSPITAL - DECATUR,45000443,65220,HC REMOVE FB CORNL W/O SLIT LAMP-LT,450,1 ,"$1,115.00 ",$802.80 ,$292.13 ,"$1,115.00 ",$885.93 ,$590.95 ,$613.25 ,$347.28 ,$312.20 ,$583.15 ,$347.28 ,$613.25 ,$347.28 ,$551.93 ,$551.93 ,$347.28 ,$551.93 ,$715.83 ,$780.50 ,$696.88 ,$892.00 ,$885.93 ,$347.28 ,$780.50 ,$347.28 ,$669.00 ,$354.23 ,$836.25 ,$615.48 ,$555.27 ,$615.48 ,$347.28 ,$615.48 ,$903.15 ,"$1,115.00 ",$903.15 ,$947.75 ,$885.93 ,$772.70 ,$347.28 ,"$1,115.00 ",$625.52 ,$347.28 ,$292.13 ,"$1,115.00 ", N/A , N/A ,$364.65 ,$892.00 ,$551.93 ,$312.20 ,"$1,003.50 ",$423.70 ,$348.00 ,$347.28 ,$535.20 
ST. MARY'S HOSPITAL - DECATUR,45000444,65220,HC REMOVE FB CORNL W/O SLIT LAMP-RT,450,1 ,"$1,115.00 ",$802.80 ,$292.13 ,"$1,115.00 ",$885.93 ,$590.95 ,$613.25 ,$347.28 ,$312.20 ,$583.15 ,$347.28 ,$613.25 ,$347.28 ,$551.93 ,$551.93 ,$347.28 ,$551.93 ,$715.83 ,$780.50 ,$696.88 ,$892.00 ,$885.93 ,$347.28 ,$780.50 ,$347.28 ,$669.00 ,$354.23 ,$836.25 ,$615.48 ,$555.27 ,$615.48 ,$347.28 ,$615.48 ,$903.15 ,"$1,115.00 ",$903.15 ,$947.75 ,$885.93 ,$772.70 ,$347.28 ,"$1,115.00 ",$625.52 ,$347.28 ,$292.13 ,"$1,115.00 ", N/A , N/A ,$364.65 ,$892.00 ,$551.93 ,$312.20 ,"$1,003.50 ",$423.70 ,$348.00 ,$347.28 ,$535.20 
ST. MARY'S HOSPITAL - DECATUR,45000445,65222,HC REMOVE FB CORNL W/ SLIT LAMP-LT,450,1 ,$437.00 ,$314.64 ,$106.80 ,$437.00 ,$272.45 ,$231.61 ,$240.35 ,$106.80 ,$122.36 ,$228.55 ,$106.80 ,$240.35 ,$106.80 ,$216.32 ,$216.32 ,$106.80 ,$216.32 ,$220.13 ,$305.90 ,$273.13 ,$349.60 ,$272.44 ,$106.80 ,$305.90 ,$106.80 ,$262.20 ,$108.94 ,$327.75 ,$241.22 ,$217.63 ,$241.22 ,$106.80 ,$241.22 ,$353.97 ,$437.00 ,$353.97 ,$371.45 ,$272.44 ,$302.84 ,$106.80 ,$437.00 ,$245.16 ,$106.80 ,$114.49 ,$437.00 , N/A , N/A ,$112.14 ,$349.60 ,$216.32 ,$122.36 ,$393.30 ,$166.06 ,$348.00 ,$106.80 ,$209.76 
ST. MARY'S HOSPITAL - DECATUR,45000446,65222,HC REMOVE FB CORNL W/ SLIT LAMP-RT,450,1 ,$437.00 ,$314.64 ,$106.80 ,$437.00 ,$272.45 ,$231.61 ,$240.35 ,$106.80 ,$122.36 ,$228.55 ,$106.80 ,$240.35 ,$106.80 ,$216.32 ,$216.32 ,$106.80 ,$216.32 ,$220.13 ,$305.90 ,$273.13 ,$349.60 ,$272.44 ,$106.80 ,$305.90 ,$106.80 ,$262.20 ,$108.94 ,$327.75 ,$241.22 ,$217.63 ,$241.22 ,$106.80 ,$241.22 ,$353.97 ,$437.00 ,$353.97 ,$371.45 ,$272.44 ,$302.84 ,$106.80 ,$437.00 ,$245.16 ,$106.80 ,$114.49 ,$437.00 , N/A , N/A ,$112.14 ,$349.60 ,$216.32 ,$122.36 ,$393.30 ,$166.06 ,$348.00 ,$106.80 ,$209.76 
ST. MARY'S HOSPITAL - DECATUR,45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,"$1,243.00 ",$894.96 ,$325.67 ,"$1,522.75 ","$1,522.75 ",$658.79 ,$683.65 ,$596.92 ,$348.04 ,$650.09 ,$596.92 ,$683.65 ,$596.92 ,$615.29 ,$615.29 ,$596.92 ,$615.29 ,"$1,230.38 ",$870.10 ,$776.88 ,$994.40 ,"$1,522.74 ",$596.92 ,$870.10 ,$596.92 ,$745.80 ,$608.85 ,$932.25 ,$686.14 ,$619.01 ,$686.14 ,$596.92 ,$686.14 ,"$1,006.83 ","$1,243.00 ","$1,006.83 ","$1,056.55 ","$1,243.00 ",$861.40 ,$596.92 ,"$1,243.00 ",$697.32 ,$596.92 ,$325.67 ,"$1,243.00 ", N/A , N/A ,$626.77 ,$994.40 ,$615.29 ,$348.04 ,"$1,118.70 ",$472.34 ,$348.00 ,$596.92 ,$596.64 
ST. MARY'S HOSPITAL - DECATUR,45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,"$1,243.00 ",$894.96 ,$325.67 ,"$1,522.75 ","$1,522.75 ",$658.79 ,$683.65 ,$596.92 ,$348.04 ,$650.09 ,$596.92 ,$683.65 ,$596.92 ,$615.29 ,$615.29 ,$596.92 ,$615.29 ,"$1,230.38 ",$870.10 ,$776.88 ,$994.40 ,"$1,522.74 ",$596.92 ,$870.10 ,$596.92 ,$745.80 ,$608.85 ,$932.25 ,$686.14 ,$619.01 ,$686.14 ,$596.92 ,$686.14 ,"$1,006.83 ","$1,243.00 ","$1,006.83 ","$1,056.55 ","$1,243.00 ",$861.40 ,$596.92 ,"$1,243.00 ",$697.32 ,$596.92 ,$325.67 ,"$1,243.00 ", N/A , N/A ,$626.77 ,$994.40 ,$615.29 ,$348.04 ,"$1,118.70 ",$472.34 ,$348.00 ,$596.92 ,$596.64 
ST. MARY'S HOSPITAL - DECATUR,45000453,69200,HC REM FOREIGN BODY CANAL AUD EXT-LT,450,1 ,$555.00 ,$399.60 ,$106.80 ,$555.00 ,$272.45 ,$294.15 ,$305.25 ,$106.80 ,$155.40 ,$290.27 ,$106.80 ,$305.25 ,$106.80 ,$274.73 ,$274.73 ,$106.80 ,$274.73 ,$220.13 ,$388.50 ,$346.88 ,$444.00 ,$272.44 ,$106.80 ,$388.50 ,$106.80 ,$333.00 ,$108.94 ,$416.25 ,$306.36 ,$276.39 ,$306.36 ,$106.80 ,$306.36 ,$449.55 ,$555.00 ,$449.55 ,$471.75 ,$272.44 ,$384.62 ,$106.80 ,$555.00 ,$311.36 ,$106.80 ,$145.41 ,$555.00 , N/A , N/A ,$112.14 ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 ,$348.00 ,$106.80 ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,45000454,69200,HC REM FOREIGN BODY CANAL AUD EXT-RT,450,1 ,$555.00 ,$399.60 ,$106.80 ,$555.00 ,$272.45 ,$294.15 ,$305.25 ,$106.80 ,$155.40 ,$290.27 ,$106.80 ,$305.25 ,$106.80 ,$274.73 ,$274.73 ,$106.80 ,$274.73 ,$220.13 ,$388.50 ,$346.88 ,$444.00 ,$272.44 ,$106.80 ,$388.50 ,$106.80 ,$333.00 ,$108.94 ,$416.25 ,$306.36 ,$276.39 ,$306.36 ,$106.80 ,$306.36 ,$449.55 ,$555.00 ,$449.55 ,$471.75 ,$272.44 ,$384.62 ,$106.80 ,$555.00 ,$311.36 ,$106.80 ,$145.41 ,$555.00 , N/A , N/A ,$112.14 ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 ,$348.00 ,$106.80 ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$357.00 ,$257.04 ,$52.87 ,$357.00 ,$134.88 ,$189.21 ,$196.35 ,$52.87 ,$99.96 ,$186.71 ,$52.87 ,$196.35 ,$52.87 ,$176.72 ,$176.72 ,$52.87 ,$176.72 ,$108.98 ,$249.90 ,$223.13 ,$285.60 ,$134.87 ,$52.87 ,$249.90 ,$52.87 ,$214.20 ,$53.93 ,$267.75 ,$197.06 ,$177.79 ,$197.06 ,$52.87 ,$197.06 ,$289.17 ,$357.00 ,$289.17 ,$303.45 ,$134.87 ,$247.40 ,$52.87 ,$357.00 ,$200.28 ,$52.87 ,$93.53 ,$357.00 , N/A , N/A ,$55.52 ,$285.60 ,$176.72 ,$99.96 ,$321.30 ,$135.66 ,$348.00 ,$52.87 ,$171.36 
ST. MARY'S HOSPITAL - DECATUR,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$357.00 ,$257.04 ,$52.87 ,$357.00 ,$134.88 ,$189.21 ,$196.35 ,$52.87 ,$99.96 ,$186.71 ,$52.87 ,$196.35 ,$52.87 ,$176.72 ,$176.72 ,$52.87 ,$176.72 ,$108.98 ,$249.90 ,$223.13 ,$285.60 ,$134.87 ,$52.87 ,$249.90 ,$52.87 ,$214.20 ,$53.93 ,$267.75 ,$197.06 ,$177.79 ,$197.06 ,$52.87 ,$197.06 ,$289.17 ,$357.00 ,$289.17 ,$303.45 ,$134.87 ,$247.40 ,$52.87 ,$357.00 ,$200.28 ,$52.87 ,$93.53 ,$357.00 , N/A , N/A ,$55.52 ,$285.60 ,$176.72 ,$99.96 ,$321.30 ,$135.66 ,$348.00 ,$52.87 ,$171.36 
ST. MARY'S HOSPITAL - DECATUR,45000460,29130,HC APPL SPLNT FINGER STATIC - LT,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45000461,29130,HC APPL SPLNT FINGER STATIC - RT,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45000464,30901,HC CNTRL NOSEBLEED ANT SMP- BIL,450,1 ,$935.00 ,$673.20 ,$106.80 ,$935.00 ,$272.45 ,$495.55 ,$514.25 ,$106.80 ,$261.80 ,$489.01 ,$106.80 ,$514.25 ,$106.80 ,$462.83 ,$462.83 ,$106.80 ,$462.83 ,$220.13 ,$654.50 ,$584.38 ,$748.00 ,$272.44 ,$106.80 ,$654.50 ,$106.80 ,$561.00 ,$108.94 ,$701.25 ,$516.12 ,$465.63 ,$516.12 ,$106.80 ,$516.12 ,$757.35 ,$935.00 ,$757.35 ,$794.75 ,$272.44 ,$647.96 ,$106.80 ,$935.00 ,$524.54 ,$106.80 ,$244.97 ,$935.00 , N/A , N/A ,$112.14 ,$748.00 ,$462.83 ,$261.80 ,$841.50 ,$355.30 ,$348.00 ,$106.80 ,$448.80 
ST. MARY'S HOSPITAL - DECATUR,45000469,26010,HC DRAIN ABSC FINGER SIMPLE-F1,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000470,26010,HC DRAIN ABSC FINGER SIMPLE-F2,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000471,26010,HC DRAIN ABSC FINGER SIMPLE-F3,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000472,26010,HC DRAIN ABSC FINGER SIMPLE-F4,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000473,26010,HC DRAIN ABSC FINGER SIMPLE-F5,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000474,26010,HC DRAIN ABSC FINGER SIMPLE-F6,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000475,26010,HC DRAIN ABSC FINGER SIMPLE-F7,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000476,26010,HC DRAIN ABSC FINGER SIMPLE-F8,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000477,26010,HC DRAIN ABSC FINGER SIMPLE-F9,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000478,26010,HC DRAIN ABSC FINGER SIMPLE-FA,450,1 ,$749.00 ,$539.28 ,$166.10 ,$749.00 ,$423.73 ,$396.97 ,$411.95 ,$166.10 ,$209.72 ,$391.73 ,$166.10 ,$411.95 ,$166.10 ,$370.76 ,$370.76 ,$166.10 ,$370.76 ,$342.36 ,$524.30 ,$468.13 ,$599.20 ,$423.71 ,$166.10 ,$524.30 ,$166.10 ,$449.40 ,$169.41 ,$561.75 ,$413.45 ,$373.00 ,$413.45 ,$166.10 ,$413.45 ,$606.69 ,$749.00 ,$606.69 ,$636.65 ,$423.71 ,$519.06 ,$166.10 ,$749.00 ,$420.19 ,$166.10 ,$196.24 ,$749.00 , N/A , N/A ,$174.40 ,$599.20 ,$370.76 ,$209.72 ,$674.10 ,$284.62 ,$348.00 ,$166.10 ,$359.52 
ST. MARY'S HOSPITAL - DECATUR,45000479,11740,HC EVAC HEMATOMA SUBUNGAL-F1,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000480,11740,HC EVAC HEMATOMA SUBUNGAL-F2,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000481,11740,HC EVAC HEMATOMA SUBUNGAL-F3,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000482,11740,HC EVAC HEMATOMA SUBUNGAL-F4,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000483,11740,HC EVAC HEMATOMA SUBUNGAL-F5,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000484,11740,HC EVAC HEMATOMA SUBUNGAL-F6,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000485,11740,HC EVAC HEMATOMA SUBUNGAL-F7,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000486,11740,HC EVAC HEMATOMA SUBUNGAL-F8,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000487,11740,HC EVAC HEMATOMA SUBUNGAL-F9,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000488,11740,HC EVAC HEMATOMA SUBUNGAL-FA,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000489,11740,HC EVAC HEMATOMA SUBUNGAL-T5,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000490,11740,HC EVAC HEMATOMA SUBUNGAL-TA,450,1 ,$324.00 ,$233.28 ,$84.89 ,$324.00 ,$272.45 ,$171.72 ,$178.20 ,$106.80 ,$90.72 ,$169.45 ,$106.80 ,$178.20 ,$106.80 ,$160.38 ,$160.38 ,$106.80 ,$160.38 ,$220.13 ,$226.80 ,$202.50 ,$259.20 ,$272.44 ,$106.80 ,$226.80 ,$106.80 ,$194.40 ,$108.94 ,$243.00 ,$178.85 ,$161.35 ,$178.85 ,$106.80 ,$178.85 ,$262.44 ,$324.00 ,$262.44 ,$275.40 ,$272.44 ,$224.53 ,$106.80 ,$324.00 ,$181.76 ,$106.80 ,$84.89 ,$324.00 , N/A , N/A ,$112.14 ,$259.20 ,$160.38 ,$90.72 ,$291.60 ,$123.12 ,$324.00 ,$106.80 ,$155.52 
ST. MARY'S HOSPITAL - DECATUR,45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$233.00 ,$167.76 ,$61.05 ,$272.45 ,$272.45 ,$123.49 ,$128.15 ,$106.80 ,$65.24 ,$121.86 ,$106.80 ,$128.15 ,$106.80 ,$115.34 ,$115.34 ,$106.80 ,$115.34 ,$220.13 ,$163.10 ,$145.63 ,$186.40 ,$272.44 ,$106.80 ,$163.10 ,$106.80 ,$139.80 ,$108.94 ,$174.75 ,$128.62 ,$116.03 ,$128.62 ,$106.80 ,$128.62 ,$188.73 ,$233.00 ,$188.73 ,$198.05 ,$233.00 ,$161.47 ,$106.80 ,$233.00 ,$130.71 ,$106.80 ,$61.05 ,$233.00 , N/A , N/A ,$112.14 ,$186.40 ,$115.34 ,$65.24 ,$209.70 ,$88.54 ,$233.00 ,$106.80 ,$111.84 
ST. MARY'S HOSPITAL - DECATUR,45000498,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-BIL,450,1 ,$357.00 ,$257.04 ,$52.87 ,$357.00 ,$134.88 ,$189.21 ,$196.35 ,$52.87 ,$99.96 ,$186.71 ,$52.87 ,$196.35 ,$52.87 ,$176.72 ,$176.72 ,$52.87 ,$176.72 ,$108.98 ,$249.90 ,$223.13 ,$285.60 ,$134.87 ,$52.87 ,$249.90 ,$52.87 ,$214.20 ,$53.93 ,$267.75 ,$197.06 ,$177.79 ,$197.06 ,$52.87 ,$197.06 ,$289.17 ,$357.00 ,$289.17 ,$303.45 ,$134.87 ,$247.40 ,$52.87 ,$357.00 ,$200.28 ,$52.87 ,$93.53 ,$357.00 , N/A , N/A ,$55.52 ,$285.60 ,$176.72 ,$99.96 ,$321.30 ,$135.66 ,$348.00 ,$52.87 ,$171.36 
ST. MARY'S HOSPITAL - DECATUR,45000500,57200,HC REPAIR SUTURE VAGINA COLPORRHAPHY,450,1 ,"$3,089.00 ","$2,224.08 ",$348.00 ,"$6,634.31 ","$6,634.30 ","$1,637.17 ","$1,698.95 ","$2,600.65 ",$864.92 ,"$1,615.55 ","$2,600.65 ","$1,698.95 ","$2,600.65 ","$1,529.06 ","$1,529.06 ","$2,600.65 ","$1,529.06 ","$3,089.00 ","$2,162.30 ","$1,930.63 ","$2,471.20 ","$6,634.31 ","$2,600.65 ","$2,162.30 ","$2,600.65 ","$1,853.40 ","$2,652.66 ","$2,316.75 ","$1,629.00 ","$1,464.00 ","$1,629.00 ","$2,600.65 ","$1,629.00 ","$2,502.09 ","$3,089.00 ","$2,502.09 ","$2,625.65 ","$3,089.00 ","$2,140.68 ","$2,600.65 ","$3,089.00 ","$1,732.93 ","$2,600.65 ",$809.32 ,"$3,089.00 ", N/A , N/A ,"$2,730.68 ","$2,471.20 ","$1,529.06 ",$864.92 ,"$2,780.10 ","$1,173.82 ",$348.00 ,"$2,600.65 ","$1,482.72 "
ST. MARY'S HOSPITAL - DECATUR,45000501,28208,HC REPAIR TENDON EXTENSOR FOOT-LT,450,1 ,"$5,023.00 ","$3,616.56 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$2,762.65 ","$2,737.89 ","$1,406.44 ","$2,627.03 ","$2,737.89 ","$2,762.65 ","$2,737.89 ","$2,486.39 ","$2,486.39 ","$2,737.89 ","$2,486.39 ","$5,023.00 ","$3,516.10 ","$3,139.38 ","$4,018.40 ","$6,984.44 ","$2,737.89 ","$3,516.10 ","$2,737.89 ","$3,013.80 ","$2,792.66 ","$3,767.25 ","$2,501.45 ","$2,250.30 ","$2,501.45 ","$2,737.89 ","$2,501.45 ","$3,900.00 ","$5,023.00 ","$3,900.00 ","$4,269.55 ","$5,023.00 ","$3,480.94 ","$2,737.89 ","$5,023.00 ","$2,817.90 ","$2,737.89 ","$1,316.03 ","$5,023.00 ", N/A , N/A ,"$2,874.79 ","$4,018.40 ","$2,486.39 ","$1,406.44 ","$4,520.70 ","$1,908.74 ",$348.00 ,"$2,737.89 ","$2,411.04 "
ST. MARY'S HOSPITAL - DECATUR,45000502,28208,HC REPAIR TENDON EXTENSOR FOOT-RT,450,1 ,"$5,023.00 ","$3,616.56 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$2,762.65 ","$2,737.89 ","$1,406.44 ","$2,627.03 ","$2,737.89 ","$2,762.65 ","$2,737.89 ","$2,486.39 ","$2,486.39 ","$2,737.89 ","$2,486.39 ","$5,023.00 ","$3,516.10 ","$3,139.38 ","$4,018.40 ","$6,984.44 ","$2,737.89 ","$3,516.10 ","$2,737.89 ","$3,013.80 ","$2,792.66 ","$3,767.25 ","$2,501.45 ","$2,250.30 ","$2,501.45 ","$2,737.89 ","$2,501.45 ","$3,900.00 ","$5,023.00 ","$3,900.00 ","$4,269.55 ","$5,023.00 ","$3,480.94 ","$2,737.89 ","$5,023.00 ","$2,817.90 ","$2,737.89 ","$1,316.03 ","$5,023.00 ", N/A , N/A ,"$2,874.79 ","$4,018.40 ","$2,486.39 ","$1,406.44 ","$4,520.70 ","$1,908.74 ",$348.00 ,"$2,737.89 ","$2,411.04 "
ST. MARY'S HOSPITAL - DECATUR,45000503,29550,HC STRAPPING TOES-T1,450,1 ,$533.00 ,$383.76 ,$52.87 ,$533.00 ,$134.88 ,$282.49 ,$293.15 ,$52.87 ,$149.24 ,$278.76 ,$52.87 ,$293.15 ,$52.87 ,$263.84 ,$263.84 ,$52.87 ,$263.84 ,$108.98 ,$373.10 ,$333.13 ,$426.40 ,$134.87 ,$52.87 ,$373.10 ,$52.87 ,$319.80 ,$53.93 ,$399.75 ,$294.22 ,$265.43 ,$294.22 ,$52.87 ,$294.22 ,$431.73 ,$533.00 ,$431.73 ,$453.05 ,$134.87 ,$369.37 ,$52.87 ,$533.00 ,$299.01 ,$52.87 ,$139.65 ,$533.00 , N/A , N/A ,$55.52 ,$426.40 ,$263.84 ,$149.24 ,$479.70 ,$202.54 ,$348.00 ,$52.87 ,$255.84 
ST. MARY'S HOSPITAL - DECATUR,45000504,29550,HC STRAPPING TOES-T2,450,1 ,$532.00 ,$383.04 ,$52.87 ,$532.00 ,$134.88 ,$281.96 ,$292.60 ,$52.87 ,$148.96 ,$278.24 ,$52.87 ,$292.60 ,$52.87 ,$263.34 ,$263.34 ,$52.87 ,$263.34 ,$108.98 ,$372.40 ,$332.50 ,$425.60 ,$134.87 ,$52.87 ,$372.40 ,$52.87 ,$319.20 ,$53.93 ,$399.00 ,$293.66 ,$264.94 ,$293.66 ,$52.87 ,$293.66 ,$430.92 ,$532.00 ,$430.92 ,$452.20 ,$134.87 ,$368.68 ,$52.87 ,$532.00 ,$298.45 ,$52.87 ,$139.38 ,$532.00 , N/A , N/A ,$55.52 ,$425.60 ,$263.34 ,$148.96 ,$478.80 ,$202.16 ,$348.00 ,$52.87 ,$255.36 
ST. MARY'S HOSPITAL - DECATUR,45000505,29550,HC STRAPPING TOES-T3,450,1 ,$532.00 ,$383.04 ,$52.87 ,$532.00 ,$134.88 ,$281.96 ,$292.60 ,$52.87 ,$148.96 ,$278.24 ,$52.87 ,$292.60 ,$52.87 ,$263.34 ,$263.34 ,$52.87 ,$263.34 ,$108.98 ,$372.40 ,$332.50 ,$425.60 ,$134.87 ,$52.87 ,$372.40 ,$52.87 ,$319.20 ,$53.93 ,$399.00 ,$293.66 ,$264.94 ,$293.66 ,$52.87 ,$293.66 ,$430.92 ,$532.00 ,$430.92 ,$452.20 ,$134.87 ,$368.68 ,$52.87 ,$532.00 ,$298.45 ,$52.87 ,$139.38 ,$532.00 , N/A , N/A ,$55.52 ,$425.60 ,$263.34 ,$148.96 ,$478.80 ,$202.16 ,$348.00 ,$52.87 ,$255.36 
ST. MARY'S HOSPITAL - DECATUR,45000506,29550,HC STRAPPING TOES-T4,450,1 ,$533.00 ,$383.76 ,$52.87 ,$533.00 ,$134.88 ,$282.49 ,$293.15 ,$52.87 ,$149.24 ,$278.76 ,$52.87 ,$293.15 ,$52.87 ,$263.84 ,$263.84 ,$52.87 ,$263.84 ,$108.98 ,$373.10 ,$333.13 ,$426.40 ,$134.87 ,$52.87 ,$373.10 ,$52.87 ,$319.80 ,$53.93 ,$399.75 ,$294.22 ,$265.43 ,$294.22 ,$52.87 ,$294.22 ,$431.73 ,$533.00 ,$431.73 ,$453.05 ,$134.87 ,$369.37 ,$52.87 ,$533.00 ,$299.01 ,$52.87 ,$139.65 ,$533.00 , N/A , N/A ,$55.52 ,$426.40 ,$263.84 ,$149.24 ,$479.70 ,$202.54 ,$348.00 ,$52.87 ,$255.84 
ST. MARY'S HOSPITAL - DECATUR,45000507,29550,HC STRAPPING TOES-T5,450,1 ,$532.00 ,$383.04 ,$52.87 ,$532.00 ,$134.88 ,$281.96 ,$292.60 ,$52.87 ,$148.96 ,$278.24 ,$52.87 ,$292.60 ,$52.87 ,$263.34 ,$263.34 ,$52.87 ,$263.34 ,$108.98 ,$372.40 ,$332.50 ,$425.60 ,$134.87 ,$52.87 ,$372.40 ,$52.87 ,$319.20 ,$53.93 ,$399.00 ,$293.66 ,$264.94 ,$293.66 ,$52.87 ,$293.66 ,$430.92 ,$532.00 ,$430.92 ,$452.20 ,$134.87 ,$368.68 ,$52.87 ,$532.00 ,$298.45 ,$52.87 ,$139.38 ,$532.00 , N/A , N/A ,$55.52 ,$425.60 ,$263.34 ,$148.96 ,$478.80 ,$202.16 ,$348.00 ,$52.87 ,$255.36 
ST. MARY'S HOSPITAL - DECATUR,45000508,29550,HC STRAPPING TOES-T6,450,1 ,$533.00 ,$383.76 ,$52.87 ,$533.00 ,$134.88 ,$282.49 ,$293.15 ,$52.87 ,$149.24 ,$278.76 ,$52.87 ,$293.15 ,$52.87 ,$263.84 ,$263.84 ,$52.87 ,$263.84 ,$108.98 ,$373.10 ,$333.13 ,$426.40 ,$134.87 ,$52.87 ,$373.10 ,$52.87 ,$319.80 ,$53.93 ,$399.75 ,$294.22 ,$265.43 ,$294.22 ,$52.87 ,$294.22 ,$431.73 ,$533.00 ,$431.73 ,$453.05 ,$134.87 ,$369.37 ,$52.87 ,$533.00 ,$299.01 ,$52.87 ,$139.65 ,$533.00 , N/A , N/A ,$55.52 ,$426.40 ,$263.84 ,$149.24 ,$479.70 ,$202.54 ,$348.00 ,$52.87 ,$255.84 
ST. MARY'S HOSPITAL - DECATUR,45000509,29550,HC STRAPPING TOES-T7,450,1 ,$532.00 ,$383.04 ,$52.87 ,$532.00 ,$134.88 ,$281.96 ,$292.60 ,$52.87 ,$148.96 ,$278.24 ,$52.87 ,$292.60 ,$52.87 ,$263.34 ,$263.34 ,$52.87 ,$263.34 ,$108.98 ,$372.40 ,$332.50 ,$425.60 ,$134.87 ,$52.87 ,$372.40 ,$52.87 ,$319.20 ,$53.93 ,$399.00 ,$293.66 ,$264.94 ,$293.66 ,$52.87 ,$293.66 ,$430.92 ,$532.00 ,$430.92 ,$452.20 ,$134.87 ,$368.68 ,$52.87 ,$532.00 ,$298.45 ,$52.87 ,$139.38 ,$532.00 , N/A , N/A ,$55.52 ,$425.60 ,$263.34 ,$148.96 ,$478.80 ,$202.16 ,$348.00 ,$52.87 ,$255.36 
ST. MARY'S HOSPITAL - DECATUR,45000510,29550,HC STRAPPING TOES-T8,450,1 ,$459.00 ,$330.48 ,$52.87 ,$459.00 ,$134.88 ,$243.27 ,$252.45 ,$52.87 ,$128.52 ,$240.06 ,$52.87 ,$252.45 ,$52.87 ,$227.21 ,$227.21 ,$52.87 ,$227.21 ,$108.98 ,$321.30 ,$286.88 ,$367.20 ,$134.87 ,$52.87 ,$321.30 ,$52.87 ,$275.40 ,$53.93 ,$344.25 ,$253.37 ,$228.58 ,$253.37 ,$52.87 ,$253.37 ,$371.79 ,$459.00 ,$371.79 ,$390.15 ,$134.87 ,$318.09 ,$52.87 ,$459.00 ,$257.50 ,$52.87 ,$120.26 ,$459.00 , N/A , N/A ,$55.52 ,$367.20 ,$227.21 ,$128.52 ,$413.10 ,$174.42 ,$348.00 ,$52.87 ,$220.32 
ST. MARY'S HOSPITAL - DECATUR,45000511,29550,HC STRAPPING TOES-T9,450,1 ,$532.00 ,$383.04 ,$52.87 ,$532.00 ,$134.88 ,$281.96 ,$292.60 ,$52.87 ,$148.96 ,$278.24 ,$52.87 ,$292.60 ,$52.87 ,$263.34 ,$263.34 ,$52.87 ,$263.34 ,$108.98 ,$372.40 ,$332.50 ,$425.60 ,$134.87 ,$52.87 ,$372.40 ,$52.87 ,$319.20 ,$53.93 ,$399.00 ,$293.66 ,$264.94 ,$293.66 ,$52.87 ,$293.66 ,$430.92 ,$532.00 ,$430.92 ,$452.20 ,$134.87 ,$368.68 ,$52.87 ,$532.00 ,$298.45 ,$52.87 ,$139.38 ,$532.00 , N/A , N/A ,$55.52 ,$425.60 ,$263.34 ,$148.96 ,$478.80 ,$202.16 ,$348.00 ,$52.87 ,$255.36 
ST. MARY'S HOSPITAL - DECATUR,45000512,29550,HC STRAPPING TOES-TA,450,1 ,$533.00 ,$383.76 ,$52.87 ,$533.00 ,$134.88 ,$282.49 ,$293.15 ,$52.87 ,$149.24 ,$278.76 ,$52.87 ,$293.15 ,$52.87 ,$263.84 ,$263.84 ,$52.87 ,$263.84 ,$108.98 ,$373.10 ,$333.13 ,$426.40 ,$134.87 ,$52.87 ,$373.10 ,$52.87 ,$319.80 ,$53.93 ,$399.75 ,$294.22 ,$265.43 ,$294.22 ,$52.87 ,$294.22 ,$431.73 ,$533.00 ,$431.73 ,$453.05 ,$134.87 ,$369.37 ,$52.87 ,$533.00 ,$299.01 ,$52.87 ,$139.65 ,$533.00 , N/A , N/A ,$55.52 ,$426.40 ,$263.84 ,$149.24 ,$479.70 ,$202.54 ,$348.00 ,$52.87 ,$255.84 
ST. MARY'S HOSPITAL - DECATUR,45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$727.00 ,$523.44 ,$134.06 ,$727.00 ,$342.00 ,$385.31 ,$399.85 ,$134.06 ,$203.56 ,$380.22 ,$134.06 ,$399.85 ,$134.06 ,$359.87 ,$359.87 ,$134.06 ,$359.87 ,$276.35 ,$508.90 ,$454.38 ,$581.60 ,$342.01 ,$134.06 ,$508.90 ,$134.06 ,$436.20 ,$136.75 ,$545.25 ,$401.30 ,$362.05 ,$401.30 ,$134.06 ,$401.30 ,$588.87 ,$727.00 ,$588.87 ,$617.95 ,$342.01 ,$503.81 ,$134.06 ,$727.00 ,$407.85 ,$134.06 ,$190.47 ,$727.00 , N/A , N/A ,$140.77 ,$581.60 ,$359.87 ,$203.56 ,$654.30 ,$276.26 ,$348.00 ,$134.06 ,$348.96 
ST. MARY'S HOSPITAL - DECATUR,45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$727.00 ,$523.44 ,$134.06 ,$727.00 ,$342.00 ,$385.31 ,$399.85 ,$134.06 ,$203.56 ,$380.22 ,$134.06 ,$399.85 ,$134.06 ,$359.87 ,$359.87 ,$134.06 ,$359.87 ,$276.35 ,$508.90 ,$454.38 ,$581.60 ,$342.01 ,$134.06 ,$508.90 ,$134.06 ,$436.20 ,$136.75 ,$545.25 ,$401.30 ,$362.05 ,$401.30 ,$134.06 ,$401.30 ,$588.87 ,$727.00 ,$588.87 ,$617.95 ,$342.01 ,$503.81 ,$134.06 ,$727.00 ,$407.85 ,$134.06 ,$190.47 ,$727.00 , N/A , N/A ,$140.77 ,$581.60 ,$359.87 ,$203.56 ,$654.30 ,$276.26 ,$348.00 ,$134.06 ,$348.96 
ST. MARY'S HOSPITAL - DECATUR,45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,"$2,583.00 ","$1,859.76 ",$348.00 ,"$6,989.86 ","$6,989.85 ","$1,368.99 ","$1,420.65 ","$2,740.02 ",$723.24 ,"$1,350.91 ","$2,740.02 ","$1,420.65 ","$2,531.34 ","$1,278.59 ","$1,278.59 ","$2,531.34 ","$1,278.59 ","$2,583.00 ","$1,808.10 ","$1,614.38 ","$2,066.40 ","$6,989.86 ","$2,740.02 ","$1,808.10 ","$2,740.02 ","$1,549.80 ","$2,531.34 ","$1,937.25 ","$1,425.82 ","$1,286.33 ","$1,425.82 ","$2,740.02 ","$1,425.82 ","$2,092.23 ","$2,583.00 ","$2,092.23 ","$2,195.55 ","$2,583.00 ","$1,790.02 ","$2,531.34 ","$2,583.00 ","$1,449.06 ","$2,740.02 ",$676.75 ,"$2,583.00 ", N/A , N/A ,"$2,877.03 ","$2,066.40 ","$1,278.59 ",$723.24 ,"$2,324.70 ",$981.54 ,$348.00 ,"$2,740.02 ","$1,239.84 "
ST. MARY'S HOSPITAL - DECATUR,45000519,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION-LT,450,1 ,"$1,212.00 ",$872.64 ,$317.54 ,"$3,365.96 ","$3,365.95 ",$642.36 ,$666.60 ,"$1,319.45 ",$339.36 ,$633.88 ,"$1,319.45 ",$666.60 ,"$1,187.76 ",$599.94 ,$599.94 ,"$1,187.76 ",$599.94 ,"$1,212.00 ",$848.40 ,$757.50 ,$969.60 ,"$3,365.96 ","$1,319.45 ",$848.40 ,"$1,319.45 ",$727.20 ,"$1,187.76 ",$909.00 ,$669.02 ,$603.58 ,$669.02 ,"$1,319.45 ",$669.02 ,$981.72 ,"$1,212.00 ",$981.72 ,"$1,030.20 ","$1,212.00 ",$839.92 ,"$1,187.76 ","$1,212.00 ",$679.93 ,"$1,319.45 ",$317.54 ,"$1,212.00 ", N/A , N/A ,"$1,385.43 ",$969.60 ,$599.94 ,$339.36 ,"$1,090.80 ",$460.56 ,$348.00 ,"$1,319.45 ",$581.76 
ST. MARY'S HOSPITAL - DECATUR,45000520,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION-RT,450,1 ,"$1,212.00 ",$872.64 ,$317.54 ,"$3,365.96 ","$3,365.95 ",$642.36 ,$666.60 ,"$1,319.45 ",$339.36 ,$633.88 ,"$1,319.45 ",$666.60 ,"$1,187.76 ",$599.94 ,$599.94 ,"$1,187.76 ",$599.94 ,"$1,212.00 ",$848.40 ,$757.50 ,$969.60 ,"$3,365.96 ","$1,319.45 ",$848.40 ,"$1,319.45 ",$727.20 ,"$1,187.76 ",$909.00 ,$669.02 ,$603.58 ,$669.02 ,"$1,319.45 ",$669.02 ,$981.72 ,"$1,212.00 ",$981.72 ,"$1,030.20 ","$1,212.00 ",$839.92 ,"$1,187.76 ","$1,212.00 ",$679.93 ,"$1,319.45 ",$317.54 ,"$1,212.00 ", N/A , N/A ,"$1,385.43 ",$969.60 ,$599.94 ,$339.36 ,"$1,090.80 ",$460.56 ,$348.00 ,"$1,319.45 ",$581.76 
ST. MARY'S HOSPITAL - DECATUR,45000521,28405,HC TX FX CALCANEAL W/MANIP -LT,450,1 ,"$5,479.00 ","$3,944.88 ",$190.40 ,"$5,479.00 ",$485.73 ,"$2,450.00 ","$3,013.45 ",$190.40 ,"$1,534.12 ","$2,865.52 ",$190.40 ,"$3,013.45 ",$190.40 ,"$2,712.11 ","$2,712.11 ",$190.40 ,"$2,712.11 ",$392.47 ,"$3,835.30 ","$3,424.38 ","$4,383.20 ",$485.73 ,$190.40 ,"$3,835.30 ",$190.40 ,"$3,287.40 ",$194.22 ,"$4,109.25 ","$2,728.54 ","$2,454.59 ","$2,728.54 ",$190.40 ,"$2,728.54 ","$3,900.00 ","$5,479.00 ","$3,900.00 ","$4,657.15 ",$485.73 ,"$3,796.95 ",$190.40 ,"$5,479.00 ","$3,073.72 ",$190.40 ,"$1,435.50 ","$5,479.00 ", N/A , N/A ,$199.92 ,"$4,383.20 ","$2,712.11 ","$1,534.12 ","$4,931.10 ","$2,082.02 ",$348.00 ,$190.40 ,"$2,629.92 "
ST. MARY'S HOSPITAL - DECATUR,45000522,28405,HC TX FX CALCANEAL W/MANIP -RT,450,1 ,"$5,479.00 ","$3,944.88 ",$190.40 ,"$5,479.00 ",$485.73 ,"$2,450.00 ","$3,013.45 ",$190.40 ,"$1,534.12 ","$2,865.52 ",$190.40 ,"$3,013.45 ",$190.40 ,"$2,712.11 ","$2,712.11 ",$190.40 ,"$2,712.11 ",$392.47 ,"$3,835.30 ","$3,424.38 ","$4,383.20 ",$485.73 ,$190.40 ,"$3,835.30 ",$190.40 ,"$3,287.40 ",$194.22 ,"$4,109.25 ","$2,728.54 ","$2,454.59 ","$2,728.54 ",$190.40 ,"$2,728.54 ","$3,900.00 ","$5,479.00 ","$3,900.00 ","$4,657.15 ",$485.73 ,"$3,796.95 ",$190.40 ,"$5,479.00 ","$3,073.72 ",$190.40 ,"$1,435.50 ","$5,479.00 ", N/A , N/A ,$199.92 ,"$4,383.20 ","$2,712.11 ","$1,534.12 ","$4,931.10 ","$2,082.02 ",$348.00 ,$190.40 ,"$2,629.92 "
ST. MARY'S HOSPITAL - DECATUR,45000534,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES-LT,450,1 ,"$3,090.00 ","$2,224.80 ",$348.00 ,"$3,365.96 ","$3,365.95 ","$1,637.70 ","$1,699.50 ","$1,319.45 ",$865.20 ,"$1,616.07 ","$1,319.45 ","$1,699.50 ","$1,319.45 ","$1,529.55 ","$1,529.55 ","$1,319.45 ","$1,529.55 ","$2,719.69 ","$2,163.00 ","$1,931.25 ","$2,472.00 ","$3,365.96 ","$1,319.45 ","$2,163.00 ","$1,319.45 ","$1,854.00 ","$1,345.84 ","$2,317.50 ","$1,629.00 ","$1,464.00 ","$1,629.00 ","$1,319.45 ","$1,629.00 ","$2,502.90 ","$3,090.00 ","$2,502.90 ","$2,626.50 ","$3,090.00 ","$2,141.37 ","$1,319.45 ","$3,090.00 ","$1,733.49 ","$1,319.45 ",$809.58 ,"$3,090.00 ", N/A , N/A ,"$1,385.43 ","$2,472.00 ","$1,529.55 ",$865.20 ,"$2,781.00 ","$1,174.20 ",$348.00 ,"$1,319.45 ","$1,483.20 "
ST. MARY'S HOSPITAL - DECATUR,45000535,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES-RT,450,1 ,"$3,090.00 ","$2,224.80 ",$348.00 ,"$3,365.96 ","$3,365.95 ","$1,637.70 ","$1,699.50 ","$1,319.45 ",$865.20 ,"$1,616.07 ","$1,319.45 ","$1,699.50 ","$1,319.45 ","$1,529.55 ","$1,529.55 ","$1,319.45 ","$1,529.55 ","$2,719.69 ","$2,163.00 ","$1,931.25 ","$2,472.00 ","$3,365.96 ","$1,319.45 ","$2,163.00 ","$1,319.45 ","$1,854.00 ","$1,345.84 ","$2,317.50 ","$1,629.00 ","$1,464.00 ","$1,629.00 ","$1,319.45 ","$1,629.00 ","$2,502.90 ","$3,090.00 ","$2,502.90 ","$2,626.50 ","$3,090.00 ","$2,141.37 ","$1,319.45 ","$3,090.00 ","$1,733.49 ","$1,319.45 ",$809.58 ,"$3,090.00 ", N/A , N/A ,"$1,385.43 ","$2,472.00 ","$1,529.55 ",$865.20 ,"$2,781.00 ","$1,174.20 ",$348.00 ,"$1,319.45 ","$1,483.20 "
ST. MARY'S HOSPITAL - DECATUR,45000538,27530,HC TX FX TIBIAL W/O MANIP CLOSED,450,1 ,$656.00 ,$472.32 ,$171.87 ,$656.00 ,$485.73 ,$347.68 ,$360.80 ,$190.40 ,$183.68 ,$343.09 ,$190.40 ,$360.80 ,$190.40 ,$324.72 ,$324.72 ,$190.40 ,$324.72 ,$392.47 ,$459.20 ,$410.00 ,$524.80 ,$485.73 ,$190.40 ,$459.20 ,$190.40 ,$393.60 ,$194.22 ,$492.00 ,$362.11 ,$326.69 ,$362.11 ,$190.40 ,$362.11 ,$531.36 ,$656.00 ,$531.36 ,$557.60 ,$485.73 ,$454.61 ,$190.40 ,$656.00 ,$368.02 ,$190.40 ,$171.87 ,$656.00 , N/A , N/A ,$199.92 ,$524.80 ,$324.72 ,$183.68 ,$590.40 ,$249.28 ,$348.00 ,$190.40 ,$314.88 
ST. MARY'S HOSPITAL - DECATUR,45000541,29075,HC APPL CAST ARM SHORT-LT,450,1 ,$316.00 ,$227.52 ,$82.79 ,$562.93 ,$562.93 ,$167.48 ,$173.80 ,$220.67 ,$88.48 ,$165.27 ,$220.67 ,$173.80 ,$220.67 ,$156.42 ,$156.42 ,$220.67 ,$156.42 ,$316.00 ,$221.20 ,$197.50 ,$252.80 ,$562.92 ,$220.67 ,$221.20 ,$220.67 ,$189.60 ,$225.08 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$220.67 ,$174.43 ,$255.96 ,$316.00 ,$255.96 ,$268.60 ,$316.00 ,$218.99 ,$220.67 ,$316.00 ,$177.28 ,$220.67 ,$82.79 ,$316.00 , N/A , N/A ,$231.70 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$316.00 ,$220.67 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,45000542,29075,HC APPL CAST ARM SHORT-RT,450,1 ,$316.00 ,$227.52 ,$82.79 ,$562.93 ,$562.93 ,$167.48 ,$173.80 ,$220.67 ,$88.48 ,$165.27 ,$220.67 ,$173.80 ,$220.67 ,$156.42 ,$156.42 ,$220.67 ,$156.42 ,$316.00 ,$221.20 ,$197.50 ,$252.80 ,$562.92 ,$220.67 ,$221.20 ,$220.67 ,$189.60 ,$225.08 ,$237.00 ,$174.43 ,$157.37 ,$174.43 ,$220.67 ,$174.43 ,$255.96 ,$316.00 ,$255.96 ,$268.60 ,$316.00 ,$218.99 ,$220.67 ,$316.00 ,$177.28 ,$220.67 ,$82.79 ,$316.00 , N/A , N/A ,$231.70 ,$252.80 ,$156.42 ,$88.48 ,$284.40 ,$120.08 ,$316.00 ,$220.67 ,$151.68 
ST. MARY'S HOSPITAL - DECATUR,45000543,29085,HC APPL CAST HAND/FOREARM - LT,450,1 ,$419.00 ,$301.68 ,$109.78 ,$419.00 ,$342.00 ,$222.07 ,$230.45 ,$134.06 ,$117.32 ,$219.14 ,$134.06 ,$230.45 ,$134.06 ,$207.41 ,$207.41 ,$134.06 ,$207.41 ,$276.35 ,$293.30 ,$261.88 ,$335.20 ,$342.01 ,$134.06 ,$293.30 ,$134.06 ,$251.40 ,$136.75 ,$314.25 ,$231.29 ,$208.66 ,$231.29 ,$134.06 ,$231.29 ,$339.39 ,$419.00 ,$339.39 ,$356.15 ,$342.01 ,$290.37 ,$134.06 ,$419.00 ,$235.06 ,$134.06 ,$109.78 ,$419.00 , N/A , N/A ,$140.77 ,$335.20 ,$207.41 ,$117.32 ,$377.10 ,$159.22 ,$348.00 ,$134.06 ,$201.12 
ST. MARY'S HOSPITAL - DECATUR,45000544,29085,HC APPL CAST HAND/FOREARM - RT,450,1 ,$419.00 ,$301.68 ,$109.78 ,$419.00 ,$342.00 ,$222.07 ,$230.45 ,$134.06 ,$117.32 ,$219.14 ,$134.06 ,$230.45 ,$134.06 ,$207.41 ,$207.41 ,$134.06 ,$207.41 ,$276.35 ,$293.30 ,$261.88 ,$335.20 ,$342.01 ,$134.06 ,$293.30 ,$134.06 ,$251.40 ,$136.75 ,$314.25 ,$231.29 ,$208.66 ,$231.29 ,$134.06 ,$231.29 ,$339.39 ,$419.00 ,$339.39 ,$356.15 ,$342.01 ,$290.37 ,$134.06 ,$419.00 ,$235.06 ,$134.06 ,$109.78 ,$419.00 , N/A , N/A ,$140.77 ,$335.20 ,$207.41 ,$117.32 ,$377.10 ,$159.22 ,$348.00 ,$134.06 ,$201.12 
ST. MARY'S HOSPITAL - DECATUR,45000547,29125,HC APPL SHRT ARM SPLNT STAT-BIL,450,1 ,$743.00 ,$534.96 ,$106.80 ,$743.00 ,$272.45 ,$393.79 ,$408.65 ,$106.80 ,$208.04 ,$388.59 ,$106.80 ,$408.65 ,$106.80 ,$367.79 ,$367.79 ,$106.80 ,$367.79 ,$220.13 ,$520.10 ,$464.38 ,$594.40 ,$272.44 ,$106.80 ,$520.10 ,$106.80 ,$445.80 ,$108.94 ,$557.25 ,$410.14 ,$370.01 ,$410.14 ,$106.80 ,$410.14 ,$601.83 ,$743.00 ,$601.83 ,$631.55 ,$272.44 ,$514.90 ,$106.80 ,$743.00 ,$416.82 ,$106.80 ,$194.67 ,$743.00 , N/A , N/A ,$112.14 ,$594.40 ,$367.79 ,$208.04 ,$668.70 ,$282.34 ,$348.00 ,$106.80 ,$356.64 
ST. MARY'S HOSPITAL - DECATUR,45000550,67700,HC BLEPHAROT EYELID DRAIN ABSC-E1,450,1 ,"$1,296.00 ",$933.12 ,$243.48 ,"$1,296.00 ",$621.13 ,$686.88 ,$712.80 ,$243.48 ,$362.88 ,$677.81 ,$243.48 ,$712.80 ,$243.48 ,$641.52 ,$641.52 ,$243.48 ,$641.52 ,$501.86 ,$907.20 ,$810.00 ,"$1,036.80 ",$621.12 ,$243.48 ,$907.20 ,$243.48 ,$777.60 ,$248.35 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$243.48 ,$715.39 ,"$1,049.76 ","$1,296.00 ","$1,049.76 ","$1,101.60 ",$621.12 ,$898.13 ,$243.48 ,"$1,296.00 ",$727.06 ,$243.48 ,$339.55 ,"$1,296.00 ", N/A , N/A ,$255.65 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,$348.00 ,$243.48 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,45000551,67700,HC BLEPHAROT EYELID DRAIN ABSC-E2,450,1 ,"$1,296.00 ",$933.12 ,$243.48 ,"$1,296.00 ",$621.13 ,$686.88 ,$712.80 ,$243.48 ,$362.88 ,$677.81 ,$243.48 ,$712.80 ,$243.48 ,$641.52 ,$641.52 ,$243.48 ,$641.52 ,$501.86 ,$907.20 ,$810.00 ,"$1,036.80 ",$621.12 ,$243.48 ,$907.20 ,$243.48 ,$777.60 ,$248.35 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$243.48 ,$715.39 ,"$1,049.76 ","$1,296.00 ","$1,049.76 ","$1,101.60 ",$621.12 ,$898.13 ,$243.48 ,"$1,296.00 ",$727.06 ,$243.48 ,$339.55 ,"$1,296.00 ", N/A , N/A ,$255.65 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,$348.00 ,$243.48 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,45000552,67700,HC BLEPHAROT EYELID DRAIN ABSC-E3,450,1 ,"$1,296.00 ",$933.12 ,$243.48 ,"$1,296.00 ",$621.13 ,$686.88 ,$712.80 ,$243.48 ,$362.88 ,$677.81 ,$243.48 ,$712.80 ,$243.48 ,$641.52 ,$641.52 ,$243.48 ,$641.52 ,$501.86 ,$907.20 ,$810.00 ,"$1,036.80 ",$621.12 ,$243.48 ,$907.20 ,$243.48 ,$777.60 ,$248.35 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$243.48 ,$715.39 ,"$1,049.76 ","$1,296.00 ","$1,049.76 ","$1,101.60 ",$621.12 ,$898.13 ,$243.48 ,"$1,296.00 ",$727.06 ,$243.48 ,$339.55 ,"$1,296.00 ", N/A , N/A ,$255.65 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,$348.00 ,$243.48 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,45000553,67700,HC BLEPHAROT EYELID DRAIN ABSC-E4,450,1 ,"$1,296.00 ",$933.12 ,$243.48 ,"$1,296.00 ",$621.13 ,$686.88 ,$712.80 ,$243.48 ,$362.88 ,$677.81 ,$243.48 ,$712.80 ,$243.48 ,$641.52 ,$641.52 ,$243.48 ,$641.52 ,$501.86 ,$907.20 ,$810.00 ,"$1,036.80 ",$621.12 ,$243.48 ,$907.20 ,$243.48 ,$777.60 ,$248.35 ,$972.00 ,$715.39 ,$645.41 ,$715.39 ,$243.48 ,$715.39 ,"$1,049.76 ","$1,296.00 ","$1,049.76 ","$1,101.60 ",$621.12 ,$898.13 ,$243.48 ,"$1,296.00 ",$727.06 ,$243.48 ,$339.55 ,"$1,296.00 ", N/A , N/A ,$255.65 ,"$1,036.80 ",$641.52 ,$362.88 ,"$1,166.40 ",$492.48 ,$348.00 ,$243.48 ,$622.08 
ST. MARY'S HOSPITAL - DECATUR,45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$711.00 ,$511.92 ,$134.06 ,$711.00 ,$342.00 ,$376.83 ,$391.05 ,$134.06 ,$199.08 ,$371.85 ,$134.06 ,$391.05 ,$134.06 ,$351.95 ,$351.95 ,$134.06 ,$351.95 ,$276.35 ,$497.70 ,$444.38 ,$568.80 ,$342.01 ,$134.06 ,$497.70 ,$134.06 ,$426.60 ,$136.75 ,$533.25 ,$392.47 ,$354.08 ,$392.47 ,$134.06 ,$392.47 ,$575.91 ,$711.00 ,$575.91 ,$604.35 ,$342.01 ,$492.72 ,$134.06 ,$711.00 ,$398.87 ,$134.06 ,$186.28 ,$711.00 , N/A , N/A ,$140.77 ,$568.80 ,$351.95 ,$199.08 ,$639.90 ,$270.18 ,$348.00 ,$134.06 ,$341.28 
ST. MARY'S HOSPITAL - DECATUR,45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$711.00 ,$511.92 ,$134.06 ,$711.00 ,$342.00 ,$376.83 ,$391.05 ,$134.06 ,$199.08 ,$371.85 ,$134.06 ,$391.05 ,$134.06 ,$351.95 ,$351.95 ,$134.06 ,$351.95 ,$276.35 ,$497.70 ,$444.38 ,$568.80 ,$342.01 ,$134.06 ,$497.70 ,$134.06 ,$426.60 ,$136.75 ,$533.25 ,$392.47 ,$354.08 ,$392.47 ,$134.06 ,$392.47 ,$575.91 ,$711.00 ,$575.91 ,$604.35 ,$342.01 ,$492.72 ,$134.06 ,$711.00 ,$398.87 ,$134.06 ,$186.28 ,$711.00 , N/A , N/A ,$140.77 ,$568.80 ,$351.95 ,$199.08 ,$639.90 ,$270.18 ,$348.00 ,$134.06 ,$341.28 
ST. MARY'S HOSPITAL - DECATUR,45000556,20103,HC EXPL PENTR WOUND EXTREMITY - LT,450,1 ,"$1,178.00 ",$848.16 ,$308.64 ,"$3,518.55 ","$3,518.55 ",$624.34 ,$647.90 ,"$1,379.27 ",$329.84 ,$616.09 ,"$1,379.27 ",$647.90 ,"$1,154.44 ",$583.11 ,$583.11 ,"$1,154.44 ",$583.11 ,"$1,178.00 ",$824.60 ,$736.25 ,$942.40 ,"$3,518.54 ","$1,379.27 ",$824.60 ,"$1,379.27 ",$706.80 ,"$1,154.44 ",$883.50 ,$650.26 ,$586.64 ,$650.26 ,"$1,379.27 ",$650.26 ,$954.18 ,"$1,178.00 ",$954.18 ,"$1,001.30 ","$1,178.00 ",$816.35 ,"$1,154.44 ","$1,178.00 ",$660.86 ,"$1,379.27 ",$308.64 ,"$1,178.00 ", N/A , N/A ,"$1,448.23 ",$942.40 ,$583.11 ,$329.84 ,"$1,060.20 ",$447.64 ,$348.00 ,"$1,379.27 ",$565.44 
ST. MARY'S HOSPITAL - DECATUR,45000557,20103,HC EXPL PENTR WOUND EXTREMITY - RT,450,1 ,"$1,178.00 ",$848.16 ,$308.64 ,"$3,518.55 ","$3,518.55 ",$624.34 ,$647.90 ,"$1,379.27 ",$329.84 ,$616.09 ,"$1,379.27 ",$647.90 ,"$1,154.44 ",$583.11 ,$583.11 ,"$1,154.44 ",$583.11 ,"$1,178.00 ",$824.60 ,$736.25 ,$942.40 ,"$3,518.54 ","$1,379.27 ",$824.60 ,"$1,379.27 ",$706.80 ,"$1,154.44 ",$883.50 ,$650.26 ,$586.64 ,$650.26 ,"$1,379.27 ",$650.26 ,$954.18 ,"$1,178.00 ",$954.18 ,"$1,001.30 ","$1,178.00 ",$816.35 ,"$1,154.44 ","$1,178.00 ",$660.86 ,"$1,379.27 ",$308.64 ,"$1,178.00 ", N/A , N/A ,"$1,448.23 ",$942.40 ,$583.11 ,$329.84 ,"$1,060.20 ",$447.64 ,$348.00 ,"$1,379.27 ",$565.44 
ST. MARY'S HOSPITAL - DECATUR,45000561,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,825.00 ","$1,314.00 ",$348.00 ,"$1,825.00 ","$1,522.75 ",$967.25 ,"$1,003.75 ",$596.92 ,$511.00 ,$954.48 ,$596.92 ,"$1,003.75 ",$596.92 ,$903.38 ,$903.38 ,$596.92 ,$903.38 ,"$1,230.38 ","$1,277.50 ","$1,140.63 ","$1,460.00 ","$1,522.74 ",$596.92 ,"$1,277.50 ",$596.92 ,"$1,095.00 ",$608.85 ,"$1,368.75 ","$1,007.40 ",$908.85 ,"$1,007.40 ",$596.92 ,"$1,007.40 ","$1,478.25 ","$1,825.00 ","$1,478.25 ","$1,551.25 ","$1,522.74 ","$1,264.73 ",$596.92 ,"$1,825.00 ","$1,023.83 ",$596.92 ,$478.15 ,"$1,825.00 ", N/A , N/A ,$626.77 ,"$1,460.00 ",$903.38 ,$511.00 ,"$1,642.50 ",$693.50 ,$348.00 ,$596.92 ,$876.00 
ST. MARY'S HOSPITAL - DECATUR,45000562,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,825.00 ","$1,314.00 ",$348.00 ,"$1,825.00 ","$1,522.75 ",$967.25 ,"$1,003.75 ",$596.92 ,$511.00 ,$954.48 ,$596.92 ,"$1,003.75 ",$596.92 ,$903.38 ,$903.38 ,$596.92 ,$903.38 ,"$1,230.38 ","$1,277.50 ","$1,140.63 ","$1,460.00 ","$1,522.74 ",$596.92 ,"$1,277.50 ",$596.92 ,"$1,095.00 ",$608.85 ,"$1,368.75 ","$1,007.40 ",$908.85 ,"$1,007.40 ",$596.92 ,"$1,007.40 ","$1,478.25 ","$1,825.00 ","$1,478.25 ","$1,551.25 ","$1,522.74 ","$1,264.73 ",$596.92 ,"$1,825.00 ","$1,023.83 ",$596.92 ,$478.15 ,"$1,825.00 ", N/A , N/A ,$626.77 ,"$1,460.00 ",$903.38 ,$511.00 ,"$1,642.50 ",$693.50 ,$348.00 ,$596.92 ,$876.00 
ST. MARY'S HOSPITAL - DECATUR,45000563,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY-LT,450,1 ,"$6,129.00 ","$4,412.88 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,370.95 ","$2,737.89 ","$1,716.12 ","$3,205.47 ","$2,737.89 ","$3,370.95 ","$2,737.89 ","$3,033.86 ","$3,033.86 ","$2,737.89 ","$3,033.86 ","$5,643.42 ","$4,290.30 ","$3,830.63 ","$4,903.20 ","$6,984.44 ","$2,737.89 ","$4,290.30 ","$2,737.89 ","$3,677.40 ","$2,792.66 ","$4,596.75 ","$3,052.24 ","$2,745.79 ","$3,052.24 ","$2,737.89 ","$3,052.24 ","$3,900.00 ","$6,129.00 ","$3,900.00 ","$5,209.65 ","$6,129.00 ","$4,247.40 ","$2,737.89 ","$6,129.00 ","$3,438.37 ","$2,737.89 ","$1,605.80 ","$6,129.00 ", N/A , N/A ,"$2,874.79 ","$4,903.20 ","$3,033.86 ","$1,716.12 ","$5,516.10 ","$2,329.02 ",$348.00 ,"$2,737.89 ","$2,941.92 "
ST. MARY'S HOSPITAL - DECATUR,45000564,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY-RT,450,1 ,"$6,129.00 ","$4,412.88 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,370.95 ","$2,737.89 ","$1,716.12 ","$3,205.47 ","$2,737.89 ","$3,370.95 ","$2,737.89 ","$3,033.86 ","$3,033.86 ","$2,737.89 ","$3,033.86 ","$5,643.42 ","$4,290.30 ","$3,830.63 ","$4,903.20 ","$6,984.44 ","$2,737.89 ","$4,290.30 ","$2,737.89 ","$3,677.40 ","$2,792.66 ","$4,596.75 ","$3,052.24 ","$2,745.79 ","$3,052.24 ","$2,737.89 ","$3,052.24 ","$3,900.00 ","$6,129.00 ","$3,900.00 ","$5,209.65 ","$6,129.00 ","$4,247.40 ","$2,737.89 ","$6,129.00 ","$3,438.37 ","$2,737.89 ","$1,605.80 ","$6,129.00 ", N/A , N/A ,"$2,874.79 ","$4,903.20 ","$3,033.86 ","$1,716.12 ","$5,516.10 ","$2,329.02 ",$348.00 ,"$2,737.89 ","$2,941.92 "
ST. MARY'S HOSPITAL - DECATUR,45000565,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY-LT,450,1 ,"$5,513.00 ","$3,969.36 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,032.15 ","$2,737.89 ","$1,543.64 ","$2,883.30 ","$2,737.89 ","$3,032.15 ","$2,737.89 ","$2,728.94 ","$2,728.94 ","$2,737.89 ","$2,728.94 ","$5,513.00 ","$3,859.10 ","$3,445.63 ","$4,410.40 ","$6,984.44 ","$2,737.89 ","$3,859.10 ","$2,737.89 ","$3,307.80 ","$2,792.66 ","$4,134.75 ","$2,745.47 ","$2,469.82 ","$2,745.47 ","$2,737.89 ","$2,745.47 ","$3,900.00 ","$5,513.00 ","$3,900.00 ","$4,686.05 ","$5,513.00 ","$3,820.51 ","$2,737.89 ","$5,513.00 ","$3,092.79 ","$2,737.89 ","$1,444.41 ","$5,513.00 ", N/A , N/A ,"$2,874.79 ","$4,410.40 ","$2,728.94 ","$1,543.64 ","$4,961.70 ","$2,094.94 ",$348.00 ,"$2,737.89 ","$2,646.24 "
ST. MARY'S HOSPITAL - DECATUR,45000566,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY-RT,450,1 ,"$5,513.00 ","$3,969.36 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,032.15 ","$2,737.89 ","$1,543.64 ","$2,883.30 ","$2,737.89 ","$3,032.15 ","$2,737.89 ","$2,728.94 ","$2,728.94 ","$2,737.89 ","$2,728.94 ","$5,513.00 ","$3,859.10 ","$3,445.63 ","$4,410.40 ","$6,984.44 ","$2,737.89 ","$3,859.10 ","$2,737.89 ","$3,307.80 ","$2,792.66 ","$4,134.75 ","$2,745.47 ","$2,469.82 ","$2,745.47 ","$2,737.89 ","$2,745.47 ","$3,900.00 ","$5,513.00 ","$3,900.00 ","$4,686.05 ","$5,513.00 ","$3,820.51 ","$2,737.89 ","$5,513.00 ","$3,092.79 ","$2,737.89 ","$1,444.41 ","$5,513.00 ", N/A , N/A ,"$2,874.79 ","$4,410.40 ","$2,728.94 ","$1,543.64 ","$4,961.70 ","$2,094.94 ",$348.00 ,"$2,737.89 ","$2,646.24 "
ST. MARY'S HOSPITAL - DECATUR,45000567,26410,HC REPAIR TENDON HAND W/O GRAFT EA TENDON-LT,450,1 ,"$3,673.00 ","$2,644.56 ",$348.00 ,"$3,673.00 ","$3,365.95 ","$1,946.69 ","$2,020.15 ","$1,319.45 ","$1,028.44 ","$1,920.98 ","$1,319.45 ","$2,020.15 ","$1,319.45 ","$1,818.14 ","$1,818.14 ","$1,319.45 ","$1,818.14 ","$2,719.69 ","$2,571.10 ","$2,295.63 ","$2,938.40 ","$3,365.96 ","$1,319.45 ","$2,571.10 ","$1,319.45 ","$2,203.80 ","$1,345.84 ","$2,754.75 ","$1,829.15 ","$1,645.50 ","$1,829.15 ","$1,319.45 ","$1,829.15 ","$2,975.13 ","$3,673.00 ","$2,975.13 ","$3,122.05 ","$3,365.96 ","$2,545.39 ","$1,319.45 ","$3,673.00 ","$2,060.55 ","$1,319.45 ",$962.33 ,"$3,673.00 ", N/A , N/A ,"$1,385.43 ","$2,938.40 ","$1,818.14 ","$1,028.44 ","$3,305.70 ","$1,395.74 ",$348.00 ,"$1,319.45 ","$1,763.04 "
ST. MARY'S HOSPITAL - DECATUR,45000568,26410,HC REPAIR TENDON HAND W/O GRAFT EA TENDON-RT,450,1 ,"$3,673.00 ","$2,644.56 ",$348.00 ,"$3,673.00 ","$3,365.95 ","$1,946.69 ","$2,020.15 ","$1,319.45 ","$1,028.44 ","$1,920.98 ","$1,319.45 ","$2,020.15 ","$1,319.45 ","$1,818.14 ","$1,818.14 ","$1,319.45 ","$1,818.14 ","$2,719.69 ","$2,571.10 ","$2,295.63 ","$2,938.40 ","$3,365.96 ","$1,319.45 ","$2,571.10 ","$1,319.45 ","$2,203.80 ","$1,345.84 ","$2,754.75 ","$1,829.15 ","$1,645.50 ","$1,829.15 ","$1,319.45 ","$1,829.15 ","$2,975.13 ","$3,673.00 ","$2,975.13 ","$3,122.05 ","$3,365.96 ","$2,545.39 ","$1,319.45 ","$3,673.00 ","$2,060.55 ","$1,319.45 ",$962.33 ,"$3,673.00 ", N/A , N/A ,"$1,385.43 ","$2,938.40 ","$1,818.14 ","$1,028.44 ","$3,305.70 ","$1,395.74 ",$348.00 ,"$1,319.45 ","$1,763.04 "
ST. MARY'S HOSPITAL - DECATUR,45000570,24605,HC TX DISLOC ELBOW W/ANES CLOSED-LT,450,1 ,"$3,821.00 ","$2,751.12 ",$348.00 ,"$3,821.00 ","$3,365.95 ","$2,025.13 ","$2,101.55 ","$1,319.45 ","$1,069.88 ","$1,998.38 ","$1,319.45 ","$2,101.55 ","$1,319.45 ","$1,891.40 ","$1,891.40 ","$1,319.45 ","$1,891.40 ","$2,719.69 ","$2,674.70 ","$2,388.13 ","$3,056.80 ","$3,365.96 ","$1,319.45 ","$2,674.70 ","$1,319.45 ","$2,292.60 ","$1,345.84 ","$2,865.75 ","$1,902.86 ","$1,711.81 ","$1,902.86 ","$1,319.45 ","$1,902.86 ","$3,095.01 ","$3,821.00 ","$3,095.01 ","$3,247.85 ","$3,365.96 ","$2,647.95 ","$1,319.45 ","$3,821.00 ","$2,143.58 ","$1,319.45 ","$1,001.10 ","$3,821.00 ", N/A , N/A ,"$1,385.43 ","$3,056.80 ","$1,891.40 ","$1,069.88 ","$3,438.90 ","$1,451.98 ",$348.00 ,"$1,319.45 ","$1,834.08 "
ST. MARY'S HOSPITAL - DECATUR,45000571,24605,HC TX DISLOC ELBOW W/ANES CLOSED-RT,450,1 ,"$3,821.00 ","$2,751.12 ",$348.00 ,"$3,821.00 ","$3,365.95 ","$2,025.13 ","$2,101.55 ","$1,319.45 ","$1,069.88 ","$1,998.38 ","$1,319.45 ","$2,101.55 ","$1,319.45 ","$1,891.40 ","$1,891.40 ","$1,319.45 ","$1,891.40 ","$2,719.69 ","$2,674.70 ","$2,388.13 ","$3,056.80 ","$3,365.96 ","$1,319.45 ","$2,674.70 ","$1,319.45 ","$2,292.60 ","$1,345.84 ","$2,865.75 ","$1,902.86 ","$1,711.81 ","$1,902.86 ","$1,319.45 ","$1,902.86 ","$3,095.01 ","$3,821.00 ","$3,095.01 ","$3,247.85 ","$3,365.96 ","$2,647.95 ","$1,319.45 ","$3,821.00 ","$2,143.58 ","$1,319.45 ","$1,001.10 ","$3,821.00 ", N/A , N/A ,"$1,385.43 ","$3,056.80 ","$1,891.40 ","$1,069.88 ","$3,438.90 ","$1,451.98 ",$348.00 ,"$1,319.45 ","$1,834.08 "
ST. MARY'S HOSPITAL - DECATUR,45000575,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-LT,450,1 ,$513.00 ,$369.36 ,$134.41 ,"$3,365.96 ","$3,365.95 ",$271.89 ,$282.15 ,"$1,319.45 ",$143.64 ,$268.30 ,"$1,319.45 ",$282.15 ,$502.74 ,$253.94 ,$253.94 ,$502.74 ,$253.94 ,$513.00 ,$359.10 ,$320.63 ,$410.40 ,"$3,365.96 ","$1,319.45 ",$359.10 ,"$1,319.45 ",$307.80 ,$502.74 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,"$1,319.45 ",$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$502.74 ,$513.00 ,$287.79 ,"$1,319.45 ",$134.41 ,$513.00 , N/A , N/A ,"$1,385.43 ",$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,"$1,319.45 ",$246.24 
ST. MARY'S HOSPITAL - DECATUR,45000576,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-RT,450,1 ,$513.00 ,$369.36 ,$134.41 ,"$3,365.96 ","$3,365.95 ",$271.89 ,$282.15 ,"$1,319.45 ",$143.64 ,$268.30 ,"$1,319.45 ",$282.15 ,$502.74 ,$253.94 ,$253.94 ,$502.74 ,$253.94 ,$513.00 ,$359.10 ,$320.63 ,$410.40 ,"$3,365.96 ","$1,319.45 ",$359.10 ,"$1,319.45 ",$307.80 ,$502.74 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,"$1,319.45 ",$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$502.74 ,$513.00 ,$287.79 ,"$1,319.45 ",$134.41 ,$513.00 , N/A , N/A ,"$1,385.43 ",$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,"$1,319.45 ",$246.24 
ST. MARY'S HOSPITAL - DECATUR,45000577,27752,HC TX FX TIBIAL SHAFT W/MANIP CLOSED - LT,450,1 ,$279.00 ,$200.88 ,$73.10 ,"$3,365.96 ","$3,365.95 ",$147.87 ,$153.45 ,"$1,319.45 ",$78.12 ,$145.92 ,"$1,319.45 ",$153.45 ,$273.42 ,$138.11 ,$138.11 ,$273.42 ,$138.11 ,$279.00 ,$195.30 ,$174.38 ,$223.20 ,"$3,365.96 ","$1,319.45 ",$195.30 ,"$1,319.45 ",$167.40 ,$273.42 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,"$1,319.45 ",$154.01 ,$225.99 ,$279.00 ,$225.99 ,$237.15 ,$279.00 ,$193.35 ,$273.42 ,$279.00 ,$156.52 ,"$1,319.45 ",$73.10 ,$279.00 , N/A , N/A ,"$1,385.43 ",$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$279.00 ,"$1,319.45 ",$133.92 
ST. MARY'S HOSPITAL - DECATUR,45000578,27752,HC TX FX TIBIAL SHAFT W/MANIP CLOSED - RT,450,1 ,$279.00 ,$200.88 ,$73.10 ,"$3,365.96 ","$3,365.95 ",$147.87 ,$153.45 ,"$1,319.45 ",$78.12 ,$145.92 ,"$1,319.45 ",$153.45 ,$273.42 ,$138.11 ,$138.11 ,$273.42 ,$138.11 ,$279.00 ,$195.30 ,$174.38 ,$223.20 ,"$3,365.96 ","$1,319.45 ",$195.30 ,"$1,319.45 ",$167.40 ,$273.42 ,$209.25 ,$154.01 ,$138.94 ,$154.01 ,"$1,319.45 ",$154.01 ,$225.99 ,$279.00 ,$225.99 ,$237.15 ,$279.00 ,$193.35 ,$273.42 ,$279.00 ,$156.52 ,"$1,319.45 ",$73.10 ,$279.00 , N/A , N/A ,"$1,385.43 ",$223.20 ,$138.11 ,$78.12 ,$251.10 ,$106.02 ,$279.00 ,"$1,319.45 ",$133.92 
ST. MARY'S HOSPITAL - DECATUR,45000579,25650,HC TX FX ULNAR STYLOID CLOSED - LT,450,1 ,$816.00 ,$587.52 ,$190.40 ,$816.00 ,$485.73 ,$432.48 ,$448.80 ,$190.40 ,$228.48 ,$426.77 ,$190.40 ,$448.80 ,$190.40 ,$403.92 ,$403.92 ,$190.40 ,$403.92 ,$392.47 ,$571.20 ,$510.00 ,$652.80 ,$485.73 ,$190.40 ,$571.20 ,$190.40 ,$489.60 ,$194.22 ,$612.00 ,$450.43 ,$406.37 ,$450.43 ,$190.40 ,$450.43 ,$660.96 ,$816.00 ,$660.96 ,$693.60 ,$485.73 ,$565.49 ,$190.40 ,$816.00 ,$457.78 ,$190.40 ,$213.79 ,$816.00 , N/A , N/A ,$199.92 ,$652.80 ,$403.92 ,$228.48 ,$734.40 ,$310.08 ,$348.00 ,$190.40 ,$391.68 
ST. MARY'S HOSPITAL - DECATUR,45000580,25650,HC TX FX ULNAR STYLOID CLOSED - RT,450,1 ,$816.00 ,$587.52 ,$190.40 ,$816.00 ,$485.73 ,$432.48 ,$448.80 ,$190.40 ,$228.48 ,$426.77 ,$190.40 ,$448.80 ,$190.40 ,$403.92 ,$403.92 ,$190.40 ,$403.92 ,$392.47 ,$571.20 ,$510.00 ,$652.80 ,$485.73 ,$190.40 ,$571.20 ,$190.40 ,$489.60 ,$194.22 ,$612.00 ,$450.43 ,$406.37 ,$450.43 ,$190.40 ,$450.43 ,$660.96 ,$816.00 ,$660.96 ,$693.60 ,$485.73 ,$565.49 ,$190.40 ,$816.00 ,$457.78 ,$190.40 ,$213.79 ,$816.00 , N/A , N/A ,$199.92 ,$652.80 ,$403.92 ,$228.48 ,$734.40 ,$310.08 ,$348.00 ,$190.40 ,$391.68 
ST. MARY'S HOSPITAL - DECATUR,45000640,11750,HC REMOVE NAIL BED-T5,450,1 ,"$2,519.00 ","$1,813.68 ",$343.15 ,"$2,519.00 ",$875.38 ,"$1,335.07 ","$1,385.45 ",$343.15 ,$705.32 ,"$1,317.44 ",$343.15 ,"$1,385.45 ",$343.15 ,"$1,246.91 ","$1,246.91 ",$343.15 ,"$1,246.91 ",$707.30 ,"$1,763.30 ","$1,574.38 ","$2,015.20 ",$875.37 ,$343.15 ,"$1,763.30 ",$343.15 ,"$1,511.40 ",$350.01 ,"$1,889.25 ","$1,390.49 ","$1,254.46 ","$1,390.49 ",$343.15 ,"$1,390.49 ","$2,040.39 ","$2,519.00 ","$2,040.39 ","$2,141.15 ",$875.37 ,"$1,745.67 ",$343.15 ,"$2,519.00 ","$1,413.16 ",$343.15 ,$659.98 ,"$2,519.00 ", N/A , N/A ,$360.31 ,"$2,015.20 ","$1,246.91 ",$705.32 ,"$2,267.10 ",$957.22 ,$348.00 ,$343.15 ,"$1,209.12 "
ST. MARY'S HOSPITAL - DECATUR,45000645,11750,HC REMOVE NAIL BED-TA,450,1 ,"$2,519.00 ","$1,813.68 ",$343.15 ,"$2,519.00 ",$875.38 ,"$1,335.07 ","$1,385.45 ",$343.15 ,$705.32 ,"$1,317.44 ",$343.15 ,"$1,385.45 ",$343.15 ,"$1,246.91 ","$1,246.91 ",$343.15 ,"$1,246.91 ",$707.30 ,"$1,763.30 ","$1,574.38 ","$2,015.20 ",$875.37 ,$343.15 ,"$1,763.30 ",$343.15 ,"$1,511.40 ",$350.01 ,"$1,889.25 ","$1,390.49 ","$1,254.46 ","$1,390.49 ",$343.15 ,"$1,390.49 ","$2,040.39 ","$2,519.00 ","$2,040.39 ","$2,141.15 ",$875.37 ,"$1,745.67 ",$343.15 ,"$2,519.00 ","$1,413.16 ",$343.15 ,$659.98 ,"$2,519.00 ", N/A , N/A ,$360.31 ,"$2,015.20 ","$1,246.91 ",$705.32 ,"$2,267.10 ",$957.22 ,$348.00 ,$343.15 ,"$1,209.12 "
ST. MARY'S HOSPITAL - DECATUR,45000646,11760,HC REPAIR NAIL BED-F1,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000647,11760,HC REPAIR NAIL BED-F2,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000648,11760,HC REPAIR NAIL BED-F3,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000649,11760,HC REPAIR NAIL BED-F4,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000650,11760,HC REPAIR NAIL BED-F5,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000651,11760,HC REPAIR NAIL BED-F6,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000652,11760,HC REPAIR NAIL BED-F7,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000653,11760,HC REPAIR NAIL BED-F8,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000654,11760,HC REPAIR NAIL BED-F9,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000655,11760,HC REPAIR NAIL BED-FA,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000660,11760,HC REPAIR NAIL BED-T5,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000665,11760,HC REPAIR NAIL BED-TA,450,1 ,$480.00 ,$345.60 ,$125.76 ,"$1,363.15 ","$1,363.15 ",$254.40 ,$264.00 ,$534.35 ,$134.40 ,$251.04 ,$534.35 ,$264.00 ,$470.40 ,$237.60 ,$237.60 ,$470.40 ,$237.60 ,$480.00 ,$336.00 ,$300.00 ,$384.00 ,"$1,363.14 ",$534.35 ,$336.00 ,$534.35 ,$288.00 ,$470.40 ,$360.00 ,$264.96 ,$239.04 ,$264.96 ,$534.35 ,$264.96 ,$388.80 ,$480.00 ,$388.80 ,$408.00 ,$480.00 ,$332.64 ,$470.40 ,$480.00 ,$269.28 ,$534.35 ,$125.76 ,$480.00 , N/A , N/A ,$561.07 ,$384.00 ,$237.60 ,$134.40 ,$432.00 ,$182.40 ,$348.00 ,$534.35 ,$230.40 
ST. MARY'S HOSPITAL - DECATUR,45000700,11765,HC EXCISION WEDGE SKIN NAIL FOLD-T5,450,1 ,"$1,147.00 ",$825.84 ,$300.51 ,"$1,147.00 ",$875.38 ,$607.91 ,$630.85 ,$343.15 ,$321.16 ,$599.88 ,$343.15 ,$630.85 ,$343.15 ,$567.77 ,$567.77 ,$343.15 ,$567.77 ,$707.30 ,$802.90 ,$716.88 ,$917.60 ,$875.37 ,$343.15 ,$802.90 ,$343.15 ,$688.20 ,$350.01 ,$860.25 ,$633.14 ,$571.21 ,$633.14 ,$343.15 ,$633.14 ,$929.07 ,"$1,147.00 ",$929.07 ,$974.95 ,$875.37 ,$794.87 ,$343.15 ,"$1,147.00 ",$643.47 ,$343.15 ,$300.51 ,"$1,147.00 ", N/A , N/A ,$360.31 ,$917.60 ,$567.77 ,$321.16 ,"$1,032.30 ",$435.86 ,$348.00 ,$343.15 ,$550.56 
ST. MARY'S HOSPITAL - DECATUR,45000705,11765,HC EXCISION WEDGE SKIN NAIL FOLD-TA,450,1 ,"$1,147.00 ",$825.84 ,$300.51 ,"$1,147.00 ",$875.38 ,$607.91 ,$630.85 ,$343.15 ,$321.16 ,$599.88 ,$343.15 ,$630.85 ,$343.15 ,$567.77 ,$567.77 ,$343.15 ,$567.77 ,$707.30 ,$802.90 ,$716.88 ,$917.60 ,$875.37 ,$343.15 ,$802.90 ,$343.15 ,$688.20 ,$350.01 ,$860.25 ,$633.14 ,$571.21 ,$633.14 ,$343.15 ,$633.14 ,$929.07 ,"$1,147.00 ",$929.07 ,$974.95 ,$875.37 ,$794.87 ,$343.15 ,"$1,147.00 ",$643.47 ,$343.15 ,$300.51 ,"$1,147.00 ", N/A , N/A ,$360.31 ,$917.60 ,$567.77 ,$321.16 ,"$1,032.30 ",$435.86 ,$348.00 ,$343.15 ,$550.56 
ST. MARY'S HOSPITAL - DECATUR,45000751,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ-LT,450,1 ,$979.00 ,$704.88 ,$256.50 ,"$3,518.55 ","$3,518.55 ",$518.87 ,$538.45 ,"$1,379.27 ",$274.12 ,$512.02 ,"$1,379.27 ",$538.45 ,$959.42 ,$484.61 ,$484.61 ,$959.42 ,$484.61 ,$979.00 ,$685.30 ,$611.88 ,$783.20 ,"$3,518.54 ","$1,379.27 ",$685.30 ,"$1,379.27 ",$587.40 ,$959.42 ,$734.25 ,$540.41 ,$487.54 ,$540.41 ,"$1,379.27 ",$540.41 ,$792.99 ,$979.00 ,$792.99 ,$832.15 ,$979.00 ,$678.45 ,$959.42 ,$979.00 ,$549.22 ,"$1,379.27 ",$256.50 ,$979.00 , N/A , N/A ,"$1,448.23 ",$783.20 ,$484.61 ,$274.12 ,$881.10 ,$372.02 ,$348.00 ,"$1,379.27 ",$469.92 
ST. MARY'S HOSPITAL - DECATUR,45000752,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ-RT,450,1 ,$979.00 ,$704.88 ,$256.50 ,"$3,518.55 ","$3,518.55 ",$518.87 ,$538.45 ,"$1,379.27 ",$274.12 ,$512.02 ,"$1,379.27 ",$538.45 ,$959.42 ,$484.61 ,$484.61 ,$959.42 ,$484.61 ,$979.00 ,$685.30 ,$611.88 ,$783.20 ,"$3,518.54 ","$1,379.27 ",$685.30 ,"$1,379.27 ",$587.40 ,$959.42 ,$734.25 ,$540.41 ,$487.54 ,$540.41 ,"$1,379.27 ",$540.41 ,$792.99 ,$979.00 ,$792.99 ,$832.15 ,$979.00 ,$678.45 ,$959.42 ,$979.00 ,$549.22 ,"$1,379.27 ",$256.50 ,$979.00 , N/A , N/A ,"$1,448.23 ",$783.20 ,$484.61 ,$274.12 ,$881.10 ,$372.02 ,$348.00 ,"$1,379.27 ",$469.92 
ST. MARY'S HOSPITAL - DECATUR,45000779,25535,HC TX FX ULNAR CLOSED W/MANIP-LT,450,1 ,"$5,951.00 ","$4,284.72 ",$190.40 ,"$5,951.00 ",$485.73 ,"$2,450.00 ","$3,273.05 ",$190.40 ,"$1,666.28 ","$3,112.37 ",$190.40 ,"$3,273.05 ",$190.40 ,"$2,945.75 ","$2,945.75 ",$190.40 ,"$2,945.75 ",$392.47 ,"$4,165.70 ","$3,719.38 ","$4,760.80 ",$485.73 ,$190.40 ,"$4,165.70 ",$190.40 ,"$3,570.60 ",$194.22 ,"$4,463.25 ","$2,963.60 ","$2,666.05 ","$2,963.60 ",$190.40 ,"$2,963.60 ","$3,900.00 ","$5,951.00 ","$3,900.00 ","$5,058.35 ",$485.73 ,"$4,124.04 ",$190.40 ,"$5,951.00 ","$3,338.51 ",$190.40 ,"$1,559.16 ","$5,951.00 ", N/A , N/A ,$199.92 ,"$4,760.80 ","$2,945.75 ","$1,666.28 ","$5,355.90 ","$2,261.38 ",$348.00 ,$190.40 ,"$2,856.48 "
ST. MARY'S HOSPITAL - DECATUR,45000780,25535,HC TX FX ULNAR CLOSED W/MANIP-RT,450,1 ,"$5,951.00 ","$4,284.72 ",$190.40 ,"$5,951.00 ",$485.73 ,"$2,450.00 ","$3,273.05 ",$190.40 ,"$1,666.28 ","$3,112.37 ",$190.40 ,"$3,273.05 ",$190.40 ,"$2,945.75 ","$2,945.75 ",$190.40 ,"$2,945.75 ",$392.47 ,"$4,165.70 ","$3,719.38 ","$4,760.80 ",$485.73 ,$190.40 ,"$4,165.70 ",$190.40 ,"$3,570.60 ",$194.22 ,"$4,463.25 ","$2,963.60 ","$2,666.05 ","$2,963.60 ",$190.40 ,"$2,963.60 ","$3,900.00 ","$5,951.00 ","$3,900.00 ","$5,058.35 ",$485.73 ,"$4,124.04 ",$190.40 ,"$5,951.00 ","$3,338.51 ",$190.40 ,"$1,559.16 ","$5,951.00 ", N/A , N/A ,$199.92 ,"$4,760.80 ","$2,945.75 ","$1,666.28 ","$5,355.90 ","$2,261.38 ",$348.00 ,$190.40 ,"$2,856.48 "
ST. MARY'S HOSPITAL - DECATUR,45000788,25650,HC TX FX ULNAR STYLOID CLOSED - BIL,450,1 ,$816.00 ,$587.52 ,$213.79 ,$816.00 ,$728.60 ,$432.48 ,$448.80 ,$285.61 ,$228.48 ,$426.77 ,$285.61 ,$448.80 ,$285.61 ,$403.92 ,$403.92 ,$285.61 ,$403.92 ,$588.70 ,$571.20 ,$510.00 ,$652.80 ,$728.59 ,$285.61 ,$571.20 ,$285.61 ,$489.60 ,$291.32 ,$612.00 ,$450.43 ,$406.37 ,$450.43 ,$285.61 ,$450.43 ,$660.96 ,$816.00 ,$660.96 ,$693.60 ,$728.59 ,$565.49 ,$285.61 ,$816.00 ,$457.78 ,$285.61 ,$213.79 ,$816.00 , N/A , N/A ,$299.89 ,$652.80 ,$403.92 ,$228.48 ,$734.40 ,$310.08 ,$348.00 ,$285.61 ,$391.68 
ST. MARY'S HOSPITAL - DECATUR,45000789,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP-LT,450,1 ,"$1,003.00 ",$722.16 ,$190.40 ,"$1,003.00 ",$485.73 ,$531.59 ,$551.65 ,$190.40 ,$280.84 ,$524.57 ,$190.40 ,$551.65 ,$190.40 ,$496.49 ,$496.49 ,$190.40 ,$496.49 ,$392.47 ,$702.10 ,$626.88 ,$802.40 ,$485.73 ,$190.40 ,$702.10 ,$190.40 ,$601.80 ,$194.22 ,$752.25 ,$553.66 ,$499.49 ,$553.66 ,$190.40 ,$553.66 ,$812.43 ,"$1,003.00 ",$812.43 ,$852.55 ,$485.73 ,$695.08 ,$190.40 ,"$1,003.00 ",$562.68 ,$190.40 ,$262.79 ,"$1,003.00 ", N/A , N/A ,$199.92 ,$802.40 ,$496.49 ,$280.84 ,$902.70 ,$381.14 ,$348.00 ,$190.40 ,$481.44 
ST. MARY'S HOSPITAL - DECATUR,45000790,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP-RT,450,1 ,"$1,003.00 ",$722.16 ,$190.40 ,"$1,003.00 ",$485.73 ,$531.59 ,$551.65 ,$190.40 ,$280.84 ,$524.57 ,$190.40 ,$551.65 ,$190.40 ,$496.49 ,$496.49 ,$190.40 ,$496.49 ,$392.47 ,$702.10 ,$626.88 ,$802.40 ,$485.73 ,$190.40 ,$702.10 ,$190.40 ,$601.80 ,$194.22 ,$752.25 ,$553.66 ,$499.49 ,$553.66 ,$190.40 ,$553.66 ,$812.43 ,"$1,003.00 ",$812.43 ,$852.55 ,$485.73 ,$695.08 ,$190.40 ,"$1,003.00 ",$562.68 ,$190.40 ,$262.79 ,"$1,003.00 ", N/A , N/A ,$199.92 ,$802.40 ,$496.49 ,$280.84 ,$902.70 ,$381.14 ,$348.00 ,$190.40 ,$481.44 
ST. MARY'S HOSPITAL - DECATUR,45000791,25680,HC TX FX CLOSED WRIST W/MANIP-LT,450,1 ,"$1,270.00 ",$914.40 ,$190.40 ,"$1,270.00 ",$485.73 ,$673.10 ,$698.50 ,$190.40 ,$355.60 ,$664.21 ,$190.40 ,$698.50 ,$190.40 ,$628.65 ,$628.65 ,$190.40 ,$628.65 ,$392.47 ,$889.00 ,$793.75 ,"$1,016.00 ",$485.73 ,$190.40 ,$889.00 ,$190.40 ,$762.00 ,$194.22 ,$952.50 ,$701.04 ,$632.46 ,$701.04 ,$190.40 ,$701.04 ,"$1,028.70 ","$1,270.00 ","$1,028.70 ","$1,079.50 ",$485.73 ,$880.11 ,$190.40 ,"$1,270.00 ",$712.47 ,$190.40 ,$332.74 ,"$1,270.00 ", N/A , N/A ,$199.92 ,"$1,016.00 ",$628.65 ,$355.60 ,"$1,143.00 ",$482.60 ,$348.00 ,$190.40 ,$609.60 
ST. MARY'S HOSPITAL - DECATUR,45000792,25680,HC TX FX CLOSED WRIST W/MANIP-RT,450,1 ,"$1,270.00 ",$914.40 ,$190.40 ,"$1,270.00 ",$485.73 ,$673.10 ,$698.50 ,$190.40 ,$355.60 ,$664.21 ,$190.40 ,$698.50 ,$190.40 ,$628.65 ,$628.65 ,$190.40 ,$628.65 ,$392.47 ,$889.00 ,$793.75 ,"$1,016.00 ",$485.73 ,$190.40 ,$889.00 ,$190.40 ,$762.00 ,$194.22 ,$952.50 ,$701.04 ,$632.46 ,$701.04 ,$190.40 ,$701.04 ,"$1,028.70 ","$1,270.00 ","$1,028.70 ","$1,079.50 ",$485.73 ,$880.11 ,$190.40 ,"$1,270.00 ",$712.47 ,$190.40 ,$332.74 ,"$1,270.00 ", N/A , N/A ,$199.92 ,"$1,016.00 ",$628.65 ,$355.60 ,"$1,143.00 ",$482.60 ,$348.00 ,$190.40 ,$609.60 
ST. MARY'S HOSPITAL - DECATUR,45000793,25690,HC TX CLOSED WRIST DISLOCATION-LT,450,1 ,"$6,096.00 ","$4,389.12 ",$348.00 ,"$6,096.00 ","$3,365.95 ","$2,450.00 ","$3,352.80 ","$1,319.45 ","$1,706.88 ","$3,188.21 ","$1,319.45 ","$3,352.80 ","$1,319.45 ","$3,017.52 ","$3,017.52 ","$1,319.45 ","$3,017.52 ","$2,719.69 ","$4,267.20 ","$3,810.00 ","$4,876.80 ","$3,365.96 ","$1,319.45 ","$4,267.20 ","$1,319.45 ","$3,657.60 ","$1,345.84 ","$4,572.00 ","$3,035.81 ","$2,731.01 ","$3,035.81 ","$1,319.45 ","$3,035.81 ","$3,900.00 ","$6,096.00 ","$3,900.00 ","$5,181.60 ","$3,365.96 ","$4,224.53 ","$1,319.45 ","$6,096.00 ","$3,419.86 ","$1,319.45 ","$1,597.15 ","$6,096.00 ", N/A , N/A ,"$1,385.43 ","$4,876.80 ","$3,017.52 ","$1,706.88 ","$5,486.40 ","$2,316.48 ",$348.00 ,"$1,319.45 ","$2,926.08 "
ST. MARY'S HOSPITAL - DECATUR,45000794,25690,HC TX CLOSED WRIST DISLOCATION-RT,450,1 ,"$6,096.00 ","$4,389.12 ",$348.00 ,"$6,096.00 ","$3,365.95 ","$2,450.00 ","$3,352.80 ","$1,319.45 ","$1,706.88 ","$3,188.21 ","$1,319.45 ","$3,352.80 ","$1,319.45 ","$3,017.52 ","$3,017.52 ","$1,319.45 ","$3,017.52 ","$2,719.69 ","$4,267.20 ","$3,810.00 ","$4,876.80 ","$3,365.96 ","$1,319.45 ","$4,267.20 ","$1,319.45 ","$3,657.60 ","$1,345.84 ","$4,572.00 ","$3,035.81 ","$2,731.01 ","$3,035.81 ","$1,319.45 ","$3,035.81 ","$3,900.00 ","$6,096.00 ","$3,900.00 ","$5,181.60 ","$3,365.96 ","$4,224.53 ","$1,319.45 ","$6,096.00 ","$3,419.86 ","$1,319.45 ","$1,597.15 ","$6,096.00 ", N/A , N/A ,"$1,385.43 ","$4,876.80 ","$3,017.52 ","$1,706.88 ","$5,486.40 ","$2,316.48 ",$348.00 ,"$1,319.45 ","$2,926.08 "
ST. MARY'S HOSPITAL - DECATUR,45000808,26356,HC REPAIR FLEXOR TENDON DIGIT ZONE 2,450,1 ,"$5,276.00 ","$3,798.72 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$2,901.80 ","$2,737.89 ","$1,477.28 ","$2,759.35 ","$2,737.89 ","$2,901.80 ","$2,737.89 ","$2,611.62 ","$2,611.62 ","$2,737.89 ","$2,611.62 ","$5,276.00 ","$3,693.20 ","$3,297.50 ","$4,220.80 ","$6,984.44 ","$2,737.89 ","$3,693.20 ","$2,737.89 ","$3,165.60 ","$2,792.66 ","$3,957.00 ","$2,627.45 ","$2,363.65 ","$2,627.45 ","$2,737.89 ","$2,627.45 ","$3,900.00 ","$5,276.00 ","$3,900.00 ","$4,484.60 ","$5,276.00 ","$3,656.27 ","$2,737.89 ","$5,276.00 ","$2,959.84 ","$2,737.89 ","$1,382.31 ","$5,276.00 ", N/A , N/A ,"$2,874.79 ","$4,220.80 ","$2,611.62 ","$1,477.28 ","$4,748.40 ","$2,004.88 ",$348.00 ,"$2,737.89 ","$2,532.48 "
ST. MARY'S HOSPITAL - DECATUR,45000955,26770,HC TX DISL (I-P) HAND W/O ANES-F1,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000956,26770,HC TX DISL (I-P) HAND W/O ANES-F2,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000957,26770,HC TX DISL (I-P) HAND W/O ANES-F3,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000958,26770,HC TX DISL (I-P) HAND W/O ANES-F4,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000959,26770,HC TX DISL (I-P) HAND W/O ANES-F5,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000960,26770,HC TX DISL (I-P) HAND W/O ANES-F6,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000961,26770,HC TX DISL (I-P) HAND W/O ANES-F7,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000962,26770,HC TX DISL (I-P) HAND W/O ANES-F8,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000963,26770,HC TX DISL (I-P) HAND W/O ANES-F9,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45000964,26770,HC TX DISL (I-P) HAND W/O ANES-FA,450,1 ,$862.00 ,$620.64 ,$190.40 ,$862.00 ,$485.73 ,$456.86 ,$474.10 ,$190.40 ,$241.36 ,$450.83 ,$190.40 ,$474.10 ,$190.40 ,$426.69 ,$426.69 ,$190.40 ,$426.69 ,$392.47 ,$603.40 ,$538.75 ,$689.60 ,$485.73 ,$190.40 ,$603.40 ,$190.40 ,$517.20 ,$194.22 ,$646.50 ,$475.82 ,$429.28 ,$475.82 ,$190.40 ,$475.82 ,$698.22 ,$862.00 ,$698.22 ,$732.70 ,$485.73 ,$597.37 ,$190.40 ,$862.00 ,$483.58 ,$190.40 ,$225.84 ,$862.00 , N/A , N/A ,$199.92 ,$689.60 ,$426.69 ,$241.36 ,$775.80 ,$327.56 ,$348.00 ,$190.40 ,$413.76 
ST. MARY'S HOSPITAL - DECATUR,45001000,27250,HC TX DISCL HIP CLOSED W/O ANES-RT,450,1 ,"$1,764.00 ","$1,270.08 ",$190.40 ,"$1,764.00 ",$485.73 ,$934.92 ,$970.20 ,$190.40 ,$493.92 ,$922.57 ,$190.40 ,$970.20 ,$190.40 ,$873.18 ,$873.18 ,$190.40 ,$873.18 ,$392.47 ,"$1,234.80 ","$1,102.50 ","$1,411.20 ",$485.73 ,$190.40 ,"$1,234.80 ",$190.40 ,"$1,058.40 ",$194.22 ,"$1,323.00 ",$973.73 ,$878.47 ,$973.73 ,$190.40 ,$973.73 ,"$1,428.84 ","$1,764.00 ","$1,428.84 ","$1,499.40 ",$485.73 ,"$1,222.45 ",$190.40 ,"$1,764.00 ",$989.60 ,$190.40 ,$462.17 ,"$1,764.00 ", N/A , N/A ,$199.92 ,"$1,411.20 ",$873.18 ,$493.92 ,"$1,587.60 ",$670.32 ,$348.00 ,$190.40 ,$846.72 
ST. MARY'S HOSPITAL - DECATUR,45001003,27500,HC TX FX CLOSED FEMUR W/O MANIP-LT,450,1 ,"$1,221.00 ",$879.12 ,$190.40 ,"$1,221.00 ",$485.73 ,$647.13 ,$671.55 ,$190.40 ,$341.88 ,$638.58 ,$190.40 ,$671.55 ,$190.40 ,$604.40 ,$604.40 ,$190.40 ,$604.40 ,$392.47 ,$854.70 ,$763.13 ,$976.80 ,$485.73 ,$190.40 ,$854.70 ,$190.40 ,$732.60 ,$194.22 ,$915.75 ,$673.99 ,$608.06 ,$673.99 ,$190.40 ,$673.99 ,$989.01 ,"$1,221.00 ",$989.01 ,"$1,037.85 ",$485.73 ,$846.15 ,$190.40 ,"$1,221.00 ",$684.98 ,$190.40 ,$319.90 ,"$1,221.00 ", N/A , N/A ,$199.92 ,$976.80 ,$604.40 ,$341.88 ,"$1,098.90 ",$463.98 ,$348.00 ,$190.40 ,$586.08 
ST. MARY'S HOSPITAL - DECATUR,45001004,27500,HC TX FX CLOSED FEMUR W/O MANIP-RT,450,1 ,"$1,221.00 ",$879.12 ,$190.40 ,"$1,221.00 ",$485.73 ,$647.13 ,$671.55 ,$190.40 ,$341.88 ,$638.58 ,$190.40 ,$671.55 ,$190.40 ,$604.40 ,$604.40 ,$190.40 ,$604.40 ,$392.47 ,$854.70 ,$763.13 ,$976.80 ,$485.73 ,$190.40 ,$854.70 ,$190.40 ,$732.60 ,$194.22 ,$915.75 ,$673.99 ,$608.06 ,$673.99 ,$190.40 ,$673.99 ,$989.01 ,"$1,221.00 ",$989.01 ,"$1,037.85 ",$485.73 ,$846.15 ,$190.40 ,"$1,221.00 ",$684.98 ,$190.40 ,$319.90 ,"$1,221.00 ", N/A , N/A ,$199.92 ,$976.80 ,$604.40 ,$341.88 ,"$1,098.90 ",$463.98 ,$348.00 ,$190.40 ,$586.08 
ST. MARY'S HOSPITAL - DECATUR,45001020,27760,HC CLSD TX FX MEDIAL MALLEOLUS W/O MANIP-LT,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45001021,27760,HC CLSD TX FX MEDIAL MALLEOLUS W/O MANIP-RT,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45001022,27762,HC CLSD TX FX MEDIAL MALLEOLUS W/MANIP-LT,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001023,27762,HC CLSD TX FX MEDIAL MALLEOLUS W/MANIP-RT,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001024,27768,HC CLSD TX POSTERIOR WITH MANIP,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001029,27786,HC TX FX CLOSED DISTAL FIBULAR  W/O MANIP-LT,450,1 ,$765.00 ,$550.80 ,$190.40 ,$765.00 ,$485.73 ,$405.45 ,$420.75 ,$190.40 ,$214.20 ,$400.10 ,$190.40 ,$420.75 ,$190.40 ,$378.68 ,$378.68 ,$190.40 ,$378.68 ,$392.47 ,$535.50 ,$478.13 ,$612.00 ,$485.73 ,$190.40 ,$535.50 ,$190.40 ,$459.00 ,$194.22 ,$573.75 ,$422.28 ,$380.97 ,$422.28 ,$190.40 ,$422.28 ,$619.65 ,$765.00 ,$619.65 ,$650.25 ,$485.73 ,$530.15 ,$190.40 ,$765.00 ,$429.17 ,$190.40 ,$200.43 ,$765.00 , N/A , N/A ,$199.92 ,$612.00 ,$378.68 ,$214.20 ,$688.50 ,$290.70 ,$348.00 ,$190.40 ,$367.20 
ST. MARY'S HOSPITAL - DECATUR,45001030,27786,HC TX FX CLOSED DISTAL FIBULAR  W/O MANIP-RT,450,1 ,$765.00 ,$550.80 ,$190.40 ,$765.00 ,$485.73 ,$405.45 ,$420.75 ,$190.40 ,$214.20 ,$400.10 ,$190.40 ,$420.75 ,$190.40 ,$378.68 ,$378.68 ,$190.40 ,$378.68 ,$392.47 ,$535.50 ,$478.13 ,$612.00 ,$485.73 ,$190.40 ,$535.50 ,$190.40 ,$459.00 ,$194.22 ,$573.75 ,$422.28 ,$380.97 ,$422.28 ,$190.40 ,$422.28 ,$619.65 ,$765.00 ,$619.65 ,$650.25 ,$485.73 ,$530.15 ,$190.40 ,$765.00 ,$429.17 ,$190.40 ,$200.43 ,$765.00 , N/A , N/A ,$199.92 ,$612.00 ,$378.68 ,$214.20 ,$688.50 ,$290.70 ,$348.00 ,$190.40 ,$367.20 
ST. MARY'S HOSPITAL - DECATUR,45001031,27788,HC TX FX CLOSED DISTAL FIBULAR W/MANIP-LT,450,1 ,$597.00 ,$429.84 ,$156.41 ,$597.00 ,$485.73 ,$316.41 ,$328.35 ,$190.40 ,$167.16 ,$312.23 ,$190.40 ,$328.35 ,$190.40 ,$295.52 ,$295.52 ,$190.40 ,$295.52 ,$392.47 ,$417.90 ,$373.13 ,$477.60 ,$485.73 ,$190.40 ,$417.90 ,$190.40 ,$358.20 ,$194.22 ,$447.75 ,$329.54 ,$297.31 ,$329.54 ,$190.40 ,$329.54 ,$483.57 ,$597.00 ,$483.57 ,$507.45 ,$485.73 ,$413.72 ,$190.40 ,$597.00 ,$334.92 ,$190.40 ,$156.41 ,$597.00 , N/A , N/A ,$199.92 ,$477.60 ,$295.52 ,$167.16 ,$537.30 ,$226.86 ,$348.00 ,$190.40 ,$286.56 
ST. MARY'S HOSPITAL - DECATUR,45001032,27788,HC TX FX CLOSED DISTAL FIBULAR W/MANIP-RT,450,1 ,$597.00 ,$429.84 ,$156.41 ,$597.00 ,$485.73 ,$316.41 ,$328.35 ,$190.40 ,$167.16 ,$312.23 ,$190.40 ,$328.35 ,$190.40 ,$295.52 ,$295.52 ,$190.40 ,$295.52 ,$392.47 ,$417.90 ,$373.13 ,$477.60 ,$485.73 ,$190.40 ,$417.90 ,$190.40 ,$358.20 ,$194.22 ,$447.75 ,$329.54 ,$297.31 ,$329.54 ,$190.40 ,$329.54 ,$483.57 ,$597.00 ,$483.57 ,$507.45 ,$485.73 ,$413.72 ,$190.40 ,$597.00 ,$334.92 ,$190.40 ,$156.41 ,$597.00 , N/A , N/A ,$199.92 ,$477.60 ,$295.52 ,$167.16 ,$537.30 ,$226.86 ,$348.00 ,$190.40 ,$286.56 
ST. MARY'S HOSPITAL - DECATUR,45001033,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-BIL,450,1 ,$513.00 ,$369.36 ,$134.41 ,"$3,365.96 ","$3,365.95 ",$271.89 ,$282.15 ,"$1,319.45 ",$143.64 ,$268.30 ,"$1,319.45 ",$282.15 ,$502.74 ,$253.94 ,$253.94 ,$502.74 ,$253.94 ,$513.00 ,$359.10 ,$320.63 ,$410.40 ,"$3,365.96 ","$1,319.45 ",$359.10 ,"$1,319.45 ",$307.80 ,$502.74 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,"$1,319.45 ",$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$502.74 ,$513.00 ,$287.79 ,"$1,319.45 ",$134.41 ,$513.00 , N/A , N/A ,"$1,385.43 ",$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,"$1,319.45 ",$246.24 
ST. MARY'S HOSPITAL - DECATUR,45001038,27840,HC TX DISL ANKE W/O ANES CLS-LT,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45001039,27840,HC TX DISL ANKE W/O ANES CLS-RT,450,1 ,$773.00 ,$556.56 ,$190.40 ,$773.00 ,$485.73 ,$409.69 ,$425.15 ,$190.40 ,$216.44 ,$404.28 ,$190.40 ,$425.15 ,$190.40 ,$382.64 ,$382.64 ,$190.40 ,$382.64 ,$392.47 ,$541.10 ,$483.13 ,$618.40 ,$485.73 ,$190.40 ,$541.10 ,$190.40 ,$463.80 ,$194.22 ,$579.75 ,$426.70 ,$384.95 ,$426.70 ,$190.40 ,$426.70 ,$626.13 ,$773.00 ,$626.13 ,$657.05 ,$485.73 ,$535.69 ,$190.40 ,$773.00 ,$433.65 ,$190.40 ,$202.53 ,$773.00 , N/A , N/A ,$199.92 ,$618.40 ,$382.64 ,$216.44 ,$695.70 ,$293.74 ,$348.00 ,$190.40 ,$371.04 
ST. MARY'S HOSPITAL - DECATUR,45001042,28192,HC REMOVE FOREIGN BODY FOOT DEEP-LT,450,1 ,"$6,989.00 ","$5,032.08 ",$348.00 ,"$6,989.00 ","$3,518.55 ","$2,450.00 ","$3,843.95 ","$1,379.27 ","$1,956.92 ","$3,610.00 ","$1,379.27 ","$3,800.00 ","$1,379.27 ","$3,420.00 ","$3,420.00 ","$1,379.27 ","$3,420.00 ","$2,842.98 ","$4,892.30 ","$4,368.13 ","$5,591.20 ","$3,518.54 ","$1,379.27 ","$4,892.30 ","$1,379.27 ","$4,193.40 ","$1,406.86 ","$5,241.75 ","$3,480.52 ","$3,131.07 ","$3,480.52 ","$1,379.27 ","$3,480.52 ","$3,900.00 ","$6,989.00 ","$3,900.00 ","$5,940.65 ","$3,518.54 ","$4,843.38 ","$1,379.27 ","$6,989.00 ","$3,920.83 ","$1,379.27 ","$1,831.12 ","$6,989.00 ", N/A , N/A ,"$1,448.23 ","$5,591.20 ","$3,420.00 ","$1,956.92 ","$6,290.10 ","$2,655.82 ",$348.00 ,"$1,379.27 ","$3,354.72 "
ST. MARY'S HOSPITAL - DECATUR,45001043,28192,HC REMOVE FOREIGN BODY FOOT DEEP-RT,450,1 ,"$6,989.00 ","$5,032.08 ",$348.00 ,"$6,989.00 ","$3,518.55 ","$2,450.00 ","$3,843.95 ","$1,379.27 ","$1,956.92 ","$3,610.00 ","$1,379.27 ","$3,800.00 ","$1,379.27 ","$3,420.00 ","$3,420.00 ","$1,379.27 ","$3,420.00 ","$2,842.98 ","$4,892.30 ","$4,368.13 ","$5,591.20 ","$3,518.54 ","$1,379.27 ","$4,892.30 ","$1,379.27 ","$4,193.40 ","$1,406.86 ","$5,241.75 ","$3,480.52 ","$3,131.07 ","$3,480.52 ","$1,379.27 ","$3,480.52 ","$3,900.00 ","$6,989.00 ","$3,900.00 ","$5,940.65 ","$3,518.54 ","$4,843.38 ","$1,379.27 ","$6,989.00 ","$3,920.83 ","$1,379.27 ","$1,831.12 ","$6,989.00 ", N/A , N/A ,"$1,448.23 ","$5,591.20 ","$3,420.00 ","$1,956.92 ","$6,290.10 ","$2,655.82 ",$348.00 ,"$1,379.27 ","$3,354.72 "
ST. MARY'S HOSPITAL - DECATUR,45001060,28515,HC TOE FX W/MANIP-T9,450,1 ,"$1,258.00 ",$905.76 ,$190.40 ,"$1,258.00 ",$485.73 ,$666.74 ,$691.90 ,$190.40 ,$352.24 ,$657.93 ,$190.40 ,$691.90 ,$190.40 ,$622.71 ,$622.71 ,$190.40 ,$622.71 ,$392.47 ,$880.60 ,$786.25 ,"$1,006.40 ",$485.73 ,$190.40 ,$880.60 ,$190.40 ,$754.80 ,$194.22 ,$943.50 ,$694.42 ,$626.48 ,$694.42 ,$190.40 ,$694.42 ,"$1,018.98 ","$1,258.00 ","$1,018.98 ","$1,069.30 ",$485.73 ,$871.79 ,$190.40 ,"$1,258.00 ",$705.74 ,$190.40 ,$329.60 ,"$1,258.00 ", N/A , N/A ,$199.92 ,"$1,006.40 ",$622.71 ,$352.24 ,"$1,132.20 ",$478.04 ,$348.00 ,$190.40 ,$603.84 
ST. MARY'S HOSPITAL - DECATUR,45001070,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES-T6,450,1 ,$996.00 ,$717.12 ,$190.40 ,$996.00 ,$485.73 ,$527.88 ,$547.80 ,$190.40 ,$278.88 ,$520.91 ,$190.40 ,$547.80 ,$190.40 ,$493.02 ,$493.02 ,$190.40 ,$493.02 ,$392.47 ,$697.20 ,$622.50 ,$796.80 ,$485.73 ,$190.40 ,$697.20 ,$190.40 ,$597.60 ,$194.22 ,$747.00 ,$549.79 ,$496.01 ,$549.79 ,$190.40 ,$549.79 ,$806.76 ,$996.00 ,$806.76 ,$846.60 ,$485.73 ,$690.23 ,$190.40 ,$996.00 ,$558.76 ,$190.40 ,$260.95 ,$996.00 , N/A , N/A ,$199.92 ,$796.80 ,$493.02 ,$278.88 ,$896.40 ,$378.48 ,$348.00 ,$190.40 ,$478.08 
ST. MARY'S HOSPITAL - DECATUR,45001087,29130,HC APPL SPLINT FINGER STATIC-F1,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001088,29130,HC APPL SPLINT FINGER STATIC-F2,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001089,29130,HC APPL SPLINT FINGER STATIC-F3,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001090,29130,HC APPL SPLINT FINGER STATIC-F4,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001091,29130,HC APPL SPLINT FINGER STATIC-F5,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001092,29130,HC APPL SPLINT FINGER STATIC-F6,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001093,29130,HC APPL SPLINT FINGER STATIC-F7,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001094,29130,HC APPL SPLINT FINGER STATIC-F8,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001095,29130,HC APPL SPLINT FINGER STATIC-F9,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001096,29130,HC APPL SPLINT FINGER STATIC-FA,450,1 ,$725.00 ,$522.00 ,$106.80 ,$725.00 ,$272.45 ,$384.25 ,$398.75 ,$106.80 ,$203.00 ,$379.18 ,$106.80 ,$398.75 ,$106.80 ,$358.88 ,$358.88 ,$106.80 ,$358.88 ,$220.13 ,$507.50 ,$453.13 ,$580.00 ,$272.44 ,$106.80 ,$507.50 ,$106.80 ,$435.00 ,$108.94 ,$543.75 ,$400.20 ,$361.05 ,$400.20 ,$106.80 ,$400.20 ,$587.25 ,$725.00 ,$587.25 ,$616.25 ,$272.44 ,$502.43 ,$106.80 ,$725.00 ,$406.73 ,$106.80 ,$189.95 ,$725.00 , N/A , N/A ,$112.14 ,$580.00 ,$358.88 ,$203.00 ,$652.50 ,$275.50 ,$348.00 ,$106.80 ,$348.00 
ST. MARY'S HOSPITAL - DECATUR,45001097,29131,HC APPL SPLINT FINGER DYNAMIC-F1,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001098,29131,HC APPL SPLINT FINGER DYNAMIC-F2,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001099,29131,HC APPL SPLINT FINGER DYNAMIC-F3,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001100,29131,HC APPL SPLINT FINGER DYNAMIC-F4,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001101,29131,HC APPL SPLINT FINGER DYNAMIC-F5,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001102,29131,HC APPL SPLINT FINGER DYNAMIC-F6,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001103,29131,HC APPL SPLINT FINGER DYNAMIC-F7,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001104,29131,HC APPL SPLINT FINGER DYNAMIC-F8,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001105,29131,HC APPL SPLINT FINGER DYNAMIC-F9,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001106,29131,HC APPL SPLINT FINGER DYNAMIC-FA,450,1 ,$796.00 ,$573.12 ,$52.87 ,$796.00 ,$134.88 ,$421.88 ,$437.80 ,$52.87 ,$222.88 ,$416.31 ,$52.87 ,$437.80 ,$52.87 ,$394.02 ,$394.02 ,$52.87 ,$394.02 ,$108.98 ,$557.20 ,$497.50 ,$636.80 ,$134.87 ,$52.87 ,$557.20 ,$52.87 ,$477.60 ,$53.93 ,$597.00 ,$439.39 ,$396.41 ,$439.39 ,$52.87 ,$439.39 ,$644.76 ,$796.00 ,$644.76 ,$676.60 ,$134.87 ,$551.63 ,$52.87 ,$796.00 ,$446.56 ,$52.87 ,$208.55 ,$796.00 , N/A , N/A ,$55.52 ,$636.80 ,$394.02 ,$222.88 ,$716.40 ,$302.48 ,$348.00 ,$52.87 ,$382.08 
ST. MARY'S HOSPITAL - DECATUR,45001107,29280,HC STRAPPING HAND/FINGER-LT,450,1 ,$558.00 ,$401.76 ,$52.87 ,$558.00 ,$134.88 ,$295.74 ,$306.90 ,$52.87 ,$156.24 ,$291.83 ,$52.87 ,$306.90 ,$52.87 ,$276.21 ,$276.21 ,$52.87 ,$276.21 ,$108.98 ,$390.60 ,$348.75 ,$446.40 ,$134.87 ,$52.87 ,$390.60 ,$52.87 ,$334.80 ,$53.93 ,$418.50 ,$308.02 ,$277.88 ,$308.02 ,$52.87 ,$308.02 ,$451.98 ,$558.00 ,$451.98 ,$474.30 ,$134.87 ,$386.69 ,$52.87 ,$558.00 ,$313.04 ,$52.87 ,$146.20 ,$558.00 , N/A , N/A ,$55.52 ,$446.40 ,$276.21 ,$156.24 ,$502.20 ,$212.04 ,$348.00 ,$52.87 ,$267.84 
ST. MARY'S HOSPITAL - DECATUR,45001108,29280,HC STRAPPING HAND/FINGER-RT,450,1 ,$558.00 ,$401.76 ,$52.87 ,$558.00 ,$134.88 ,$295.74 ,$306.90 ,$52.87 ,$156.24 ,$291.83 ,$52.87 ,$306.90 ,$52.87 ,$276.21 ,$276.21 ,$52.87 ,$276.21 ,$108.98 ,$390.60 ,$348.75 ,$446.40 ,$134.87 ,$52.87 ,$390.60 ,$52.87 ,$334.80 ,$53.93 ,$418.50 ,$308.02 ,$277.88 ,$308.02 ,$52.87 ,$308.02 ,$451.98 ,$558.00 ,$451.98 ,$474.30 ,$134.87 ,$386.69 ,$52.87 ,$558.00 ,$313.04 ,$52.87 ,$146.20 ,$558.00 , N/A , N/A ,$55.52 ,$446.40 ,$276.21 ,$156.24 ,$502.20 ,$212.04 ,$348.00 ,$52.87 ,$267.84 
ST. MARY'S HOSPITAL - DECATUR,45001112,29540,HC STRAPPING ANKLE/FOOT-LT,450,1 ,$413.00 ,$297.36 ,$108.21 ,$413.00 ,$342.00 ,$218.89 ,$227.15 ,$134.06 ,$115.64 ,$216.00 ,$134.06 ,$227.15 ,$134.06 ,$204.44 ,$204.44 ,$134.06 ,$204.44 ,$276.35 ,$289.10 ,$258.13 ,$330.40 ,$342.01 ,$134.06 ,$289.10 ,$134.06 ,$247.80 ,$136.75 ,$309.75 ,$227.98 ,$205.67 ,$227.98 ,$134.06 ,$227.98 ,$334.53 ,$413.00 ,$334.53 ,$351.05 ,$342.01 ,$286.21 ,$134.06 ,$413.00 ,$231.69 ,$134.06 ,$108.21 ,$413.00 , N/A , N/A ,$140.77 ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$348.00 ,$134.06 ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,45001113,29540,HC STRAPPING ANKLE/FOOT-RT,450,1 ,$413.00 ,$297.36 ,$108.21 ,$413.00 ,$342.00 ,$218.89 ,$227.15 ,$134.06 ,$115.64 ,$216.00 ,$134.06 ,$227.15 ,$134.06 ,$204.44 ,$204.44 ,$134.06 ,$204.44 ,$276.35 ,$289.10 ,$258.13 ,$330.40 ,$342.01 ,$134.06 ,$289.10 ,$134.06 ,$247.80 ,$136.75 ,$309.75 ,$227.98 ,$205.67 ,$227.98 ,$134.06 ,$227.98 ,$334.53 ,$413.00 ,$334.53 ,$351.05 ,$342.01 ,$286.21 ,$134.06 ,$413.00 ,$231.69 ,$134.06 ,$108.21 ,$413.00 , N/A , N/A ,$140.77 ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$348.00 ,$134.06 ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,45001114,29705,HC REM/BIV CAST ARM/LEG-LT,450,1 ,$513.00 ,$369.36 ,$134.41 ,$562.93 ,$562.93 ,$271.89 ,$282.15 ,$220.67 ,$143.64 ,$268.30 ,$220.67 ,$282.15 ,$220.67 ,$253.94 ,$253.94 ,$220.67 ,$253.94 ,$454.84 ,$359.10 ,$320.63 ,$410.40 ,$562.92 ,$220.67 ,$359.10 ,$220.67 ,$307.80 ,$225.08 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,$220.67 ,$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$220.67 ,$513.00 ,$287.79 ,$220.67 ,$134.41 ,$513.00 , N/A , N/A ,$231.70 ,$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,$220.67 ,$246.24 
ST. MARY'S HOSPITAL - DECATUR,45001115,29705,HC REM/BIV CAST ARM/LEG-RT,450,1 ,$513.00 ,$369.36 ,$134.41 ,$562.93 ,$562.93 ,$271.89 ,$282.15 ,$220.67 ,$143.64 ,$268.30 ,$220.67 ,$282.15 ,$220.67 ,$253.94 ,$253.94 ,$220.67 ,$253.94 ,$454.84 ,$359.10 ,$320.63 ,$410.40 ,$562.92 ,$220.67 ,$359.10 ,$220.67 ,$307.80 ,$225.08 ,$384.75 ,$283.18 ,$255.47 ,$283.18 ,$220.67 ,$283.18 ,$415.53 ,$513.00 ,$415.53 ,$436.05 ,$513.00 ,$355.51 ,$220.67 ,$513.00 ,$287.79 ,$220.67 ,$134.41 ,$513.00 , N/A , N/A ,$231.70 ,$410.40 ,$253.94 ,$143.64 ,$461.70 ,$194.94 ,$348.00 ,$220.67 ,$246.24 
ST. MARY'S HOSPITAL - DECATUR,45001120,30310,HC REMOVE NASAL FB W/ANESTH,450,1 ,"$5,948.00 ","$4,282.56 ",$348.00 ,"$6,675.58 ","$6,675.58 ","$2,450.00 ","$3,271.40 ","$2,616.83 ","$1,665.44 ","$3,110.80 ","$2,616.83 ","$3,271.40 ","$2,616.83 ","$2,944.26 ","$2,944.26 ","$2,616.83 ","$2,944.26 ","$5,393.87 ","$4,163.60 ","$3,717.50 ","$4,758.40 ","$6,675.58 ","$2,616.83 ","$4,163.60 ","$2,616.83 ","$3,568.80 ","$2,669.17 ","$4,461.00 ","$2,962.10 ","$2,664.70 ","$2,962.10 ","$2,616.83 ","$2,962.10 ","$3,900.00 ","$5,948.00 ","$3,900.00 ","$5,055.80 ","$5,948.00 ","$4,121.96 ","$2,616.83 ","$5,948.00 ","$3,336.83 ","$2,616.83 ","$1,558.38 ","$5,948.00 ", N/A , N/A ,"$2,747.67 ","$4,758.40 ","$2,944.26 ","$1,665.44 ","$5,353.20 ","$2,260.24 ",$348.00 ,"$2,616.83 ","$2,855.04 "
ST. MARY'S HOSPITAL - DECATUR,45001122,30903,HC CNTRL NOSEBLEED ANT CPLX-BIL,450,1 ,$488.00 ,$351.36 ,$127.86 ,$488.00 ,$408.65 ,$258.64 ,$268.40 ,$160.19 ,$136.64 ,$255.22 ,$160.19 ,$268.40 ,$160.19 ,$241.56 ,$241.56 ,$160.19 ,$241.56 ,$330.20 ,$341.60 ,$305.00 ,$390.40 ,$408.66 ,$160.19 ,$341.60 ,$160.19 ,$292.80 ,$163.40 ,$366.00 ,$269.38 ,$243.02 ,$269.38 ,$160.19 ,$269.38 ,$395.28 ,$488.00 ,$395.28 ,$414.80 ,$408.66 ,$338.18 ,$160.19 ,$488.00 ,$273.77 ,$160.19 ,$127.86 ,$488.00 , N/A , N/A ,$168.20 ,$390.40 ,$241.56 ,$136.64 ,$439.20 ,$185.44 ,$348.00 ,$160.19 ,$234.24 
ST. MARY'S HOSPITAL - DECATUR,45001127,32556,HC PLEURAL DRAINAGE W/O IMAGING -LT,450,1 ,"$2,546.00 ","$1,833.12 ",$348.00 ,"$4,086.48 ","$4,086.48 ","$1,349.38 ","$1,400.30 ","$1,601.90 ",$712.88 ,"$1,331.56 ","$1,601.90 ","$1,400.30 ","$1,601.90 ","$1,260.27 ","$1,260.27 ","$1,601.90 ","$1,260.27 ","$2,546.00 ","$1,782.20 ","$1,591.25 ","$2,036.80 ","$4,086.47 ","$1,601.90 ","$1,782.20 ","$1,601.90 ","$1,527.60 ","$1,633.93 ","$1,909.50 ","$1,405.39 ","$1,267.91 ","$1,405.39 ","$1,601.90 ","$1,405.39 ","$2,062.26 ","$2,546.00 ","$2,062.26 ","$2,164.10 ","$2,546.00 ","$1,764.38 ","$1,601.90 ","$2,546.00 ","$1,428.31 ","$1,601.90 ",$667.05 ,"$2,546.00 ", N/A , N/A ,"$1,681.99 ","$2,036.80 ","$1,260.27 ",$712.88 ,"$2,291.40 ",$967.48 ,$348.00 ,"$1,601.90 ","$1,222.08 "
ST. MARY'S HOSPITAL - DECATUR,45001128,32556,HC PLEURAL DRAINAGE W/O IMAGING -RT,450,1 ,"$2,546.00 ","$1,833.12 ",$348.00 ,"$4,086.48 ","$4,086.48 ","$1,349.38 ","$1,400.30 ","$1,601.90 ",$712.88 ,"$1,331.56 ","$1,601.90 ","$1,400.30 ","$1,601.90 ","$1,260.27 ","$1,260.27 ","$1,601.90 ","$1,260.27 ","$2,546.00 ","$1,782.20 ","$1,591.25 ","$2,036.80 ","$4,086.47 ","$1,601.90 ","$1,782.20 ","$1,601.90 ","$1,527.60 ","$1,633.93 ","$1,909.50 ","$1,405.39 ","$1,267.91 ","$1,405.39 ","$1,601.90 ","$1,405.39 ","$2,062.26 ","$2,546.00 ","$2,062.26 ","$2,164.10 ","$2,546.00 ","$1,764.38 ","$1,601.90 ","$2,546.00 ","$1,428.31 ","$1,601.90 ",$667.05 ,"$2,546.00 ", N/A , N/A ,"$1,681.99 ","$2,036.80 ","$1,260.27 ",$712.88 ,"$2,291.40 ",$967.48 ,$348.00 ,"$1,601.90 ","$1,222.08 "
ST. MARY'S HOSPITAL - DECATUR,45001129,35206,HC REPAIR BLOOD VESSEL UPPER EXTREMITY-LT,450,1 ,"$5,359.00 ","$3,858.48 ",$348.00 ,"$6,989.86 ","$6,989.85 ","$2,450.00 ","$2,947.45 ","$2,740.02 ","$1,500.52 ","$2,802.76 ","$2,740.02 ","$2,947.45 ","$2,740.02 ","$2,652.71 ","$2,652.71 ","$2,740.02 ","$2,652.71 ","$5,359.00 ","$3,751.30 ","$3,349.38 ","$4,287.20 ","$6,989.86 ","$2,740.02 ","$3,751.30 ","$2,740.02 ","$3,215.40 ","$2,794.82 ","$4,019.25 ","$2,668.78 ","$2,400.83 ","$2,668.78 ","$2,740.02 ","$2,668.78 ","$3,900.00 ","$5,359.00 ","$3,900.00 ","$4,555.15 ","$5,359.00 ","$3,713.79 ","$2,740.02 ","$5,359.00 ","$3,006.40 ","$2,740.02 ","$1,404.06 ","$5,359.00 ", N/A , N/A ,"$2,877.03 ","$4,287.20 ","$2,652.71 ","$1,500.52 ","$4,823.10 ","$2,036.42 ",$348.00 ,"$2,740.02 ","$2,572.32 "
ST. MARY'S HOSPITAL - DECATUR,45001130,35206,HC REPAIR BLOOD VESSEL UPPER EXTREMITY-RT,450,1 ,"$5,359.00 ","$3,858.48 ",$348.00 ,"$6,989.86 ","$6,989.85 ","$2,450.00 ","$2,947.45 ","$2,740.02 ","$1,500.52 ","$2,802.76 ","$2,740.02 ","$2,947.45 ","$2,740.02 ","$2,652.71 ","$2,652.71 ","$2,740.02 ","$2,652.71 ","$5,359.00 ","$3,751.30 ","$3,349.38 ","$4,287.20 ","$6,989.86 ","$2,740.02 ","$3,751.30 ","$2,740.02 ","$3,215.40 ","$2,794.82 ","$4,019.25 ","$2,668.78 ","$2,400.83 ","$2,668.78 ","$2,740.02 ","$2,668.78 ","$3,900.00 ","$5,359.00 ","$3,900.00 ","$4,555.15 ","$5,359.00 ","$3,713.79 ","$2,740.02 ","$5,359.00 ","$3,006.40 ","$2,740.02 ","$1,404.06 ","$5,359.00 ", N/A , N/A ,"$2,877.03 ","$4,287.20 ","$2,652.71 ","$1,500.52 ","$4,823.10 ","$2,036.42 ",$348.00 ,"$2,740.02 ","$2,572.32 "
ST. MARY'S HOSPITAL - DECATUR,45001142,35226,HC REPAIR BLOOD VESSEL LOWER EXTREMITY-RT,450,1 ,"$2,840.00 ","$2,044.80 ",$348.00 ,"$2,840.00 ","$1,522.75 ","$1,505.20 ","$1,562.00 ",$596.92 ,$795.20 ,"$1,485.32 ",$596.92 ,"$1,562.00 ",$596.92 ,"$1,405.80 ","$1,405.80 ",$596.92 ,"$1,405.80 ","$1,230.38 ","$1,988.00 ","$1,775.00 ","$2,272.00 ","$1,522.74 ",$596.92 ,"$1,988.00 ",$596.92 ,"$1,704.00 ",$608.85 ,"$2,130.00 ","$1,567.68 ","$1,414.32 ","$1,567.68 ",$596.92 ,"$1,567.68 ","$2,300.40 ","$2,840.00 ","$2,300.40 ","$2,414.00 ","$1,522.74 ","$1,968.12 ",$596.92 ,"$2,840.00 ","$1,593.24 ",$596.92 ,$744.08 ,"$2,840.00 ", N/A , N/A ,$626.77 ,"$2,272.00 ","$1,405.80 ",$795.20 ,"$2,556.00 ","$1,079.20 ",$348.00 ,$596.92 ,"$1,363.20 "
ST. MARY'S HOSPITAL - DECATUR,45001156,42960,HC CONTROL HEMORRHAGE OROPHARYNGEAL SIMPLE,450,1 ,$619.00 ,$445.68 ,$162.18 ,"$1,071.88 ","$1,071.88 ",$328.07 ,$340.45 ,$420.17 ,$173.32 ,$323.74 ,$420.17 ,$340.45 ,$420.17 ,$306.41 ,$306.41 ,$420.17 ,$306.41 ,$619.00 ,$433.30 ,$386.88 ,$495.20 ,"$1,071.88 ",$420.17 ,$433.30 ,$420.17 ,$371.40 ,$428.58 ,$464.25 ,$341.69 ,$308.26 ,$341.69 ,$420.17 ,$341.69 ,$501.39 ,$619.00 ,$501.39 ,$526.15 ,$619.00 ,$428.97 ,$420.17 ,$619.00 ,$347.26 ,$420.17 ,$162.18 ,$619.00 , N/A , N/A ,$441.19 ,$495.20 ,$306.41 ,$173.32 ,$557.10 ,$235.22 ,$348.00 ,$420.17 ,$297.12 
ST. MARY'S HOSPITAL - DECATUR,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,093.00 ","$3,666.96 ",$348.00 ,"$5,093.00 ","$4,352.30 ","$2,450.00 ","$2,801.15 ","$1,706.10 ","$1,426.04 ","$2,663.64 ","$1,706.10 ","$2,801.15 ","$1,706.10 ","$2,521.04 ","$2,521.04 ","$1,706.10 ","$2,521.04 ","$3,516.65 ","$3,565.10 ","$3,183.13 ","$4,074.40 ","$4,352.29 ","$1,706.10 ","$3,565.10 ","$1,706.10 ","$3,055.80 ","$1,740.22 ","$3,819.75 ","$2,536.31 ","$2,281.66 ","$2,536.31 ","$1,706.10 ","$2,536.31 ","$3,900.00 ","$5,093.00 ","$3,900.00 ","$4,329.05 ","$4,352.29 ","$3,529.45 ","$1,706.10 ","$5,093.00 ","$2,857.17 ","$1,706.10 ","$1,334.37 ","$5,093.00 ", N/A , N/A ,"$1,791.41 ","$4,074.40 ","$2,521.04 ","$1,426.04 ","$4,583.70 ","$1,935.34 ",$348.00 ,"$1,706.10 ","$2,444.64 "
ST. MARY'S HOSPITAL - DECATUR,45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$425.00 ,$306.00 ,$111.35 ,$504.18 ,$504.18 ,$225.25 ,$233.75 ,$197.64 ,$119.00 ,$222.28 ,$197.64 ,$233.75 ,$197.64 ,$210.38 ,$210.38 ,$197.64 ,$210.38 ,$407.37 ,$297.50 ,$265.63 ,$340.00 ,$504.17 ,$197.64 ,$297.50 ,$197.64 ,$255.00 ,$201.59 ,$318.75 ,$234.60 ,$211.65 ,$234.60 ,$197.64 ,$234.60 ,$344.25 ,$425.00 ,$344.25 ,$361.25 ,$425.00 ,$294.53 ,$197.64 ,$425.00 ,$238.43 ,$197.64 ,$111.35 ,$425.00 , N/A , N/A ,$207.51 ,$340.00 ,$210.38 ,$119.00 ,$382.50 ,$161.50 ,$348.00 ,$197.64 ,$204.00 
ST. MARY'S HOSPITAL - DECATUR,45001198,65205,HC REM EYE FB CONJUCT SUPER-LT,450,1 ,"$1,103.00 ",$794.16 ,$106.80 ,"$1,103.00 ",$272.45 ,$584.59 ,$606.65 ,$106.80 ,$308.84 ,$576.87 ,$106.80 ,$606.65 ,$106.80 ,$545.99 ,$545.99 ,$106.80 ,$545.99 ,$220.13 ,$772.10 ,$689.38 ,$882.40 ,$272.44 ,$106.80 ,$772.10 ,$106.80 ,$661.80 ,$108.94 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$106.80 ,$608.86 ,$893.43 ,"$1,103.00 ",$893.43 ,$937.55 ,$272.44 ,$764.38 ,$106.80 ,"$1,103.00 ",$618.78 ,$106.80 ,$288.99 ,"$1,103.00 ", N/A , N/A ,$112.14 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$348.00 ,$106.80 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,45001199,65205,HC REM EYE FB CONJUCT SUPER-RT,450,1 ,"$1,103.00 ",$794.16 ,$106.80 ,"$1,103.00 ",$272.45 ,$584.59 ,$606.65 ,$106.80 ,$308.84 ,$576.87 ,$106.80 ,$606.65 ,$106.80 ,$545.99 ,$545.99 ,$106.80 ,$545.99 ,$220.13 ,$772.10 ,$689.38 ,$882.40 ,$272.44 ,$106.80 ,$772.10 ,$106.80 ,$661.80 ,$108.94 ,$827.25 ,$608.86 ,$549.29 ,$608.86 ,$106.80 ,$608.86 ,$893.43 ,"$1,103.00 ",$893.43 ,$937.55 ,$272.44 ,$764.38 ,$106.80 ,"$1,103.00 ",$618.78 ,$106.80 ,$288.99 ,"$1,103.00 ", N/A , N/A ,$112.14 ,$882.40 ,$545.99 ,$308.84 ,$992.70 ,$419.14 ,$348.00 ,$106.80 ,$529.44 
ST. MARY'S HOSPITAL - DECATUR,45001207,69200,HC REM FOREIGN BODY CANAL AUD EXT-BIL,450,1 ,$555.00 ,$399.60 ,$106.80 ,$555.00 ,$272.45 ,$294.15 ,$305.25 ,$106.80 ,$155.40 ,$290.27 ,$106.80 ,$305.25 ,$106.80 ,$274.73 ,$274.73 ,$106.80 ,$274.73 ,$220.13 ,$388.50 ,$346.88 ,$444.00 ,$272.44 ,$106.80 ,$388.50 ,$106.80 ,$333.00 ,$108.94 ,$416.25 ,$306.36 ,$276.39 ,$306.36 ,$106.80 ,$306.36 ,$449.55 ,$555.00 ,$449.55 ,$471.75 ,$272.44 ,$384.62 ,$106.80 ,$555.00 ,$311.36 ,$106.80 ,$145.41 ,$555.00 , N/A , N/A ,$112.14 ,$444.00 ,$274.73 ,$155.40 ,$499.50 ,$210.90 ,$348.00 ,$106.80 ,$266.40 
ST. MARY'S HOSPITAL - DECATUR,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,"$2,831.00 ","$2,038.32 ",$348.00 ,"$3,365.96 ","$3,365.95 ","$1,500.43 ","$1,557.05 ","$1,319.45 ",$792.68 ,"$1,480.61 ","$1,319.45 ","$1,557.05 ","$1,319.45 ","$1,401.35 ","$1,401.35 ","$1,319.45 ","$1,401.35 ","$2,719.69 ","$1,981.70 ","$1,769.38 ","$2,264.80 ","$3,365.96 ","$1,319.45 ","$1,981.70 ","$1,319.45 ","$1,698.60 ","$1,345.84 ","$2,123.25 ","$1,562.71 ","$1,409.84 ","$1,562.71 ","$1,319.45 ","$1,562.71 ","$2,293.11 ","$2,831.00 ","$2,293.11 ","$2,406.35 ","$2,831.00 ","$1,961.88 ","$1,319.45 ","$2,831.00 ","$1,588.19 ","$1,319.45 ",$741.72 ,"$2,831.00 ", N/A , N/A ,"$1,385.43 ","$2,264.80 ","$1,401.35 ",$792.68 ,"$2,547.90 ","$1,075.78 ",$348.00 ,"$1,319.45 ","$1,358.88 "
ST. MARY'S HOSPITAL - DECATUR,45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001279,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY,450,1 ,"$5,513.00 ","$3,969.36 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,032.15 ","$2,737.89 ","$1,543.64 ","$2,883.30 ","$2,737.89 ","$3,032.15 ","$2,737.89 ","$2,728.94 ","$2,728.94 ","$2,737.89 ","$2,728.94 ","$5,513.00 ","$3,859.10 ","$3,445.63 ","$4,410.40 ","$6,984.44 ","$2,737.89 ","$3,859.10 ","$2,737.89 ","$3,307.80 ","$2,792.66 ","$4,134.75 ","$2,745.47 ","$2,469.82 ","$2,745.47 ","$2,737.89 ","$2,745.47 ","$3,900.00 ","$5,513.00 ","$3,900.00 ","$4,686.05 ","$5,513.00 ","$3,820.51 ","$2,737.89 ","$5,513.00 ","$3,092.79 ","$2,737.89 ","$1,444.41 ","$5,513.00 ", N/A , N/A ,"$2,874.79 ","$4,410.40 ","$2,728.94 ","$1,543.64 ","$4,961.70 ","$2,094.94 ",$348.00 ,"$2,737.89 ","$2,646.24 "
ST. MARY'S HOSPITAL - DECATUR,45001280,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY,450,1 ,"$6,129.00 ","$4,412.88 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$3,370.95 ","$2,737.89 ","$1,716.12 ","$3,205.47 ","$2,737.89 ","$3,370.95 ","$2,737.89 ","$3,033.86 ","$3,033.86 ","$2,737.89 ","$3,033.86 ","$5,643.42 ","$4,290.30 ","$3,830.63 ","$4,903.20 ","$6,984.44 ","$2,737.89 ","$4,290.30 ","$2,737.89 ","$3,677.40 ","$2,792.66 ","$4,596.75 ","$3,052.24 ","$2,745.79 ","$3,052.24 ","$2,737.89 ","$3,052.24 ","$3,900.00 ","$6,129.00 ","$3,900.00 ","$5,209.65 ","$6,129.00 ","$4,247.40 ","$2,737.89 ","$6,129.00 ","$3,438.37 ","$2,737.89 ","$1,605.80 ","$6,129.00 ", N/A , N/A ,"$2,874.79 ","$4,903.20 ","$3,033.86 ","$1,716.12 ","$5,516.10 ","$2,329.02 ",$348.00 ,"$2,737.89 ","$2,941.92 "
ST. MARY'S HOSPITAL - DECATUR,45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001283,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP,450,1 ,"$1,003.00 ",$722.16 ,$190.40 ,"$1,003.00 ",$485.73 ,$531.59 ,$551.65 ,$190.40 ,$280.84 ,$524.57 ,$190.40 ,$551.65 ,$190.40 ,$496.49 ,$496.49 ,$190.40 ,$496.49 ,$392.47 ,$702.10 ,$626.88 ,$802.40 ,$485.73 ,$190.40 ,$702.10 ,$190.40 ,$601.80 ,$194.22 ,$752.25 ,$553.66 ,$499.49 ,$553.66 ,$190.40 ,$553.66 ,$812.43 ,"$1,003.00 ",$812.43 ,$852.55 ,$485.73 ,$695.08 ,$190.40 ,"$1,003.00 ",$562.68 ,$190.40 ,$262.79 ,"$1,003.00 ", N/A , N/A ,$199.92 ,$802.40 ,$496.49 ,$280.84 ,$902.70 ,$381.14 ,$348.00 ,$190.40 ,$481.44 
ST. MARY'S HOSPITAL - DECATUR,45001290,27500,HC TX FX CLOSED FEMUR W/O MANIP,450,1 ,"$1,221.00 ",$879.12 ,$190.40 ,"$1,221.00 ",$485.73 ,$647.13 ,$671.55 ,$190.40 ,$341.88 ,$638.58 ,$190.40 ,$671.55 ,$190.40 ,$604.40 ,$604.40 ,$190.40 ,$604.40 ,$392.47 ,$854.70 ,$763.13 ,$976.80 ,$485.73 ,$190.40 ,$854.70 ,$190.40 ,$732.60 ,$194.22 ,$915.75 ,$673.99 ,$608.06 ,$673.99 ,$190.40 ,$673.99 ,$989.01 ,"$1,221.00 ",$989.01 ,"$1,037.85 ",$485.73 ,$846.15 ,$190.40 ,"$1,221.00 ",$684.98 ,$190.40 ,$319.90 ,"$1,221.00 ", N/A , N/A ,$199.92 ,$976.80 ,$604.40 ,$341.88 ,"$1,098.90 ",$463.98 ,$348.00 ,$190.40 ,$586.08 
ST. MARY'S HOSPITAL - DECATUR,45001291,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION,450,1 ,"$1,212.00 ",$872.64 ,$317.54 ,"$3,365.96 ","$3,365.95 ",$642.36 ,$666.60 ,"$1,319.45 ",$339.36 ,$633.88 ,"$1,319.45 ",$666.60 ,"$1,187.76 ",$599.94 ,$599.94 ,"$1,187.76 ",$599.94 ,"$1,212.00 ",$848.40 ,$757.50 ,$969.60 ,"$3,365.96 ","$1,319.45 ",$848.40 ,"$1,319.45 ",$727.20 ,"$1,187.76 ",$909.00 ,$669.02 ,$603.58 ,$669.02 ,"$1,319.45 ",$669.02 ,$981.72 ,"$1,212.00 ",$981.72 ,"$1,030.20 ","$1,212.00 ",$839.92 ,"$1,187.76 ","$1,212.00 ",$679.93 ,"$1,319.45 ",$317.54 ,"$1,212.00 ", N/A , N/A ,"$1,385.43 ",$969.60 ,$599.94 ,$339.36 ,"$1,090.80 ",$460.56 ,$348.00 ,"$1,319.45 ",$581.76 
ST. MARY'S HOSPITAL - DECATUR,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$3,883.00 ","$2,795.76 ",$348.00 ,"$3,883.00 ","$3,365.95 ","$2,057.99 ","$2,135.65 ","$1,319.45 ","$1,087.24 ","$2,030.81 ","$1,319.45 ","$2,135.65 ","$1,319.45 ","$1,922.09 ","$1,922.09 ","$1,319.45 ","$1,922.09 ","$2,719.69 ","$2,718.10 ","$2,426.88 ","$3,106.40 ","$3,365.96 ","$1,319.45 ","$2,718.10 ","$1,319.45 ","$2,329.80 ","$1,345.84 ","$2,912.25 ","$1,933.73 ","$1,739.58 ","$1,933.73 ","$1,319.45 ","$1,933.73 ","$3,145.23 ","$3,883.00 ","$3,145.23 ","$3,300.55 ","$3,365.96 ","$2,690.92 ","$1,319.45 ","$3,883.00 ","$2,178.36 ","$1,319.45 ","$1,017.35 ","$3,883.00 ", N/A , N/A ,"$1,385.43 ","$3,106.40 ","$1,922.09 ","$1,087.24 ","$3,494.70 ","$1,475.54 ",$348.00 ,"$1,319.45 ","$1,863.84 "
ST. MARY'S HOSPITAL - DECATUR,45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$575.00 ,$414.00 ,$150.65 ,$575.00 ,$485.73 ,$304.75 ,$316.25 ,$190.40 ,$161.00 ,$300.73 ,$190.40 ,$316.25 ,$190.40 ,$284.63 ,$284.63 ,$190.40 ,$284.63 ,$392.47 ,$402.50 ,$359.38 ,$460.00 ,$485.73 ,$190.40 ,$402.50 ,$190.40 ,$345.00 ,$194.22 ,$431.25 ,$317.40 ,$286.35 ,$317.40 ,$190.40 ,$317.40 ,$465.75 ,$575.00 ,$465.75 ,$488.75 ,$485.73 ,$398.48 ,$190.40 ,$575.00 ,$322.58 ,$190.40 ,$150.65 ,$575.00 , N/A , N/A ,$199.92 ,$460.00 ,$284.63 ,$161.00 ,$517.50 ,$218.50 ,$348.00 ,$190.40 ,$276.00 
ST. MARY'S HOSPITAL - DECATUR,45001303,28208,HC REPAIR TENDON EXTENSOR FOOT,450,1 ,"$5,023.00 ","$3,616.56 ",$348.00 ,"$6,984.44 ","$6,984.43 ","$2,450.00 ","$2,762.65 ","$2,737.89 ","$1,406.44 ","$2,627.03 ","$2,737.89 ","$2,762.65 ","$2,737.89 ","$2,486.39 ","$2,486.39 ","$2,737.89 ","$2,486.39 ","$5,023.00 ","$3,516.10 ","$3,139.38 ","$4,018.40 ","$6,984.44 ","$2,737.89 ","$3,516.10 ","$2,737.89 ","$3,013.80 ","$2,792.66 ","$3,767.25 ","$2,501.45 ","$2,250.30 ","$2,501.45 ","$2,737.89 ","$2,501.45 ","$3,900.00 ","$5,023.00 ","$3,900.00 ","$4,269.55 ","$5,023.00 ","$3,480.94 ","$2,737.89 ","$5,023.00 ","$2,817.90 ","$2,737.89 ","$1,316.03 ","$5,023.00 ", N/A , N/A ,"$2,874.79 ","$4,018.40 ","$2,486.39 ","$1,406.44 ","$4,520.70 ","$1,908.74 ",$348.00 ,"$2,737.89 ","$2,411.04 "
ST. MARY'S HOSPITAL - DECATUR,45001304,28405,HC TX FX CALCANEAL W/MANIP,450,1 ,"$5,479.00 ","$3,944.88 ",$190.40 ,"$5,479.00 ",$485.73 ,"$2,450.00 ","$3,013.45 ",$190.40 ,"$1,534.12 ","$2,865.52 ",$190.40 ,"$3,013.45 ",$190.40 ,"$2,712.11 ","$2,712.11 ",$190.40 ,"$2,712.11 ",$392.47 ,"$3,835.30 ","$3,424.38 ","$4,383.20 ",$485.73 ,$190.40 ,"$3,835.30 ",$190.40 ,"$3,287.40 ",$194.22 ,"$4,109.25 ","$2,728.54 ","$2,454.59 ","$2,728.54 ",$190.40 ,"$2,728.54 ","$3,900.00 ","$5,479.00 ","$3,900.00 ","$4,657.15 ",$485.73 ,"$3,796.95 ",$190.40 ,"$5,479.00 ","$3,073.72 ",$190.40 ,"$1,435.50 ","$5,479.00 ", N/A , N/A ,$199.92 ,"$4,383.20 ","$2,712.11 ","$1,534.12 ","$4,931.10 ","$2,082.02 ",$348.00 ,$190.40 ,"$2,629.92 "
ST. MARY'S HOSPITAL - DECATUR,45001315,67715,HC CANTHOTOMY INC EYELID FOLD,450,1 ,"$5,471.00 ","$3,939.12 ",$348.00 ,"$5,471.00 ","$4,960.80 ","$2,450.00 ","$3,009.05 ","$1,944.63 ","$1,531.88 ","$2,861.33 ","$1,944.63 ","$3,009.05 ","$1,944.63 ","$2,708.15 ","$2,708.15 ","$1,944.63 ","$2,708.15 ","$4,008.33 ","$3,829.70 ","$3,419.38 ","$4,376.80 ","$4,960.81 ","$1,944.63 ","$3,829.70 ","$1,944.63 ","$3,282.60 ","$1,983.53 ","$4,103.25 ","$2,724.56 ","$2,451.01 ","$2,724.56 ","$1,944.63 ","$2,724.56 ","$3,900.00 ","$5,471.00 ","$3,900.00 ","$4,650.35 ","$4,960.81 ","$3,791.40 ","$1,944.63 ","$5,471.00 ","$3,069.23 ","$1,944.63 ","$1,433.40 ","$5,471.00 ", N/A , N/A ,"$2,041.87 ","$4,376.80 ","$2,708.15 ","$1,531.88 ","$4,923.90 ","$2,078.98 ",$348.00 ,"$1,944.63 ","$2,626.08 "
ST. MARY'S HOSPITAL - DECATUR,45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$3,562.00 ","$2,564.64 ",$348.00 ,"$4,960.81 ","$4,960.80 ","$1,887.86 ","$1,959.10 ","$1,944.63 ",$997.36 ,"$1,862.93 ","$1,944.63 ","$1,959.10 ","$1,944.63 ","$1,763.19 ","$1,763.19 ","$1,944.63 ","$1,763.19 ","$3,562.00 ","$2,493.40 ","$2,226.25 ","$2,849.60 ","$4,960.81 ","$1,944.63 ","$2,493.40 ","$1,944.63 ","$2,137.20 ","$1,983.53 ","$2,671.50 ","$1,773.88 ","$1,595.78 ","$1,773.88 ","$1,944.63 ","$1,773.88 ","$2,885.22 ","$3,562.00 ","$2,885.22 ","$3,027.70 ","$3,562.00 ","$2,468.47 ","$1,944.63 ","$3,562.00 ","$1,998.28 ","$1,944.63 ",$933.24 ,"$3,562.00 ", N/A , N/A ,"$2,041.87 ","$2,849.60 ","$1,763.19 ",$997.36 ,"$3,205.80 ","$1,353.56 ",$348.00 ,"$1,944.63 ","$1,709.76 "
ST. MARY'S HOSPITAL - DECATUR,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,"$1,007.00 ",$725.04 ,$197.64 ,"$1,007.00 ",$504.18 ,$533.71 ,$553.85 ,$197.64 ,$281.96 ,$526.66 ,$197.64 ,$553.85 ,$197.64 ,$498.47 ,$498.47 ,$197.64 ,$498.47 ,$407.37 ,$704.90 ,$629.38 ,$805.60 ,$504.17 ,$197.64 ,$704.90 ,$197.64 ,$604.20 ,$201.59 ,$755.25 ,$555.86 ,$501.49 ,$555.86 ,$197.64 ,$555.86 ,$815.67 ,"$1,007.00 ",$815.67 ,$855.95 ,$504.17 ,$697.85 ,$197.64 ,"$1,007.00 ",$564.93 ,$197.64 ,$263.83 ,"$1,007.00 ", N/A , N/A ,$207.51 ,$805.60 ,$498.47 ,$281.96 ,$906.30 ,$382.66 ,$348.00 ,$197.64 ,$483.36 
ST. MARY'S HOSPITAL - DECATUR,45001332,43763,HC REPLACE GASTRO TUBE PERC W/REVISE TRACT,450,1 ,$975.00 ,$702.00 ,$197.64 ,$975.00 ,$504.18 ,$516.75 ,$536.25 ,$197.64 ,$273.00 ,$509.93 ,$197.64 ,$536.25 ,$197.64 ,$482.63 ,$482.63 ,$197.64 ,$482.63 ,$407.37 ,$682.50 ,$609.38 ,$780.00 ,$504.17 ,$197.64 ,$682.50 ,$197.64 ,$585.00 ,$201.59 ,$731.25 ,$538.20 ,$485.55 ,$538.20 ,$197.64 ,$538.20 ,$789.75 ,$975.00 ,$789.75 ,$828.75 ,$504.17 ,$675.68 ,$197.64 ,$975.00 ,$546.98 ,$197.64 ,$255.45 ,$975.00 , N/A , N/A ,$207.51 ,$780.00 ,$482.63 ,$273.00 ,$877.50 ,$370.50 ,$348.00 ,$197.64 ,$468.00 
ST. MARY'S HOSPITAL - DECATUR,45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$7,631.00 ","$5,494.32 ",$348.00 ,"$7,631.00 ","$6,675.58 ","$2,450.00 ","$4,197.05 ","$2,616.83 ","$2,136.68 ","$3,610.00 ","$2,616.83 ","$3,800.00 ","$2,616.83 ","$3,420.00 ","$3,420.00 ","$2,616.83 ","$3,420.00 ","$5,393.87 ","$5,341.70 ","$4,769.38 ","$6,104.80 ","$6,675.58 ","$2,616.83 ","$5,341.70 ","$2,616.83 ","$4,578.60 ","$2,669.17 ","$5,723.25 ","$3,800.24 ","$3,418.69 ","$3,800.24 ","$2,616.83 ","$3,800.24 ","$3,900.00 ","$7,631.00 ","$3,900.00 ","$6,486.35 ","$6,675.58 ","$5,288.28 ","$2,616.83 ","$7,631.00 ","$4,280.99 ","$2,616.83 ","$1,999.32 ","$7,631.00 ", N/A , N/A ,"$2,747.67 ","$6,104.80 ","$3,420.00 ","$2,136.68 ","$6,867.90 ","$2,899.78 ",$348.00 ,"$2,616.83 ","$3,662.88 "
ST. MARY'S HOSPITAL - DECATUR,45001343,37799,HC REPAIR/SUTURE MINOR VESSEL,450,1 ,"$1,860.00 ","$1,339.20 ",$348.00 ,"$1,860.00 ","$1,357.40 ",$985.80 ,"$1,023.00 ",$532.10 ,$520.80 ,$972.78 ,$532.10 ,"$1,023.00 ",$532.10 ,$920.70 ,$920.70 ,$532.10 ,$920.70 ,"$1,096.77 ","$1,302.00 ","$1,162.50 ","$1,488.00 ","$1,357.39 ",$532.10 ,"$1,302.00 ",$532.10 ,"$1,116.00 ",$542.74 ,"$1,395.00 ","$1,026.72 ",$926.28 ,"$1,026.72 ",$532.10 ,"$1,026.72 ","$1,506.60 ","$1,860.00 ","$1,506.60 ","$1,581.00 ","$1,357.39 ","$1,288.98 ",$532.10 ,"$1,860.00 ","$1,043.46 ",$532.10 ,$487.32 ,"$1,860.00 ", N/A , N/A ,$558.71 ,"$1,488.00 ",$920.70 ,$520.80 ,"$1,674.00 ",$706.80 ,$348.00 ,$532.10 ,$892.80 
ST. MARY'S HOSPITAL - DECATUR,45001354,42650,HC DILATION OF SALIVARY DUCT,450,1 ,"$3,733.00 ","$2,687.76 ",$348.00 ,"$3,733.00 ","$3,257.13 ","$1,978.49 ","$2,053.15 ","$1,276.79 ","$1,045.24 ","$1,952.36 ","$1,276.79 ","$2,053.15 ","$1,276.79 ","$1,847.84 ","$1,847.84 ","$1,276.79 ","$1,847.84 ","$2,631.76 ","$2,613.10 ","$2,333.13 ","$2,986.40 ","$3,257.13 ","$1,276.79 ","$2,613.10 ","$1,276.79 ","$2,239.80 ","$1,302.33 ","$2,799.75 ","$1,859.03 ","$1,672.38 ","$1,859.03 ","$1,276.79 ","$1,859.03 ","$3,023.73 ","$3,733.00 ","$3,023.73 ","$3,173.05 ","$3,257.13 ","$2,586.97 ","$1,276.79 ","$3,733.00 ","$2,094.21 ","$1,276.79 ",$978.05 ,"$3,733.00 ", N/A , N/A ,"$1,340.63 ","$2,986.40 ","$1,847.84 ","$1,045.24 ","$3,359.70 ","$1,418.54 ",$348.00 ,"$1,276.79 ","$1,791.84 "
ST. MARY'S HOSPITAL - DECATUR,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,050.00 ",$756.00 ,$275.10 ,"$1,050.00 ",$884.93 ,$556.50 ,$577.50 ,$346.89 ,$294.00 ,$549.15 ,$346.89 ,$577.50 ,$346.89 ,$519.75 ,$519.75 ,$346.89 ,$519.75 ,$715.02 ,$735.00 ,$656.25 ,$840.00 ,$884.92 ,$346.89 ,$735.00 ,$346.89 ,$630.00 ,$353.83 ,$787.50 ,$579.60 ,$522.90 ,$579.60 ,$346.89 ,$579.60 ,$850.50 ,"$1,050.00 ",$850.50 ,$892.50 ,$884.92 ,$727.65 ,$346.89 ,"$1,050.00 ",$589.05 ,$346.89 ,$275.10 ,"$1,050.00 ", N/A , N/A ,$364.24 ,$840.00 ,$519.75 ,$294.00 ,$945.00 ,$399.00 ,$348.00 ,$346.89 ,$504.00 
ST. MARY'S HOSPITAL - DECATUR,45001361,27256,HC TX SPONT HIP DISC,450,1 ,$575.00 ,$414.00 ,$150.65 ,$575.00 ,$485.73 ,$304.75 ,$316.25 ,$190.40 ,$161.00 ,$300.73 ,$190.40 ,$316.25 ,$190.40 ,$284.63 ,$284.63 ,$190.40 ,$284.63 ,$392.47 ,$402.50 ,$359.38 ,$460.00 ,$485.73 ,$190.40 ,$402.50 ,$190.40 ,$345.00 ,$194.22 ,$431.25 ,$317.40 ,$286.35 ,$317.40 ,$190.40 ,$317.40 ,$465.75 ,$575.00 ,$465.75 ,$488.75 ,$485.73 ,$398.48 ,$190.40 ,$575.00 ,$322.58 ,$190.40 ,$150.65 ,$575.00 , N/A , N/A ,$199.92 ,$460.00 ,$284.63 ,$161.00 ,$517.50 ,$218.50 ,$348.00 ,$190.40 ,$276.00 
ST. MARY'S HOSPITAL - DECATUR,45001367,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.26 ,$1.00 , N/A ,$0.53 ,$0.55 , N/A ,$0.28 ,$0.52 , N/A ,$0.55 , N/A ,$0.50 ,$0.50 , N/A ,$0.50 , N/A ,$0.70 ,$0.63 ,$0.80 , N/A , N/A ,$0.70 , N/A ,$0.60 , N/A ,$0.75 ,$0.55 ,$0.50 ,$0.55 , N/A ,$0.55 ,$0.81 ,$1.00 ,$0.81 ,$0.85 , N/A ,$0.69 , N/A ,$1.00 ,$0.56 , N/A ,$0.26 ,$1.00 , N/A , N/A , N/A ,$0.80 ,$0.50 ,$0.28 ,$0.90 ,$0.38 ,$1.00 , N/A ,$0.48 
ST. MARY'S HOSPITAL - DECATUR,45001368,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.26 ,$1.00 , N/A ,$0.53 ,$0.55 , N/A ,$0.28 ,$0.52 , N/A ,$0.55 , N/A ,$0.50 ,$0.50 , N/A ,$0.50 , N/A ,$0.70 ,$0.63 ,$0.80 , N/A , N/A ,$0.70 , N/A ,$0.60 , N/A ,$0.75 ,$0.55 ,$0.50 ,$0.55 , N/A ,$0.55 ,$0.81 ,$1.00 ,$0.81 ,$0.85 , N/A ,$0.69 , N/A ,$1.00 ,$0.56 , N/A ,$0.26 ,$1.00 , N/A , N/A , N/A ,$0.80 ,$0.50 ,$0.28 ,$0.90 ,$0.38 ,$1.00 , N/A ,$0.48 
ST. MARY'S HOSPITAL - DECATUR,45080002,42000,HC I AND D PALATE OR UVULA,450,1 ,$591.00 ,$425.52 ,$154.84 ,$591.00 ,$487.65 ,$313.23 ,$325.05 ,$191.16 ,$165.48 ,$309.09 ,$191.16 ,$325.05 ,$191.16 ,$292.55 ,$292.55 ,$191.16 ,$292.55 ,$394.02 ,$413.70 ,$369.38 ,$472.80 ,$487.65 ,$191.16 ,$413.70 ,$191.16 ,$354.60 ,$194.98 ,$443.25 ,$326.23 ,$294.32 ,$326.23 ,$191.16 ,$326.23 ,$478.71 ,$591.00 ,$478.71 ,$502.35 ,$487.65 ,$409.56 ,$191.16 ,$591.00 ,$331.55 ,$191.16 ,$154.84 ,$591.00 , N/A , N/A ,$200.71 ,$472.80 ,$292.55 ,$165.48 ,$531.90 ,$224.58 ,$348.00 ,$191.16 ,$283.68 
ST. MARY'S HOSPITAL - DECATUR,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$315.00 ,$226.80 ,$51.65 ,$341.24 ,$341.23 ,$166.95 ,$173.25 ,$133.76 ,$88.20 ,$164.75 ,$133.76 ,$173.25 ,$133.76 ,$155.93 ,$59.47 ,$133.76 ,$155.93 ,$275.72 ,$220.50 ,$196.88 ,$252.00 ,$341.24 ,$133.76 ,$220.50 ,$133.76 ,$189.00 ,$136.44 ,$236.25 ,$173.88 ,$156.87 ,$173.88 ,$133.76 ,$173.88 ,$255.15 ,$315.00 ,$255.15 ,$267.75 ,$315.00 ,$218.30 ,$133.76 ,$315.00 ,$176.72 ,$133.76 ,$82.53 ,$315.00 ,$54.11 ,$51.65 ,$140.44 ,$252.00 ,$155.93 ,$88.20 ,$283.50 ,$119.70 ,$315.00 ,$133.76 ,$151.20 
ST. MARY'S HOSPITAL - DECATUR,46000004,94060,HC SPIROMETRY/PFT PRE  AND  POST,460,1 ,$970.00 ,$698.40 ,$51.65 ,$970.00 ,$657.13 ,$514.10 ,$533.50 ,$257.59 ,$271.60 ,$484.75 ,$257.59 ,$506.45 ,$257.59 ,$480.15 ,$102.33 ,$257.59 ,$480.15 ,$530.96 ,$679.00 ,$606.25 ,$776.00 ,$657.13 ,$257.59 ,$679.00 ,$257.59 ,$582.00 ,$262.75 ,$727.50 ,$535.44 ,$483.06 ,$535.44 ,$257.59 ,$535.44 ,$785.70 ,$970.00 ,$785.70 ,$824.50 ,$657.13 ,$672.21 ,$257.59 ,$970.00 ,$544.17 ,$257.59 ,$254.14 ,$970.00 ,$54.11 ,$51.65 ,$270.47 ,$776.00 ,$480.15 ,$271.60 ,$873.00 ,$368.60 ,$578.00 ,$257.59 ,$465.60 
ST. MARY'S HOSPITAL - DECATUR,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,"$2,005.00 ","$1,443.60 ",$68.05 ,"$2,005.00 ",$657.13 ,"$1,062.65 ","$1,102.75 ",$257.59 ,$561.40 ,$324.15 ,$257.59 ,$338.66 ,$257.59 ,$992.48 ,$68.05 ,$257.59 ,$992.48 ,$530.96 ,"$1,403.50 ","$1,253.13 ","$1,604.00 ",$657.13 ,$257.59 ,"$1,403.50 ",$257.59 ,"$1,203.00 ",$262.75 ,"$1,503.75 ","$1,106.76 ",$998.49 ,"$1,106.76 ",$257.59 ,"$1,106.76 ","$1,624.05 ","$2,005.00 ","$1,624.05 ","$1,704.25 ",$657.13 ,"$1,389.47 ",$257.59 ,"$2,005.00 ","$1,124.81 ",$257.59 ,$525.31 ,"$2,005.00 ",$165.33 ,$157.82 ,$270.47 ,"$1,604.00 ",$992.48 ,$561.40 ,"$1,804.50 ",$761.90 ,$578.00 ,$257.59 ,$962.40 
ST. MARY'S HOSPITAL - DECATUR,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$208.00 ,$149.76 ,$47.78 ,$341.24 ,$341.23 ,$110.24 ,$114.40 ,$133.76 ,$58.24 ,$108.78 ,$133.76 ,$114.40 ,$133.76 ,$102.96 ,$47.78 ,$133.76 ,$102.96 ,$208.00 ,$145.60 ,$130.00 ,$166.40 ,$341.24 ,$133.76 ,$145.60 ,$133.76 ,$124.80 ,$136.44 ,$156.00 ,$114.82 ,$103.58 ,$114.82 ,$133.76 ,$114.82 ,$168.48 ,$208.00 ,$168.48 ,$176.80 ,$208.00 ,$144.14 ,$133.76 ,$208.00 ,$116.69 ,$133.76 ,$54.50 ,$208.00 ,$54.11 ,$51.65 ,$140.44 ,$166.40 ,$102.96 ,$58.24 ,$187.20 ,$79.04 ,$208.00 ,$133.76 ,$99.84 
ST. MARY'S HOSPITAL - DECATUR,46000012,94728,HC AIRFLOW RESISTANCE,460,1 ,$131.00 ,$94.32 ,$34.32 ,$657.13 ,$657.13 ,$69.43 ,$72.05 ,$257.59 ,$36.68 ,$68.51 ,$257.59 ,$72.05 ,$128.38 ,$64.85 ,$61.81 ,$128.38 ,$64.85 ,$131.00 ,$91.70 ,$81.88 ,$104.80 ,$657.13 ,$257.59 ,$91.70 ,$257.59 ,$78.60 ,$128.38 ,$98.25 ,$72.31 ,$65.24 ,$72.31 ,$257.59 ,$72.31 ,$106.11 ,$131.00 ,$106.11 ,$111.35 ,$131.00 ,$90.78 ,$128.38 ,$131.00 ,$73.49 ,$257.59 ,$34.32 ,$131.00 ,$54.11 ,$51.65 ,$270.47 ,$104.80 ,$64.85 ,$36.68 ,$117.90 ,$49.78 ,$131.00 ,$257.59 ,$62.88 
ST. MARY'S HOSPITAL - DECATUR,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$509.00 ,$366.48 ,$51.65 ,$657.13 ,$657.13 ,$269.77 ,$279.95 ,$257.59 ,$142.52 ,$266.21 ,$257.59 ,$279.95 ,$257.59 ,$251.96 ,$91.42 ,$257.59 ,$251.96 ,$509.00 ,$356.30 ,$318.13 ,$407.20 ,$657.13 ,$257.59 ,$356.30 ,$257.59 ,$305.40 ,$262.75 ,$381.75 ,$280.97 ,$253.48 ,$280.97 ,$257.59 ,$280.97 ,$412.29 ,$509.00 ,$412.29 ,$432.65 ,$509.00 ,$352.74 ,$257.59 ,$509.00 ,$285.55 ,$257.59 ,$133.36 ,$509.00 ,$54.11 ,$51.65 ,$270.47 ,$407.20 ,$251.96 ,$142.52 ,$458.10 ,$193.42 ,$509.00 ,$257.59 ,$244.32 
ST. MARY'S HOSPITAL - DECATUR,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$299.00 ,$215.28 ,$24.40 ,$299.00 ,$272.45 ,$158.47 ,$164.45 ,$106.80 ,$83.72 ,$117.25 ,$106.80 ,$122.50 ,$106.80 ,$148.01 ,$24.40 ,$106.80 ,$148.01 ,$220.13 ,$209.30 ,$186.88 ,$239.20 ,$272.44 ,$106.80 ,$209.30 ,$106.80 ,$179.40 ,$108.94 ,$224.25 ,$165.05 ,$148.90 ,$165.05 ,$106.80 ,$165.05 ,$242.19 ,$299.00 ,$242.19 ,$254.15 ,$272.44 ,$207.21 ,$106.80 ,$299.00 ,$167.74 ,$106.80 ,$78.34 ,$299.00 ,$165.33 ,$157.82 ,$112.14 ,$239.20 ,$148.01 ,$83.72 ,$269.10 ,$113.62 ,$299.00 ,$106.80 ,$143.52 
ST. MARY'S HOSPITAL - DECATUR,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$522.00 ,$375.84 ,$51.65 ,$522.00 , N/A ,$276.66 ,$287.10 , N/A ,$146.16 ,$273.01 , N/A ,$287.10 , N/A ,$258.39 ,$101.56 , N/A ,$258.39 , N/A ,$365.40 ,$326.25 ,$417.60 , N/A , N/A ,$365.40 , N/A ,$313.20 , N/A ,$391.50 ,$288.14 ,$259.96 ,$288.14 , N/A ,$288.14 ,$422.82 ,$522.00 ,$422.82 ,$443.70 , N/A ,$361.75 , N/A ,$522.00 ,$292.84 , N/A ,$136.76 ,$522.00 ,$54.11 ,$51.65 , N/A ,$417.60 ,$258.39 ,$146.16 ,$469.80 ,$198.36 ,$522.00 , N/A ,$250.56 
ST. MARY'S HOSPITAL - DECATUR,46000018,94762,HC OXIMETRY OVERNIGHT,460,1 ,$456.00 ,$328.32 ,$51.65 ,$456.00 ,$341.23 ,$241.68 ,$250.80 ,$133.76 ,$127.68 ,$238.49 ,$133.76 ,$250.80 ,$133.76 ,$225.72 ,$55.58 ,$133.76 ,$225.72 ,$275.72 ,$319.20 ,$285.00 ,$364.80 ,$341.24 ,$133.76 ,$319.20 ,$133.76 ,$273.60 ,$136.44 ,$342.00 ,$251.71 ,$227.09 ,$251.71 ,$133.76 ,$251.71 ,$369.36 ,$456.00 ,$369.36 ,$387.60 ,$341.24 ,$316.01 ,$133.76 ,$456.00 ,$255.82 ,$133.76 ,$119.47 ,$456.00 ,$54.11 ,$51.65 ,$140.44 ,$364.80 ,$225.72 ,$127.68 ,$410.40 ,$173.28 ,$456.00 ,$133.76 ,$218.88 
ST. MARY'S HOSPITAL - DECATUR,46000021,94760,HC PULSE OX SINGLE,460,1 ,$132.00 ,$95.04 ,$5.70 ,$132.00 , N/A ,$69.96 ,$72.60 , N/A ,$36.96 ,$31.62 , N/A ,$33.04 , N/A ,$65.34 ,$5.70 , N/A ,$65.34 , N/A ,$92.40 ,$82.50 ,$105.60 , N/A , N/A ,$92.40 , N/A ,$79.20 , N/A ,$99.00 ,$72.86 ,$65.74 ,$72.86 , N/A ,$72.86 ,$106.92 ,$132.00 ,$106.92 ,$112.20 , N/A ,$91.48 , N/A ,$132.00 ,$74.05 , N/A ,$34.58 ,$132.00 , N/A , N/A , N/A ,$105.60 ,$65.34 ,$36.96 ,$118.80 ,$50.16 ,$132.00 , N/A ,$63.36 
ST. MARY'S HOSPITAL - DECATUR,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$226.00 ,$162.72 ,$59.21 ,$226.00 , N/A ,$119.78 ,$124.30 , N/A ,$63.28 ,$118.20 , N/A ,$124.30 , N/A ,$111.87 ,$111.87 , N/A ,$111.87 , N/A ,$158.20 ,$141.25 ,$180.80 , N/A , N/A ,$158.20 , N/A ,$135.60 , N/A ,$169.50 ,$124.75 ,$112.55 ,$124.75 , N/A ,$124.75 ,$183.06 ,$226.00 ,$183.06 ,$192.10 , N/A ,$156.62 , N/A ,$226.00 ,$126.79 , N/A ,$59.21 ,$226.00 , N/A , N/A , N/A ,$180.80 ,$111.87 ,$63.28 ,$203.40 , N/A , N/A , N/A ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,46000029,94375,HC FLOW VOLUME LOOP,460,1 ,$461.00 ,$331.92 ,$51.65 ,$657.13 ,$657.13 ,$244.33 ,$253.55 ,$257.59 ,$129.08 ,$241.10 ,$257.59 ,$253.55 ,$257.59 ,$228.20 ,$54.80 ,$257.59 ,$228.20 ,$461.00 ,$322.70 ,$288.13 ,$368.80 ,$657.13 ,$257.59 ,$322.70 ,$257.59 ,$276.60 ,$262.75 ,$345.75 ,$254.47 ,$229.58 ,$254.47 ,$257.59 ,$254.47 ,$373.41 ,$461.00 ,$373.41 ,$391.85 ,$461.00 ,$319.47 ,$257.59 ,$461.00 ,$258.62 ,$257.59 ,$120.78 ,$461.00 ,$54.11 ,$51.65 ,$270.47 ,$368.80 ,$228.20 ,$129.08 ,$414.90 ,$175.18 ,$461.00 ,$257.59 ,$221.28 
ST. MARY'S HOSPITAL - DECATUR,46000030,94680,HC O2 UPTAKE EXPIRED GAS REST/EXERCISE,460,1 ,$226.00 ,$162.72 ,$51.65 ,$341.24 ,$341.23 ,$119.78 ,$124.30 ,$133.76 ,$63.28 ,$118.20 ,$133.76 ,$124.30 ,$133.76 ,$111.87 ,$94.54 ,$133.76 ,$111.87 ,$226.00 ,$158.20 ,$141.25 ,$180.80 ,$341.24 ,$133.76 ,$158.20 ,$133.76 ,$135.60 ,$136.44 ,$169.50 ,$124.75 ,$112.55 ,$124.75 ,$133.76 ,$124.75 ,$183.06 ,$226.00 ,$183.06 ,$192.10 ,$226.00 ,$156.62 ,$133.76 ,$226.00 ,$126.79 ,$133.76 ,$59.21 ,$226.00 ,$54.11 ,$51.65 ,$140.44 ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$226.00 ,$133.76 ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,47000000,92585,HC AUDITORY EVOKED POTENT COMPR,470,1 ,"$1,392.00 ","$1,002.24 ",$143.95 ,"$1,392.00 ", N/A ,$737.76 ,$765.60 , N/A ,$389.76 ,$728.02 , N/A ,$765.60 , N/A ,$689.04 ,$143.95 , N/A ,$689.04 , N/A ,$974.40 ,$870.00 ,"$1,113.60 ", N/A , N/A ,$974.40 , N/A ,$835.20 , N/A ,"$1,044.00 ",$768.38 ,$693.22 ,$768.38 , N/A ,$768.38 ,"$1,127.52 ","$1,392.00 ","$1,127.52 ","$1,183.20 ", N/A ,$964.66 , N/A ,"$1,392.00 ",$780.91 , N/A ,$364.70 ,"$1,392.00 ", N/A , N/A , N/A ,"$1,113.60 ",$689.04 ,$389.76 ,"$1,252.80 ",$528.96 ,$321.00 , N/A ,$668.16 
ST. MARY'S HOSPITAL - DECATUR,47000001,92587,HC DISTORTION EVOKED POTENT LTD,470,1 ,$211.00 ,$151.92 ,$8.20 ,$657.13 ,$657.13 ,$111.83 ,$116.05 ,$257.59 ,$59.08 ,$29.55 ,$257.59 ,$30.87 ,$206.78 ,$104.45 ,$8.20 ,$206.78 ,$104.45 ,$211.00 ,$147.70 ,$131.88 ,$168.80 ,$657.13 ,$257.59 ,$147.70 ,$257.59 ,$126.60 ,$206.78 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$257.59 ,$116.47 ,$170.91 ,$211.00 ,$170.91 ,$179.35 ,$211.00 ,$146.22 ,$206.78 ,$211.00 ,$118.37 ,$257.59 ,$55.28 ,$211.00 ,$157.81 ,$150.63 ,$270.47 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$211.00 ,$257.59 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,47000091,92651,HC AEP HEARING STATUS DETER BB STIM I AND R,470,1 ,$767.00 ,$552.24 ,$95.35 ,$767.00 ,$341.23 ,$406.51 ,$421.85 ,$133.76 ,$214.76 ,$401.14 ,$133.76 ,$421.85 ,$133.76 ,$379.67 ,$306.80 ,$133.76 ,$379.67 ,$275.72 ,$536.90 ,$479.38 ,$613.60 ,$341.24 ,$133.76 ,$536.90 ,$133.76 ,$460.20 ,$136.44 ,$575.25 ,$423.38 ,$381.97 ,$423.38 ,$133.76 ,$423.38 ,$621.27 ,$767.00 ,$621.27 ,$651.95 ,$341.24 ,$531.53 ,$133.76 ,$767.00 ,$430.29 ,$133.76 ,$200.95 ,$767.00 ,$99.89 ,$95.35 ,$140.44 ,$613.60 ,$379.67 ,$214.76 ,$690.30 ,$291.46 ,$321.00 ,$133.76 ,$368.16 
ST. MARY'S HOSPITAL - DECATUR,47000093,92653,HC NEURODIAGONSTIC I AND R,470,1 ,"$1,265.00 ",$910.80 ,$95.35 ,"$1,265.00 ",$657.13 ,$670.45 ,$695.75 ,$257.59 ,$354.20 ,$661.60 ,$257.59 ,$695.75 ,$257.59 ,$626.18 ,$506.00 ,$257.59 ,$626.18 ,$530.96 ,$885.50 ,$790.63 ,"$1,012.00 ",$657.13 ,$257.59 ,$885.50 ,$257.59 ,$759.00 ,$262.75 ,$948.75 ,$698.28 ,$629.97 ,$698.28 ,$257.59 ,$698.28 ,"$1,024.65 ","$1,265.00 ","$1,024.65 ","$1,075.25 ",$657.13 ,$876.65 ,$257.59 ,"$1,265.00 ",$709.67 ,$257.59 ,$331.43 ,"$1,265.00 ",$99.89 ,$95.35 ,$270.47 ,"$1,012.00 ",$626.18 ,$354.20 ,"$1,138.50 ",$480.70 ,$321.00 ,$257.59 ,$607.20 
ST. MARY'S HOSPITAL - DECATUR,47100003,92567,HC TYMPANOMETRY IMPED TEST,471,1 ,$94.00 ,$67.68 ,$24.63 ,$95.35 ,$79.68 ,$49.82 ,$51.70 ,$31.23 ,$26.32 ,$49.16 ,$31.23 ,$51.70 ,$31.23 ,$46.53 ,$26.29 ,$31.23 ,$46.53 ,$64.38 ,$65.80 ,$58.75 ,$75.20 ,$79.68 ,$31.23 ,$65.80 ,$31.23 ,$56.40 ,$31.86 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$31.23 ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 ,$79.68 ,$65.14 ,$31.23 ,$94.00 ,$52.73 ,$31.23 ,$24.63 ,$94.00 ,$94.00 ,$95.35 ,$32.79 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$94.00 ,$31.23 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,47100005,92568,HC AUD ACOUSTIC REFLEX TESTING,471,1 ,$96.00 ,$69.12 ,$1.63 ,$96.00 ,$79.68 ,$50.88 ,$52.80 ,$31.23 ,$26.88 ,$50.21 ,$31.23 ,$52.80 ,$31.23 ,$47.52 ,$37.51 ,$31.23 ,$47.52 ,$64.38 ,$67.20 ,$60.00 ,$76.80 ,$79.68 ,$31.23 ,$67.20 ,$31.23 ,$57.60 ,$31.86 ,$72.00 ,$52.99 ,$47.81 ,$52.99 ,$31.23 ,$52.99 ,$77.76 ,$96.00 ,$77.76 ,$81.60 ,$79.68 ,$66.53 ,$31.23 ,$96.00 ,$53.86 ,$31.23 ,$25.15 ,$96.00 ,$1.71 ,$1.63 ,$32.79 ,$76.80 ,$47.52 ,$26.88 ,$86.40 ,$36.48 ,$96.00 ,$31.23 ,$46.08 
ST. MARY'S HOSPITAL - DECATUR,47100006,92557,HC AUD COMPREHENSIVE AUDIO,471,1 ,$349.00 ,$251.28 ,$48.62 ,$349.00 ,$341.23 ,$184.97 ,$191.95 ,$133.76 ,$97.72 ,$182.53 ,$133.76 ,$191.95 ,$133.76 ,$172.76 ,$48.62 ,$133.76 ,$172.76 ,$275.72 ,$244.30 ,$218.13 ,$279.20 ,$341.24 ,$133.76 ,$244.30 ,$133.76 ,$209.40 ,$136.44 ,$261.75 ,$192.65 ,$173.80 ,$192.65 ,$133.76 ,$192.65 ,$282.69 ,$349.00 ,$282.69 ,$296.65 ,$341.24 ,$241.86 ,$133.76 ,$349.00 ,$195.79 ,$133.76 ,$91.44 ,$349.00 ,$99.89 ,$95.35 ,$140.44 ,$279.20 ,$172.76 ,$97.72 ,$314.10 ,$132.62 ,$321.00 ,$133.76 ,$167.52 
ST. MARY'S HOSPITAL - DECATUR,47100007,92582,HC AUD CONDITION PLAY AUDIOMETRY,471,1 ,$211.00 ,$151.92 ,$55.28 ,$341.24 ,$341.23 ,$111.83 ,$116.05 ,$133.76 ,$59.08 ,$110.35 ,$133.76 ,$116.05 ,$133.76 ,$104.45 ,$97.32 ,$133.76 ,$104.45 ,$211.00 ,$147.70 ,$131.88 ,$168.80 ,$341.24 ,$133.76 ,$147.70 ,$133.76 ,$126.60 ,$136.44 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$133.76 ,$116.47 ,$170.91 ,$211.00 ,$170.91 ,$179.35 ,$211.00 ,$146.22 ,$133.76 ,$211.00 ,$118.37 ,$133.76 ,$55.28 ,$211.00 ,$86.41 ,$82.48 ,$140.44 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$211.00 ,$133.76 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,47100009,92558,HC AUD EVOKED OTOACOUS EMISSIONS SCREENING,471,1 ,$226.00 ,$162.72 ,$12.63 ,$226.00 , N/A ,$119.78 ,$124.30 , N/A ,$63.28 ,$118.20 , N/A ,$124.30 , N/A ,$111.87 ,$12.63 , N/A ,$111.87 , N/A ,$158.20 ,$141.25 ,$180.80 , N/A , N/A ,$158.20 , N/A ,$135.60 , N/A ,$169.50 ,$124.75 ,$112.55 ,$124.75 , N/A ,$124.75 ,$183.06 ,$226.00 ,$183.06 ,$192.10 , N/A ,$156.62 , N/A ,$226.00 ,$126.79 , N/A ,$59.21 ,$226.00 ,$99.89 ,$95.35 , N/A ,$180.80 ,$111.87 ,$63.28 ,$203.40 ,$85.88 ,$226.00 , N/A ,$108.48 
ST. MARY'S HOSPITAL - DECATUR,47100010,92586,HC AUD EVOKED POTENTIAL LIMITED,471,1 ,$844.00 ,$607.68 ,$123.22 ,$844.00 , N/A ,$447.32 ,$464.20 , N/A ,$236.32 ,$441.41 , N/A ,$464.20 , N/A ,$417.78 ,$123.22 , N/A ,$417.78 , N/A ,$590.80 ,$527.50 ,$675.20 , N/A , N/A ,$590.80 , N/A ,$506.40 , N/A ,$633.00 ,$465.89 ,$420.31 ,$465.89 , N/A ,$465.89 ,$683.64 ,$844.00 ,$683.64 ,$717.40 , N/A ,$584.89 , N/A ,$844.00 ,$473.48 , N/A ,$221.13 ,$844.00 , N/A , N/A , N/A ,$675.20 ,$417.78 ,$236.32 ,$759.60 ,$320.72 ,$321.00 , N/A ,$405.12 
ST. MARY'S HOSPITAL - DECATUR,47100011,92553,HC AUD PURE TONE AIR  AND  BONE,471,1 ,$201.00 ,$144.72 ,$52.66 ,$341.24 ,$341.23 ,$106.53 ,$110.55 ,$133.76 ,$56.28 ,$105.12 ,$133.76 ,$110.55 ,$133.76 ,$99.50 ,$53.08 ,$133.76 ,$99.50 ,$201.00 ,$140.70 ,$125.63 ,$160.80 ,$341.24 ,$133.76 ,$140.70 ,$133.76 ,$120.60 ,$136.44 ,$150.75 ,$110.95 ,$100.10 ,$110.95 ,$133.76 ,$110.95 ,$162.81 ,$201.00 ,$162.81 ,$170.85 ,$201.00 ,$139.29 ,$133.76 ,$201.00 ,$112.76 ,$133.76 ,$52.66 ,$201.00 ,$99.89 ,$95.35 ,$140.44 ,$160.80 ,$99.50 ,$56.28 ,$180.90 ,$76.38 ,$201.00 ,$133.76 ,$96.48 
ST. MARY'S HOSPITAL - DECATUR,47100013,92552,HC AUD PURE TONE AIR ONLY,471,1 ,$168.00 ,$120.96 ,$43.77 ,$272.45 ,$272.45 ,$89.04 ,$92.40 ,$106.80 ,$47.04 ,$87.86 ,$106.80 ,$92.40 ,$106.80 ,$83.16 ,$43.77 ,$106.80 ,$83.16 ,$168.00 ,$117.60 ,$105.00 ,$134.40 ,$272.44 ,$106.80 ,$117.60 ,$106.80 ,$100.80 ,$108.94 ,$126.00 ,$92.74 ,$83.66 ,$92.74 ,$106.80 ,$92.74 ,$136.08 ,$168.00 ,$136.08 ,$142.80 ,$168.00 ,$116.42 ,$106.80 ,$168.00 ,$94.25 ,$106.80 ,$44.02 ,$168.00 ,$99.89 ,$95.35 ,$112.14 ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$168.00 ,$106.80 ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,47100015,92555,HC AUD SPEECH THRESHOLD,471,1 ,$106.00 ,$76.32 ,$27.77 ,$106.00 ,$79.68 ,$56.18 ,$58.30 ,$31.23 ,$29.68 ,$55.44 ,$31.23 ,$58.30 ,$31.23 ,$52.47 ,$33.47 ,$31.23 ,$52.47 ,$64.38 ,$74.20 ,$66.25 ,$84.80 ,$79.68 ,$31.23 ,$74.20 ,$31.23 ,$63.60 ,$31.86 ,$79.50 ,$58.51 ,$52.79 ,$58.51 ,$31.23 ,$58.51 ,$85.86 ,$106.00 ,$85.86 ,$90.10 ,$79.68 ,$73.46 ,$31.23 ,$106.00 ,$59.47 ,$31.23 ,$27.77 ,$106.00 ,$99.89 ,$95.35 ,$32.79 ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$106.00 ,$31.23 ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,47100016,92556,HC AUD SPEECH THRESHOLD W/SPEECH RECOGNITION,471,1 ,$147.00 ,$105.84 ,$38.51 ,$147.00 ,$134.88 ,$77.91 ,$80.85 ,$52.87 ,$41.16 ,$76.88 ,$52.87 ,$80.85 ,$52.87 ,$72.77 ,$52.59 ,$52.87 ,$72.77 ,$108.98 ,$102.90 ,$91.88 ,$117.60 ,$134.87 ,$52.87 ,$102.90 ,$52.87 ,$88.20 ,$53.93 ,$110.25 ,$81.14 ,$73.21 ,$81.14 ,$52.87 ,$81.14 ,$119.07 ,$147.00 ,$119.07 ,$124.95 ,$134.87 ,$101.87 ,$52.87 ,$147.00 ,$82.47 ,$52.87 ,$38.51 ,$147.00 ,$99.89 ,$95.35 ,$55.52 ,$117.60 ,$72.77 ,$41.16 ,$132.30 ,$55.86 ,$147.00 ,$52.87 ,$70.56 
ST. MARY'S HOSPITAL - DECATUR,47100017,92579,HC AUD VISUAL REINFORCEMENT AUDIOMETRY,471,1 ,$192.00 ,$138.24 ,$50.30 ,$341.24 ,$341.23 ,$101.76 ,$105.60 ,$133.76 ,$53.76 ,$100.42 ,$133.76 ,$105.60 ,$133.76 ,$95.04 ,$54.69 ,$133.76 ,$95.04 ,$192.00 ,$134.40 ,$120.00 ,$153.60 ,$341.24 ,$133.76 ,$134.40 ,$133.76 ,$115.20 ,$136.44 ,$144.00 ,$105.98 ,$95.62 ,$105.98 ,$133.76 ,$105.98 ,$155.52 ,$192.00 ,$155.52 ,$163.20 ,$192.00 ,$133.06 ,$133.76 ,$192.00 ,$107.71 ,$133.76 ,$50.30 ,$192.00 ,$99.89 ,$95.35 ,$140.44 ,$153.60 ,$95.04 ,$53.76 ,$172.80 ,$72.96 ,$192.00 ,$133.76 ,$92.16 
ST. MARY'S HOSPITAL - DECATUR,47100019,92537,HC CALORIC VESTIBULAR TEST W/REC BILAT BITHERMAL,471,1 ,$567.00 ,$408.24 ,$18.34 ,$567.00 ,$341.23 ,$300.51 ,$311.85 ,$133.76 ,$158.76 ,$77.39 ,$133.76 ,$80.85 ,$133.76 ,$280.67 ,$18.34 ,$133.76 ,$280.67 ,$275.72 ,$396.90 ,$354.38 ,$453.60 ,$341.24 ,$133.76 ,$396.90 ,$133.76 ,$340.20 ,$136.44 ,$425.25 ,$312.98 ,$282.37 ,$312.98 ,$133.76 ,$312.98 ,$459.27 ,$567.00 ,$459.27 ,$481.95 ,$341.24 ,$392.93 ,$133.76 ,$567.00 ,$318.09 ,$133.76 ,$148.55 ,$567.00 ,$157.81 ,$150.63 ,$140.44 ,$453.60 ,$280.67 ,$158.76 ,$510.30 ,$215.46 ,$321.00 ,$133.76 ,$272.16 
ST. MARY'S HOSPITAL - DECATUR,47100020,92538,HC CALORIC VESTIBULAR TEST W/REC BILAT MONOTHERMAL,471,1 ,$567.00 ,$408.24 ,$10.68 ,$567.00 ,$341.23 ,$300.51 ,$311.85 ,$133.76 ,$158.76 ,$44.49 ,$133.76 ,$46.48 ,$133.76 ,$280.67 ,$10.68 ,$133.76 ,$280.67 ,$275.72 ,$396.90 ,$354.38 ,$453.60 ,$341.24 ,$133.76 ,$396.90 ,$133.76 ,$340.20 ,$136.44 ,$425.25 ,$312.98 ,$282.37 ,$312.98 ,$133.76 ,$312.98 ,$459.27 ,$567.00 ,$459.27 ,$481.95 ,$341.24 ,$392.93 ,$133.76 ,$567.00 ,$318.09 ,$133.76 ,$148.55 ,$567.00 ,$157.81 ,$150.63 ,$140.44 ,$453.60 ,$280.67 ,$158.76 ,$510.30 ,$215.46 ,$321.00 ,$133.76 ,$272.16 
ST. MARY'S HOSPITAL - DECATUR,47900001,V5264,HC EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE (MISC TYPE IN),479,1 ,$53.00 ,$38.16 ,$13.89 ,$53.00 , N/A ,$28.09 ,$29.15 , N/A ,$14.84 ,$27.72 , N/A ,$29.15 , N/A ,$26.24 ,$53.00 , N/A ,$26.24 , N/A ,$37.10 ,$33.13 ,$42.40 , N/A , N/A ,$37.10 , N/A ,$31.80 , N/A ,$39.75 ,$29.26 ,$26.39 ,$29.26 , N/A ,$29.26 ,$42.93 ,$53.00 ,$42.93 ,$45.05 , N/A ,$36.73 , N/A ,$53.00 ,$29.73 , N/A ,$13.89 ,$53.00 , N/A , N/A , N/A ,$42.40 ,$26.24 ,$14.84 ,$47.70 ,$20.14 ,$53.00 , N/A ,$25.44 
ST. MARY'S HOSPITAL - DECATUR,48000001,76825,HC US FETAL ECHO W/W/O M,480,1 ,"$1,948.00 ","$1,402.56 ",$365.90 ,"$1,948.00 ","$1,180.55 ",$365.90 ,"$1,071.40 ",$462.78 ,$545.44 ,"$1,018.80 ",$462.78 ,"$1,071.40 ",$462.78 ,$964.26 ,$396.21 ,$462.78 ,$964.26 ,$953.88 ,"$1,363.60 ","$1,217.50 ","$1,558.40 ","$1,180.54 ",$462.78 ,"$1,363.60 ",$462.78 ,"$1,168.80 ",$472.03 ,"$1,461.00 ","$1,075.30 ",$970.10 ,"$1,075.30 ",$462.78 ,"$1,075.30 ", N/A ,"$1,948.00 ", N/A ,"$1,655.80 ","$1,180.54 ","$1,349.96 ",$462.78 ,"$1,948.00 ","$1,092.83 ",$462.78 ,$510.38 ,"$1,948.00 ", N/A , N/A ,$485.91 ,"$1,558.40 ",$964.26 ,$545.44 ,"$1,753.20 ",$740.24 ,"$1,097.00 ",$462.78 ,$935.04 
ST. MARY'S HOSPITAL - DECATUR,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$3,802.00 ","$2,737.44 ",$229.38 ,"$3,802.00 ","$1,380.00 ","$2,015.06 ","$2,091.10 ",$540.96 ,"$1,064.56 ","$1,368.68 ",$540.96 ,"$1,429.96 ",$540.96 ,"$1,881.99 ",$229.38 ,$540.96 ,"$1,881.99 ","$1,115.05 ","$2,661.40 ","$2,376.25 ","$3,041.60 ","$1,380.01 ",$540.96 ,"$2,661.40 ",$540.96 ,"$2,281.20 ",$551.78 ,"$2,851.50 ","$2,098.70 ","$1,893.40 ","$2,098.70 ",$540.96 ,"$2,098.70 ","$3,079.62 ","$3,802.00 ","$3,079.62 ","$3,231.70 ","$1,380.01 ","$2,634.79 ",$540.96 ,"$3,802.00 ","$2,132.92 ",$540.96 ,$996.12 ,"$3,802.00 ",$440.85 ,$420.81 ,$568.01 ,"$3,041.60 ","$1,881.99 ","$1,064.56 ","$3,421.80 ","$1,444.76 ","$1,097.00 ",$540.96 ,"$1,824.96 "
ST. MARY'S HOSPITAL - DECATUR,48000008,G0269,HC PLACE OCCLUSIVE DEVICE A/VV G0269,480,1 ,"$2,524.00 ","$1,817.28 ",$473.00 ,"$2,524.00 ", N/A ,"$2,524.00 ","$1,388.20 ", N/A ,$706.72 ,"$1,320.05 ", N/A ,"$1,388.20 ", N/A ,"$1,249.38 ",$473.00 , N/A ,"$1,249.38 ", N/A ,"$1,766.80 ","$1,577.50 ","$2,019.20 ", N/A , N/A ,"$1,766.80 ", N/A ,"$1,514.40 ", N/A ,"$1,893.00 ","$1,393.25 ","$1,256.95 ","$1,393.25 ", N/A ,"$1,393.25 ","$2,044.44 ","$2,524.00 ","$2,044.44 ","$2,145.40 ", N/A ,"$1,749.13 ", N/A ,"$2,524.00 ","$1,415.96 ", N/A ,$661.29 ,"$2,524.00 ", N/A , N/A , N/A ,"$2,019.20 ","$1,249.38 ",$706.72 ,"$2,271.60 ",$959.12 ,"$1,097.00 ", N/A ,"$1,211.52 "
ST. MARY'S HOSPITAL - DECATUR,48000017,93640,HC EP EVAL CARDIO/DEFIB LEADS,480,1 ,"$4,372.00 ","$3,147.84 ",$174.96 ,"$4,372.00 ", N/A ,"$4,372.00 ","$2,404.60 ", N/A ,"$1,224.16 ","$2,286.56 ", N/A ,"$2,404.60 ", N/A ,"$2,164.14 ",$542.43 , N/A ,"$2,164.14 ", N/A ,"$3,060.40 ","$2,732.50 ","$3,497.60 ", N/A , N/A ,"$3,060.40 ", N/A ,"$2,623.20 ", N/A ,"$3,279.00 ","$2,413.34 ","$2,177.26 ","$2,413.34 ", N/A ,"$2,413.34 ","$3,541.32 ","$4,372.00 ","$3,541.32 ","$3,716.20 ", N/A ,"$3,029.80 ", N/A ,"$4,372.00 ","$2,452.69 ", N/A ,"$1,145.46 ","$4,372.00 ",$183.29 ,$174.96 , N/A ,"$3,497.60 ","$2,164.14 ","$1,224.16 ","$3,934.80 ","$1,661.36 ","$1,097.00 ", N/A ,"$2,098.56 "
ST. MARY'S HOSPITAL - DECATUR,48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$211.00 ,$151.92 ,$34.88 ,$211.00 ,$134.88 ,$111.83 ,$116.05 ,$52.87 ,$59.08 ,$110.35 ,$52.87 ,$116.05 ,$52.87 ,$104.45 ,$34.88 ,$52.87 ,$104.45 ,$108.98 ,$147.70 ,$131.88 ,$168.80 ,$134.87 ,$52.87 ,$147.70 ,$52.87 ,$126.60 ,$53.93 ,$158.25 ,$116.47 ,$105.08 ,$116.47 ,$52.87 ,$116.47 ,$170.91 ,$211.00 ,$170.91 ,$179.35 ,$134.87 ,$146.22 ,$52.87 ,$211.00 ,$118.37 ,$52.87 ,$55.28 ,$211.00 ,$211.00 ,$210.83 ,$55.52 ,$168.80 ,$104.45 ,$59.08 ,$189.90 ,$80.18 ,$211.00 ,$52.87 ,$101.28 
ST. MARY'S HOSPITAL - DECATUR,48000026,93799,HC CARDIOVERSION VIA AICD,480,1 ,"$3,802.00 ","$2,737.44 ",$17.79 ,"$3,802.00 ",$341.23 ,"$2,015.06 ","$2,091.10 ",$133.76 ,"$1,064.56 ","$1,988.45 ",$133.76 ,"$2,091.10 ",$133.76 ,"$1,881.99 ","$1,520.80 ",$133.76 ,"$1,881.99 ",$275.72 ,"$2,661.40 ","$2,376.25 ","$3,041.60 ",$341.24 ,$133.76 ,"$2,661.40 ",$133.76 ,"$2,281.20 ",$136.44 ,"$2,851.50 ","$2,098.70 ","$1,893.40 ","$2,098.70 ",$133.76 ,"$2,098.70 ","$3,079.62 ","$3,802.00 ","$3,079.62 ","$3,231.70 ",$341.24 ,"$2,634.79 ",$133.76 ,"$3,802.00 ","$2,132.92 ",$133.76 ,$996.12 ,"$3,802.00 ",$18.63 ,$17.79 ,$140.44 ,"$3,041.60 ","$1,881.99 ","$1,064.56 ","$3,421.80 ","$1,444.76 ","$1,097.00 ",$133.76 ,"$1,824.96 "
ST. MARY'S HOSPITAL - DECATUR,48000027,93799,HC CARDIOVERSION VIA PATIENT DEFIBRILLATOR,480,1 ,"$3,802.00 ","$2,737.44 ",$17.79 ,"$3,802.00 ",$341.23 ,"$2,015.06 ","$2,091.10 ",$133.76 ,"$1,064.56 ","$1,988.45 ",$133.76 ,"$2,091.10 ",$133.76 ,"$1,881.99 ","$1,520.80 ",$133.76 ,"$1,881.99 ",$275.72 ,"$2,661.40 ","$2,376.25 ","$3,041.60 ",$341.24 ,$133.76 ,"$2,661.40 ",$133.76 ,"$2,281.20 ",$136.44 ,"$2,851.50 ","$2,098.70 ","$1,893.40 ","$2,098.70 ",$133.76 ,"$2,098.70 ","$3,079.62 ","$3,802.00 ","$3,079.62 ","$3,231.70 ",$341.24 ,"$2,634.79 ",$133.76 ,"$3,802.00 ","$2,132.92 ",$133.76 ,$996.12 ,"$3,802.00 ",$18.63 ,$17.79 ,$140.44 ,"$3,041.60 ","$1,881.99 ","$1,064.56 ","$3,421.80 ","$1,444.76 ","$1,097.00 ",$133.76 ,"$1,824.96 "
ST. MARY'S HOSPITAL - DECATUR,48100002,33206,HC INS/REPL PCMKR PERM ATRIAL 33206,481,1 ,"$9,356.00 ","$6,736.32 ","$2,451.27 ","$24,235.43 ","$24,235.43 ","$9,356.00 ","$5,145.80 ","$9,500.29 ","$2,619.68 ","$4,893.19 ","$9,500.29 ","$5,145.80 ","$9,168.88 ","$4,631.22 ","$4,631.22 ","$9,168.88 ","$4,631.22 ","$9,356.00 ","$3,500.00 ","$5,847.50 ","$7,484.80 ","$24,235.43 ","$9,500.29 ","$6,549.20 ","$9,500.29 ","$5,613.60 ","$9,168.88 ","$7,017.00 ","$5,164.51 ","$4,659.29 ","$5,164.51 ","$9,500.29 ","$5,164.51 ","$7,578.36 ","$9,356.00 ","$7,578.36 ","$7,952.60 ","$9,356.00 ","$5,180.00 ","$9,168.88 ","$9,356.00 ","$5,248.72 ","$9,500.29 ","$2,451.27 ","$9,356.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$7,484.80 ","$4,631.22 ","$2,619.68 ","$8,420.40 ","$3,372.00 ","$9,356.00 ","$9,500.29 ","$4,490.88 "
ST. MARY'S HOSPITAL - DECATUR,48100003,33207,HC INS/REPL PACEMKR PERM VENTRIC 33207,481,1 ,"$10,387.00 ","$7,478.64 ","$2,721.39 ","$24,235.43 ","$24,235.43 ","$10,387.00 ","$5,712.85 ","$9,500.29 ","$2,908.36 ","$5,432.40 ","$9,500.29 ","$5,712.85 ","$9,500.29 ","$5,141.57 ","$5,141.57 ","$9,500.29 ","$5,141.57 ","$10,387.00 ","$3,500.00 ","$6,491.88 ","$8,309.60 ","$24,235.43 ","$9,500.29 ","$7,270.90 ","$9,500.29 ","$6,232.20 ","$9,690.29 ","$7,790.25 ","$5,733.62 ","$5,172.73 ","$5,733.62 ","$9,500.29 ","$5,733.62 ","$8,413.47 ","$10,387.00 ","$8,413.47 ","$8,828.95 ","$10,387.00 ","$5,180.00 ","$9,500.29 ","$10,387.00 ","$5,827.11 ","$9,500.29 ","$2,721.39 ","$10,387.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$8,309.60 ","$5,141.57 ","$2,908.36 ","$9,348.30 ","$3,372.00 ","$10,387.00 ","$9,500.29 ","$4,985.76 "
ST. MARY'S HOSPITAL - DECATUR,48100004,33208,HC INS/REPL PACEMKR PERM A/V 33208,481,1 ,"$19,915.00 ","$14,338.80 ","$3,323.00 ","$24,235.43 ","$24,235.43 ","$13,080.00 ","$10,953.25 ","$9,500.29 ","$5,576.20 ","$6,175.00 ","$9,500.29 ","$6,500.00 ","$9,500.29 ","$5,850.00 ","$5,850.00 ","$9,500.29 ","$5,850.00 ","$19,582.22 ","$3,500.00 ","$12,446.88 ","$15,932.00 ","$24,235.43 ","$9,500.29 ","$13,940.50 ","$9,500.29 ","$11,949.00 ","$9,690.29 ","$14,936.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,500.29 ","$10,676.00 ","$16,131.15 ","$19,915.00 ","$16,131.15 ","$16,927.75 ","$19,915.00 ","$5,180.00 ","$9,500.29 ","$19,915.00 ","$11,172.32 ","$9,500.29 ","$5,217.73 ","$19,915.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$15,932.00 ","$5,850.00 ","$5,576.20 ","$17,923.50 ","$3,323.00 ","$19,915.00 ","$9,500.29 ","$9,559.20 "
ST. MARY'S HOSPITAL - DECATUR,48100005,33210,HC INS/REPL TPM SGL ELEC/CATH 33210,481,1 ,"$5,003.00 ","$3,602.16 ","$1,310.79 ","$19,153.13 ","$19,153.13 ","$5,003.00 ","$2,751.65 ","$7,508.02 ","$1,400.84 ","$2,616.57 ","$7,508.02 ","$2,751.65 ","$4,902.94 ","$2,476.49 ","$2,476.49 ","$4,902.94 ","$2,476.49 ","$5,003.00 ","$3,500.00 ","$3,126.88 ","$4,002.40 ","$19,153.12 ","$7,508.02 ","$3,502.10 ","$7,508.02 ","$3,001.80 ","$4,902.94 ","$3,752.25 ","$2,761.66 ","$2,491.49 ","$2,761.66 ","$7,508.02 ","$2,761.66 ","$4,052.43 ","$5,003.00 ","$4,052.43 ","$4,252.55 ","$5,003.00 ","$3,467.08 ","$4,902.94 ","$5,003.00 ","$2,806.68 ","$7,508.02 ","$1,310.79 ","$5,003.00 ","$2,254.60 ","$2,152.12 ","$7,883.42 ","$4,002.40 ","$2,476.49 ","$1,400.84 ","$4,502.70 ","$2,975.00 ","$5,003.00 ","$7,508.02 ","$2,401.44 "
ST. MARY'S HOSPITAL - DECATUR,48100006,33212,HC INS PULSE GEN SGL CHAMBER 33212,481,1 ,"$7,453.00 ","$5,366.16 ","$1,952.69 ","$19,153.13 ","$19,153.13 ","$5,830.00 ","$4,099.15 ","$7,508.02 ","$2,086.84 ","$3,897.92 ","$7,508.02 ","$4,099.15 ","$7,303.94 ","$3,689.24 ","$3,689.24 ","$7,303.94 ","$3,689.24 ","$7,453.00 ","$3,500.00 ","$4,658.13 ","$5,962.40 ","$19,153.12 ","$7,508.02 ","$5,217.10 ","$7,508.02 ","$4,471.80 ","$7,303.94 ","$5,589.75 ","$4,114.06 ","$3,711.59 ","$4,114.06 ","$7,508.02 ","$4,114.06 ","$6,036.93 ","$7,453.00 ","$6,036.93 ","$6,335.05 ","$7,453.00 ","$5,164.93 ","$7,303.94 ","$7,453.00 ","$4,181.13 ","$7,508.02 ","$1,952.69 ","$7,453.00 ","$5,820.63 ","$5,556.05 ","$7,883.42 ","$5,962.40 ","$3,689.24 ","$2,086.84 ","$6,707.70 ","$3,372.00 ","$7,453.00 ","$7,508.02 ","$3,577.44 "
ST. MARY'S HOSPITAL - DECATUR,48100007,33213,HC INS PULSE GEN DUAL CHAMBER 33213,481,1 ,"$8,036.00 ","$5,785.92 ","$2,105.43 ","$24,235.43 ","$24,235.43 ","$5,830.00 ","$4,419.80 ","$9,500.29 ","$2,250.08 ","$4,202.83 ","$9,500.29 ","$4,419.80 ","$7,875.28 ","$3,977.82 ","$3,977.82 ","$7,875.28 ","$3,977.82 ","$8,036.00 ","$3,500.00 ","$5,022.50 ","$6,428.80 ","$24,235.43 ","$9,500.29 ","$5,625.20 ","$9,500.29 ","$4,821.60 ","$7,875.28 ","$6,027.00 ","$4,435.87 ","$4,001.93 ","$4,435.87 ","$9,500.29 ","$4,435.87 ","$6,509.16 ","$8,036.00 ","$6,509.16 ","$6,830.60 ","$8,036.00 ","$5,180.00 ","$7,875.28 ","$8,036.00 ","$4,508.20 ","$9,500.29 ","$2,105.43 ","$8,036.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$6,428.80 ","$3,977.82 ","$2,250.08 ","$7,232.40 ","$3,372.00 ","$8,036.00 ","$9,500.29 ","$3,857.28 "
ST. MARY'S HOSPITAL - DECATUR,48100008,33214,HC UPGRADE PACEMAKER SYSTEM 33214,481,1 ,"$11,396.00 ","$8,205.12 ","$2,985.75 ","$24,235.43 ","$24,235.43 ","$11,396.00 ","$6,267.80 ","$9,500.29 ","$3,190.88 ","$5,960.11 ","$9,500.29 ","$6,267.80 ","$9,500.29 ","$5,641.02 ","$5,641.02 ","$9,500.29 ","$5,641.02 ","$11,396.00 ","$3,500.00 ","$7,122.50 ","$9,116.80 ","$24,235.43 ","$9,500.29 ","$7,977.20 ","$9,500.29 ","$6,837.60 ","$9,690.29 ","$8,547.00 ","$6,290.59 ","$5,675.21 ","$6,290.59 ","$9,500.29 ","$6,290.59 ","$9,230.76 ","$11,396.00 ","$9,230.76 ","$9,686.60 ","$11,396.00 ","$5,180.00 ","$9,500.29 ","$11,396.00 ","$6,393.16 ","$9,500.29 ","$2,985.75 ","$11,396.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$9,116.80 ","$5,641.02 ","$3,190.88 ","$10,256.40 ","$3,323.00 ","$11,396.00 ","$9,500.29 ","$5,470.08 "
ST. MARY'S HOSPITAL - DECATUR,48100009,33215,HC REPOSITION PACE/DEFIB LEAD 33215,481,1 ,"$4,310.00 ","$3,103.20 ","$1,129.22 ","$6,989.86 ","$6,989.85 ","$4,310.00 ","$2,370.50 ","$2,740.02 ","$1,206.80 ","$2,254.13 ","$2,740.02 ","$2,370.50 ","$2,740.02 ","$2,133.45 ","$2,133.45 ","$2,740.02 ","$2,133.45 ","$4,310.00 ","$3,017.00 ","$2,693.75 ","$3,448.00 ","$6,989.86 ","$2,740.02 ","$3,017.00 ","$2,740.02 ","$2,586.00 ","$2,794.82 ","$3,232.50 ","$2,379.12 ","$2,146.38 ","$2,379.12 ","$2,740.02 ","$2,379.12 ","$3,491.10 ","$4,310.00 ","$3,491.10 ","$3,663.50 ","$4,310.00 ","$2,986.83 ","$2,740.02 ","$4,310.00 ","$2,417.91 ","$2,740.02 ","$1,129.22 ","$4,310.00 ","$4,212.87 ","$4,021.37 ","$2,877.03 ","$3,448.00 ","$2,133.45 ","$1,206.80 ","$3,879.00 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$2,068.80 "
ST. MARY'S HOSPITAL - DECATUR,48100010,33216,HC INS ELECTRODE SGL CHAMBER 33216,481,1 ,"$6,156.00 ","$4,432.32 ","$1,612.87 ","$19,153.13 ","$19,153.13 ","$6,156.00 ","$3,385.80 ","$7,508.02 ","$1,723.68 ","$3,219.59 ","$7,508.02 ","$3,385.80 ","$6,032.88 ","$3,047.22 ","$3,047.22 ","$6,032.88 ","$3,047.22 ","$6,156.00 ","$3,500.00 ","$3,847.50 ","$4,924.80 ","$19,153.12 ","$7,508.02 ","$4,309.20 ","$7,508.02 ","$3,693.60 ","$6,032.88 ","$4,617.00 ","$3,398.11 ","$3,065.69 ","$3,398.11 ","$7,508.02 ","$3,398.11 ","$4,986.36 ","$6,156.00 ","$4,986.36 ","$5,232.60 ","$6,156.00 ","$4,266.11 ","$6,032.88 ","$6,156.00 ","$3,453.52 ","$7,508.02 ","$1,612.87 ","$6,156.00 ","$2,254.60 ","$2,152.12 ","$7,883.42 ","$4,924.80 ","$3,047.22 ","$1,723.68 ","$5,540.40 ","$2,975.00 ","$5,460.00 ","$7,508.02 ","$2,954.88 "
ST. MARY'S HOSPITAL - DECATUR,48100011,33217,HC INS ELECTRODE DUAL CHAMBER 33217,481,1 ,"$6,328.00 ","$4,556.16 ","$1,657.94 ","$19,153.13 ","$19,153.13 ","$6,328.00 ","$3,480.40 ","$7,508.02 ","$1,771.84 ","$3,309.54 ","$7,508.02 ","$3,480.40 ","$6,201.44 ","$3,132.36 ","$3,132.36 ","$6,201.44 ","$3,132.36 ","$6,328.00 ","$3,500.00 ","$3,955.00 ","$5,062.40 ","$19,153.12 ","$7,508.02 ","$4,429.60 ","$7,508.02 ","$3,796.80 ","$6,201.44 ","$4,746.00 ","$3,493.06 ","$3,151.34 ","$3,493.06 ","$7,508.02 ","$3,493.06 ","$5,125.68 ","$6,328.00 ","$5,125.68 ","$5,378.80 ","$6,328.00 ","$4,385.30 ","$6,201.44 ","$6,328.00 ","$3,550.01 ","$7,508.02 ","$1,657.94 ","$6,328.00 ","$2,254.60 ","$2,152.12 ","$7,883.42 ","$5,062.40 ","$3,132.36 ","$1,771.84 ","$5,695.20 ","$2,975.00 ","$5,460.00 ","$7,508.02 ","$3,037.44 "
ST. MARY'S HOSPITAL - DECATUR,48100012,33222,HC REVISE PACEMAKER POCKET 33222,481,1 ,"$3,649.00 ","$2,627.28 ",$956.04 ,"$4,049.56 ","$4,049.55 ","$3,649.00 ","$2,006.95 ","$1,587.42 ","$1,021.72 ","$1,908.43 ","$1,587.42 ","$2,006.95 ","$1,587.42 ","$1,806.26 ","$1,806.26 ","$1,587.42 ","$1,806.26 ","$3,272.04 ","$2,554.30 ","$2,280.63 ","$2,919.20 ","$4,049.56 ","$1,587.42 ","$2,554.30 ","$1,587.42 ","$2,189.40 ","$1,619.18 ","$2,736.75 ","$2,014.25 ","$1,817.20 ","$2,014.25 ","$1,587.42 ","$2,014.25 ","$2,955.69 ","$3,649.00 ","$2,955.69 ","$3,101.65 ","$3,649.00 ","$2,528.76 ","$1,587.42 ","$3,649.00 ","$2,047.09 ","$1,587.42 ",$956.04 ,"$3,649.00 ","$1,268.20 ","$1,210.56 ","$1,666.79 ","$2,919.20 ","$1,806.26 ","$1,021.72 ","$3,284.10 ","$1,866.00 ","$2,248.00 ","$1,587.42 ","$1,751.52 "
ST. MARY'S HOSPITAL - DECATUR,48100013,33223,HC REVISE C-D POCKET 33223,481,1 ,"$3,656.00 ","$2,632.32 ",$957.87 ,"$4,049.56 ","$4,049.55 ","$3,656.00 ","$2,010.80 ","$1,587.42 ","$1,023.68 ","$1,912.09 ","$1,587.42 ","$2,010.80 ","$1,587.42 ","$1,809.72 ","$1,809.72 ","$1,587.42 ","$1,809.72 ","$3,272.04 ","$2,559.20 ","$2,285.00 ","$2,924.80 ","$4,049.56 ","$1,587.42 ","$2,559.20 ","$1,587.42 ","$2,193.60 ","$1,619.18 ","$2,742.00 ","$2,018.11 ","$1,820.69 ","$2,018.11 ","$1,587.42 ","$2,018.11 ","$2,961.36 ","$3,656.00 ","$2,961.36 ","$3,107.60 ","$3,656.00 ","$2,533.61 ","$1,587.42 ","$3,656.00 ","$2,051.02 ","$1,587.42 ",$957.87 ,"$3,656.00 ","$1,268.20 ","$1,210.56 ","$1,666.79 ","$2,924.80 ","$1,809.72 ","$1,023.68 ","$3,290.40 ","$1,866.00 ","$2,248.00 ","$1,587.42 ","$1,754.88 "
ST. MARY'S HOSPITAL - DECATUR,48100014,33224,HC INSERT LV PACING ELECTRODE 33224,481,1 ,"$7,699.00 ","$5,543.28 ","$2,017.14 ","$24,235.43 ","$24,235.43 ","$5,830.00 ","$4,234.45 ","$9,500.29 ","$2,155.72 ","$4,026.58 ","$9,500.29 ","$4,234.45 ","$7,545.02 ","$3,811.01 ","$3,811.01 ","$7,545.02 ","$3,811.01 ","$7,699.00 ","$3,500.00 ","$4,811.88 ","$6,159.20 ","$24,235.43 ","$9,500.29 ","$5,389.30 ","$9,500.29 ","$4,619.40 ","$7,545.02 ","$5,774.25 ","$4,249.85 ","$3,834.10 ","$4,249.85 ","$9,500.29 ","$4,249.85 ","$6,236.19 ","$7,699.00 ","$6,236.19 ","$6,544.15 ","$7,699.00 ","$5,180.00 ","$7,545.02 ","$7,699.00 ","$4,319.14 ","$9,500.29 ","$2,017.14 ","$7,699.00 ","$7,699.00 ","$7,413.93 ","$9,975.30 ","$6,159.20 ","$3,811.01 ","$2,155.72 ","$6,929.10 ","$3,323.00 ","$7,699.00 ","$9,500.29 ","$3,695.52 "
ST. MARY'S HOSPITAL - DECATUR,48100015,33225,HC INS LV PACING ELCT W/C-D/PACE 33225,481,1 ,"$6,400.00 ","$4,608.00 ","$1,676.80 ","$6,400.00 ", N/A ,"$6,400.00 ","$3,520.00 ", N/A ,"$1,792.00 ","$3,347.20 ", N/A ,"$3,520.00 ", N/A ,"$3,168.00 ","$3,168.00 ", N/A ,"$3,168.00 ", N/A ,"$3,500.00 ","$4,000.00 ","$5,120.00 ", N/A , N/A ,"$4,480.00 ", N/A ,"$3,840.00 ", N/A ,"$4,800.00 ","$3,532.80 ","$3,187.20 ","$3,532.80 ", N/A ,"$3,532.80 ","$5,184.00 ","$6,400.00 ","$5,184.00 ","$5,440.00 ", N/A ,"$4,435.20 ", N/A ,"$6,400.00 ","$3,590.40 ", N/A ,"$1,676.80 ","$6,400.00 ", N/A , N/A , N/A ,"$5,120.00 ","$3,168.00 ","$1,792.00 ","$5,760.00 ","$3,323.00 ","$6,400.00 ", N/A ,"$3,072.00 "
ST. MARY'S HOSPITAL - DECATUR,48100016,33226,HC REPOSITION LV ELECTRODE 33226,481,1 ,"$4,304.00 ","$3,098.88 ","$1,127.65 ","$6,989.86 ","$6,989.85 ","$4,304.00 ","$2,367.20 ","$2,740.02 ","$1,205.12 ","$2,250.99 ","$2,740.02 ","$2,367.20 ","$2,740.02 ","$2,130.48 ","$2,130.48 ","$2,740.02 ","$2,130.48 ","$4,304.00 ","$3,012.80 ","$2,690.00 ","$3,443.20 ","$6,989.86 ","$2,740.02 ","$3,012.80 ","$2,740.02 ","$2,582.40 ","$2,794.82 ","$3,228.00 ","$2,375.81 ","$2,143.39 ","$2,375.81 ","$2,740.02 ","$2,375.81 ","$3,486.24 ","$4,304.00 ","$3,486.24 ","$3,658.40 ","$4,304.00 ","$2,982.67 ","$2,740.02 ","$4,304.00 ","$2,414.54 ","$2,740.02 ","$1,127.65 ","$4,304.00 ","$4,212.87 ","$4,021.37 ","$2,877.03 ","$3,443.20 ","$2,130.48 ","$1,205.12 ","$3,873.60 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$2,065.92 "
ST. MARY'S HOSPITAL - DECATUR,48100017,33233,HC REMOVE PPM 33233,481,1 ,"$2,474.00 ","$1,781.28 ",$648.19 ,"$19,153.13 ","$19,153.13 ","$2,474.00 ","$1,360.70 ","$7,508.02 ",$692.72 ,"$1,293.90 ","$7,508.02 ","$1,360.70 ","$2,424.52 ","$1,224.63 ","$1,224.63 ","$2,424.52 ","$1,224.63 ","$2,474.00 ","$1,731.80 ","$1,546.25 ","$1,979.20 ","$19,153.12 ","$7,508.02 ","$1,731.80 ","$7,508.02 ","$1,484.40 ","$2,424.52 ","$1,855.50 ","$1,365.65 ","$1,232.05 ","$1,365.65 ","$7,508.02 ","$1,365.65 ","$2,003.94 ","$2,474.00 ","$2,003.94 ","$2,102.90 ","$2,474.00 ","$1,714.48 ","$2,424.52 ","$2,474.00 ","$1,387.91 ","$7,508.02 ",$648.19 ,"$2,474.00 ","$2,474.00 ","$4,021.37 ","$7,883.42 ","$1,979.20 ","$1,224.63 ",$692.72 ,"$2,226.60 ","$2,474.00 ","$2,474.00 ","$7,508.02 ","$1,187.52 "
ST. MARY'S HOSPITAL - DECATUR,48100018,33234,HC REMOVE ELECTRODE SGL 33234,481,1 ,"$4,605.00 ","$3,315.60 ","$1,206.51 ","$7,862.63 ","$7,862.63 ","$4,605.00 ","$2,532.75 ","$3,082.15 ","$1,289.40 ","$2,408.42 ","$3,082.15 ","$2,532.75 ","$3,082.15 ","$2,279.48 ","$2,279.48 ","$3,082.15 ","$2,279.48 ","$4,605.00 ","$3,223.50 ","$2,878.13 ","$3,684.00 ","$7,862.62 ","$3,082.15 ","$3,223.50 ","$3,082.15 ","$2,763.00 ","$3,143.79 ","$3,453.75 ","$2,541.96 ","$2,293.29 ","$2,541.96 ","$3,082.15 ","$2,541.96 ","$3,730.05 ","$4,605.00 ","$3,730.05 ","$3,914.25 ","$4,605.00 ","$3,191.27 ","$3,082.15 ","$4,605.00 ","$2,583.41 ","$3,082.15 ","$1,206.51 ","$4,605.00 ","$4,212.87 ","$4,021.37 ","$3,236.25 ","$3,684.00 ","$2,279.48 ","$1,289.40 ","$4,144.50 ","$2,747.00 ","$3,479.00 ","$3,082.15 ","$2,210.40 "
ST. MARY'S HOSPITAL - DECATUR,48100019,33235,HC REMOVE ELECTRODE DUAL 33235,481,1 ,"$2,722.00 ","$1,959.84 ",$713.16 ,"$7,862.63 ","$7,862.63 ","$2,722.00 ","$1,497.10 ","$3,082.15 ",$762.16 ,"$1,423.61 ","$3,082.15 ","$1,497.10 ","$2,667.56 ","$1,347.39 ","$1,347.39 ","$2,667.56 ","$1,347.39 ","$2,722.00 ","$1,905.40 ","$1,701.25 ","$2,177.60 ","$7,862.62 ","$3,082.15 ","$1,905.40 ","$3,082.15 ","$1,633.20 ","$2,667.56 ","$2,041.50 ","$1,502.54 ","$1,355.56 ","$1,502.54 ","$3,082.15 ","$1,502.54 ","$2,204.82 ","$2,722.00 ","$2,204.82 ","$2,313.70 ","$2,722.00 ","$1,886.35 ","$2,667.56 ","$2,722.00 ","$1,527.04 ","$3,082.15 ",$713.16 ,"$2,722.00 ","$2,722.00 ","$4,021.37 ","$3,236.25 ","$2,177.60 ","$1,347.39 ",$762.16 ,"$2,449.80 ","$2,722.00 ","$2,722.00 ","$3,082.15 ","$1,306.56 "
ST. MARY'S HOSPITAL - DECATUR,48100020,33240,HC INSERT SGL/DUAL CHAMBER C-D 33240,481,1 ,"$1,901.00 ","$1,368.72 ",$498.06 ,"$53,540.91 ","$53,540.90 ","$1,901.00 ","$1,045.55 ","$20,988.03 ",$532.28 ,$994.22 ,"$20,988.03 ","$1,045.55 ","$1,862.98 ",$941.00 ,$941.00 ,"$1,862.98 ",$941.00 ,"$1,901.00 ","$1,330.70 ","$1,188.13 ","$1,520.80 ","$53,540.91 ","$20,988.03 ","$1,330.70 ","$20,988.03 ","$1,140.60 ","$1,862.98 ","$1,425.75 ","$1,049.35 ",$946.70 ,"$1,049.35 ","$20,988.03 ","$1,049.35 ","$1,539.81 ","$1,901.00 ","$1,539.81 ","$1,615.85 ","$1,901.00 ","$1,317.39 ","$1,862.98 ","$1,901.00 ","$1,066.46 ","$20,988.03 ",$498.06 ,"$1,901.00 ","$1,901.00 ","$15,937.34 ","$22,037.44 ","$1,520.80 ",$941.00 ,$532.28 ,"$1,710.90 ","$1,901.00 ","$1,901.00 ","$20,988.03 ",$912.48 
ST. MARY'S HOSPITAL - DECATUR,48100022,33241,HC REMOVE C-D PULSE GENERATOR 33241,481,1 ,"$3,765.00 ","$2,710.80 ",$986.43 ,"$7,862.63 ","$7,862.63 ","$3,765.00 ","$2,070.75 ","$3,082.15 ","$1,054.20 ","$1,969.10 ","$3,082.15 ","$2,070.75 ","$3,082.15 ","$1,863.68 ","$1,863.68 ","$3,082.15 ","$1,863.68 ","$3,765.00 ","$2,635.50 ","$2,353.13 ","$3,012.00 ","$7,862.62 ","$3,082.15 ","$2,635.50 ","$3,082.15 ","$2,259.00 ","$3,143.79 ","$2,823.75 ","$2,078.28 ","$1,874.97 ","$2,078.28 ","$3,082.15 ","$2,078.28 ","$3,049.65 ","$3,765.00 ","$3,049.65 ","$3,200.25 ","$3,765.00 ","$2,609.15 ","$3,082.15 ","$3,765.00 ","$2,112.17 ","$3,082.15 ",$986.43 ,"$3,765.00 ","$3,765.00 ","$4,021.37 ","$3,236.25 ","$3,012.00 ","$1,863.68 ","$1,054.20 ","$3,388.50 ","$2,747.00 ","$3,479.00 ","$3,082.15 ","$1,807.20 "
ST. MARY'S HOSPITAL - DECATUR,48100023,33244,HC REMOVE C-D ELECTRODES 33244,481,1 ,"$3,305.00 ","$2,379.60 ",$865.91 ,"$7,862.63 ","$7,862.63 ","$3,305.00 ","$1,817.75 ","$3,082.15 ",$925.40 ,"$1,728.52 ","$3,082.15 ","$1,817.75 ","$3,082.15 ","$1,635.98 ","$1,635.98 ","$3,082.15 ","$1,635.98 ","$3,305.00 ","$2,313.50 ","$2,065.63 ","$2,644.00 ","$7,862.62 ","$3,082.15 ","$2,313.50 ","$3,082.15 ","$1,983.00 ","$3,143.79 ","$2,478.75 ","$1,824.36 ","$1,645.89 ","$1,824.36 ","$3,082.15 ","$1,824.36 ","$2,677.05 ","$3,305.00 ","$2,677.05 ","$2,809.25 ","$3,305.00 ","$2,290.37 ","$3,082.15 ","$3,305.00 ","$1,854.11 ","$3,082.15 ",$865.91 ,"$3,305.00 ","$3,305.00 ","$4,021.37 ","$3,236.25 ","$2,644.00 ","$1,635.98 ",$925.40 ,"$2,974.50 ","$2,747.00 ","$3,305.00 ","$3,082.15 ","$1,586.40 "
ST. MARY'S HOSPITAL - DECATUR,48100024,33249,HC INS/REPOS DEFIB LEAD/GEN 33249,481,1 ,"$38,720.00 ","$27,878.40 ","$3,500.00 ","$75,263.90 ","$75,263.90 ","$13,080.00 ","$21,296.00 ","$29,503.45 ","$10,841.60 ","$20,250.56 ","$29,503.45 ","$21,296.00 ","$29,503.45 ","$19,166.40 ","$19,166.40 ","$29,503.45 ","$19,166.40 ","$38,720.00 ","$3,500.00 ","$24,200.00 ","$30,976.00 ","$75,263.90 ","$29,503.45 ","$27,104.00 ","$29,503.45 ","$23,232.00 ","$30,093.52 ","$29,040.00 ","$13,749.66 ","$13,831.30 ","$13,749.66 ","$29,503.45 ","$13,749.66 ","$31,363.20 ","$38,720.00 ","$31,363.20 ","$32,912.00 ","$38,720.00 ","$5,180.00 ","$29,503.45 ","$38,720.00 ","$21,721.92 ","$29,503.45 ","$10,144.64 ","$38,720.00 ","$16,696.26 ","$15,937.34 ","$30,978.62 ","$30,976.00 ","$19,166.40 ","$10,841.60 ","$34,848.00 ","$4,795.00 ","$21,412.00 ","$29,503.45 ","$18,585.60 "
ST. MARY'S HOSPITAL - DECATUR,48100028,33285,HC IMPLANT CARDIAC EVENT RECORDER,481,1 ,"$5,815.00 ","$4,186.80 ","$1,523.53 ","$19,153.13 ","$19,153.13 ","$3,000.00 ","$3,198.25 ","$7,508.02 ","$1,628.20 ","$3,041.25 ","$7,508.02 ","$3,198.25 ","$5,698.70 ","$2,878.43 ","$2,878.43 ","$5,698.70 ","$2,878.43 ","$5,815.00 ","$3,500.00 ","$3,634.38 ","$4,652.00 ","$19,153.12 ","$7,508.02 ","$4,070.50 ","$7,508.02 ","$3,489.00 ","$5,698.70 ","$4,361.25 ","$3,209.88 ","$2,895.87 ","$3,209.88 ","$7,508.02 ","$3,209.88 ","$4,710.15 ","$5,815.00 ","$4,710.15 ","$4,942.75 ","$5,815.00 ","$4,029.80 ","$5,698.70 ","$5,815.00 ","$3,262.22 ","$7,508.02 ","$1,523.53 ","$5,815.00 ","$2,880.71 ","$2,749.77 ","$7,883.42 ","$4,652.00 ","$2,878.43 ","$1,628.20 ","$5,233.50 ","$3,372.00 ","$5,815.00 ","$7,508.02 ","$2,791.20 "
ST. MARY'S HOSPITAL - DECATUR,48100029,33286,HC REMOVE CARDIAC EVENT RECORDER,481,1 ,"$2,688.00 ","$1,935.36 ",$445.10 ,"$2,688.00 ","$1,522.75 ","$2,688.00 ","$1,478.40 ",$596.92 ,$752.64 ,"$1,405.82 ",$596.92 ,"$1,478.40 ",$596.92 ,"$1,330.56 ","$1,330.56 ",$596.92 ,"$1,330.56 ","$1,230.38 ","$1,881.60 ","$1,680.00 ","$2,150.40 ","$1,522.74 ",$596.92 ,"$1,881.60 ",$596.92 ,"$1,612.80 ",$608.85 ,"$2,016.00 ","$1,483.78 ","$1,338.62 ","$1,483.78 ",$596.92 ,"$1,483.78 ","$2,177.28 ","$2,688.00 ","$2,177.28 ","$2,284.80 ","$1,522.74 ","$1,862.78 ",$596.92 ,"$2,688.00 ","$1,507.97 ",$596.92 ,$704.26 ,"$2,688.00 ",$466.29 ,$445.10 ,$626.77 ,"$2,150.40 ","$1,330.56 ",$752.64 ,"$2,419.20 ","$1,543.00 ","$1,784.00 ",$596.92 ,"$1,290.24 "
ST. MARY'S HOSPITAL - DECATUR,48100030,33967,HC IABP INSERTION 33967,481,1 ,"$3,755.00 ","$2,703.60 ",$983.81 ,"$3,755.00 ", N/A ,"$3,755.00 ","$2,065.25 ", N/A ,"$1,051.40 ","$1,963.87 ", N/A ,"$2,065.25 ", N/A ,"$1,858.73 ","$1,858.73 ", N/A ,"$1,858.73 ", N/A ,"$2,628.50 ","$2,346.88 ","$3,004.00 ", N/A , N/A ,"$2,628.50 ", N/A ,"$2,253.00 ", N/A ,"$2,816.25 ","$2,072.76 ","$1,869.99 ","$2,072.76 ", N/A ,"$2,072.76 ","$3,041.55 ","$3,755.00 ","$3,041.55 ","$3,191.75 ", N/A ,"$2,602.22 ", N/A ,"$3,755.00 ","$2,106.56 ", N/A ,$983.81 ,"$3,755.00 ", N/A , N/A , N/A ,"$3,004.00 ","$1,858.73 ","$1,051.40 ","$3,379.50 ","$3,755.00 ","$3,755.00 ", N/A ,"$1,802.40 "
ST. MARY'S HOSPITAL - DECATUR,48100034,35226,HC REPAIR BLOOD VESSEL,481,1 ,"$2,840.00 ","$2,044.80 ",$342.22 ,"$2,840.00 ","$1,522.75 ","$2,840.00 ","$1,562.00 ",$596.92 ,$795.20 ,"$1,485.32 ",$596.92 ,"$1,562.00 ",$596.92 ,"$1,405.80 ","$1,405.80 ",$596.92 ,"$1,405.80 ","$1,230.38 ","$1,988.00 ","$1,775.00 ","$2,272.00 ","$1,522.74 ",$596.92 ,"$1,988.00 ",$596.92 ,"$1,704.00 ",$608.85 ,"$2,130.00 ","$1,567.68 ","$1,414.32 ","$1,567.68 ",$596.92 ,"$1,567.68 ","$2,300.40 ","$2,840.00 ","$2,300.40 ","$2,414.00 ","$1,522.74 ","$1,968.12 ",$596.92 ,"$2,840.00 ","$1,593.24 ",$596.92 ,$744.08 ,"$2,840.00 ",$358.51 ,$342.22 ,$626.77 ,"$2,272.00 ","$1,405.80 ",$795.20 ,"$2,556.00 ","$1,543.00 ","$1,784.00 ",$596.92 ,"$1,363.20 "
ST. MARY'S HOSPITAL - DECATUR,48100039,36010,HC INTRO CATH VENA CAVA SUP/IN,481,1 ,"$2,464.00 ","$1,774.08 ",$645.57 ,"$2,464.00 ", N/A ,"$2,464.00 ","$1,355.20 ", N/A ,$689.92 ,"$1,288.67 ", N/A ,"$1,355.20 ", N/A ,"$1,219.68 ","$1,219.68 ", N/A ,"$1,219.68 ", N/A ,"$1,724.80 ","$1,540.00 ","$1,971.20 ", N/A , N/A ,"$1,724.80 ", N/A ,"$1,478.40 ", N/A ,"$1,848.00 ","$1,360.13 ","$1,227.07 ","$1,360.13 ", N/A ,"$1,360.13 ","$1,995.84 ","$2,464.00 ","$1,995.84 ","$2,094.40 ", N/A ,"$1,707.55 ", N/A ,"$2,464.00 ","$1,382.30 ", N/A ,$645.57 ,"$2,464.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$1,971.20 ","$1,219.68 ",$689.92 ,"$2,217.60 ",$766.00 ,$964.00 , N/A ,"$1,182.72 "
ST. MARY'S HOSPITAL - DECATUR,48100040,36011,"HC CATH PLCMT VENOUS, 1ST ORDER",481,1 ,"$1,515.00 ","$1,090.80 ",$396.93 ,"$1,848.13 ", N/A ,"$1,515.00 ",$833.25 , N/A ,$424.20 ,$792.35 , N/A ,$833.25 , N/A ,$749.93 ,$749.93 , N/A ,$749.93 , N/A ,"$1,060.50 ",$946.88 ,"$1,212.00 ", N/A , N/A ,"$1,060.50 ", N/A ,$909.00 , N/A ,"$1,136.25 ",$836.28 ,$754.47 ,$836.28 , N/A ,$836.28 ,"$1,227.15 ","$1,515.00 ","$1,227.15 ","$1,287.75 ", N/A ,"$1,049.90 ", N/A ,"$1,515.00 ",$849.92 , N/A ,$396.93 ,"$1,515.00 ","$1,515.00 ","$1,848.13 ", N/A ,"$1,212.00 ",$749.93 ,$424.20 ,"$1,363.50 ",$766.00 ,$964.00 , N/A ,$727.20 
ST. MARY'S HOSPITAL - DECATUR,48100041,36012,"HC CATH PLCMT VENOUS, 2ND ORDER",481,1 ,"$1,566.00 ","$1,127.52 ",$410.29 ,"$1,848.13 ", N/A ,"$1,566.00 ",$861.30 , N/A ,$438.48 ,$819.02 , N/A ,$861.30 , N/A ,$775.17 ,$775.17 , N/A ,$775.17 , N/A ,"$1,096.20 ",$978.75 ,"$1,252.80 ", N/A , N/A ,"$1,096.20 ", N/A ,$939.60 , N/A ,"$1,174.50 ",$864.43 ,$779.87 ,$864.43 , N/A ,$864.43 ,"$1,268.46 ","$1,566.00 ","$1,268.46 ","$1,331.10 ", N/A ,"$1,085.24 ", N/A ,"$1,566.00 ",$878.53 , N/A ,$410.29 ,"$1,566.00 ","$1,566.00 ","$1,848.13 ", N/A ,"$1,252.80 ",$775.17 ,$438.48 ,"$1,409.40 ",$766.00 ,$964.00 , N/A ,$751.68 
ST. MARY'S HOSPITAL - DECATUR,48100042,36013,HC INTRO CATH ARTERY HEART/PULM,481,1 ,$883.00 ,$635.76 ,$231.35 ,"$1,848.13 ", N/A ,$883.00 ,$485.65 , N/A ,$247.24 ,$461.81 , N/A ,$485.65 , N/A ,$437.09 ,$437.09 , N/A ,$437.09 , N/A ,$618.10 ,$551.88 ,$706.40 , N/A , N/A ,$618.10 , N/A ,$529.80 , N/A ,$662.25 ,$487.42 ,$439.73 ,$487.42 , N/A ,$487.42 ,$715.23 ,$883.00 ,$715.23 ,$750.55 , N/A ,$611.92 , N/A ,$883.00 ,$495.36 , N/A ,$231.35 ,$883.00 ,$883.00 ,"$1,848.13 ", N/A ,$706.40 ,$437.09 ,$247.24 ,$794.70 ,$766.00 ,$883.00 , N/A ,$423.84 
ST. MARY'S HOSPITAL - DECATUR,48100047,36140,HC INTRO NDL/CATH ARTERY EXTREM 36140,481,1 ,"$2,576.00 ","$1,854.72 ",$674.91 ,"$2,576.00 ", N/A ,"$2,576.00 ","$1,416.80 ", N/A ,$721.28 ,"$1,347.25 ", N/A ,"$1,416.80 ", N/A ,"$1,275.12 ","$1,275.12 ", N/A ,"$1,275.12 ", N/A ,"$1,803.20 ","$1,610.00 ","$2,060.80 ", N/A , N/A ,"$1,803.20 ", N/A ,"$1,545.60 ", N/A ,"$1,932.00 ","$1,421.95 ","$1,282.85 ","$1,421.95 ", N/A ,"$1,421.95 ","$2,086.56 ","$2,576.00 ","$2,086.56 ","$2,189.60 ", N/A ,"$1,785.17 ", N/A ,"$2,576.00 ","$1,445.14 ", N/A ,$674.91 ,"$2,576.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,060.80 ","$1,275.12 ",$721.28 ,"$2,318.40 ",$766.00 ,$964.00 , N/A ,"$1,236.48 "
ST. MARY'S HOSPITAL - DECATUR,48100051,36200,HC INTRO CATH AORTA 36200,481,1 ,"$6,267.00 ","$4,512.24 ",$766.00 ,"$6,267.00 ", N/A ,"$3,800.00 ","$3,446.85 ", N/A ,"$1,754.76 ","$3,277.64 ", N/A ,"$3,446.85 ", N/A ,"$3,102.17 ","$3,102.17 ", N/A ,"$3,102.17 ", N/A ,"$3,500.00 ","$3,916.88 ","$5,013.60 ", N/A , N/A ,"$4,386.90 ", N/A ,"$3,760.20 ", N/A ,"$4,700.25 ","$3,459.38 ","$3,120.97 ","$3,459.38 ", N/A ,"$3,459.38 ","$5,076.27 ","$6,267.00 ","$5,076.27 ","$5,326.95 ", N/A ,"$4,343.03 ", N/A ,"$6,267.00 ","$3,515.79 ", N/A ,"$1,641.95 ","$6,267.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$5,013.60 ","$3,102.17 ","$1,754.76 ","$5,640.30 ",$766.00 ,$964.00 , N/A ,"$3,008.16 "
ST. MARY'S HOSPITAL - DECATUR,48100052,36215,HC PLACE CATH THOR/BRAC 1ST ORDER 36215,481,1 ,"$3,139.00 ","$2,260.08 ",$766.00 ,"$3,139.00 ", N/A ,"$3,139.00 ","$1,726.45 ", N/A ,$878.92 ,"$1,641.70 ", N/A ,"$1,726.45 ", N/A ,"$1,553.81 ","$1,553.81 ", N/A ,"$1,553.81 ", N/A ,"$2,197.30 ","$1,961.88 ","$2,511.20 ", N/A , N/A ,"$2,197.30 ", N/A ,"$1,883.40 ", N/A ,"$2,354.25 ","$1,732.73 ","$1,563.22 ","$1,732.73 ", N/A ,"$1,732.73 ","$2,542.59 ","$3,139.00 ","$2,542.59 ","$2,668.15 ", N/A ,"$2,175.33 ", N/A ,"$3,139.00 ","$1,760.98 ", N/A ,$822.42 ,"$3,139.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,511.20 ","$1,553.81 ",$878.92 ,"$2,825.10 ",$766.00 ,$964.00 , N/A ,"$1,506.72 "
ST. MARY'S HOSPITAL - DECATUR,48100053,36216,HC PL CATH THOR/BRAC 2ND ORDER 36216,481,1 ,"$1,985.00 ","$1,429.20 ",$520.07 ,"$1,985.00 ", N/A ,"$1,985.00 ","$1,091.75 ", N/A ,$555.80 ,"$1,038.16 ", N/A ,"$1,091.75 ", N/A ,$982.58 ,$982.58 , N/A ,$982.58 , N/A ,"$1,389.50 ","$1,240.63 ","$1,588.00 ", N/A , N/A ,"$1,389.50 ", N/A ,"$1,191.00 ", N/A ,"$1,488.75 ","$1,095.72 ",$988.53 ,"$1,095.72 ", N/A ,"$1,095.72 ","$1,607.85 ","$1,985.00 ","$1,607.85 ","$1,687.25 ", N/A ,"$1,375.61 ", N/A ,"$1,985.00 ","$1,113.59 ", N/A ,$520.07 ,"$1,985.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$1,588.00 ",$982.58 ,$555.80 ,"$1,786.50 ",$766.00 ,$964.00 , N/A ,$952.80 
ST. MARY'S HOSPITAL - DECATUR,48100054,36217,HC PL CATH THOR/BRAC 3RD ORDER 36217,481,1 ,"$2,036.00 ","$1,465.92 ",$533.43 ,"$2,036.00 ", N/A ,"$2,036.00 ","$1,119.80 ", N/A ,$570.08 ,"$1,064.83 ", N/A ,"$1,119.80 ", N/A ,"$1,007.82 ","$1,007.82 ", N/A ,"$1,007.82 ", N/A ,"$1,425.20 ","$1,272.50 ","$1,628.80 ", N/A , N/A ,"$1,425.20 ", N/A ,"$1,221.60 ", N/A ,"$1,527.00 ","$1,123.87 ","$1,013.93 ","$1,123.87 ", N/A ,"$1,123.87 ","$1,649.16 ","$2,036.00 ","$1,649.16 ","$1,730.60 ", N/A ,"$1,410.95 ", N/A ,"$2,036.00 ","$1,142.20 ", N/A ,$533.43 ,"$2,036.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$1,628.80 ","$1,007.82 ",$570.08 ,"$1,832.40 ",$766.00 ,$964.00 , N/A ,$977.28 
ST. MARY'S HOSPITAL - DECATUR,48100055,36218,HC PL CATH THOR/BRAC ADDL 36218,481,1 ,"$1,086.00 ",$781.92 ,$284.53 ,"$1,848.13 ", N/A ,"$1,086.00 ",$597.30 , N/A ,$304.08 ,$567.98 , N/A ,$597.30 , N/A ,$537.57 ,$537.57 , N/A ,$537.57 , N/A ,$760.20 ,$678.75 ,$868.80 , N/A , N/A ,$760.20 , N/A ,$651.60 , N/A ,$814.50 ,$599.47 ,$540.83 ,$599.47 , N/A ,$599.47 ,$879.66 ,"$1,086.00 ",$879.66 ,$923.10 , N/A ,$752.60 , N/A ,"$1,086.00 ",$609.25 , N/A ,$284.53 ,"$1,086.00 ","$1,086.00 ","$1,848.13 ", N/A ,$868.80 ,$537.57 ,$304.08 ,$977.40 ,$766.00 ,$964.00 , N/A ,$521.28 
ST. MARY'S HOSPITAL - DECATUR,48100056,36245,HC ABD 1ST ORDER 36245,481,1 ,"$3,031.00 ","$2,182.32 ",$766.00 ,"$3,031.00 ", N/A ,"$3,031.00 ","$1,667.05 ", N/A ,$848.68 ,"$1,585.21 ", N/A ,"$1,667.05 ", N/A ,"$1,500.35 ","$1,500.35 ", N/A ,"$1,500.35 ", N/A ,"$2,121.70 ","$1,894.38 ","$2,424.80 ", N/A , N/A ,"$2,121.70 ", N/A ,"$1,818.60 ", N/A ,"$2,273.25 ","$1,673.11 ","$1,509.44 ","$1,673.11 ", N/A ,"$1,673.11 ","$2,455.11 ","$3,031.00 ","$2,455.11 ","$2,576.35 ", N/A ,"$2,100.48 ", N/A ,"$3,031.00 ","$1,700.39 ", N/A ,$794.12 ,"$3,031.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,424.80 ","$1,500.35 ",$848.68 ,"$2,727.90 ",$766.00 ,$964.00 , N/A ,"$1,454.88 "
ST. MARY'S HOSPITAL - DECATUR,48100057,36246,HC ABD INITIAL 2ND ORDER 36246,481,1 ,"$3,157.00 ","$2,273.04 ",$766.00 ,"$3,157.00 ", N/A ,"$3,157.00 ","$1,736.35 ", N/A ,$883.96 ,"$1,651.11 ", N/A ,"$1,736.35 ", N/A ,"$1,562.72 ","$1,562.72 ", N/A ,"$1,562.72 ", N/A ,"$2,209.90 ","$1,973.13 ","$2,525.60 ", N/A , N/A ,"$2,209.90 ", N/A ,"$1,894.20 ", N/A ,"$2,367.75 ","$1,742.66 ","$1,572.19 ","$1,742.66 ", N/A ,"$1,742.66 ","$2,557.17 ","$3,157.00 ","$2,557.17 ","$2,683.45 ", N/A ,"$2,187.80 ", N/A ,"$3,157.00 ","$1,771.08 ", N/A ,$827.13 ,"$3,157.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,525.60 ","$1,562.72 ",$883.96 ,"$2,841.30 ",$766.00 ,$964.00 , N/A ,"$1,515.36 "
ST. MARY'S HOSPITAL - DECATUR,48100058,36247,HC ABD INT 3RD/PLUS ORDER 36247,481,1 ,"$2,223.00 ","$1,600.56 ",$582.43 ,"$2,223.00 ", N/A ,"$2,223.00 ","$1,222.65 ", N/A ,$622.44 ,"$1,162.63 ", N/A ,"$1,222.65 ", N/A ,"$1,100.39 ","$1,100.39 ", N/A ,"$1,100.39 ", N/A ,"$1,556.10 ","$1,389.38 ","$1,778.40 ", N/A , N/A ,"$1,556.10 ", N/A ,"$1,333.80 ", N/A ,"$1,667.25 ","$1,227.10 ","$1,107.05 ","$1,227.10 ", N/A ,"$1,227.10 ","$1,800.63 ","$2,223.00 ","$1,800.63 ","$1,889.55 ", N/A ,"$1,540.54 ", N/A ,"$2,223.00 ","$1,247.10 ", N/A ,$582.43 ,"$2,223.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$1,778.40 ","$1,100.39 ",$622.44 ,"$2,000.70 ",$766.00 ,$964.00 , N/A ,"$1,067.04 "
ST. MARY'S HOSPITAL - DECATUR,48100059,36248,HC ABD ADDL 2ND/PLUS ORDER 36248,481,1 ,"$1,147.00 ",$825.84 ,$300.51 ,"$1,848.13 ", N/A ,"$1,147.00 ",$630.85 , N/A ,$321.16 ,$599.88 , N/A ,$630.85 , N/A ,$567.77 ,$567.77 , N/A ,$567.77 , N/A ,$802.90 ,$716.88 ,$917.60 , N/A , N/A ,$802.90 , N/A ,$688.20 , N/A ,$860.25 ,$633.14 ,$571.21 ,$633.14 , N/A ,$633.14 ,$929.07 ,"$1,147.00 ",$929.07 ,$974.95 , N/A ,$794.87 , N/A ,"$1,147.00 ",$643.47 , N/A ,$300.51 ,"$1,147.00 ","$1,147.00 ","$1,848.13 ", N/A ,$917.60 ,$567.77 ,$321.16 ,"$1,032.30 ",$766.00 ,$964.00 , N/A ,$550.56 
ST. MARY'S HOSPITAL - DECATUR,48100060,37184,HC PERIPH THROMBECK ONLY W/TPA 37184,481,1 ,"$8,017.00 ","$5,772.24 ","$2,100.45 ","$24,907.78 ","$24,907.78 ","$8,017.00 ","$4,409.35 ","$9,763.85 ","$2,244.76 ","$4,192.89 ","$9,763.85 ","$4,409.35 ","$7,856.66 ","$3,968.42 ","$3,968.42 ","$7,856.66 ","$3,968.42 ","$8,017.00 ","$3,500.00 ","$5,010.63 ","$6,413.60 ","$24,907.76 ","$9,763.85 ","$5,611.90 ","$9,763.85 ","$4,810.20 ","$7,856.66 ","$6,012.75 ","$4,425.38 ","$3,992.47 ","$4,425.38 ","$9,763.85 ","$4,425.38 ","$6,493.77 ","$8,017.00 ","$6,493.77 ","$6,814.45 ","$8,017.00 ","$5,180.00 ","$7,856.66 ","$8,017.00 ","$4,497.54 ","$9,763.85 ","$2,100.45 ","$8,017.00 ","$2,254.60 ","$2,152.12 ","$10,252.04 ","$6,413.60 ","$3,968.42 ","$2,244.76 ","$7,215.30 ","$2,975.00 ","$5,460.00 ","$9,763.85 ","$3,848.16 "
ST. MARY'S HOSPITAL - DECATUR,48100061,37185,HC PRIM PERC THROMB EA ADDL 37185,481,1 ,"$3,605.00 ","$2,595.60 ",$766.00 ,"$3,605.00 ", N/A ,"$3,605.00 ","$1,982.75 ", N/A ,"$1,009.40 ","$1,885.42 ", N/A ,"$1,982.75 ", N/A ,"$1,784.48 ","$1,784.48 ", N/A ,"$1,784.48 ", N/A ,"$2,523.50 ","$2,253.13 ","$2,884.00 ", N/A , N/A ,"$2,523.50 ", N/A ,"$2,163.00 ", N/A ,"$2,703.75 ","$1,989.96 ","$1,795.29 ","$1,989.96 ", N/A ,"$1,989.96 ","$2,920.05 ","$3,605.00 ","$2,920.05 ","$3,064.25 ", N/A ,"$2,498.27 ", N/A ,"$3,605.00 ","$2,022.41 ", N/A ,$944.51 ,"$3,605.00 ","$2,254.60 ","$2,152.12 ", N/A ,"$2,884.00 ","$1,784.48 ","$1,009.40 ","$3,244.50 ",$766.00 ,$964.00 , N/A ,"$1,730.40 "
ST. MARY'S HOSPITAL - DECATUR,48100062,37186,HC SEC PERC THROMB EA VESSEL ADDL 37186,481,1 ,"$4,068.00 ","$2,928.96 ",$766.00 ,"$4,068.00 ", N/A ,"$3,000.00 ","$2,237.40 ", N/A ,"$1,139.04 ","$2,127.56 ", N/A ,"$2,237.40 ", N/A ,"$2,013.66 ","$2,013.66 ", N/A ,"$2,013.66 ", N/A ,"$2,847.60 ","$2,542.50 ","$3,254.40 ", N/A , N/A ,"$2,847.60 ", N/A ,"$2,440.80 ", N/A ,"$3,051.00 ","$2,245.54 ","$2,025.86 ","$2,245.54 ", N/A ,"$2,245.54 ","$3,295.08 ","$4,068.00 ","$3,295.08 ","$3,457.80 ", N/A ,"$2,819.12 ", N/A ,"$4,068.00 ","$2,282.15 ", N/A ,"$1,065.82 ","$4,068.00 ","$2,254.60 ","$2,152.12 ", N/A ,"$3,254.40 ","$2,013.66 ","$1,139.04 ","$3,661.20 ",$766.00 ,$964.00 , N/A ,"$1,952.64 "
ST. MARY'S HOSPITAL - DECATUR,48100063,37187,HC PRIMARY VENOUS THROMBECTOMY,481,1 ,"$6,604.00 ","$4,754.88 ","$1,730.25 ","$24,907.78 ","$24,907.78 ","$6,604.00 ","$3,632.20 ","$9,763.85 ","$1,849.12 ","$3,453.89 ","$9,763.85 ","$3,632.20 ","$6,471.92 ","$3,268.98 ","$3,268.98 ","$6,471.92 ","$3,268.98 ","$6,604.00 ","$3,500.00 ","$4,127.50 ","$5,283.20 ","$24,907.76 ","$9,763.85 ","$4,622.80 ","$9,763.85 ","$3,962.40 ","$6,471.92 ","$4,953.00 ","$3,645.41 ","$3,288.79 ","$3,645.41 ","$9,763.85 ","$3,645.41 ","$5,349.24 ","$6,604.00 ","$5,349.24 ","$5,613.40 ","$6,604.00 ","$4,576.57 ","$6,471.92 ","$6,604.00 ","$3,704.84 ","$9,763.85 ","$1,730.25 ","$6,604.00 ","$2,254.60 ","$2,152.12 ","$10,252.04 ","$5,283.20 ","$3,268.98 ","$1,849.12 ","$5,943.60 ","$2,975.00 ","$5,460.00 ","$9,763.85 ","$3,169.92 "
ST. MARY'S HOSPITAL - DECATUR,48100064,37188,HC SUBSEQUENT VENOUS THROMBECTOMY,481,1 ,"$5,787.00 ","$4,166.64 ","$1,516.19 ","$6,989.86 ","$6,989.85 ","$5,787.00 ","$3,182.85 ","$2,740.02 ","$1,620.36 ","$3,026.60 ","$2,740.02 ","$3,182.85 ","$2,740.02 ","$2,864.57 ","$2,864.57 ","$2,740.02 ","$2,864.57 ","$5,647.80 ","$3,500.00 ","$3,616.88 ","$4,629.60 ","$6,989.86 ","$2,740.02 ","$4,050.90 ","$2,740.02 ","$3,472.20 ","$2,794.82 ","$4,340.25 ","$3,194.42 ","$2,881.93 ","$3,194.42 ","$2,740.02 ","$3,194.42 ","$4,687.47 ","$5,787.00 ","$4,687.47 ","$4,918.95 ","$5,787.00 ","$4,010.39 ","$2,740.02 ","$5,787.00 ","$3,246.51 ","$2,740.02 ","$1,516.19 ","$5,787.00 ","$2,254.60 ","$2,152.12 ","$2,877.03 ","$4,629.60 ","$2,864.57 ","$1,620.36 ","$5,208.30 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$2,777.76 "
ST. MARY'S HOSPITAL - DECATUR,48100069,37241,HC OCCL/EMBOL TRANSCATH PERC 37241,481,1 ,"$12,549.00 ","$9,035.28 ","$3,287.84 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,901.95 ","$9,763.85 ","$3,513.72 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$12,549.00 ","$3,500.00 ","$7,843.13 ","$10,039.20 ","$24,907.76 ","$9,763.85 ","$8,784.30 ","$9,763.85 ","$7,529.40 ","$9,959.12 ","$9,411.75 ","$6,927.05 ","$6,249.40 ","$6,927.05 ","$9,763.85 ","$6,927.05 ","$10,164.69 ","$12,549.00 ","$10,164.69 ","$10,666.65 ","$12,549.00 ","$5,180.00 ","$9,763.85 ","$12,549.00 ","$7,039.99 ","$9,763.85 ","$3,287.84 ","$12,549.00 ","$7,766.98 ","$7,413.93 ","$10,252.04 ","$10,039.20 ","$5,850.00 ","$3,513.72 ","$11,294.10 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$6,023.52 "
ST. MARY'S HOSPITAL - DECATUR,48100070,37236,HC PL STENT INTRAVAS PERC INIT 37236,481,1 ,"$11,729.00 ","$8,444.88 ","$3,073.00 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,450.95 ","$9,763.85 ","$3,284.12 ","$6,134.27 ","$9,763.85 ","$6,450.95 ","$9,763.85 ","$5,805.86 ","$5,805.86 ","$9,763.85 ","$5,805.86 ","$11,729.00 ","$3,500.00 ","$7,330.63 ","$9,383.20 ","$24,907.76 ","$9,763.85 ","$8,210.30 ","$9,763.85 ","$7,037.40 ","$9,959.12 ","$8,796.75 ","$6,474.41 ","$5,841.04 ","$6,474.41 ","$9,763.85 ","$6,474.41 ","$9,500.49 ","$11,729.00 ","$9,500.49 ","$9,969.65 ","$11,729.00 ","$5,180.00 ","$9,763.85 ","$11,729.00 ","$6,579.97 ","$9,763.85 ","$3,073.00 ","$11,729.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$9,383.20 ","$5,805.86 ","$3,284.12 ","$10,556.10 ","$5,817.58 ","$6,638.00 ","$9,763.85 ","$5,629.92 "
ST. MARY'S HOSPITAL - DECATUR,48100071,37237,HC PLACE STENT PERC ADDL 37237,481,1 ,"$10,212.00 ","$7,352.64 ","$2,675.54 ","$10,212.00 ", N/A ,"$3,000.00 ","$5,616.60 ", N/A ,"$2,859.36 ","$5,340.88 ", N/A ,"$5,616.60 ", N/A ,"$5,054.94 ","$5,054.94 ", N/A ,"$5,054.94 ", N/A ,"$3,500.00 ","$6,382.50 ","$8,169.60 ", N/A , N/A ,"$7,148.40 ", N/A ,"$6,127.20 ", N/A ,"$7,659.00 ","$5,637.02 ","$5,085.58 ","$5,637.02 ", N/A ,"$5,637.02 ","$8,271.72 ","$10,212.00 ","$8,271.72 ","$8,680.20 ", N/A ,"$5,180.00 ", N/A ,"$10,212.00 ","$5,728.93 ", N/A ,"$2,675.54 ","$10,212.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$8,169.60 ","$5,054.94 ","$2,859.36 ","$9,190.80 ","$5,065.15 ","$5,460.00 ", N/A ,"$4,901.76 "
ST. MARY'S HOSPITAL - DECATUR,48100076,37215,HC PL STENT TRNSCATH CAROT ART W/ 37215,481,1 ,"$12,414.00 ","$8,938.08 ","$2,178.00 ","$12,414.00 ", N/A ,"$5,830.00 ","$6,827.70 ", N/A ,"$3,475.92 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$7,758.75 ","$9,931.20 ", N/A , N/A ,"$8,689.80 ", N/A ,"$7,448.40 ", N/A ,"$9,310.50 ","$6,852.53 ","$6,182.17 ","$6,852.53 ", N/A ,"$6,852.53 ","$10,055.34 ","$12,414.00 ","$10,055.34 ","$10,551.90 ", N/A ,"$5,180.00 ", N/A ,"$12,414.00 ","$6,964.25 ", N/A ,"$3,252.47 ","$12,414.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$9,931.20 ","$5,850.00 ","$3,475.92 ","$11,172.60 ","$6,157.34 ","$2,178.00 ", N/A ,"$5,958.72 "
ST. MARY'S HOSPITAL - DECATUR,48100077,37220,HC RVC EN PRC ICA W/ANG INT VSL 37220,481,1 ,"$10,139.00 ","$7,300.08 ","$2,656.42 ","$12,237.43 ","$12,237.43 ","$6,540.00 ","$5,576.45 ","$4,797.07 ","$2,838.92 ","$5,302.70 ","$4,797.07 ","$5,576.45 ","$4,797.07 ","$5,018.81 ","$5,018.81 ","$4,797.07 ","$5,018.81 ","$9,887.83 ","$3,500.00 ","$6,336.88 ","$8,111.20 ","$12,237.41 ","$4,797.07 ","$7,097.30 ","$4,797.07 ","$6,083.40 ","$4,893.01 ","$7,604.25 ","$5,596.73 ","$5,049.22 ","$5,596.73 ","$4,797.07 ","$5,596.73 ","$8,212.59 ","$10,139.00 ","$8,212.59 ","$8,618.15 ","$10,139.00 ","$5,180.00 ","$4,797.07 ","$10,139.00 ","$5,687.98 ","$4,797.07 ","$2,656.42 ","$10,139.00 ","$3,580.49 ","$3,417.74 ","$5,036.93 ","$8,111.20 ","$5,018.81 ","$2,838.92 ","$9,125.10 ","$5,028.94 ","$5,460.00 ","$4,797.07 ","$4,866.72 "
ST. MARY'S HOSPITAL - DECATUR,48100078,37221,HC RVC EN PRC ICA W/TRN SNT INT V 37221,481,1 ,"$13,574.00 ","$9,773.28 ","$3,417.74 ","$24,907.78 ","$24,907.78 ","$6,540.00 ","$7,465.70 ","$9,763.85 ","$3,800.72 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$13,574.00 ","$3,500.00 ","$8,483.75 ","$10,859.20 ","$24,907.76 ","$9,763.85 ","$9,501.80 ","$9,763.85 ","$8,144.40 ","$9,959.12 ","$10,180.50 ","$7,492.85 ","$6,759.85 ","$7,492.85 ","$9,763.85 ","$7,492.85 ","$10,994.94 ","$13,574.00 ","$10,994.94 ","$11,537.90 ","$13,574.00 ","$5,180.00 ","$9,763.85 ","$13,574.00 ","$7,615.01 ","$9,763.85 ","$3,556.39 ","$13,574.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$10,859.20 ","$5,850.00 ","$3,800.72 ","$12,216.60 ","$6,732.70 ","$6,638.00 ","$9,763.85 ","$6,515.52 "
ST. MARY'S HOSPITAL - DECATUR,48100079,37222,HC RVC EN PRC ICA W/ANG EA AD VS 37222,481,1 ,"$7,385.00 ","$5,317.20 ","$1,934.87 ","$7,385.00 ", N/A ,"$3,000.00 ","$4,061.75 ", N/A ,"$2,067.80 ","$3,862.36 ", N/A ,"$4,061.75 ", N/A ,"$3,655.58 ","$3,655.58 ", N/A ,"$3,655.58 ", N/A ,"$3,500.00 ","$4,615.63 ","$5,908.00 ", N/A , N/A ,"$5,169.50 ", N/A ,"$4,431.00 ", N/A ,"$5,538.75 ","$4,076.52 ","$3,677.73 ","$4,076.52 ", N/A ,"$4,076.52 ","$5,981.85 ","$7,385.00 ","$5,981.85 ","$6,277.25 ", N/A ,"$5,117.81 ", N/A ,"$7,385.00 ","$4,142.99 ", N/A ,"$1,934.87 ","$7,385.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$5,908.00 ","$3,655.58 ","$2,067.80 ","$6,646.50 ","$3,662.96 ","$5,460.00 ", N/A ,"$3,544.80 "
ST. MARY'S HOSPITAL - DECATUR,48100080,37223,HC RVC EN PRC ICA W/TRN ST AD VS 37223,481,1 ,"$12,599.00 ","$9,071.28 ","$3,000.00 ","$12,599.00 ", N/A ,"$3,000.00 ","$6,929.45 ", N/A ,"$3,527.72 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$7,874.38 ","$10,079.20 ", N/A , N/A ,"$8,819.30 ", N/A ,"$7,559.40 ", N/A ,"$9,449.25 ","$6,954.65 ","$6,274.30 ","$6,954.65 ", N/A ,"$6,954.65 ","$10,205.19 ","$12,599.00 ","$10,205.19 ","$10,709.15 ", N/A ,"$5,180.00 ", N/A ,"$12,599.00 ","$7,068.04 ", N/A ,"$3,300.94 ","$12,599.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$10,079.20 ","$5,850.00 ","$3,527.72 ","$11,339.10 ","$6,249.10 ","$5,460.00 ", N/A ,"$6,047.52 "
ST. MARY'S HOSPITAL - DECATUR,48100081,37224,HC RVC EN PRC R/P W/ANG INT VSL 37224,481,1 ,"$10,924.00 ","$7,865.28 ","$2,862.09 ","$12,237.43 ","$12,237.43 ","$6,540.00 ","$6,008.20 ","$4,797.07 ","$3,058.72 ","$5,713.25 ","$4,797.07 ","$6,008.20 ","$4,797.07 ","$5,407.38 ","$5,407.38 ","$4,797.07 ","$5,407.38 ","$9,887.83 ","$3,500.00 ","$6,827.50 ","$8,739.20 ","$12,237.41 ","$4,797.07 ","$7,646.80 ","$4,797.07 ","$6,554.40 ","$4,893.01 ","$8,193.00 ","$6,030.05 ","$5,440.15 ","$6,030.05 ","$4,797.07 ","$6,030.05 ","$8,848.44 ","$10,924.00 ","$8,848.44 ","$9,285.40 ","$10,924.00 ","$5,180.00 ","$4,797.07 ","$10,924.00 ","$6,128.36 ","$4,797.07 ","$2,862.09 ","$10,924.00 ","$3,580.49 ","$3,417.74 ","$5,036.93 ","$8,739.20 ","$5,407.38 ","$3,058.72 ","$9,831.60 ","$5,418.30 ","$5,460.00 ","$4,797.07 ","$5,243.52 "
ST. MARY'S HOSPITAL - DECATUR,48100082,37225,HC RVC EN PRC F/P W/ANT INT VSL 37225,481,1 ,"$13,607.00 ","$9,797.04 ","$3,417.74 ","$24,907.78 ","$24,907.78 ","$6,540.00 ","$7,483.85 ","$9,763.85 ","$3,809.96 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$13,607.00 ","$3,500.00 ","$8,504.38 ","$10,885.60 ","$24,907.76 ","$9,763.85 ","$9,524.90 ","$9,763.85 ","$8,164.20 ","$9,959.12 ","$10,205.25 ","$7,511.06 ","$6,776.29 ","$7,511.06 ","$9,763.85 ","$7,511.06 ","$11,021.67 ","$13,607.00 ","$11,021.67 ","$11,565.95 ","$13,607.00 ","$5,180.00 ","$9,763.85 ","$13,607.00 ","$7,633.53 ","$9,763.85 ","$3,565.03 ","$13,607.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$10,885.60 ","$5,850.00 ","$3,809.96 ","$12,246.30 ","$6,749.07 ","$6,638.00 ","$9,763.85 ","$6,531.36 "
ST. MARY'S HOSPITAL - DECATUR,48100083,37226,HC RVC EN PRC F/P W/TRN SNT IN VS 37226,481,1 ,"$13,472.00 ","$9,699.84 ","$3,417.74 ","$24,907.78 ","$24,907.78 ","$6,540.00 ","$7,409.60 ","$9,763.85 ","$3,772.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$13,472.00 ","$3,500.00 ","$8,420.00 ","$10,777.60 ","$24,907.76 ","$9,763.85 ","$9,430.40 ","$9,763.85 ","$8,083.20 ","$9,959.12 ","$10,104.00 ","$7,436.54 ","$6,709.06 ","$7,436.54 ","$9,763.85 ","$7,436.54 ","$10,912.32 ","$13,472.00 ","$10,912.32 ","$11,451.20 ","$13,472.00 ","$5,180.00 ","$9,763.85 ","$13,472.00 ","$7,557.79 ","$9,763.85 ","$3,529.66 ","$13,472.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$10,777.60 ","$5,850.00 ","$3,772.16 ","$12,124.80 ","$6,682.11 ","$6,638.00 ","$9,763.85 ","$6,466.56 "
ST. MARY'S HOSPITAL - DECATUR,48100084,37227,HC RVC EN PRC F/P W/AN/TR ST INT 37227,481,1 ,"$25,284.00 ","$18,204.48 ","$3,417.74 ","$40,305.53 ","$40,305.53 ","$6,540.00 ","$13,906.20 ","$15,799.77 ","$7,079.52 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$25,284.00 ","$3,500.00 ","$15,802.50 ","$20,227.20 ","$40,305.52 ","$15,799.77 ","$17,698.80 ","$15,799.77 ","$15,170.40 ","$16,115.76 ","$18,963.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$15,799.77 ","$10,676.00 ","$20,480.04 ","$25,284.00 ","$20,480.04 ","$21,491.40 ","$25,284.00 ","$5,180.00 ","$15,799.77 ","$25,284.00 ","$14,184.32 ","$15,799.77 ","$6,624.41 ","$25,284.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$20,227.20 ","$5,850.00 ","$7,079.52 ","$22,755.60 ","$12,540.86 ","$8,779.00 ","$15,799.77 ","$12,136.32 "
ST. MARY'S HOSPITAL - DECATUR,48100085,37228,HC RVC EN PRC T/P W/ANG INT VSL 37228,481,1 ,"$28,005.00 ","$20,163.60 ","$3,417.74 ","$28,005.00 ","$24,907.78 ","$6,540.00 ","$15,402.75 ","$9,763.85 ","$7,841.40 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$17,503.13 ","$22,404.00 ","$24,907.76 ","$9,763.85 ","$19,603.50 ","$9,763.85 ","$16,803.00 ","$9,959.12 ","$21,003.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$22,684.05 ","$28,005.00 ","$22,684.05 ","$23,804.25 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$28,005.00 ","$15,710.81 ","$9,763.85 ","$7,337.31 ","$28,005.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$22,404.00 ","$5,850.00 ","$7,841.40 ","$25,204.50 ","$13,890.48 ","$5,460.00 ","$9,763.85 ","$13,442.40 "
ST. MARY'S HOSPITAL - DECATUR,48100086,37229,HC RVC EN PRC T/P W/ANT INT VSL 37229,481,1 ,"$12,778.00 ","$9,200.16 ","$3,347.84 ","$40,305.53 ","$40,305.53 ","$6,540.00 ","$7,027.90 ","$15,799.77 ","$3,577.84 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$12,522.44 ","$5,850.00 ","$5,850.00 ","$12,522.44 ","$5,850.00 ","$12,778.00 ","$3,500.00 ","$7,986.25 ","$10,222.40 ","$40,305.52 ","$15,799.77 ","$8,944.60 ","$15,799.77 ","$7,666.80 ","$12,522.44 ","$9,583.50 ","$7,053.46 ","$6,363.44 ","$7,053.46 ","$15,799.77 ","$7,053.46 ","$10,350.18 ","$12,778.00 ","$10,350.18 ","$10,861.30 ","$12,778.00 ","$5,180.00 ","$12,522.44 ","$12,778.00 ","$7,168.46 ","$15,799.77 ","$3,347.84 ","$12,778.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$10,222.40 ","$5,850.00 ","$3,577.84 ","$11,500.20 ","$6,337.89 ","$6,638.00 ","$15,799.77 ","$6,133.44 "
ST. MARY'S HOSPITAL - DECATUR,48100087,37230,HC RVC EN PRC T/P W/TRN SNT IN VS 37230,481,1 ,"$13,471.00 ","$9,699.12 ","$3,417.74 ","$40,305.53 ","$40,305.53 ","$6,540.00 ","$7,409.05 ","$15,799.77 ","$3,771.88 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$13,201.58 ","$5,850.00 ","$5,850.00 ","$13,201.58 ","$5,850.00 ","$13,471.00 ","$3,500.00 ","$8,419.38 ","$10,776.80 ","$40,305.52 ","$15,799.77 ","$9,429.70 ","$15,799.77 ","$8,082.60 ","$13,201.58 ","$10,103.25 ","$7,435.99 ","$6,708.56 ","$7,435.99 ","$15,799.77 ","$7,435.99 ","$10,911.51 ","$13,471.00 ","$10,911.51 ","$11,450.35 ","$13,471.00 ","$5,180.00 ","$13,201.58 ","$13,471.00 ","$7,557.23 ","$15,799.77 ","$3,529.40 ","$13,471.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$10,776.80 ","$5,850.00 ","$3,771.88 ","$12,123.90 ","$6,681.62 ","$6,638.00 ","$15,799.77 ","$6,466.08 "
ST. MARY'S HOSPITAL - DECATUR,48100088,37231,HC RVC EN PRC T/P W/AN/TR ST IN V 37231,481,1 ,"$35,303.00 ","$25,418.16 ","$3,417.74 ","$40,305.53 ","$40,305.53 ","$6,540.00 ","$19,416.65 ","$15,799.77 ","$9,884.84 ","$18,463.47 ","$15,799.77 ","$19,416.65 ","$15,799.77 ","$17,474.99 ","$17,474.99 ","$15,799.77 ","$17,474.99 ","$32,566.86 ","$3,500.00 ","$22,064.38 ","$28,242.40 ","$40,305.52 ","$15,799.77 ","$24,712.10 ","$15,799.77 ","$21,181.80 ","$16,115.76 ","$26,477.25 ","$12,047.99 ","$12,300.48 ","$12,047.99 ","$15,799.77 ","$12,047.99 ","$28,595.43 ","$35,303.00 ","$28,595.43 ","$30,007.55 ","$35,303.00 ","$5,180.00 ","$15,799.77 ","$35,303.00 ","$19,804.98 ","$15,799.77 ","$9,249.39 ","$35,303.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$28,242.40 ","$17,474.99 ","$9,884.84 ","$31,772.70 ","$17,510.29 ","$8,779.00 ","$15,799.77 ","$16,945.44 "
ST. MARY'S HOSPITAL - DECATUR,48100089,37232,HC RVC EN PRC T/P W/ANG EA AD VS 37232,481,1 ,"$9,188.00 ","$6,615.36 ","$2,407.26 ","$9,188.00 ", N/A ,"$3,000.00 ","$5,053.40 ", N/A ,"$2,572.64 ","$4,805.32 ", N/A ,"$5,053.40 ", N/A ,"$4,548.06 ","$4,548.06 ", N/A ,"$4,548.06 ", N/A ,"$3,500.00 ","$5,742.50 ","$7,350.40 ", N/A , N/A ,"$6,431.60 ", N/A ,"$5,512.80 ", N/A ,"$6,891.00 ","$5,071.78 ","$4,575.62 ","$5,071.78 ", N/A ,"$5,071.78 ","$7,442.28 ","$9,188.00 ","$7,442.28 ","$7,809.80 ", N/A ,"$5,180.00 ", N/A ,"$9,188.00 ","$5,154.47 ", N/A ,"$2,407.26 ","$9,188.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$7,350.40 ","$4,548.06 ","$2,572.64 ","$8,269.20 ","$4,557.25 ","$5,460.00 ", N/A ,"$4,410.24 "
ST. MARY'S HOSPITAL - DECATUR,48100090,37233,HC RVC EN PRC T/P W/ANT EA AD VS 37233,481,1 ,"$9,737.00 ","$7,010.64 ","$2,551.09 ","$9,737.00 ", N/A ,"$3,000.00 ","$5,355.35 ", N/A ,"$2,726.36 ","$5,092.45 ", N/A ,"$5,355.35 ", N/A ,"$4,819.82 ","$4,819.82 ", N/A ,"$4,819.82 ", N/A ,"$3,500.00 ","$6,085.63 ","$7,789.60 ", N/A , N/A ,"$6,815.90 ", N/A ,"$5,842.20 ", N/A ,"$7,302.75 ","$5,374.82 ","$4,849.03 ","$5,374.82 ", N/A ,"$5,374.82 ","$7,886.97 ","$9,737.00 ","$7,886.97 ","$8,276.45 ", N/A ,"$5,180.00 ", N/A ,"$9,737.00 ","$5,462.46 ", N/A ,"$2,551.09 ","$9,737.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$7,789.60 ","$4,819.82 ","$2,726.36 ","$8,763.30 ","$4,829.55 ","$6,638.00 ", N/A ,"$4,673.76 "
ST. MARY'S HOSPITAL - DECATUR,48100093,37252,HC US VASCULAR NON-CORONARY INIT 37252,481,1 ,"$6,124.00 ","$4,409.28 ",$105.05 ,"$6,124.00 ", N/A ,"$3,000.00 ","$3,368.20 ", N/A ,"$1,714.72 ","$3,202.85 ", N/A ,"$3,368.20 ", N/A ,"$3,031.38 ","$3,031.38 ", N/A ,"$3,031.38 ", N/A ,"$3,500.00 ","$3,827.50 ","$4,899.20 ", N/A , N/A ,"$4,286.80 ", N/A ,"$3,674.40 ", N/A ,"$4,593.00 ","$3,380.45 ","$3,049.75 ","$3,380.45 ", N/A ,"$3,380.45 ", N/A ,"$6,124.00 ", N/A ,"$5,205.40 ", N/A ,"$4,243.93 ", N/A ,"$6,124.00 ","$3,435.56 ", N/A ,"$1,604.49 ","$6,124.00 ",$110.06 ,$105.05 , N/A ,"$4,899.20 ","$3,031.38 ","$1,714.72 ","$5,511.60 ",$766.00 ,$964.00 , N/A ,"$2,939.52 "
ST. MARY'S HOSPITAL - DECATUR,48100094,37253,HC US VASCULAR NON-CORON ADDL EA 37253,481,1 ,"$5,183.00 ","$3,731.76 ",$105.05 ,"$5,183.00 ", N/A ,"$3,000.00 ","$2,850.65 ", N/A ,"$1,451.24 ","$2,710.71 ", N/A ,"$2,850.65 ", N/A ,"$2,565.59 ","$2,565.59 ", N/A ,"$2,565.59 ", N/A ,"$3,500.00 ","$3,239.38 ","$4,146.40 ", N/A , N/A ,"$3,628.10 ", N/A ,"$3,109.80 ", N/A ,"$3,887.25 ","$2,861.02 ","$2,581.13 ","$2,861.02 ", N/A ,"$2,861.02 ", N/A ,"$5,183.00 ", N/A ,"$4,405.55 ", N/A ,"$3,591.82 ", N/A ,"$5,183.00 ","$2,907.66 ", N/A ,"$1,357.95 ","$5,183.00 ",$110.06 ,$105.05 , N/A ,"$4,146.40 ","$2,565.59 ","$1,451.24 ","$4,664.70 ",$766.00 ,$964.00 , N/A ,"$2,487.84 "
ST. MARY'S HOSPITAL - DECATUR,48100095,37191,HC INTERRUPT VENA CAVA INFER,481,1 ,"$13,303.00 ","$9,578.16 ","$2,749.77 ","$13,303.00 ","$12,059.93 ","$5,830.00 ","$7,316.65 ","$4,727.49 ","$3,724.84 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$8,314.38 ","$10,642.40 ","$12,059.93 ","$4,727.49 ","$9,312.10 ","$4,727.49 ","$7,981.80 ","$4,822.04 ","$9,977.25 ","$7,343.26 ","$6,624.89 ","$7,343.26 ","$4,727.49 ","$7,343.26 ","$10,775.43 ","$13,303.00 ","$10,775.43 ","$11,307.55 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$13,303.00 ","$7,462.98 ","$4,727.49 ","$3,485.39 ","$13,303.00 ","$2,880.71 ","$2,749.77 ","$4,963.87 ","$10,642.40 ","$5,850.00 ","$3,724.84 ","$11,972.70 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$6,385.44 "
ST. MARY'S HOSPITAL - DECATUR,48100107,93451,HC CATH RIGHT HEART 93451,481,1 ,"$9,398.00 ","$6,766.56 ","$1,682.71 ","$9,398.00 ","$6,941.73 ","$4,980.94 ","$5,168.90 ","$2,721.16 ","$2,631.44 ","$4,915.15 ","$2,721.16 ","$5,168.90 ","$2,721.16 ","$4,652.01 ","$4,652.01 ","$2,721.16 ","$4,652.01 ","$5,608.92 ","$3,500.00 ","$5,873.75 ","$7,518.40 ","$6,941.73 ","$2,721.16 ","$6,578.60 ","$2,721.16 ","$5,638.80 ","$2,775.59 ","$7,048.50 ","$5,187.70 ","$4,680.20 ","$5,187.70 ","$2,721.16 ","$5,187.70 ","$7,612.38 ","$9,398.00 ","$7,612.38 ","$7,988.30 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$9,398.00 ","$5,272.28 ","$2,721.16 ","$2,462.28 ","$9,398.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$7,518.40 ","$4,652.01 ","$2,631.44 ","$8,458.20 ","$4,661.41 ","$6,424.00 ","$2,721.16 ","$4,511.04 "
ST. MARY'S HOSPITAL - DECATUR,48100108,93452,HC LHC ONLY NO COROS 93452,481,1 ,"$12,371.00 ","$8,907.12 ","$1,682.71 ","$12,371.00 ","$6,941.73 ","$6,556.63 ","$6,804.05 ","$2,721.16 ","$3,463.88 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$7,731.88 ","$9,896.80 ","$6,941.73 ","$2,721.16 ","$8,659.70 ","$2,721.16 ","$7,422.60 ","$2,775.59 ","$9,278.25 ","$6,828.79 ","$6,160.76 ","$6,828.79 ","$2,721.16 ","$6,828.79 ","$10,020.51 ","$12,371.00 ","$10,020.51 ","$10,515.35 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$12,371.00 ","$6,940.13 ","$2,721.16 ","$3,241.20 ","$12,371.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$9,896.80 ","$5,850.00 ","$3,463.88 ","$11,133.90 ","$6,136.02 ","$6,424.00 ","$2,721.16 ","$5,938.08 "
ST. MARY'S HOSPITAL - DECATUR,48100109,93453,HC RHC/LHC ONLY/NO CORS 93453,481,1 ,"$15,109.00 ","$10,878.48 ","$1,682.71 ","$15,109.00 ","$6,941.73 ","$8,007.77 ","$8,309.95 ","$2,721.16 ","$4,230.52 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$9,443.13 ","$12,087.20 ","$6,941.73 ","$2,721.16 ","$10,576.30 ","$2,721.16 ","$9,065.40 ","$2,775.59 ","$11,331.75 ","$8,340.17 ","$7,524.28 ","$8,340.17 ","$2,721.16 ","$8,340.17 ","$10,971.00 ","$15,109.00 ","$10,971.00 ","$12,842.65 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$15,109.00 ","$8,476.15 ","$2,721.16 ","$3,958.56 ","$15,109.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$12,087.20 ","$5,850.00 ","$4,230.52 ","$13,598.10 ","$7,494.06 ","$6,424.00 ","$2,721.16 ","$7,252.32 "
ST. MARY'S HOSPITAL - DECATUR,48100110,93454,HC CORONARY ANGIO ONLY/NO LV 93454,481,1 ,"$10,872.00 ","$7,827.84 ","$1,682.71 ","$10,872.00 ","$6,941.73 ","$5,762.16 ","$5,979.60 ","$2,721.16 ","$3,044.16 ","$5,686.06 ","$2,721.16 ","$5,979.60 ","$2,721.16 ","$5,381.64 ","$5,381.64 ","$2,721.16 ","$5,381.64 ","$5,608.92 ","$3,500.00 ","$6,795.00 ","$8,697.60 ","$6,941.73 ","$2,721.16 ","$7,610.40 ","$2,721.16 ","$6,523.20 ","$2,775.59 ","$8,154.00 ","$6,001.34 ","$5,414.26 ","$6,001.34 ","$2,721.16 ","$6,001.34 ","$8,806.32 ","$10,872.00 ","$8,806.32 ","$9,241.20 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$10,872.00 ","$6,099.19 ","$2,721.16 ","$2,848.46 ","$10,872.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$8,697.60 ","$5,381.64 ","$3,044.16 ","$9,784.80 ","$5,392.51 ","$6,424.00 ","$2,721.16 ","$5,218.56 "
ST. MARY'S HOSPITAL - DECATUR,48100111,93455,HC CORO ANGIO  AND  GRAFTS ONLY NO LV 93455,481,1 ,"$10,466.00 ","$7,535.52 ","$1,682.71 ","$10,466.00 ","$6,941.73 ","$5,546.98 ","$5,756.30 ","$2,721.16 ","$2,930.48 ","$5,473.72 ","$2,721.16 ","$5,756.30 ","$2,721.16 ","$5,180.67 ","$5,180.67 ","$2,721.16 ","$5,180.67 ","$5,608.92 ","$3,500.00 ","$6,541.25 ","$8,372.80 ","$6,941.73 ","$2,721.16 ","$7,326.20 ","$2,721.16 ","$6,279.60 ","$2,775.59 ","$7,849.50 ","$5,777.23 ","$5,212.07 ","$5,777.23 ","$2,721.16 ","$5,777.23 ","$8,477.46 ","$10,466.00 ","$8,477.46 ","$8,896.10 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$10,466.00 ","$5,871.43 ","$2,721.16 ","$2,742.09 ","$10,466.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$8,372.80 ","$5,180.67 ","$2,930.48 ","$9,419.40 ","$5,191.14 ","$6,424.00 ","$2,721.16 ","$5,023.68 "
ST. MARY'S HOSPITAL - DECATUR,48100112,93456,HC RHC CORONARY ANGIO/NO LV 93456,481,1 ,"$13,597.00 ","$9,789.84 ","$1,682.71 ","$13,597.00 ","$6,941.73 ","$7,206.41 ","$7,478.35 ","$2,721.16 ","$3,807.16 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$8,498.13 ","$10,877.60 ","$6,941.73 ","$2,721.16 ","$9,517.90 ","$2,721.16 ","$8,158.20 ","$2,775.59 ","$10,197.75 ","$7,505.54 ","$6,771.31 ","$7,505.54 ","$2,721.16 ","$7,505.54 ","$10,971.00 ","$13,597.00 ","$10,971.00 ","$11,557.45 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$13,597.00 ","$7,627.92 ","$2,721.16 ","$3,562.41 ","$13,597.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$10,877.60 ","$5,850.00 ","$3,807.16 ","$12,237.30 ","$6,744.11 ","$6,424.00 ","$2,721.16 ","$6,526.56 "
ST. MARY'S HOSPITAL - DECATUR,48100113,93457,HC RHC CORO ANGIO  AND  GRAFTS/NO LV 93457,481,1 ,"$15,171.00 ","$10,923.12 ","$1,682.71 ","$15,171.00 ","$6,941.73 ","$8,040.63 ","$8,344.05 ","$2,721.16 ","$4,247.88 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$9,481.88 ","$12,136.80 ","$6,941.73 ","$2,721.16 ","$10,619.70 ","$2,721.16 ","$9,102.60 ","$2,775.59 ","$11,378.25 ","$8,374.39 ","$7,555.16 ","$8,374.39 ","$2,721.16 ","$8,374.39 ","$10,971.00 ","$15,171.00 ","$10,971.00 ","$12,895.35 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$15,171.00 ","$8,510.93 ","$2,721.16 ","$3,974.80 ","$15,171.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$12,136.80 ","$5,850.00 ","$4,247.88 ","$13,653.90 ","$7,524.82 ","$6,424.00 ","$2,721.16 ","$7,282.08 "
ST. MARY'S HOSPITAL - DECATUR,48100114,93458,HC CORONARY ANGIO WITH LV 93458,481,1 ,"$12,502.00 ","$9,001.44 ","$1,682.71 ","$12,502.00 ","$6,941.73 ","$6,626.06 ","$6,876.10 ","$2,721.16 ","$3,500.56 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$7,813.75 ","$10,001.60 ","$6,941.73 ","$2,721.16 ","$8,751.40 ","$2,721.16 ","$7,501.20 ","$2,775.59 ","$9,376.50 ","$6,901.10 ","$6,226.00 ","$6,901.10 ","$2,721.16 ","$6,901.10 ","$10,126.62 ","$12,502.00 ","$10,126.62 ","$10,626.70 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$12,502.00 ","$7,013.62 ","$2,721.16 ","$3,275.52 ","$12,502.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$10,001.60 ","$5,850.00 ","$3,500.56 ","$11,251.80 ","$6,200.99 ","$6,424.00 ","$2,721.16 ","$6,000.96 "
ST. MARY'S HOSPITAL - DECATUR,48100115,93459,HC CORONARY ANGIO W GRAFTS AND LV 93459,481,1 ,"$13,624.00 ","$9,809.28 ","$1,682.71 ","$13,624.00 ","$6,941.73 ","$7,220.72 ","$7,493.20 ","$2,721.16 ","$3,814.72 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$8,515.00 ","$10,899.20 ","$6,941.73 ","$2,721.16 ","$9,536.80 ","$2,721.16 ","$8,174.40 ","$2,775.59 ","$10,218.00 ","$7,520.45 ","$6,784.75 ","$7,520.45 ","$2,721.16 ","$7,520.45 ","$10,971.00 ","$13,624.00 ","$10,971.00 ","$11,580.40 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$13,624.00 ","$7,643.06 ","$2,721.16 ","$3,569.49 ","$13,624.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$10,899.20 ","$5,850.00 ","$3,814.72 ","$12,261.60 ","$6,757.50 ","$6,424.00 ","$2,721.16 ","$6,539.52 "
ST. MARY'S HOSPITAL - DECATUR,48100116,93460,HC RHC/LHC/CORONAY ANGIO AND LV 93460,481,1 ,"$15,995.00 ","$11,516.40 ","$1,682.71 ","$15,995.00 ","$6,941.73 ","$8,477.35 ","$8,797.25 ","$2,721.16 ","$4,478.60 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$9,996.88 ","$12,796.00 ","$6,941.73 ","$2,721.16 ","$11,196.50 ","$2,721.16 ","$9,597.00 ","$2,775.59 ","$11,996.25 ","$8,829.24 ","$7,965.51 ","$8,829.24 ","$2,721.16 ","$8,829.24 ","$10,971.00 ","$15,995.00 ","$10,971.00 ","$13,595.75 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$15,995.00 ","$8,973.20 ","$2,721.16 ","$4,190.69 ","$15,995.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$12,796.00 ","$5,850.00 ","$4,478.60 ","$14,395.50 ","$2,922.00 ","$6,424.00 ","$2,721.16 ","$7,677.60 "
ST. MARY'S HOSPITAL - DECATUR,48100117,93461,HC RHC/LHC/CORON ANGIO GRAFTS  AND LV 93461,481,1 ,"$15,995.00 ","$11,516.40 ","$1,682.71 ","$15,995.00 ","$6,941.73 ","$8,477.35 ","$8,797.25 ","$2,721.16 ","$4,478.60 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$9,996.88 ","$12,796.00 ","$6,941.73 ","$2,721.16 ","$11,196.50 ","$2,721.16 ","$9,597.00 ","$2,775.59 ","$11,996.25 ","$8,829.24 ","$7,965.51 ","$8,829.24 ","$2,721.16 ","$8,829.24 ","$10,971.00 ","$15,995.00 ","$10,971.00 ","$13,595.75 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$15,995.00 ","$8,973.20 ","$2,721.16 ","$4,190.69 ","$15,995.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$12,796.00 ","$5,850.00 ","$4,478.60 ","$14,395.50 ","$2,922.00 ","$6,424.00 ","$2,721.16 ","$7,677.60 "
ST. MARY'S HOSPITAL - DECATUR,48100118,93463,HC NITRIC OXIDE STUDY 93463,481,1 ,"$1,611.00 ","$1,159.92 ",$422.08 ,"$1,611.00 ", N/A ,$853.83 ,$886.05 , N/A ,$451.08 ,$842.55 , N/A ,$886.05 , N/A ,$797.45 ,$797.45 , N/A ,$797.45 , N/A ,"$1,127.70 ","$1,006.88 ","$1,288.80 ", N/A , N/A ,"$1,127.70 ", N/A ,$966.60 , N/A ,"$1,208.25 ",$889.27 ,$802.28 ,$889.27 , N/A ,$889.27 ,"$1,304.91 ","$1,611.00 ","$1,304.91 ","$1,369.35 ", N/A ,"$1,116.42 ", N/A ,"$1,611.00 ",$903.77 , N/A ,$422.08 ,"$1,611.00 ", N/A , N/A , N/A ,"$1,288.80 ",$797.45 ,$451.08 ,"$1,449.90 ",$766.00 ,$964.00 , N/A ,$773.28 
ST. MARY'S HOSPITAL - DECATUR,48100119,93567,HC AORTAGRAM 93567,481,1 ,"$1,300.00 ",$936.00 ,$340.60 ,"$1,300.00 ", N/A ,$689.00 ,$715.00 , N/A ,$364.00 ,$679.90 , N/A ,$715.00 , N/A ,$643.50 ,$643.50 , N/A ,$643.50 , N/A ,$910.00 ,$812.50 ,"$1,040.00 ", N/A , N/A ,$910.00 , N/A ,$780.00 , N/A ,$975.00 ,$717.60 ,$647.40 ,$717.60 , N/A ,$717.60 ,"$1,053.00 ","$1,300.00 ","$1,053.00 ","$1,105.00 ", N/A ,$900.90 , N/A ,"$1,300.00 ",$729.30 , N/A ,$340.60 ,"$1,300.00 ", N/A , N/A , N/A ,"$1,040.00 ",$643.50 ,$364.00 ,"$1,170.00 ",$644.80 ,$964.00 , N/A ,$624.00 
ST. MARY'S HOSPITAL - DECATUR,48100120,93571,HC INTRAVASC DOPP COLOR FLOW INIT 93571,481,1 ,"$4,193.00 ","$3,018.96 ",$964.00 ,"$4,193.00 ", N/A ,"$2,222.29 ","$2,306.15 ", N/A ,"$1,174.04 ","$2,192.94 ", N/A ,"$2,306.15 ", N/A ,"$2,075.54 ","$2,075.54 ", N/A ,"$2,075.54 ", N/A ,"$2,935.10 ","$2,620.63 ","$3,354.40 ", N/A , N/A ,"$2,935.10 ", N/A ,"$2,515.80 ", N/A ,"$3,144.75 ","$2,314.54 ","$2,088.11 ","$2,314.54 ", N/A ,"$2,314.54 ","$3,396.33 ","$4,193.00 ","$3,396.33 ","$3,564.05 ", N/A ,"$2,905.75 ", N/A ,"$4,193.00 ","$2,352.27 ", N/A ,"$1,098.57 ","$4,193.00 ", N/A , N/A , N/A ,"$3,354.40 ","$2,075.54 ","$1,174.04 ","$3,773.70 ","$2,079.73 ",$964.00 , N/A ,"$2,012.64 "
ST. MARY'S HOSPITAL - DECATUR,48100133,93641,HC EP EVAL CARDIO/DEFIB GENERATOR 93641,481,1 ,"$5,114.00 ","$3,682.08 ",$174.96 ,"$5,114.00 ", N/A ,"$5,114.00 ","$2,812.70 ", N/A ,"$1,431.92 ","$2,674.62 ", N/A ,"$2,812.70 ", N/A ,"$2,531.43 ","$2,531.43 ", N/A ,"$2,531.43 ", N/A ,"$3,500.00 ","$3,196.25 ","$4,091.20 ", N/A , N/A ,"$3,579.80 ", N/A ,"$3,068.40 ", N/A ,"$3,835.50 ","$2,822.93 ","$2,546.77 ","$2,822.93 ", N/A ,"$2,822.93 ","$4,142.34 ","$5,114.00 ","$4,142.34 ","$4,346.90 ", N/A ,"$3,544.00 ", N/A ,"$5,114.00 ","$2,868.95 ", N/A ,"$1,339.87 ","$5,114.00 ",$183.29 ,$174.96 , N/A ,"$4,091.20 ","$2,531.43 ","$1,431.92 ","$4,602.60 ",$766.00 ,"$5,114.00 ", N/A ,"$2,454.72 "
ST. MARY'S HOSPITAL - DECATUR,48100135,93642,HC EP EVAL CARDIO/DEFIB SGL/DUAL 93642,481,1 ,"$6,322.00 ","$4,551.84 ",$174.96 ,"$6,322.00 ","$2,621.08 ","$6,322.00 ","$3,477.10 ","$1,027.46 ","$1,770.16 ","$3,306.41 ","$1,027.46 ","$3,477.10 ","$1,027.46 ","$3,129.39 ","$3,129.39 ","$1,027.46 ","$3,129.39 ","$2,117.82 ","$3,500.00 ","$3,951.25 ","$5,057.60 ","$2,621.07 ","$1,027.46 ","$4,425.40 ","$1,027.46 ","$3,793.20 ","$1,048.01 ","$4,741.50 ","$3,489.74 ","$3,148.36 ","$3,489.74 ","$1,027.46 ","$3,489.74 ","$5,120.82 ","$6,322.00 ","$5,120.82 ","$5,373.70 ","$2,621.07 ","$4,381.15 ","$1,027.46 ","$6,322.00 ","$3,546.64 ","$1,027.46 ","$1,656.36 ","$6,322.00 ",$183.29 ,$174.96 ,"$1,078.83 ","$5,057.60 ","$3,129.39 ","$1,770.16 ","$5,689.80 ","$1,866.00 ","$6,322.00 ","$1,027.46 ","$3,034.56 "
ST. MARY'S HOSPITAL - DECATUR,48100139,93660,HC TILT TABLE EVALUATION 93660,481,1 ,"$4,464.00 ","$3,214.08 ",$97.95 ,"$4,464.00 ","$1,134.33 ","$2,365.92 ","$2,455.20 ",$444.66 ,"$1,249.92 ","$2,334.67 ",$444.66 ,"$2,455.20 ",$444.66 ,"$2,209.68 ","$2,209.68 ",$444.66 ,"$2,209.68 ",$916.53 ,"$3,124.80 ","$2,790.00 ","$3,571.20 ","$1,134.32 ",$444.66 ,"$3,124.80 ",$444.66 ,"$2,678.40 ",$453.54 ,"$3,348.00 ","$2,464.13 ","$2,223.07 ","$2,464.13 ",$444.66 ,"$2,464.13 ","$3,615.84 ","$4,464.00 ","$3,615.84 ","$3,794.40 ","$1,134.32 ","$3,093.55 ",$444.66 ,"$4,464.00 ","$2,504.30 ",$444.66 ,"$1,169.57 ","$4,464.00 ",$102.62 ,$97.95 ,$466.89 ,"$3,571.20 ","$2,209.68 ","$1,249.92 ","$4,017.60 ",$766.00 ,$964.00 ,$444.66 ,"$2,142.72 "
ST. MARY'S HOSPITAL - DECATUR,48100150,93503,HC PLACEMENT SWANZ GAN CATH MONIT 93503,481,1 ,"$2,844.00 ","$2,047.68 ",$745.13 ,"$3,491.10 ","$3,491.10 ","$1,507.32 ","$1,564.20 ","$1,368.51 ",$796.32 ,"$1,487.41 ","$1,368.51 ","$1,564.20 ","$1,368.51 ","$1,407.78 ","$1,407.78 ","$1,368.51 ","$1,407.78 ","$2,820.80 ","$1,990.80 ","$1,777.50 ","$2,275.20 ","$3,491.09 ","$1,368.51 ","$1,990.80 ","$1,368.51 ","$1,706.40 ","$1,395.88 ","$2,133.00 ","$1,569.89 ","$1,416.31 ","$1,569.89 ","$1,368.51 ","$1,569.89 ","$2,303.64 ","$2,844.00 ","$2,303.64 ","$2,417.40 ","$2,844.00 ","$1,970.89 ","$1,368.51 ","$2,844.00 ","$1,595.48 ","$1,368.51 ",$745.13 ,"$2,844.00 ","$1,231.60 ","$1,175.62 ","$1,436.93 ","$2,275.20 ","$1,407.78 ",$796.32 ,"$2,559.60 ","$1,410.62 ","$1,784.00 ","$1,368.51 ","$1,365.12 "
ST. MARY'S HOSPITAL - DECATUR,48100151,33227,HC REM/REPL PCMKR PUL GEN SGL 33227,481,1 ,"$17,300.00 ","$12,456.00 ","$3,372.00 ","$19,153.13 ","$19,153.13 ","$5,830.00 ","$9,515.00 ","$7,508.02 ","$4,844.00 ","$6,175.00 ","$7,508.02 ","$6,500.00 ","$7,508.02 ","$5,850.00 ","$5,850.00 ","$7,508.02 ","$5,850.00 ","$15,475.72 ","$3,500.00 ","$10,812.50 ","$13,840.00 ","$19,153.12 ","$7,508.02 ","$12,110.00 ","$7,508.02 ","$10,380.00 ","$7,658.18 ","$12,975.00 ","$9,549.60 ","$8,615.40 ","$9,549.60 ","$7,508.02 ","$9,549.60 ","$14,013.00 ","$17,300.00 ","$14,013.00 ","$14,705.00 ","$17,300.00 ","$5,180.00 ","$7,508.02 ","$17,300.00 ","$9,705.30 ","$7,508.02 ","$4,532.60 ","$17,300.00 ","$5,820.63 ","$5,556.05 ","$7,883.42 ","$13,840.00 ","$5,850.00 ","$4,844.00 ","$15,570.00 ","$3,372.00 ","$17,300.00 ","$7,508.02 ","$8,304.00 "
ST. MARY'S HOSPITAL - DECATUR,48100152,33228,HC REM/REPL PCMKR PUL GEN DUAL 33228,481,1 ,"$18,177.00 ","$13,087.44 ","$3,372.00 ","$24,235.43 ","$24,235.43 ","$5,830.00 ","$9,997.35 ","$9,500.29 ","$5,089.56 ","$6,175.00 ","$9,500.29 ","$6,500.00 ","$9,500.29 ","$5,850.00 ","$5,850.00 ","$9,500.29 ","$5,850.00 ","$18,177.00 ","$3,500.00 ","$11,360.63 ","$14,541.60 ","$24,235.43 ","$9,500.29 ","$12,723.90 ","$9,500.29 ","$10,906.20 ","$9,690.29 ","$13,632.75 ","$10,033.70 ","$9,052.15 ","$10,033.70 ","$9,500.29 ","$10,033.70 ","$14,723.37 ","$18,177.00 ","$14,723.37 ","$15,450.45 ","$18,177.00 ","$5,180.00 ","$9,500.29 ","$18,177.00 ","$10,197.30 ","$9,500.29 ","$4,762.37 ","$18,177.00 ","$5,820.63 ","$5,556.05 ","$9,975.30 ","$14,541.60 ","$5,850.00 ","$5,089.56 ","$16,359.30 ","$3,372.00 ","$18,177.00 ","$9,500.29 ","$8,724.96 "
ST. MARY'S HOSPITAL - DECATUR,48100153,33229,HC REM/REPL PCMKR PUL GEN MULT 33229,481,1 ,"$20,503.00 ","$14,762.16 ","$3,372.00 ","$43,812.00 ","$43,812.00 ","$5,830.00 ","$11,276.65 ","$17,174.30 ","$5,740.84 ","$6,175.00 ","$17,174.30 ","$6,500.00 ","$17,174.30 ","$5,850.00 ","$5,850.00 ","$17,174.30 ","$5,850.00 ","$20,503.00 ","$3,500.00 ","$12,814.38 ","$16,402.40 ","$43,812.00 ","$17,174.30 ","$14,352.10 ","$17,174.30 ","$12,301.80 ","$17,517.79 ","$15,377.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$17,174.30 ","$10,676.00 ","$16,607.43 ","$20,503.00 ","$16,607.43 ","$17,427.55 ","$20,503.00 ","$5,180.00 ","$17,174.30 ","$20,503.00 ","$11,502.18 ","$17,174.30 ","$5,371.79 ","$20,503.00 ","$5,820.63 ","$5,556.05 ","$18,033.02 ","$16,402.40 ","$5,850.00 ","$5,740.84 ","$18,452.70 ","$3,372.00 ","$20,503.00 ","$17,174.30 ","$9,841.44 "
ST. MARY'S HOSPITAL - DECATUR,48100154,33262,HC REM/REPL DEFIB PUL GEN SGL 33262,481,1 ,"$33,068.00 ","$23,808.96 ","$3,500.00 ","$53,540.91 ","$53,540.90 ","$5,830.00 ","$18,187.40 ","$20,988.03 ","$9,259.04 ","$17,294.56 ","$20,988.03 ","$18,187.40 ","$20,988.03 ","$16,368.66 ","$16,368.66 ","$20,988.03 ","$16,368.66 ","$33,068.00 ","$3,500.00 ","$20,667.50 ","$26,454.40 ","$53,540.91 ","$20,988.03 ","$23,147.60 ","$20,988.03 ","$19,840.80 ","$21,407.80 ","$24,801.00 ","$10,934.96 ","$11,299.20 ","$10,934.96 ","$20,988.03 ","$10,934.96 ","$26,785.08 ","$33,068.00 ","$26,785.08 ","$28,107.80 ","$33,068.00 ","$5,180.00 ","$20,988.03 ","$33,068.00 ","$18,551.15 ","$20,988.03 ","$8,663.82 ","$33,068.00 ","$16,696.26 ","$15,937.34 ","$22,037.44 ","$26,454.40 ","$16,368.66 ","$9,259.04 ","$29,761.20 ","$4,795.00 ","$21,412.00 ","$20,988.03 ","$15,872.64 "
ST. MARY'S HOSPITAL - DECATUR,48100155,33263,HC REM/REPL DEFIB PUL GEN DUAL 33263,481,1 ,"$33,068.00 ","$23,808.96 ","$3,500.00 ","$53,540.91 ","$53,540.90 ","$5,830.00 ","$18,187.40 ","$20,988.03 ","$9,259.04 ","$17,294.56 ","$20,988.03 ","$18,187.40 ","$20,988.03 ","$16,368.66 ","$16,368.66 ","$20,988.03 ","$16,368.66 ","$33,068.00 ","$3,500.00 ","$20,667.50 ","$26,454.40 ","$53,540.91 ","$20,988.03 ","$23,147.60 ","$20,988.03 ","$19,840.80 ","$21,407.80 ","$24,801.00 ","$10,934.96 ","$11,299.20 ","$10,934.96 ","$20,988.03 ","$10,934.96 ","$26,785.08 ","$33,068.00 ","$26,785.08 ","$28,107.80 ","$33,068.00 ","$5,180.00 ","$20,988.03 ","$33,068.00 ","$18,551.15 ","$20,988.03 ","$8,663.82 ","$33,068.00 ","$16,696.26 ","$15,937.34 ","$22,037.44 ","$26,454.40 ","$16,368.66 ","$9,259.04 ","$29,761.20 ","$4,795.00 ","$21,412.00 ","$20,988.03 ","$15,872.64 "
ST. MARY'S HOSPITAL - DECATUR,48100156,33264,HC REM/REPL DEFIB PUL GEN MULT 33264,481,1 ,"$33,068.00 ","$23,808.96 ","$3,500.00 ","$75,263.90 ","$75,263.90 ","$5,830.00 ","$18,187.40 ","$29,503.45 ","$9,259.04 ","$17,294.56 ","$29,503.45 ","$18,187.40 ","$29,503.45 ","$16,368.66 ","$16,368.66 ","$29,503.45 ","$16,368.66 ","$33,068.00 ","$3,500.00 ","$20,667.50 ","$26,454.40 ","$75,263.90 ","$29,503.45 ","$23,147.60 ","$29,503.45 ","$19,840.80 ","$30,093.52 ","$24,801.00 ","$10,934.96 ","$11,299.20 ","$10,934.96 ","$29,503.45 ","$10,934.96 ","$26,785.08 ","$33,068.00 ","$26,785.08 ","$28,107.80 ","$33,068.00 ","$5,180.00 ","$29,503.45 ","$33,068.00 ","$18,551.15 ","$29,503.45 ","$8,663.82 ","$33,068.00 ","$16,696.26 ","$15,937.34 ","$30,978.62 ","$26,454.40 ","$16,368.66 ","$9,259.04 ","$29,761.20 ","$4,795.00 ","$21,412.00 ","$29,503.45 ","$15,872.64 "
ST. MARY'S HOSPITAL - DECATUR,48100171,36253,HC PLC CATH RENAL ANGIO 1< UNI,481,1 ,"$13,581.00 ","$9,778.32 ","$1,848.13 ","$13,581.00 ","$12,059.93 ","$3,800.00 ","$7,469.55 ","$4,727.49 ","$3,802.68 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$8,488.13 ","$10,864.80 ","$12,059.93 ","$4,727.49 ","$9,506.70 ","$4,727.49 ","$8,148.60 ","$4,822.04 ","$10,185.75 ","$7,496.71 ","$6,763.34 ","$7,496.71 ","$4,727.49 ","$7,496.71 ","$11,000.61 ","$13,581.00 ","$11,000.61 ","$11,543.85 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$13,581.00 ","$7,618.94 ","$4,727.49 ","$3,558.22 ","$13,581.00 ","$1,936.13 ","$1,848.13 ","$4,963.87 ","$10,864.80 ","$5,850.00 ","$3,802.68 ","$12,222.90 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$6,518.88 "
ST. MARY'S HOSPITAL - DECATUR,48100172,36254,HC PLC CATH RENAL ANGIO 1< BIL,481,1 ,"$7,980.00 ","$5,745.60 ","$1,848.13 ","$7,980.00 ","$6,989.85 ","$3,800.00 ","$4,389.00 ","$2,740.02 ","$2,234.40 ","$4,173.54 ","$2,740.02 ","$4,389.00 ","$2,740.02 ","$3,950.10 ","$3,950.10 ","$2,740.02 ","$3,950.10 ","$5,647.80 ","$3,500.00 ","$4,987.50 ","$6,384.00 ","$6,989.86 ","$2,740.02 ","$5,586.00 ","$2,740.02 ","$4,788.00 ","$2,794.82 ","$5,985.00 ","$4,404.96 ","$3,974.04 ","$4,404.96 ","$2,740.02 ","$4,404.96 ","$6,463.80 ","$7,980.00 ","$6,463.80 ","$6,783.00 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$7,980.00 ","$4,476.78 ","$2,740.02 ","$2,090.76 ","$7,980.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$6,384.00 ","$3,950.10 ","$2,234.40 ","$7,182.00 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$3,830.40 "
ST. MARY'S HOSPITAL - DECATUR,48100173,37193,HC FILTER REMOVAL,481,1 ,"$6,452.00 ","$4,645.44 ","$1,690.42 ","$6,989.86 ","$6,989.85 ","$5,830.00 ","$3,548.60 ","$2,740.02 ","$1,806.56 ","$3,374.40 ","$2,740.02 ","$3,548.60 ","$2,740.02 ","$3,193.74 ","$3,193.74 ","$2,740.02 ","$3,193.74 ","$5,647.80 ","$3,500.00 ","$4,032.50 ","$5,161.60 ","$6,989.86 ","$2,740.02 ","$4,516.40 ","$2,740.02 ","$3,871.20 ","$2,794.82 ","$4,839.00 ","$3,561.50 ","$3,213.10 ","$3,561.50 ","$2,740.02 ","$3,561.50 ","$5,226.12 ","$6,452.00 ","$5,226.12 ","$5,484.20 ","$6,452.00 ","$4,471.24 ","$2,740.02 ","$6,452.00 ","$3,619.57 ","$2,740.02 ","$1,690.42 ","$6,452.00 ","$2,254.60 ","$2,152.12 ","$2,877.03 ","$5,161.60 ","$3,193.74 ","$1,806.56 ","$5,806.80 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$3,096.96 "
ST. MARY'S HOSPITAL - DECATUR,48100174,33230,HC INS DEFIB PULSE GEN W/EST DUAL,481,1 ,"$33,068.00 ","$23,808.96 ","$3,500.00 ","$53,540.91 ","$53,540.90 ","$5,830.00 ","$18,187.40 ","$20,988.03 ","$9,259.04 ","$17,294.56 ","$20,988.03 ","$18,187.40 ","$20,988.03 ","$16,368.66 ","$16,368.66 ","$20,988.03 ","$16,368.66 ","$33,068.00 ","$3,500.00 ","$20,667.50 ","$26,454.40 ","$53,540.91 ","$20,988.03 ","$23,147.60 ","$20,988.03 ","$19,840.80 ","$21,407.80 ","$24,801.00 ","$10,934.96 ","$11,299.20 ","$10,934.96 ","$20,988.03 ","$10,934.96 ","$26,785.08 ","$33,068.00 ","$26,785.08 ","$28,107.80 ","$33,068.00 ","$5,180.00 ","$20,988.03 ","$33,068.00 ","$18,551.15 ","$20,988.03 ","$8,663.82 ","$33,068.00 ","$16,696.26 ","$15,937.34 ","$22,037.44 ","$26,454.40 ","$16,368.66 ","$9,259.04 ","$29,761.20 ","$4,795.00 ","$21,412.00 ","$20,988.03 ","$15,872.64 "
ST. MARY'S HOSPITAL - DECATUR,48100175,33231,HC INS DEFIB PULSE GEN W/EST MULT,481,1 ,"$33,068.00 ","$23,808.96 ","$3,500.00 ","$75,263.90 ","$75,263.90 ","$5,830.00 ","$18,187.40 ","$29,503.45 ","$9,259.04 ","$17,294.56 ","$29,503.45 ","$18,187.40 ","$29,503.45 ","$16,368.66 ","$16,368.66 ","$29,503.45 ","$16,368.66 ","$33,068.00 ","$3,500.00 ","$20,667.50 ","$26,454.40 ","$75,263.90 ","$29,503.45 ","$23,147.60 ","$29,503.45 ","$19,840.80 ","$30,093.52 ","$24,801.00 ","$10,934.96 ","$11,299.20 ","$10,934.96 ","$29,503.45 ","$10,934.96 ","$26,785.08 ","$33,068.00 ","$26,785.08 ","$28,107.80 ","$33,068.00 ","$5,180.00 ","$29,503.45 ","$33,068.00 ","$18,551.15 ","$29,503.45 ","$8,663.82 ","$33,068.00 ","$16,696.26 ","$15,937.34 ","$30,978.62 ","$26,454.40 ","$16,368.66 ","$9,259.04 ","$29,761.20 ","$4,795.00 ","$21,412.00 ","$29,503.45 ","$15,872.64 "
ST. MARY'S HOSPITAL - DECATUR,48100176,37216,HC PL STENT TRNSCATH CAROT ART W/O,481,1 ,"$9,029.00 ","$6,500.88 ","$2,178.00 ","$9,029.00 ", N/A ,"$5,830.00 ","$4,965.95 ", N/A ,"$2,528.12 ","$4,722.17 ", N/A ,"$4,965.95 ", N/A ,"$4,469.36 ","$4,469.36 ", N/A ,"$4,469.36 ", N/A ,"$3,500.00 ","$5,643.13 ","$7,223.20 ", N/A , N/A ,"$6,320.30 ", N/A ,"$5,417.40 ", N/A ,"$6,771.75 ","$4,984.01 ","$4,496.44 ","$4,984.01 ", N/A ,"$4,984.01 ","$7,313.49 ","$9,029.00 ","$7,313.49 ","$7,674.65 ", N/A ,"$5,180.00 ", N/A ,"$9,029.00 ","$5,065.27 ", N/A ,"$2,365.60 ","$9,029.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$7,223.20 ","$4,469.36 ","$2,528.12 ","$8,126.10 ","$4,478.38 ","$2,178.00 ", N/A ,"$4,333.92 "
ST. MARY'S HOSPITAL - DECATUR,48100181,37212,HC VENOUS THROMBOLYSIS; INIT DAY 37212,481,1 ,"$7,008.00 ","$5,045.76 ","$1,836.10 ","$7,008.00 ","$6,989.85 ","$3,000.00 ","$3,854.40 ","$2,740.02 ","$1,962.24 ","$3,665.18 ","$2,740.02 ","$3,854.40 ","$2,740.02 ","$3,468.96 ","$3,468.96 ","$2,740.02 ","$3,468.96 ","$5,647.80 ","$3,500.00 ","$4,380.00 ","$5,606.40 ","$6,989.86 ","$2,740.02 ","$4,905.60 ","$2,740.02 ","$4,204.80 ","$2,794.82 ","$5,256.00 ","$3,868.42 ","$3,489.98 ","$3,868.42 ","$2,740.02 ","$3,868.42 ","$5,676.48 ","$7,008.00 ","$5,676.48 ","$5,956.80 ","$6,989.86 ","$4,856.54 ","$2,740.02 ","$7,008.00 ","$3,931.49 ","$2,740.02 ","$1,836.10 ","$7,008.00 ","$2,254.60 ","$2,152.12 ","$2,877.03 ","$5,606.40 ","$3,468.96 ","$1,962.24 ","$6,307.20 ","$3,475.97 ","$3,479.00 ","$2,740.02 ","$3,363.84 "
ST. MARY'S HOSPITAL - DECATUR,48100182,37214,HC THROMBO CESS/CLOS; SUBSQ DAY 37214,481,1 ,"$8,296.00 ","$5,973.12 ","$1,784.00 ","$8,296.00 ","$6,989.85 ","$5,830.00 ","$4,562.80 ","$2,740.02 ","$2,322.88 ","$4,338.81 ","$2,740.02 ","$4,562.80 ","$2,740.02 ","$4,106.52 ","$4,106.52 ","$2,740.02 ","$4,106.52 ","$5,647.80 ","$3,500.00 ","$5,185.00 ","$6,636.80 ","$6,989.86 ","$2,740.02 ","$5,807.20 ","$2,740.02 ","$4,977.60 ","$2,794.82 ","$6,222.00 ","$4,579.39 ","$4,131.41 ","$4,579.39 ","$2,740.02 ","$4,579.39 ","$6,719.76 ","$8,296.00 ","$6,719.76 ","$7,051.60 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$8,296.00 ","$4,654.06 ","$2,740.02 ","$2,173.55 ","$8,296.00 ","$2,254.60 ","$2,152.12 ","$2,877.03 ","$6,636.80 ","$4,106.52 ","$2,322.88 ","$7,466.40 ","$4,114.82 ","$1,784.00 ","$2,740.02 ","$3,982.08 "
ST. MARY'S HOSPITAL - DECATUR,48100183,36225,HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI 36225,481,1 ,"$9,725.00 ","$7,002.00 ","$1,848.13 ","$9,725.00 ","$6,989.85 ","$3,800.00 ","$5,348.75 ","$2,740.02 ","$2,723.00 ","$5,086.18 ","$2,740.02 ","$5,348.75 ","$2,740.02 ","$4,813.88 ","$4,813.88 ","$2,740.02 ","$4,813.88 ","$5,647.80 ","$3,500.00 ","$6,078.13 ","$7,780.00 ","$6,989.86 ","$2,740.02 ","$6,807.50 ","$2,740.02 ","$5,835.00 ","$2,794.82 ","$7,293.75 ","$5,368.20 ","$4,843.05 ","$5,368.20 ","$2,740.02 ","$5,368.20 ","$7,877.25 ","$9,725.00 ","$7,877.25 ","$8,266.25 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$9,725.00 ","$5,455.73 ","$2,740.02 ","$2,547.95 ","$9,725.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$7,780.00 ","$4,813.88 ","$2,723.00 ","$8,752.50 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,668.00 "
ST. MARY'S HOSPITAL - DECATUR,48100184,36228,HC CATH PLCMT SEL EA INTRACRN BRANCH UNI 36228,481,1 ,"$4,056.00 ","$2,920.32 ",$766.00 ,"$4,056.00 ", N/A ,"$3,000.00 ","$2,230.80 ", N/A ,"$1,135.68 ","$2,121.29 ", N/A ,"$2,230.80 ", N/A ,"$2,007.72 ","$2,007.72 ", N/A ,"$2,007.72 ", N/A ,"$2,839.20 ","$2,535.00 ","$3,244.80 ", N/A , N/A ,"$2,839.20 ", N/A ,"$2,433.60 ", N/A ,"$3,042.00 ","$2,238.91 ","$2,019.89 ","$2,238.91 ", N/A ,"$2,238.91 ","$3,285.36 ","$4,056.00 ","$3,285.36 ","$3,447.60 ", N/A ,"$2,810.81 ", N/A ,"$4,056.00 ","$2,275.42 ", N/A ,"$1,062.67 ","$4,056.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$3,244.80 ","$2,007.72 ","$1,135.68 ","$3,650.40 ",$766.00 ,$964.00 , N/A ,"$1,946.88 "
ST. MARY'S HOSPITAL - DECATUR,48100185,37211,HC ARTRL THROMBOLYSIS; INIT DAY 37211,481,1 ,"$7,008.00 ","$5,045.76 ","$1,836.10 ","$12,059.93 ","$12,059.93 ","$3,000.00 ","$3,854.40 ","$4,727.49 ","$1,962.24 ","$3,665.18 ","$4,727.49 ","$3,854.40 ","$4,727.49 ","$3,468.96 ","$3,468.96 ","$4,727.49 ","$3,468.96 ","$7,008.00 ","$3,500.00 ","$4,380.00 ","$5,606.40 ","$12,059.93 ","$4,727.49 ","$4,905.60 ","$4,727.49 ","$4,204.80 ","$4,822.04 ","$5,256.00 ","$3,868.42 ","$3,489.98 ","$3,868.42 ","$4,727.49 ","$3,868.42 ","$5,676.48 ","$7,008.00 ","$5,676.48 ","$5,956.80 ","$7,008.00 ","$4,856.54 ","$4,727.49 ","$7,008.00 ","$3,931.49 ","$4,727.49 ","$1,836.10 ","$7,008.00 ","$2,254.60 ","$2,152.12 ","$4,963.87 ","$5,606.40 ","$3,468.96 ","$1,962.24 ","$6,307.20 ","$3,475.97 ","$5,460.00 ","$4,727.49 ","$3,363.84 "
ST. MARY'S HOSPITAL - DECATUR,48100186,37213,HC ARTRL/VENOUS THROMBOLYSIS; SUBSQ DAY 37213,481,1 ,"$9,496.00 ","$6,837.12 ","$1,784.00 ","$9,496.00 ","$6,989.85 ","$5,830.00 ","$5,222.80 ","$2,740.02 ","$2,658.88 ","$4,966.41 ","$2,740.02 ","$5,222.80 ","$2,740.02 ","$4,700.52 ","$4,700.52 ","$2,740.02 ","$4,700.52 ","$5,647.80 ","$3,500.00 ","$5,935.00 ","$7,596.80 ","$6,989.86 ","$2,740.02 ","$6,647.20 ","$2,740.02 ","$5,697.60 ","$2,794.82 ","$7,122.00 ","$5,241.79 ","$4,729.01 ","$5,241.79 ","$2,740.02 ","$5,241.79 ","$7,691.76 ","$9,496.00 ","$7,691.76 ","$8,071.60 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$9,496.00 ","$5,327.26 ","$2,740.02 ","$2,487.95 ","$9,496.00 ","$2,254.60 ","$2,152.12 ","$2,877.03 ","$7,596.80 ","$4,700.52 ","$2,658.88 ","$8,546.40 ","$4,710.02 ","$1,784.00 ","$2,740.02 ","$4,558.08 "
ST. MARY'S HOSPITAL - DECATUR,48100187,37197,HC TRANSCATH RETRVAL FOREIGN BODY 37197,481,1 ,"$3,890.00 ","$2,800.80 ","$1,019.18 ","$6,989.86 ","$6,989.85 ","$3,890.00 ","$2,139.50 ","$2,740.02 ","$1,089.20 ","$2,034.47 ","$2,740.02 ","$2,139.50 ","$2,740.02 ","$1,925.55 ","$1,925.55 ","$2,740.02 ","$1,925.55 ","$3,890.00 ","$2,723.00 ","$2,431.25 ","$3,112.00 ","$6,989.86 ","$2,740.02 ","$2,723.00 ","$2,740.02 ","$2,334.00 ","$2,794.82 ","$2,917.50 ","$2,147.28 ","$1,937.22 ","$2,147.28 ","$2,740.02 ","$2,147.28 ","$3,150.90 ","$3,890.00 ","$3,150.90 ","$3,306.50 ","$3,890.00 ","$2,695.77 ","$2,740.02 ","$3,890.00 ","$2,182.29 ","$2,740.02 ","$1,019.18 ","$3,890.00 ","$3,580.49 ","$3,417.74 ","$2,877.03 ","$3,112.00 ","$1,925.55 ","$1,089.20 ","$3,501.00 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$1,867.20 "
ST. MARY'S HOSPITAL - DECATUR,48100188,36221,HC CATH PLCMT NON SEL THORAC AORTA 36221,481,1 ,"$8,700.00 ","$6,264.00 ","$1,848.13 ","$8,700.00 ","$6,989.85 ","$3,800.00 ","$4,785.00 ","$2,740.02 ","$2,436.00 ","$4,550.10 ","$2,740.02 ","$4,785.00 ","$2,740.02 ","$4,306.50 ","$4,306.50 ","$2,740.02 ","$4,306.50 ","$5,647.80 ","$3,500.00 ","$5,437.50 ","$6,960.00 ","$6,989.86 ","$2,740.02 ","$6,090.00 ","$2,740.02 ","$5,220.00 ","$2,794.82 ","$6,525.00 ","$4,802.40 ","$4,332.60 ","$4,802.40 ","$2,740.02 ","$4,802.40 ","$7,047.00 ","$8,700.00 ","$7,047.00 ","$7,395.00 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$8,700.00 ","$4,880.70 ","$2,740.02 ","$2,279.40 ","$8,700.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$6,960.00 ","$4,306.50 ","$2,436.00 ","$7,830.00 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,176.00 "
ST. MARY'S HOSPITAL - DECATUR,48100189,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN UNI 36222,481,1 ,"$9,865.00 ","$7,102.80 ","$1,848.13 ","$9,865.00 ","$6,989.85 ","$3,800.00 ","$5,425.75 ","$2,740.02 ","$2,762.20 ","$5,159.40 ","$2,740.02 ","$5,425.75 ","$2,740.02 ","$4,883.18 ","$4,883.18 ","$2,740.02 ","$4,883.18 ","$5,647.80 ","$3,500.00 ","$6,165.63 ","$7,892.00 ","$6,989.86 ","$2,740.02 ","$6,905.50 ","$2,740.02 ","$5,919.00 ","$2,794.82 ","$7,398.75 ","$5,445.48 ","$4,912.77 ","$5,445.48 ","$2,740.02 ","$5,445.48 ","$7,990.65 ","$9,865.00 ","$7,990.65 ","$8,385.25 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$9,865.00 ","$5,534.27 ","$2,740.02 ","$2,584.63 ","$9,865.00 ","$1,936.13 ","$1,848.13 ","$2,877.03 ","$7,892.00 ","$4,883.18 ","$2,762.20 ","$8,878.50 ","$2,747.00 ","$3,479.00 ","$2,740.02 ","$4,735.20 "
ST. MARY'S HOSPITAL - DECATUR,48100190,36223,HC CATH PLCMT SEL COM CAR/INOM INTRACRN UNI 36223,481,1 ,"$11,226.00 ","$8,082.72 ","$1,848.13 ","$12,059.93 ","$12,059.93 ","$3,800.00 ","$6,174.30 ","$4,727.49 ","$3,143.28 ","$5,871.20 ","$4,727.49 ","$6,174.30 ","$4,727.49 ","$5,556.87 ","$5,556.87 ","$4,727.49 ","$5,556.87 ","$9,744.43 ","$3,500.00 ","$7,016.25 ","$8,980.80 ","$12,059.93 ","$4,727.49 ","$7,858.20 ","$4,727.49 ","$6,735.60 ","$4,822.04 ","$8,419.50 ","$6,196.75 ","$5,590.55 ","$6,196.75 ","$4,727.49 ","$6,196.75 ","$9,093.06 ","$11,226.00 ","$9,093.06 ","$9,542.10 ","$11,226.00 ","$5,180.00 ","$4,727.49 ","$11,226.00 ","$6,297.79 ","$4,727.49 ","$2,941.21 ","$11,226.00 ","$1,936.13 ","$1,848.13 ","$4,963.87 ","$8,980.80 ","$5,556.87 ","$3,143.28 ","$10,103.40 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$5,388.48 "
ST. MARY'S HOSPITAL - DECATUR,48100191,36224,HC CATH PLCMT SEL INTERNAL CAR UNI 36224,481,1 ,"$14,648.00 ","$10,546.56 ","$1,848.13 ","$14,648.00 ","$12,059.93 ","$5,830.00 ","$8,056.40 ","$4,727.49 ","$4,101.44 ","$6,175.00 ","$4,727.49 ","$6,500.00 ","$4,727.49 ","$5,850.00 ","$5,850.00 ","$4,727.49 ","$5,850.00 ","$9,744.43 ","$3,500.00 ","$9,155.00 ","$11,718.40 ","$12,059.93 ","$4,727.49 ","$10,253.60 ","$4,727.49 ","$8,788.80 ","$4,822.04 ","$10,986.00 ","$8,085.70 ","$7,294.70 ","$8,085.70 ","$4,727.49 ","$8,085.70 ","$11,864.88 ","$14,648.00 ","$11,864.88 ","$12,450.80 ","$12,059.93 ","$5,180.00 ","$4,727.49 ","$14,648.00 ","$8,217.53 ","$4,727.49 ","$3,837.78 ","$14,648.00 ","$1,936.13 ","$1,848.13 ","$4,963.87 ","$11,718.40 ","$5,850.00 ","$4,101.44 ","$13,183.20 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$7,031.04 "
ST. MARY'S HOSPITAL - DECATUR,48100192,36226,HC CATH PLCMT SEL VERTEBRAL UNI 36226,481,1 ,"$11,330.00 ","$8,157.60 ","$1,848.13 ","$12,059.93 ","$12,059.93 ","$5,830.00 ","$6,231.50 ","$4,727.49 ","$3,172.40 ","$5,925.59 ","$4,727.49 ","$6,231.50 ","$4,727.49 ","$5,608.35 ","$5,608.35 ","$4,727.49 ","$5,608.35 ","$9,744.43 ","$3,500.00 ","$7,081.25 ","$9,064.00 ","$12,059.93 ","$4,727.49 ","$7,931.00 ","$4,727.49 ","$6,798.00 ","$4,822.04 ","$8,497.50 ","$6,254.16 ","$5,642.34 ","$6,254.16 ","$4,727.49 ","$6,254.16 ","$9,177.30 ","$11,330.00 ","$9,177.30 ","$9,630.50 ","$11,330.00 ","$5,180.00 ","$4,727.49 ","$11,330.00 ","$6,356.13 ","$4,727.49 ","$2,968.46 ","$11,330.00 ","$1,936.13 ","$1,848.13 ","$4,963.87 ","$9,064.00 ","$5,608.35 ","$3,172.40 ","$10,197.00 ","$2,975.00 ","$5,460.00 ","$4,727.49 ","$5,438.40 "
ST. MARY'S HOSPITAL - DECATUR,48100200,92920,HC PTCA SINGL MAJ ART/BRANCH 92920,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100201,92921,HC PTCA EA ADDL BRANCH MAJ ART 92921,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100202,92924,HC ROTOBLATOR SINGL MAJ ART/BRANCH 92924,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100203,92925,HC ROTOBLATOR EA ADDL BRANCH MAJ ART 92925,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100204,92928,HC BMS SINGL MAJ ART/BRANCH 92928,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100205,92929,HC BMS EA ADDL BRANCH MAJ ART 92929,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100206,92933,HC ROTOBLATOR/BMS SINGL MAJ ART/BRANCH 92933,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100207,92934,HC ROTOBLATOR/BMS EA ADDL BRANCH MAJ ART 92934,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100208,92937,HC BYPASS GRAFT BMS SINGL MAJ ART/BRANCH 92937,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100209,92938,HC BYPASS GRAFT BMS EA ADDL BRNCH MAJ ART 92938,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100210,92941,HC STEMI/NSTEMI BMS SING VESS 92941,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100211,92943,HC CTO BMS SING MAJ ART/BRNCH 92943,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100212,92944,HC CTO BMS EA ADD BNCH MAJ ART 92944,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100218,C9600,HC DES SING MAJ ART/BRNCH C9600,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100219,C9601,HC DES EA ADD BNCH MAJ ART C9601,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100221,C9603,HC ROTOBLAT/DES EA ADD BNCH MAJ ART C9603,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100222,C9604,HC BYPASS GRAFT DES SING MAJ ART/BRNCH C9604,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100223,C9605,HC BYPASS GRFT DES EA ADD BRNCH MAJ ART C9605,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100224,C9607,HC CTO DES SING MAJ ART/BRNCH C9607,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100225,C9608,HC CTO DES EA ADD BRNCH MAJ ART C9608,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100226,C9606,HC STEMI/NSTEMI DES SINGL VESSEL C9606,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100230,37241,HC VENOUS EMBO FOR VEIN MALFORMATION 37241,481,1 ,"$12,549.00 ","$9,035.28 ","$3,287.84 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,901.95 ","$9,763.85 ","$3,513.72 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$12,549.00 ","$3,500.00 ","$7,843.13 ","$10,039.20 ","$24,907.76 ","$9,763.85 ","$8,784.30 ","$9,763.85 ","$7,529.40 ","$9,959.12 ","$9,411.75 ","$6,927.05 ","$6,249.40 ","$6,927.05 ","$9,763.85 ","$6,927.05 ","$10,164.69 ","$12,549.00 ","$10,164.69 ","$10,666.65 ","$12,549.00 ","$5,180.00 ","$9,763.85 ","$12,549.00 ","$7,039.99 ","$9,763.85 ","$3,287.84 ","$12,549.00 ","$7,766.98 ","$7,413.93 ","$10,252.04 ","$10,039.20 ","$5,850.00 ","$3,513.72 ","$11,294.10 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$6,023.52 "
ST. MARY'S HOSPITAL - DECATUR,48100231,37242,HC ARTERIAL EMBO FOR AVM ANER PRE/PST AAA 37242,481,1 ,"$12,549.00 ","$9,035.28 ","$3,287.84 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,901.95 ","$9,763.85 ","$3,513.72 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$12,549.00 ","$3,500.00 ","$7,843.13 ","$10,039.20 ","$24,907.76 ","$9,763.85 ","$8,784.30 ","$9,763.85 ","$7,529.40 ","$9,959.12 ","$9,411.75 ","$6,927.05 ","$6,249.40 ","$6,927.05 ","$9,763.85 ","$6,927.05 ","$10,164.69 ","$12,549.00 ","$10,164.69 ","$10,666.65 ","$12,549.00 ","$5,180.00 ","$9,763.85 ","$12,549.00 ","$7,039.99 ","$9,763.85 ","$3,287.84 ","$12,549.00 ","$7,766.98 ","$7,413.93 ","$10,252.04 ","$10,039.20 ","$5,850.00 ","$3,513.72 ","$11,294.10 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$6,023.52 "
ST. MARY'S HOSPITAL - DECATUR,48100232,37243,HC EMBOLIZATION OF TUMOR UFE CHEMO 37243,481,1 ,"$13,640.00 ","$9,820.80 ","$3,372.00 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$7,502.00 ","$9,763.85 ","$3,819.20 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$13,640.00 ","$3,500.00 ","$8,525.00 ","$10,912.00 ","$24,907.76 ","$9,763.85 ","$9,548.00 ","$9,763.85 ","$8,184.00 ","$9,959.12 ","$10,230.00 ","$7,529.28 ","$6,792.72 ","$7,529.28 ","$9,763.85 ","$7,529.28 ", N/A ,"$13,640.00 ", N/A ,"$11,594.00 ","$13,640.00 ","$5,180.00 ","$9,763.85 ","$13,640.00 ","$7,652.04 ","$9,763.85 ","$3,573.68 ","$13,640.00 ","$7,766.98 ","$7,413.93 ","$10,252.04 ","$10,912.00 ","$5,850.00 ","$3,819.20 ","$12,276.00 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$6,547.20 "
ST. MARY'S HOSPITAL - DECATUR,48100233,37244,HC EMBOLIZATION FOR HEMORRAGE ART/VEN 37244,481,1 ,"$12,549.00 ","$9,035.28 ","$3,287.84 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,901.95 ","$9,763.85 ","$3,513.72 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$12,549.00 ","$3,500.00 ","$7,843.13 ","$10,039.20 ","$24,907.76 ","$9,763.85 ","$8,784.30 ","$9,763.85 ","$7,529.40 ","$9,959.12 ","$9,411.75 ","$6,927.05 ","$6,249.40 ","$6,927.05 ","$9,763.85 ","$6,927.05 ", N/A ,"$12,549.00 ", N/A ,"$10,666.65 ","$12,549.00 ","$5,180.00 ","$9,763.85 ","$12,549.00 ","$7,039.99 ","$9,763.85 ","$3,287.84 ","$12,549.00 ","$7,766.98 ","$7,413.93 ","$10,252.04 ","$10,039.20 ","$5,850.00 ","$3,513.72 ","$11,294.10 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$6,023.52 "
ST. MARY'S HOSPITAL - DECATUR,48100234,37236,HC STENT INIT ARTERY UPPER EXT VISCERAL 37236,481,1 ,"$11,279.00 ","$8,120.88 ","$2,955.10 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,203.45 ","$9,763.85 ","$3,158.12 ","$5,898.92 ","$9,763.85 ","$6,203.45 ","$9,763.85 ","$5,583.11 ","$5,583.11 ","$9,763.85 ","$5,583.11 ","$11,279.00 ","$3,500.00 ","$7,049.38 ","$9,023.20 ","$24,907.76 ","$9,763.85 ","$7,895.30 ","$9,763.85 ","$6,767.40 ","$9,959.12 ","$8,459.25 ","$6,226.01 ","$5,616.94 ","$6,226.01 ","$9,763.85 ","$6,226.01 ","$9,135.99 ","$11,279.00 ","$9,135.99 ","$9,587.15 ","$11,279.00 ","$5,180.00 ","$9,763.85 ","$11,279.00 ","$6,327.52 ","$9,763.85 ","$2,955.10 ","$11,279.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$9,023.20 ","$5,583.11 ","$3,158.12 ","$10,151.10 ","$5,594.38 ","$6,638.00 ","$9,763.85 ","$5,413.92 "
ST. MARY'S HOSPITAL - DECATUR,48100235,37237,HC STENT ADDN ARTERY UPPER EXT VISERAL 37237,481,1 ,"$10,212.00 ","$7,352.64 ","$2,675.54 ","$10,212.00 ", N/A ,"$3,000.00 ","$5,616.60 ", N/A ,"$2,859.36 ","$5,340.88 ", N/A ,"$5,616.60 ", N/A ,"$5,054.94 ","$5,054.94 ", N/A ,"$5,054.94 ", N/A ,"$3,500.00 ","$6,382.50 ","$8,169.60 ", N/A , N/A ,"$7,148.40 ", N/A ,"$6,127.20 ", N/A ,"$7,659.00 ","$5,637.02 ","$5,085.58 ","$5,637.02 ", N/A ,"$5,637.02 ","$8,271.72 ","$10,212.00 ","$8,271.72 ","$8,680.20 ", N/A ,"$5,180.00 ", N/A ,"$10,212.00 ","$5,728.93 ", N/A ,"$2,675.54 ","$10,212.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$8,169.60 ","$5,054.94 ","$2,859.36 ","$9,190.80 ","$5,065.15 ","$5,460.00 ", N/A ,"$4,901.76 "
ST. MARY'S HOSPITAL - DECATUR,48100236,37238,HC STENT INIT VENOUS UPPER EXT VISERAL 37238,481,1 ,"$11,995.00 ","$8,636.40 ","$3,142.69 ","$24,907.78 ","$24,907.78 ","$5,830.00 ","$6,597.25 ","$9,763.85 ","$3,358.60 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$11,995.00 ","$3,500.00 ","$7,496.88 ","$9,596.00 ","$24,907.76 ","$9,763.85 ","$8,396.50 ","$9,763.85 ","$7,197.00 ","$9,959.12 ","$8,996.25 ","$6,621.24 ","$5,973.51 ","$6,621.24 ","$9,763.85 ","$6,621.24 ","$9,715.95 ","$11,995.00 ","$9,715.95 ","$10,195.75 ","$11,995.00 ","$5,180.00 ","$9,763.85 ","$11,995.00 ","$6,729.20 ","$9,763.85 ","$3,142.69 ","$11,995.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$9,596.00 ","$5,850.00 ","$3,358.60 ","$10,795.50 ","$5,949.52 ","$6,638.00 ","$9,763.85 ","$5,757.60 "
ST. MARY'S HOSPITAL - DECATUR,48100237,37239,HC STENT ADDN VENOUS UPPER EXT VISERAL 37239,481,1 ,"$10,862.00 ","$7,820.64 ","$2,845.84 ","$10,862.00 ", N/A ,"$3,000.00 ","$5,974.10 ", N/A ,"$3,041.36 ","$5,680.83 ", N/A ,"$5,974.10 ", N/A ,"$5,376.69 ","$5,376.69 ", N/A ,"$5,376.69 ", N/A ,"$3,500.00 ","$6,788.75 ","$8,689.60 ", N/A , N/A ,"$7,603.40 ", N/A ,"$6,517.20 ", N/A ,"$8,146.50 ","$5,995.82 ","$5,409.28 ","$5,995.82 ", N/A ,"$5,995.82 ","$8,798.22 ","$10,862.00 ","$8,798.22 ","$9,232.70 ", N/A ,"$5,180.00 ", N/A ,"$10,862.00 ","$6,093.58 ", N/A ,"$2,845.84 ","$10,862.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$8,689.60 ","$5,376.69 ","$3,041.36 ","$9,775.80 ","$5,387.55 ","$5,460.00 ", N/A ,"$5,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100238,37217,HC STENT CAROTID OPEN 37217,481,1 ,"$10,857.00 ","$7,817.04 ","$2,178.00 ","$10,857.00 ", N/A ,"$5,830.00 ","$5,971.35 ", N/A ,"$3,039.96 ","$5,678.21 ", N/A ,"$5,971.35 ", N/A ,"$5,374.22 ","$5,374.22 ", N/A ,"$5,374.22 ", N/A ,"$3,500.00 ","$6,785.63 ","$8,685.60 ", N/A , N/A ,"$7,599.90 ", N/A ,"$6,514.20 ", N/A ,"$8,142.75 ","$5,993.06 ","$5,406.79 ","$5,993.06 ", N/A ,"$5,993.06 ","$8,794.17 ","$10,857.00 ","$8,794.17 ","$9,228.45 ", N/A ,"$5,180.00 ", N/A ,"$10,857.00 ","$6,090.78 ", N/A ,"$2,844.53 ","$10,857.00 ", N/A , N/A , N/A ,"$8,685.60 ","$5,374.22 ","$3,039.96 ","$9,771.30 ","$2,747.00 ","$2,178.00 ", N/A ,"$5,211.36 "
ST. MARY'S HOSPITAL - DECATUR,48100263,36902,HC INTRO CATH/CIRCUIT W/ANGIO 36902,481,1 ,"$7,347.00 ","$5,289.84 ","$1,924.91 ","$12,237.43 ","$12,237.43 ","$7,347.00 ","$4,040.85 ","$4,797.07 ","$2,057.16 ","$3,842.48 ","$4,797.07 ","$4,040.85 ","$4,797.07 ","$3,636.77 ","$3,636.77 ","$4,797.07 ","$3,636.77 ","$7,347.00 ","$3,500.00 ","$4,591.88 ","$5,877.60 ","$12,237.41 ","$4,797.07 ","$5,142.90 ","$4,797.07 ","$4,408.20 ","$4,893.01 ","$5,510.25 ","$4,055.54 ","$3,658.81 ","$4,055.54 ","$4,797.07 ","$4,055.54 ","$5,951.07 ","$7,347.00 ","$5,951.07 ","$6,244.95 ","$7,347.00 ","$5,091.47 ","$4,797.07 ","$7,347.00 ","$4,121.67 ","$4,797.07 ","$1,924.91 ","$7,347.00 ","$3,580.49 ","$3,417.74 ","$5,036.93 ","$5,877.60 ","$3,636.77 ","$2,057.16 ","$6,612.30 ","$2,975.00 ","$5,460.00 ","$4,797.07 ","$3,526.56 "
ST. MARY'S HOSPITAL - DECATUR,48100264,36905,HC THROMBECTOMY/INFUS CIRCUIT W/ANGIO 36905,481,1 ,"$7,351.00 ","$5,292.72 ","$1,925.96 ","$24,907.78 ","$24,907.78 ","$7,351.00 ","$4,043.05 ","$9,763.85 ","$2,058.28 ","$3,844.57 ","$9,763.85 ","$4,043.05 ","$7,203.98 ","$3,638.75 ","$3,638.75 ","$7,203.98 ","$3,638.75 ","$7,351.00 ","$3,500.00 ","$4,594.38 ","$5,880.80 ","$24,907.76 ","$9,763.85 ","$5,145.70 ","$9,763.85 ","$4,410.60 ","$7,203.98 ","$5,513.25 ","$4,057.75 ","$3,660.80 ","$4,057.75 ","$9,763.85 ","$4,057.75 ","$5,954.31 ","$7,351.00 ","$5,954.31 ","$6,248.35 ","$7,351.00 ","$5,094.24 ","$7,203.98 ","$7,351.00 ","$4,123.91 ","$9,763.85 ","$1,925.96 ","$7,351.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$5,880.80 ","$3,638.75 ","$2,058.28 ","$6,615.90 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$3,528.48 "
ST. MARY'S HOSPITAL - DECATUR,48100265,36907,HC ANGIOPLASTY CTR DIALYSIS SEGMENT 36907,481,1 ,"$7,347.00 ","$5,289.84 ",$766.00 ,"$7,347.00 ", N/A ,"$3,000.00 ","$4,040.85 ", N/A ,"$2,057.16 ","$3,842.48 ", N/A ,"$4,040.85 ", N/A ,"$3,636.77 ","$3,636.77 ", N/A ,"$3,636.77 ", N/A ,"$3,500.00 ","$4,591.88 ","$5,877.60 ", N/A , N/A ,"$5,142.90 ", N/A ,"$4,408.20 ", N/A ,"$5,510.25 ","$4,055.54 ","$3,658.81 ","$4,055.54 ", N/A ,"$4,055.54 ","$5,951.07 ","$7,347.00 ","$5,951.07 ","$6,244.95 ", N/A ,"$5,091.47 ", N/A ,"$7,347.00 ","$4,121.67 ", N/A ,"$1,924.91 ","$7,347.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$5,877.60 ","$3,636.77 ","$2,057.16 ","$6,612.30 ",$766.00 ,$964.00 , N/A ,"$3,526.56 "
ST. MARY'S HOSPITAL - DECATUR,48100266,37246,HC ANGIOPLASTY TRANLUM BALN INIT ARTERY 37246,481,1 ,"$4,427.00 ","$3,187.44 ","$1,159.87 ","$12,237.43 ","$12,237.43 ","$4,427.00 ","$2,434.85 ","$4,797.07 ","$1,239.56 ","$2,315.32 ","$4,797.07 ","$2,434.85 ","$4,338.46 ","$2,191.37 ","$2,191.37 ","$4,338.46 ","$2,191.37 ","$4,427.00 ","$3,098.90 ","$2,766.88 ","$3,541.60 ","$12,237.41 ","$4,797.07 ","$3,098.90 ","$4,797.07 ","$2,656.20 ","$4,338.46 ","$3,320.25 ","$2,443.70 ","$2,204.65 ","$2,443.70 ","$4,797.07 ","$2,443.70 ", N/A ,"$4,427.00 ", N/A ,"$3,762.95 ","$4,427.00 ","$3,067.91 ","$4,338.46 ","$4,427.00 ","$2,483.55 ","$4,797.07 ","$1,159.87 ","$4,427.00 ","$3,580.49 ","$3,417.74 ","$5,036.93 ","$3,541.60 ","$2,191.37 ","$1,239.56 ","$3,984.30 ","$2,975.00 ","$4,427.00 ","$4,797.07 ","$2,124.96 "
ST. MARY'S HOSPITAL - DECATUR,48100267,37247,HC ANGIOPLASTY TRANLUM BALN ADDL ARTERY 37247,481,1 ,"$3,443.00 ","$2,478.96 ",$766.00 ,"$3,443.00 ", N/A ,"$3,000.00 ","$1,893.65 ", N/A ,$964.04 ,"$1,800.69 ", N/A ,"$1,893.65 ", N/A ,"$1,704.29 ","$1,704.29 ", N/A ,"$1,704.29 ", N/A ,"$2,410.10 ","$2,151.88 ","$2,754.40 ", N/A , N/A ,"$2,410.10 ", N/A ,"$2,065.80 ", N/A ,"$2,582.25 ","$1,900.54 ","$1,714.61 ","$1,900.54 ", N/A ,"$1,900.54 ", N/A ,"$3,443.00 ", N/A ,"$2,926.55 ", N/A ,"$2,386.00 ", N/A ,"$3,443.00 ","$1,931.52 ", N/A ,$902.07 ,"$3,443.00 ","$3,443.00 ","$3,417.74 ", N/A ,"$2,754.40 ","$1,704.29 ",$964.04 ,"$3,098.70 ",$766.00 ,$964.00 , N/A ,"$1,652.64 "
ST. MARY'S HOSPITAL - DECATUR,48100268,37248,HC ANGIOPLASTY TRANLUM BALN INIT VEIN 37248,481,1 ,"$2,896.00 ","$2,085.12 ",$758.75 ,"$12,237.43 ","$12,237.43 ","$2,896.00 ","$1,592.80 ","$4,797.07 ",$810.88 ,"$1,514.61 ","$4,797.07 ","$1,592.80 ","$2,838.08 ","$1,433.52 ","$1,433.52 ","$2,838.08 ","$1,433.52 ","$2,896.00 ","$2,027.20 ","$1,810.00 ","$2,316.80 ","$12,237.41 ","$4,797.07 ","$2,027.20 ","$4,797.07 ","$1,737.60 ","$2,838.08 ","$2,172.00 ","$1,598.59 ","$1,442.21 ","$1,598.59 ","$4,797.07 ","$1,598.59 ", N/A ,"$2,896.00 ", N/A ,"$2,461.60 ","$2,896.00 ","$2,006.93 ","$2,838.08 ","$2,896.00 ","$1,624.66 ","$4,797.07 ",$758.75 ,"$2,896.00 ","$2,896.00 ","$3,417.74 ","$5,036.93 ","$2,316.80 ","$1,433.52 ",$810.88 ,"$2,606.40 ","$2,896.00 ","$2,896.00 ","$4,797.07 ","$1,390.08 "
ST. MARY'S HOSPITAL - DECATUR,48100269,37249,HC ANGIOPLASTY TRANLUM BALN ADDL VEIN 37249,481,1 ,"$2,896.00 ","$2,085.12 ",$758.75 ,"$3,417.74 ", N/A ,"$2,896.00 ","$1,592.80 ", N/A ,$810.88 ,"$1,514.61 ", N/A ,"$1,592.80 ", N/A ,"$1,433.52 ","$1,433.52 ", N/A ,"$1,433.52 ", N/A ,"$2,027.20 ","$1,810.00 ","$2,316.80 ", N/A , N/A ,"$2,027.20 ", N/A ,"$1,737.60 ", N/A ,"$2,172.00 ","$1,598.59 ","$1,442.21 ","$1,598.59 ", N/A ,"$1,598.59 ", N/A ,"$2,896.00 ", N/A ,"$2,461.60 ", N/A ,"$2,006.93 ", N/A ,"$2,896.00 ","$1,624.66 ", N/A ,$758.75 ,"$2,896.00 ","$2,896.00 ","$3,417.74 ", N/A ,"$2,316.80 ","$1,433.52 ",$810.88 ,"$2,606.40 ",$766.00 ,$964.00 , N/A ,"$1,390.08 "
ST. MARY'S HOSPITAL - DECATUR,48100270,36908,HC PLACE STENT CENTRAL DIAL SEGMENT 36908,481,1 ,"$14,546.00 ","$10,473.12 ",$766.00 ,"$14,546.00 ", N/A ,"$3,000.00 ","$8,000.30 ", N/A ,"$4,072.88 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$9,091.25 ","$11,636.80 ", N/A , N/A ,"$10,182.20 ", N/A ,"$8,727.60 ", N/A ,"$10,909.50 ","$8,029.39 ","$7,243.91 ","$8,029.39 ", N/A ,"$8,029.39 ","$11,782.26 ","$14,546.00 ","$11,782.26 ","$12,364.10 ", N/A ,"$5,180.00 ", N/A ,"$14,546.00 ","$8,160.31 ", N/A ,"$3,811.05 ","$14,546.00 ","$3,580.49 ","$3,417.74 ", N/A ,"$11,636.80 ","$5,850.00 ","$4,072.88 ","$13,091.40 ",$766.00 ,$964.00 , N/A ,"$6,982.08 "
ST. MARY'S HOSPITAL - DECATUR,48100271,36909,HC DIAL CIRCUIT VASC EMBOL/OCCUL 36909,481,1 ,"$12,354.00 ","$8,894.88 ",$766.00 ,"$12,354.00 ", N/A ,"$3,000.00 ","$6,794.70 ", N/A ,"$3,459.12 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$7,721.25 ","$9,883.20 ", N/A , N/A ,"$8,647.80 ", N/A ,"$7,412.40 ", N/A ,"$9,265.50 ","$6,819.41 ","$6,152.29 ","$6,819.41 ", N/A ,"$6,819.41 ","$10,006.74 ","$12,354.00 ","$10,006.74 ","$10,500.90 ", N/A ,"$5,180.00 ", N/A ,"$12,354.00 ","$6,930.59 ", N/A ,"$3,236.75 ","$12,354.00 ","$2,880.71 ","$2,749.77 ", N/A ,"$9,883.20 ","$5,850.00 ","$3,459.12 ","$11,118.60 ",$766.00 ,$964.00 , N/A ,"$5,929.92 "
ST. MARY'S HOSPITAL - DECATUR,48100272,36901,HC INTRO CATH DIALYSIS CIRCUIT 36901,481,1 ,"$2,908.00 ","$2,093.76 ",$761.90 ,"$3,491.10 ","$3,491.10 ","$2,908.00 ","$1,599.40 ","$1,368.51 ",$814.24 ,"$1,520.88 ","$1,368.51 ","$1,599.40 ","$1,368.51 ","$1,439.46 ","$1,439.46 ","$1,368.51 ","$1,439.46 ","$2,820.80 ","$2,035.60 ","$1,817.50 ","$2,326.40 ","$3,491.09 ","$1,368.51 ","$2,035.60 ","$1,368.51 ","$1,744.80 ","$1,395.88 ","$2,181.00 ","$1,605.22 ","$1,448.18 ","$1,605.22 ","$1,368.51 ","$1,605.22 ","$2,355.48 ","$2,908.00 ","$2,355.48 ","$2,471.80 ","$2,908.00 ","$2,015.24 ","$1,368.51 ","$2,908.00 ","$1,631.39 ","$1,368.51 ",$761.90 ,"$2,908.00 ","$2,254.60 ","$2,152.12 ","$1,436.93 ","$2,326.40 ","$1,439.46 ",$814.24 ,"$2,617.20 ","$1,866.00 ","$2,248.00 ","$1,368.51 ","$1,395.84 "
ST. MARY'S HOSPITAL - DECATUR,48100273,36903,HC INTRO CATH/CIRCUIT W/STENT 36903,481,1 ,"$17,388.00 ","$12,519.36 ","$3,372.00 ","$24,907.78 ","$24,907.78 ","$13,080.00 ","$9,563.40 ","$9,763.85 ","$4,868.64 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,388.00 ","$3,500.00 ","$10,867.50 ","$13,910.40 ","$24,907.76 ","$9,763.85 ","$12,171.60 ","$9,763.85 ","$10,432.80 ","$9,959.12 ","$13,041.00 ","$9,598.18 ","$8,659.22 ","$9,598.18 ","$9,763.85 ","$9,598.18 ","$14,084.28 ","$17,388.00 ","$14,084.28 ","$14,779.80 ","$17,388.00 ","$5,180.00 ","$9,763.85 ","$17,388.00 ","$9,754.67 ","$9,763.85 ","$4,555.66 ","$17,388.00 ","$3,580.49 ","$3,417.74 ","$10,252.04 ","$13,910.40 ","$5,850.00 ","$4,868.64 ","$15,649.20 ","$3,372.00 ","$6,638.00 ","$9,763.85 ","$8,346.24 "
ST. MARY'S HOSPITAL - DECATUR,48100274,36904,HC THROMBECTOMY/INFUS DIALYSIS CIRCUIT 36904,481,1 ,"$7,024.00 ","$5,057.28 ","$1,840.29 ","$12,237.43 ","$12,237.43 ","$7,024.00 ","$3,863.20 ","$4,797.07 ","$1,966.72 ","$3,673.55 ","$4,797.07 ","$3,863.20 ","$4,797.07 ","$3,476.88 ","$3,476.88 ","$4,797.07 ","$3,476.88 ","$7,024.00 ","$3,500.00 ","$4,390.00 ","$5,619.20 ","$12,237.41 ","$4,797.07 ","$4,916.80 ","$4,797.07 ","$4,214.40 ","$4,893.01 ","$5,268.00 ","$3,877.25 ","$3,497.95 ","$3,877.25 ","$4,797.07 ","$3,877.25 ","$5,689.44 ","$7,024.00 ","$5,689.44 ","$5,970.40 ","$7,024.00 ","$4,867.63 ","$4,797.07 ","$7,024.00 ","$3,940.46 ","$4,797.07 ","$1,840.29 ","$7,024.00 ","$3,580.49 ","$3,417.74 ","$5,036.93 ","$5,619.20 ","$3,476.88 ","$1,966.72 ","$6,321.60 ","$2,975.00 ","$5,460.00 ","$4,797.07 ","$3,371.52 "
ST. MARY'S HOSPITAL - DECATUR,48100275,36906,HC THROMBECTOMY/INFUS CIRCUIT W/STENT 36906,481,1 ,"$12,152.00 ","$8,749.44 ","$3,183.82 ","$40,305.53 ","$40,305.53 ","$12,152.00 ","$6,683.60 ","$15,799.77 ","$3,402.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$11,908.96 ","$5,850.00 ","$5,850.00 ","$11,908.96 ","$5,850.00 ","$12,152.00 ","$3,500.00 ","$7,595.00 ","$9,721.60 ","$40,305.52 ","$15,799.77 ","$8,506.40 ","$15,799.77 ","$7,291.20 ","$11,908.96 ","$9,114.00 ","$6,707.90 ","$6,051.70 ","$6,707.90 ","$15,799.77 ","$6,707.90 ","$9,843.12 ","$12,152.00 ","$9,843.12 ","$10,329.20 ","$12,152.00 ","$5,180.00 ","$11,908.96 ","$12,152.00 ","$6,817.27 ","$15,799.77 ","$3,183.82 ","$12,152.00 ","$3,580.49 ","$3,417.74 ","$16,589.75 ","$9,721.60 ","$5,850.00 ","$3,402.56 ","$10,936.80 ","$4,427.00 ","$8,779.00 ","$15,799.77 ","$5,832.96 "
ST. MARY'S HOSPITAL - DECATUR,48100277,93288,HC INTERROG DEVICE EVAL PACEMAKER SYSTEM,481,1 ,$317.00 ,$228.24 ,$29.20 ,$317.00 ,$82.13 ,$168.01 ,$174.35 ,$32.19 ,$88.76 ,$165.79 ,$32.19 ,$174.35 ,$32.19 ,$156.92 ,$156.92 ,$32.19 ,$156.92 ,$66.36 ,$221.90 ,$198.13 ,$253.60 ,$82.12 ,$32.19 ,$221.90 ,$32.19 ,$190.20 ,$32.84 ,$237.75 ,$174.98 ,$157.87 ,$174.98 ,$32.19 ,$174.98 ,$256.77 ,$317.00 ,$256.77 ,$269.45 ,$82.12 ,$219.68 ,$32.19 ,$317.00 ,$177.84 ,$32.19 ,$83.05 ,$317.00 ,$30.59 ,$29.20 ,$33.80 ,$253.60 ,$156.92 ,$88.76 ,$285.30 , N/A , N/A ,$32.19 ,$152.16 
ST. MARY'S HOSPITAL - DECATUR,48100278,93571,HC INTRVASC DOPP COLOR FLOW INIT VSL-LC,480,1 ,"$4,612.00 ","$3,320.64 ",$289.34 ,"$4,612.00 ", N/A ,"$2,444.36 ","$2,536.60 ", N/A ,"$1,291.36 ","$2,286.91 ", N/A ,"$2,389.31 ", N/A ,"$2,282.94 ",$289.34 , N/A ,"$2,282.94 ", N/A ,"$3,228.40 ","$2,882.50 ","$3,689.60 ", N/A , N/A ,"$3,228.40 ", N/A ,"$2,767.20 ", N/A ,"$3,459.00 ","$2,545.82 ","$2,296.78 ","$2,545.82 ", N/A ,"$2,545.82 ","$3,735.72 ","$4,612.00 ","$3,735.72 ","$3,920.20 ", N/A ,"$3,196.12 ", N/A ,"$4,612.00 ","$2,587.33 ", N/A ,"$1,208.34 ","$4,612.00 ", N/A , N/A , N/A ,"$3,689.60 ","$2,282.94 ","$1,291.36 ","$4,150.80 ","$1,752.56 ","$1,097.00 ", N/A ,"$2,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100279,93571,HC INTRVASC DOPP COLOR FLOW INIT VSL-LD,480,1 ,"$4,612.00 ","$3,320.64 ",$289.34 ,"$4,612.00 ", N/A ,"$2,444.36 ","$2,536.60 ", N/A ,"$1,291.36 ","$2,286.91 ", N/A ,"$2,389.31 ", N/A ,"$2,282.94 ",$289.34 , N/A ,"$2,282.94 ", N/A ,"$3,228.40 ","$2,882.50 ","$3,689.60 ", N/A , N/A ,"$3,228.40 ", N/A ,"$2,767.20 ", N/A ,"$3,459.00 ","$2,545.82 ","$2,296.78 ","$2,545.82 ", N/A ,"$2,545.82 ","$3,735.72 ","$4,612.00 ","$3,735.72 ","$3,920.20 ", N/A ,"$3,196.12 ", N/A ,"$4,612.00 ","$2,587.33 ", N/A ,"$1,208.34 ","$4,612.00 ", N/A , N/A , N/A ,"$3,689.60 ","$2,282.94 ","$1,291.36 ","$4,150.80 ","$1,752.56 ","$1,097.00 ", N/A ,"$2,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100280,93571,HC INTRVASC DOPP COLOR FLOW INIT VSL-LM,480,1 ,"$4,612.00 ","$3,320.64 ",$289.34 ,"$4,612.00 ", N/A ,"$2,444.36 ","$2,536.60 ", N/A ,"$1,291.36 ","$2,286.91 ", N/A ,"$2,389.31 ", N/A ,"$2,282.94 ",$289.34 , N/A ,"$2,282.94 ", N/A ,"$3,228.40 ","$2,882.50 ","$3,689.60 ", N/A , N/A ,"$3,228.40 ", N/A ,"$2,767.20 ", N/A ,"$3,459.00 ","$2,545.82 ","$2,296.78 ","$2,545.82 ", N/A ,"$2,545.82 ","$3,735.72 ","$4,612.00 ","$3,735.72 ","$3,920.20 ", N/A ,"$3,196.12 ", N/A ,"$4,612.00 ","$2,587.33 ", N/A ,"$1,208.34 ","$4,612.00 ", N/A , N/A , N/A ,"$3,689.60 ","$2,282.94 ","$1,291.36 ","$4,150.80 ","$1,752.56 ","$1,097.00 ", N/A ,"$2,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100281,93571,HC INTRVASC DOPP COLOR FLOW INIT VSL-RC,480,1 ,"$4,612.00 ","$3,320.64 ",$289.34 ,"$4,612.00 ", N/A ,"$2,444.36 ","$2,536.60 ", N/A ,"$1,291.36 ","$2,286.91 ", N/A ,"$2,389.31 ", N/A ,"$2,282.94 ",$289.34 , N/A ,"$2,282.94 ", N/A ,"$3,228.40 ","$2,882.50 ","$3,689.60 ", N/A , N/A ,"$3,228.40 ", N/A ,"$2,767.20 ", N/A ,"$3,459.00 ","$2,545.82 ","$2,296.78 ","$2,545.82 ", N/A ,"$2,545.82 ","$3,735.72 ","$4,612.00 ","$3,735.72 ","$3,920.20 ", N/A ,"$3,196.12 ", N/A ,"$4,612.00 ","$2,587.33 ", N/A ,"$1,208.34 ","$4,612.00 ", N/A , N/A , N/A ,"$3,689.60 ","$2,282.94 ","$1,291.36 ","$4,150.80 ","$1,752.56 ","$1,097.00 ", N/A ,"$2,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100282,93571,HC INTRVASC DOPP COLOR FLOW INIT VSL-RI,480,1 ,"$4,612.00 ","$3,320.64 ",$289.34 ,"$4,612.00 ", N/A ,"$2,444.36 ","$2,536.60 ", N/A ,"$1,291.36 ","$2,286.91 ", N/A ,"$2,389.31 ", N/A ,"$2,282.94 ",$289.34 , N/A ,"$2,282.94 ", N/A ,"$3,228.40 ","$2,882.50 ","$3,689.60 ", N/A , N/A ,"$3,228.40 ", N/A ,"$2,767.20 ", N/A ,"$3,459.00 ","$2,545.82 ","$2,296.78 ","$2,545.82 ", N/A ,"$2,545.82 ","$3,735.72 ","$4,612.00 ","$3,735.72 ","$3,920.20 ", N/A ,"$3,196.12 ", N/A ,"$4,612.00 ","$2,587.33 ", N/A ,"$1,208.34 ","$4,612.00 ", N/A , N/A , N/A ,"$3,689.60 ","$2,282.94 ","$1,291.36 ","$4,150.80 ","$1,752.56 ","$1,097.00 ", N/A ,"$2,213.76 "
ST. MARY'S HOSPITAL - DECATUR,48100283,93572,HC INTRVASC DOPP COLOR FLOW ADDL VSL-LC,481,1 ,"$2,608.00 ","$1,877.76 ",$683.30 ,"$2,608.00 ", N/A ,"$1,382.24 ","$1,434.40 ", N/A ,$730.24 ,"$1,363.98 ", N/A ,"$1,434.40 ", N/A ,"$1,290.96 ","$1,290.96 ", N/A ,"$1,290.96 ", N/A ,"$1,825.60 ","$1,630.00 ","$2,086.40 ", N/A , N/A ,"$1,825.60 ", N/A ,"$1,564.80 ", N/A ,"$1,956.00 ","$1,439.62 ","$1,298.78 ","$1,439.62 ", N/A ,"$1,439.62 ","$2,112.48 ","$2,608.00 ","$2,112.48 ","$2,216.80 ", N/A ,"$1,807.34 ", N/A ,"$2,608.00 ","$1,463.09 ", N/A ,$683.30 ,"$2,608.00 ", N/A , N/A , N/A ,"$2,086.40 ","$1,290.96 ",$730.24 ,"$2,347.20 ","$1,293.57 ",$964.00 , N/A ,"$1,251.84 "
ST. MARY'S HOSPITAL - DECATUR,48100284,93572,HC INTRVASC DOPP COLOR FLOW ADDL VSL-LD,481,1 ,"$2,608.00 ","$1,877.76 ",$683.30 ,"$2,608.00 ", N/A ,"$1,382.24 ","$1,434.40 ", N/A ,$730.24 ,"$1,363.98 ", N/A ,"$1,434.40 ", N/A ,"$1,290.96 ","$1,290.96 ", N/A ,"$1,290.96 ", N/A ,"$1,825.60 ","$1,630.00 ","$2,086.40 ", N/A , N/A ,"$1,825.60 ", N/A ,"$1,564.80 ", N/A ,"$1,956.00 ","$1,439.62 ","$1,298.78 ","$1,439.62 ", N/A ,"$1,439.62 ","$2,112.48 ","$2,608.00 ","$2,112.48 ","$2,216.80 ", N/A ,"$1,807.34 ", N/A ,"$2,608.00 ","$1,463.09 ", N/A ,$683.30 ,"$2,608.00 ", N/A , N/A , N/A ,"$2,086.40 ","$1,290.96 ",$730.24 ,"$2,347.20 ","$1,293.57 ",$964.00 , N/A ,"$1,251.84 "
ST. MARY'S HOSPITAL - DECATUR,48100285,93572,HC INTRVASC DOPP COLOR FLOW ADDL VSL-LM,481,1 ,"$2,608.00 ","$1,877.76 ",$683.30 ,"$2,608.00 ", N/A ,"$1,382.24 ","$1,434.40 ", N/A ,$730.24 ,"$1,363.98 ", N/A ,"$1,434.40 ", N/A ,"$1,290.96 ","$1,290.96 ", N/A ,"$1,290.96 ", N/A ,"$1,825.60 ","$1,630.00 ","$2,086.40 ", N/A , N/A ,"$1,825.60 ", N/A ,"$1,564.80 ", N/A ,"$1,956.00 ","$1,439.62 ","$1,298.78 ","$1,439.62 ", N/A ,"$1,439.62 ","$2,112.48 ","$2,608.00 ","$2,112.48 ","$2,216.80 ", N/A ,"$1,807.34 ", N/A ,"$2,608.00 ","$1,463.09 ", N/A ,$683.30 ,"$2,608.00 ", N/A , N/A , N/A ,"$2,086.40 ","$1,290.96 ",$730.24 ,"$2,347.20 ","$1,293.57 ",$964.00 , N/A ,"$1,251.84 "
ST. MARY'S HOSPITAL - DECATUR,48100286,93572,HC INTRVASC DOPP COLOR FLOW ADDL VSL-RC,481,1 ,"$2,608.00 ","$1,877.76 ",$683.30 ,"$2,608.00 ", N/A ,"$1,382.24 ","$1,434.40 ", N/A ,$730.24 ,"$1,363.98 ", N/A ,"$1,434.40 ", N/A ,"$1,290.96 ","$1,290.96 ", N/A ,"$1,290.96 ", N/A ,"$1,825.60 ","$1,630.00 ","$2,086.40 ", N/A , N/A ,"$1,825.60 ", N/A ,"$1,564.80 ", N/A ,"$1,956.00 ","$1,439.62 ","$1,298.78 ","$1,439.62 ", N/A ,"$1,439.62 ","$2,112.48 ","$2,608.00 ","$2,112.48 ","$2,216.80 ", N/A ,"$1,807.34 ", N/A ,"$2,608.00 ","$1,463.09 ", N/A ,$683.30 ,"$2,608.00 ", N/A , N/A , N/A ,"$2,086.40 ","$1,290.96 ",$730.24 ,"$2,347.20 ","$1,293.57 ",$964.00 , N/A ,"$1,251.84 "
ST. MARY'S HOSPITAL - DECATUR,48100287,93572,HC INTRVASC DOPP COLOR FLOW ADDL VSL-RI,481,1 ,"$2,608.00 ","$1,877.76 ",$683.30 ,"$2,608.00 ", N/A ,"$1,382.24 ","$1,434.40 ", N/A ,$730.24 ,"$1,363.98 ", N/A ,"$1,434.40 ", N/A ,"$1,290.96 ","$1,290.96 ", N/A ,"$1,290.96 ", N/A ,"$1,825.60 ","$1,630.00 ","$2,086.40 ", N/A , N/A ,"$1,825.60 ", N/A ,"$1,564.80 ", N/A ,"$1,956.00 ","$1,439.62 ","$1,298.78 ","$1,439.62 ", N/A ,"$1,439.62 ","$2,112.48 ","$2,608.00 ","$2,112.48 ","$2,216.80 ", N/A ,"$1,807.34 ", N/A ,"$2,608.00 ","$1,463.09 ", N/A ,$683.30 ,"$2,608.00 ", N/A , N/A , N/A ,"$2,086.40 ","$1,290.96 ",$730.24 ,"$2,347.20 ","$1,293.57 ",$964.00 , N/A ,"$1,251.84 "
ST. MARY'S HOSPITAL - DECATUR,48100288,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LC,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100289,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LD,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100290,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LM,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100291,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-RC,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100292,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-RI,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100293,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LC,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100294,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LD,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100295,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LM,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100296,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-RC,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100297,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-RI,481,1 ,"$11,419.00 ","$8,221.68 ","$2,991.78 ","$11,419.00 ", N/A ,"$8,175.00 ","$6,280.45 ", N/A ,"$3,197.32 ","$5,972.14 ", N/A ,"$6,280.45 ", N/A ,"$5,652.41 ","$5,652.41 ", N/A ,"$5,652.41 ", N/A ,"$3,500.00 ","$7,136.88 ","$9,135.20 ", N/A , N/A ,"$7,993.30 ", N/A ,"$6,851.40 ", N/A ,"$8,564.25 ","$6,303.29 ","$5,686.66 ","$6,303.29 ", N/A ,"$6,303.29 ","$9,249.39 ","$11,419.00 ","$9,249.39 ","$9,706.15 ", N/A ,"$5,180.00 ", N/A ,"$11,419.00 ","$6,406.06 ", N/A ,"$2,991.78 ","$11,419.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$9,135.20 ","$5,652.41 ","$3,197.32 ","$10,277.10 ","$5,663.82 ","$11,419.00 ", N/A ,"$5,481.12 "
ST. MARY'S HOSPITAL - DECATUR,48100298,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100299,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LD,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100300,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LM,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100301,92943,HC PERC TRANSL REVASC OCCL SGL VSL-RC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100302,92943,HC PERC TRANSL REVASC OCCL SGL VSL-RI,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$9,488.60 ","$9,763.85 ","$4,830.56 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$24,907.76 ","$9,763.85 ","$12,076.40 ","$9,763.85 ","$10,351.20 ","$9,959.12 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$9,763.85 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$9,763.85 ","$17,252.00 ","$9,678.37 ","$9,763.85 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$9,763.85 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100303,92944,HC PERC TRANSL REVASC OCCL EA ADL-LC,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100304,92944,HC PERC TRANSL REVASC OCCL EA ADL-LD,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100305,92944,HC PERC TRANSL REVASC OCCL EA ADL-LM,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100306,92944,HC PERC TRANSL REVASC OCCL EA ADL-RC,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100307,92944,HC PERC TRANSL REVASC OCCL EA ADL-RI,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100308,92937,HC PERC TRANSL REVASC GRAFT SGL VSL-LC,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100309,92937,HC PERC TRANSL REVASC GRAFT SGL VSL-LD,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100310,92937,HC PERC TRANSL REVASC GRAFT SGL VSL-LM,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100311,92937,HC PERC TRANSL REVASC GRAFT SGL VSL-RC,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100312,92937,HC PERC TRANSL REVASC GRAFT SGL VSL-RI,481,1 ,"$25,691.00 ","$18,497.52 ","$3,500.00 ","$25,691.00 ","$24,907.78 ","$8,175.00 ","$14,130.05 ","$9,763.85 ","$7,193.48 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$16,056.88 ","$20,552.80 ","$24,907.76 ","$9,763.85 ","$17,983.70 ","$9,763.85 ","$15,414.60 ","$9,959.12 ","$19,268.25 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$20,809.71 ","$25,691.00 ","$20,809.71 ","$21,837.35 ","$24,907.76 ","$5,180.00 ","$9,763.85 ","$25,691.00 ","$14,412.65 ","$9,763.85 ","$6,731.04 ","$25,691.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$20,552.80 ","$5,850.00 ","$7,193.48 ","$23,121.90 ","$12,742.74 ","$21,412.00 ","$9,763.85 ","$12,331.68 "
ST. MARY'S HOSPITAL - DECATUR,48100313,92938,HC PERC TRANSL REVASC GRAFT EA AD-LC,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100314,92938,HC PERC TRANSL REVASC GRAFT EA AD-LD,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100315,92938,HC PERC TRANSL REVASC GRAFT EA AD-LM,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100316,92938,HC PERC TRANSL REVASC GRAFT EA AD-RC,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100317,92938,HC PERC TRANSL REVASC GRAFT EA AD-RI,481,1 ,"$18,063.00 ","$13,005.36 ","$3,500.00 ","$18,063.00 ", N/A ,"$8,175.00 ","$9,934.65 ", N/A ,"$5,057.64 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$11,289.38 ","$14,450.40 ", N/A , N/A ,"$12,644.10 ", N/A ,"$10,837.80 ", N/A ,"$13,547.25 ","$9,970.78 ","$8,995.37 ","$9,970.78 ", N/A ,"$9,970.78 ","$14,631.03 ","$18,063.00 ","$14,631.03 ","$15,353.55 ", N/A ,"$5,180.00 ", N/A ,"$18,063.00 ","$10,133.34 ", N/A ,"$4,732.51 ","$18,063.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$14,450.40 ","$5,850.00 ","$5,057.64 ","$16,256.70 ","$8,959.25 ","$18,063.00 ", N/A ,"$8,670.24 "
ST. MARY'S HOSPITAL - DECATUR,48100318,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100319,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LD,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100320,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LM,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100321,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-RC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100322,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-RI,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100324,36245,HC PLACE CATH ABD/PEL 1ST ORDER-LT,360,1 ,"$3,031.00 ","$2,182.32 ",$766.00 ,"$3,031.00 ", N/A ,"$3,031.00 ","$1,667.05 ", N/A ,$848.68 ,"$1,585.21 ", N/A ,"$1,667.05 ", N/A ,"$1,500.35 ","$1,500.35 ", N/A ,"$1,500.35 ", N/A ,"$2,121.70 ","$1,894.38 ","$2,424.80 ", N/A , N/A ,"$2,121.70 ", N/A ,"$1,818.60 ", N/A ,"$2,273.25 ","$1,673.11 ","$1,509.44 ","$1,673.11 ", N/A ,"$1,673.11 ","$2,455.11 ","$3,031.00 ","$2,455.11 ","$2,576.35 ", N/A ,"$2,100.48 ", N/A ,"$3,031.00 ","$1,700.39 ", N/A ,$794.12 ,"$3,031.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,424.80 ","$1,500.35 ",$848.68 ,"$2,727.90 ",$766.00 ,$964.00 , N/A ,"$1,454.88 "
ST. MARY'S HOSPITAL - DECATUR,48100325,36245,HC PLACE CATH ABD/PEL 1ST ORDER-RT,360,1 ,"$3,031.00 ","$2,182.32 ",$766.00 ,"$3,031.00 ", N/A ,"$3,031.00 ","$1,667.05 ", N/A ,$848.68 ,"$1,585.21 ", N/A ,"$1,667.05 ", N/A ,"$1,500.35 ","$1,500.35 ", N/A ,"$1,500.35 ", N/A ,"$2,121.70 ","$1,894.38 ","$2,424.80 ", N/A , N/A ,"$2,121.70 ", N/A ,"$1,818.60 ", N/A ,"$2,273.25 ","$1,673.11 ","$1,509.44 ","$1,673.11 ", N/A ,"$1,673.11 ","$2,455.11 ","$3,031.00 ","$2,455.11 ","$2,576.35 ", N/A ,"$2,100.48 ", N/A ,"$3,031.00 ","$1,700.39 ", N/A ,$794.12 ,"$3,031.00 ","$1,936.13 ","$1,848.13 ", N/A ,"$2,424.80 ","$1,500.35 ",$848.68 ,"$2,727.90 ",$766.00 ,$964.00 , N/A ,"$1,454.88 "
ST. MARY'S HOSPITAL - DECATUR,48100326,92928,HC PLACE PERC INTRACOR STENT SGL-LC,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100327,92928,HC PLACE PERC INTRACOR STENT SGL-LD,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100328,92928,HC PLACE PERC INTRACOR STENT SGL-LM,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100329,92928,HC PLACE PERC INTRACOR STENT SGL-RC,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100330,92928,HC PLACE PERC INTRACOR STENT SGL-RI,481,1 ,"$16,247.00 ","$11,697.84 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$8,935.85 ","$9,763.85 ","$4,549.16 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$16,247.00 ","$3,500.00 ","$10,154.38 ","$12,997.60 ","$24,907.76 ","$9,763.85 ","$11,372.90 ","$9,763.85 ","$9,748.20 ","$9,959.12 ","$12,185.25 ","$8,968.34 ","$8,091.01 ","$8,968.34 ","$9,763.85 ","$8,968.34 ","$13,160.07 ","$16,247.00 ","$13,160.07 ","$13,809.95 ","$16,247.00 ","$5,180.00 ","$9,763.85 ","$16,247.00 ","$9,114.57 ","$9,763.85 ","$4,256.71 ","$16,247.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$12,997.60 ","$5,850.00 ","$4,549.16 ","$14,622.30 ","$8,058.51 ","$16,247.00 ","$9,763.85 ","$7,798.56 "
ST. MARY'S HOSPITAL - DECATUR,48100331,92929,HC PLACE PERC INTRACOR STENT EA AD-LC,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100332,92929,HC PLACE PERC INTRACOR STENT EA AD-LD,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100333,92929,HC PLACE PERC INTRACOR STENT EA AD-LM,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100334,92929,HC PLACE PERC INTRACOR STENT EA AD-RC,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100335,92929,HC PLACE PERC INTRACOR STENT EA AD-RI,481,1 ,"$9,672.00 ","$6,963.84 ","$2,534.06 ","$9,672.00 ", N/A ,"$8,175.00 ","$5,319.60 ", N/A ,"$2,708.16 ","$5,058.46 ", N/A ,"$5,319.60 ", N/A ,"$4,787.64 ","$4,787.64 ", N/A ,"$4,787.64 ", N/A ,"$3,500.00 ","$6,045.00 ","$7,737.60 ", N/A , N/A ,"$6,770.40 ", N/A ,"$5,803.20 ", N/A ,"$7,254.00 ","$5,338.94 ","$4,816.66 ","$5,338.94 ", N/A ,"$5,338.94 ","$7,834.32 ","$9,672.00 ","$7,834.32 ","$8,221.20 ", N/A ,"$5,180.00 ", N/A ,"$9,672.00 ","$5,425.99 ", N/A ,"$2,534.06 ","$9,672.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$7,737.60 ","$4,787.64 ","$2,708.16 ","$8,704.80 ","$4,797.31 ","$9,672.00 ", N/A ,"$4,642.56 "
ST. MARY'S HOSPITAL - DECATUR,48100336,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LC,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100337,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LD,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100338,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LM,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100339,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-RC,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100340,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-RI,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100341,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LC,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100342,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LD,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100343,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LM,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100344,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-RC,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100345,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-RI,481,1 ,"$22,200.00 ","$15,984.00 ","$3,500.00 ","$22,200.00 ", N/A ,"$8,175.00 ","$12,210.00 ", N/A ,"$6,216.00 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$13,875.00 ","$17,760.00 ", N/A , N/A ,"$15,540.00 ", N/A ,"$13,320.00 ", N/A ,"$16,650.00 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$17,982.00 ","$22,200.00 ","$17,982.00 ","$18,870.00 ", N/A ,"$5,180.00 ", N/A ,"$22,200.00 ","$12,454.20 ", N/A ,"$5,816.40 ","$22,200.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$17,760.00 ","$5,850.00 ","$6,216.00 ","$19,980.00 ","$11,011.20 ","$21,412.00 ", N/A ,"$10,656.00 "
ST. MARY'S HOSPITAL - DECATUR,48100346,C9604,HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL-LC,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100347,C9604,HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL-LD,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100348,C9604,HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL-LM,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100349,C9604,HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL-RC,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100350,C9604,HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL-RI,481,1 ,"$24,686.00 ","$17,773.92 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$13,577.30 ","$9,763.85 ","$6,912.08 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$20,125.47 ","$3,500.00 ","$15,428.75 ","$19,748.80 ","$24,907.76 ","$9,763.85 ","$17,280.20 ","$9,763.85 ","$14,811.60 ","$9,959.12 ","$18,514.50 ","$10,676.00 ","$9,608.00 ","$10,676.00 ","$9,763.85 ","$10,676.00 ","$19,995.66 ","$24,686.00 ","$19,995.66 ","$20,983.10 ","$24,686.00 ","$5,180.00 ","$9,763.85 ","$24,686.00 ","$13,848.85 ","$9,763.85 ","$6,467.73 ","$24,686.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$19,748.80 ","$5,850.00 ","$6,912.08 ","$22,217.40 ","$12,244.26 ","$21,412.00 ","$9,763.85 ","$11,849.28 "
ST. MARY'S HOSPITAL - DECATUR,48100351,C9605,HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL-LC,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100352,C9605,HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL-LD,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100353,C9605,HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL-LM,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100354,C9605,HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL-RC,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100355,C9605,HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL-RI,481,1 ,"$19,257.00 ","$13,865.04 ","$3,500.00 ","$19,257.00 ", N/A ,"$8,175.00 ","$10,591.35 ", N/A ,"$5,391.96 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,035.63 ","$15,405.60 ", N/A , N/A ,"$13,479.90 ", N/A ,"$11,554.20 ", N/A ,"$14,442.75 ","$10,629.86 ","$9,589.99 ","$10,629.86 ", N/A ,"$10,629.86 ","$15,598.17 ","$19,257.00 ","$15,598.17 ","$16,368.45 ", N/A ,"$5,180.00 ", N/A ,"$19,257.00 ","$10,803.18 ", N/A ,"$5,045.33 ","$19,257.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$15,405.60 ","$5,850.00 ","$5,391.96 ","$17,331.30 ","$9,551.47 ","$19,257.00 ", N/A ,"$9,243.36 "
ST. MARY'S HOSPITAL - DECATUR,48100356,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100357,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LD,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100358,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LM,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100359,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-RC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100360,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-RI,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$9,488.60 ","$15,799.77 ","$4,830.56 ","$6,175.00 ","$15,799.77 ","$6,500.00 ","$15,799.77 ","$5,850.00 ","$5,850.00 ","$15,799.77 ","$5,850.00 ","$17,252.00 ","$3,500.00 ","$10,782.50 ","$13,801.60 ","$40,305.52 ","$15,799.77 ","$12,076.40 ","$15,799.77 ","$10,351.20 ","$16,115.76 ","$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ","$15,799.77 ","$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ","$17,252.00 ","$5,180.00 ","$15,799.77 ","$17,252.00 ","$9,678.37 ","$15,799.77 ","$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ","$15,799.77 ","$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100361,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LC,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100362,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LD,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100363,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LM,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100364,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-RC,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100365,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-RI,481,1 ,"$10,226.00 ","$7,362.72 ","$2,679.21 ","$10,226.00 ", N/A ,"$8,175.00 ","$5,624.30 ", N/A ,"$2,863.28 ","$5,348.20 ", N/A ,"$5,624.30 ", N/A ,"$5,061.87 ","$5,061.87 ", N/A ,"$5,061.87 ", N/A ,"$3,500.00 ","$6,391.25 ","$8,180.80 ", N/A , N/A ,"$7,158.20 ", N/A ,"$6,135.60 ", N/A ,"$7,669.50 ","$5,644.75 ","$5,092.55 ","$5,644.75 ", N/A ,"$5,644.75 ","$8,283.06 ","$10,226.00 ","$8,283.06 ","$8,692.10 ", N/A ,"$5,180.00 ", N/A ,"$10,226.00 ","$5,736.79 ", N/A ,"$2,679.21 ","$10,226.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,180.80 ","$5,061.87 ","$2,863.28 ","$9,203.40 ","$5,072.10 ","$10,226.00 ", N/A ,"$4,908.48 "
ST. MARY'S HOSPITAL - DECATUR,48100366,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100367,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LD,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100368,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LM,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100369,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-RC,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100370,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-RI,481,1 ,"$17,252.00 ","$12,421.44 ","$3,500.00 ","$17,252.00 ", N/A ,"$8,175.00 ","$9,488.60 ", N/A ,"$4,830.56 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$10,782.50 ","$13,801.60 ", N/A , N/A ,"$12,076.40 ", N/A ,"$10,351.20 ", N/A ,"$12,939.00 ","$9,523.10 ","$8,591.50 ","$9,523.10 ", N/A ,"$9,523.10 ","$13,974.12 ","$17,252.00 ","$13,974.12 ","$14,664.20 ", N/A ,"$5,180.00 ", N/A ,"$17,252.00 ","$9,678.37 ", N/A ,"$4,520.02 ","$17,252.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$13,801.60 ","$5,850.00 ","$4,830.56 ","$15,526.80 ","$8,556.99 ","$17,252.00 ", N/A ,"$8,280.96 "
ST. MARY'S HOSPITAL - DECATUR,48100371,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LC,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100372,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LD,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100373,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LM,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100374,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-RC,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100375,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-RI,481,1 ,"$18,258.00 ","$13,145.76 ","$3,500.00 ","$24,907.78 ","$24,907.78 ","$8,175.00 ","$10,041.90 ","$9,763.85 ","$5,112.24 ","$6,175.00 ","$9,763.85 ","$6,500.00 ","$9,763.85 ","$5,850.00 ","$5,850.00 ","$9,763.85 ","$5,850.00 ","$18,258.00 ","$3,500.00 ","$11,411.25 ","$14,606.40 ","$24,907.76 ","$9,763.85 ","$12,780.60 ","$9,763.85 ","$10,954.80 ","$9,959.12 ","$13,693.50 ","$10,078.42 ","$9,092.48 ","$10,078.42 ","$9,763.85 ","$10,078.42 ","$14,788.98 ","$18,258.00 ","$14,788.98 ","$15,519.30 ","$18,258.00 ","$5,180.00 ","$9,763.85 ","$18,258.00 ","$10,242.74 ","$9,763.85 ","$4,783.60 ","$18,258.00 ","$6,221.57 ","$5,938.77 ","$10,252.04 ","$14,606.40 ","$5,850.00 ","$5,112.24 ","$16,432.20 ","$9,055.97 ","$18,258.00 ","$9,763.85 ","$8,763.84 "
ST. MARY'S HOSPITAL - DECATUR,48100376,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-LC,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100377,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-LD,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100378,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-LM,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100379,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-RC,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100380,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-RI,481,1 ,"$10,780.00 ","$7,761.60 ","$2,824.36 ","$10,780.00 ", N/A ,"$8,175.00 ","$5,929.00 ", N/A ,"$3,018.40 ","$5,637.94 ", N/A ,"$5,929.00 ", N/A ,"$5,336.10 ","$5,336.10 ", N/A ,"$5,336.10 ", N/A ,"$3,500.00 ","$6,737.50 ","$8,624.00 ", N/A , N/A ,"$7,546.00 ", N/A ,"$6,468.00 ", N/A ,"$8,085.00 ","$5,950.56 ","$5,368.44 ","$5,950.56 ", N/A ,"$5,950.56 ","$8,731.80 ","$10,780.00 ","$8,731.80 ","$9,163.00 ", N/A ,"$5,180.00 ", N/A ,"$10,780.00 ","$6,047.58 ", N/A ,"$2,824.36 ","$10,780.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$8,624.00 ","$5,336.10 ","$3,018.40 ","$9,702.00 ","$5,346.88 ","$10,780.00 ", N/A ,"$5,174.40 "
ST. MARY'S HOSPITAL - DECATUR,48100381,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LC,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100382,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LD,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100383,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LM,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100384,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-RC,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100385,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-RI,481,1 ,"$34,504.00 ","$24,842.88 ","$3,500.00 ","$40,305.53 ","$40,305.53 ","$8,175.00 ","$18,977.20 ","$15,799.77 ","$9,661.12 ","$18,045.59 ","$15,799.77 ","$18,977.20 ","$15,799.77 ","$17,079.48 ","$17,079.48 ","$15,799.77 ","$17,079.48 ","$32,566.86 ","$3,500.00 ","$21,565.00 ","$27,603.20 ","$40,305.52 ","$15,799.77 ","$24,152.80 ","$15,799.77 ","$20,702.40 ","$16,115.76 ","$25,878.00 ","$11,650.09 ","$11,942.53 ","$11,650.09 ","$15,799.77 ","$11,650.09 ","$27,948.24 ","$34,504.00 ","$27,948.24 ","$29,328.40 ","$34,504.00 ","$5,180.00 ","$15,799.77 ","$34,504.00 ","$19,356.74 ","$15,799.77 ","$9,040.05 ","$34,504.00 ","$6,221.57 ","$5,938.77 ","$16,589.75 ","$27,603.20 ","$17,079.48 ","$9,661.12 ","$31,053.60 ","$17,113.98 ","$21,412.00 ","$15,799.77 ","$16,561.92 "
ST. MARY'S HOSPITAL - DECATUR,48100386,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LC,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100387,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LD,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100388,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LM,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100389,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-RC,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100390,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-RI,481,1 ,"$20,453.00 ","$14,726.16 ","$3,500.00 ","$20,453.00 ", N/A ,"$8,175.00 ","$11,249.15 ", N/A ,"$5,726.84 ","$6,175.00 ", N/A ,"$6,500.00 ", N/A ,"$5,850.00 ","$5,850.00 ", N/A ,"$5,850.00 ", N/A ,"$3,500.00 ","$12,783.13 ","$16,362.40 ", N/A , N/A ,"$14,317.10 ", N/A ,"$12,271.80 ", N/A ,"$15,339.75 ","$10,676.00 ","$9,608.00 ","$10,676.00 ", N/A ,"$10,676.00 ","$16,566.93 ","$20,453.00 ","$16,566.93 ","$17,385.05 ", N/A ,"$5,180.00 ", N/A ,"$20,453.00 ","$11,474.13 ", N/A ,"$5,358.69 ","$20,453.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$16,362.40 ","$5,850.00 ","$5,726.84 ","$18,407.70 ","$10,144.69 ","$20,453.00 ", N/A ,"$9,817.44 "
ST. MARY'S HOSPITAL - DECATUR,48100391,92973,HC PERC TRANSLUM THROMBECTOMY -LC,481,1 ,"$3,220.00 ","$2,318.40 ",$843.64 ,"$3,220.00 ", N/A ,"$1,706.60 ","$1,771.00 ", N/A ,$901.60 ,"$1,684.06 ", N/A ,"$1,771.00 ", N/A ,"$1,593.90 ","$1,593.90 ", N/A ,"$1,593.90 ", N/A ,"$2,254.00 ","$2,012.50 ","$2,576.00 ", N/A , N/A ,"$2,254.00 ", N/A ,"$1,932.00 ", N/A ,"$2,415.00 ","$1,777.44 ","$1,603.56 ","$1,777.44 ", N/A ,"$1,777.44 ","$2,608.20 ","$3,220.00 ","$2,608.20 ","$2,737.00 ", N/A ,"$2,231.46 ", N/A ,"$3,220.00 ","$1,806.42 ", N/A ,$843.64 ,"$3,220.00 ", N/A , N/A , N/A ,"$2,576.00 ","$1,593.90 ",$901.60 ,"$2,898.00 ","$1,597.12 ",$964.00 , N/A ,"$1,545.60 "
ST. MARY'S HOSPITAL - DECATUR,48100392,92973,HC PERC TRANSLUM THROMBECTOMY -LD,481,1 ,"$3,220.00 ","$2,318.40 ",$843.64 ,"$3,220.00 ", N/A ,"$1,706.60 ","$1,771.00 ", N/A ,$901.60 ,"$1,684.06 ", N/A ,"$1,771.00 ", N/A ,"$1,593.90 ","$1,593.90 ", N/A ,"$1,593.90 ", N/A ,"$2,254.00 ","$2,012.50 ","$2,576.00 ", N/A , N/A ,"$2,254.00 ", N/A ,"$1,932.00 ", N/A ,"$2,415.00 ","$1,777.44 ","$1,603.56 ","$1,777.44 ", N/A ,"$1,777.44 ","$2,608.20 ","$3,220.00 ","$2,608.20 ","$2,737.00 ", N/A ,"$2,231.46 ", N/A ,"$3,220.00 ","$1,806.42 ", N/A ,$843.64 ,"$3,220.00 ", N/A , N/A , N/A ,"$2,576.00 ","$1,593.90 ",$901.60 ,"$2,898.00 ","$1,597.12 ",$964.00 , N/A ,"$1,545.60 "
ST. MARY'S HOSPITAL - DECATUR,48100393,92973,HC PERC TRANSLUM THROMBECTOMY -LM,481,1 ,"$3,220.00 ","$2,318.40 ",$843.64 ,"$3,220.00 ", N/A ,"$1,706.60 ","$1,771.00 ", N/A ,$901.60 ,"$1,684.06 ", N/A ,"$1,771.00 ", N/A ,"$1,593.90 ","$1,593.90 ", N/A ,"$1,593.90 ", N/A ,"$2,254.00 ","$2,012.50 ","$2,576.00 ", N/A , N/A ,"$2,254.00 ", N/A ,"$1,932.00 ", N/A ,"$2,415.00 ","$1,777.44 ","$1,603.56 ","$1,777.44 ", N/A ,"$1,777.44 ","$2,608.20 ","$3,220.00 ","$2,608.20 ","$2,737.00 ", N/A ,"$2,231.46 ", N/A ,"$3,220.00 ","$1,806.42 ", N/A ,$843.64 ,"$3,220.00 ", N/A , N/A , N/A ,"$2,576.00 ","$1,593.90 ",$901.60 ,"$2,898.00 ","$1,597.12 ",$964.00 , N/A ,"$1,545.60 "
ST. MARY'S HOSPITAL - DECATUR,48100394,92973,HC PERC TRANSLUM THROMBECTOMY -RC,481,1 ,"$3,220.00 ","$2,318.40 ",$843.64 ,"$3,220.00 ", N/A ,"$1,706.60 ","$1,771.00 ", N/A ,$901.60 ,"$1,684.06 ", N/A ,"$1,771.00 ", N/A ,"$1,593.90 ","$1,593.90 ", N/A ,"$1,593.90 ", N/A ,"$2,254.00 ","$2,012.50 ","$2,576.00 ", N/A , N/A ,"$2,254.00 ", N/A ,"$1,932.00 ", N/A ,"$2,415.00 ","$1,777.44 ","$1,603.56 ","$1,777.44 ", N/A ,"$1,777.44 ","$2,608.20 ","$3,220.00 ","$2,608.20 ","$2,737.00 ", N/A ,"$2,231.46 ", N/A ,"$3,220.00 ","$1,806.42 ", N/A ,$843.64 ,"$3,220.00 ", N/A , N/A , N/A ,"$2,576.00 ","$1,593.90 ",$901.60 ,"$2,898.00 ","$1,597.12 ",$964.00 , N/A ,"$1,545.60 "
ST. MARY'S HOSPITAL - DECATUR,48100395,92973,HC PERC TRANSLUM THROMBECTOMY -RI,481,1 ,"$3,220.00 ","$2,318.40 ",$843.64 ,"$3,220.00 ", N/A ,"$1,706.60 ","$1,771.00 ", N/A ,$901.60 ,"$1,684.06 ", N/A ,"$1,771.00 ", N/A ,"$1,593.90 ","$1,593.90 ", N/A ,"$1,593.90 ", N/A ,"$2,254.00 ","$2,012.50 ","$2,576.00 ", N/A , N/A ,"$2,254.00 ", N/A ,"$1,932.00 ", N/A ,"$2,415.00 ","$1,777.44 ","$1,603.56 ","$1,777.44 ", N/A ,"$1,777.44 ","$2,608.20 ","$3,220.00 ","$2,608.20 ","$2,737.00 ", N/A ,"$2,231.46 ", N/A ,"$3,220.00 ","$1,806.42 ", N/A ,$843.64 ,"$3,220.00 ", N/A , N/A , N/A ,"$2,576.00 ","$1,593.90 ",$901.60 ,"$2,898.00 ","$1,597.12 ",$964.00 , N/A ,"$1,545.60 "
ST. MARY'S HOSPITAL - DECATUR,48100396,92920,HC PERC TRANSLUM COR ANGIO SGL-LC,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100397,92920,HC PERC TRANSLUM COR ANGIO SGL-LD,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100398,92920,HC PERC TRANSLUM COR ANGIO SGL-LM,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100399,92920,HC PERC TRANSLUM COR ANGIO SGL-RC,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100400,92920,HC PERC TRANSLUM COR ANGIO SGL-RI,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100401,92921,HC PERC TRANSLUM COR ANGIO EA AD-LC,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100402,92921,HC PERC TRANSLUM COR ANGIO EA AD-LD,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100403,92921,HC PERC TRANSLUM COR ANGIO EA AD-LM,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100404,92921,HC PERC TRANSLUM COR ANGIO EA AD-RC,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100405,92921,HC PERC TRANSLUM COR ANGIO EA AD-RI,481,1 ,"$7,834.00 ","$5,640.48 ","$2,052.51 ","$7,834.00 ", N/A ,"$7,834.00 ","$4,308.70 ", N/A ,"$2,193.52 ","$4,097.18 ", N/A ,"$4,308.70 ", N/A ,"$3,877.83 ","$3,877.83 ", N/A ,"$3,877.83 ", N/A ,"$3,500.00 ","$4,896.25 ","$6,267.20 ", N/A , N/A ,"$5,483.80 ", N/A ,"$4,700.40 ", N/A ,"$5,875.50 ","$4,324.37 ","$3,901.33 ","$4,324.37 ", N/A ,"$4,324.37 ","$6,345.54 ","$7,834.00 ","$6,345.54 ","$6,658.90 ", N/A ,"$5,180.00 ", N/A ,"$7,834.00 ","$4,394.87 ", N/A ,"$2,052.51 ","$7,834.00 ","$6,221.57 ","$5,938.77 ", N/A ,"$6,267.20 ","$3,877.83 ","$2,193.52 ","$7,050.60 ","$3,885.66 ","$7,834.00 ", N/A ,"$3,760.32 "
ST. MARY'S HOSPITAL - DECATUR,48100406,92978,HC US IVUS/OCT  S AND I INIT VESSEL-LC,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100407,92978,HC US IVUS/OCT S AND I INIT VESSEL-LD,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100408,92978,HC US IVUS/OCT S AND I INIT VESSEL-LM,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100409,92978,HC US IVUS/OCT S AND I INIT VESSEL-RC,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100410,92978,HC US IVUS/OCT S AND I INIT VESSEL-RI,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100411,92979,HC US IVUS/OCT S AND I VESSEL EA ADL-LC,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100412,92979,HC US IVUS/OCT S AND I VESSEL EA ADL-LD,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100413,92979,HC US IVUS/OCT S AND I VESSEL EA ADL-LM,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100414,92979,HC US IVUS/OCT S AND I VESSEL EA ADL-RC,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100415,92979,HC US IVUS/OCT S AND I VESSEL EA ADL-RI,481,1 ,"$5,708.00 ","$4,109.76 ",$964.00 ,"$5,708.00 ", N/A ,"$5,708.00 ","$3,139.40 ", N/A ,"$1,598.24 ","$2,985.28 ", N/A ,"$3,139.40 ", N/A ,"$2,825.46 ","$2,825.46 ", N/A ,"$2,825.46 ", N/A ,"$3,500.00 ","$3,567.50 ","$4,566.40 ", N/A , N/A ,"$3,995.60 ", N/A ,"$3,424.80 ", N/A ,"$4,281.00 ","$3,150.82 ","$2,842.58 ","$3,150.82 ", N/A ,"$3,150.82 ","$4,623.48 ","$5,708.00 ","$4,623.48 ","$4,851.80 ", N/A ,"$3,955.64 ", N/A ,"$5,708.00 ","$3,202.19 ", N/A ,"$1,495.50 ","$5,708.00 ", N/A , N/A , N/A ,"$4,566.40 ","$2,825.46 ","$1,598.24 ","$5,137.20 ","$2,831.17 ",$964.00 , N/A ,"$2,739.84 "
ST. MARY'S HOSPITAL - DECATUR,48100421,33211,HC INS/REPL TEMP ELECTRODE DUAL CHAMBER-33211,481,1 ,"$5,189.00 ","$3,736.08 ","$1,359.52 ","$19,153.13 ","$19,153.13 ","$5,189.00 ","$2,853.95 ","$7,508.02 ","$1,452.92 ","$2,713.85 ","$7,508.02 ","$2,853.95 ","$5,085.22 ","$2,568.56 ","$2,568.56 ","$5,085.22 ","$2,568.56 ","$5,189.00 ","$3,500.00 ","$3,243.13 ","$4,151.20 ","$19,153.12 ","$7,508.02 ","$3,632.30 ","$7,508.02 ","$3,113.40 ","$5,085.22 ","$3,891.75 ","$2,864.33 ","$2,584.12 ","$2,864.33 ","$7,508.02 ","$2,864.33 ","$4,203.09 ","$5,189.00 ","$4,203.09 ","$4,410.65 ","$5,189.00 ","$3,595.98 ","$5,085.22 ","$5,189.00 ","$2,911.03 ","$7,508.02 ","$1,359.52 ","$5,189.00 ","$2,254.60 ","$2,152.12 ","$7,883.42 ","$4,151.20 ","$2,568.56 ","$1,452.92 ","$4,670.10 ","$2,975.00 ","$5,189.00 ","$7,508.02 ","$2,490.72 "
ST. MARY'S HOSPITAL - DECATUR,48100441,33999,HC CORONARY ASP THROMBECTOMY,481,1 ,"$1,224.00 ",$881.28 ,$320.69 ,"$1,357.40 ","$1,357.40 ","$1,224.00 ",$673.20 ,$532.10 ,$342.72 ,$640.15 ,$532.10 ,$673.20 ,$532.10 ,$605.88 ,$605.88 ,$532.10 ,$605.88 ,"$1,096.77 ",$856.80 ,$765.00 ,$979.20 ,"$1,357.39 ",$532.10 ,$856.80 ,$532.10 ,$734.40 ,$542.74 ,$918.00 ,$675.65 ,$609.55 ,$675.65 ,$532.10 ,$675.65 ,$991.44 ,"$1,224.00 ",$991.44 ,"$1,040.40 ","$1,224.00 ",$848.23 ,$532.10 ,"$1,224.00 ",$686.66 ,$532.10 ,$320.69 ,"$1,224.00 ",$635.02 ,$606.15 ,$558.71 ,$979.20 ,$605.88 ,$342.72 ,"$1,101.60 ","$1,224.00 ","$1,224.00 ",$532.10 ,$587.52 
ST. MARY'S HOSPITAL - DECATUR,48100444,34812,HC EXPOSE FEMORAL ARTERY W/PROSTHESIS - BILATERAL,481,1 ,$476.00 ,$342.72 ,$124.71 ,$476.00 , N/A ,$476.00 ,$261.80 , N/A ,$133.28 ,$248.95 , N/A ,$261.80 , N/A ,$235.62 ,$235.62 , N/A ,$235.62 , N/A ,$333.20 ,$297.50 ,$380.80 , N/A , N/A ,$333.20 , N/A ,$285.60 , N/A ,$357.00 ,$262.75 ,$237.05 ,$262.75 , N/A ,$262.75 ,$385.56 ,$476.00 ,$385.56 ,$404.60 , N/A ,$329.87 , N/A ,$476.00 ,$267.04 , N/A ,$124.71 ,$476.00 , N/A , N/A , N/A ,$380.80 ,$235.62 ,$133.28 ,$428.40 ,$476.00 ,$476.00 , N/A ,$228.48 
ST. MARY'S HOSPITAL - DECATUR,48100447,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN-BIL,481,1 ,"$14,798.00 ","$10,654.56 ","$2,740.02 ","$14,798.00 ","$6,989.85 ","$5,700.00 ","$8,138.90 ","$2,740.02 ","$4,143.44 ","$6,175.00 ","$2,740.02 ","$6,500.00 ","$2,740.02 ","$5,850.00 ","$5,850.00 ","$2,740.02 ","$5,850.00 ","$5,647.80 ","$3,500.00 ","$9,248.75 ","$11,838.40 ","$6,989.86 ","$2,740.02 ","$10,358.60 ","$2,740.02 ","$8,878.80 ","$2,794.82 ","$11,098.50 ","$8,168.50 ","$7,369.40 ","$8,168.50 ","$2,740.02 ","$8,168.50 ","$11,986.38 ","$14,798.00 ","$11,986.38 ","$12,578.30 ","$6,989.86 ","$5,180.00 ","$2,740.02 ","$14,798.00 ","$8,301.68 ","$2,740.02 ","$3,877.08 ","$14,798.00 ","$2,904.20 ","$2,772.19 ","$2,877.03 ","$11,838.40 ","$5,850.00 ","$4,143.44 ","$13,318.20 ","$4,120.50 ","$5,218.50 ","$2,740.02 ","$7,103.04 "
ST. MARY'S HOSPITAL - DECATUR,48100452,36227,HC CATH PLCMT SEL EXTERNAL CARTOID-BIL,481,1 ,"$3,585.00 ","$2,581.20 ",$939.27 ,"$3,585.00 ", N/A ,"$3,585.00 ","$1,971.75 ", N/A ,"$1,003.80 ","$1,874.96 ", N/A ,"$1,971.75 ", N/A ,"$1,774.58 ","$1,774.58 ", N/A ,"$1,774.58 ", N/A ,"$2,509.50 ","$2,240.63 ","$2,868.00 ", N/A , N/A ,"$2,509.50 ", N/A ,"$2,151.00 ", N/A ,"$2,688.75 ","$1,978.92 ","$1,785.33 ","$1,978.92 ", N/A ,"$1,978.92 ","$2,903.85 ","$3,585.00 ","$2,903.85 ","$3,047.25 ", N/A ,"$2,484.41 ", N/A ,"$3,585.00 ","$2,011.19 ", N/A ,$939.27 ,"$3,585.00 ","$2,904.20 ","$2,772.19 ", N/A ,"$2,868.00 ","$1,774.58 ","$1,003.80 ","$3,226.50 ","$1,149.00 ","$1,446.00 ", N/A ,"$1,720.80 "
ST. MARY'S HOSPITAL - DECATUR,48100454,37211,HC ARTERIAL THROMBOLYSIS NON-COR INIT DAY-BIL,481,1 ,"$7,008.00 ","$5,045.76 ","$1,836.10 ","$12,059.93 ","$12,059.93 ","$4,500.00 ","$3,854.40 ","$4,727.49 ","$1,962.24 ","$3,665.18 ","$4,727.49 ","$3,854.40 ","$4,727.49 ","$3,468.96 ","$3,468.96 ","$4,727.49 ","$3,468.96 ","$7,008.00 ","$3,500.00 ","$4,380.00 ","$5,606.40 ","$12,059.93 ","$4,727.49 ","$4,905.60 ","$4,727.49 ","$4,204.80 ","$4,822.04 ","$5,256.00 ","$3,868.42 ","$3,489.98 ","$3,868.42 ","$4,727.49 ","$3,868.42 ","$5,676.48 ","$7,008.00 ","$5,676.48 ","$5,956.80 ","$7,008.00 ","$4,856.54 ","$4,727.49 ","$7,008.00 ","$3,931.49 ","$4,727.49 ","$1,836.10 ","$7,008.00 ","$3,381.91 ","$3,228.18 ","$4,963.87 ","$5,606.40 ","$3,468.96 ","$1,962.24 ","$6,307.20 ","$3,475.97 ","$7,008.00 ","$4,727.49 ","$3,363.84 "
ST. MARY'S HOSPITAL - DECATUR,48100455,37212,HC VENOUS THROMBOLYSIS NON-COR INIT DAY-BIL,481,1 ,"$7,008.00 ","$5,045.76 ","$1,836.10 ","$7,008.00 ","$6,989.85 ","$4,500.00 ","$3,854.40 ","$2,740.02 ","$1,962.24 ","$3,665.18 ","$2,740.02 ","$3,854.40 ","$2,740.02 ","$3,468.96 ","$3,468.96 ","$2,740.02 ","$3,468.96 ","$5,647.80 ","$3,500.00 ","$4,380.00 ","$5,606.40 ","$6,989.86 ","$2,740.02 ","$4,905.60 ","$2,740.02 ","$4,204.80 ","$2,794.82 ","$5,256.00 ","$3,868.42 ","$3,489.98 ","$3,868.42 ","$2,740.02 ","$3,868.42 ","$5,676.48 ","$7,008.00 ","$5,676.48 ","$5,956.80 ","$6,989.86 ","$4,856.54 ","$2,740.02 ","$7,008.00 ","$3,931.49 ","$2,740.02 ","$1,836.10 ","$7,008.00 ","$3,381.91 ","$3,228.18 ","$2,877.03 ","$5,606.40 ","$3,468.96 ","$1,962.24 ","$6,307.20 ","$3,475.97 ","$5,218.50 ","$2,740.02 ","$3,363.84 "
ST. MARY'S HOSPITAL - DECATUR,48100456,75600,HC AORTOGRAM THORACIC W/O SERIALOGRAPHY,481,1 ,"$4,782.00 ","$3,443.04 ",$219.04 ,"$6,989.86 ","$6,989.85 ",$332.82 ,"$2,630.10 ","$2,740.02 ","$1,338.96 ","$2,500.99 ","$2,740.02 ","$2,630.10 ","$2,740.02 ","$2,367.09 ","$2,367.09 ","$2,740.02 ","$2,367.09 ","$4,782.00 ","$3,347.40 ","$2,988.75 ","$3,825.60 ","$6,989.86 ","$2,740.02 ","$3,347.40 ","$2,740.02 ","$2,869.20 ","$2,794.82 ","$3,586.50 ","$2,639.66 ","$2,381.44 ","$2,639.66 ","$2,740.02 ","$2,639.66 ", N/A ,"$4,782.00 ", N/A ,"$4,064.70 ","$4,782.00 ","$3,313.93 ","$2,740.02 ","$4,782.00 ","$2,682.70 ","$2,740.02 ","$1,252.88 ","$4,782.00 ",$229.47 ,$219.04 ,"$2,877.03 ","$3,825.60 ","$2,367.09 ","$1,338.96 ","$4,303.80 ", N/A , N/A ,"$2,740.02 ","$2,295.36 "
ST. MARY'S HOSPITAL - DECATUR,48100460,93458,HC CORONARY ANGIO WITH LV,481,1 ,"$12,502.00 ","$9,001.44 ","$1,682.71 ","$12,502.00 ","$6,941.73 ","$6,626.06 ","$6,876.10 ","$2,721.16 ","$3,500.56 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$7,813.75 ","$10,001.60 ","$6,941.73 ","$2,721.16 ","$8,751.40 ","$2,721.16 ","$7,501.20 ","$2,775.59 ","$9,376.50 ","$6,901.10 ","$6,226.00 ","$6,901.10 ","$2,721.16 ","$6,901.10 ","$10,126.62 ","$12,502.00 ","$10,126.62 ","$10,626.70 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$12,502.00 ","$7,013.62 ","$2,721.16 ","$3,275.52 ","$12,502.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$10,001.60 ","$5,850.00 ","$3,500.56 ","$11,251.80 ","$6,200.99 ","$6,424.00 ","$2,721.16 ","$6,000.96 "
ST. MARY'S HOSPITAL - DECATUR,48100461,93459,HC CORONARY ANGIO W GRAFTS AND LV,481,1 ,"$13,624.00 ","$9,809.28 ","$1,682.71 ","$13,624.00 ","$6,941.73 ","$7,220.72 ","$7,493.20 ","$2,721.16 ","$3,814.72 ","$6,175.00 ","$2,721.16 ","$6,500.00 ","$2,721.16 ","$5,850.00 ","$5,850.00 ","$2,721.16 ","$5,850.00 ","$5,608.92 ","$3,500.00 ","$8,515.00 ","$10,899.20 ","$6,941.73 ","$2,721.16 ","$9,536.80 ","$2,721.16 ","$8,174.40 ","$2,775.59 ","$10,218.00 ","$7,520.45 ","$6,784.75 ","$7,520.45 ","$2,721.16 ","$7,520.45 ","$10,971.00 ","$13,624.00 ","$10,971.00 ","$11,580.40 ","$6,941.73 ","$5,180.00 ","$2,721.16 ","$13,624.00 ","$7,643.06 ","$2,721.16 ","$3,569.49 ","$13,624.00 ","$1,762.84 ","$1,682.71 ","$2,857.21 ","$10,899.20 ","$5,850.00 ","$3,814.72 ","$12,261.60 ","$6,757.50 ","$6,424.00 ","$2,721.16 ","$6,539.52 "
ST. MARY'S HOSPITAL - DECATUR,48100489,92920,HC PTCA MAJOR CORN ARTERY INIT DISC POST ANES-74,481,1 ,"$10,964.00 ","$7,894.08 ","$2,872.57 ","$12,237.43 ","$12,237.43 ","$8,175.00 ","$6,030.20 ","$4,797.07 ","$3,069.92 ","$5,734.17 ","$4,797.07 ","$6,030.20 ","$4,797.07 ","$5,427.18 ","$5,427.18 ","$4,797.07 ","$5,427.18 ","$9,887.83 ","$3,500.00 ","$6,852.50 ","$8,771.20 ","$12,237.41 ","$4,797.07 ","$7,674.80 ","$4,797.07 ","$6,578.40 ","$4,893.01 ","$8,223.00 ","$6,052.13 ","$5,460.07 ","$6,052.13 ","$4,797.07 ","$6,052.13 ","$8,880.84 ","$10,964.00 ","$8,880.84 ","$9,319.40 ","$10,964.00 ","$5,180.00 ","$4,797.07 ","$10,964.00 ","$6,150.80 ","$4,797.07 ","$2,872.57 ","$10,964.00 ","$6,221.57 ","$5,938.77 ","$5,036.93 ","$8,771.20 ","$5,427.18 ","$3,069.92 ","$9,867.60 ","$5,438.14 ","$10,964.00 ","$4,797.07 ","$5,262.72 "
ST. MARY'S HOSPITAL - DECATUR,48100493,34713,HC PERQ ACCESS/CLOSURE FEM ARTY ENDOGRAFT UNI,481,1 ,$737.00 ,$530.64 ,$193.09 ,$737.00 , N/A ,$737.00 ,$405.35 , N/A ,$206.36 ,$385.45 , N/A ,$405.35 , N/A ,$364.82 ,$364.82 , N/A ,$364.82 , N/A ,$515.90 ,$460.63 ,$589.60 , N/A , N/A ,$515.90 , N/A ,$442.20 , N/A ,$552.75 ,$406.82 ,$367.03 ,$406.82 , N/A ,$406.82 ,$596.97 ,$737.00 ,$596.97 ,$626.45 , N/A ,$510.74 , N/A ,$737.00 ,$413.46 , N/A ,$193.09 ,$737.00 , N/A , N/A , N/A ,$589.60 ,$364.82 ,$206.36 ,$663.30 ,$737.00 ,$737.00 , N/A ,$353.76 
ST. MARY'S HOSPITAL - DECATUR,48100532,93355,HC TRANSESOPHAGEAL ECHOCARDIOLOGY  (TEE),481,1 ,"$4,659.00 ","$3,354.48 ",$335.08 ,"$4,659.00 ", N/A ,"$2,469.27 ","$2,562.45 ", N/A ,"$1,304.52 ","$2,436.66 ", N/A ,"$2,562.45 ", N/A ,"$2,306.21 ","$2,306.21 ", N/A ,"$2,306.21 ", N/A ,"$3,261.30 ","$2,911.88 ","$3,727.20 ", N/A , N/A ,"$3,261.30 ", N/A ,"$2,795.40 ", N/A ,"$3,494.25 ","$2,571.77 ","$2,320.18 ","$2,571.77 ", N/A ,"$2,571.77 ","$3,773.79 ","$4,659.00 ","$3,773.79 ","$3,960.15 ", N/A ,"$3,228.69 ", N/A ,"$4,659.00 ","$2,613.70 ", N/A ,"$1,220.66 ","$4,659.00 ",$351.03 ,$335.08 , N/A ,"$3,727.20 ","$2,306.21 ","$1,304.52 ","$4,193.10 ", N/A , N/A , N/A ,"$2,236.32 "
ST. MARY'S HOSPITAL - DECATUR,48100799,93799,HC INSTANTANEOUS WAVE FREE RATIO (IFR),481,1 ,"$7,220.00 ","$5,198.40 ",$17.79 ,"$7,220.00 ",$341.23 ,"$3,826.60 ","$3,971.00 ",$133.76 ,"$2,021.60 ","$3,776.06 ",$133.76 ,"$3,971.00 ",$133.76 ,"$3,573.90 ","$3,573.90 ",$133.76 ,"$3,573.90 ",$275.72 ,"$3,500.00 ","$4,512.50 ","$5,776.00 ",$341.24 ,$133.76 ,"$5,054.00 ",$133.76 ,"$4,332.00 ",$136.44 ,"$5,415.00 ","$3,985.44 ","$3,595.56 ","$3,985.44 ",$133.76 ,"$3,985.44 ","$5,848.20 ","$7,220.00 ","$5,848.20 ","$6,137.00 ",$341.24 ,"$5,003.46 ",$133.76 ,"$7,220.00 ","$4,050.42 ",$133.76 ,"$1,891.64 ","$7,220.00 ",$18.63 ,$17.79 ,$140.44 ,"$5,776.00 ","$3,573.90 ","$2,021.60 ","$6,498.00 ",$766.00 ,$964.00 ,$133.76 ,"$3,465.60 "
ST. MARY'S HOSPITAL - DECATUR,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,684.00 ","$1,212.48 ",$65.94 ,"$1,684.00 ",$657.13 ,$892.52 ,$926.20 ,$257.59 ,$471.52 ,$389.81 ,$257.59 ,$407.26 ,$257.59 ,$833.58 ,$65.94 ,$257.59 ,$833.58 ,$530.96 ,"$1,178.80 ","$1,052.50 ","$1,347.20 ",$657.13 ,$257.59 ,"$1,178.80 ",$257.59 ,"$1,010.40 ",$262.75 ,"$1,263.00 ",$929.57 ,$838.63 ,$929.57 ,$257.59 ,$929.57 ,"$1,364.04 ","$1,684.00 ","$1,364.04 ","$1,431.40 ",$657.13 ,"$1,167.01 ",$257.59 ,"$1,684.00 ",$944.72 ,$257.59 ,$441.21 ,"$1,684.00 ",$220.87 ,$210.83 ,$270.47 ,"$1,347.20 ",$833.58 ,$471.52 ,"$1,515.60 ",$639.92 ,"$1,097.00 ",$257.59 ,$808.32 
ST. MARY'S HOSPITAL - DECATUR,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$1,798.00 ","$1,294.56 ",$257.86 ,"$1,798.00 ","$1,180.55 ",$952.94 ,$988.90 ,$462.78 ,$503.44 ,$940.35 ,$462.78 ,$988.90 ,$462.78 ,$890.01 ,$257.86 ,$462.78 ,$890.01 ,$953.88 ,"$1,258.60 ","$1,123.75 ","$1,438.40 ","$1,180.54 ",$462.78 ,"$1,258.60 ",$462.78 ,"$1,078.80 ",$472.03 ,"$1,348.50 ",$992.50 ,$895.40 ,$992.50 ,$462.78 ,$992.50 ,"$1,456.38 ","$1,798.00 ","$1,456.38 ","$1,528.30 ","$1,180.54 ","$1,246.01 ",$462.78 ,"$1,798.00 ","$1,008.68 ",$462.78 ,$471.08 ,"$1,798.00 ",$351.03 ,$335.08 ,$485.91 ,"$1,438.40 ",$890.01 ,$503.44 ,"$1,618.20 ",$683.24 ,"$1,071.00 ",$462.78 ,$863.04 
ST. MARY'S HOSPITAL - DECATUR,48300001,93307,HC ECHOCARDIOGRAM 2D W/O DOP,483,1 ,"$2,089.00 ","$1,504.08 ",$184.39 ,"$2,089.00 ",$547.93 ,"$1,107.17 ","$1,148.95 ",$214.79 ,$584.92 ,"$1,092.55 ",$214.79 ,"$1,148.95 ",$214.79 ,"$1,034.06 ",$184.39 ,$214.79 ,"$1,034.06 ",$442.73 ,"$1,462.30 ","$1,305.63 ","$1,671.20 ",$547.93 ,$214.79 ,"$1,462.30 ",$214.79 ,"$1,253.40 ",$219.09 ,"$1,566.75 ","$1,153.13 ","$1,040.32 ","$1,153.13 ",$214.79 ,"$1,153.13 ","$1,692.09 ","$2,089.00 ","$1,692.09 ","$1,775.65 ",$547.93 ,"$1,447.68 ",$214.79 ,"$2,089.00 ","$1,171.93 ",$214.79 ,$547.32 ,"$2,089.00 ",$351.03 ,$335.08 ,$225.53 ,"$1,671.20 ","$1,034.06 ",$584.92 ,"$1,880.10 ",$793.82 ,"$1,071.00 ",$214.79 ,"$1,002.72 "
ST. MARY'S HOSPITAL - DECATUR,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$985.00 ,$709.20 ,$140.57 ,$985.00 ,$547.93 ,$522.05 ,$541.75 ,$214.79 ,$275.80 ,$515.16 ,$214.79 ,$541.75 ,$214.79 ,$487.58 ,$140.57 ,$214.79 ,$487.58 ,$442.73 ,$689.50 ,$615.63 ,$788.00 ,$547.93 ,$214.79 ,$689.50 ,$214.79 ,$591.00 ,$219.09 ,$738.75 ,$543.72 ,$490.53 ,$543.72 ,$214.79 ,$543.72 ,$797.85 ,$985.00 ,$797.85 ,$837.25 ,$547.93 ,$682.61 ,$214.79 ,$985.00 ,$552.59 ,$214.79 ,$258.07 ,$985.00 ,$351.03 ,$335.08 ,$225.53 ,$788.00 ,$487.58 ,$275.80 ,$886.50 ,$374.30 ,$985.00 ,$214.79 ,$472.80 
ST. MARY'S HOSPITAL - DECATUR,48300003,93312,HC ECHO TEE CMPL W/PF,483,1 ,"$3,371.00 ","$2,427.12 ",$264.71 ,"$3,371.00 ","$1,180.55 ","$1,786.63 ","$1,854.05 ",$462.78 ,$943.88 ,"$1,568.40 ",$462.78 ,"$1,638.63 ",$462.78 ,"$1,668.65 ",$264.71 ,$462.78 ,"$1,668.65 ",$953.88 ,"$2,359.70 ","$2,106.88 ","$2,696.80 ","$1,180.54 ",$462.78 ,"$2,359.70 ",$462.78 ,"$2,022.60 ",$472.03 ,"$2,528.25 ","$1,860.79 ","$1,678.76 ","$1,860.79 ",$462.78 ,"$1,860.79 ","$2,730.51 ","$3,371.00 ","$2,730.51 ","$2,865.35 ","$1,180.54 ","$2,336.10 ",$462.78 ,"$3,371.00 ","$1,891.13 ",$462.78 ,$883.20 ,"$3,371.00 ",$351.03 ,$335.08 ,$485.91 ,"$2,696.80 ","$1,668.65 ",$943.88 ,"$3,033.90 ","$1,280.98 ","$1,071.00 ",$462.78 ,"$1,618.08 "
ST. MARY'S HOSPITAL - DECATUR,48300005,93320,HC ECHO DOPPLER,483,1 ,$648.00 ,$466.56 ,$67.78 ,$648.00 , N/A ,$343.44 ,$356.40 , N/A ,$181.44 ,$338.90 , N/A ,$356.40 , N/A ,$320.76 ,$67.78 , N/A ,$320.76 , N/A ,$453.60 ,$405.00 ,$518.40 , N/A , N/A ,$453.60 , N/A ,$388.80 , N/A ,$486.00 ,$357.70 ,$322.70 ,$357.70 , N/A ,$357.70 ,$524.88 ,$648.00 ,$524.88 ,$550.80 , N/A ,$449.06 , N/A ,$648.00 ,$363.53 , N/A ,$169.78 ,$648.00 ,$351.03 ,$335.08 , N/A ,$518.40 ,$320.76 ,$181.44 ,$583.20 ,$246.24 ,$648.00 , N/A ,$311.04 
ST. MARY'S HOSPITAL - DECATUR,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$740.00 ,$532.80 ,$42.45 ,$740.00 , N/A ,$392.20 ,$407.00 , N/A ,$207.20 ,$254.94 , N/A ,$266.35 , N/A ,$366.30 ,$42.45 , N/A ,$366.30 , N/A ,$518.00 ,$462.50 ,$592.00 , N/A , N/A ,$518.00 , N/A ,$444.00 , N/A ,$555.00 ,$408.48 ,$368.52 ,$408.48 , N/A ,$408.48 ,$599.40 ,$740.00 ,$599.40 ,$629.00 , N/A ,$512.82 , N/A ,$740.00 ,$415.14 , N/A ,$193.88 ,$740.00 ,$351.03 ,$335.08 , N/A ,$592.00 ,$366.30 ,$207.20 ,$666.00 ,$281.20 ,$740.00 , N/A ,$355.20 
ST. MARY'S HOSPITAL - DECATUR,48300007,93350,HC ECHO REST  AND  STRESS W/PF,483,1 ,"$2,579.00 ","$1,856.88 ",$225.47 ,"$2,579.00 ","$1,180.55 ","$1,366.87 ","$1,418.45 ",$462.78 ,$722.12 ,"$1,348.82 ",$462.78 ,"$1,418.45 ",$462.78 ,"$1,276.61 ",$225.47 ,$462.78 ,"$1,276.61 ",$953.88 ,"$1,805.30 ","$1,611.88 ","$2,063.20 ","$1,180.54 ",$462.78 ,"$1,805.30 ",$462.78 ,"$1,547.40 ",$472.03 ,"$1,934.25 ","$1,423.61 ","$1,284.34 ","$1,423.61 ",$462.78 ,"$1,423.61 ","$2,088.99 ","$2,579.00 ","$2,088.99 ","$2,192.15 ","$1,180.54 ","$1,787.25 ",$462.78 ,"$2,579.00 ","$1,446.82 ",$462.78 ,$675.70 ,"$2,579.00 ",$351.03 ,$335.08 ,$485.91 ,"$2,063.20 ","$1,276.61 ",$722.12 ,"$2,321.10 ",$980.02 ,"$1,071.00 ",$462.78 ,"$1,237.92 "
ST. MARY'S HOSPITAL - DECATUR,48300008,93303,HC ECHO PEDS CONGENITAL,483,1 ,$904.00 ,$650.88 ,$236.85 ,"$1,180.55 ","$1,180.55 ",$479.12 ,$497.20 ,$462.78 ,$253.12 ,$472.79 ,$462.78 ,$497.20 ,$462.78 ,$447.48 ,$331.80 ,$462.78 ,$447.48 ,$904.00 ,$632.80 ,$565.00 ,$723.20 ,"$1,180.54 ",$462.78 ,$632.80 ,$462.78 ,$542.40 ,$472.03 ,$678.00 ,$499.01 ,$450.19 ,$499.01 ,$462.78 ,$499.01 ,$732.24 ,$904.00 ,$732.24 ,$768.40 ,$904.00 ,$626.47 ,$462.78 ,$904.00 ,$507.14 ,$462.78 ,$236.85 ,$904.00 ,$351.03 ,$335.08 ,$485.91 ,$723.20 ,$447.48 ,$253.12 ,$813.60 ,$343.52 ,$904.00 ,$462.78 ,$433.92 
ST. MARY'S HOSPITAL - DECATUR,48300009,93304,HC ECHO PEDS CONGENITAL LMTD,483,1 ,"$1,059.00 ",$762.48 ,$239.16 ,"$1,180.55 ","$1,180.55 ",$561.27 ,$582.45 ,$462.78 ,$296.52 ,$553.86 ,$462.78 ,$582.45 ,$462.78 ,$524.21 ,$239.16 ,$462.78 ,$524.21 ,$953.88 ,$741.30 ,$661.88 ,$847.20 ,"$1,180.54 ",$462.78 ,$741.30 ,$462.78 ,$635.40 ,$472.03 ,$794.25 ,$584.57 ,$527.38 ,$584.57 ,$462.78 ,$584.57 ,$857.79 ,"$1,059.00 ",$857.79 ,$900.15 ,"$1,059.00 ",$733.89 ,$462.78 ,"$1,059.00 ",$594.10 ,$462.78 ,$277.46 ,"$1,059.00 ",$351.03 ,$335.08 ,$485.91 ,$847.20 ,$524.21 ,$296.52 ,$953.10 ,$402.42 ,"$1,059.00 ",$462.78 ,$508.32 
ST. MARY'S HOSPITAL - DECATUR,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$584.00 ,$420.48 ,$37.66 ,$584.00 , N/A ,$309.52 ,$321.20 , N/A ,$163.52 ,$227.06 , N/A ,$237.23 , N/A ,$289.08 ,$37.66 , N/A ,$289.08 , N/A ,$408.80 ,$365.00 ,$467.20 , N/A , N/A ,$408.80 , N/A ,$350.40 , N/A ,$438.00 ,$322.37 ,$290.83 ,$322.37 , N/A ,$322.37 ,$473.04 ,$584.00 ,$473.04 ,$496.40 , N/A ,$404.71 , N/A ,$584.00 ,$327.62 , N/A ,$153.01 ,$584.00 ,$351.03 ,$335.08 , N/A ,$467.20 ,$289.08 ,$163.52 ,$525.60 ,$221.92 ,$584.00 , N/A ,$280.32 
ST. MARY'S HOSPITAL - DECATUR,48300011,93351,HC ECHO 2D STRESS CONT MONITORING,483,1 ,"$2,958.00 ","$2,129.76 ",$284.56 ,"$2,958.00 ","$1,180.55 ","$1,567.74 ","$1,626.90 ",$462.78 ,$828.24 ,"$1,547.03 ",$462.78 ,"$1,626.90 ",$462.78 ,"$1,464.21 ",$284.56 ,$462.78 ,"$1,464.21 ",$953.88 ,"$2,070.60 ","$1,848.75 ","$2,366.40 ","$1,180.54 ",$462.78 ,"$2,070.60 ",$462.78 ,"$1,774.80 ",$472.03 ,"$2,218.50 ","$1,632.82 ","$1,473.08 ","$1,632.82 ",$462.78 ,"$1,632.82 ","$2,395.98 ","$2,958.00 ","$2,395.98 ","$2,514.30 ","$1,180.54 ","$2,049.89 ",$462.78 ,"$2,958.00 ","$1,659.44 ",$462.78 ,$775.00 ,"$2,958.00 ",$351.03 ,$335.08 ,$485.91 ,"$2,366.40 ","$1,464.21 ",$828.24 ,"$2,662.20 ","$1,124.04 ","$1,071.00 ",$462.78 ,"$1,419.84 "
ST. MARY'S HOSPITAL - DECATUR,48300013,C8921,HC ECHO TTE CONGENTIAL W/W/O CONT  AND  W/CONT COMPL,483,1 ,"$2,221.00 ","$1,599.12 ",$335.08 ,"$2,221.00 ","$1,738.10 ","$1,177.13 ","$1,221.55 ",$681.34 ,$621.88 ,"$1,161.58 ",$681.34 ,"$1,221.55 ",$681.34 ,"$1,099.40 ",$888.40 ,$681.34 ,"$1,099.40 ","$1,404.38 ","$1,554.70 ","$1,388.13 ","$1,776.80 ","$1,738.10 ",$681.34 ,"$1,554.70 ",$681.34 ,"$1,332.60 ",$694.96 ,"$1,665.75 ","$1,225.99 ","$1,106.06 ","$1,225.99 ",$681.34 ,"$1,225.99 ","$1,799.01 ","$2,221.00 ","$1,799.01 ","$1,887.85 ","$1,738.10 ","$1,539.15 ",$681.34 ,"$2,221.00 ","$1,245.98 ",$681.34 ,$581.90 ,"$2,221.00 ",$351.03 ,$335.08 ,$715.40 ,"$1,776.80 ","$1,099.40 ",$621.88 ,"$1,998.90 ",$843.98 ,"$1,071.00 ",$681.34 ,"$1,066.08 "
ST. MARY'S HOSPITAL - DECATUR,48300016,C8924,HC ECHO TTE W/W/O CONT  AND  W/CONT LIMIT,483,1 ,"$1,288.00 ",$927.36 ,$335.08 ,"$1,288.00 ",$864.48 ,$682.64 ,$708.40 ,$338.87 ,$360.64 ,$673.62 ,$338.87 ,$708.40 ,$338.87 ,$637.56 ,$515.20 ,$338.87 ,$637.56 ,$698.50 ,$901.60 ,$805.00 ,"$1,030.40 ",$864.48 ,$338.87 ,$901.60 ,$338.87 ,$772.80 ,$345.66 ,$966.00 ,$710.98 ,$641.42 ,$710.98 ,$338.87 ,$710.98 ,"$1,043.28 ","$1,288.00 ","$1,043.28 ","$1,094.80 ",$864.48 ,$892.58 ,$338.87 ,"$1,288.00 ",$722.57 ,$338.87 ,$337.46 ,"$1,288.00 ",$351.03 ,$335.08 ,$355.82 ,"$1,030.40 ",$637.56 ,$360.64 ,"$1,159.20 ",$489.44 ,"$1,071.00 ",$338.87 ,$618.24 
ST. MARY'S HOSPITAL - DECATUR,48300017,C8925,HC ECHO TEE 2D W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$3,371.00 ","$2,427.12 ",$335.08 ,"$3,371.00 ","$1,738.10 ","$1,786.63 ","$1,854.05 ",$681.34 ,$943.88 ,"$1,763.03 ",$681.34 ,"$1,854.05 ",$681.34 ,"$1,668.65 ","$1,348.40 ",$681.34 ,"$1,668.65 ","$1,404.38 ","$2,359.70 ","$2,106.88 ","$2,696.80 ","$1,738.10 ",$681.34 ,"$2,359.70 ",$681.34 ,"$2,022.60 ",$694.96 ,"$2,528.25 ","$1,860.79 ","$1,678.76 ","$1,860.79 ",$681.34 ,"$1,860.79 ","$2,730.51 ","$3,371.00 ","$2,730.51 ","$2,865.35 ","$1,738.10 ","$2,336.10 ",$681.34 ,"$3,371.00 ","$1,891.13 ",$681.34 ,$883.20 ,"$3,371.00 ",$351.03 ,$335.08 ,$715.40 ,"$2,696.80 ","$1,668.65 ",$943.88 ,"$3,033.90 ","$1,280.98 ","$1,071.00 ",$681.34 ,"$1,618.08 "
ST. MARY'S HOSPITAL - DECATUR,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$2,730.00 ","$1,965.60 ",$335.08 ,"$2,730.00 ","$1,738.10 ","$1,446.90 ","$1,501.50 ",$681.34 ,$764.40 ,"$1,427.79 ",$681.34 ,"$1,501.50 ",$681.34 ,"$1,351.35 ","$1,092.00 ",$681.34 ,"$1,351.35 ","$1,404.38 ","$1,911.00 ","$1,706.25 ","$2,184.00 ","$1,738.10 ",$681.34 ,"$1,911.00 ",$681.34 ,"$1,638.00 ",$694.96 ,"$2,047.50 ","$1,506.96 ","$1,359.54 ","$1,506.96 ",$681.34 ,"$1,506.96 ","$2,211.30 ","$2,730.00 ","$2,211.30 ","$2,320.50 ","$1,738.10 ","$1,891.89 ",$681.34 ,"$2,730.00 ","$1,531.53 ",$681.34 ,$715.26 ,"$2,730.00 ",$351.03 ,$335.08 ,$715.40 ,"$2,184.00 ","$1,351.35 ",$764.40 ,"$2,457.00 ","$1,037.40 ","$1,071.00 ",$681.34 ,"$1,310.40 "
ST. MARY'S HOSPITAL - DECATUR,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT  AND  W/CONT,483,1 ,"$1,818.00 ","$1,308.96 ",$335.08 ,"$1,818.00 ","$1,738.10 ",$963.54 ,$999.90 ,$681.34 ,$509.04 ,$950.81 ,$681.34 ,$999.90 ,$681.34 ,$899.91 ,$727.20 ,$681.34 ,$899.91 ,"$1,404.38 ","$1,272.60 ","$1,136.25 ","$1,454.40 ","$1,738.10 ",$681.34 ,"$1,272.60 ",$681.34 ,"$1,090.80 ",$694.96 ,"$1,363.50 ","$1,003.54 ",$905.36 ,"$1,003.54 ",$681.34 ,"$1,003.54 ","$1,472.58 ","$1,818.00 ","$1,472.58 ","$1,545.30 ","$1,738.10 ","$1,259.87 ",$681.34 ,"$1,818.00 ","$1,019.90 ",$681.34 ,$476.32 ,"$1,818.00 ",$351.03 ,$335.08 ,$715.40 ,"$1,454.40 ",$899.91 ,$509.04 ,"$1,636.20 ",$690.84 ,"$1,071.00 ",$681.34 ,$872.64 
ST. MARY'S HOSPITAL - DECATUR,48300020,C8930,HC ECHO TTE 2D REST/STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$2,958.00 ","$2,129.76 ",$335.08 ,"$2,958.00 ","$1,738.10 ","$1,567.74 ","$1,626.90 ",$681.34 ,$828.24 ,"$1,547.03 ",$681.34 ,"$1,626.90 ",$681.34 ,"$1,464.21 ","$1,183.20 ",$681.34 ,"$1,464.21 ","$1,404.38 ","$2,070.60 ","$1,848.75 ","$2,366.40 ","$1,738.10 ",$681.34 ,"$2,070.60 ",$681.34 ,"$1,774.80 ",$694.96 ,"$2,218.50 ","$1,632.82 ","$1,473.08 ","$1,632.82 ",$681.34 ,"$1,632.82 ","$2,395.98 ","$2,958.00 ","$2,395.98 ","$2,514.30 ","$1,738.10 ","$2,049.89 ",$681.34 ,"$2,958.00 ","$1,659.44 ",$681.34 ,$775.00 ,"$2,958.00 ",$351.03 ,$335.08 ,$715.40 ,"$2,366.40 ","$1,464.21 ",$828.24 ,"$2,662.20 ","$1,124.04 ","$1,071.00 ",$681.34 ,"$1,419.84 "
ST. MARY'S HOSPITAL - DECATUR,48300027,93356,HC MYOCARDIAL STRAIN IMAGING ADD ON,483,1 ,$193.00 ,$138.96 ,$24.89 ,$335.08 , N/A ,$102.29 ,$106.15 , N/A ,$54.04 ,$100.94 , N/A ,$106.15 , N/A ,$95.54 ,$24.89 , N/A ,$95.54 , N/A ,$135.10 ,$120.63 ,$154.40 , N/A , N/A ,$135.10 , N/A ,$115.80 , N/A ,$144.75 ,$106.54 ,$96.11 ,$106.54 , N/A ,$106.54 ,$156.33 ,$193.00 ,$156.33 ,$164.05 , N/A ,$133.75 , N/A ,$193.00 ,$108.27 , N/A ,$50.57 ,$193.00 ,$193.00 ,$335.08 , N/A ,$154.40 ,$95.54 ,$54.04 ,$173.70 ,$73.34 ,$193.00 , N/A ,$92.64 
ST. MARY'S HOSPITAL - DECATUR,51000002,95117,HC ALLERGY SHOTS 2 OR MORE,510,1 ,$114.00 ,$82.08 ,$16.98 ,$114.00 ,$99.43 ,$60.42 ,$62.70 ,$38.97 ,$31.92 ,$59.62 ,$38.97 ,$62.70 ,$38.97 ,$56.43 ,$22.01 ,$38.97 ,$56.43 ,$80.33 ,$79.80 ,$71.25 ,$91.20 ,$99.42 ,$38.97 ,$79.80 ,$38.97 ,$68.40 ,$39.75 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$38.97 ,$62.93 ,$92.34 ,$114.00 ,$92.34 ,$96.90 ,$99.42 ,$79.00 ,$38.97 ,$114.00 ,$63.95 ,$38.97 ,$29.87 ,$114.00 ,$17.79 ,$16.98 ,$40.92 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$114.00 ,$38.97 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,51000003,10180,HC I AND D WOUND POST OP COMPLEX,510,1 ,"$7,961.00 ","$5,731.92 ",$268.00 ,"$7,961.00 ","$6,061.35 ","$4,219.33 ","$4,378.55 ","$2,376.05 ","$2,229.08 ","$4,163.60 ","$2,376.05 ","$4,378.55 ","$2,376.05 ","$3,940.70 ",$303.40 ,"$2,376.05 ","$3,940.70 ","$4,897.56 ","$5,572.70 ","$4,975.63 ","$6,368.80 ","$6,061.34 ","$2,376.05 ","$5,572.70 ","$2,376.05 ","$4,776.60 ","$2,423.57 ","$5,970.75 ","$4,394.47 ","$3,964.58 ","$4,394.47 ","$2,376.05 ","$4,394.47 ","$6,448.41 ","$7,961.00 ","$6,448.41 ","$6,766.85 ","$6,061.34 ","$5,516.97 ","$2,376.05 ","$7,961.00 ","$4,466.12 ","$2,376.05 ","$2,085.78 ","$7,961.00 ",$758.33 ,$723.86 ,"$2,494.85 ","$6,368.80 ","$3,940.70 ","$2,229.08 ","$7,164.90 ","$3,025.18 ",$268.00 ,"$2,376.05 ","$3,821.28 "
ST. MARY'S HOSPITAL - DECATUR,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,300.00 ",$936.00 ,$104.90 ,"$1,300.00 ",$875.38 ,$689.00 ,$715.00 ,$343.15 ,$364.00 ,$679.90 ,$343.15 ,$715.00 ,$343.15 ,$643.50 ,$104.90 ,$343.15 ,$643.50 ,$707.30 ,$910.00 ,$812.50 ,"$1,040.00 ",$875.37 ,$343.15 ,$910.00 ,$343.15 ,$780.00 ,$350.01 ,$975.00 ,$717.60 ,$647.40 ,$717.60 ,$343.15 ,$717.60 ,"$1,053.00 ","$1,300.00 ","$1,053.00 ","$1,105.00 ",$875.37 ,$900.90 ,$343.15 ,"$1,300.00 ",$729.30 ,$343.15 ,$340.60 ,"$1,300.00 ",$221.86 ,$211.77 ,$360.31 ,"$1,040.00 ",$643.50 ,$364.00 ,"$1,170.00 ",$494.00 ,$268.00 ,$343.15 ,$624.00 
ST. MARY'S HOSPITAL - DECATUR,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,$627.00 ,$451.44 ,$164.27 ,"$1,363.15 ","$1,363.15 ",$332.31 ,$344.85 ,$534.35 ,$175.56 ,$327.92 ,$534.35 ,$344.85 ,$534.35 ,$310.37 ,$267.47 ,$534.35 ,$310.37 ,$627.00 ,$438.90 ,$391.88 ,$501.60 ,"$1,363.14 ",$534.35 ,$438.90 ,$534.35 ,$376.20 ,$545.04 ,$470.25 ,$346.10 ,$312.25 ,$346.10 ,$534.35 ,$346.10 ,$507.87 ,$627.00 ,$507.87 ,$532.95 ,$627.00 ,$434.51 ,$534.35 ,$627.00 ,$351.75 ,$534.35 ,$164.27 ,$627.00 ,$603.57 ,$576.14 ,$561.07 ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$268.00 ,$534.35 ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$3,891.00 ","$2,801.52 ",$268.00 ,"$3,891.00 ","$3,518.55 ","$2,062.23 ","$2,140.05 ","$1,379.27 ","$1,089.48 ","$2,034.99 ","$1,379.27 ","$2,140.05 ","$1,379.27 ","$1,926.05 ",$396.95 ,"$1,379.27 ","$1,926.05 ","$2,842.98 ","$2,723.70 ","$2,431.88 ","$3,112.80 ","$3,518.54 ","$1,379.27 ","$2,723.70 ","$1,379.27 ","$2,334.60 ","$1,406.86 ","$2,918.25 ","$2,147.83 ","$1,937.72 ","$2,147.83 ","$1,379.27 ","$2,147.83 ","$3,151.71 ","$3,891.00 ","$3,151.71 ","$3,307.35 ","$3,518.54 ","$2,696.46 ","$1,379.27 ","$3,891.00 ","$2,182.85 ","$1,379.27 ","$1,019.44 ","$3,891.00 ",$866.37 ,$826.99 ,"$1,448.23 ","$3,112.80 ","$1,926.05 ","$1,089.48 ","$3,501.90 ","$1,478.58 ",$268.00 ,"$1,379.27 ","$1,867.68 "
ST. MARY'S HOSPITAL - DECATUR,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,$627.00 ,$451.44 ,$46.10 ,$627.00 , N/A ,$332.31 ,$344.85 , N/A ,$175.56 ,$327.92 , N/A ,$344.85 , N/A ,$310.37 ,$46.10 , N/A ,$310.37 , N/A ,$438.90 ,$391.88 ,$501.60 , N/A , N/A ,$438.90 , N/A ,$376.20 , N/A ,$470.25 ,$346.10 ,$312.25 ,$346.10 , N/A ,$346.10 ,$507.87 ,$627.00 ,$507.87 ,$532.95 , N/A ,$434.51 , N/A ,$627.00 ,$351.75 , N/A ,$164.27 ,$627.00 ,$603.57 ,$576.14 , N/A ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$268.00 , N/A ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$627.00 ,$451.44 ,$97.71 ,$627.00 , N/A ,$332.31 ,$344.85 , N/A ,$175.56 ,$327.92 , N/A ,$344.85 , N/A ,$310.37 ,$97.71 , N/A ,$310.37 , N/A ,$438.90 ,$391.88 ,$501.60 , N/A , N/A ,$438.90 , N/A ,$376.20 , N/A ,$470.25 ,$346.10 ,$312.25 ,$346.10 , N/A ,$346.10 ,$507.87 ,$627.00 ,$507.87 ,$532.95 , N/A ,$434.51 , N/A ,$627.00 ,$351.75 , N/A ,$164.27 ,$627.00 ,$603.57 ,$576.14 , N/A ,$501.60 ,$310.37 ,$175.56 ,$564.30 ,$238.26 ,$268.00 , N/A ,$300.96 
ST. MARY'S HOSPITAL - DECATUR,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$3,891.00 ","$2,801.52 ",$173.22 ,"$3,891.00 ", N/A ,"$2,062.23 ","$2,140.05 ", N/A ,"$1,089.48 ","$2,034.99 ", N/A ,"$2,140.05 ", N/A ,"$1,926.05 ",$173.22 , N/A ,"$1,926.05 ", N/A ,"$2,723.70 ","$2,431.88 ","$3,112.80 ", N/A , N/A ,"$2,723.70 ", N/A ,"$2,334.60 ", N/A ,"$2,918.25 ","$2,147.83 ","$1,937.72 ","$2,147.83 ", N/A ,"$2,147.83 ","$3,151.71 ","$3,891.00 ","$3,151.71 ","$3,307.35 ", N/A ,"$2,696.46 ", N/A ,"$3,891.00 ","$2,182.85 ", N/A ,"$1,019.44 ","$3,891.00 ",$866.37 ,$826.99 , N/A ,"$3,112.80 ","$1,926.05 ","$1,089.48 ","$3,501.90 ","$1,478.58 ",$268.00 , N/A ,"$1,867.68 "
ST. MARY'S HOSPITAL - DECATUR,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$325.00 ,$234.00 ,$27.64 ,$423.73 ,$423.73 ,$172.25 ,$178.75 ,$166.10 ,$91.00 ,$169.98 ,$166.10 ,$178.75 ,$166.10 ,$160.88 ,$27.64 ,$166.10 ,$160.88 ,$325.00 ,$227.50 ,$203.13 ,$260.00 ,$423.71 ,$166.10 ,$227.50 ,$166.10 ,$195.00 ,$169.41 ,$243.75 ,$179.40 ,$161.85 ,$179.40 ,$166.10 ,$179.40 ,$263.25 ,$325.00 ,$263.25 ,$276.25 ,$325.00 ,$225.23 ,$166.10 ,$325.00 ,$182.33 ,$166.10 ,$85.15 ,$325.00 ,$221.86 ,$211.77 ,$174.40 ,$260.00 ,$160.88 ,$91.00 ,$292.50 ,$123.50 ,$268.00 ,$166.10 ,$156.00 
ST. MARY'S HOSPITAL - DECATUR,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$387.00 ,$278.64 ,$39.11 ,$423.73 ,$423.73 ,$205.11 ,$212.85 ,$166.10 ,$108.36 ,$202.40 ,$166.10 ,$212.85 ,$166.10 ,$191.57 ,$39.11 ,$166.10 ,$191.57 ,$342.36 ,$270.90 ,$241.88 ,$309.60 ,$423.71 ,$166.10 ,$270.90 ,$166.10 ,$232.20 ,$169.41 ,$290.25 ,$213.62 ,$192.73 ,$213.62 ,$166.10 ,$213.62 ,$313.47 ,$387.00 ,$313.47 ,$328.95 ,$387.00 ,$268.19 ,$166.10 ,$387.00 ,$217.11 ,$166.10 ,$101.39 ,$387.00 ,$221.86 ,$211.77 ,$174.40 ,$309.60 ,$191.57 ,$108.36 ,$348.30 ,$147.06 ,$268.00 ,$166.10 ,$185.76 
ST. MARY'S HOSPITAL - DECATUR,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$196.00 ,$141.12 ,$13.24 ,$196.00 ,$134.88 ,$103.88 ,$107.80 ,$52.87 ,$54.88 ,$102.51 ,$52.87 ,$107.80 ,$52.87 ,$97.02 ,$13.24 ,$52.87 ,$97.02 ,$108.98 ,$137.20 ,$122.50 ,$156.80 ,$134.87 ,$52.87 ,$137.20 ,$52.87 ,$117.60 ,$53.93 ,$147.00 ,$108.19 ,$97.61 ,$108.19 ,$52.87 ,$108.19 ,$158.76 ,$196.00 ,$158.76 ,$166.60 ,$134.87 ,$135.83 ,$52.87 ,$196.00 ,$109.96 ,$52.87 ,$51.35 ,$196.00 ,$59.35 ,$56.65 ,$55.52 ,$156.80 ,$97.02 ,$54.88 ,$176.40 ,$74.48 ,$196.00 ,$52.87 ,$94.08 
ST. MARY'S HOSPITAL - DECATUR,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$239.00 ,$172.08 ,$25.27 ,$239.00 ,$134.88 ,$126.67 ,$131.45 ,$52.87 ,$66.92 ,$125.00 ,$52.87 ,$131.45 ,$52.87 ,$118.31 ,$25.27 ,$52.87 ,$118.31 ,$108.98 ,$167.30 ,$149.38 ,$191.20 ,$134.87 ,$52.87 ,$167.30 ,$52.87 ,$143.40 ,$53.93 ,$179.25 ,$131.93 ,$119.02 ,$131.93 ,$52.87 ,$131.93 ,$193.59 ,$239.00 ,$193.59 ,$203.15 ,$134.87 ,$165.63 ,$52.87 ,$239.00 ,$134.08 ,$52.87 ,$62.62 ,$239.00 ,$59.35 ,$56.65 ,$55.52 ,$191.20 ,$118.31 ,$66.92 ,$215.10 ,$90.82 ,$239.00 ,$52.87 ,$114.72 
ST. MARY'S HOSPITAL - DECATUR,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$488.00 ,$351.36 ,$42.82 ,$488.00 ,$134.88 ,$258.64 ,$268.40 ,$52.87 ,$136.64 ,$255.22 ,$52.87 ,$268.40 ,$52.87 ,$241.56 ,$42.82 ,$52.87 ,$241.56 ,$108.98 ,$341.60 ,$305.00 ,$390.40 ,$134.87 ,$52.87 ,$341.60 ,$52.87 ,$292.80 ,$53.93 ,$366.00 ,$269.38 ,$243.02 ,$269.38 ,$52.87 ,$269.38 ,$395.28 ,$488.00 ,$395.28 ,$414.80 ,$134.87 ,$338.18 ,$52.87 ,$488.00 ,$273.77 ,$52.87 ,$127.86 ,$488.00 ,$59.35 ,$56.65 ,$55.52 ,$390.40 ,$241.56 ,$136.64 ,$439.20 ,$185.44 ,$268.00 ,$52.87 ,$234.24 
ST. MARY'S HOSPITAL - DECATUR,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,"$2,202.00 ","$1,585.44 ",$172.19 ,"$2,202.00 ",$875.38 ,"$1,167.06 ","$1,211.10 ",$343.15 ,$616.56 ,"$1,151.65 ",$343.15 ,"$1,211.10 ",$343.15 ,"$1,089.99 ",$172.19 ,$343.15 ,"$1,089.99 ",$707.30 ,"$1,541.40 ","$1,376.25 ","$1,761.60 ",$875.37 ,$343.15 ,"$1,541.40 ",$343.15 ,"$1,321.20 ",$350.01 ,"$1,651.50 ","$1,215.50 ","$1,096.60 ","$1,215.50 ",$343.15 ,"$1,215.50 ","$1,783.62 ","$2,202.00 ","$1,783.62 ","$1,871.70 ",$875.37 ,"$1,525.99 ",$343.15 ,"$2,202.00 ","$1,235.32 ",$343.15 ,$576.92 ,"$2,202.00 ",$466.29 ,$445.10 ,$360.31 ,"$1,761.60 ","$1,089.99 ",$616.56 ,"$1,981.80 ",$836.76 ,$268.00 ,$343.15 ,"$1,056.96 "
ST. MARY'S HOSPITAL - DECATUR,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,"$1,277.00 ",$919.44 ,$63.63 ,"$1,277.00 ",$780.45 ,$676.81 ,$702.35 ,$305.94 ,$357.56 ,$667.87 ,$305.94 ,$702.35 ,$305.94 ,$632.12 ,$63.63 ,$305.94 ,$632.12 ,$630.61 ,$893.90 ,$798.13 ,"$1,021.60 ",$780.46 ,$305.94 ,$893.90 ,$305.94 ,$766.20 ,$312.06 ,$957.75 ,$704.90 ,$635.95 ,$704.90 ,$305.94 ,$704.90 ,"$1,034.37 ","$1,277.00 ","$1,034.37 ","$1,085.45 ",$780.46 ,$884.96 ,$305.94 ,"$1,277.00 ",$716.40 ,$305.94 ,$334.57 ,"$1,277.00 ",$86.41 ,$82.48 ,$321.23 ,"$1,021.60 ",$632.12 ,$357.56 ,"$1,149.30 ",$485.26 ,$268.00 ,$305.94 ,$612.96 
ST. MARY'S HOSPITAL - DECATUR,51000062,95991,HC REFILLING PUMP OR RESERVOIR,360,1 ,"$1,122.00 ",$807.84 ,$82.48 ,"$1,122.00 ",$637.98 ,"$1,122.00 ",$617.10 ,$250.09 ,$314.16 ,$586.81 ,$250.09 ,$617.10 ,$250.09 ,$555.39 ,$555.39 ,$250.09 ,$555.39 ,$515.47 ,$785.40 ,$701.25 ,$897.60 ,$637.96 ,$250.09 ,$785.40 ,$250.09 ,$673.20 ,$255.08 ,$841.50 ,$619.34 ,$558.76 ,$619.34 ,$250.09 ,$619.34 ,$908.82 ,"$1,122.00 ",$908.82 ,$953.70 ,$637.96 ,$777.55 ,$250.09 ,"$1,122.00 ",$629.44 ,$250.09 ,$293.96 ,"$1,122.00 ",$86.41 ,$82.48 ,$262.59 ,$897.60 ,$555.39 ,$314.16 ,"$1,009.80 ",$766.00 ,$964.00 ,$250.09 ,$538.56 
ST. MARY'S HOSPITAL - DECATUR,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$345.00 ,$248.40 ,$33.34 ,$345.00 ,$158.30 ,$182.85 ,$189.75 ,$62.05 ,$96.60 ,$180.44 ,$62.05 ,$189.75 ,$62.05 ,$170.78 ,$33.34 ,$62.05 ,$170.78 ,$127.92 ,$241.50 , N/A ,$276.00 ,$158.31 ,$62.05 ,$241.50 ,$62.05 ,$207.00 ,$63.30 ,$258.75 ,$190.44 ,$171.81 ,$190.44 ,$62.05 ,$190.44 ,$279.45 ,$345.00 ,$279.45 ,$293.25 ,$158.31 ,$239.09 ,$62.05 ,$345.00 ,$193.55 ,$62.05 ,$90.39 ,$345.00 , N/A , N/A ,$65.16 ,$276.00 ,$170.78 ,$96.60 ,$310.50 ,$131.10 ,$187.68 ,$62.05 ,$165.60 
ST. MARY'S HOSPITAL - DECATUR,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$418.00 ,$300.96 ,$54.78 ,$484.70 ,$484.70 ,$221.54 ,$229.90 ,$190.00 ,$117.04 ,$218.61 ,$190.00 ,$229.90 ,$190.00 ,$206.91 ,$54.78 ,$190.00 ,$206.91 ,$391.63 ,$292.60 , N/A ,$334.40 ,$484.70 ,$190.00 ,$292.60 ,$190.00 ,$250.80 ,$193.80 ,$313.50 ,$230.74 ,$208.16 ,$230.74 ,$190.00 ,$230.74 ,$338.58 ,$418.00 ,$338.58 ,$355.30 ,$418.00 ,$289.67 ,$190.00 ,$418.00 ,$234.50 ,$190.00 ,$109.52 ,$418.00 , N/A , N/A ,$199.50 ,$334.40 ,$206.91 ,$117.04 ,$376.20 ,$158.84 ,$227.39 ,$190.00 ,$200.64 
ST. MARY'S HOSPITAL - DECATUR,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$418.00 ,$300.96 ,$23.53 ,$418.00 ,$99.43 ,$221.54 ,$229.90 ,$38.97 ,$117.04 ,$199.33 ,$38.97 ,$208.25 ,$38.97 ,$206.91 ,$23.53 ,$38.97 ,$206.91 ,$80.33 ,$292.60 , N/A ,$334.40 ,$99.42 ,$38.97 ,$292.60 ,$38.97 ,$250.80 ,$39.75 ,$313.50 ,$230.74 ,$208.16 ,$230.74 ,$38.97 ,$230.74 ,$338.58 ,$418.00 ,$338.58 ,$355.30 ,$99.42 ,$289.67 ,$38.97 ,$418.00 ,$234.50 ,$38.97 ,$109.52 ,$418.00 , N/A , N/A ,$40.92 ,$334.40 ,$206.91 ,$117.04 ,$376.20 ,$158.84 ,$227.39 ,$38.97 ,$200.64 
ST. MARY'S HOSPITAL - DECATUR,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$300.00 ,$216.00 ,$14.70 ,$300.00 , N/A ,$159.00 ,$165.00 , N/A ,$84.00 ,$133.60 , N/A ,$139.58 , N/A ,$148.50 ,$14.70 , N/A ,$148.50 , N/A ,$210.00 , N/A ,$240.00 , N/A , N/A ,$210.00 , N/A ,$180.00 , N/A ,$225.00 ,$165.60 ,$149.40 ,$165.60 , N/A ,$165.60 ,$243.00 ,$300.00 ,$243.00 ,$255.00 , N/A ,$207.90 , N/A ,$300.00 ,$168.30 , N/A ,$78.60 ,$300.00 , N/A , N/A , N/A ,$240.00 ,$148.50 ,$84.00 ,$270.00 ,$114.00 ,$163.20 , N/A ,$144.00 
ST. MARY'S HOSPITAL - DECATUR,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$187.00 ,$134.64 ,$48.99 ,$187.00 ,$134.88 ,$99.11 ,$102.85 ,$52.87 ,$52.36 ,$97.80 ,$52.87 ,$102.85 ,$52.87 ,$92.57 ,$50.94 ,$52.87 ,$92.57 ,$108.98 ,$130.90 , N/A ,$149.60 ,$134.87 ,$52.87 ,$130.90 ,$52.87 ,$112.20 ,$53.93 ,$140.25 ,$103.22 ,$93.13 ,$103.22 ,$52.87 ,$103.22 ,$151.47 ,$187.00 ,$151.47 ,$158.95 ,$134.87 ,$129.59 ,$52.87 ,$187.00 ,$104.91 ,$52.87 ,$48.99 ,$187.00 ,$86.41 ,$82.48 ,$55.52 ,$149.60 ,$92.57 ,$52.36 ,$168.30 ,$71.06 ,$187.00 ,$52.87 ,$89.76 
ST. MARY'S HOSPITAL - DECATUR,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$745.00 ,$536.40 ,$29.13 ,$745.00 ,$423.73 ,$394.85 ,$409.75 ,$166.10 ,$208.60 ,$154.97 ,$166.10 ,$161.91 ,$166.10 ,$368.78 ,$29.13 ,$166.10 ,$368.78 ,$342.36 ,$521.50 ,$465.63 ,$596.00 ,$423.71 ,$166.10 ,$521.50 ,$166.10 ,$447.00 ,$169.41 ,$558.75 ,$411.24 ,$371.01 ,$411.24 ,$166.10 ,$411.24 ,$603.45 ,$745.00 ,$603.45 ,$633.25 ,$423.71 ,$516.29 ,$166.10 ,$745.00 ,$417.95 ,$166.10 ,$195.19 ,$745.00 ,$86.41 ,$82.48 ,$174.40 ,$596.00 ,$368.78 ,$208.60 ,$670.50 ,$283.10 ,$268.00 ,$166.10 ,$357.60 
ST. MARY'S HOSPITAL - DECATUR,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$329.00 ,$236.88 ,$57.92 ,$329.00 , N/A ,$174.37 ,$180.95 , N/A ,$92.12 ,$172.07 , N/A ,$180.95 , N/A ,$162.86 ,$57.92 , N/A ,$162.86 , N/A ,$230.30 ,$205.63 ,$263.20 , N/A , N/A ,$230.30 , N/A ,$197.40 , N/A ,$246.75 ,$181.61 ,$163.84 ,$181.61 , N/A ,$181.61 ,$266.49 ,$329.00 ,$266.49 ,$279.65 , N/A ,$228.00 , N/A ,$76.98 ,$184.57 , N/A ,$86.20 ,$329.00 ,$101.73 ,$97.10 , N/A ,$263.20 ,$162.86 ,$92.12 ,$296.10 ,$125.02 ,$268.00 , N/A ,$157.92 
ST. MARY'S HOSPITAL - DECATUR,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$447.00 ,$321.84 ,$88.33 ,$447.00 , N/A ,$236.91 ,$245.85 , N/A ,$125.16 ,$233.78 , N/A ,$245.85 , N/A ,$221.27 ,$88.33 , N/A ,$221.27 , N/A ,$312.90 ,$279.38 ,$357.60 , N/A , N/A ,$312.90 , N/A ,$268.20 , N/A ,$335.25 ,$246.74 ,$222.61 ,$246.74 , N/A ,$246.74 ,$362.07 ,$447.00 ,$362.07 ,$379.95 , N/A ,$309.77 , N/A ,$120.52 ,$250.77 , N/A ,$117.11 ,$447.00 ,$101.73 ,$97.10 , N/A ,$357.60 ,$221.27 ,$125.16 ,$402.30 ,$169.86 ,$268.00 , N/A ,$214.56 
ST. MARY'S HOSPITAL - DECATUR,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$604.00 ,$434.88 ,$97.10 ,$604.00 , N/A ,$320.12 ,$332.20 , N/A ,$169.12 ,$315.89 , N/A ,$332.20 , N/A ,$298.98 ,$152.13 , N/A ,$298.98 , N/A ,$422.80 ,$377.50 ,$483.20 , N/A , N/A ,$422.80 , N/A ,$362.40 , N/A ,$453.00 ,$333.41 ,$300.79 ,$333.41 , N/A ,$333.41 ,$489.24 ,$604.00 ,$489.24 ,$513.40 , N/A ,$418.57 , N/A ,$177.92 ,$338.84 , N/A ,$158.25 ,$604.00 ,$101.73 ,$97.10 , N/A ,$483.20 ,$298.98 ,$169.12 ,$543.60 ,$229.52 ,$268.00 , N/A ,$289.92 
ST. MARY'S HOSPITAL - DECATUR,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$746.00 ,$537.12 ,$97.10 ,$746.00 , N/A ,$395.38 ,$410.30 , N/A ,$208.88 ,$390.16 , N/A ,$410.30 , N/A ,$369.27 ,$198.23 , N/A ,$369.27 , N/A ,$522.20 ,$466.25 ,$596.80 , N/A , N/A ,$522.20 , N/A ,$447.60 , N/A ,$559.50 ,$411.79 ,$371.51 ,$411.79 , N/A ,$411.79 ,$604.26 ,$746.00 ,$604.26 ,$634.10 , N/A ,$516.98 , N/A ,$234.97 ,$418.51 , N/A ,$195.45 ,$746.00 ,$101.73 ,$97.10 , N/A ,$596.80 ,$369.27 ,$208.88 ,$671.40 ,$283.48 ,$268.00 , N/A ,$358.08 
ST. MARY'S HOSPITAL - DECATUR,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$281.00 ,$202.32 ,$11.48 ,$281.00 , N/A ,$148.93 ,$154.55 , N/A ,$78.68 ,$70.89 , N/A ,$74.06 , N/A ,$139.10 ,$11.48 , N/A ,$139.10 , N/A ,$196.70 ,$175.63 ,$224.80 , N/A , N/A ,$196.70 , N/A ,$168.60 , N/A ,$210.75 ,$155.11 ,$139.94 ,$155.11 , N/A ,$155.11 ,$227.61 ,$281.00 ,$227.61 ,$238.85 , N/A ,$194.73 , N/A ,$281.00 ,$157.64 , N/A ,$73.62 ,$281.00 ,$101.73 ,$97.10 , N/A ,$224.80 ,$139.10 ,$78.68 ,$252.90 ,$106.78 ,$268.00 , N/A ,$134.88 
ST. MARY'S HOSPITAL - DECATUR,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$327.00 ,$235.44 ,$28.92 ,$327.00 , N/A ,$173.31 ,$179.85 , N/A ,$91.56 ,$171.02 , N/A ,$179.85 , N/A ,$161.87 ,$28.92 , N/A ,$161.87 , N/A ,$228.90 ,$204.38 ,$261.60 , N/A , N/A ,$228.90 , N/A ,$196.20 , N/A ,$245.25 ,$180.50 ,$162.85 ,$180.50 , N/A ,$180.50 ,$264.87 ,$327.00 ,$264.87 ,$277.95 , N/A ,$226.61 , N/A ,$60.09 ,$183.45 , N/A ,$85.67 ,$327.00 ,$101.73 ,$97.10 , N/A ,$261.60 ,$161.87 ,$91.56 ,$294.30 ,$124.26 ,$268.00 , N/A ,$156.96 
ST. MARY'S HOSPITAL - DECATUR,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$395.00 ,$284.40 ,$53.74 ,$395.00 , N/A ,$209.35 ,$217.25 , N/A ,$110.60 ,$206.59 , N/A ,$217.25 , N/A ,$195.53 ,$53.74 , N/A ,$195.53 , N/A ,$276.50 ,$246.88 ,$316.00 , N/A , N/A ,$276.50 , N/A ,$237.00 , N/A ,$296.25 ,$218.04 ,$196.71 ,$218.04 , N/A ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 , N/A ,$273.74 , N/A ,$95.85 ,$221.60 , N/A ,$103.49 ,$395.00 ,$101.73 ,$97.10 , N/A ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 ,$268.00 , N/A ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$577.00 ,$415.44 ,$84.31 ,$577.00 , N/A ,$305.81 ,$317.35 , N/A ,$161.56 ,$301.77 , N/A ,$317.35 , N/A ,$285.62 ,$84.31 , N/A ,$285.62 , N/A ,$403.90 ,$360.63 ,$461.60 , N/A , N/A ,$403.90 , N/A ,$346.20 , N/A ,$432.75 ,$318.50 ,$287.35 ,$318.50 , N/A ,$318.50 ,$467.37 ,$577.00 ,$467.37 ,$490.45 , N/A ,$399.86 , N/A ,$577.00 ,$323.70 , N/A ,$151.17 ,$577.00 ,$101.73 ,$97.10 , N/A ,$461.60 ,$285.62 ,$161.56 ,$519.30 ,$219.26 ,$268.00 , N/A ,$276.96 
ST. MARY'S HOSPITAL - DECATUR,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$625.00 ,$450.00 ,$97.10 ,$625.00 , N/A ,$331.25 ,$343.75 , N/A ,$175.00 ,$326.88 , N/A ,$343.75 , N/A ,$309.38 ,$129.78 , N/A ,$309.38 , N/A ,$437.50 ,$390.63 ,$500.00 , N/A , N/A ,$437.50 , N/A ,$375.00 , N/A ,$468.75 ,$345.00 ,$311.25 ,$345.00 , N/A ,$345.00 ,$506.25 ,$625.00 ,$506.25 ,$531.25 , N/A ,$433.13 , N/A ,$625.00 ,$350.63 , N/A ,$163.75 ,$625.00 ,$101.73 ,$97.10 , N/A ,$500.00 ,$309.38 ,$175.00 ,$562.50 ,$237.50 ,$268.00 , N/A ,$300.00 
ST. MARY'S HOSPITAL - DECATUR,51000145,G0127,HC TRIM NAILS DYSTROPHIC FAC,510,1 ,$301.00 ,$216.72 ,$15.10 ,$301.00 ,$134.88 ,$159.53 ,$165.55 ,$52.87 ,$84.28 ,$157.42 ,$52.87 ,$165.55 ,$52.87 ,$149.00 ,$15.10 ,$52.87 ,$149.00 ,$108.98 ,$210.70 ,$188.13 ,$240.80 ,$134.87 ,$52.87 ,$210.70 ,$52.87 ,$180.60 ,$53.93 ,$225.75 ,$166.15 ,$149.90 ,$166.15 ,$52.87 ,$166.15 ,$243.81 ,$301.00 ,$243.81 ,$255.85 ,$134.87 ,$208.59 ,$52.87 ,$301.00 ,$168.86 ,$52.87 ,$78.86 ,$301.00 ,$59.35 ,$56.65 ,$55.52 ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 ,$268.00 ,$52.87 ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$26.00 ,$18.72 ,$2.13 ,$26.00 ,$21.43 ,$13.78 ,$14.30 ,$8.40 ,$7.28 ,$9.36 ,$8.40 ,$9.75 ,$8.40 ,$12.87 ,$2.13 ,$8.40 ,$12.87 ,$17.31 ,$18.20 ,$7.10 ,$20.80 ,$21.43 ,$8.40 ,$18.20 ,$8.40 ,$15.60 ,$8.57 ,$19.50 ,$14.35 ,$12.95 ,$14.35 ,$8.40 ,$14.35 ,$4.02 ,$26.00 ,$4.02 ,$22.10 ,$21.43 ,$18.02 ,$8.40 ,$26.00 ,$14.59 ,$8.40 ,$6.81 , N/A , N/A , N/A ,$8.82 ,$20.80 ,$12.87 ,$7.28 ,$23.40 ,$9.88 ,$6.00 ,$8.40 ,$12.48 
ST. MARY'S HOSPITAL - DECATUR,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$301.00 ,$216.72 ,$66.23 ,$301.00 ,$272.45 ,$159.53 ,$165.55 ,$106.80 ,$84.28 ,$157.42 ,$106.80 ,$165.55 ,$106.80 ,$149.00 ,$66.23 ,$106.80 ,$149.00 ,$220.13 ,$210.70 ,$188.13 ,$240.80 ,$272.44 ,$106.80 ,$210.70 ,$106.80 ,$180.60 ,$108.94 ,$225.75 ,$166.15 ,$149.90 ,$166.15 ,$106.80 ,$166.15 ,$243.81 ,$301.00 ,$243.81 ,$255.85 ,$272.44 ,$208.59 ,$106.80 ,$301.00 ,$168.86 ,$106.80 ,$78.86 ,$301.00 ,$86.41 ,$82.48 ,$112.14 ,$240.80 ,$149.00 ,$84.28 ,$270.90 ,$114.38 ,$268.00 ,$106.80 ,$144.48 
ST. MARY'S HOSPITAL - DECATUR,51000172,51702,HC CATH BLADDER SMP,510,1 ,$352.00 ,$253.44 ,$66.23 ,$352.00 ,$272.45 ,$186.56 ,$193.60 ,$106.80 ,$98.56 ,$184.10 ,$106.80 ,$193.60 ,$106.80 ,$174.24 ,$66.23 ,$106.80 ,$174.24 ,$220.13 ,$246.40 ,$220.00 ,$281.60 ,$272.44 ,$106.80 ,$246.40 ,$106.80 ,$211.20 ,$108.94 ,$264.00 ,$194.30 ,$175.30 ,$194.30 ,$106.80 ,$194.30 ,$285.12 ,$352.00 ,$285.12 ,$299.20 ,$272.44 ,$243.94 ,$106.80 ,$352.00 ,$197.47 ,$106.80 ,$92.22 ,$352.00 ,$86.41 ,$82.48 ,$112.14 ,$281.60 ,$174.24 ,$98.56 ,$316.80 ,$133.76 ,$268.00 ,$106.80 ,$168.96 
ST. MARY'S HOSPITAL - DECATUR,51000175,94780,HC CARSEAT ANALYSIS FIRST 60MIN,510,1 ,$219.00 ,$157.68 ,$31.23 ,$219.00 ,$79.68 ,$116.07 ,$120.45 ,$31.23 ,$61.32 ,$114.54 ,$31.23 ,$120.45 ,$31.23 ,$108.41 ,$57.03 ,$31.23 ,$108.41 ,$64.38 ,$153.30 ,$136.88 ,$175.20 ,$79.68 ,$31.23 ,$153.30 ,$31.23 ,$131.40 ,$31.86 ,$164.25 ,$120.89 ,$109.06 ,$120.89 ,$31.23 ,$120.89 ,$177.39 ,$219.00 ,$177.39 ,$186.15 ,$79.68 ,$151.77 ,$31.23 ,$219.00 ,$122.86 ,$31.23 ,$57.38 ,$219.00 ,$54.11 ,$51.65 ,$32.79 ,$175.20 ,$108.41 ,$61.32 ,$197.10 ,$83.22 ,$219.00 ,$31.23 ,$105.12 
ST. MARY'S HOSPITAL - DECATUR,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$7,870.00 ","$5,666.40 ",$212.02 ,"$7,870.00 ","$1,467.30 ","$4,171.10 ","$4,328.50 ",$575.18 ,"$2,203.60 ","$4,116.01 ",$575.18 ,"$4,328.50 ",$575.18 ,"$3,895.65 ",$212.02 ,$575.18 ,"$3,895.65 ","$1,185.58 ","$5,509.00 ","$4,918.75 ","$6,296.00 ","$1,467.30 ",$575.18 ,"$5,509.00 ",$575.18 ,"$4,722.00 ",$586.69 ,"$5,902.50 ","$4,344.24 ","$3,919.26 ","$4,344.24 ",$575.18 ,"$4,344.24 ","$6,374.70 ","$7,870.00 ","$6,374.70 ","$6,689.50 ","$1,467.30 ","$5,453.91 ",$575.18 ,"$7,870.00 ","$4,415.07 ",$575.18 ,"$2,061.94 ","$7,870.00 ",$785.38 ,$749.68 ,$603.94 ,"$6,296.00 ","$3,895.65 ","$2,203.60 ","$7,083.00 ","$2,990.60 ",$268.00 ,$575.18 ,"$3,777.60 "
ST. MARY'S HOSPITAL - DECATUR,51000315,38222,HC BM ASPIRATION (BX/ASP SAME SITE),360,1 ,"$6,609.00 ","$4,758.48 ",$420.12 ,"$6,609.00 ","$6,061.35 ","$3,000.00 ","$3,634.95 ","$2,376.05 ","$1,850.52 ","$3,456.51 ","$2,376.05 ","$3,634.95 ","$2,376.05 ","$3,271.46 ","$3,271.46 ","$2,376.05 ","$3,271.46 ","$4,897.56 ","$3,500.00 ","$4,130.63 ","$5,287.20 ","$6,061.34 ","$2,376.05 ","$4,626.30 ","$2,376.05 ","$3,965.40 ","$2,423.57 ","$4,956.75 ","$3,648.17 ","$3,291.28 ","$3,648.17 ","$2,376.05 ","$3,648.17 ","$5,353.29 ","$6,609.00 ","$5,353.29 ","$5,617.65 ","$6,061.34 ","$4,580.04 ","$2,376.05 ","$6,609.00 ","$3,707.65 ","$2,376.05 ","$1,731.56 ","$6,609.00 ",$440.12 ,$420.12 ,"$2,494.85 ","$5,287.20 ","$3,271.46 ","$1,850.52 ","$5,948.10 ","$1,866.00 ","$2,248.00 ","$2,376.05 ","$3,172.32 "
ST. MARY'S HOSPITAL - DECATUR,51000320,94781,HC CARSEAT ANALYSIS  EA ADDN 30MIN,510,1 ,$219.00 ,$157.68 ,$20.12 ,$219.00 , N/A ,$116.07 ,$120.45 , N/A ,$61.32 ,$114.54 , N/A ,$120.45 , N/A ,$108.41 ,$20.12 , N/A ,$108.41 , N/A ,$153.30 ,$136.88 ,$175.20 , N/A , N/A ,$153.30 , N/A ,$131.40 , N/A ,$164.25 ,$120.89 ,$109.06 ,$120.89 , N/A ,$120.89 ,$177.39 ,$219.00 ,$177.39 ,$186.15 , N/A ,$151.77 , N/A ,$219.00 ,$122.86 , N/A ,$57.38 ,$219.00 ,$54.11 ,$51.65 , N/A ,$175.20 ,$108.41 ,$61.32 ,$197.10 ,$83.22 ,$219.00 , N/A ,$105.12 
ST. MARY'S HOSPITAL - DECATUR,51000325,15271,HC APL SKIN SUB TAL<100 INT 25CM,761,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$263.94 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$145.57 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$189.24 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,51000326,15272,HC APL SKIN SUB TAL<100 ADL 25CM,761,1 ,$183.00 ,$131.76 ,$30.29 ,"$1,094.04 ", N/A ,$96.99 ,$100.65 , N/A ,$51.24 ,$95.71 , N/A ,$100.65 , N/A ,$90.59 ,$30.29 , N/A ,$90.59 , N/A ,$128.10 ,$114.38 ,$146.40 , N/A , N/A ,$128.10 , N/A ,$109.80 , N/A ,$137.25 ,$101.02 ,$91.13 ,$101.02 , N/A ,$101.02 ,$148.23 ,$183.00 ,$148.23 ,$155.55 , N/A ,$126.82 , N/A ,$183.00 ,$102.66 , N/A ,$47.95 ,$183.00 ,$183.00 ,"$1,094.04 ", N/A ,$146.40 ,$90.59 ,$51.24 ,$164.70 ,$69.54 ,$183.00 , N/A ,$87.84 
ST. MARY'S HOSPITAL - DECATUR,51000327,15273,HC APL SKIN SUB TAL>100 INT 100CM,761,1 ,$759.00 ,$546.48 ,$198.86 ,"$7,632.93 ","$7,632.93 ",$402.27 ,$417.45 ,"$2,992.11 ",$212.52 ,$396.96 ,"$2,992.11 ",$417.45 ,$743.82 ,$375.71 ,$352.87 ,$743.82 ,$375.71 ,$759.00 ,$531.30 ,$474.38 ,$607.20 ,"$7,632.93 ","$2,992.11 ",$531.30 ,"$2,992.11 ",$455.40 ,$743.82 ,$569.25 ,$418.97 ,$377.98 ,$418.97 ,"$2,992.11 ",$418.97 ,$614.79 ,$759.00 ,$614.79 ,$645.15 ,$759.00 ,$525.99 ,$743.82 ,$759.00 ,$425.80 ,"$2,992.11 ",$198.86 ,$759.00 ,$759.00 ,"$1,094.04 ","$3,141.71 ",$607.20 ,$375.71 ,$212.52 ,$683.10 ,$288.42 ,$696.00 ,"$2,992.11 ",$364.32 
ST. MARY'S HOSPITAL - DECATUR,51000328,15274,HC APL SKIN SUB TAL>100 ADL 100CM,761,1 ,$498.00 ,$358.56 ,$80.84 ,"$1,094.04 ", N/A ,$263.94 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$80.84 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$189.24 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,$498.00 ,$358.56 ,$130.48 ,"$4,049.56 ","$4,049.55 ",$263.94 ,$273.90 ,"$1,587.42 ",$139.44 ,$260.45 ,"$1,587.42 ",$273.90 ,$488.04 ,$246.51 ,$164.46 ,$488.04 ,$246.51 ,$498.00 ,$348.60 ,$311.25 ,$398.40 ,"$4,049.56 ","$1,587.42 ",$348.60 ,"$1,587.42 ",$298.80 ,$488.04 ,$373.50 ,$274.90 ,$248.00 ,$274.90 ,"$1,587.42 ",$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 ,$498.00 ,$345.11 ,$488.04 ,$498.00 ,$279.38 ,"$1,587.42 ",$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ","$1,666.79 ",$398.40 ,$246.51 ,$139.44 ,$448.20 ,$189.24 ,$498.00 ,"$1,587.42 ",$239.04 
ST. MARY'S HOSPITAL - DECATUR,51000330,15276,HC APL SKIN SUB OTH<100 ADL 25CM,761,1 ,$366.00 ,$263.52 ,$44.09 ,"$1,094.04 ", N/A ,$193.98 ,$201.30 , N/A ,$102.48 ,$191.42 , N/A ,$201.30 , N/A ,$181.17 ,$44.09 , N/A ,$181.17 , N/A ,$256.20 ,$228.75 ,$292.80 , N/A , N/A ,$256.20 , N/A ,$219.60 , N/A ,$274.50 ,$202.03 ,$182.27 ,$202.03 , N/A ,$202.03 ,$296.46 ,$366.00 ,$296.46 ,$311.10 , N/A ,$253.64 , N/A ,$366.00 ,$205.33 , N/A ,$95.89 ,$366.00 ,$366.00 ,"$1,094.04 ", N/A ,$292.80 ,$181.17 ,$102.48 ,$329.40 ,$139.08 ,$366.00 , N/A ,$175.68 
ST. MARY'S HOSPITAL - DECATUR,51000331,15277,HC APL SKIN SUB OTH>100 INT 100CM,761,1 ,$753.00 ,$542.16 ,$197.29 ,"$4,049.56 ","$4,049.55 ",$399.09 ,$414.15 ,"$1,587.42 ",$210.84 ,$393.82 ,"$1,587.42 ",$414.15 ,$737.94 ,$372.74 ,$398.62 ,$737.94 ,$372.74 ,$753.00 ,$527.10 ,$470.63 ,$602.40 ,"$4,049.56 ","$1,587.42 ",$527.10 ,"$1,587.42 ",$451.80 ,$737.94 ,$564.75 ,$415.66 ,$374.99 ,$415.66 ,"$1,587.42 ",$415.66 ,$609.93 ,$753.00 ,$609.93 ,$640.05 ,$753.00 ,$521.83 ,$737.94 ,$753.00 ,$422.43 ,"$1,587.42 ",$197.29 ,$753.00 ,$753.00 ,"$1,094.04 ","$1,666.79 ",$602.40 ,$372.74 ,$210.84 ,$677.70 ,$286.14 ,$696.00 ,"$1,587.42 ",$361.44 
ST. MARY'S HOSPITAL - DECATUR,51000332,15278,HC APL SKIN SUB OTH>100 ADL 100CM,761,1 ,$498.00 ,$358.56 ,$100.69 ,"$1,094.04 ", N/A ,$263.94 ,$273.90 , N/A ,$139.44 ,$260.45 , N/A ,$273.90 , N/A ,$246.51 ,$100.69 , N/A ,$246.51 , N/A ,$348.60 ,$311.25 ,$398.40 , N/A , N/A ,$348.60 , N/A ,$298.80 , N/A ,$373.50 ,$274.90 ,$248.00 ,$274.90 , N/A ,$274.90 ,$403.38 ,$498.00 ,$403.38 ,$423.30 , N/A ,$345.11 , N/A ,$498.00 ,$279.38 , N/A ,$130.48 ,$498.00 ,$498.00 ,"$1,094.04 ", N/A ,$398.40 ,$246.51 ,$139.44 ,$448.20 ,$189.24 ,$498.00 , N/A ,$239.04 
ST. MARY'S HOSPITAL - DECATUR,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$443.00 ,$318.96 ,$51.14 ,$443.00 ,$423.73 ,$234.79 ,$243.65 ,$166.10 ,$124.04 ,$231.69 ,$166.10 ,$243.65 ,$166.10 ,$219.29 ,$51.14 ,$166.10 ,$219.29 ,$342.36 ,$310.10 ,$276.88 ,$354.40 ,$423.71 ,$166.10 ,$310.10 ,$166.10 ,$265.80 ,$169.41 ,$332.25 ,$244.54 ,$220.61 ,$244.54 ,$166.10 ,$244.54 ,$358.83 ,$443.00 ,$358.83 ,$376.55 ,$423.71 ,$307.00 ,$166.10 ,$443.00 ,$248.52 ,$166.10 ,$116.07 ,$443.00 ,$221.86 ,$211.77 ,$174.40 ,$354.40 ,$219.29 ,$124.04 ,$398.70 ,$168.34 ,$268.00 ,$166.10 ,$212.64 
ST. MARY'S HOSPITAL - DECATUR,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$727.00 ,$523.44 ,$63.38 ,$727.00 ,$513.03 ,$385.31 ,$399.85 ,$201.11 ,$203.56 ,$314.57 ,$201.11 ,$328.65 ,$201.11 ,$359.87 ,$63.38 ,$201.11 ,$359.87 ,$414.52 ,$508.90 ,$454.38 ,$581.60 ,$513.02 ,$201.11 ,$508.90 ,$201.11 ,$436.20 ,$205.12 ,$545.25 ,$401.30 ,$362.05 ,$401.30 ,$201.11 ,$401.30 ,$588.87 ,$727.00 ,$588.87 ,$617.95 ,$513.02 ,$503.81 ,$201.11 ,$727.00 ,$407.85 ,$201.11 ,$190.47 ,$727.00 ,$273.53 ,$261.09 ,$211.16 ,$581.60 ,$359.87 ,$203.56 ,$654.30 ,$276.26 ,$268.00 ,$201.11 ,$348.96 
ST. MARY'S HOSPITAL - DECATUR,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$711.00 ,$511.92 ,$63.28 ,$711.00 ,$513.03 ,$376.83 ,$391.05 ,$201.11 ,$199.08 ,$371.85 ,$201.11 ,$391.05 ,$201.11 ,$351.95 ,$63.28 ,$201.11 ,$351.95 ,$414.52 ,$497.70 ,$444.38 ,$568.80 ,$513.02 ,$201.11 ,$497.70 ,$201.11 ,$426.60 ,$205.12 ,$533.25 ,$392.47 ,$354.08 ,$392.47 ,$201.11 ,$392.47 ,$575.91 ,$711.00 ,$575.91 ,$604.35 ,$513.02 ,$492.72 ,$201.11 ,$711.00 ,$398.87 ,$201.11 ,$186.28 ,$711.00 ,$273.53 ,$261.09 ,$211.16 ,$568.80 ,$351.95 ,$199.08 ,$639.90 ,$270.18 ,$268.00 ,$201.11 ,$341.28 
ST. MARY'S HOSPITAL - DECATUR,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,"$2,304.00 ","$1,658.88 ",$72.99 ,"$2,304.00 ",$423.73 ,"$1,221.12 ","$1,267.20 ",$166.10 ,$645.12 ,"$1,204.99 ",$166.10 ,"$1,267.20 ",$166.10 ,"$1,140.48 ",$72.99 ,$166.10 ,"$1,140.48 ",$342.36 ,"$1,612.80 ","$1,440.00 ","$1,843.20 ",$423.71 ,$166.10 ,"$1,612.80 ",$166.10 ,"$1,382.40 ",$169.41 ,"$1,728.00 ","$1,271.81 ","$1,147.39 ","$1,271.81 ",$166.10 ,"$1,271.81 ","$1,866.24 ","$2,304.00 ","$1,866.24 ","$1,958.40 ",$423.71 ,"$1,596.67 ",$166.10 ,"$2,304.00 ","$1,292.54 ",$166.10 ,$603.65 ,"$2,304.00 ",$221.86 ,$211.77 ,$174.40 ,"$1,843.20 ","$1,140.48 ",$645.12 ,"$2,073.60 ",$875.52 ,$268.00 ,$166.10 ,"$1,105.92 "
ST. MARY'S HOSPITAL - DECATUR,51000425,15110,HC EPIDRM A-GRFT TRNK/ARM/LEG CM,510,1 ,"$4,734.00 ","$3,408.48 ",$268.00 ,"$4,734.00 ","$4,049.55 ","$2,509.02 ","$2,603.70 ","$1,587.42 ","$1,325.52 ","$2,475.88 ","$1,587.42 ","$2,603.70 ","$1,587.42 ","$2,343.33 ","$1,188.09 ","$1,587.42 ","$2,343.33 ","$3,272.04 ","$3,313.80 ","$2,958.75 ","$3,787.20 ","$4,049.56 ","$1,587.42 ","$3,313.80 ","$1,587.42 ","$2,840.40 ","$1,619.18 ","$3,550.50 ","$2,613.17 ","$2,357.53 ","$2,613.17 ","$1,587.42 ","$2,613.17 ","$3,834.54 ","$4,734.00 ","$3,834.54 ","$4,023.90 ","$4,049.56 ","$3,280.66 ","$1,587.42 ","$4,734.00 ","$2,655.77 ","$1,587.42 ","$1,240.31 ","$4,734.00 ","$1,268.20 ","$1,210.56 ","$1,666.79 ","$3,787.20 ","$2,343.33 ","$1,325.52 ","$4,260.60 ","$1,798.92 ",$268.00 ,"$1,587.42 ","$2,272.32 "
ST. MARY'S HOSPITAL - DECATUR,51000428,15111,HC EPIDRM A-GRFT TRNK/ARM/LEG CM ADDN 100,510,1 ,"$2,637.00 ","$1,898.64 ",$183.21 ,"$2,637.00 ", N/A ,"$1,397.61 ","$1,450.35 ", N/A ,$738.36 ,"$1,379.15 ", N/A ,"$1,450.35 ", N/A ,"$1,305.32 ",$183.21 , N/A ,"$1,305.32 ", N/A ,"$1,845.90 ","$1,648.13 ","$2,109.60 ", N/A , N/A ,"$1,845.90 ", N/A ,"$1,582.20 ", N/A ,"$1,977.75 ","$1,455.62 ","$1,313.23 ","$1,455.62 ", N/A ,"$1,455.62 ","$2,135.97 ","$2,637.00 ","$2,135.97 ","$2,241.45 ", N/A ,"$1,827.44 ", N/A ,"$2,637.00 ","$1,479.36 ", N/A ,$690.89 ,"$2,637.00 ","$1,268.20 ","$1,210.56 ", N/A ,"$2,109.60 ","$1,305.32 ",$738.36 ,"$2,373.30 ","$1,002.06 ",$268.00 , N/A ,"$1,265.76 "
ST. MARY'S HOSPITAL - DECATUR,51000429,15116,HC EPIDRM A-GRFT FACE/NCK/HF/G CM ADDN 100,510,1 ,"$2,120.00 ","$1,526.40 ",$263.12 ,"$2,120.00 ", N/A ,"$1,123.60 ","$1,166.00 ", N/A ,$593.60 ,"$1,108.76 ", N/A ,"$1,166.00 ", N/A ,"$1,049.40 ",$263.12 , N/A ,"$1,049.40 ", N/A ,"$1,484.00 ","$1,325.00 ","$1,696.00 ", N/A , N/A ,"$1,484.00 ", N/A ,"$1,272.00 ", N/A ,"$1,590.00 ","$1,170.24 ","$1,055.76 ","$1,170.24 ", N/A ,"$1,170.24 ","$1,717.20 ","$2,120.00 ","$1,717.20 ","$1,802.00 ", N/A ,"$1,469.16 ", N/A ,"$2,120.00 ","$1,189.32 ", N/A ,$555.44 ,"$2,120.00 ","$1,146.13 ","$1,094.04 ", N/A ,"$1,696.00 ","$1,049.40 ",$593.60 ,"$1,908.00 ",$805.60 ,$268.00 , N/A ,"$1,017.60 "
ST. MARY'S HOSPITAL - DECATUR,51000431,15115,HC EPIDRM A-GRFT FACE SCLP HAND ETC FIRST 100CM W/PROC,510,1 ,"$4,239.00 ","$3,052.08 ",$268.00 ,"$4,239.00 ","$4,049.55 ","$2,246.67 ","$2,331.45 ","$1,587.42 ","$1,186.92 ","$2,217.00 ","$1,587.42 ","$2,331.45 ","$1,587.42 ","$2,098.31 ","$1,174.97 ","$1,587.42 ","$2,098.31 ","$3,272.04 ","$2,967.30 ","$2,649.38 ","$3,391.20 ","$4,049.56 ","$1,587.42 ","$2,967.30 ","$1,587.42 ","$2,543.40 ","$1,619.18 ","$3,179.25 ","$2,339.93 ","$2,111.02 ","$2,339.93 ","$1,587.42 ","$2,339.93 ","$3,433.59 ","$4,239.00 ","$3,433.59 ","$3,603.15 ","$4,049.56 ","$2,937.63 ","$1,587.42 ","$4,239.00 ","$2,378.08 ","$1,587.42 ","$1,110.62 ","$4,239.00 ","$1,268.20 ","$1,210.56 ","$1,666.79 ","$3,391.20 ","$2,098.31 ","$1,186.92 ","$3,815.10 ","$1,610.82 ",$268.00 ,"$1,587.42 ","$2,034.72 "
ST. MARY'S HOSPITAL - DECATUR,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$447.00 ,$321.84 ,$88.33 ,$447.00 , N/A ,$236.91 ,$245.85 , N/A ,$125.16 ,$233.78 , N/A ,$245.85 , N/A ,$221.27 ,$88.33 , N/A ,$221.27 , N/A ,$312.90 ,$279.38 ,$357.60 , N/A , N/A ,$312.90 , N/A ,$268.20 , N/A ,$335.25 ,$246.74 ,$222.61 ,$246.74 , N/A ,$246.74 ,$362.07 ,$447.00 ,$362.07 ,$379.95 , N/A ,$309.77 , N/A ,$120.52 ,$250.77 , N/A ,$117.11 ,$447.00 ,$101.73 ,$97.10 , N/A ,$357.60 ,$221.27 ,$125.16 ,$402.30 ,$169.86 ,$268.00 , N/A ,$214.56 
ST. MARY'S HOSPITAL - DECATUR,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$604.00 ,$434.88 ,$97.10 ,$604.00 , N/A ,$320.12 ,$332.20 , N/A ,$169.12 ,$315.89 , N/A ,$332.20 , N/A ,$298.98 ,$152.13 , N/A ,$298.98 , N/A ,$422.80 ,$377.50 ,$483.20 , N/A , N/A ,$422.80 , N/A ,$362.40 , N/A ,$453.00 ,$333.41 ,$300.79 ,$333.41 , N/A ,$333.41 ,$489.24 ,$604.00 ,$489.24 ,$513.40 , N/A ,$418.57 , N/A ,$177.92 ,$338.84 , N/A ,$158.25 ,$604.00 ,$101.73 ,$97.10 , N/A ,$483.20 ,$298.98 ,$169.12 ,$543.60 ,$229.52 ,$268.00 , N/A ,$289.92 
ST. MARY'S HOSPITAL - DECATUR,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$746.00 ,$537.12 ,$97.10 ,$746.00 , N/A ,$395.38 ,$410.30 , N/A ,$208.88 ,$390.16 , N/A ,$410.30 , N/A ,$369.27 ,$198.23 , N/A ,$369.27 , N/A ,$522.20 ,$466.25 ,$596.80 , N/A , N/A ,$522.20 , N/A ,$447.60 , N/A ,$559.50 ,$411.79 ,$371.51 ,$411.79 , N/A ,$411.79 ,$604.26 ,$746.00 ,$604.26 ,$634.10 , N/A ,$516.98 , N/A ,$234.97 ,$418.51 , N/A ,$195.45 ,$746.00 ,$101.73 ,$97.10 , N/A ,$596.80 ,$369.27 ,$208.88 ,$671.40 ,$283.48 ,$268.00 , N/A ,$358.08 
ST. MARY'S HOSPITAL - DECATUR,51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$281.00 ,$202.32 ,$11.48 ,$281.00 , N/A ,$148.93 ,$154.55 , N/A ,$78.68 ,$70.89 , N/A ,$74.06 , N/A ,$139.10 ,$11.48 , N/A ,$139.10 , N/A ,$196.70 ,$175.63 ,$224.80 , N/A , N/A ,$196.70 , N/A ,$168.60 , N/A ,$210.75 ,$155.11 ,$139.94 ,$155.11 , N/A ,$155.11 ,$227.61 ,$281.00 ,$227.61 ,$238.85 , N/A ,$194.73 , N/A ,$281.00 ,$157.64 , N/A ,$73.62 ,$281.00 ,$101.73 ,$97.10 , N/A ,$224.80 ,$139.10 ,$78.68 ,$252.90 ,$106.78 ,$268.00 , N/A ,$134.88 
ST. MARY'S HOSPITAL - DECATUR,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$327.00 ,$235.44 ,$28.92 ,$327.00 , N/A ,$173.31 ,$179.85 , N/A ,$91.56 ,$171.02 , N/A ,$179.85 , N/A ,$161.87 ,$28.92 , N/A ,$161.87 , N/A ,$228.90 ,$204.38 ,$261.60 , N/A , N/A ,$228.90 , N/A ,$196.20 , N/A ,$245.25 ,$180.50 ,$162.85 ,$180.50 , N/A ,$180.50 ,$264.87 ,$327.00 ,$264.87 ,$277.95 , N/A ,$226.61 , N/A ,$60.09 ,$183.45 , N/A ,$85.67 ,$327.00 ,$101.73 ,$97.10 , N/A ,$261.60 ,$161.87 ,$91.56 ,$294.30 ,$124.26 ,$268.00 , N/A ,$156.96 
ST. MARY'S HOSPITAL - DECATUR,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$395.00 ,$284.40 ,$53.74 ,$395.00 , N/A ,$209.35 ,$217.25 , N/A ,$110.60 ,$206.59 , N/A ,$217.25 , N/A ,$195.53 ,$53.74 , N/A ,$195.53 , N/A ,$276.50 ,$246.88 ,$316.00 , N/A , N/A ,$276.50 , N/A ,$237.00 , N/A ,$296.25 ,$218.04 ,$196.71 ,$218.04 , N/A ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 , N/A ,$273.74 , N/A ,$95.85 ,$221.60 , N/A ,$103.49 ,$395.00 ,$101.73 ,$97.10 , N/A ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 ,$268.00 , N/A ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$577.00 ,$415.44 ,$84.31 ,$577.00 , N/A ,$305.81 ,$317.35 , N/A ,$161.56 ,$301.77 , N/A ,$317.35 , N/A ,$285.62 ,$84.31 , N/A ,$285.62 , N/A ,$403.90 ,$360.63 ,$461.60 , N/A , N/A ,$403.90 , N/A ,$346.20 , N/A ,$432.75 ,$318.50 ,$287.35 ,$318.50 , N/A ,$318.50 ,$467.37 ,$577.00 ,$467.37 ,$490.45 , N/A ,$399.86 , N/A ,$577.00 ,$323.70 , N/A ,$151.17 ,$577.00 ,$101.73 ,$97.10 , N/A ,$461.60 ,$285.62 ,$161.56 ,$519.30 ,$219.26 ,$268.00 , N/A ,$276.96 
ST. MARY'S HOSPITAL - DECATUR,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$625.00 ,$450.00 ,$97.10 ,$625.00 , N/A ,$331.25 ,$343.75 , N/A ,$175.00 ,$326.88 , N/A ,$343.75 , N/A ,$309.38 ,$129.78 , N/A ,$309.38 , N/A ,$437.50 ,$390.63 ,$500.00 , N/A , N/A ,$437.50 , N/A ,$375.00 , N/A ,$468.75 ,$345.00 ,$311.25 ,$345.00 , N/A ,$345.00 ,$506.25 ,$625.00 ,$506.25 ,$531.25 , N/A ,$433.13 , N/A ,$625.00 ,$350.63 , N/A ,$163.75 ,$625.00 ,$101.73 ,$97.10 , N/A ,$500.00 ,$309.38 ,$175.00 ,$562.50 ,$237.50 ,$268.00 , N/A ,$300.00 
ST. MARY'S HOSPITAL - DECATUR,51000481,98925,HC OSTEOPATHIC MAN 1-2 REGIONS,510,1 ,$76.00 ,$54.72 ,$19.91 ,$76.00 ,$58.63 ,$40.28 ,$41.80 ,$22.98 ,$21.28 ,$39.75 ,$22.98 ,$41.80 ,$22.98 ,$37.62 ,$35.49 ,$22.98 ,$37.62 ,$47.36 ,$53.20 ,$47.50 ,$60.80 ,$58.61 ,$22.98 ,$53.20 ,$22.98 ,$45.60 ,$23.43 ,$57.00 ,$41.95 ,$37.85 ,$41.95 ,$22.98 ,$41.95 ,$61.56 ,$76.00 ,$61.56 ,$64.60 ,$58.61 ,$52.67 ,$22.98 ,$76.00 ,$42.64 ,$22.98 ,$19.91 ,$76.00 ,$33.55 ,$32.03 ,$24.13 ,$60.80 ,$37.62 ,$21.28 ,$68.40 ,$28.88 ,$76.00 ,$22.98 ,$36.48 
ST. MARY'S HOSPITAL - DECATUR,51001009,99213,HC CLINIC VISIT - MEMORY FOLLOWUP,510,1 ,$395.00 ,$284.40 ,$53.74 ,$395.00 , N/A ,$209.35 ,$217.25 , N/A ,$110.60 ,$206.59 , N/A ,$217.25 , N/A ,$195.53 ,$53.74 , N/A ,$195.53 , N/A ,$276.50 ,$246.88 ,$316.00 , N/A , N/A ,$276.50 , N/A ,$237.00 , N/A ,$296.25 ,$218.04 ,$196.71 ,$218.04 , N/A ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 , N/A ,$273.74 , N/A ,$95.85 ,$221.60 , N/A ,$103.49 ,$395.00 ,$101.73 ,$97.10 , N/A ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 ,$268.00 , N/A ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,51001010,99215,HC CLINIC VISIT - MEMORY INITIAL,510,1 ,$625.00 ,$450.00 ,$97.10 ,$625.00 , N/A ,$331.25 ,$343.75 , N/A ,$175.00 ,$326.88 , N/A ,$343.75 , N/A ,$309.38 ,$129.78 , N/A ,$309.38 , N/A ,$437.50 ,$390.63 ,$500.00 , N/A , N/A ,$437.50 , N/A ,$375.00 , N/A ,$468.75 ,$345.00 ,$311.25 ,$345.00 , N/A ,$345.00 ,$506.25 ,$625.00 ,$506.25 ,$531.25 , N/A ,$433.13 , N/A ,$625.00 ,$350.63 , N/A ,$163.75 ,$625.00 ,$101.73 ,$97.10 , N/A ,$500.00 ,$309.38 ,$175.00 ,$562.50 ,$237.50 ,$268.00 , N/A ,$300.00 
ST. MARY'S HOSPITAL - DECATUR,51001012,95115,HC ALLERGY SHOTS ONE INJECTION,510,1 ,$114.00 ,$82.08 ,$16.98 ,$114.00 ,$99.43 ,$60.42 ,$62.70 ,$38.97 ,$31.92 ,$59.62 ,$38.97 ,$62.70 ,$38.97 ,$56.43 ,$19.10 ,$38.97 ,$56.43 ,$80.33 ,$79.80 ,$71.25 ,$91.20 ,$99.42 ,$38.97 ,$79.80 ,$38.97 ,$68.40 ,$39.75 ,$85.50 ,$62.93 ,$56.77 ,$62.93 ,$38.97 ,$62.93 ,$92.34 ,$114.00 ,$92.34 ,$96.90 ,$99.42 ,$79.00 ,$38.97 ,$114.00 ,$63.95 ,$38.97 ,$29.87 ,$114.00 ,$17.79 ,$16.98 ,$40.92 ,$91.20 ,$56.43 ,$31.92 ,$102.60 ,$43.32 ,$114.00 ,$38.97 ,$54.72 
ST. MARY'S HOSPITAL - DECATUR,51100000,62370,HC ELEC ANLYS REPRGRMING/REFILL SPINAL INF PUMP PHYSICIAN,511,1 ,$750.00 ,$540.00 ,$93.57 ,$750.00 ,$649.13 ,$397.50 ,$412.50 ,$254.46 ,$210.00 ,$392.25 ,$254.46 ,$412.50 ,$254.46 ,$371.25 ,$93.57 ,$254.46 ,$371.25 ,$524.50 ,$525.00 ,$468.75 ,$600.00 ,$649.13 ,$254.46 ,$525.00 ,$254.46 ,$450.00 ,$259.55 ,$562.50 ,$414.00 ,$373.50 ,$414.00 ,$254.46 ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 ,$649.13 ,$519.75 ,$254.46 ,$750.00 ,$420.75 ,$254.46 ,$196.50 ,$750.00 ,$183.29 ,$174.96 ,$267.18 ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$268.00 ,$254.46 ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$6,785.00 ","$4,885.20 ",$239.26 ,"$6,785.00 ",$864.48 ,"$1,100.00 ","$3,731.75 ",$338.87 ,"$1,899.80 ","$2,423.41 ",$338.87 ,"$2,550.96 ",$338.87 ,"$3,358.58 ",$595.19 ,$338.87 ,"$3,358.58 ",$698.50 ,"$4,749.50 ","$1,600.00 ","$5,428.00 ",$864.48 ,$338.87 ,"$4,749.50 ",$338.87 ,"$4,071.00 ",$345.66 ,"$5,088.75 ","$3,745.32 ","$3,378.93 ","$3,745.32 ",$338.87 ,"$3,745.32 ",$416.34 ,"$6,785.00 ",$416.34 ,"$5,767.25 ",$864.48 ,"$4,702.01 ",$338.87 ,"$6,785.00 ","$3,806.39 ",$338.87 ,"$1,777.67 ","$6,785.00 ",$250.66 ,$239.26 ,$355.82 ,"$5,428.00 ","$3,358.58 ","$1,899.80 ","$6,106.50 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,256.80 "
ST. MARY'S HOSPITAL - DECATUR,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$5,061.00 ","$3,643.92 ",$214.79 ,"$5,061.00 ",$547.93 ,"$1,100.00 ","$2,783.55 ",$214.79 ,"$1,417.08 ","$2,184.47 ",$214.79 ,"$2,299.44 ",$214.79 ,"$2,505.20 ",$448.88 ,$214.79 ,"$2,505.20 ",$442.73 ,"$3,542.70 ","$1,600.00 ","$4,048.80 ",$547.93 ,$214.79 ,"$3,542.70 ",$214.79 ,"$3,036.60 ",$219.09 ,"$3,795.75 ","$2,793.67 ","$2,520.38 ","$2,793.67 ",$214.79 ,"$2,793.67 ",$314.00 ,"$5,061.00 ",$314.00 ,"$4,301.85 ",$547.93 ,"$3,507.27 ",$214.79 ,"$5,061.00 ","$2,839.22 ",$214.79 ,"$1,325.98 ","$5,061.00 ",$306.87 ,$292.92 ,$225.53 ,"$4,048.80 ","$2,505.20 ","$1,417.08 ","$4,554.90 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,429.28 "
ST. MARY'S HOSPITAL - DECATUR,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$5,061.00 ","$3,643.92 ",$292.92 ,"$5,061.00 ",$864.48 ,"$1,100.00 ","$2,783.55 ",$338.87 ,"$1,417.08 ","$2,161.44 ",$338.87 ,"$2,275.20 ",$338.87 ,"$2,505.20 ",$444.50 ,$338.87 ,"$2,505.20 ",$698.50 ,"$3,542.70 ","$1,600.00 ","$4,048.80 ",$864.48 ,$338.87 ,"$3,542.70 ",$338.87 ,"$3,036.60 ",$345.66 ,"$3,795.75 ","$2,793.67 ","$2,520.38 ","$2,793.67 ",$338.87 ,"$2,793.67 ",$310.94 ,"$5,061.00 ",$310.94 ,"$4,301.85 ",$864.48 ,"$3,507.27 ",$338.87 ,"$5,061.00 ","$2,839.22 ",$338.87 ,"$1,325.98 ","$5,061.00 ",$306.87 ,$292.92 ,$355.82 ,"$4,048.80 ","$2,505.20 ","$1,417.08 ","$4,554.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,429.28 "
ST. MARY'S HOSPITAL - DECATUR,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$6,785.00 ","$4,885.20 ",$292.92 ,"$6,785.00 ",$864.48 ,"$1,100.00 ","$3,731.75 ",$338.87 ,"$1,899.80 ","$3,548.56 ",$338.87 ,"$3,731.75 ",$338.87 ,"$3,358.58 ",$688.32 ,$338.87 ,"$3,358.58 ",$698.50 ,"$4,749.50 ","$1,600.00 ","$5,428.00 ",$864.48 ,$338.87 ,"$4,749.50 ",$338.87 ,"$4,071.00 ",$345.66 ,"$5,088.75 ","$3,745.32 ","$3,378.93 ","$3,745.32 ",$338.87 ,"$3,745.32 ",$481.48 ,"$6,785.00 ",$481.48 ,"$5,767.25 ",$864.48 ,"$4,702.01 ",$338.87 ,"$6,785.00 ","$3,806.39 ",$338.87 ,"$1,777.67 ","$6,785.00 ",$306.87 ,$292.92 ,$355.82 ,"$5,428.00 ","$3,358.58 ","$1,899.80 ","$6,106.50 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,256.80 "
ST. MARY'S HOSPITAL - DECATUR,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$5,061.00 ","$3,643.92 ",$214.79 ,"$5,061.00 ",$547.93 ,"$1,100.00 ","$2,783.55 ",$214.79 ,"$1,417.08 ","$2,195.98 ",$214.79 ,"$2,311.56 ",$214.79 ,"$2,505.20 ",$451.08 ,$214.79 ,"$2,505.20 ",$442.73 ,"$3,542.70 ","$1,600.00 ","$4,048.80 ",$547.93 ,$214.79 ,"$3,542.70 ",$214.79 ,"$3,036.60 ",$219.09 ,"$3,795.75 ","$2,793.67 ","$2,520.38 ","$2,793.67 ",$214.79 ,"$2,793.67 ",$315.54 ,"$5,061.00 ",$315.54 ,"$4,301.85 ",$547.93 ,"$3,507.27 ",$214.79 ,"$5,061.00 ","$2,839.22 ",$214.79 ,"$1,325.98 ","$5,061.00 ",$306.87 ,$292.92 ,$225.53 ,"$4,048.80 ","$2,505.20 ","$1,417.08 ","$4,554.90 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,429.28 "
ST. MARY'S HOSPITAL - DECATUR,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$5,061.00 ","$3,643.92 ",$292.92 ,"$5,061.00 ",$864.48 ,"$1,100.00 ","$2,783.55 ",$338.87 ,"$1,417.08 ","$2,322.64 ",$338.87 ,"$2,444.88 ",$338.87 ,"$2,505.20 ",$477.41 ,$338.87 ,"$2,505.20 ",$698.50 ,"$3,542.70 ","$1,600.00 ","$4,048.80 ",$864.48 ,$338.87 ,"$3,542.70 ",$338.87 ,"$3,036.60 ",$345.66 ,"$3,795.75 ","$2,793.67 ","$2,520.38 ","$2,793.67 ",$338.87 ,"$2,793.67 ",$333.96 ,"$5,061.00 ",$333.96 ,"$4,301.85 ",$864.48 ,"$3,507.27 ",$338.87 ,"$5,061.00 ","$2,839.22 ",$338.87 ,"$1,325.98 ","$5,061.00 ",$306.87 ,$292.92 ,$355.82 ,"$4,048.80 ","$2,505.20 ","$1,417.08 ","$4,554.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,429.28 "
ST. MARY'S HOSPITAL - DECATUR,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$7,089.00 ","$5,104.08 ",$292.92 ,"$7,089.00 ",$864.48 ,"$1,100.00 ","$3,898.95 ",$338.87 ,"$1,984.92 ","$3,707.55 ",$338.87 ,"$3,898.95 ",$338.87 ,"$3,509.06 ",$692.71 ,$338.87 ,"$3,509.06 ",$698.50 ,"$4,962.30 ","$1,600.00 ","$5,671.20 ",$864.48 ,$338.87 ,"$4,962.30 ",$338.87 ,"$4,253.40 ",$345.66 ,"$5,316.75 ","$3,913.13 ","$3,530.32 ","$3,913.13 ",$338.87 ,"$3,913.13 ",$484.56 ,"$7,089.00 ",$484.56 ,"$6,025.65 ",$864.48 ,"$4,912.68 ",$338.87 ,"$7,089.00 ","$3,976.93 ",$338.87 ,"$1,857.32 ","$7,089.00 ",$306.87 ,$292.92 ,$355.82 ,"$5,671.20 ","$3,509.06 ","$1,984.92 ","$6,380.10 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,402.72 "
ST. MARY'S HOSPITAL - DECATUR,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$5,393.00 ","$3,882.96 ",$214.79 ,"$5,393.00 ",$547.93 ,"$1,100.00 ","$2,966.15 ",$214.79 ,"$1,510.04 ","$2,781.71 ",$214.79 ,"$2,928.12 ",$214.79 ,"$2,669.54 ",$685.13 ,$214.79 ,"$2,669.54 ",$442.73 ,"$3,775.10 ","$1,600.00 ","$4,314.40 ",$547.93 ,$214.79 ,"$3,775.10 ",$214.79 ,"$3,235.80 ",$219.09 ,"$4,044.75 ","$2,976.94 ","$2,685.71 ","$2,976.94 ",$214.79 ,"$2,976.94 ",$218.67 ,"$5,393.00 ",$218.67 ,"$4,584.05 ",$547.93 ,"$3,737.35 ",$214.79 ,"$5,393.00 ","$3,025.47 ",$214.79 ,"$1,412.97 ","$5,393.00 ",$280.84 ,$268.08 ,$225.53 ,"$4,314.40 ","$2,669.54 ","$1,510.04 ","$4,853.70 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,588.64 "
ST. MARY'S HOSPITAL - DECATUR,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$5,775.00 ","$4,158.00 ",$268.08 ,"$5,775.00 ",$864.48 ,"$1,100.00 ","$3,176.25 ",$338.87 ,"$1,617.00 ","$1,887.90 ",$338.87 ,"$1,987.26 ",$338.87 ,"$2,858.63 ",$462.78 ,$338.87 ,"$2,858.63 ",$698.50 ,"$4,042.50 ","$1,600.00 ","$4,620.00 ",$864.48 ,$338.87 ,"$4,042.50 ",$338.87 ,"$3,465.00 ",$345.66 ,"$4,331.25 ","$3,187.80 ","$2,875.95 ","$3,187.80 ",$338.87 ,"$3,187.80 ",$323.73 ,"$5,775.00 ",$323.73 ,"$4,908.75 ",$864.48 ,"$4,002.08 ",$338.87 ,"$5,775.00 ","$3,239.78 ",$338.87 ,"$1,513.05 ","$5,775.00 ",$280.84 ,$268.08 ,$355.82 ,"$4,620.00 ","$2,858.63 ","$1,617.00 ","$5,197.50 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,772.00 "
ST. MARY'S HOSPITAL - DECATUR,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$8,421.00 ","$6,063.12 ",$268.08 ,"$8,421.00 ",$864.48 ,"$1,100.00 ","$4,631.55 ",$338.87 ,"$2,357.88 ","$4,404.18 ",$338.87 ,"$4,631.55 ",$338.87 ,"$4,168.40 ",$860.14 ,$338.87 ,"$4,168.40 ",$698.50 ,"$5,894.70 ","$1,600.00 ","$6,736.80 ",$864.48 ,$338.87 ,"$5,894.70 ",$338.87 ,"$5,052.60 ",$345.66 ,"$6,315.75 ","$4,648.39 ","$4,193.66 ","$4,648.39 ",$338.87 ,"$4,648.39 ",$368.75 ,"$8,421.00 ",$368.75 ,"$7,157.85 ",$864.48 ,"$5,835.75 ",$338.87 ,"$8,421.00 ","$4,724.18 ",$338.87 ,"$2,206.30 ","$8,421.00 ",$280.84 ,$268.08 ,$355.82 ,"$6,736.80 ","$4,168.40 ","$2,357.88 ","$7,578.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$4,042.08 "
ST. MARY'S HOSPITAL - DECATUR,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$4,803.00 ","$3,458.16 ",$193.35 ,"$4,803.00 ",$547.93 ,"$1,100.00 ","$2,641.65 ",$214.79 ,"$1,344.84 ","$2,372.40 ",$214.79 ,"$2,497.26 ",$214.79 ,"$2,377.49 ",$589.42 ,$214.79 ,"$2,377.49 ",$442.73 ,"$3,362.10 ","$1,600.00 ","$3,842.40 ",$547.93 ,$214.79 ,"$3,362.10 ",$214.79 ,"$2,881.80 ",$219.09 ,"$3,602.25 ","$2,651.26 ","$2,391.89 ","$2,651.26 ",$214.79 ,"$2,651.26 ",$209.97 ,"$4,803.00 ",$209.97 ,"$4,082.55 ",$547.93 ,"$3,328.48 ",$214.79 ,"$4,803.00 ","$2,694.48 ",$214.79 ,"$1,258.39 ","$4,803.00 ",$202.55 ,$193.35 ,$225.53 ,"$3,842.40 ","$2,377.49 ","$1,344.84 ","$4,322.70 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,305.44 "
ST. MARY'S HOSPITAL - DECATUR,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$5,576.00 ","$4,014.72 ",$193.35 ,"$5,576.00 ",$864.48 ,"$1,100.00 ","$3,066.80 ",$338.87 ,"$1,561.28 ","$1,933.95 ",$338.87 ,"$2,035.74 ",$338.87 ,"$2,760.12 ",$474.49 ,$338.87 ,"$2,760.12 ",$698.50 ,"$3,903.20 ","$1,600.00 ","$4,460.80 ",$864.48 ,$338.87 ,"$3,903.20 ",$338.87 ,"$3,345.60 ",$345.66 ,"$4,182.00 ","$3,077.95 ","$2,776.85 ","$3,077.95 ",$338.87 ,"$3,077.95 ",$331.92 ,"$5,576.00 ",$331.92 ,"$4,739.60 ",$864.48 ,"$3,864.17 ",$338.87 ,"$5,576.00 ","$3,128.14 ",$338.87 ,"$1,460.91 ","$5,576.00 ",$202.55 ,$193.35 ,$355.82 ,"$4,460.80 ","$2,760.12 ","$1,561.28 ","$5,018.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,676.48 "
ST. MARY'S HOSPITAL - DECATUR,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$5,009.00 ","$3,606.48 ",$193.35 ,"$5,009.00 ",$547.93 ,"$1,100.00 ","$2,754.95 ",$214.79 ,"$1,402.52 ","$1,556.56 ",$214.79 ,"$1,638.48 ",$214.79 ,"$2,479.46 ",$300.89 ,$214.79 ,"$2,479.46 ",$442.73 ,"$3,506.30 ","$1,600.00 ","$4,007.20 ",$547.93 ,$214.79 ,"$3,506.30 ",$214.79 ,"$3,005.40 ",$219.09 ,"$3,756.75 ","$2,764.97 ","$2,494.48 ","$2,764.97 ",$214.79 ,"$2,764.97 ",$210.48 ,"$5,009.00 ",$210.48 ,"$4,257.65 ",$547.93 ,"$3,471.24 ",$214.79 ,"$5,009.00 ","$2,810.05 ",$214.79 ,"$1,312.36 ","$5,009.00 ",$202.55 ,$193.35 ,$225.53 ,"$4,007.20 ","$2,479.46 ","$1,402.52 ","$4,508.10 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,404.32 "
ST. MARY'S HOSPITAL - DECATUR,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$5,350.00 ","$3,852.00 ",$193.35 ,"$5,350.00 ",$864.48 ,"$1,100.00 ","$2,942.50 ",$338.87 ,"$1,498.00 ","$1,916.68 ",$338.87 ,"$2,017.56 ",$338.87 ,"$2,648.25 ",$471.56 ,$338.87 ,"$2,648.25 ",$698.50 ,"$3,745.00 ","$1,600.00 ","$4,280.00 ",$864.48 ,$338.87 ,"$3,745.00 ",$338.87 ,"$3,210.00 ",$345.66 ,"$4,012.50 ","$2,953.20 ","$2,664.30 ","$2,953.20 ",$338.87 ,"$2,953.20 ",$329.86 ,"$5,350.00 ",$329.86 ,"$4,547.50 ",$864.48 ,"$3,707.55 ",$338.87 ,"$5,350.00 ","$3,001.35 ",$338.87 ,"$1,401.70 ","$5,350.00 ",$202.55 ,$193.35 ,$355.82 ,"$4,280.00 ","$2,648.25 ","$1,498.00 ","$4,815.00 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,568.00 "
ST. MARY'S HOSPITAL - DECATUR,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$5,339.00 ","$3,844.08 ",$193.35 ,"$5,339.00 ",$547.93 ,"$1,100.00 ","$2,936.45 ",$214.79 ,"$1,494.92 ","$2,245.91 ",$214.79 ,"$2,364.12 ",$214.79 ,"$2,642.81 ",$300.89 ,$214.79 ,"$2,642.81 ",$442.73 ,"$3,737.30 ","$1,600.00 ","$4,271.20 ",$547.93 ,$214.79 ,"$3,737.30 ",$214.79 ,"$3,203.40 ",$219.09 ,"$4,004.25 ","$2,947.13 ","$2,658.82 ","$2,947.13 ",$214.79 ,"$2,947.13 ",$210.48 ,"$5,339.00 ",$210.48 ,"$4,538.15 ",$547.93 ,"$3,699.93 ",$214.79 ,"$5,339.00 ","$2,995.18 ",$214.79 ,"$1,398.82 ","$5,339.00 ",$202.55 ,$193.35 ,$225.53 ,"$4,271.20 ","$2,642.81 ","$1,494.92 ","$4,805.10 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,562.72 "
ST. MARY'S HOSPITAL - DECATUR,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$5,453.00 ","$3,926.16 ",$193.35 ,"$5,453.00 ",$864.48 ,"$1,100.00 ","$2,999.15 ",$338.87 ,"$1,526.84 ","$1,899.41 ",$338.87 ,"$1,999.38 ",$338.87 ,"$2,699.24 ",$466.44 ,$338.87 ,"$2,699.24 ",$698.50 ,"$3,817.10 ","$1,600.00 ","$4,362.40 ",$864.48 ,$338.87 ,"$3,817.10 ",$338.87 ,"$3,271.80 ",$345.66 ,"$4,089.75 ","$3,010.06 ","$2,715.59 ","$3,010.06 ",$338.87 ,"$3,010.06 ",$326.27 ,"$5,453.00 ",$326.27 ,"$4,635.05 ",$864.48 ,"$3,778.93 ",$338.87 ,"$5,453.00 ","$3,059.13 ",$338.87 ,"$1,428.69 ","$5,453.00 ",$202.55 ,$193.35 ,$355.82 ,"$4,362.40 ","$2,699.24 ","$1,526.84 ","$4,907.70 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,617.44 "
ST. MARY'S HOSPITAL - DECATUR,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$8,033.00 ","$5,783.76 ",$193.35 ,"$8,033.00 ",$864.48 ,"$1,100.00 ","$4,418.15 ",$338.87 ,"$2,249.24 ","$2,748.43 ",$338.87 ,"$2,893.08 ",$338.87 ,"$3,976.34 ",$532.28 ,$338.87 ,"$3,976.34 ",$698.50 ,"$5,623.10 ","$1,600.00 ","$6,426.40 ",$864.48 ,$338.87 ,"$5,623.10 ",$338.87 ,"$4,819.80 ",$345.66 ,"$6,024.75 ","$4,434.22 ","$4,000.43 ","$4,434.22 ",$338.87 ,"$4,434.22 ",$372.33 ,"$8,033.00 ",$372.33 ,"$6,828.05 ",$864.48 ,"$5,566.87 ",$338.87 ,"$8,033.00 ","$4,506.51 ",$338.87 ,"$2,104.65 ","$8,033.00 ",$202.55 ,$193.35 ,$355.82 ,"$6,426.40 ","$3,976.34 ","$2,249.24 ","$7,229.70 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,855.84 "
ST. MARY'S HOSPITAL - DECATUR,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$8,103.00 ","$5,834.16 ",$193.35 ,"$8,103.00 ",$864.48 ,"$1,100.00 ","$4,456.65 ",$338.87 ,"$2,268.84 ","$2,175.80 ",$338.87 ,"$2,290.32 ",$338.87 ,"$4,010.99 ",$534.47 ,$338.87 ,"$4,010.99 ",$698.50 ,"$5,672.10 ","$1,600.00 ","$6,482.40 ",$864.48 ,$338.87 ,"$5,672.10 ",$338.87 ,"$4,861.80 ",$345.66 ,"$6,077.25 ","$4,472.86 ","$4,035.29 ","$4,472.86 ",$338.87 ,"$4,472.86 ",$373.86 ,"$8,103.00 ",$373.86 ,"$6,887.55 ",$864.48 ,"$5,615.38 ",$338.87 ,"$8,103.00 ","$4,545.78 ",$338.87 ,"$2,122.99 ","$8,103.00 ",$202.55 ,$193.35 ,$355.82 ,"$6,482.40 ","$4,010.99 ","$2,268.84 ","$7,292.70 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,889.44 "
ST. MARY'S HOSPITAL - DECATUR,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$7,874.00 ","$5,669.28 ",$193.35 ,"$7,874.00 ",$864.48 ,"$1,100.00 ","$4,330.70 ",$338.87 ,"$2,204.72 ","$2,737.48 ",$338.87 ,"$2,881.56 ",$338.87 ,"$3,897.63 ",$530.81 ,$338.87 ,"$3,897.63 ",$698.50 ,"$5,511.80 ","$1,600.00 ","$6,299.20 ",$864.48 ,$338.87 ,"$5,511.80 ",$338.87 ,"$4,724.40 ",$345.66 ,"$5,905.50 ","$4,346.45 ","$3,921.25 ","$4,346.45 ",$338.87 ,"$4,346.45 ",$371.32 ,"$7,874.00 ",$371.32 ,"$6,692.90 ",$864.48 ,"$5,456.68 ",$338.87 ,"$7,874.00 ","$4,417.31 ",$338.87 ,"$2,062.99 ","$7,874.00 ",$202.55 ,$193.35 ,$355.82 ,"$6,299.20 ","$3,897.63 ","$2,204.72 ","$7,086.60 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,779.52 "
ST. MARY'S HOSPITAL - DECATUR,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$4,682.00 ","$3,371.04 ",$214.79 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$1,986.22 ",$214.79 ,"$2,090.76 ",$214.79 ,"$2,317.59 ",$405.49 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$283.65 ,"$4,682.00 ",$283.65 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$250.66 ,$239.26 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$4,740.00 ","$3,412.80 ",$239.26 ,"$4,740.00 ",$864.48 ,"$1,100.00 ","$2,607.00 ",$338.87 ,"$1,327.20 ","$2,129.75 ",$338.87 ,"$2,241.84 ",$338.87 ,"$2,346.30 ",$470.83 ,$338.87 ,"$2,346.30 ",$698.50 ,"$3,318.00 ","$1,600.00 ","$3,792.00 ",$864.48 ,$338.87 ,"$3,318.00 ",$338.87 ,"$2,844.00 ",$345.66 ,"$3,555.00 ","$2,616.48 ","$2,360.52 ","$2,616.48 ",$338.87 ,"$2,616.48 ",$329.35 ,"$4,740.00 ",$329.35 ,"$4,029.00 ",$864.48 ,"$3,284.82 ",$338.87 ,"$4,740.00 ","$2,659.14 ",$338.87 ,"$1,241.88 ","$4,740.00 ",$250.66 ,$239.26 ,$355.82 ,"$3,792.00 ","$2,346.30 ","$1,327.20 ","$4,266.00 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,275.20 "
ST. MARY'S HOSPITAL - DECATUR,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$6,556.00 ","$4,720.32 ",$239.26 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$2,578.91 ",$338.87 ,"$2,714.64 ",$338.87 ,"$3,245.22 ",$593.73 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$415.32 ,"$6,556.00 ",$415.32 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$250.66 ,$239.26 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$4,682.00 ","$3,371.04 ",$214.79 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$2,448.69 ",$214.79 ,"$2,575.10 ",$214.79 ,"$2,317.59 ",$599.58 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$327.82 ,"$4,682.00 ",$327.82 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$250.66 ,$239.26 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$5,159.00 ","$3,714.48 ",$239.26 ,"$5,159.00 ",$864.48 ,"$1,100.00 ","$2,837.45 ",$338.87 ,"$1,444.52 ","$2,698.16 ",$338.87 ,"$2,837.45 ",$338.87 ,"$2,553.71 ",$644.20 ,$338.87 ,"$2,553.71 ",$698.50 ,"$3,611.30 ","$1,600.00 ","$4,127.20 ",$864.48 ,$338.87 ,"$3,611.30 ",$338.87 ,"$3,095.40 ",$345.66 ,"$3,869.25 ","$2,847.77 ","$2,569.18 ","$2,847.77 ",$338.87 ,"$2,847.77 ",$450.61 ,"$5,159.00 ",$450.61 ,"$4,385.15 ",$864.48 ,"$3,575.19 ",$338.87 ,"$5,159.00 ","$2,894.20 ",$338.87 ,"$1,351.66 ","$5,159.00 ",$250.66 ,$239.26 ,$355.82 ,"$4,127.20 ","$2,553.71 ","$1,444.52 ","$4,643.10 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,476.32 "
ST. MARY'S HOSPITAL - DECATUR,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$6,556.00 ","$4,720.32 ",$239.26 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$3,428.79 ",$338.87 ,"$3,605.80 ",$338.87 ,"$3,245.22 ",$783.19 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$547.85 ,"$6,556.00 ",$547.85 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$250.66 ,$239.26 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$4,682.00 ","$3,371.04 ",$161.49 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$1,752.98 ",$214.79 ,"$1,845.24 ",$214.79 ,"$2,317.59 ",$339.16 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$237.24 ,"$4,682.00 ",$237.24 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$169.18 ,$161.49 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,927.00 ","$3,547.44 ",$161.49 ,"$4,927.00 ","$1,738.10 ","$1,100.00 ","$2,709.85 ",$681.34 ,"$1,379.56 ","$2,576.82 ",$681.34 ,"$2,709.85 ",$681.34 ,"$2,438.87 ",$596.65 ,$681.34 ,"$2,438.87 ","$1,404.38 ","$3,448.90 ","$1,600.00 ","$3,941.60 ","$1,738.10 ",$681.34 ,"$3,448.90 ",$681.34 ,"$2,956.20 ",$694.96 ,"$3,695.25 ","$2,719.70 ","$2,453.65 ","$2,719.70 ",$681.34 ,"$2,719.70 ",$417.37 ,"$4,927.00 ",$417.37 ,"$4,187.95 ","$1,738.10 ","$3,414.41 ",$681.34 ,"$4,927.00 ","$2,764.05 ",$681.34 ,"$1,290.87 ","$4,927.00 ",$169.18 ,$161.49 ,$715.40 ,"$3,941.60 ","$2,438.87 ","$1,379.56 ","$4,434.30 ",$819.00 ,"$1,445.00 ",$681.34 ,"$2,364.96 "
ST. MARY'S HOSPITAL - DECATUR,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$6,556.00 ","$4,720.32 ",$161.49 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$3,428.79 ",$338.87 ,"$3,605.80 ",$338.87 ,"$3,245.22 ",$726.86 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$508.45 ,"$6,556.00 ",$508.45 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$169.18 ,$161.49 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$4,902.00 ","$3,529.44 ",$214.79 ,"$4,902.00 ",$547.93 ,"$1,100.00 ","$2,696.10 ",$214.79 ,"$1,372.56 ","$2,471.81 ",$214.79 ,"$2,601.90 ",$214.79 ,"$2,426.49 ",$400.37 ,$214.79 ,"$2,426.49 ",$442.73 ,"$3,431.40 ","$1,600.00 ","$3,921.60 ",$547.93 ,$214.79 ,"$3,431.40 ",$214.79 ,"$2,941.20 ",$219.09 ,"$3,676.50 ","$2,705.90 ","$2,441.20 ","$2,705.90 ",$214.79 ,"$2,705.90 ",$280.07 ,"$4,902.00 ",$280.07 ,"$4,166.70 ",$547.93 ,"$3,397.09 ",$214.79 ,"$4,902.00 ","$2,750.02 ",$214.79 ,"$1,284.32 ","$4,902.00 ",$250.66 ,$239.26 ,$225.53 ,"$3,921.60 ","$2,426.49 ","$1,372.56 ","$4,411.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,352.96 "
ST. MARY'S HOSPITAL - DECATUR,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$5,150.00 ","$3,708.00 ",$239.26 ,"$5,150.00 ",$864.48 ,"$1,100.00 ","$2,832.50 ",$338.87 ,"$1,442.00 ","$2,144.57 ",$338.87 ,"$2,257.44 ",$338.87 ,"$2,549.25 ",$470.83 ,$338.87 ,"$2,549.25 ",$698.50 ,"$3,605.00 ","$1,600.00 ","$4,120.00 ",$864.48 ,$338.87 ,"$3,605.00 ",$338.87 ,"$3,090.00 ",$345.66 ,"$3,862.50 ","$2,842.80 ","$2,564.70 ","$2,842.80 ",$338.87 ,"$2,842.80 ",$329.35 ,"$5,150.00 ",$329.35 ,"$4,377.50 ",$864.48 ,"$3,568.95 ",$338.87 ,"$5,150.00 ","$2,889.15 ",$338.87 ,"$1,349.30 ","$5,150.00 ",$250.66 ,$239.26 ,$355.82 ,"$4,120.00 ","$2,549.25 ","$1,442.00 ","$4,635.00 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,472.00 "
ST. MARY'S HOSPITAL - DECATUR,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$6,556.00 ","$4,720.32 ",$239.26 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$2,614.25 ",$338.87 ,"$2,751.84 ",$338.87 ,"$3,245.22 ",$597.38 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$417.88 ,"$6,556.00 ",$417.88 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$250.66 ,$239.26 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$4,682.00 ","$3,371.04 ",$161.49 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$2,448.69 ",$214.79 ,"$2,575.10 ",$214.79 ,"$2,317.59 ",$339.16 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$237.24 ,"$4,682.00 ",$237.24 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$169.18 ,$161.49 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,816.00 ","$3,467.52 ",$161.49 ,"$4,816.00 ","$1,738.10 ","$1,100.00 ","$2,648.80 ",$681.34 ,"$1,348.48 ","$2,469.30 ",$681.34 ,"$2,599.26 ",$681.34 ,"$2,383.92 ",$600.31 ,$681.34 ,"$2,383.92 ","$1,404.38 ","$3,371.20 ","$1,600.00 ","$3,852.80 ","$1,738.10 ",$681.34 ,"$3,371.20 ",$681.34 ,"$2,889.60 ",$694.96 ,"$3,612.00 ","$2,658.43 ","$2,398.37 ","$2,658.43 ",$681.34 ,"$2,658.43 ",$419.92 ,"$4,816.00 ",$419.92 ,"$4,093.60 ","$1,738.10 ","$3,337.49 ",$681.34 ,"$4,816.00 ","$2,701.78 ",$681.34 ,"$1,261.79 ","$4,816.00 ",$169.18 ,$161.49 ,$715.40 ,"$3,852.80 ","$2,383.92 ","$1,348.48 ","$4,334.40 ",$819.00 ,"$1,445.00 ",$681.34 ,"$2,311.68 "
ST. MARY'S HOSPITAL - DECATUR,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$6,492.00 ","$4,674.24 ",$161.49 ,"$6,492.00 ",$864.48 ,"$1,100.00 ","$3,570.60 ",$338.87 ,"$1,817.76 ","$2,979.56 ",$338.87 ,"$3,136.38 ",$338.87 ,"$3,213.54 ",$725.40 ,$338.87 ,"$3,213.54 ",$698.50 ,"$4,544.40 ","$1,600.00 ","$5,193.60 ",$864.48 ,$338.87 ,"$4,544.40 ",$338.87 ,"$3,895.20 ",$345.66 ,"$4,869.00 ","$3,583.58 ","$3,233.02 ","$3,583.58 ",$338.87 ,"$3,583.58 ",$507.43 ,"$6,492.00 ",$507.43 ,"$5,518.20 ",$864.48 ,"$4,498.96 ",$338.87 ,"$6,492.00 ","$3,642.01 ",$338.87 ,"$1,700.90 ","$6,492.00 ",$169.18 ,$161.49 ,$355.82 ,"$5,193.60 ","$3,213.54 ","$1,817.76 ","$5,842.80 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,116.16 "
ST. MARY'S HOSPITAL - DECATUR,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$4,682.00 ","$3,371.04 ",$214.79 ,"$4,682.00 ",$547.93 ,"$1,100.00 ","$2,575.10 ",$214.79 ,"$1,310.96 ","$1,718.78 ",$214.79 ,"$1,809.24 ",$214.79 ,"$2,317.59 ",$351.36 ,$214.79 ,"$2,317.59 ",$442.73 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$547.93 ,$214.79 ,"$3,277.40 ",$214.79 ,"$2,809.20 ",$219.09 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$214.79 ,"$2,584.46 ",$245.78 ,"$4,682.00 ",$245.78 ,"$3,979.70 ",$547.93 ,"$3,244.63 ",$214.79 ,"$4,682.00 ","$2,626.60 ",$214.79 ,"$1,226.68 ","$4,682.00 ",$300.42 ,$286.77 ,$225.53 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$5,038.00 ","$3,627.36 ",$286.77 ,"$5,038.00 ",$864.48 ,"$1,100.00 ","$2,770.90 ",$338.87 ,"$1,410.64 ","$2,434.47 ",$338.87 ,"$2,562.60 ",$338.87 ,"$2,493.81 ",$559.34 ,$338.87 ,"$2,493.81 ",$698.50 ,"$3,526.60 ","$1,600.00 ","$4,030.40 ",$864.48 ,$338.87 ,"$3,526.60 ",$338.87 ,"$3,022.80 ",$345.66 ,"$3,778.50 ","$2,780.98 ","$2,508.92 ","$2,780.98 ",$338.87 ,"$2,780.98 ",$391.26 ,"$5,038.00 ",$391.26 ,"$4,282.30 ",$864.48 ,"$3,491.33 ",$338.87 ,"$5,038.00 ","$2,826.32 ",$338.87 ,"$1,319.96 ","$5,038.00 ",$300.42 ,$286.77 ,$355.82 ,"$4,030.40 ","$2,493.81 ","$1,410.64 ","$4,534.20 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,418.24 "
ST. MARY'S HOSPITAL - DECATUR,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$6,556.00 ","$4,720.32 ",$286.77 ,"$6,556.00 ",$864.48 ,"$1,100.00 ","$3,605.80 ",$338.87 ,"$1,835.68 ","$3,277.22 ",$338.87 ,"$3,449.70 ",$338.87 ,"$3,245.22 ",$594.46 ,$338.87 ,"$3,245.22 ",$698.50 ,"$4,589.20 ","$1,600.00 ","$5,244.80 ",$864.48 ,$338.87 ,"$4,589.20 ",$338.87 ,"$3,933.60 ",$345.66 ,"$4,917.00 ","$3,618.91 ","$3,264.89 ","$3,618.91 ",$338.87 ,"$3,618.91 ",$415.82 ,"$6,556.00 ",$415.82 ,"$5,572.60 ",$864.48 ,"$4,543.31 ",$338.87 ,"$6,556.00 ","$3,677.92 ",$338.87 ,"$1,717.67 ","$6,556.00 ",$300.42 ,$286.77 ,$355.82 ,"$5,244.80 ","$3,245.22 ","$1,835.68 ","$5,900.40 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,146.88 "
ST. MARY'S HOSPITAL - DECATUR,61000050,C8937,HC MRI BREAST CAD,610,1 ,$180.00 ,$129.60 ,$47.16 ,$180.00 , N/A ,$95.40 ,$99.00 , N/A ,$50.40 ,$94.14 , N/A ,$99.00 , N/A ,$89.10 ,$72.00 , N/A ,$89.10 , N/A ,$126.00 ,$112.50 ,$144.00 , N/A , N/A ,$126.00 , N/A ,$108.00 , N/A ,$135.00 ,$99.36 ,$89.64 ,$99.36 , N/A ,$99.36 ,$131.40 ,$180.00 ,$131.40 ,$153.00 , N/A ,$124.74 , N/A ,$180.00 ,$100.98 , N/A ,$47.16 ,$180.00 , N/A , N/A , N/A ,$144.00 ,$89.10 ,$50.40 ,$162.00 ,$180.00 ,$180.00 , N/A ,$86.40 
ST. MARY'S HOSPITAL - DECATUR,61000052,C8901,HC MRA ABDOMEN W/O CONTRAST,610,1 ,$706.00 ,$508.32 ,$184.97 ,$706.00 ,$547.93 ,$706.00 ,$388.30 ,$214.79 ,$197.68 ,$369.24 ,$214.79 ,$388.30 ,$214.79 ,$349.47 ,$282.40 ,$214.79 ,$349.47 ,$442.73 ,$494.20 ,$706.00 ,$564.80 ,$547.93 ,$214.79 ,$494.20 ,$214.79 ,$423.60 ,$219.09 ,$529.50 ,$389.71 ,$351.59 ,$389.71 ,$214.79 ,$389.71 ,$515.38 ,$706.00 ,$515.38 ,$600.10 ,$547.93 ,$489.26 ,$214.79 ,$706.00 ,$396.07 ,$214.79 ,$184.97 ,$706.00 ,$324.12 ,$309.38 ,$225.53 ,$564.80 ,$349.47 ,$197.68 ,$635.40 ,$706.00 ,$706.00 ,$214.79 ,$338.88 
ST. MARY'S HOSPITAL - DECATUR,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$5,339.00 ","$3,844.08 ",$309.38 ,"$5,339.00 ",$864.48 ,"$1,100.00 ","$2,936.45 ",$338.87 ,"$1,494.92 ","$2,792.30 ",$338.87 ,"$2,936.45 ",$338.87 ,"$2,642.81 ","$2,135.60 ",$338.87 ,"$2,642.81 ",$698.50 ,"$3,737.30 ","$1,600.00 ","$4,271.20 ",$864.48 ,$338.87 ,"$3,737.30 ",$338.87 ,"$3,203.40 ",$345.66 ,"$4,004.25 ","$2,947.13 ","$2,658.82 ","$2,947.13 ",$338.87 ,"$2,947.13 ","$3,897.47 ","$5,339.00 ","$3,897.47 ","$4,538.15 ",$864.48 ,"$3,699.93 ",$338.87 ,"$5,339.00 ","$2,995.18 ",$338.87 ,"$1,398.82 ","$5,339.00 ",$324.12 ,$309.38 ,$355.82 ,"$4,271.20 ","$2,642.81 ","$1,494.92 ","$4,805.10 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,562.72 "
ST. MARY'S HOSPITAL - DECATUR,61000056,C8905,HC MRI BREAST UNI W AND W/O CONTRAST,610,1 ,"$1,169.00 ",$841.68 ,$239.26 ,"$1,169.00 ",$864.48 ,"$1,100.00 ",$642.95 ,$338.87 ,$327.32 ,$611.39 ,$338.87 ,$642.95 ,$338.87 ,$578.66 ,$467.60 ,$338.87 ,$578.66 ,$698.50 ,$818.30 ,"$1,169.00 ",$935.20 ,$864.48 ,$338.87 ,$818.30 ,$338.87 ,$701.40 ,$345.66 ,$876.75 ,$645.29 ,$582.16 ,$645.29 ,$338.87 ,$645.29 ,$853.37 ,"$1,169.00 ",$853.37 ,$993.65 ,$864.48 ,$810.12 ,$338.87 ,"$1,169.00 ",$655.81 ,$338.87 ,$306.28 ,"$1,169.00 ",$250.66 ,$239.26 ,$355.82 ,$935.20 ,$578.66 ,$327.32 ,"$1,052.10 ",$819.00 ,"$1,169.00 ",$338.87 ,$561.12 
ST. MARY'S HOSPITAL - DECATUR,61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$4,839.00 ","$3,484.08 ",$161.99 ,"$4,839.00 ",$547.93 ,"$1,100.00 ","$2,661.45 ",$214.79 ,"$1,354.92 ","$2,530.80 ",$214.79 ,"$2,661.45 ",$214.79 ,"$2,395.31 ",$360.87 ,$214.79 ,"$2,395.31 ",$442.73 ,"$3,387.30 ","$1,600.00 ","$3,871.20 ",$547.93 ,$214.79 ,"$3,387.30 ",$214.79 ,"$2,903.40 ",$219.09 ,"$3,629.25 ","$2,671.13 ","$2,409.82 ","$2,671.13 ",$214.79 ,"$2,671.13 ",$252.44 ,"$4,839.00 ",$252.44 ,"$4,113.15 ",$547.93 ,"$3,353.43 ",$214.79 ,$161.99 ,"$2,714.68 ",$214.79 ,"$1,267.82 ","$4,839.00 ",$250.66 ,$239.26 ,$225.53 ,"$3,871.20 ","$2,395.31 ","$1,354.92 ","$4,355.10 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,322.72 "
ST. MARY'S HOSPITAL - DECATUR,61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$5,852.00 ","$4,213.44 ",$239.26 ,"$5,852.00 ",$864.48 ,"$1,100.00 ","$3,218.60 ",$338.87 ,"$1,638.56 ","$3,060.60 ",$338.87 ,"$3,218.60 ",$338.87 ,"$2,896.74 ","$2,340.80 ",$338.87 ,"$2,896.74 ",$698.50 ,"$4,096.40 ","$1,600.00 ","$4,681.60 ",$864.48 ,$338.87 ,"$4,096.40 ",$338.87 ,"$3,511.20 ",$345.66 ,"$4,389.00 ","$3,230.30 ","$2,914.30 ","$3,230.30 ",$338.87 ,"$3,230.30 ","$4,271.96 ","$5,852.00 ","$4,271.96 ","$4,974.20 ",$864.48 ,"$4,055.44 ",$338.87 ,"$5,852.00 ","$3,282.97 ",$338.87 ,"$1,533.22 ","$5,852.00 ",$250.66 ,$239.26 ,$355.82 ,"$4,681.60 ","$2,896.74 ","$1,638.56 ","$5,266.80 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,808.96 "
ST. MARY'S HOSPITAL - DECATUR,61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$4,760.00 ","$3,427.20 ",$272.14 ,"$4,760.00 ",$864.48 ,"$1,100.00 ","$2,618.00 ",$338.87 ,"$1,332.80 ","$2,489.48 ",$338.87 ,"$2,618.00 ",$338.87 ,"$2,356.20 ","$1,904.00 ",$338.87 ,"$2,356.20 ",$698.50 ,"$3,332.00 ","$1,600.00 ","$3,808.00 ",$864.48 ,$338.87 ,"$3,332.00 ",$338.87 ,"$2,856.00 ",$345.66 ,"$3,570.00 ","$2,627.52 ","$2,370.48 ","$2,627.52 ",$338.87 ,"$2,627.52 ","$3,474.80 ","$4,760.00 ","$3,474.80 ","$4,046.00 ",$864.48 ,"$3,298.68 ",$338.87 ,"$4,760.00 ","$2,670.36 ",$338.87 ,"$1,247.12 ","$4,760.00 ",$285.10 ,$272.14 ,$355.82 ,"$3,808.00 ","$2,356.20 ","$1,332.80 ","$4,284.00 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,284.80 "
ST. MARY'S HOSPITAL - DECATUR,61000061,C8910,HC MRA CHEST W/O CONTRAST,610,1 ,"$4,760.00 ","$3,427.20 ",$214.79 ,"$4,760.00 ",$547.93 ,"$1,100.00 ","$2,618.00 ",$214.79 ,"$1,332.80 ","$2,489.48 ",$214.79 ,"$2,618.00 ",$214.79 ,"$2,356.20 ","$1,904.00 ",$214.79 ,"$2,356.20 ",$442.73 ,"$3,332.00 ","$1,600.00 ","$3,808.00 ",$547.93 ,$214.79 ,"$3,332.00 ",$214.79 ,"$2,856.00 ",$219.09 ,"$3,570.00 ","$2,627.52 ","$2,370.48 ","$2,627.52 ",$214.79 ,"$2,627.52 ","$3,474.80 ","$4,760.00 ","$3,474.80 ","$4,046.00 ",$547.93 ,"$3,298.68 ",$214.79 ,"$4,760.00 ","$2,670.36 ",$214.79 ,"$1,247.12 ","$4,760.00 ",$285.10 ,$272.14 ,$225.53 ,"$3,808.00 ","$2,356.20 ","$1,332.80 ","$4,284.00 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,284.80 "
ST. MARY'S HOSPITAL - DECATUR,61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$5,064.00 ","$3,646.08 ",$272.14 ,"$5,064.00 ",$864.48 ,"$1,100.00 ","$2,785.20 ",$338.87 ,"$1,417.92 ","$2,648.47 ",$338.87 ,"$2,785.20 ",$338.87 ,"$2,506.68 ","$2,025.60 ",$338.87 ,"$2,506.68 ",$698.50 ,"$3,544.80 ","$1,600.00 ","$4,051.20 ",$864.48 ,$338.87 ,"$3,544.80 ",$338.87 ,"$3,038.40 ",$345.66 ,"$3,798.00 ","$2,795.33 ","$2,521.87 ","$2,795.33 ",$338.87 ,"$2,795.33 ","$3,696.72 ","$5,064.00 ","$3,696.72 ","$4,304.40 ",$864.48 ,"$3,509.35 ",$338.87 ,"$5,064.00 ","$2,840.90 ",$338.87 ,"$1,326.77 ","$5,064.00 ",$285.10 ,$272.14 ,$355.82 ,"$4,051.20 ","$2,506.68 ","$1,417.92 ","$4,557.60 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,430.72 "
ST. MARY'S HOSPITAL - DECATUR,61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$5,212.00 ","$3,752.64 ",$309.38 ,"$5,212.00 ",$864.48 ,"$1,100.00 ","$2,866.60 ",$338.87 ,"$1,459.36 ","$2,725.88 ",$338.87 ,"$2,866.60 ",$338.87 ,"$2,579.94 ","$2,084.80 ",$338.87 ,"$2,579.94 ",$698.50 ,"$3,648.40 ","$1,600.00 ","$4,169.60 ",$864.48 ,$338.87 ,"$3,648.40 ",$338.87 ,"$3,127.20 ",$345.66 ,"$3,909.00 ","$2,877.02 ","$2,595.58 ","$2,877.02 ",$338.87 ,"$2,877.02 ","$3,804.76 ","$5,212.00 ","$3,804.76 ","$4,430.20 ",$864.48 ,"$3,611.92 ",$338.87 ,"$5,212.00 ","$2,923.93 ",$338.87 ,"$1,365.54 ","$5,212.00 ",$324.12 ,$309.38 ,$355.82 ,"$4,169.60 ","$2,579.94 ","$1,459.36 ","$4,690.80 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,501.76 "
ST. MARY'S HOSPITAL - DECATUR,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$4,662.00 ","$3,356.64 ",$214.79 ,"$4,662.00 ",$547.93 ,"$1,100.00 ","$2,564.10 ",$214.79 ,"$1,305.36 ","$2,438.23 ",$214.79 ,"$2,564.10 ",$214.79 ,"$2,307.69 ","$1,864.80 ",$214.79 ,"$2,307.69 ",$442.73 ,"$3,263.40 ","$1,600.00 ","$3,729.60 ",$547.93 ,$214.79 ,"$3,263.40 ",$214.79 ,"$2,797.20 ",$219.09 ,"$3,496.50 ","$2,573.42 ","$2,321.68 ","$2,573.42 ",$214.79 ,"$2,573.42 ","$3,403.26 ","$4,662.00 ","$3,403.26 ","$3,962.70 ",$547.93 ,"$3,230.77 ",$214.79 ,"$4,662.00 ","$2,615.38 ",$214.79 ,"$1,221.44 ","$4,662.00 ",$324.12 ,$309.38 ,$225.53 ,"$3,729.60 ","$2,307.69 ","$1,305.36 ","$4,195.80 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,237.76 "
ST. MARY'S HOSPITAL - DECATUR,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$8,181.00 ","$5,890.32 ",$309.38 ,"$8,181.00 ",$864.48 ,"$1,100.00 ","$4,499.55 ",$338.87 ,"$2,290.68 ","$4,278.66 ",$338.87 ,"$4,499.55 ",$338.87 ,"$4,049.60 ","$3,272.40 ",$338.87 ,"$4,049.60 ",$698.50 ,"$5,726.70 ","$1,600.00 ","$6,544.80 ",$864.48 ,$338.87 ,"$5,726.70 ",$338.87 ,"$4,908.60 ",$345.66 ,"$6,135.75 ","$4,515.91 ","$4,074.14 ","$4,515.91 ",$338.87 ,"$4,515.91 ","$5,972.13 ","$8,181.00 ","$5,972.13 ","$6,953.85 ",$864.48 ,"$5,669.43 ",$338.87 ,"$8,181.00 ","$4,589.54 ",$338.87 ,"$2,143.42 ","$8,181.00 ",$324.12 ,$309.38 ,$355.82 ,"$6,544.80 ","$4,049.60 ","$2,290.68 ","$7,362.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$3,926.88 "
ST. MARY'S HOSPITAL - DECATUR,61000068,C8918,HC MRA PELVIS W/CON,610,1 ,"$4,760.00 ","$3,427.20 ",$309.38 ,"$4,760.00 ",$864.48 ,"$1,100.00 ","$2,618.00 ",$338.87 ,"$1,332.80 ","$2,489.48 ",$338.87 ,"$2,618.00 ",$338.87 ,"$2,356.20 ","$1,904.00 ",$338.87 ,"$2,356.20 ",$698.50 ,"$3,332.00 ","$1,600.00 ","$3,808.00 ",$864.48 ,$338.87 ,"$3,332.00 ",$338.87 ,"$2,856.00 ",$345.66 ,"$3,570.00 ","$2,627.52 ","$2,370.48 ","$2,627.52 ",$338.87 ,"$2,627.52 ","$3,474.80 ","$4,760.00 ","$3,474.80 ","$4,046.00 ",$864.48 ,"$3,298.68 ",$338.87 ,"$4,760.00 ","$2,670.36 ",$338.87 ,"$1,247.12 ","$4,760.00 ",$324.12 ,$309.38 ,$355.82 ,"$3,808.00 ","$2,356.20 ","$1,332.80 ","$4,284.00 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,284.80 "
ST. MARY'S HOSPITAL - DECATUR,61000069,C8919,HC MRA PELVIS W/O CON,610,1 ,"$4,760.00 ","$3,427.20 ",$214.79 ,"$4,760.00 ",$547.93 ,"$1,100.00 ","$2,618.00 ",$214.79 ,"$1,332.80 ","$2,489.48 ",$214.79 ,"$2,618.00 ",$214.79 ,"$2,356.20 ","$1,904.00 ",$214.79 ,"$2,356.20 ",$442.73 ,"$3,332.00 ","$1,600.00 ","$3,808.00 ",$547.93 ,$214.79 ,"$3,332.00 ",$214.79 ,"$2,856.00 ",$219.09 ,"$3,570.00 ","$2,627.52 ","$2,370.48 ","$2,627.52 ",$214.79 ,"$2,627.52 ","$3,474.80 ","$4,760.00 ","$3,474.80 ","$4,046.00 ",$547.93 ,"$3,298.68 ",$214.79 ,"$4,760.00 ","$2,670.36 ",$214.79 ,"$1,247.12 ","$4,760.00 ",$324.12 ,$309.38 ,$225.53 ,"$3,808.00 ","$2,356.20 ","$1,332.80 ","$4,284.00 ",$819.00 ,"$1,445.00 ",$214.79 ,"$2,284.80 "
ST. MARY'S HOSPITAL - DECATUR,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$4,937.00 ","$3,554.64 ",$309.38 ,"$4,937.00 ",$864.48 ,"$1,100.00 ","$2,715.35 ",$338.87 ,"$1,382.36 ","$2,582.05 ",$338.87 ,"$2,715.35 ",$338.87 ,"$2,443.82 ","$1,974.80 ",$338.87 ,"$2,443.82 ",$698.50 ,"$3,455.90 ","$1,600.00 ","$3,949.60 ",$864.48 ,$338.87 ,"$3,455.90 ",$338.87 ,"$2,962.20 ",$345.66 ,"$3,702.75 ","$2,725.22 ","$2,458.63 ","$2,725.22 ",$338.87 ,"$2,725.22 ","$3,604.01 ","$4,937.00 ","$3,604.01 ","$4,196.45 ",$864.48 ,"$3,421.34 ",$338.87 ,"$4,937.00 ","$2,769.66 ",$338.87 ,"$1,293.49 ","$4,937.00 ",$324.12 ,$309.38 ,$355.82 ,"$3,949.60 ","$2,443.82 ","$1,382.36 ","$4,443.30 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,369.76 "
ST. MARY'S HOSPITAL - DECATUR,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$8,421.00 ","$6,063.12 ",$268.08 ,"$8,421.00 ",$864.48 ,"$1,100.00 ","$4,631.55 ",$338.87 ,"$2,357.88 ","$4,404.18 ",$338.87 ,"$4,631.55 ",$338.87 ,"$4,168.40 ",$860.14 ,$338.87 ,"$4,168.40 ",$698.50 ,"$5,894.70 ","$1,600.00 ","$6,736.80 ",$864.48 ,$338.87 ,"$5,894.70 ",$338.87 ,"$5,052.60 ",$345.66 ,"$6,315.75 ","$4,648.39 ","$4,193.66 ","$4,648.39 ",$338.87 ,"$4,648.39 ",$368.75 ,"$8,421.00 ",$368.75 ,"$7,157.85 ",$864.48 ,"$5,835.75 ",$338.87 ,"$8,421.00 ","$4,724.18 ",$338.87 ,"$2,206.30 ","$8,421.00 ",$280.84 ,$268.08 ,$355.82 ,"$6,736.80 ","$4,168.40 ","$2,357.88 ","$7,578.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$4,042.08 "
ST. MARY'S HOSPITAL - DECATUR,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$5,061.00 ","$3,643.92 ",$239.26 ,"$5,061.00 ",$864.48 ,"$1,100.00 ","$2,783.55 ",$338.87 ,"$1,417.08 ","$1,962.74 ",$338.87 ,"$2,066.04 ",$338.87 ,"$2,505.20 ",$481.80 ,$338.87 ,"$2,505.20 ",$698.50 ,"$3,542.70 ","$1,600.00 ","$4,048.80 ",$864.48 ,$338.87 ,"$3,542.70 ",$338.87 ,"$3,036.60 ",$345.66 ,"$3,795.75 ","$2,793.67 ","$2,520.38 ","$2,793.67 ",$338.87 ,"$2,793.67 ",$337.03 ,"$5,061.00 ",$337.03 ,"$4,301.85 ",$864.48 ,"$3,507.27 ",$338.87 ,"$5,061.00 ","$2,839.22 ",$338.87 ,"$1,325.98 ","$5,061.00 ",$250.66 ,$239.26 ,$355.82 ,"$4,048.80 ","$2,505.20 ","$1,417.08 ","$4,554.90 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,429.28 "
ST. MARY'S HOSPITAL - DECATUR,61000077,74712,HC MRI FETAL PLACENTA/MATERN PELVIC SINGLE,610,1 ,$625.00 ,$450.00 ,$163.75 ,$625.00 ,$547.93 ,$625.00 ,$343.75 ,$214.79 ,$175.00 ,$326.88 ,$214.79 ,$343.75 ,$214.79 ,$309.38 ,$625.00 ,$214.79 ,$309.38 ,$442.73 ,$437.50 ,$625.00 ,$500.00 ,$547.93 ,$214.79 ,$437.50 ,$214.79 ,$375.00 ,$219.09 ,$468.75 ,$345.00 ,$311.25 ,$345.00 ,$214.79 ,$345.00 ,$327.14 ,$625.00 ,$327.14 ,$531.25 ,$547.93 ,$433.13 ,$214.79 ,$625.00 ,$350.63 ,$214.79 ,$163.75 ,$625.00 , N/A , N/A ,$225.53 ,$500.00 ,$309.38 ,$175.00 ,$562.50 ,$625.00 ,$625.00 ,$214.79 ,$300.00 
ST. MARY'S HOSPITAL - DECATUR,61800004,C8935,HC MRA UPPR EXT W/O CONTRAST,618,1 ,"$3,898.00 ","$2,806.56 ",$214.79 ,"$3,898.00 ",$547.93 ,"$1,100.00 ","$2,143.90 ",$214.79 ,"$1,091.44 ","$2,038.65 ",$214.79 ,"$2,143.90 ",$214.79 ,"$1,929.51 ","$1,559.20 ",$214.79 ,"$1,929.51 ",$442.73 ,"$2,728.60 ","$1,600.00 ","$3,118.40 ",$547.93 ,$214.79 ,"$2,728.60 ",$214.79 ,"$2,338.80 ",$219.09 ,"$2,923.50 ","$2,151.70 ","$1,941.20 ","$2,151.70 ",$214.79 ,"$2,151.70 ","$3,157.38 ","$3,898.00 ","$3,157.38 ","$3,313.30 ",$547.93 ,"$2,701.31 ",$214.79 ,"$3,898.00 ","$2,186.78 ",$214.79 ,"$1,021.28 ","$3,898.00 ",$324.12 ,$309.38 ,$225.53 ,"$3,118.40 ","$1,929.51 ","$1,091.44 ","$3,508.20 ",$819.00 ,"$1,445.00 ",$214.79 ,"$1,871.04 "
ST. MARY'S HOSPITAL - DECATUR,61800005,C8936,HC MRA UPPR EXT W/  AND  W/O CONTRAST,618,1 ,"$4,682.00 ","$3,371.04 ",$309.38 ,"$4,682.00 ",$864.48 ,"$1,100.00 ","$2,575.10 ",$338.87 ,"$1,310.96 ","$2,448.69 ",$338.87 ,"$2,575.10 ",$338.87 ,"$2,317.59 ","$1,872.80 ",$338.87 ,"$2,317.59 ",$698.50 ,"$3,277.40 ","$1,600.00 ","$3,745.60 ",$864.48 ,$338.87 ,"$3,277.40 ",$338.87 ,"$2,809.20 ",$345.66 ,"$3,511.50 ","$2,584.46 ","$2,331.64 ","$2,584.46 ",$338.87 ,"$2,584.46 ","$3,792.42 ","$4,682.00 ","$3,792.42 ","$3,979.70 ",$864.48 ,"$3,244.63 ",$338.87 ,"$4,682.00 ","$2,626.60 ",$338.87 ,"$1,226.68 ","$4,682.00 ",$324.12 ,$309.38 ,$355.82 ,"$3,745.60 ","$2,317.59 ","$1,310.96 ","$4,213.80 ",$819.00 ,"$1,445.00 ",$338.87 ,"$2,247.36 "
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,0.45 % NACL WITH KCL 20 MEQ 20-0.45 MEQ/L-% SOLN per 2 mEq,636,1 ,$12.20 ,$8.78 ,$0.23 ,$12.20 , N/A ,$6.22 ,$6.71 , N/A ,$3.42 ,$2.40 , N/A ,$2.50 , N/A ,$6.04 ,$4.88 , N/A ,$6.04 , N/A ,$8.54 ,$0.34 ,$9.76 , N/A , N/A ,$8.54 , N/A ,$7.32 , N/A ,$9.15 ,$6.73 ,$6.08 ,$6.73 , N/A ,$6.73 ,$9.88 ,$12.20 ,$9.88 ,$10.37 , N/A ,$8.45 , N/A ,$12.20 ,$6.84 , N/A ,$3.20 ,$12.20 , N/A , N/A , N/A ,$9.76 ,$6.04 ,$3.42 ,$10.98 ,$4.64 ,$0.23 , N/A ,$5.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,0.9 % NACL WITH KCL 40 MEQ 40-0.9 MEQ/L-% SOLN per 2 mEq,636,1 ,$7.05 ,$5.08 ,$0.23 ,$7.05 , N/A ,$3.60 ,$3.88 , N/A ,$1.97 ,$2.40 , N/A ,$2.50 , N/A ,$3.49 ,$2.82 , N/A ,$3.49 , N/A ,$4.94 ,$0.34 ,$5.64 , N/A , N/A ,$4.94 , N/A ,$4.23 , N/A ,$5.29 ,$3.89 ,$3.51 ,$3.89 , N/A ,$3.89 ,$5.71 ,$7.05 ,$5.71 ,$5.99 , N/A ,$4.89 , N/A ,$7.05 ,$3.96 , N/A ,$1.85 ,$7.05 , N/A , N/A , N/A ,$5.64 ,$3.49 ,$1.97 ,$6.35 ,$2.68 ,$0.23 , N/A ,$3.38 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0132,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL per 100 mg,636,1 ,$20.83 ,$15.00 ,$1.10 ,$20.83 , N/A ,$10.62 ,$11.46 , N/A ,$5.83 ,$5.95 , N/A ,$6.20 , N/A ,$10.31 ,$8.33 , N/A ,$10.31 , N/A ,$14.58 ,$1.10 ,$16.66 , N/A , N/A ,$14.58 , N/A ,$12.50 , N/A ,$15.62 ,$11.50 ,$10.37 ,$11.50 , N/A ,$11.50 ,$16.87 ,$20.83 ,$16.87 ,$17.71 , N/A ,$14.44 , N/A ,$20.83 ,$11.69 , N/A ,$5.46 ,$20.83 , N/A , N/A , N/A ,$16.66 ,$10.31 ,$5.83 ,$18.75 ,$7.92 ,$1.63 , N/A ,$10.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0133,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL per 5 mg,636,1 ,$1.76 ,$1.27 ,$0.04 ,$1.76 , N/A ,$0.90 ,$0.97 , N/A ,$0.49 ,$0.92 , N/A ,$0.97 , N/A ,$0.87 ,$0.70 , N/A ,$0.87 , N/A ,$1.23 ,$0.04 ,$1.41 , N/A , N/A ,$1.23 , N/A ,$1.06 , N/A ,$1.32 ,$0.97 ,$0.88 ,$0.97 , N/A ,$0.97 ,$1.43 ,$1.76 ,$1.43 ,$1.50 , N/A ,$1.22 , N/A ,$1.76 ,$0.99 , N/A ,$0.46 ,$1.76 , N/A , N/A , N/A ,$1.41 ,$0.87 ,$0.49 ,$1.58 ,$0.67 ,$0.08 , N/A ,$0.84 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0133,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL per 5 mg,636,1 ,$1.37 ,$0.99 ,$0.04 ,$1.37 , N/A ,$0.70 ,$0.75 , N/A ,$0.38 ,$0.72 , N/A ,$0.75 , N/A ,$0.68 ,$0.55 , N/A ,$0.68 , N/A ,$0.96 ,$0.04 ,$1.10 , N/A , N/A ,$0.96 , N/A ,$0.82 , N/A ,$1.03 ,$0.76 ,$0.68 ,$0.76 , N/A ,$0.76 ,$1.11 ,$1.37 ,$1.11 ,$1.16 , N/A ,$0.95 , N/A ,$1.37 ,$0.77 , N/A ,$0.36 ,$1.37 , N/A , N/A , N/A ,$1.10 ,$0.68 ,$0.38 ,$1.23 ,$0.52 ,$0.08 , N/A ,$0.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0153,ADENOSINE 3 MG/ML SOLN per 1 mg,636,1 ,$28.88 ,$20.79 ,$0.86 ,$28.88 , N/A ,$14.73 ,$15.88 , N/A ,$8.09 ,$3.74 , N/A ,$3.90 , N/A ,$14.30 ,$11.55 , N/A ,$14.30 , N/A ,$20.22 ,$0.94 ,$23.10 , N/A , N/A ,$20.22 , N/A ,$17.33 , N/A ,$21.66 ,$15.94 ,$14.38 ,$15.94 , N/A ,$15.94 ,$23.39 ,$28.88 ,$23.39 ,$24.55 , N/A ,$20.01 , N/A ,$28.88 ,$16.20 , N/A ,$7.57 ,$28.88 , N/A , N/A , N/A ,$23.10 ,$14.30 ,$8.09 ,$25.99 ,$10.97 ,$0.86 , N/A ,$13.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0153,ADENOSINE 6 MG/2ML SOLN per 1 mg,636,1 ,$19.50 ,$14.04 ,$0.86 ,$19.50 , N/A ,$9.95 ,$10.73 , N/A ,$5.46 ,$3.74 , N/A ,$3.90 , N/A ,$9.65 ,$7.80 , N/A ,$9.65 , N/A ,$13.65 ,$0.94 ,$15.60 , N/A , N/A ,$13.65 , N/A ,$11.70 , N/A ,$14.63 ,$10.76 ,$9.71 ,$10.76 , N/A ,$10.76 ,$15.80 ,$19.50 ,$15.80 ,$16.58 , N/A ,$13.51 , N/A ,$19.50 ,$10.94 , N/A ,$5.11 ,$19.50 , N/A , N/A , N/A ,$15.60 ,$9.65 ,$5.46 ,$17.55 ,$7.41 ,$0.86 , N/A ,$9.36 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$68.73 ,$49.49 ,$18.01 ,"$3,062.40 ",$90.63 ,$35.05 ,$37.80 ,$35.52 ,$19.24 ,$35.95 ,$35.52 ,$37.80 ,$35.52 ,$34.02 ,$27.49 ,$35.52 ,$34.02 ,$68.73 ,$48.11 ,$68.73 ,$54.98 ,$90.61 ,$35.52 ,$48.11 ,$35.52 ,$41.24 ,$36.23 ,$51.55 ,$37.94 ,$34.23 ,$37.94 ,$35.52 ,$37.94 ,$55.67 ,$68.73 ,$55.67 ,$58.42 ,$68.73 ,$47.63 ,$35.52 ,$68.73 ,$38.56 ,$35.52 ,$18.01 ,$68.73 ,$68.73 ,"$3,062.40 ",$37.30 ,$54.98 ,$34.02 ,$19.24 ,$61.86 ,$26.12 ,$59.85 ,$35.52 ,$32.99 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$69.54 ,$50.07 ,$18.22 ,"$3,062.40 ",$90.63 ,$35.47 ,$38.25 ,$35.52 ,$19.47 ,$36.37 ,$35.52 ,$38.25 ,$35.52 ,$34.42 ,$27.82 ,$35.52 ,$34.42 ,$69.54 ,$48.68 ,$69.54 ,$55.63 ,$90.61 ,$35.52 ,$48.68 ,$35.52 ,$41.72 ,$36.23 ,$52.16 ,$38.39 ,$34.63 ,$38.39 ,$35.52 ,$38.39 ,$56.33 ,$69.54 ,$56.33 ,$59.11 ,$69.54 ,$48.19 ,$35.52 ,$69.54 ,$39.01 ,$35.52 ,$18.22 ,$69.54 ,$69.54 ,"$3,062.40 ",$37.30 ,$55.63 ,$34.42 ,$19.47 ,$62.59 ,$26.43 ,$59.85 ,$35.52 ,$33.38 
ST. MARY'S HOSPITAL - DECATUR,63600002,P9047,ALBUMIN HUMAN 25 % SOLN per 50 mL,636,1 ,$406.98 ,$293.03 ,$52.02 ,$458.47 ,$132.70 ,$207.56 ,$223.84 ,$52.02 ,$113.95 ,$212.85 ,$52.02 ,$223.84 ,$52.02 ,$201.46 ,$162.79 ,$52.02 ,$201.46 ,$107.22 ,$284.89 ,$106.88 ,$325.58 ,$132.69 ,$52.02 ,$284.89 ,$52.02 ,$244.19 ,$53.06 ,$305.24 ,$224.65 ,$202.68 ,$224.65 ,$52.02 ,$224.65 ,$329.65 ,$406.98 ,$329.65 ,$345.93 ,$132.69 ,$282.04 ,$52.02 ,$406.98 ,$228.32 ,$52.02 ,$106.63 ,$406.98 ,$406.98 ,$458.47 ,$54.62 ,$325.58 ,$201.46 ,$113.95 ,$366.28 ,$154.65 ,$87.07 ,$52.02 ,$195.35 
ST. MARY'S HOSPITAL - DECATUR,63600002,P9045,ALBUMIN HUMAN 5 % SOLN per 250 mL,636,1 ,$432.25 ,$311.22 ,$52.02 ,$458.47 ,$132.70 ,$220.45 ,$237.74 ,$52.02 ,$121.03 ,$226.07 ,$52.02 ,$237.74 ,$52.02 ,$213.96 ,$172.90 ,$52.02 ,$213.96 ,$107.22 ,$302.58 ,$109.08 ,$345.80 ,$132.69 ,$52.02 ,$302.58 ,$52.02 ,$259.35 ,$53.06 ,$324.19 ,$238.60 ,$215.26 ,$238.60 ,$52.02 ,$238.60 ,$350.12 ,$432.25 ,$350.12 ,$367.41 ,$132.69 ,$299.55 ,$52.02 ,$432.25 ,$242.49 ,$52.02 ,$113.25 ,$432.25 ,$432.25 ,$458.47 ,$54.62 ,$345.80 ,$213.96 ,$121.03 ,$389.03 ,$164.26 ,$87.07 ,$52.02 ,$207.48 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2997,ALTEPLASE 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$290.91 ,$209.46 ,$55.37 ,$290.91 ,$218.93 ,$148.36 ,$160.00 ,$85.82 ,$81.45 ,$152.15 ,$85.82 ,$160.00 ,$85.82 ,$144.00 ,$116.36 ,$85.82 ,$144.00 ,$176.88 ,$203.64 ,$171.66 ,$232.73 ,$218.91 ,$85.82 ,$203.64 ,$85.82 ,$174.55 ,$87.53 ,$218.18 ,$160.58 ,$144.87 ,$160.58 ,$85.82 ,$160.58 ,$235.64 ,$290.91 ,$235.64 ,$247.27 ,$218.91 ,$201.60 ,$85.82 ,$290.91 ,$163.20 ,$85.82 ,$76.22 ,$290.91 ,$58.00 ,$55.37 ,$90.11 ,$232.73 ,$144.00 ,$81.45 ,$261.82 ,$110.55 ,$145.25 ,$85.82 ,$139.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2997,ALTEPLASE 2 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$535.34 ,$385.44 ,$55.37 ,$535.34 ,$218.93 ,$273.02 ,$294.44 ,$85.82 ,$149.90 ,$279.98 ,$85.82 ,$294.44 ,$85.82 ,$264.99 ,$214.14 ,$85.82 ,$264.99 ,$176.88 ,$374.74 ,$171.66 ,$428.27 ,$218.91 ,$85.82 ,$374.74 ,$85.82 ,$321.20 ,$87.53 ,$401.51 ,$295.51 ,$266.60 ,$295.51 ,$85.82 ,$295.51 ,$433.63 ,$535.34 ,$433.63 ,$455.04 ,$218.91 ,$370.99 ,$85.82 ,$535.34 ,$300.33 ,$85.82 ,$140.26 ,$535.34 ,$58.00 ,$55.37 ,$90.11 ,$428.27 ,$264.99 ,$149.90 ,$481.81 ,$203.43 ,$145.25 ,$85.82 ,$256.96 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0278,AMIKACIN 500 MG/2ML SOLN 4 ML VIAL per 100 mg,636,1 ,$28.53 ,$20.54 ,$1.42 ,$28.53 , N/A ,$14.55 ,$15.69 , N/A ,$7.99 ,$6.91 , N/A ,$7.20 , N/A ,$14.12 ,$11.41 , N/A ,$14.12 , N/A ,$19.97 ,$1.62 ,$22.82 , N/A , N/A ,$19.97 , N/A ,$17.12 , N/A ,$21.40 ,$15.75 ,$14.21 ,$15.75 , N/A ,$15.75 ,$23.11 ,$28.53 ,$23.11 ,$24.25 , N/A ,$19.77 , N/A ,$28.53 ,$16.01 , N/A ,$7.47 ,$28.53 , N/A , N/A , N/A ,$22.82 ,$14.12 ,$7.99 ,$25.68 ,$10.84 ,$1.42 , N/A ,$13.69 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0280,AMINOPHYLLINE 25 MG/ML SOLN per 250 mg,636,1 ,$165.50 ,$119.16 ,$21.60 ,$165.50 , N/A ,$84.41 ,$91.03 , N/A ,$46.34 ,$39.60 , N/A ,$41.25 , N/A ,$81.92 ,$66.20 , N/A ,$81.92 , N/A ,$115.85 ,$23.42 ,$132.40 , N/A , N/A ,$115.85 , N/A ,$99.30 , N/A ,$124.13 ,$91.36 ,$82.42 ,$91.36 , N/A ,$91.36 ,$134.06 ,$165.50 ,$134.06 ,$140.68 , N/A ,$114.69 , N/A ,$165.50 ,$92.85 , N/A ,$43.36 ,$165.50 , N/A , N/A , N/A ,$132.40 ,$81.92 ,$46.34 ,$148.95 ,$62.89 ,$21.60 , N/A ,$79.44 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0282,AMIODARONE 150 MG/3ML SOLN per 30 mg,636,1 ,$16.00 ,$11.52 ,$0.46 ,$16.00 , N/A ,$8.16 ,$8.80 , N/A ,$4.48 ,$2.40 , N/A ,$2.50 , N/A ,$7.92 ,$6.40 , N/A ,$7.92 , N/A ,$11.20 ,$0.46 ,$12.80 , N/A , N/A ,$11.20 , N/A ,$9.60 , N/A ,$12.00 ,$8.83 ,$7.97 ,$8.83 , N/A ,$8.83 ,$12.96 ,$16.00 ,$12.96 ,$13.60 , N/A ,$11.09 , N/A ,$16.00 ,$8.98 , N/A ,$4.19 ,$16.00 , N/A , N/A , N/A ,$12.80 ,$7.92 ,$4.48 ,$14.40 ,$6.08 ,$1.35 , N/A ,$7.68 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0282,AMIODARONE 150-4.21 MG/100ML-% SOLN per 30 mg,636,1 ,$59.92 ,$43.14 ,$0.46 ,$59.92 , N/A ,$30.56 ,$32.96 , N/A ,$16.78 ,$2.40 , N/A ,$2.50 , N/A ,$29.66 ,$23.97 , N/A ,$29.66 , N/A ,$41.94 ,$0.46 ,$47.94 , N/A , N/A ,$41.94 , N/A ,$35.95 , N/A ,$44.94 ,$33.08 ,$29.84 ,$33.08 , N/A ,$33.08 ,$48.54 ,$59.92 ,$48.54 ,$50.93 , N/A ,$41.52 , N/A ,$59.92 ,$33.62 , N/A ,$15.70 ,$59.92 , N/A , N/A , N/A ,$47.94 ,$29.66 ,$16.78 ,$53.93 ,$22.77 ,$1.35 , N/A ,$28.76 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0282,AMIODARONE 360-4.14 MG/200ML-% SOLN per 30 mg,636,1 ,$31.87 ,$22.95 ,$0.46 ,$31.87 , N/A ,$16.25 ,$17.53 , N/A ,$8.92 ,$2.40 , N/A ,$2.50 , N/A ,$15.78 ,$12.75 , N/A ,$15.78 , N/A ,$22.31 ,$0.46 ,$25.50 , N/A , N/A ,$22.31 , N/A ,$19.12 , N/A ,$23.90 ,$17.59 ,$15.87 ,$17.59 , N/A ,$17.59 ,$25.81 ,$31.87 ,$25.81 ,$27.09 , N/A ,$22.09 , N/A ,$31.87 ,$17.88 , N/A ,$8.35 ,$31.87 , N/A , N/A , N/A ,$25.50 ,$15.78 ,$8.92 ,$28.68 ,$12.11 ,$1.35 , N/A ,$15.30 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0289,AMPHOTERICIN B LIPOSOME 50 MG SUSR 1 EACH VIAL per 10 mg,636,1 ,$233.50 ,$168.12 ,$26.31 ,$233.50 ,$67.13 ,$119.09 ,$128.43 ,$26.31 ,$65.38 ,$122.12 ,$26.31 ,$128.43 ,$26.31 ,$115.58 ,$93.40 ,$26.31 ,$115.58 ,$54.24 ,$163.45 ,$52.72 ,$186.80 ,$67.13 ,$26.31 ,$163.45 ,$26.31 ,$140.10 ,$26.84 ,$175.13 ,$128.89 ,$116.28 ,$128.89 ,$26.31 ,$128.89 ,$189.14 ,$233.50 ,$189.14 ,$198.48 ,$67.13 ,$161.82 ,$26.31 ,$233.50 ,$130.99 ,$26.31 ,$61.18 ,$233.50 ,$233.50 ,$231.65 ,$27.63 ,$186.80 ,$115.58 ,$65.38 ,$210.15 ,$88.73 ,$40.46 ,$26.31 ,$112.08 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0290,AMPICILLIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$50.60 ,$36.43 ,$1.20 ,$50.60 , N/A ,$25.81 ,$27.83 , N/A ,$14.17 ,$7.34 , N/A ,$7.65 , N/A ,$25.05 ,$20.24 , N/A ,$25.05 , N/A ,$35.42 ,$1.48 ,$40.48 , N/A , N/A ,$35.42 , N/A ,$30.36 , N/A ,$37.95 ,$27.93 ,$25.20 ,$27.93 , N/A ,$27.93 ,$40.99 ,$50.60 ,$40.99 ,$43.01 , N/A ,$35.07 , N/A ,$50.60 ,$28.39 , N/A ,$13.26 ,$50.60 , N/A , N/A , N/A ,$40.48 ,$25.05 ,$14.17 ,$45.54 ,$19.23 ,$1.20 , N/A ,$24.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0290,AMPICILLIN 125 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$86.75 ,$62.46 ,$1.20 ,$86.75 , N/A ,$44.24 ,$47.71 , N/A ,$24.29 ,$7.34 , N/A ,$7.65 , N/A ,$42.94 ,$34.70 , N/A ,$42.94 , N/A ,$60.73 ,$1.48 ,$69.40 , N/A , N/A ,$60.73 , N/A ,$52.05 , N/A ,$65.06 ,$47.89 ,$43.20 ,$47.89 , N/A ,$47.89 ,$70.27 ,$86.75 ,$70.27 ,$73.74 , N/A ,$60.12 , N/A ,$86.75 ,$48.67 , N/A ,$22.73 ,$86.75 , N/A , N/A , N/A ,$69.40 ,$42.94 ,$24.29 ,$78.08 ,$32.97 ,$1.20 , N/A ,$41.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0290,AMPICILLIN 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$40.36 ,$29.06 ,$1.20 ,$40.36 , N/A ,$20.58 ,$22.20 , N/A ,$11.30 ,$7.34 , N/A ,$7.65 , N/A ,$19.98 ,$16.14 , N/A ,$19.98 , N/A ,$28.25 ,$1.48 ,$32.29 , N/A , N/A ,$28.25 , N/A ,$24.22 , N/A ,$30.27 ,$22.28 ,$20.10 ,$22.28 , N/A ,$22.28 ,$32.69 ,$40.36 ,$32.69 ,$34.31 , N/A ,$27.97 , N/A ,$40.36 ,$22.64 , N/A ,$10.57 ,$40.36 , N/A , N/A , N/A ,$32.29 ,$19.98 ,$11.30 ,$36.32 ,$15.34 ,$1.20 , N/A ,$19.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0290,AMPICILLIN 250 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$82.35 ,$59.29 ,$1.20 ,$82.35 , N/A ,$42.00 ,$45.29 , N/A ,$23.06 ,$7.34 , N/A ,$7.65 , N/A ,$40.76 ,$32.94 , N/A ,$40.76 , N/A ,$57.65 ,$1.48 ,$65.88 , N/A , N/A ,$57.65 , N/A ,$49.41 , N/A ,$61.76 ,$45.46 ,$41.01 ,$45.46 , N/A ,$45.46 ,$66.70 ,$82.35 ,$66.70 ,$70.00 , N/A ,$57.07 , N/A ,$82.35 ,$46.20 , N/A ,$21.58 ,$82.35 , N/A , N/A , N/A ,$65.88 ,$40.76 ,$23.06 ,$74.12 ,$31.29 ,$1.20 , N/A ,$39.53 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0290,AMPICILLIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$67.05 ,$48.28 ,$1.20 ,$67.05 , N/A ,$34.20 ,$36.88 , N/A ,$18.77 ,$7.34 , N/A ,$7.65 , N/A ,$33.19 ,$26.82 , N/A ,$33.19 , N/A ,$46.94 ,$1.48 ,$53.64 , N/A , N/A ,$46.94 , N/A ,$40.23 , N/A ,$50.29 ,$37.01 ,$33.39 ,$37.01 , N/A ,$37.01 ,$54.31 ,$67.05 ,$54.31 ,$56.99 , N/A ,$46.47 , N/A ,$67.05 ,$37.62 , N/A ,$17.57 ,$67.05 , N/A , N/A , N/A ,$53.64 ,$33.19 ,$18.77 ,$60.35 ,$25.48 ,$1.20 , N/A ,$32.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0295,AMPICILLIN-SULBACTAM 1.5 (1-0.5) G SOLR 1 EACH VIAL per 1.5 g,636,1 ,$126.35 ,$90.97 ,$3.76 ,$126.35 , N/A ,$64.44 ,$69.49 , N/A ,$35.38 ,$12.58 , N/A ,$13.10 , N/A ,$62.54 ,$50.54 , N/A ,$62.54 , N/A ,$88.45 ,$4.48 ,$101.08 , N/A , N/A ,$88.45 , N/A ,$75.81 , N/A ,$94.76 ,$69.75 ,$62.92 ,$69.75 , N/A ,$69.75 ,$102.34 ,$126.35 ,$102.34 ,$107.40 , N/A ,$87.56 , N/A ,$126.35 ,$70.88 , N/A ,$33.10 ,$126.35 , N/A , N/A , N/A ,$101.08 ,$62.54 ,$35.38 ,$113.72 ,$48.01 ,$3.76 , N/A ,$60.65 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0295,AMPICILLIN-SULBACTAM 3 (2-1) G SOLR 1 EACH VIAL per 1.5 g,636,1 ,$92.00 ,$66.24 ,$3.76 ,$92.00 , N/A ,$46.92 ,$50.60 , N/A ,$25.76 ,$12.58 , N/A ,$13.10 , N/A ,$45.54 ,$36.80 , N/A ,$45.54 , N/A ,$64.40 ,$4.48 ,$73.60 , N/A , N/A ,$64.40 , N/A ,$55.20 , N/A ,$69.00 ,$50.78 ,$45.82 ,$50.78 , N/A ,$50.78 ,$74.52 ,$92.00 ,$74.52 ,$78.20 , N/A ,$63.76 , N/A ,$92.00 ,$51.61 , N/A ,$24.10 ,$92.00 , N/A , N/A , N/A ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$3.76 , N/A ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7183,ANTIHEMOPHILIC FACTOR-VWF 500-500 UNITS KIT per 1 Int'l Units VWF:RCo,636,1 ,$4.55 ,$3.28 ,$1.19 ,"$2,223.78 ",$3.15 ,$2.32 ,$2.50 ,$1.23 ,$1.27 ,$2.38 ,$1.23 ,$2.50 ,$1.23 ,$2.25 ,$1.82 ,$1.23 ,$2.25 ,$2.54 ,$3.19 ,$2.28 ,$3.64 ,$3.15 ,$1.23 ,$3.19 ,$1.23 ,$2.73 ,$1.25 ,$3.41 ,$2.51 ,$2.27 ,$2.51 ,$1.23 ,$2.51 ,$3.69 ,$4.55 ,$3.69 ,$3.87 ,$3.15 ,$3.15 ,$1.23 ,$4.55 ,$2.55 ,$1.23 ,$1.19 ,$4.55 ,$4.55 ,"$2,223.78 ",$1.29 ,$3.64 ,$2.25 ,$1.27 ,$4.10 ,$1.73 ,$1.98 ,$1.23 ,$2.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J8501,APREPITANT 40 MG CAPS per 5 mg,636,1 ,$75.59 ,$54.42 ,$5.35 ,$121.98 , N/A ,$38.55 ,$41.57 , N/A ,$21.17 ,$39.53 , N/A ,$41.57 , N/A ,$37.42 ,$30.24 , N/A ,$37.42 , N/A ,$52.91 ,$7.40 ,$60.47 , N/A , N/A ,$52.91 , N/A ,$45.35 , N/A ,$56.69 ,$41.73 ,$37.64 ,$41.73 , N/A ,$41.73 ,$61.23 ,$75.59 ,$61.23 ,$64.25 , N/A ,$52.38 , N/A ,$75.59 ,$42.41 , N/A ,$19.80 ,$75.59 ,$75.59 ,$121.98 , N/A ,$60.47 ,$37.42 ,$21.17 ,$68.03 ,$28.72 ,$5.35 , N/A ,$36.28 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0883,ARGATROBAN 250 MG/2.5ML SOLN 2.5 ML VIAL per 1 mg,636,1 ,$5.63 ,$4.05 ,$1.36 ,$986.30 ,$3.48 ,$2.87 ,$3.10 ,$1.36 ,$1.58 ,$2.94 ,$1.36 ,$3.10 ,$1.36 ,$2.79 ,$2.25 ,$1.36 ,$2.79 ,$2.81 ,$3.94 ,$5.63 ,$4.50 ,$3.48 ,$1.36 ,$3.94 ,$1.36 ,$3.38 ,$1.39 ,$4.22 ,$3.11 ,$2.80 ,$3.11 ,$1.36 ,$3.11 ,$4.56 ,$5.63 ,$4.56 ,$4.79 ,$3.48 ,$3.90 ,$1.36 ,$5.63 ,$3.16 ,$1.36 ,$1.48 ,$5.63 ,$5.63 ,$986.30 ,$1.43 ,$4.50 ,$2.79 ,$1.58 ,$5.07 ,$2.14 ,$2.28 ,$1.36 ,$2.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9022,ATEZOLIZUMAB 1200 MG/20ML SOLN 20 ML VIAL per 10 mg,636,1 ,$172.77 ,$124.39 ,$45.27 ,"$13,041.26 ",$202.65 ,$88.11 ,$95.02 ,$79.44 ,$48.38 ,$90.36 ,$79.44 ,$95.02 ,$79.44 ,$85.52 ,$69.11 ,$79.44 ,$85.52 ,$163.75 ,$120.94 ,$164.54 ,$138.22 ,$202.66 ,$79.44 ,$120.94 ,$79.44 ,$103.66 ,$81.03 ,$129.58 ,$95.37 ,$86.04 ,$95.37 ,$79.44 ,$95.37 ,$139.94 ,$172.77 ,$139.94 ,$146.85 ,$172.77 ,$119.73 ,$79.44 ,$172.77 ,$96.92 ,$79.44 ,$45.27 ,$172.77 ,$172.77 ,"$13,041.26 ",$83.41 ,$138.22 ,$85.52 ,$48.38 ,$155.49 ,$65.65 ,$133.32 ,$79.44 ,$82.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0461,ATROPINE 0.4 MG/ML SOLN per 0.01 mg,636,1 ,$4.77 ,$3.43 ,$0.10 ,$4.77 , N/A ,$2.43 ,$2.62 , N/A ,$1.34 ,$2.40 , N/A ,$2.50 , N/A ,$2.36 ,$1.91 , N/A ,$2.36 , N/A ,$3.34 ,$0.14 ,$3.82 , N/A , N/A ,$3.34 , N/A ,$2.86 , N/A ,$3.58 ,$2.63 ,$2.38 ,$2.63 , N/A ,$2.63 ,$3.86 ,$4.77 ,$3.86 ,$4.05 , N/A ,$3.31 , N/A ,$4.77 ,$2.68 , N/A ,$1.25 ,$4.77 , N/A , N/A , N/A ,$3.82 ,$2.36 ,$1.34 ,$4.29 ,$1.81 ,$0.10 , N/A ,$2.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0461,ATROPINE 1 MG/10ML SOSY per 0.01 mg,636,1 ,$2.06 ,$1.48 ,$0.10 ,$2.06 , N/A ,$1.05 ,$1.13 , N/A ,$0.58 ,$1.08 , N/A ,$1.13 , N/A ,$1.02 ,$0.82 , N/A ,$1.02 , N/A ,$1.44 ,$0.14 ,$1.65 , N/A , N/A ,$1.44 , N/A ,$1.24 , N/A ,$1.55 ,$1.14 ,$1.03 ,$1.14 , N/A ,$1.14 ,$1.67 ,$2.06 ,$1.67 ,$1.75 , N/A ,$1.43 , N/A ,$2.06 ,$1.16 , N/A ,$0.54 ,$2.06 , N/A , N/A , N/A ,$1.65 ,$1.02 ,$0.58 ,$1.85 ,$0.78 ,$0.10 , N/A ,$0.99 
ST. MARY'S HOSPITAL - DECATUR,63600002,j0461,ATROPINE 1 MG/ML SOLN per 0.01 mg,636,1 ,$1.93 ,$1.39 ,$0.10 ,$1.93 , N/A ,$0.98 ,$1.06 , N/A ,$0.54 ,$1.01 , N/A ,$1.06 , N/A ,$0.96 ,$0.77 , N/A ,$0.96 , N/A ,$1.35 ,$0.14 ,$1.54 , N/A , N/A ,$1.35 , N/A ,$1.16 , N/A ,$1.45 ,$1.07 ,$0.96 ,$1.07 , N/A ,$1.07 ,$1.56 ,$1.93 ,$1.56 ,$1.64 , N/A ,$1.34 , N/A ,$1.93 ,$1.08 , N/A ,$0.51 ,$1.93 , N/A , N/A , N/A ,$1.54 ,$0.96 ,$0.54 ,$1.74 ,$0.73 ,$0.10 , N/A ,$0.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9023,AVELUMAB 200 MG/10ML SOLN 10 ML VIAL per 10 mg,636,1 ,$182.08 ,$131.10 ,$47.71 ,"$3,062.40 ",$222.95 ,$92.86 ,$100.14 ,$87.40 ,$50.98 ,$95.23 ,$87.40 ,$100.14 ,$87.40 ,$90.13 ,$72.83 ,$87.40 ,$90.13 ,$180.14 ,$127.46 ,$176.74 ,$145.66 ,$222.94 ,$87.40 ,$127.46 ,$87.40 ,$109.25 ,$89.14 ,$136.56 ,$100.51 ,$90.68 ,$100.51 ,$87.40 ,$100.51 ,$147.48 ,$182.08 ,$147.48 ,$154.77 ,$182.08 ,$126.18 ,$87.40 ,$182.08 ,$102.15 ,$87.40 ,$47.71 ,$182.08 ,$182.08 ,"$3,062.40 ",$91.77 ,$145.66 ,$90.13 ,$50.98 ,$163.87 ,$69.19 ,$147.41 ,$87.40 ,$87.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9025,AZACITIDINE 100 MG SUSR per 1 mg,636,1 ,$11.32 ,$8.15 ,$0.74 ,$282.53 , N/A ,$5.77 ,$6.23 , N/A ,$3.17 ,$5.92 , N/A ,$6.23 , N/A ,$5.60 ,$4.53 , N/A ,$5.60 , N/A ,$7.92 ,$1.34 ,$9.06 , N/A , N/A ,$7.92 , N/A ,$6.79 , N/A ,$8.49 ,$6.25 ,$5.64 ,$6.25 , N/A ,$6.25 ,$9.17 ,$11.32 ,$9.17 ,$9.62 , N/A ,$7.84 , N/A ,$11.32 ,$6.35 , N/A ,$2.97 ,$11.32 ,$11.32 ,$282.53 , N/A ,$9.06 ,$5.60 ,$3.17 ,$10.19 ,$4.30 ,$0.74 , N/A ,$5.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7500,AZATHIOPRINE 50 MG TABS per 50 mg,636,1 ,$10.15 ,$7.31 ,$2.40 ,$10.15 , N/A ,$5.18 ,$5.58 , N/A ,$2.84 ,$2.40 , N/A ,$2.50 , N/A ,$5.02 ,$4.06 , N/A ,$5.02 , N/A ,$7.11 ,$10.15 ,$8.12 , N/A , N/A ,$7.11 , N/A ,$6.09 , N/A ,$7.61 ,$5.60 ,$5.05 ,$5.60 , N/A ,$5.60 ,$8.22 ,$10.15 ,$8.22 ,$8.63 , N/A ,$7.03 , N/A ,$10.15 ,$5.69 , N/A ,$2.66 ,$10.15 , N/A , N/A , N/A ,$8.12 ,$5.02 ,$2.84 ,$9.14 ,$3.86 ,$10.15 , N/A ,$4.87 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0456,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$171.10 ,$123.19 ,$4.24 ,$171.10 , N/A ,$87.26 ,$94.11 , N/A ,$47.91 ,$14.50 , N/A ,$15.10 , N/A ,$84.69 ,$68.44 , N/A ,$84.69 , N/A ,$119.77 ,$5.04 ,$136.88 , N/A , N/A ,$119.77 , N/A ,$102.66 , N/A ,$128.33 ,$94.45 ,$85.21 ,$94.45 , N/A ,$94.45 ,$138.59 ,$171.10 ,$138.59 ,$145.44 , N/A ,$118.57 , N/A ,$171.10 ,$95.99 , N/A ,$44.83 ,$171.10 , N/A , N/A , N/A ,$136.88 ,$84.69 ,$47.91 ,$153.99 ,$65.02 ,$4.24 , N/A ,$82.13 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9399,BARICITINIB 1 MG TABS per 1 mg,636,1 ,$261.65 ,$188.39 ,$68.55 ,$261.65 , N/A ,$133.44 ,$143.91 , N/A ,$73.26 ,$136.84 , N/A ,$143.91 , N/A ,$129.52 ,$104.66 , N/A ,$129.52 ,$117.74 ,$183.16 , N/A ,$209.32 ,$183.16 , N/A ,$183.16 , N/A ,$156.99 , N/A ,$196.24 ,$144.43 ,$130.30 ,$144.43 , N/A ,$144.43 ,$211.94 ,$261.65 ,$211.94 ,$222.40 , N/A ,$181.32 , N/A ,$261.65 ,$146.79 , N/A ,$68.55 ,$261.65 , N/A , N/A , N/A ,$209.32 ,$129.52 ,$73.26 ,$235.49 ,$99.43 , N/A , N/A ,$125.59 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9399,BARICITINIB 2 MG TABS per 2 mg,636,1 ,$274.70 ,$197.78 ,$71.97 ,$274.70 , N/A ,$140.10 ,$151.09 , N/A ,$76.92 ,$143.67 , N/A ,$151.09 , N/A ,$135.98 ,$109.88 , N/A ,$135.98 ,$123.62 ,$192.29 , N/A ,$219.76 ,$192.29 , N/A ,$192.29 , N/A ,$164.82 , N/A ,$206.03 ,$151.63 ,$136.80 ,$151.63 , N/A ,$151.63 ,$222.51 ,$274.70 ,$222.51 ,$233.50 , N/A ,$190.37 , N/A ,$274.70 ,$154.11 , N/A ,$71.97 ,$274.70 , N/A , N/A , N/A ,$219.76 ,$135.98 ,$76.92 ,$247.23 ,$104.39 , N/A , N/A ,$131.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0517,BENRALIZUMAB 30 MG/ML SOSY per 1 mg,636,1 ,$590.27 ,$424.99 ,$154.65 ,"$2,223.78 ",$417.80 ,$301.04 ,$324.65 ,$163.78 ,$165.28 ,$308.71 ,$163.78 ,$324.65 ,$163.78 ,$292.18 ,$236.11 ,$163.78 ,$292.18 ,$337.57 ,$413.19 ,$337.72 ,$472.22 ,$417.79 ,$163.78 ,$413.19 ,$163.78 ,$354.16 ,$167.05 ,$442.70 ,$325.83 ,$293.95 ,$325.83 ,$163.78 ,$325.83 ,$478.12 ,$590.27 ,$478.12 ,$501.73 ,$417.79 ,$409.06 ,$163.78 ,$590.27 ,$331.14 ,$163.78 ,$154.65 ,$590.27 ,$590.27 ,"$2,223.78 ",$171.97 ,$472.22 ,$292.18 ,$165.28 ,$531.24 ,$224.30 ,$277.61 ,$163.78 ,$283.33 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0515,BENZTROPINE MESYLATE 1 MG/ML SOLN per 1 mg,636,1 ,$256.25 ,$184.50 ,$28.81 ,$256.25 , N/A ,$130.69 ,$140.94 , N/A ,$71.75 ,$91.92 , N/A ,$95.75 , N/A ,$126.84 ,$102.50 , N/A ,$126.84 , N/A ,$179.38 ,$36.06 ,$205.00 , N/A , N/A ,$179.38 , N/A ,$153.75 , N/A ,$192.19 ,$141.45 ,$127.61 ,$141.45 , N/A ,$141.45 ,$207.56 ,$256.25 ,$207.56 ,$217.81 , N/A ,$177.58 , N/A ,$256.25 ,$143.76 , N/A ,$67.14 ,$256.25 ,$58.00 ,$55.37 , N/A ,$205.00 ,$126.84 ,$71.75 ,$230.63 ,$97.38 ,$28.81 , N/A ,$123.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0702,BETAMETHASONE ACET/SODIUM PHOSPHATE 6 (3-3) MG/ML SUSP per 6 mg,636,1 ,$94.20 ,$67.82 ,$11.45 ,$94.20 , N/A ,$48.04 ,$51.81 , N/A ,$26.38 ,$37.01 , N/A ,$38.55 , N/A ,$46.63 ,$37.68 , N/A ,$46.63 , N/A ,$65.94 ,$13.10 ,$75.36 , N/A , N/A ,$65.94 , N/A ,$56.52 , N/A ,$70.65 ,$52.00 ,$46.91 ,$52.00 , N/A ,$52.00 ,$76.30 ,$94.20 ,$76.30 ,$80.07 , N/A ,$65.28 , N/A ,$94.20 ,$52.85 , N/A ,$24.68 ,$94.20 , N/A , N/A , N/A ,$75.36 ,$46.63 ,$26.38 ,$84.78 ,$35.80 ,$11.45 , N/A ,$45.22 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9035,BEVACIZUMAB 100 MG/4ML SOLN 4 ML VIAL per 10 mg,636,1 ,$158.39 ,$114.04 ,$41.50 ,"$2,223.78 ",$178.38 ,$80.78 ,$87.11 ,$69.92 ,$44.35 ,$82.84 ,$69.92 ,$87.11 ,$69.92 ,$78.40 ,$63.36 ,$69.92 ,$78.40 ,$144.14 ,$110.87 ,$138.46 ,$126.71 ,$178.39 ,$69.92 ,$110.87 ,$69.92 ,$95.03 ,$71.32 ,$118.79 ,$87.43 ,$78.88 ,$87.43 ,$69.92 ,$87.43 ,$128.30 ,$158.39 ,$128.30 ,$134.63 ,$158.39 ,$109.76 ,$69.92 ,$158.39 ,$88.86 ,$69.92 ,$41.50 ,$158.39 ,$158.39 ,"$2,223.78 ",$73.42 ,$126.71 ,$78.40 ,$44.35 ,$142.55 ,$60.19 ,$116.74 ,$69.92 ,$76.03 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9035,BEVACIZUMAB 400 MG/16ML SOLN 16 ML VIAL per 10 mg,636,1 ,$168.61 ,$121.40 ,$44.18 ,"$2,223.78 ",$178.38 ,$85.99 ,$92.74 ,$69.92 ,$47.21 ,$88.18 ,$69.92 ,$92.74 ,$69.92 ,$83.46 ,$67.44 ,$69.92 ,$83.46 ,$144.14 ,$118.03 ,$138.46 ,$134.89 ,$178.39 ,$69.92 ,$118.03 ,$69.92 ,$101.17 ,$71.32 ,$126.46 ,$93.07 ,$83.97 ,$93.07 ,$69.92 ,$93.07 ,$136.57 ,$168.61 ,$136.57 ,$143.32 ,$168.61 ,$116.85 ,$69.92 ,$168.61 ,$94.59 ,$69.92 ,$44.18 ,$168.61 ,$168.61 ,"$2,223.78 ",$73.42 ,$134.89 ,$83.46 ,$47.21 ,$151.75 ,$64.07 ,$116.74 ,$69.92 ,$80.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0583,BIVALIRUDIN 250 MG SOLR per 1 mg,636,1 ,$9.10 ,$6.55 ,$0.43 ,$220.57 , N/A ,$4.64 ,$5.01 , N/A ,$2.55 ,$4.27 , N/A ,$4.45 , N/A ,$4.50 ,$3.64 , N/A ,$4.50 , N/A ,$6.37 ,$0.58 ,$7.28 , N/A , N/A ,$6.37 , N/A ,$5.46 , N/A ,$6.83 ,$5.02 ,$4.53 ,$5.02 , N/A ,$5.02 ,$7.37 ,$9.10 ,$7.37 ,$7.74 , N/A ,$6.31 , N/A ,$9.10 ,$5.11 , N/A ,$2.38 ,$9.10 ,$9.10 ,$220.57 , N/A ,$7.28 ,$4.50 ,$2.55 ,$8.19 ,$3.46 ,$0.43 , N/A ,$4.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9041,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL per 0.1 mg,636,1 ,$97.22 ,$70.00 ,$6.10 ,"$1,035.64 ",$15.55 ,$49.58 ,$53.47 ,$6.10 ,$27.22 ,$50.85 ,$6.10 ,$53.47 ,$6.10 ,$48.12 ,$38.89 ,$6.10 ,$48.12 ,$12.55 ,$68.05 ,$88.02 ,$77.78 ,$15.54 ,$6.10 ,$68.05 ,$6.10 ,$58.33 ,$6.21 ,$72.92 ,$53.67 ,$48.42 ,$53.67 ,$6.10 ,$53.67 ,$78.75 ,$97.22 ,$78.75 ,$82.64 ,$15.54 ,$67.37 ,$6.10 ,$97.22 ,$54.54 ,$6.10 ,$25.47 ,$97.22 ,$97.22 ,"$1,035.64 ",$6.40 ,$77.78 ,$48.12 ,$27.22 ,$87.50 ,$36.94 ,$14.87 ,$6.10 ,$46.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0572,BUPRENORPHINE-NALOXONE 2-0.5 MG SUBL per 1 tablet,636,1 ,$57.00 ,$41.04 ,$8.00 ,$57.00 , N/A ,$29.07 ,$31.35 , N/A ,$15.96 ,$20.06 , N/A ,$20.90 , N/A ,$28.22 ,$22.80 , N/A ,$28.22 , N/A ,$39.90 ,$8.00 ,$45.60 , N/A , N/A ,$39.90 , N/A ,$34.20 , N/A ,$42.75 ,$31.46 ,$28.39 ,$31.46 , N/A ,$31.46 ,$46.17 ,$57.00 ,$46.17 ,$48.45 , N/A ,$39.50 , N/A ,$57.00 ,$31.98 , N/A ,$14.93 ,$57.00 , N/A , N/A , N/A ,$45.60 ,$28.22 ,$15.96 ,$51.30 ,$21.66 ,$11.80 , N/A ,$27.36 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0595,BUTORPHANOL 1 MG/ML SOLN per 1 mg,636,1 ,$98.65 ,$71.03 ,$5.84 ,$98.65 , N/A ,$50.31 ,$54.26 , N/A ,$27.62 ,$13.63 , N/A ,$14.20 , N/A ,$48.83 ,$39.46 , N/A ,$48.83 , N/A ,$69.06 ,$5.94 ,$78.92 , N/A , N/A ,$69.06 , N/A ,$59.19 , N/A ,$73.99 ,$54.45 ,$49.13 ,$54.45 , N/A ,$54.45 ,$79.91 ,$98.65 ,$79.91 ,$83.85 , N/A ,$68.36 , N/A ,$98.65 ,$55.34 , N/A ,$25.85 ,$98.65 , N/A , N/A , N/A ,$78.92 ,$48.83 ,$27.62 ,$88.79 ,$37.49 ,$5.84 , N/A ,$47.35 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0595,BUTORPHANOL 2 MG/ML SOLN per 1 mg,636,1 ,$54.78 ,$39.44 ,$5.84 ,$54.78 , N/A ,$27.94 ,$30.13 , N/A ,$15.34 ,$13.63 , N/A ,$14.20 , N/A ,$27.12 ,$21.91 , N/A ,$27.12 , N/A ,$38.35 ,$5.94 ,$43.82 , N/A , N/A ,$38.35 , N/A ,$32.87 , N/A ,$41.09 ,$30.24 ,$27.28 ,$30.24 , N/A ,$30.24 ,$44.37 ,$54.78 ,$44.37 ,$46.56 , N/A ,$37.96 , N/A ,$54.78 ,$30.73 , N/A ,$14.35 ,$54.78 , N/A , N/A , N/A ,$43.82 ,$27.12 ,$15.34 ,$49.30 ,$20.82 ,$5.84 , N/A ,$26.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0630,CALCITONIN 200 UNIT/ML SOLN per 400 Units,636,1 ,"$10,360.95 ","$7,459.88 ","$1,035.64 ","$10,360.95 ","$3,320.00 ","$5,284.08 ","$5,698.52 ","$1,301.44 ","$2,901.07 ","$5,418.78 ","$1,301.44 ","$5,698.52 ","$1,301.44 ","$5,128.67 ","$4,144.38 ","$1,301.44 ","$5,128.67 ","$2,682.55 ","$7,252.67 ","$4,462.76 ","$8,288.76 ","$3,319.99 ","$1,301.44 ","$7,252.67 ","$1,301.44 ","$6,216.57 ","$1,327.46 ","$7,770.71 ","$5,719.24 ","$5,159.75 ","$5,719.24 ","$1,301.44 ","$5,719.24 ","$8,392.37 ","$10,360.95 ","$8,392.37 ","$8,806.81 ","$3,319.99 ","$7,180.14 ","$1,301.44 ","$10,360.95 ","$5,812.49 ","$1,301.44 ","$2,714.57 ","$10,360.95 ","$1,084.95 ","$1,035.64 ","$1,366.51 ","$8,288.76 ","$5,128.67 ","$2,901.07 ","$9,324.86 ","$3,937.16 ","$3,197.52 ","$1,301.44 ","$4,973.26 "
ST. MARY'S HOSPITAL - DECATUR,63600002,J0636,CALCITRIOL 1 MCG/ML SOLN per 0.1 mcg,636,1 ,$12.51 ,$9.01 ,$1.14 ,$12.51 , N/A ,$6.38 ,$6.88 , N/A ,$3.50 ,$2.98 , N/A ,$3.10 , N/A ,$6.19 ,$5.00 , N/A ,$6.19 , N/A ,$8.76 ,$1.36 ,$10.01 , N/A , N/A ,$8.76 , N/A ,$7.51 , N/A ,$9.38 ,$6.91 ,$6.23 ,$6.91 , N/A ,$6.91 ,$10.13 ,$12.51 ,$10.13 ,$10.63 , N/A ,$8.67 , N/A ,$12.51 ,$7.02 , N/A ,$3.28 ,$12.51 , N/A , N/A , N/A ,$10.01 ,$6.19 ,$3.50 ,$11.26 ,$4.75 ,$1.14 , N/A ,$6.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0610,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL per 10 mL,636,1 ,$134.15 ,$96.59 ,$7.90 ,$134.15 , N/A ,$68.42 ,$73.78 , N/A ,$37.56 ,$15.79 , N/A ,$16.45 , N/A ,$66.40 ,$53.66 , N/A ,$66.40 , N/A ,$93.91 ,$7.90 ,$107.32 , N/A , N/A ,$93.91 , N/A ,$80.49 , N/A ,$100.61 ,$74.05 ,$66.81 ,$74.05 , N/A ,$74.05 ,$108.66 ,$134.15 ,$108.66 ,$114.03 , N/A ,$92.97 , N/A ,$134.15 ,$75.26 , N/A ,$35.15 ,$134.15 , N/A , N/A , N/A ,$107.32 ,$66.40 ,$37.56 ,$120.74 ,$50.98 ,$8.53 , N/A ,$64.39 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0610,CALCIUM GLUCONATE 10 % SOLN 50 ML VIAL per 10 mL,636,1 ,$66.38 ,$47.79 ,$7.90 ,$66.38 , N/A ,$33.85 ,$36.51 , N/A ,$18.59 ,$15.79 , N/A ,$16.45 , N/A ,$32.86 ,$26.55 , N/A ,$32.86 , N/A ,$46.47 ,$7.90 ,$53.10 , N/A , N/A ,$46.47 , N/A ,$39.83 , N/A ,$49.79 ,$36.64 ,$33.06 ,$36.64 , N/A ,$36.64 ,$53.77 ,$66.38 ,$53.77 ,$56.42 , N/A ,$46.00 , N/A ,$66.38 ,$37.24 , N/A ,$17.39 ,$66.38 , N/A , N/A , N/A ,$53.10 ,$32.86 ,$18.59 ,$59.74 ,$25.22 ,$8.53 , N/A ,$31.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9045,CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL per 50 mg,636,1 ,$40.89 ,$29.44 ,$4.09 ,$40.89 , N/A ,$20.85 ,$22.49 , N/A ,$11.45 ,$16.94 , N/A ,$17.65 , N/A ,$20.24 ,$16.36 , N/A ,$20.24 , N/A ,$28.62 ,$5.86 ,$32.71 , N/A , N/A ,$28.62 , N/A ,$24.53 , N/A ,$30.67 ,$22.57 ,$20.36 ,$22.57 , N/A ,$22.57 ,$33.12 ,$40.89 ,$33.12 ,$34.76 , N/A ,$28.34 , N/A ,$40.89 ,$22.94 , N/A ,$10.71 ,$40.89 , N/A , N/A , N/A ,$32.71 ,$20.24 ,$11.45 ,$36.80 ,$15.54 ,$4.09 , N/A ,$19.63 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$36.90 ,$26.57 ,$1.20 ,$36.90 , N/A ,$18.82 ,$20.30 , N/A ,$10.33 ,$4.37 , N/A ,$4.55 , N/A ,$18.27 ,$14.76 , N/A ,$18.27 , N/A ,$25.83 ,$1.50 ,$29.52 , N/A , N/A ,$25.83 , N/A ,$22.14 , N/A ,$27.68 ,$20.37 ,$18.38 ,$20.37 , N/A ,$20.37 ,$29.89 ,$36.90 ,$29.89 ,$31.37 , N/A ,$25.57 , N/A ,$36.90 ,$20.70 , N/A ,$9.67 ,$36.90 , N/A , N/A , N/A ,$29.52 ,$18.27 ,$10.33 ,$33.21 ,$14.02 ,$1.20 , N/A ,$17.71 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 10 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$17.51 ,$12.61 ,$1.20 ,$17.51 , N/A ,$8.93 ,$9.63 , N/A ,$4.90 ,$4.37 , N/A ,$4.55 , N/A ,$8.67 ,$7.00 , N/A ,$8.67 , N/A ,$12.26 ,$1.50 ,$14.01 , N/A , N/A ,$12.26 , N/A ,$10.51 , N/A ,$13.13 ,$9.67 ,$8.72 ,$9.67 , N/A ,$9.67 ,$14.18 ,$17.51 ,$14.18 ,$14.88 , N/A ,$12.13 , N/A ,$17.51 ,$9.82 , N/A ,$4.59 ,$17.51 , N/A , N/A , N/A ,$14.01 ,$8.67 ,$4.90 ,$15.76 ,$6.65 ,$1.20 , N/A ,$8.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$30.57 ,$22.01 ,$1.20 ,$30.57 , N/A ,$15.59 ,$16.81 , N/A ,$8.56 ,$4.37 , N/A ,$4.55 , N/A ,$15.13 ,$12.23 , N/A ,$15.13 , N/A ,$21.40 ,$1.50 ,$24.46 , N/A , N/A ,$21.40 , N/A ,$18.34 , N/A ,$22.93 ,$16.87 ,$15.22 ,$16.87 , N/A ,$16.87 ,$24.76 ,$30.57 ,$24.76 ,$25.98 , N/A ,$21.19 , N/A ,$30.57 ,$17.15 , N/A ,$8.01 ,$30.57 , N/A , N/A , N/A ,$24.46 ,$15.13 ,$8.56 ,$27.51 ,$11.62 ,$1.20 , N/A ,$14.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 2-3 GM-%(50ML) SOLR per 500 mg,636,1 ,$31.66 ,$22.80 ,$1.20 ,$31.66 , N/A ,$16.15 ,$17.41 , N/A ,$8.86 ,$4.37 , N/A ,$4.55 , N/A ,$15.67 ,$12.66 , N/A ,$15.67 , N/A ,$22.16 ,$1.50 ,$25.33 , N/A , N/A ,$22.16 , N/A ,$19.00 , N/A ,$23.75 ,$17.48 ,$15.77 ,$17.48 , N/A ,$17.48 ,$25.64 ,$31.66 ,$25.64 ,$26.91 , N/A ,$21.94 , N/A ,$31.66 ,$17.76 , N/A ,$8.29 ,$31.66 , N/A , N/A , N/A ,$25.33 ,$15.67 ,$8.86 ,$28.49 ,$12.03 ,$1.20 , N/A ,$15.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 3-0.9 GM/100ML-% SOLN per 500 mg,636,1 ,$12.96 ,$9.33 ,$1.20 ,$12.96 , N/A ,$6.61 ,$7.13 , N/A ,$3.63 ,$4.37 , N/A ,$4.55 , N/A ,$6.42 ,$5.18 , N/A ,$6.42 , N/A ,$9.07 ,$1.50 ,$10.37 , N/A , N/A ,$9.07 , N/A ,$7.78 , N/A ,$9.72 ,$7.15 ,$6.45 ,$7.15 , N/A ,$7.15 ,$10.50 ,$12.96 ,$10.50 ,$11.02 , N/A ,$8.98 , N/A ,$12.96 ,$7.27 , N/A ,$3.40 ,$12.96 , N/A , N/A , N/A ,$10.37 ,$6.42 ,$3.63 ,$11.66 ,$4.92 ,$1.20 , N/A ,$6.22 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0690,CEFAZOLIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$78.85 ,$56.77 ,$1.20 ,$78.85 , N/A ,$40.21 ,$43.37 , N/A ,$22.08 ,$4.37 , N/A ,$4.55 , N/A ,$39.03 ,$31.54 , N/A ,$39.03 , N/A ,$55.20 ,$1.50 ,$63.08 , N/A , N/A ,$55.20 , N/A ,$47.31 , N/A ,$59.14 ,$43.53 ,$39.27 ,$43.53 , N/A ,$43.53 ,$63.87 ,$78.85 ,$63.87 ,$67.02 , N/A ,$54.64 , N/A ,$78.85 ,$44.23 , N/A ,$20.66 ,$78.85 , N/A , N/A , N/A ,$63.08 ,$39.03 ,$22.08 ,$70.97 ,$29.96 ,$1.20 , N/A ,$37.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0692,CEFEPIME 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$54.25 ,$39.06 ,$2.13 ,$54.25 , N/A ,$27.67 ,$29.84 , N/A ,$15.19 ,$13.34 , N/A ,$13.90 , N/A ,$26.85 ,$21.70 , N/A ,$26.85 , N/A ,$37.98 ,$3.56 ,$43.40 , N/A , N/A ,$37.98 , N/A ,$32.55 , N/A ,$40.69 ,$29.95 ,$27.02 ,$29.95 , N/A ,$29.95 ,$43.94 ,$54.25 ,$43.94 ,$46.11 , N/A ,$37.60 , N/A ,$54.25 ,$30.43 , N/A ,$14.21 ,$54.25 , N/A , N/A , N/A ,$43.40 ,$26.85 ,$15.19 ,$48.83 ,$20.62 ,$2.13 , N/A ,$26.04 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0692,CEFEPIME 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$33.50 ,$24.12 ,$2.13 ,$33.50 , N/A ,$17.09 ,$18.43 , N/A ,$9.38 ,$13.34 , N/A ,$13.90 , N/A ,$16.58 ,$13.40 , N/A ,$16.58 , N/A ,$23.45 ,$3.56 ,$26.80 , N/A , N/A ,$23.45 , N/A ,$20.10 , N/A ,$25.13 ,$18.49 ,$16.68 ,$18.49 , N/A ,$18.49 ,$27.14 ,$33.50 ,$27.14 ,$28.48 , N/A ,$23.22 , N/A ,$33.50 ,$18.79 , N/A ,$8.78 ,$33.50 , N/A , N/A , N/A ,$26.80 ,$16.58 ,$9.38 ,$30.15 ,$12.73 ,$2.13 , N/A ,$16.08 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0694,CEFOXITIN 1 G SOLR 1 EACH VIAL per 1 g,636,1 ,$111.25 ,$80.10 ,$8.04 ,$111.25 , N/A ,$56.74 ,$61.19 , N/A ,$31.15 ,$25.49 , N/A ,$26.55 , N/A ,$55.07 ,$44.50 , N/A ,$55.07 , N/A ,$77.88 ,$9.26 ,$89.00 , N/A , N/A ,$77.88 , N/A ,$66.75 , N/A ,$83.44 ,$61.41 ,$55.40 ,$61.41 , N/A ,$61.41 ,$90.11 ,$111.25 ,$90.11 ,$94.56 , N/A ,$77.10 , N/A ,$111.25 ,$62.41 , N/A ,$29.15 ,$111.25 , N/A , N/A , N/A ,$89.00 ,$55.07 ,$31.15 ,$100.13 ,$42.28 ,$8.04 , N/A ,$53.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0694,CEFOXITIN 2 G SOLR 1 EACH VIAL per 1 g,636,1 ,$108.80 ,$78.34 ,$8.04 ,$108.80 , N/A ,$55.49 ,$59.84 , N/A ,$30.46 ,$25.49 , N/A ,$26.55 , N/A ,$53.86 ,$43.52 , N/A ,$53.86 , N/A ,$76.16 ,$9.26 ,$87.04 , N/A , N/A ,$76.16 , N/A ,$65.28 , N/A ,$81.60 ,$60.06 ,$54.18 ,$60.06 , N/A ,$60.06 ,$88.13 ,$108.80 ,$88.13 ,$92.48 , N/A ,$75.40 , N/A ,$108.80 ,$61.04 , N/A ,$28.51 ,$108.80 , N/A , N/A , N/A ,$87.04 ,$53.86 ,$30.46 ,$97.92 ,$41.34 ,$8.04 , N/A ,$52.22 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0712,CEFTAROLINE 400 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$31.28 ,$22.52 ,$3.69 ,$282.53 ,$9.43 ,$15.95 ,$17.20 ,$3.69 ,$8.76 ,$13.44 ,$3.69 ,$14.00 ,$3.69 ,$15.48 ,$12.51 ,$3.69 ,$15.48 ,$7.61 ,$21.90 ,$7.44 ,$25.02 ,$9.41 ,$3.69 ,$21.90 ,$3.69 ,$18.77 ,$3.76 ,$23.46 ,$17.27 ,$15.58 ,$17.27 ,$3.69 ,$17.27 ,$25.34 ,$31.28 ,$25.34 ,$26.59 ,$9.41 ,$21.68 ,$3.69 ,$31.28 ,$17.55 ,$3.69 ,$8.20 ,$31.28 ,$31.28 ,$282.53 ,$3.88 ,$25.02 ,$15.48 ,$8.76 ,$28.15 ,$11.89 ,$6.24 ,$3.69 ,$15.01 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0712,CEFTAROLINE 600 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$20.85 ,$15.01 ,$3.69 ,$282.53 ,$9.43 ,$10.63 ,$11.47 ,$3.69 ,$5.84 ,$10.90 ,$3.69 ,$11.47 ,$3.69 ,$10.32 ,$8.34 ,$3.69 ,$10.32 ,$7.61 ,$14.60 ,$7.44 ,$16.68 ,$9.41 ,$3.69 ,$14.60 ,$3.69 ,$12.51 ,$3.76 ,$15.64 ,$11.51 ,$10.38 ,$11.51 ,$3.69 ,$11.51 ,$16.89 ,$20.85 ,$16.89 ,$17.72 ,$9.41 ,$14.45 ,$3.69 ,$20.85 ,$11.70 ,$3.69 ,$5.46 ,$20.85 ,$20.85 ,$282.53 ,$3.88 ,$16.68 ,$10.32 ,$5.84 ,$18.77 ,$7.92 ,$6.24 ,$3.69 ,$10.01 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0713,CEFTAZIDIME 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$46.60 ,$33.55 ,$3.27 ,$46.60 , N/A ,$23.77 ,$25.63 , N/A ,$13.05 ,$11.95 , N/A ,$12.45 , N/A ,$23.07 ,$18.64 , N/A ,$23.07 , N/A ,$32.62 ,$4.18 ,$37.28 , N/A , N/A ,$32.62 , N/A ,$27.96 , N/A ,$34.95 ,$25.72 ,$23.21 ,$25.72 , N/A ,$25.72 ,$37.75 ,$46.60 ,$37.75 ,$39.61 , N/A ,$32.29 , N/A ,$46.60 ,$26.14 , N/A ,$12.21 ,$46.60 , N/A , N/A , N/A ,$37.28 ,$23.07 ,$13.05 ,$41.94 ,$17.71 ,$3.27 , N/A ,$22.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0713,CEFTAZIDIME 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$35.60 ,$25.63 ,$3.27 ,$35.60 , N/A ,$18.16 ,$19.58 , N/A ,$9.97 ,$11.95 , N/A ,$12.45 , N/A ,$17.62 ,$14.24 , N/A ,$17.62 , N/A ,$24.92 ,$4.18 ,$28.48 , N/A , N/A ,$24.92 , N/A ,$21.36 , N/A ,$26.70 ,$19.65 ,$17.73 ,$19.65 , N/A ,$19.65 ,$28.84 ,$35.60 ,$28.84 ,$30.26 , N/A ,$24.67 , N/A ,$35.60 ,$19.97 , N/A ,$9.33 ,$35.60 , N/A , N/A , N/A ,$28.48 ,$17.62 ,$9.97 ,$32.04 ,$13.53 ,$3.27 , N/A ,$17.09 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0714,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G SOLR 1 EACH VIAL per 0.625 g,636,1 ,$267.85 ,$192.85 ,$70.18 ,$267.85 ,$227.10 ,$136.60 ,$147.32 ,$89.02 ,$75.00 ,$140.09 ,$89.02 ,$147.32 ,$89.02 ,$132.59 ,$107.14 ,$89.02 ,$132.59 ,$183.49 ,$187.50 ,$183.58 ,$214.28 ,$227.10 ,$89.02 ,$187.50 ,$89.02 ,$160.71 ,$90.80 ,$200.89 ,$147.85 ,$133.39 ,$147.85 ,$89.02 ,$147.85 ,$216.96 ,$267.85 ,$216.96 ,$227.67 ,$227.10 ,$185.62 ,$89.02 ,$267.85 ,$150.26 ,$89.02 ,$70.18 ,$267.85 , N/A , N/A ,$93.47 ,$214.28 ,$132.59 ,$75.00 ,$241.07 ,$101.78 ,$150.76 ,$89.02 ,$128.57 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0696,CEFTRIAXONE 1 G SOLR 1 EACH VIAL per 250 mg,636,1 ,$43.13 ,$31.05 ,$0.87 ,$43.13 , N/A ,$22.00 ,$23.72 , N/A ,$12.08 ,$3.46 , N/A ,$3.60 , N/A ,$21.35 ,$17.25 , N/A ,$21.35 , N/A ,$30.19 ,$1.02 ,$34.50 , N/A , N/A ,$30.19 , N/A ,$25.88 , N/A ,$32.35 ,$23.81 ,$21.48 ,$23.81 , N/A ,$23.81 ,$34.94 ,$43.13 ,$34.94 ,$36.66 , N/A ,$29.89 , N/A ,$43.13 ,$24.20 , N/A ,$11.30 ,$43.13 , N/A , N/A , N/A ,$34.50 ,$21.35 ,$12.08 ,$38.82 ,$16.39 ,$0.87 , N/A ,$20.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0696,CEFTRIAXONE 2 G SOLR 1 EACH VIAL per 250 mg,636,1 ,$13.45 ,$9.68 ,$0.87 ,$13.45 , N/A ,$6.86 ,$7.40 , N/A ,$3.77 ,$3.46 , N/A ,$3.60 , N/A ,$6.66 ,$5.38 , N/A ,$6.66 , N/A ,$9.42 ,$1.02 ,$10.76 , N/A , N/A ,$9.42 , N/A ,$8.07 , N/A ,$10.09 ,$7.42 ,$6.70 ,$7.42 , N/A ,$7.42 ,$10.89 ,$13.45 ,$10.89 ,$11.43 , N/A ,$9.32 , N/A ,$13.45 ,$7.55 , N/A ,$3.52 ,$13.45 , N/A , N/A , N/A ,$10.76 ,$6.66 ,$3.77 ,$12.11 ,$5.11 ,$0.87 , N/A ,$6.46 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0696,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL per 250 mg,636,1 ,$35.93 ,$25.87 ,$0.87 ,$35.93 , N/A ,$18.32 ,$19.76 , N/A ,$10.06 ,$3.46 , N/A ,$3.60 , N/A ,$17.79 ,$14.37 , N/A ,$17.79 , N/A ,$25.15 ,$1.02 ,$28.74 , N/A , N/A ,$25.15 , N/A ,$21.56 , N/A ,$26.95 ,$19.83 ,$17.89 ,$19.83 , N/A ,$19.83 ,$29.10 ,$35.93 ,$29.10 ,$30.54 , N/A ,$24.90 , N/A ,$35.93 ,$20.16 , N/A ,$9.41 ,$35.93 , N/A , N/A , N/A ,$28.74 ,$17.79 ,$10.06 ,$32.34 ,$13.65 ,$0.87 , N/A ,$17.25 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0696,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL per 250 mg,636,1 ,$110.48 ,$79.55 ,$0.87 ,$110.48 , N/A ,$56.34 ,$60.76 , N/A ,$30.93 ,$3.46 , N/A ,$3.60 , N/A ,$54.69 ,$44.19 , N/A ,$54.69 , N/A ,$77.34 ,$1.02 ,$88.38 , N/A , N/A ,$77.34 , N/A ,$66.29 , N/A ,$82.86 ,$60.99 ,$55.02 ,$60.99 , N/A ,$60.99 ,$89.49 ,$110.48 ,$89.49 ,$93.91 , N/A ,$76.56 , N/A ,$110.48 ,$61.98 , N/A ,$28.95 ,$110.48 , N/A , N/A , N/A ,$88.38 ,$54.69 ,$30.93 ,$99.43 ,$41.98 ,$0.87 , N/A ,$53.03 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3230,CHLORPROMAZINE 50 MG/2ML SOLN 2 ML AMPULE per 50 mg,636,1 ,$189.05 ,$136.12 ,$49.53 ,$189.05 , N/A ,$96.42 ,$103.98 , N/A ,$52.93 ,$98.87 , N/A ,$103.98 , N/A ,$93.58 ,$75.62 , N/A ,$93.58 , N/A ,$132.34 ,$62.56 ,$151.24 , N/A , N/A ,$132.34 , N/A ,$113.43 , N/A ,$141.79 ,$104.36 ,$94.15 ,$104.36 , N/A ,$104.36 ,$153.13 ,$189.05 ,$153.13 ,$160.69 , N/A ,$131.01 , N/A ,$189.05 ,$106.06 , N/A ,$49.53 ,$189.05 , N/A , N/A , N/A ,$151.24 ,$93.58 ,$52.93 ,$170.15 ,$71.84 ,$60.01 , N/A ,$90.74 
ST. MARY'S HOSPITAL - DECATUR,63600002,N/A,CINACALCET 30 MG TABS,637,1 ,$217.00 ,$156.24 ,$56.85 ,$542.50 ,$542.50 ,$115.01 ,$119.35 , N/A ,$60.76 ,$113.49 , N/A ,$119.35 , N/A ,$107.42 ,$86.80 , N/A ,$107.42 , N/A ,$151.90 ,$135.63 ,$173.60 , N/A , N/A ,$151.90 , N/A ,$130.20 , N/A ,$162.75 ,$119.78 ,$108.07 ,$119.78 , N/A ,$119.78 ,$175.77 ,$217.00 ,$175.77 ,$184.45 ,$217.00 ,$150.38 , N/A ,$217.00 ,$121.74 , N/A ,$56.85 ,$217.00 , N/A , N/A , N/A ,$173.60 ,$107.42 ,$60.76 ,$195.30 ,$82.46 ,$118.05 , N/A ,$104.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0744,CIPROFLOXACIN 200 MG/100ML SOLN per 200 mg,636,1 ,$90.00 ,$64.80 ,$1.80 ,$90.00 , N/A ,$45.90 ,$49.50 , N/A ,$25.20 ,$6.48 , N/A ,$6.75 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$2.20 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$1.80 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0744,CIPROFLOXACIN 400 MG/200ML SOLN per 200 mg,636,1 ,$54.40 ,$39.17 ,$1.80 ,$54.40 , N/A ,$27.74 ,$29.92 , N/A ,$15.23 ,$6.48 , N/A ,$6.75 , N/A ,$26.93 ,$21.76 , N/A ,$26.93 , N/A ,$38.08 ,$2.20 ,$43.52 , N/A , N/A ,$38.08 , N/A ,$32.64 , N/A ,$40.80 ,$30.03 ,$27.09 ,$30.03 , N/A ,$30.03 ,$44.06 ,$54.40 ,$44.06 ,$46.24 , N/A ,$37.70 , N/A ,$54.40 ,$30.52 , N/A ,$14.25 ,$54.40 , N/A , N/A , N/A ,$43.52 ,$26.93 ,$15.23 ,$48.96 ,$20.67 ,$1.80 , N/A ,$26.11 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9060,CISPLATIN 100 MG/100ML SOLN 100 ML VIAL per 10 mg,636,1 ,$21.09 ,$15.18 ,$2.79 ,$21.09 , N/A ,$10.76 ,$11.60 , N/A ,$5.91 ,$8.88 , N/A ,$9.25 , N/A ,$10.44 ,$8.44 , N/A ,$10.44 , N/A ,$14.76 ,$4.16 ,$16.87 , N/A , N/A ,$14.76 , N/A ,$12.65 , N/A ,$15.82 ,$11.64 ,$10.50 ,$11.64 , N/A ,$11.64 ,$17.08 ,$21.09 ,$17.08 ,$17.93 , N/A ,$14.62 , N/A ,$21.09 ,$11.83 , N/A ,$5.53 ,$21.09 , N/A , N/A , N/A ,$16.87 ,$10.44 ,$5.91 ,$18.98 ,$8.01 ,$2.79 , N/A ,$10.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9060,CISPLATIN 50 MG/50ML SOLN 100 ML VIAL per 10 mg,636,1 ,$33.28 ,$23.96 ,$2.79 ,$33.28 , N/A ,$16.97 ,$18.30 , N/A ,$9.32 ,$8.88 , N/A ,$9.25 , N/A ,$16.47 ,$13.31 , N/A ,$16.47 , N/A ,$23.30 ,$4.16 ,$26.62 , N/A , N/A ,$23.30 , N/A ,$19.97 , N/A ,$24.96 ,$18.37 ,$16.57 ,$18.37 , N/A ,$18.37 ,$26.96 ,$33.28 ,$26.96 ,$28.29 , N/A ,$23.06 , N/A ,$33.28 ,$18.67 , N/A ,$8.72 ,$33.28 , N/A , N/A , N/A ,$26.62 ,$16.47 ,$9.32 ,$29.95 ,$12.65 ,$2.79 , N/A ,$15.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9046,COCAINE 4 % SOLN 4 ML BOTTLE per 1 mg,636,1 ,$6.28 ,$4.52 ,$1.65 ,$6.28 , N/A ,$3.20 ,$3.45 , N/A ,$1.76 ,$3.28 , N/A ,$3.45 , N/A ,$3.11 ,$2.51 , N/A ,$3.11 , N/A ,$4.40 ,$2.80 ,$5.02 , N/A , N/A ,$4.40 , N/A ,$3.77 , N/A ,$4.71 ,$3.47 ,$3.13 ,$3.47 , N/A ,$3.47 ,$5.09 ,$6.28 ,$5.09 ,$5.34 , N/A ,$4.35 , N/A ,$6.28 ,$3.52 , N/A ,$1.65 ,$6.28 , N/A , N/A , N/A ,$5.02 ,$3.11 ,$1.76 ,$5.65 ,$2.39 , N/A , N/A ,$3.01 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9046,COCAINE 40 MG/ML SOLN 4 ML BOTTLE per 1 mg,636,1 ,$8.27 ,$5.95 ,$2.17 ,$8.27 , N/A ,$4.22 ,$4.55 , N/A ,$2.32 ,$4.33 , N/A ,$4.55 , N/A ,$4.09 ,$3.31 , N/A ,$4.09 , N/A ,$5.79 ,$2.80 ,$6.62 , N/A , N/A ,$5.79 , N/A ,$4.96 , N/A ,$6.20 ,$4.57 ,$4.12 ,$4.57 , N/A ,$4.57 ,$6.70 ,$8.27 ,$6.70 ,$7.03 , N/A ,$5.73 , N/A ,$8.27 ,$4.64 , N/A ,$2.17 ,$8.27 , N/A , N/A , N/A ,$6.62 ,$4.09 ,$2.32 ,$7.44 ,$3.14 , N/A , N/A ,$3.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1410,CONJUGATED ESTROGENS 25 MG SOLR per 25 mg,636,1 ,"$1,275.15 ",$918.11 ,$120.45 ,"$1,275.15 ",$889.45 ,$650.33 ,$701.33 ,$348.66 ,$357.04 ,$666.90 ,$348.66 ,$701.33 ,$348.66 ,$631.20 ,$510.06 ,$348.66 ,$631.20 ,$718.68 ,$892.61 ,$707.34 ,"$1,020.12 ",$889.45 ,$348.66 ,$892.61 ,$348.66 ,$765.09 ,$355.64 ,$956.36 ,$703.88 ,$635.02 ,$703.88 ,$348.66 ,$703.88 ,"$1,032.87 ","$1,275.15 ","$1,032.87 ","$1,083.88 ",$889.45 ,$883.68 ,$348.66 ,"$1,275.15 ",$715.36 ,$348.66 ,$334.09 ,"$1,275.15 ",$126.18 ,$120.45 ,$366.10 ,"$1,020.12 ",$631.20 ,$357.04 ,"$1,147.64 ",$484.56 ,$586.61 ,$348.66 ,$612.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0834,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL per 0.25 mg,636,1 ,$753.45 ,$542.48 ,$40.29 ,$753.45 , N/A ,$384.26 ,$414.40 , N/A ,$210.97 ,$177.65 , N/A ,$185.05 , N/A ,$372.96 ,$301.38 , N/A ,$372.96 , N/A ,$527.42 ,$53.92 ,$602.76 , N/A , N/A ,$527.42 , N/A ,$452.07 , N/A ,$565.09 ,$415.90 ,$375.22 ,$415.90 , N/A ,$415.90 ,$610.29 ,$753.45 ,$610.29 ,$640.43 , N/A ,$522.14 , N/A ,$753.45 ,$422.69 , N/A ,$197.40 ,$753.45 ,$58.00 ,$55.37 , N/A ,$602.76 ,$372.96 ,$210.97 ,$678.11 ,$286.31 ,$40.29 , N/A ,$361.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3420,CYANOCOBALAMIN 1000 MCG/ML SOLN per 1000 mcg,636,1 ,$119.95 ,$86.36 ,$3.14 ,$119.95 , N/A ,$61.17 ,$65.97 , N/A ,$33.59 ,$9.98 , N/A ,$10.40 , N/A ,$59.38 ,$47.98 , N/A ,$59.38 , N/A ,$83.97 ,$3.14 ,$95.96 , N/A , N/A ,$83.97 , N/A ,$71.97 , N/A ,$89.96 ,$66.21 ,$59.74 ,$66.21 , N/A ,$66.21 ,$97.16 ,$119.95 ,$97.16 ,$101.96 , N/A ,$83.13 , N/A ,$119.95 ,$67.29 , N/A ,$31.43 ,$119.95 , N/A , N/A , N/A ,$95.96 ,$59.38 ,$33.59 ,$107.96 ,$45.58 ,$3.38 , N/A ,$57.58 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9070,CYCLOPHOSPHAMIDE 1 G SOLR 1 EACH VIAL per 100 mg,636,1 ,$150.81 ,$108.58 ,$21.21 ,$150.81 ,$54.10 ,$76.91 ,$82.95 ,$21.21 ,$42.23 ,$78.87 ,$21.21 ,$82.95 ,$21.21 ,$74.65 ,$60.32 ,$21.21 ,$74.65 ,$43.71 ,$105.57 ,$53.74 ,$120.65 ,$54.09 ,$21.21 ,$105.57 ,$21.21 ,$90.49 ,$21.63 ,$113.11 ,$83.25 ,$75.10 ,$83.25 ,$21.21 ,$83.25 ,$122.16 ,$150.81 ,$122.16 ,$128.19 ,$54.09 ,$104.51 ,$21.21 ,$150.81 ,$84.60 ,$21.21 ,$39.51 ,$150.81 ,$98.77 ,$94.28 ,$22.27 ,$120.65 ,$74.65 ,$42.23 ,$135.73 ,$57.31 ,$36.51 ,$21.21 ,$72.39 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9070,CYCLOPHOSPHAMIDE 500 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$188.08 ,$135.42 ,$21.21 ,$188.08 ,$54.10 ,$95.92 ,$103.44 ,$21.21 ,$52.66 ,$98.37 ,$21.21 ,$103.44 ,$21.21 ,$93.10 ,$75.23 ,$21.21 ,$93.10 ,$43.71 ,$131.66 ,$53.74 ,$150.46 ,$54.09 ,$21.21 ,$131.66 ,$21.21 ,$112.85 ,$21.63 ,$141.06 ,$103.82 ,$93.66 ,$103.82 ,$21.21 ,$103.82 ,$152.34 ,$188.08 ,$152.34 ,$159.87 ,$54.09 ,$130.34 ,$21.21 ,$188.08 ,$105.51 ,$21.21 ,$49.28 ,$188.08 ,$98.77 ,$94.28 ,$22.27 ,$150.46 ,$93.10 ,$52.66 ,$169.27 ,$71.47 ,$36.51 ,$21.21 ,$90.28 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7502,CYCLOSPORINE 100 MG/ML SOLN per 100 mg,636,1 ,$26.98 ,$19.43 ,$3.47 ,$26.98 , N/A ,$13.76 ,$14.84 , N/A ,$7.55 ,$14.02 , N/A ,$14.60 , N/A ,$13.36 ,$10.79 , N/A ,$13.36 , N/A ,$18.89 ,$4.26 ,$21.58 , N/A , N/A ,$18.89 , N/A ,$16.19 , N/A ,$20.24 ,$14.89 ,$13.44 ,$14.89 , N/A ,$14.89 ,$21.85 ,$26.98 ,$21.85 ,$22.93 , N/A ,$18.70 , N/A ,$26.98 ,$15.14 , N/A ,$7.07 ,$26.98 , N/A , N/A , N/A ,$21.58 ,$13.36 ,$7.55 ,$24.28 ,$10.25 ,$3.47 , N/A ,$12.95 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9100,CYTARABINE (PF) 100 MG/ML SOLN 20 ML VIAL per 100 mg,636,1 ,$8.12 ,$5.85 ,$1.68 ,$8.12 , N/A ,$4.14 ,$4.47 , N/A ,$2.27 ,$4.03 , N/A ,$4.20 , N/A ,$4.02 ,$3.25 , N/A ,$4.02 , N/A ,$5.68 ,$1.84 ,$6.50 , N/A , N/A ,$5.68 , N/A ,$4.87 , N/A ,$6.09 ,$4.48 ,$4.04 ,$4.48 , N/A ,$4.48 ,$6.58 ,$8.12 ,$6.58 ,$6.90 , N/A ,$5.63 , N/A ,$8.12 ,$4.56 , N/A ,$2.13 ,$8.12 , N/A , N/A , N/A ,$6.50 ,$4.02 ,$2.27 ,$7.31 ,$3.09 ,$1.68 , N/A ,$3.90 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9100,CYTARABINE 20 MG/ML SOLN 50 ML VIAL per 100 mg,636,1 ,$21.09 ,$15.18 ,$1.68 ,$21.09 , N/A ,$10.76 ,$11.60 , N/A ,$5.91 ,$4.03 , N/A ,$4.20 , N/A ,$10.44 ,$8.44 , N/A ,$10.44 , N/A ,$14.76 ,$1.84 ,$16.87 , N/A , N/A ,$14.76 , N/A ,$12.65 , N/A ,$15.82 ,$11.64 ,$10.50 ,$11.64 , N/A ,$11.64 ,$17.08 ,$21.09 ,$17.08 ,$17.93 , N/A ,$14.62 , N/A ,$21.09 ,$11.83 , N/A ,$5.53 ,$21.09 , N/A , N/A , N/A ,$16.87 ,$10.44 ,$5.91 ,$18.98 ,$8.01 ,$1.68 , N/A ,$10.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9130,DACARBAZINE 200 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$46.47 ,$33.46 ,$7.00 ,$46.47 , N/A ,$23.70 ,$25.56 , N/A ,$13.01 ,$20.40 , N/A ,$21.25 , N/A ,$23.00 ,$18.59 , N/A ,$23.00 , N/A ,$32.53 ,$8.02 ,$37.18 , N/A , N/A ,$32.53 , N/A ,$27.88 , N/A ,$34.85 ,$25.65 ,$23.14 ,$25.65 , N/A ,$25.65 ,$37.64 ,$46.47 ,$37.64 ,$39.50 , N/A ,$32.20 , N/A ,$46.47 ,$26.07 , N/A ,$12.18 ,$46.47 , N/A , N/A , N/A ,$37.18 ,$23.00 ,$13.01 ,$41.82 ,$17.66 ,$7.00 , N/A ,$22.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0878,DAPTOMYCIN 350 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$3.32 ,$2.39 ,$0.08 ,$229.73 , N/A ,$1.69 ,$1.83 , N/A ,$0.93 ,$1.74 , N/A ,$1.83 , N/A ,$1.64 ,$1.33 , N/A ,$1.64 , N/A ,$2.32 ,$0.08 ,$2.66 , N/A , N/A ,$2.32 , N/A ,$1.99 , N/A ,$2.49 ,$1.83 ,$1.65 ,$1.83 , N/A ,$1.83 ,$2.69 ,$3.32 ,$2.69 ,$2.82 , N/A ,$2.30 , N/A ,$3.32 ,$1.86 , N/A ,$0.87 ,$3.32 ,$3.32 ,$229.73 , N/A ,$2.66 ,$1.64 ,$0.93 ,$2.99 ,$1.26 ,$0.08 , N/A ,$1.59 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0878,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$1.78 ,$1.28 ,$0.08 ,$229.73 , N/A ,$0.91 ,$0.98 , N/A ,$0.50 ,$0.93 , N/A ,$0.98 , N/A ,$0.88 ,$0.71 , N/A ,$0.88 , N/A ,$1.25 ,$0.08 ,$1.42 , N/A , N/A ,$1.25 , N/A ,$1.07 , N/A ,$1.34 ,$0.98 ,$0.89 ,$0.98 , N/A ,$0.98 ,$1.44 ,$1.78 ,$1.44 ,$1.51 , N/A ,$1.23 , N/A ,$1.78 ,$1.00 , N/A ,$0.47 ,$1.78 ,$1.78 ,$229.73 , N/A ,$1.42 ,$0.88 ,$0.50 ,$1.60 ,$0.68 ,$0.08 , N/A ,$0.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0881,DARBEPOETIN ALFA 100 MCG/ML SOLN per 1 mcg,636,1 ,$26.04 ,$18.75 ,$3.03 ,$231.65 ,$7.73 ,$13.28 ,$14.32 ,$3.03 ,$7.29 ,$13.62 ,$3.03 ,$14.32 ,$3.03 ,$12.89 ,$10.42 ,$3.03 ,$12.89 ,$6.24 ,$18.23 ,$6.44 ,$20.83 ,$7.72 ,$3.03 ,$18.23 ,$3.03 ,$15.62 ,$3.09 ,$19.53 ,$14.37 ,$12.97 ,$14.37 ,$3.03 ,$14.37 ,$21.09 ,$26.04 ,$21.09 ,$22.13 ,$7.72 ,$18.05 ,$3.03 ,$26.04 ,$14.61 ,$3.03 ,$6.82 ,$26.04 ,$26.04 ,$231.65 ,$3.18 ,$20.83 ,$12.89 ,$7.29 ,$23.44 ,$9.90 ,$5.15 ,$3.03 ,$12.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0897,DENOSUMAB 120 MG/1.7ML SOLN per 1 mg,636,1 ,$54.34 ,$39.12 ,$14.24 ,$628.55 ,$57.55 ,$27.71 ,$29.89 ,$22.56 ,$15.22 ,$28.42 ,$22.56 ,$29.89 ,$22.56 ,$26.90 ,$21.74 ,$22.56 ,$26.90 ,$46.50 ,$38.04 ,$44.52 ,$43.47 ,$57.55 ,$22.56 ,$38.04 ,$22.56 ,$32.60 ,$23.01 ,$40.76 ,$30.00 ,$27.06 ,$30.00 ,$22.56 ,$30.00 ,$44.02 ,$54.34 ,$44.02 ,$46.19 ,$54.34 ,$37.66 ,$22.56 ,$54.34 ,$30.48 ,$22.56 ,$14.24 ,$54.34 ,$54.34 ,$628.55 ,$23.69 ,$43.47 ,$26.90 ,$15.22 ,$48.91 ,$20.65 ,$38.07 ,$22.56 ,$26.08 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0897,DENOSUMAB 60 MG/ML SOSY per 1 mg,636,1 ,$59.09 ,$42.54 ,$15.48 ,$628.55 ,$57.55 ,$30.14 ,$32.50 ,$22.56 ,$16.55 ,$30.90 ,$22.56 ,$32.50 ,$22.56 ,$29.25 ,$23.64 ,$22.56 ,$29.25 ,$46.50 ,$41.36 ,$44.52 ,$47.27 ,$57.55 ,$22.56 ,$41.36 ,$22.56 ,$35.45 ,$23.01 ,$44.32 ,$32.62 ,$29.43 ,$32.62 ,$22.56 ,$32.62 ,$47.86 ,$59.09 ,$47.86 ,$50.23 ,$57.55 ,$40.95 ,$22.56 ,$59.09 ,$33.15 ,$22.56 ,$15.48 ,$59.09 ,$59.09 ,$628.55 ,$23.69 ,$47.27 ,$29.25 ,$16.55 ,$53.18 ,$22.45 ,$38.07 ,$22.56 ,$28.36 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2597,DESMOPRESSIN 4 MCG/ML SOLN 1 ML AMPULE per 1 mcg,636,1 ,$158.90 ,$114.41 ,$6.94 ,$158.90 ,$17.70 ,$81.04 ,$87.40 ,$6.94 ,$44.49 ,$66.77 ,$6.94 ,$69.55 ,$6.94 ,$78.66 ,$63.56 ,$6.94 ,$78.66 ,$14.29 ,$111.23 ,$15.42 ,$127.12 ,$17.69 ,$6.94 ,$111.23 ,$6.94 ,$95.34 ,$7.08 ,$119.18 ,$87.71 ,$79.13 ,$87.71 ,$6.94 ,$87.71 ,$128.71 ,$158.90 ,$128.71 ,$135.07 ,$17.69 ,$110.12 ,$6.94 ,$158.90 ,$89.14 ,$6.94 ,$41.63 ,$158.90 ,$58.00 ,$55.37 ,$7.28 ,$127.12 ,$78.66 ,$44.49 ,$143.01 ,$60.38 ,$12.09 ,$6.94 ,$76.27 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2597,DESMOPRESSIN 4 MCG/ML SOLN per 1 mcg,636,1 ,$147.05 ,$105.88 ,$6.94 ,$147.05 ,$17.70 ,$75.00 ,$80.88 ,$6.94 ,$41.17 ,$66.77 ,$6.94 ,$69.55 ,$6.94 ,$72.79 ,$58.82 ,$6.94 ,$72.79 ,$14.29 ,$102.94 ,$15.42 ,$117.64 ,$17.69 ,$6.94 ,$102.94 ,$6.94 ,$88.23 ,$7.08 ,$110.29 ,$81.17 ,$73.23 ,$81.17 ,$6.94 ,$81.17 ,$119.11 ,$147.05 ,$119.11 ,$124.99 ,$17.69 ,$101.91 ,$6.94 ,$147.05 ,$82.50 ,$6.94 ,$38.53 ,$147.05 ,$58.00 ,$55.37 ,$7.28 ,$117.64 ,$72.79 ,$41.17 ,$132.35 ,$55.88 ,$12.09 ,$6.94 ,$70.58 
ST. MARY'S HOSPITAL - DECATUR,63600002,J8540,DEXAMETHASONE 0.5 MG TABS per 0.25 mg,636,1 ,$0.73 ,$0.53 ,$0.18 ,$0.73 , N/A ,$0.37 ,$0.40 , N/A ,$0.20 ,$0.38 , N/A ,$0.40 , N/A ,$0.36 ,$0.29 , N/A ,$0.36 , N/A ,$0.51 ,$0.20 ,$0.58 , N/A , N/A ,$0.51 , N/A ,$0.44 , N/A ,$0.55 ,$0.40 ,$0.36 ,$0.40 , N/A ,$0.40 ,$0.59 ,$0.73 ,$0.59 ,$0.62 , N/A ,$0.51 , N/A ,$0.73 ,$0.41 , N/A ,$0.19 ,$0.73 , N/A , N/A , N/A ,$0.58 ,$0.36 ,$0.20 ,$0.66 ,$0.28 ,$0.18 , N/A ,$0.35 
ST. MARY'S HOSPITAL - DECATUR,63600002,J8540,DEXAMETHASONE 1 MG/ML CONC per 0.25 mg,636,1 ,$1.88 ,$1.35 ,$0.18 ,$1.88 , N/A ,$0.96 ,$1.03 , N/A ,$0.53 ,$0.98 , N/A ,$1.03 , N/A ,$0.93 ,$0.75 , N/A ,$0.93 , N/A ,$1.32 ,$0.20 ,$1.50 , N/A , N/A ,$1.32 , N/A ,$1.13 , N/A ,$1.41 ,$1.04 ,$0.94 ,$1.04 , N/A ,$1.04 ,$1.52 ,$1.88 ,$1.52 ,$1.60 , N/A ,$1.30 , N/A ,$1.88 ,$1.05 , N/A ,$0.49 ,$1.88 , N/A , N/A , N/A ,$1.50 ,$0.93 ,$0.53 ,$1.69 ,$0.71 ,$0.18 , N/A ,$0.90 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1100,DEXAMETHASONE 100 MG/10ML SOLN 10 ML VIAL per 1 mg,636,1 ,$6.19 ,$4.46 ,$0.21 ,$6.19 , N/A ,$3.16 ,$3.40 , N/A ,$1.73 ,$2.40 , N/A ,$2.50 , N/A ,$3.06 ,$2.48 , N/A ,$3.06 , N/A ,$4.33 ,$0.26 ,$4.95 , N/A , N/A ,$4.33 , N/A ,$3.71 , N/A ,$4.64 ,$3.42 ,$3.08 ,$3.42 , N/A ,$3.42 ,$5.01 ,$6.19 ,$5.01 ,$5.26 , N/A ,$4.29 , N/A ,$6.19 ,$3.47 , N/A ,$1.62 ,$6.19 , N/A , N/A , N/A ,$4.95 ,$3.06 ,$1.73 ,$5.57 ,$2.35 ,$0.21 , N/A ,$2.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,J8540,DEXAMETHASONE 4 MG TABS per 0.25 mg,636,1 ,$0.42 ,$0.30 ,$0.11 ,$0.42 , N/A ,$0.21 ,$0.23 , N/A ,$0.12 ,$0.22 , N/A ,$0.23 , N/A ,$0.21 ,$0.17 , N/A ,$0.21 , N/A ,$0.29 ,$0.20 ,$0.34 , N/A , N/A ,$0.29 , N/A ,$0.25 , N/A ,$0.32 ,$0.23 ,$0.21 ,$0.23 , N/A ,$0.23 ,$0.34 ,$0.42 ,$0.34 ,$0.36 , N/A ,$0.29 , N/A ,$0.42 ,$0.24 , N/A ,$0.11 ,$0.42 , N/A , N/A , N/A ,$0.34 ,$0.21 ,$0.12 ,$0.38 ,$0.16 ,$0.18 , N/A ,$0.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1100,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL per 1 mg,636,1 ,$21.99 ,$15.83 ,$0.21 ,$21.99 , N/A ,$11.21 ,$12.09 , N/A ,$6.16 ,$2.40 , N/A ,$2.50 , N/A ,$10.89 ,$8.80 , N/A ,$10.89 , N/A ,$15.39 ,$0.26 ,$17.59 , N/A , N/A ,$15.39 , N/A ,$13.19 , N/A ,$16.49 ,$12.14 ,$10.95 ,$12.14 , N/A ,$12.14 ,$17.81 ,$21.99 ,$17.81 ,$18.69 , N/A ,$15.24 , N/A ,$21.99 ,$12.34 , N/A ,$5.76 ,$21.99 , N/A , N/A , N/A ,$17.59 ,$10.89 ,$6.16 ,$19.79 ,$8.36 ,$0.21 , N/A ,$10.56 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1100,DEXAMETHASONE 4 MG/ML SOLN per 1 mg,636,1 ,$15.73 ,$11.33 ,$0.21 ,$15.73 , N/A ,$8.02 ,$8.65 , N/A ,$4.40 ,$2.40 , N/A ,$2.50 , N/A ,$7.79 ,$6.29 , N/A ,$7.79 , N/A ,$11.01 ,$0.26 ,$12.58 , N/A , N/A ,$11.01 , N/A ,$9.44 , N/A ,$11.80 ,$8.68 ,$7.83 ,$8.68 , N/A ,$8.68 ,$12.74 ,$15.73 ,$12.74 ,$13.37 , N/A ,$10.90 , N/A ,$15.73 ,$8.82 , N/A ,$4.12 ,$15.73 , N/A , N/A , N/A ,$12.58 ,$7.79 ,$4.40 ,$14.16 ,$5.98 ,$0.21 , N/A ,$7.55 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1100,DEXAMETHASONE PF 10 MG/ML SOLN per 1 mg,636,1 ,$11.58 ,$8.34 ,$0.21 ,$11.58 , N/A ,$5.91 ,$6.37 , N/A ,$3.24 ,$2.40 , N/A ,$2.50 , N/A ,$5.73 ,$4.63 , N/A ,$5.73 , N/A ,$8.11 ,$0.26 ,$9.26 , N/A , N/A ,$8.11 , N/A ,$6.95 , N/A ,$8.69 ,$6.39 ,$5.77 ,$6.39 , N/A ,$6.39 ,$9.38 ,$11.58 ,$9.38 ,$9.84 , N/A ,$8.02 , N/A ,$11.58 ,$6.50 , N/A ,$3.03 ,$11.58 , N/A , N/A , N/A ,$9.26 ,$5.73 ,$3.24 ,$10.42 ,$4.40 ,$0.21 , N/A ,$5.56 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXROSE 5 % AND 0.45 % NACL WITH KCL 30 MEQ 30-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$8.67 ,$6.24 ,$0.23 ,$8.67 , N/A ,$4.42 ,$4.77 , N/A ,$2.43 ,$2.40 , N/A ,$2.50 , N/A ,$4.29 ,$3.47 , N/A ,$4.29 , N/A ,$6.07 ,$0.34 ,$6.94 , N/A , N/A ,$6.07 , N/A ,$5.20 , N/A ,$6.50 ,$4.79 ,$4.32 ,$4.79 , N/A ,$4.79 ,$7.02 ,$8.67 ,$7.02 ,$7.37 , N/A ,$6.01 , N/A ,$8.67 ,$4.86 , N/A ,$2.27 ,$8.67 , N/A , N/A , N/A ,$6.94 ,$4.29 ,$2.43 ,$7.80 ,$3.29 ,$0.23 , N/A ,$4.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND 0.2% NACL WITH KCL 20 MEQ INFUSION 20-5-0.2 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$12.70 ,$9.14 ,$0.23 ,$12.70 , N/A ,$6.48 ,$6.99 , N/A ,$3.56 ,$2.40 , N/A ,$2.50 , N/A ,$6.29 ,$5.08 , N/A ,$6.29 , N/A ,$8.89 ,$0.34 ,$10.16 , N/A , N/A ,$8.89 , N/A ,$7.62 , N/A ,$9.53 ,$7.01 ,$6.32 ,$7.01 , N/A ,$7.01 ,$10.29 ,$12.70 ,$10.29 ,$10.80 , N/A ,$8.80 , N/A ,$12.70 ,$7.12 , N/A ,$3.33 ,$12.70 , N/A , N/A , N/A ,$10.16 ,$6.29 ,$3.56 ,$11.43 ,$4.83 ,$0.23 , N/A ,$6.10 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 10 MEQ 10-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$26.80 ,$19.30 ,$0.23 ,$26.80 , N/A ,$13.67 ,$14.74 , N/A ,$7.50 ,$2.40 , N/A ,$2.50 , N/A ,$13.27 ,$10.72 , N/A ,$13.27 , N/A ,$18.76 ,$0.34 ,$21.44 , N/A , N/A ,$18.76 , N/A ,$16.08 , N/A ,$20.10 ,$14.79 ,$13.35 ,$14.79 , N/A ,$14.79 ,$21.71 ,$26.80 ,$21.71 ,$22.78 , N/A ,$18.57 , N/A ,$26.80 ,$15.03 , N/A ,$7.02 ,$26.80 , N/A , N/A , N/A ,$21.44 ,$13.27 ,$7.50 ,$24.12 ,$10.18 ,$0.23 , N/A ,$12.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,"DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 20-5-0.45 MEQ/L-%-% SOLN 1,000 ML FLEX CONT per 2 mEq",636,1 ,$10.60 ,$7.63 ,$0.23 ,$10.60 , N/A ,$5.41 ,$5.83 , N/A ,$2.97 ,$2.40 , N/A ,$2.50 , N/A ,$5.25 ,$4.24 , N/A ,$5.25 , N/A ,$7.42 ,$0.34 ,$8.48 , N/A , N/A ,$7.42 , N/A ,$6.36 , N/A ,$7.95 ,$5.85 ,$5.28 ,$5.85 , N/A ,$5.85 ,$8.59 ,$10.60 ,$8.59 ,$9.01 , N/A ,$7.35 , N/A ,$10.60 ,$5.95 , N/A ,$2.78 ,$10.60 , N/A , N/A , N/A ,$8.48 ,$5.25 ,$2.97 ,$9.54 ,$4.03 ,$0.23 , N/A ,$5.09 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 40-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$6.70 ,$4.82 ,$0.23 ,$6.70 , N/A ,$3.42 ,$3.69 , N/A ,$1.88 ,$2.40 , N/A ,$2.50 , N/A ,$3.32 ,$2.68 , N/A ,$3.32 , N/A ,$4.69 ,$0.34 ,$5.36 , N/A , N/A ,$4.69 , N/A ,$4.02 , N/A ,$5.03 ,$3.70 ,$3.34 ,$3.70 , N/A ,$3.70 ,$5.43 ,$6.70 ,$5.43 ,$5.70 , N/A ,$4.64 , N/A ,$6.70 ,$3.76 , N/A ,$1.76 ,$6.70 , N/A , N/A , N/A ,$5.36 ,$3.32 ,$1.88 ,$6.03 ,$2.55 ,$0.23 , N/A ,$3.22 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 20 MEQ 20-5-0.9 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$13.40 ,$9.65 ,$0.23 ,$13.40 , N/A ,$6.83 ,$7.37 , N/A ,$3.75 ,$2.40 , N/A ,$2.50 , N/A ,$6.63 ,$5.36 , N/A ,$6.63 , N/A ,$9.38 ,$0.34 ,$10.72 , N/A , N/A ,$9.38 , N/A ,$8.04 , N/A ,$10.05 ,$7.40 ,$6.67 ,$7.40 , N/A ,$7.40 ,$10.85 ,$13.40 ,$10.85 ,$11.39 , N/A ,$9.29 , N/A ,$13.40 ,$7.52 , N/A ,$3.51 ,$13.40 , N/A , N/A , N/A ,$10.72 ,$6.63 ,$3.75 ,$12.06 ,$5.09 ,$0.23 , N/A ,$6.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,"0.9 % NACL WITH KCL 20 MEQ 20-0.9 MEQ/L-% SOLN 1,000 ML FLEX CONT per 2 mEq",636,1 ,$13.40 ,$9.65 ,$0.23 ,$13.40 , N/A ,$6.83 ,$7.37 , N/A ,$3.75 ,$2.40 , N/A ,$2.50 , N/A ,$6.63 ,$5.36 , N/A ,$6.63 , N/A ,$9.38 ,$0.34 ,$10.72 , N/A , N/A ,$9.38 , N/A ,$8.04 , N/A ,$10.05 ,$7.40 ,$6.67 ,$7.40 , N/A ,$7.40 ,$10.85 ,$13.40 ,$10.85 ,$11.39 , N/A ,$9.29 , N/A ,$13.40 ,$7.52 , N/A ,$3.51 ,$13.40 , N/A , N/A , N/A ,$10.72 ,$6.63 ,$3.75 ,$12.06 ,$5.09 ,$0.23 , N/A ,$6.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 40 MEQ 40-5-0.9 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$6.35 ,$4.57 ,$0.23 ,$6.35 , N/A ,$3.24 ,$3.49 , N/A ,$1.78 ,$2.40 , N/A ,$2.50 , N/A ,$3.14 ,$2.54 , N/A ,$3.14 , N/A ,$4.45 ,$0.34 ,$5.08 , N/A , N/A ,$4.45 , N/A ,$3.81 , N/A ,$4.76 ,$3.51 ,$3.16 ,$3.51 , N/A ,$3.51 ,$5.14 ,$6.35 ,$5.14 ,$5.40 , N/A ,$4.40 , N/A ,$6.35 ,$3.56 , N/A ,$1.66 ,$6.35 , N/A , N/A , N/A ,$5.08 ,$3.14 ,$1.78 ,$5.72 ,$2.41 ,$0.23 , N/A ,$3.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,DEXTROSE 5 % AND LACTATED RINGERS WITH KCL 20 MEQ 20 MEQ/L SOLN per 2 mEq,636,1 ,$14.10 ,$10.15 ,$0.23 ,$14.10 , N/A ,$7.19 ,$7.76 , N/A ,$3.95 ,$2.40 , N/A ,$2.50 , N/A ,$6.98 ,$5.64 , N/A ,$6.98 , N/A ,$9.87 ,$0.34 ,$11.28 , N/A , N/A ,$9.87 , N/A ,$8.46 , N/A ,$10.58 ,$7.78 ,$7.02 ,$7.78 , N/A ,$7.78 ,$11.42 ,$14.10 ,$11.42 ,$11.99 , N/A ,$9.77 , N/A ,$14.10 ,$7.91 , N/A ,$3.69 ,$14.10 , N/A , N/A , N/A ,$11.28 ,$6.98 ,$3.95 ,$12.69 ,$5.36 ,$0.23 , N/A ,$6.77 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7042,DEXTROSE 5 %-SODIUM CHLORIDE 0.9 % 5-0.9 % SOLN per 500 mL,636,1 ,$49.00 ,$35.28 ,$1.75 ,$49.00 , N/A ,$24.99 ,$26.95 , N/A ,$13.72 ,$5.76 , N/A ,$6.00 , N/A ,$24.26 ,$19.60 , N/A ,$24.26 , N/A ,$34.30 ,$1.78 ,$39.20 , N/A , N/A ,$34.30 , N/A ,$29.40 , N/A ,$36.75 ,$27.05 ,$24.40 ,$27.05 , N/A ,$27.05 ,$39.69 ,$49.00 ,$39.69 ,$41.65 , N/A ,$33.96 , N/A ,$49.00 ,$27.49 , N/A ,$12.84 ,$49.00 , N/A , N/A , N/A ,$39.20 ,$24.26 ,$13.72 ,$44.10 ,$18.62 ,$1.75 , N/A ,$23.52 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7121,"DEXTROSE 5% LACTATED RINGERS 5 % SOLN 1,000 ML FLEX CONT per 1000 mL",636,1 ,$106.00 ,$76.32 ,$9.11 ,$106.00 , N/A ,$54.06 ,$58.30 , N/A ,$29.68 ,$24.05 , N/A ,$25.05 , N/A ,$52.47 ,$42.40 , N/A ,$52.47 , N/A ,$74.20 ,$11.96 ,$84.80 , N/A , N/A ,$74.20 , N/A ,$63.60 , N/A ,$79.50 ,$58.51 ,$52.79 ,$58.51 , N/A ,$58.51 ,$85.86 ,$106.00 ,$85.86 ,$90.10 , N/A ,$73.46 , N/A ,$106.00 ,$59.47 , N/A ,$27.77 ,$106.00 , N/A , N/A , N/A ,$84.80 ,$52.47 ,$29.68 ,$95.40 ,$40.28 ,$9.11 , N/A ,$50.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3360,DIAZEPAM 5 MG/ML SOLN per 5 mg,636,1 ,$153.40 ,$110.45 ,$10.32 ,$153.40 , N/A ,$78.23 ,$84.37 , N/A ,$42.95 ,$32.98 , N/A ,$34.35 , N/A ,$75.93 ,$61.36 , N/A ,$75.93 , N/A ,$107.38 ,$10.32 ,$122.72 , N/A , N/A ,$107.38 , N/A ,$92.04 , N/A ,$115.05 ,$84.68 ,$76.39 ,$84.68 , N/A ,$84.68 ,$124.25 ,$153.40 ,$124.25 ,$130.39 , N/A ,$106.31 , N/A ,$153.40 ,$86.06 , N/A ,$40.19 ,$153.40 , N/A , N/A , N/A ,$122.72 ,$75.93 ,$42.95 ,$138.06 ,$58.29 ,$14.11 , N/A ,$73.63 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0500,DICYCLOMINE 10 MG/ML SOLN per 20 mg,636,1 ,$253.65 ,$182.63 ,$39.91 ,$253.65 , N/A ,$129.36 ,$139.51 , N/A ,$71.02 ,$132.66 , N/A ,$139.51 , N/A ,$125.56 ,$101.46 , N/A ,$125.56 , N/A ,$177.56 ,$54.42 ,$202.92 , N/A , N/A ,$177.56 , N/A ,$152.19 , N/A ,$190.24 ,$140.01 ,$126.32 ,$140.01 , N/A ,$140.01 ,$205.46 ,$253.65 ,$205.46 ,$215.60 , N/A ,$175.78 , N/A ,$253.65 ,$142.30 , N/A ,$66.46 ,$253.65 , N/A , N/A , N/A ,$202.92 ,$125.56 ,$71.02 ,$228.29 ,$96.39 ,$39.91 , N/A ,$121.75 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1160,DIGOXIN 0.25 MG/ML SOLN per 0.5 mg,636,1 ,$467.00 ,$336.24 ,$13.40 ,$467.00 , N/A ,$238.17 ,$256.85 , N/A ,$130.76 ,$20.69 , N/A ,$21.55 , N/A ,$231.17 ,$186.80 , N/A ,$231.17 , N/A ,$326.90 ,$20.60 ,$373.60 , N/A , N/A ,$326.90 , N/A ,$280.20 , N/A ,$350.25 ,$257.78 ,$232.57 ,$257.78 , N/A ,$257.78 ,$378.27 ,$467.00 ,$378.27 ,$396.95 , N/A ,$323.63 , N/A ,$467.00 ,$261.99 , N/A ,$122.35 ,$467.00 , N/A , N/A , N/A ,$373.60 ,$231.17 ,$130.76 ,$420.30 ,$177.46 ,$13.40 , N/A ,$224.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL per 50 mg,636,1 ,$89.60 ,$64.51 ,$1.91 ,$89.60 , N/A ,$45.70 ,$49.28 , N/A ,$25.09 ,$3.02 , N/A ,$3.15 , N/A ,$44.35 ,$35.84 , N/A ,$44.35 , N/A ,$62.72 ,$3.02 ,$71.68 , N/A , N/A ,$62.72 , N/A ,$53.76 , N/A ,$67.20 ,$49.46 ,$44.62 ,$49.46 , N/A ,$49.46 ,$72.58 ,$89.60 ,$72.58 ,$76.16 , N/A ,$62.09 , N/A ,$89.60 ,$50.27 , N/A ,$23.48 ,$89.60 , N/A , N/A , N/A ,$71.68 ,$44.35 ,$25.09 ,$80.64 ,$34.05 ,$1.91 , N/A ,$43.01 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN 10 ML VIAL per 50 mg,636,1 ,$56.00 ,$40.32 ,$1.91 ,$56.00 , N/A ,$28.56 ,$30.80 , N/A ,$15.68 ,$3.02 , N/A ,$3.15 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$3.02 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$1.91 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN per 50 mg,636,1 ,$74.00 ,$53.28 ,$1.91 ,$74.00 , N/A ,$37.74 ,$40.70 , N/A ,$20.72 ,$3.02 , N/A ,$3.15 , N/A ,$36.63 ,$29.60 , N/A ,$36.63 , N/A ,$51.80 ,$3.02 ,$59.20 , N/A , N/A ,$51.80 , N/A ,$44.40 , N/A ,$55.50 ,$40.85 ,$36.85 ,$40.85 , N/A ,$40.85 ,$59.94 ,$74.00 ,$59.94 ,$62.90 , N/A ,$51.28 , N/A ,$74.00 ,$41.51 , N/A ,$19.39 ,$74.00 , N/A , N/A , N/A ,$59.20 ,$36.63 ,$20.72 ,$66.60 ,$28.12 ,$1.91 , N/A ,$35.52 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1250,DOBUTAMINE 2 MG/ML SOLN per 250 mg,636,1 ,$169.00 ,$121.68 ,$11.50 ,$169.00 , N/A ,$86.19 ,$92.95 , N/A ,$47.32 ,$21.02 , N/A ,$21.90 , N/A ,$83.66 ,$67.60 , N/A ,$83.66 , N/A ,$118.30 ,$12.70 ,$135.20 , N/A , N/A ,$118.30 , N/A ,$101.40 , N/A ,$126.75 ,$93.29 ,$84.16 ,$93.29 , N/A ,$93.29 ,$136.89 ,$169.00 ,$136.89 ,$143.65 , N/A ,$117.12 , N/A ,$169.00 ,$94.81 , N/A ,$44.28 ,$169.00 , N/A , N/A , N/A ,$135.20 ,$83.66 ,$47.32 ,$152.10 ,$64.22 ,$11.50 , N/A ,$81.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1250,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL per 250 mg,636,1 ,$90.60 ,$65.23 ,$11.50 ,$90.60 , N/A ,$46.21 ,$49.83 , N/A ,$25.37 ,$21.02 , N/A ,$21.90 , N/A ,$44.85 ,$36.24 , N/A ,$44.85 , N/A ,$63.42 ,$12.70 ,$72.48 , N/A , N/A ,$63.42 , N/A ,$54.36 , N/A ,$67.95 ,$50.01 ,$45.12 ,$50.01 , N/A ,$50.01 ,$73.39 ,$90.60 ,$73.39 ,$77.01 , N/A ,$62.79 , N/A ,$90.60 ,$50.83 , N/A ,$23.74 ,$90.60 , N/A , N/A , N/A ,$72.48 ,$44.85 ,$25.37 ,$81.54 ,$34.43 ,$11.50 , N/A ,$43.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9171,DOCETAXEL 80 MG/4ML CONC 8 ML VIAL per 1 mg,636,1 ,$32.21 ,$23.19 ,$0.96 ,$229.73 , N/A ,$16.43 ,$17.72 , N/A ,$9.02 ,$8.50 , N/A ,$8.85 , N/A ,$15.94 ,$12.88 , N/A ,$15.94 , N/A ,$22.55 ,$0.96 ,$25.77 , N/A , N/A ,$22.55 , N/A ,$19.33 , N/A ,$24.16 ,$17.78 ,$16.04 ,$17.78 , N/A ,$17.78 ,$26.09 ,$32.21 ,$26.09 ,$27.38 , N/A ,$22.32 , N/A ,$32.21 ,$18.07 , N/A ,$8.44 ,$32.21 ,$32.21 ,$229.73 , N/A ,$25.77 ,$15.94 ,$9.02 ,$28.99 ,$12.24 ,$0.96 , N/A ,$15.46 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1265,DOPAMINE 1.6-5 MG/ML-% SOLN per 40 mg,636,1 ,$15.20 ,$10.94 ,$0.98 ,$15.20 , N/A ,$7.75 ,$8.36 , N/A ,$4.26 ,$2.83 , N/A ,$2.95 , N/A ,$7.52 ,$6.08 , N/A ,$7.52 , N/A ,$10.64 ,$0.98 ,$12.16 , N/A , N/A ,$10.64 , N/A ,$9.12 , N/A ,$11.40 ,$8.39 ,$7.57 ,$8.39 , N/A ,$8.39 ,$12.31 ,$15.20 ,$12.31 ,$12.92 , N/A ,$10.53 , N/A ,$15.20 ,$8.53 , N/A ,$3.98 ,$15.20 , N/A , N/A , N/A ,$12.16 ,$7.52 ,$4.26 ,$13.68 ,$5.78 ,$1.02 , N/A ,$7.30 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1265,DOPAMINE 40 MG/ML SOLN 5 ML VIAL per 40 mg,636,1 ,$13.50 ,$9.72 ,$0.98 ,$13.50 , N/A ,$6.89 ,$7.43 , N/A ,$3.78 ,$2.83 , N/A ,$2.95 , N/A ,$6.68 ,$5.40 , N/A ,$6.68 , N/A ,$9.45 ,$0.98 ,$10.80 , N/A , N/A ,$9.45 , N/A ,$8.10 , N/A ,$10.13 ,$7.45 ,$6.72 ,$7.45 , N/A ,$7.45 ,$10.94 ,$13.50 ,$10.94 ,$11.48 , N/A ,$9.36 , N/A ,$13.50 ,$7.57 , N/A ,$3.54 ,$13.50 , N/A , N/A , N/A ,$10.80 ,$6.68 ,$3.78 ,$12.15 ,$5.13 ,$1.02 , N/A ,$6.48 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9000,DOXORUBICIN 2 MG/ML SOLN 25 ML VIAL per 10 mg,636,1 ,$37.76 ,$27.19 ,$3.96 ,$37.76 , N/A ,$19.26 ,$20.77 , N/A ,$10.57 ,$13.73 , N/A ,$14.30 , N/A ,$18.69 ,$15.10 , N/A ,$18.69 , N/A ,$26.43 ,$5.02 ,$30.21 , N/A , N/A ,$26.43 , N/A ,$22.66 , N/A ,$28.32 ,$20.84 ,$18.80 ,$20.84 , N/A ,$20.84 ,$30.59 ,$37.76 ,$30.59 ,$32.10 , N/A ,$26.17 , N/A ,$37.76 ,$21.18 , N/A ,$9.89 ,$37.76 , N/A , N/A , N/A ,$30.21 ,$18.69 ,$10.57 ,$33.98 ,$14.35 ,$3.96 , N/A ,$18.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1790,DROPERIDOL 2.5 MG/ML SOLN per 5 mg,636,1 ,$59.05 ,$42.52 ,$4.28 ,$59.05 , N/A ,$30.12 ,$32.48 , N/A ,$16.53 ,$14.06 , N/A ,$14.65 , N/A ,$29.23 ,$23.62 , N/A ,$29.23 , N/A ,$41.34 ,$4.28 ,$47.24 , N/A , N/A ,$41.34 , N/A ,$35.43 , N/A ,$44.29 ,$32.60 ,$29.41 ,$32.60 , N/A ,$32.60 ,$47.83 ,$59.05 ,$47.83 ,$50.19 , N/A ,$40.92 , N/A ,$59.05 ,$33.13 , N/A ,$15.47 ,$59.05 , N/A , N/A , N/A ,$47.24 ,$29.23 ,$16.53 ,$53.15 ,$22.44 ,$17.04 , N/A ,$28.34 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9173,DURVALUMAB 500 MG/10ML SOLN 10 ML VIAL per 10 mg,636,1 ,$161.30 ,$116.14 ,$42.26 ,"$3,062.40 ",$196.43 ,$82.26 ,$88.72 ,$77.00 ,$45.16 ,$84.36 ,$77.00 ,$88.72 ,$77.00 ,$79.84 ,$64.52 ,$77.00 ,$79.84 ,$158.72 ,$112.91 ,$156.40 ,$129.04 ,$196.43 ,$77.00 ,$112.91 ,$77.00 ,$96.78 ,$78.54 ,$120.98 ,$89.04 ,$80.33 ,$89.04 ,$77.00 ,$89.04 ,$130.65 ,$161.30 ,$130.65 ,$137.11 ,$161.30 ,$111.78 ,$77.00 ,$161.30 ,$90.49 ,$77.00 ,$42.26 ,$161.30 ,$161.30 ,"$3,062.40 ",$80.85 ,$129.04 ,$79.84 ,$45.16 ,$145.17 ,$61.29 ,$130.19 ,$77.00 ,$77.42 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9173,DURVALUMAB 500 MG/10ML SOLN 2.4 ML VIAL per 10 mg,636,1 ,$157.75 ,$113.58 ,$41.33 ,"$3,062.40 ",$196.43 ,$80.45 ,$86.76 ,$77.00 ,$44.17 ,$82.50 ,$77.00 ,$86.76 ,$77.00 ,$78.09 ,$63.10 ,$77.00 ,$78.09 ,$157.75 ,$110.43 ,$156.40 ,$126.20 ,$196.43 ,$77.00 ,$110.43 ,$77.00 ,$94.65 ,$78.54 ,$118.31 ,$87.08 ,$78.56 ,$87.08 ,$77.00 ,$87.08 ,$127.78 ,$157.75 ,$127.78 ,$134.09 ,$157.75 ,$109.32 ,$77.00 ,$157.75 ,$88.50 ,$77.00 ,$41.33 ,$157.75 ,$157.75 ,"$3,062.40 ",$80.85 ,$126.20 ,$78.09 ,$44.17 ,$141.98 ,$59.95 ,$130.19 ,$77.00 ,$75.72 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9332,EFGARTIGIMOD ALFA-FCAB 400 MG/20ML SOLN 20 ML VIAL per 2 mg,636,1 ,$89.25 ,$64.26 ,$23.38 ,"$4,877.78 ",$78.80 ,$45.52 ,$49.09 ,$30.89 ,$24.99 ,$46.68 ,$30.89 ,$49.09 ,$30.89 ,$44.18 ,$35.70 ,$30.89 ,$44.18 ,$63.68 ,$62.48 ,$63.08 ,$71.40 ,$78.81 ,$30.89 ,$62.48 ,$30.89 ,$53.55 ,$31.51 ,$66.94 ,$49.27 ,$44.45 ,$49.27 ,$30.89 ,$49.27 ,$72.29 ,$89.25 ,$72.29 ,$75.86 ,$78.81 ,$61.85 ,$30.89 ,$89.25 ,$50.07 ,$30.89 ,$23.38 ,$89.25 ,$89.25 ,"$4,877.78 ",$32.44 ,$71.40 ,$44.18 ,$24.99 ,$80.33 ,$33.92 ,$52.01 ,$30.89 ,$42.84 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 100 MG/ML SOSY 1 ML SYRINGE per 10 mg,636,1 ,$21.70 ,$15.62 ,$1.34 ,$21.70 , N/A ,$11.07 ,$11.94 , N/A ,$6.08 ,$4.18 , N/A ,$4.35 , N/A ,$10.74 ,$8.68 , N/A ,$10.74 , N/A ,$15.19 ,$1.50 ,$17.36 , N/A , N/A ,$15.19 , N/A ,$13.02 , N/A ,$16.28 ,$11.98 ,$10.81 ,$11.98 , N/A ,$11.98 ,$17.58 ,$21.70 ,$17.58 ,$18.45 , N/A ,$15.04 , N/A ,$21.70 ,$12.17 , N/A ,$5.69 ,$21.70 , N/A , N/A , N/A ,$17.36 ,$10.74 ,$6.08 ,$19.53 ,$8.25 ,$1.34 , N/A ,$10.42 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 100 MG/ML SOSY per 10 mg,636,1 ,$17.60 ,$12.67 ,$1.34 ,$17.60 , N/A ,$8.98 ,$9.68 , N/A ,$4.93 ,$4.18 , N/A ,$4.35 , N/A ,$8.71 ,$7.04 , N/A ,$8.71 , N/A ,$12.32 ,$1.50 ,$14.08 , N/A , N/A ,$12.32 , N/A ,$10.56 , N/A ,$13.20 ,$9.72 ,$8.76 ,$9.72 , N/A ,$9.72 ,$14.26 ,$17.60 ,$14.26 ,$14.96 , N/A ,$12.20 , N/A ,$17.60 ,$9.87 , N/A ,$4.61 ,$17.60 , N/A , N/A , N/A ,$14.08 ,$8.71 ,$4.93 ,$15.84 ,$6.69 ,$1.34 , N/A ,$8.45 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 120 MG/0.8ML SOSY per 10 mg,636,1 ,$16.77 ,$12.07 ,$1.34 ,$16.77 , N/A ,$8.55 ,$9.22 , N/A ,$4.70 ,$4.18 , N/A ,$4.35 , N/A ,$8.30 ,$6.71 , N/A ,$8.30 , N/A ,$11.74 ,$1.50 ,$13.42 , N/A , N/A ,$11.74 , N/A ,$10.06 , N/A ,$12.58 ,$9.26 ,$8.35 ,$9.26 , N/A ,$9.26 ,$13.58 ,$16.77 ,$13.58 ,$14.25 , N/A ,$11.62 , N/A ,$16.77 ,$9.41 , N/A ,$4.39 ,$16.77 , N/A , N/A , N/A ,$13.42 ,$8.30 ,$4.70 ,$15.09 ,$6.37 ,$1.34 , N/A ,$8.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 150 MG/ML SOSY per 10 mg,636,1 ,$20.03 ,$14.42 ,$1.34 ,$20.03 , N/A ,$10.22 ,$11.02 , N/A ,$5.61 ,$4.18 , N/A ,$4.35 , N/A ,$9.91 ,$8.01 , N/A ,$9.91 , N/A ,$14.02 ,$1.50 ,$16.02 , N/A , N/A ,$14.02 , N/A ,$12.02 , N/A ,$15.02 ,$11.06 ,$9.97 ,$11.06 , N/A ,$11.06 ,$16.22 ,$20.03 ,$16.22 ,$17.03 , N/A ,$13.88 , N/A ,$20.03 ,$11.24 , N/A ,$5.25 ,$20.03 , N/A , N/A , N/A ,$16.02 ,$9.91 ,$5.61 ,$18.03 ,$7.61 ,$1.34 , N/A ,$9.61 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 30 MG/0.3ML SOSY per 10 mg,636,1 ,$35.78 ,$25.76 ,$1.34 ,$35.78 , N/A ,$18.25 ,$19.68 , N/A ,$10.02 ,$4.18 , N/A ,$4.35 , N/A ,$17.71 ,$14.31 , N/A ,$17.71 , N/A ,$25.05 ,$1.50 ,$28.62 , N/A , N/A ,$25.05 , N/A ,$21.47 , N/A ,$26.84 ,$19.75 ,$17.82 ,$19.75 , N/A ,$19.75 ,$28.98 ,$35.78 ,$28.98 ,$30.41 , N/A ,$24.80 , N/A ,$35.78 ,$20.07 , N/A ,$9.37 ,$35.78 , N/A , N/A , N/A ,$28.62 ,$17.71 ,$10.02 ,$32.20 ,$13.60 ,$1.34 , N/A ,$17.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOLN per 10 mg,636,1 ,$31.56 ,$22.72 ,$1.34 ,$31.56 , N/A ,$16.10 ,$17.36 , N/A ,$8.84 ,$4.18 , N/A ,$4.35 , N/A ,$15.62 ,$12.62 , N/A ,$15.62 , N/A ,$22.09 ,$1.50 ,$25.25 , N/A , N/A ,$22.09 , N/A ,$18.94 , N/A ,$23.67 ,$17.42 ,$15.72 ,$17.42 , N/A ,$17.42 ,$25.56 ,$31.56 ,$25.56 ,$26.83 , N/A ,$21.87 , N/A ,$31.56 ,$17.71 , N/A ,$8.27 ,$31.56 , N/A , N/A , N/A ,$25.25 ,$15.62 ,$8.84 ,$28.40 ,$11.99 ,$1.34 , N/A ,$15.15 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOLN per 10 mg,636,1 ,$31.07 ,$22.37 ,$1.34 ,$31.07 , N/A ,$15.85 ,$17.09 , N/A ,$8.70 ,$4.18 , N/A ,$4.35 , N/A ,$15.38 ,$12.43 , N/A ,$15.38 , N/A ,$21.75 ,$1.50 ,$24.86 , N/A , N/A ,$21.75 , N/A ,$18.64 , N/A ,$23.30 ,$17.15 ,$15.47 ,$17.15 , N/A ,$17.15 ,$25.17 ,$31.07 ,$25.17 ,$26.41 , N/A ,$21.53 , N/A ,$31.07 ,$17.43 , N/A ,$8.14 ,$31.07 , N/A , N/A , N/A ,$24.86 ,$15.38 ,$8.70 ,$27.96 ,$11.81 ,$1.34 , N/A ,$14.91 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOSY 0.6 ML SYRINGE per 10 mg,636,1 ,$20.93 ,$15.07 ,$1.34 ,$20.93 , N/A ,$10.67 ,$11.51 , N/A ,$5.86 ,$4.18 , N/A ,$4.35 , N/A ,$10.36 ,$8.37 , N/A ,$10.36 , N/A ,$14.65 ,$1.50 ,$16.74 , N/A , N/A ,$14.65 , N/A ,$12.56 , N/A ,$15.70 ,$11.55 ,$10.42 ,$11.55 , N/A ,$11.55 ,$16.95 ,$20.93 ,$16.95 ,$17.79 , N/A ,$14.50 , N/A ,$20.93 ,$11.74 , N/A ,$5.48 ,$20.93 , N/A , N/A , N/A ,$16.74 ,$10.36 ,$5.86 ,$18.84 ,$7.95 ,$1.34 , N/A ,$10.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 80 MG/0.8 ML SOSY per 10 mg,636,1 ,$27.50 ,$19.80 ,$1.34 ,$27.50 , N/A ,$14.03 ,$15.13 , N/A ,$7.70 ,$4.18 , N/A ,$4.35 , N/A ,$13.61 ,$11.00 , N/A ,$13.61 , N/A ,$19.25 ,$1.50 ,$22.00 , N/A , N/A ,$19.25 , N/A ,$16.50 , N/A ,$20.63 ,$15.18 ,$13.70 ,$15.18 , N/A ,$15.18 ,$22.28 ,$27.50 ,$22.28 ,$23.38 , N/A ,$19.06 , N/A ,$27.50 ,$15.43 , N/A ,$7.21 ,$27.50 , N/A , N/A , N/A ,$22.00 ,$13.61 ,$7.70 ,$24.75 ,$10.45 ,$1.34 , N/A ,$13.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOSY per 10 mg,636,1 ,$27.50 ,$19.80 ,$1.34 ,$27.50 , N/A ,$14.03 ,$15.13 , N/A ,$7.70 ,$4.18 , N/A ,$4.35 , N/A ,$13.61 ,$11.00 , N/A ,$13.61 , N/A ,$19.25 ,$1.50 ,$22.00 , N/A , N/A ,$19.25 , N/A ,$16.50 , N/A ,$20.63 ,$15.18 ,$13.70 ,$15.18 , N/A ,$15.18 ,$22.28 ,$27.50 ,$22.28 ,$23.38 , N/A ,$19.06 , N/A ,$27.50 ,$15.43 , N/A ,$7.21 ,$27.50 , N/A , N/A , N/A ,$22.00 ,$13.61 ,$7.70 ,$24.75 ,$10.45 ,$1.34 , N/A ,$13.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1650,ENOXAPARIN 80 MG/0.8ML SOLN per 10 mg,636,1 ,$26.90 ,$19.37 ,$1.34 ,$26.90 , N/A ,$13.72 ,$14.80 , N/A ,$7.53 ,$4.18 , N/A ,$4.35 , N/A ,$13.32 ,$10.76 , N/A ,$13.32 , N/A ,$18.83 ,$1.50 ,$21.52 , N/A , N/A ,$18.83 , N/A ,$16.14 , N/A ,$20.18 ,$14.85 ,$13.40 ,$14.85 , N/A ,$14.85 ,$21.79 ,$26.90 ,$21.79 ,$22.87 , N/A ,$18.64 , N/A ,$26.90 ,$15.09 , N/A ,$7.05 ,$26.90 , N/A , N/A , N/A ,$21.52 ,$13.32 ,$7.53 ,$24.21 ,$10.22 ,$1.34 , N/A ,$12.91 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3490,EPHEDRINE 50 MG/ML SOLN per 50 mg,636,1 ,$293.95 ,$211.64 ,$77.01 ,$293.95 , N/A ,$149.91 ,$161.67 , N/A ,$82.31 ,$153.74 , N/A ,$161.67 , N/A ,$145.51 ,$117.58 , N/A ,$145.51 , N/A ,$205.77 , N/A ,$235.16 , N/A , N/A ,$205.77 , N/A ,$176.37 , N/A ,$220.46 ,$162.26 ,$146.39 ,$162.26 , N/A ,$162.26 ,$238.10 ,$293.95 ,$238.10 ,$249.86 , N/A ,$203.71 , N/A ,$293.95 ,$164.91 , N/A ,$77.01 ,$293.95 , N/A , N/A , N/A ,$235.16 ,$145.51 ,$82.31 ,$264.56 ,$111.70 , N/A , N/A ,$141.10 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0171,EPINEPHRINE 1 MG/10ML SOSY per 0.1 mg,636,1 ,$13.28 ,$9.56 ,$1.19 ,$13.28 , N/A ,$6.77 ,$7.30 , N/A ,$3.72 ,$2.98 , N/A ,$3.10 , N/A ,$6.57 ,$5.31 , N/A ,$6.57 , N/A ,$9.30 ,$1.48 ,$10.62 , N/A , N/A ,$9.30 , N/A ,$7.97 , N/A ,$9.96 ,$7.33 ,$6.61 ,$7.33 , N/A ,$7.33 ,$10.76 ,$13.28 ,$10.76 ,$11.29 , N/A ,$9.20 , N/A ,$13.28 ,$7.45 , N/A ,$3.48 ,$13.28 , N/A , N/A , N/A ,$10.62 ,$6.57 ,$3.72 ,$11.95 ,$5.05 ,$1.19 , N/A ,$6.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE per 0.1 mg,636,1 ,$12.42 ,$8.94 ,$1.19 ,$12.42 , N/A ,$6.33 ,$6.83 , N/A ,$3.48 ,$2.98 , N/A ,$3.10 , N/A ,$6.15 ,$4.97 , N/A ,$6.15 , N/A ,$8.69 ,$1.48 ,$9.94 , N/A , N/A ,$8.69 , N/A ,$7.45 , N/A ,$9.32 ,$6.86 ,$6.19 ,$6.86 , N/A ,$6.86 ,$10.06 ,$12.42 ,$10.06 ,$10.56 , N/A ,$8.61 , N/A ,$12.42 ,$6.97 , N/A ,$3.25 ,$12.42 , N/A , N/A , N/A ,$9.94 ,$6.15 ,$3.48 ,$11.18 ,$4.72 ,$1.19 , N/A ,$5.96 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 1 ML VIAL per 0.1 mg,636,1 ,$17.57 ,$12.65 ,$1.19 ,$17.57 , N/A ,$8.96 ,$9.66 , N/A ,$4.92 ,$2.98 , N/A ,$3.10 , N/A ,$8.70 ,$7.03 , N/A ,$8.70 , N/A ,$12.30 ,$1.48 ,$14.06 , N/A , N/A ,$12.30 , N/A ,$10.54 , N/A ,$13.18 ,$9.70 ,$8.75 ,$9.70 , N/A ,$9.70 ,$14.23 ,$17.57 ,$14.23 ,$14.93 , N/A ,$12.18 , N/A ,$17.57 ,$9.86 , N/A ,$4.60 ,$17.57 , N/A , N/A , N/A ,$14.06 ,$8.70 ,$4.92 ,$15.81 ,$6.68 ,$1.19 , N/A ,$8.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 30 ML VIAL per 0.1 mg,636,1 ,$4.13 ,$2.97 ,$1.08 ,$4.13 , N/A ,$2.11 ,$2.27 , N/A ,$1.16 ,$2.16 , N/A ,$2.27 , N/A ,$2.04 ,$1.65 , N/A ,$2.04 , N/A ,$2.89 ,$1.48 ,$3.30 , N/A , N/A ,$2.89 , N/A ,$2.48 , N/A ,$3.10 ,$2.28 ,$2.06 ,$2.28 , N/A ,$2.28 ,$3.35 ,$4.13 ,$3.35 ,$3.51 , N/A ,$2.86 , N/A ,$4.13 ,$2.32 , N/A ,$1.08 ,$4.13 , N/A , N/A , N/A ,$3.30 ,$2.04 ,$1.16 ,$3.72 ,$1.57 ,$1.19 , N/A ,$1.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0885,EPOETIN ALFA 10000 UNIT/ML SOLN per 1000 Units,636,1 ,$111.48 ,$80.27 ,$7.77 ,$220.57 ,$19.83 ,$56.85 ,$61.31 ,$7.77 ,$31.21 ,$58.30 ,$7.77 ,$61.31 ,$7.77 ,$55.18 ,$44.59 ,$7.77 ,$55.18 ,$16.01 ,$78.04 ,$16.44 ,$89.18 ,$19.82 ,$7.77 ,$78.04 ,$7.77 ,$66.89 ,$7.93 ,$83.61 ,$61.54 ,$55.52 ,$61.54 ,$7.77 ,$61.54 ,$90.30 ,$111.48 ,$90.30 ,$94.76 ,$19.82 ,$77.26 ,$7.77 ,$111.48 ,$62.54 ,$7.77 ,$29.21 ,$111.48 ,$111.48 ,$220.57 ,$8.16 ,$89.18 ,$55.18 ,$31.21 ,$100.33 ,$42.36 ,$13.61 ,$7.77 ,$53.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0885,EPOETIN ALFA 20000 UNIT/ML SOLN per 1000 Units,636,1 ,$89.03 ,$64.10 ,$7.77 ,$220.57 ,$19.83 ,$45.41 ,$48.97 ,$7.77 ,$24.93 ,$46.56 ,$7.77 ,$48.97 ,$7.77 ,$44.07 ,$35.61 ,$7.77 ,$44.07 ,$16.01 ,$62.32 ,$16.44 ,$71.22 ,$19.82 ,$7.77 ,$62.32 ,$7.77 ,$53.42 ,$7.93 ,$66.77 ,$49.14 ,$44.34 ,$49.14 ,$7.77 ,$49.14 ,$72.11 ,$89.03 ,$72.11 ,$75.68 ,$19.82 ,$61.70 ,$7.77 ,$89.03 ,$49.95 ,$7.77 ,$23.33 ,$89.03 ,$89.03 ,$220.57 ,$8.16 ,$71.22 ,$44.07 ,$24.93 ,$80.13 ,$33.83 ,$13.61 ,$7.77 ,$42.73 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0885,EPOETIN ALFA 40000 UNIT/ML SOLN per 1000 Units,636,1 ,$89.44 ,$64.40 ,$7.77 ,$220.57 ,$19.83 ,$45.61 ,$49.19 ,$7.77 ,$25.04 ,$46.78 ,$7.77 ,$49.19 ,$7.77 ,$44.27 ,$35.78 ,$7.77 ,$44.27 ,$16.01 ,$62.61 ,$16.44 ,$71.55 ,$19.82 ,$7.77 ,$62.61 ,$7.77 ,$53.66 ,$7.93 ,$67.08 ,$49.37 ,$44.54 ,$49.37 ,$7.77 ,$49.37 ,$72.45 ,$89.44 ,$72.45 ,$76.02 ,$19.82 ,$61.98 ,$7.77 ,$89.44 ,$50.18 ,$7.77 ,$23.43 ,$89.44 ,$89.44 ,$220.57 ,$8.16 ,$71.55 ,$44.27 ,$25.04 ,$80.50 ,$33.99 ,$13.61 ,$7.77 ,$42.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5106,EPOETIN ALFA-EPBX 10000 UNITS/ML SOLN per 1000 Units,636,1 ,$77.80 ,$56.02 ,$8.34 ,$220.57 ,$21.28 ,$39.68 ,$42.79 ,$8.34 ,$21.78 ,$40.69 ,$8.34 ,$42.79 ,$8.34 ,$38.51 ,$31.12 ,$8.34 ,$38.51 ,$17.20 ,$54.46 ,$16.80 ,$62.24 ,$21.29 ,$8.34 ,$54.46 ,$8.34 ,$46.68 ,$8.51 ,$58.35 ,$42.95 ,$38.74 ,$42.95 ,$8.34 ,$42.95 ,$63.02 ,$77.80 ,$63.02 ,$66.13 ,$21.29 ,$53.92 ,$8.34 ,$77.80 ,$43.65 ,$8.34 ,$20.38 ,$77.80 ,$77.80 ,$220.57 ,$8.76 ,$62.24 ,$38.51 ,$21.78 ,$70.02 ,$29.56 ,$13.30 ,$8.34 ,$37.34 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5106,EPOETIN ALFA-EPBX 20000 UNIT/ML SOLN per 1000 Units,636,1 ,$62.06 ,$44.68 ,$8.34 ,$220.57 ,$21.28 ,$31.65 ,$34.13 ,$8.34 ,$17.38 ,$32.46 ,$8.34 ,$34.13 ,$8.34 ,$30.72 ,$24.82 ,$8.34 ,$30.72 ,$17.20 ,$43.44 ,$16.80 ,$49.65 ,$21.29 ,$8.34 ,$43.44 ,$8.34 ,$37.24 ,$8.51 ,$46.55 ,$34.26 ,$30.91 ,$34.26 ,$8.34 ,$34.26 ,$50.27 ,$62.06 ,$50.27 ,$52.75 ,$21.29 ,$43.01 ,$8.34 ,$62.06 ,$34.82 ,$8.34 ,$16.26 ,$62.06 ,$62.06 ,$220.57 ,$8.76 ,$49.65 ,$30.72 ,$17.38 ,$55.85 ,$23.58 ,$13.30 ,$8.34 ,$29.79 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5106,EPOETIN ALFA-EPBX 40000 UNIT/ML SOLN per 1000 Units,636,1 ,$37.65 ,$27.11 ,$8.34 ,$220.57 ,$21.28 ,$19.20 ,$20.71 ,$8.34 ,$10.54 ,$19.69 ,$8.34 ,$20.71 ,$8.34 ,$18.64 ,$15.06 ,$8.34 ,$18.64 ,$17.20 ,$26.36 ,$16.80 ,$30.12 ,$21.29 ,$8.34 ,$26.36 ,$8.34 ,$22.59 ,$8.51 ,$28.24 ,$20.78 ,$18.75 ,$20.78 ,$8.34 ,$20.78 ,$30.50 ,$37.65 ,$30.50 ,$32.00 ,$21.29 ,$26.09 ,$8.34 ,$37.65 ,$21.12 ,$8.34 ,$9.86 ,$37.65 ,$37.65 ,$220.57 ,$8.76 ,$30.12 ,$18.64 ,$10.54 ,$33.89 ,$14.31 ,$13.30 ,$8.34 ,$18.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1327,EPTIFIBATIDE 20 MG/10ML SOLN per 5 mg,636,1 ,$265.63 ,$191.25 ,$55.16 ,$282.53 , N/A ,$135.47 ,$146.10 , N/A ,$74.38 ,$138.92 , N/A ,$146.10 , N/A ,$131.49 ,$106.25 , N/A ,$131.49 , N/A ,$185.94 ,$55.16 ,$212.50 , N/A , N/A ,$185.94 , N/A ,$159.38 , N/A ,$199.22 ,$146.63 ,$132.28 ,$146.63 , N/A ,$146.63 ,$215.16 ,$265.63 ,$215.16 ,$225.79 , N/A ,$184.08 , N/A ,$265.63 ,$149.02 , N/A ,$69.60 ,$265.63 ,$265.63 ,$282.53 , N/A ,$212.50 ,$131.49 ,$74.38 ,$239.07 ,$100.94 ,$61.30 , N/A ,$127.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1327,EPTIFIBATIDE 75 MG/100ML SOLN per 5 mg,636,1 ,$132.58 ,$95.46 ,$34.74 ,$282.53 , N/A ,$67.62 ,$72.92 , N/A ,$37.12 ,$69.34 , N/A ,$72.92 , N/A ,$65.63 ,$53.03 , N/A ,$65.63 , N/A ,$92.81 ,$55.16 ,$106.06 , N/A , N/A ,$92.81 , N/A ,$79.55 , N/A ,$99.44 ,$73.18 ,$66.02 ,$73.18 , N/A ,$73.18 ,$107.39 ,$132.58 ,$107.39 ,$112.69 , N/A ,$91.88 , N/A ,$132.58 ,$74.38 , N/A ,$34.74 ,$132.58 ,$132.58 ,$282.53 , N/A ,$106.06 ,$65.63 ,$37.12 ,$119.32 ,$50.38 ,$61.30 , N/A ,$63.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3032,EPTINEZUMAB-JJMR 100 MG/ML SOLN 1 ML VIAL per 1 mg,636,1 ,$38.64 ,$27.82 ,$10.12 ,$220.57 ,$42.53 ,$19.71 ,$21.25 ,$16.67 ,$10.82 ,$20.21 ,$16.67 ,$21.25 ,$16.67 ,$19.13 ,$15.46 ,$16.67 ,$19.13 ,$34.36 ,$27.05 ,$32.84 ,$30.91 ,$42.52 ,$16.67 ,$27.05 ,$16.67 ,$23.18 ,$17.00 ,$28.98 ,$21.33 ,$19.24 ,$21.33 ,$16.67 ,$21.33 ,$31.30 ,$38.64 ,$31.30 ,$32.84 ,$38.64 ,$26.78 ,$16.67 ,$38.64 ,$21.68 ,$16.67 ,$10.12 ,$38.64 ,$38.64 ,$220.57 ,$17.50 ,$30.91 ,$19.13 ,$10.82 ,$34.78 ,$14.68 ,$27.87 ,$16.67 ,$18.55 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9179,ERIBULIN MESYLATE 1 MG/2ML SOLN 2 ML VIAL per 0.1 mg,636,1 ,$263.90 ,$190.01 ,$69.14 ,"$1,497.41 ",$317.30 ,$134.59 ,$145.15 ,$124.38 ,$73.89 ,$138.02 ,$124.38 ,$145.15 ,$124.38 ,$130.63 ,$105.56 ,$124.38 ,$130.63 ,$256.38 ,$184.73 ,$263.90 ,$211.12 ,$317.30 ,$124.38 ,$184.73 ,$124.38 ,$158.34 ,$126.87 ,$197.93 ,$145.67 ,$131.42 ,$145.67 ,$124.38 ,$145.67 ,$213.76 ,$263.90 ,$213.76 ,$224.32 ,$263.90 ,$182.88 ,$124.38 ,$263.90 ,$148.05 ,$124.38 ,$69.14 ,$263.90 ,$263.90 ,"$1,497.41 ",$130.60 ,$211.12 ,$130.63 ,$73.89 ,$237.51 ,$100.28 ,$208.94 ,$124.38 ,$126.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1335,ERTAPENEM 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$449.60 ,$323.71 ,$25.36 ,$449.60 , N/A ,$229.30 ,$247.28 , N/A ,$125.89 ,$235.14 , N/A ,$247.28 , N/A ,$222.55 ,$179.84 , N/A ,$222.55 , N/A ,$314.72 ,$34.48 ,$359.68 , N/A , N/A ,$314.72 , N/A ,$269.76 , N/A ,$337.20 ,$248.18 ,$223.90 ,$248.18 , N/A ,$248.18 ,$364.18 ,$449.60 ,$364.18 ,$382.16 , N/A ,$311.57 , N/A ,$449.60 ,$252.23 , N/A ,$117.80 ,$449.60 , N/A , N/A , N/A ,$359.68 ,$222.55 ,$125.89 ,$404.64 ,$170.85 ,$25.36 , N/A ,$215.81 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9181,ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL per 10 mg,636,1 ,$9.31 ,$6.70 ,$1.47 ,$9.31 , N/A ,$4.75 ,$5.12 , N/A ,$2.61 ,$3.70 , N/A ,$3.85 , N/A ,$4.61 ,$3.72 , N/A ,$4.61 , N/A ,$6.52 ,$1.62 ,$7.45 , N/A , N/A ,$6.52 , N/A ,$5.59 , N/A ,$6.98 ,$5.14 ,$4.64 ,$5.14 , N/A ,$5.14 ,$7.54 ,$9.31 ,$7.54 ,$7.91 , N/A ,$6.45 , N/A ,$9.31 ,$5.22 , N/A ,$2.44 ,$9.31 , N/A , N/A , N/A ,$7.45 ,$4.61 ,$2.61 ,$8.38 ,$3.54 ,$1.47 , N/A ,$4.47 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$52.06 ,$37.48 ,$13.64 ,"$2,223.78 ",$64.08 ,$26.55 ,$28.63 ,$25.12 ,$14.58 ,$27.23 ,$25.12 ,$28.63 ,$25.12 ,$25.77 ,$20.82 ,$25.12 ,$25.77 ,$51.77 ,$36.44 ,$50.32 ,$41.65 ,$64.08 ,$25.12 ,$36.44 ,$25.12 ,$31.24 ,$25.62 ,$39.05 ,$28.74 ,$25.93 ,$28.74 ,$25.12 ,$28.74 ,$42.17 ,$52.06 ,$42.17 ,$44.25 ,$52.06 ,$36.08 ,$25.12 ,$52.06 ,$29.21 ,$25.12 ,$13.64 ,$52.06 ,$52.06 ,"$2,223.78 ",$26.37 ,$41.65 ,$25.77 ,$14.58 ,$46.85 ,$19.78 ,$42.44 ,$25.12 ,$24.99 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 100 MCG/2ML SOLN per 0.1 mg,636,1 ,$60.70 ,$43.70 ,$1.52 ,$60.70 , N/A ,$30.96 ,$33.39 , N/A ,$17.00 ,$2.50 , N/A ,$2.60 , N/A ,$30.05 ,$24.28 , N/A ,$30.05 , N/A ,$42.49 ,$1.68 ,$48.56 , N/A , N/A ,$42.49 , N/A ,$36.42 , N/A ,$45.53 ,$33.51 ,$30.23 ,$33.51 , N/A ,$33.51 ,$49.17 ,$60.70 ,$49.17 ,$51.60 , N/A ,$42.07 , N/A ,$60.70 ,$34.05 , N/A ,$15.90 ,$60.70 , N/A , N/A , N/A ,$48.56 ,$30.05 ,$17.00 ,$54.63 ,$23.07 ,$1.52 , N/A ,$29.14 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 1000 MCG/20ML SOLN 20 ML VIAL per 0.1 mg,636,1 ,$56.20 ,$40.46 ,$1.52 ,$56.20 , N/A ,$28.66 ,$30.91 , N/A ,$15.74 ,$2.50 , N/A ,$2.60 , N/A ,$27.82 ,$22.48 , N/A ,$27.82 , N/A ,$39.34 ,$1.68 ,$44.96 , N/A , N/A ,$39.34 , N/A ,$33.72 , N/A ,$42.15 ,$31.02 ,$27.99 ,$31.02 , N/A ,$31.02 ,$45.52 ,$56.20 ,$45.52 ,$47.77 , N/A ,$38.95 , N/A ,$56.20 ,$31.53 , N/A ,$14.72 ,$56.20 , N/A , N/A , N/A ,$44.96 ,$27.82 ,$15.74 ,$50.58 ,$21.36 ,$1.52 , N/A ,$26.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 250 MCG/5ML SOLN per 0.1 mg,636,1 ,$80.60 ,$58.03 ,$1.52 ,$80.60 , N/A ,$41.11 ,$44.33 , N/A ,$22.57 ,$2.50 , N/A ,$2.60 , N/A ,$39.90 ,$32.24 , N/A ,$39.90 , N/A ,$56.42 ,$1.68 ,$64.48 , N/A , N/A ,$56.42 , N/A ,$48.36 , N/A ,$60.45 ,$44.49 ,$40.14 ,$44.49 , N/A ,$44.49 ,$65.29 ,$80.60 ,$65.29 ,$68.51 , N/A ,$55.86 , N/A ,$80.60 ,$45.22 , N/A ,$21.12 ,$80.60 , N/A , N/A , N/A ,$64.48 ,$39.90 ,$22.57 ,$72.54 ,$30.63 ,$1.52 , N/A ,$38.69 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 2500 MCG/50ML SOLN 50 ML VIAL per 0.1 mg,636,1 ,$13.40 ,$9.65 ,$1.52 ,$13.40 , N/A ,$6.83 ,$7.37 , N/A ,$3.75 ,$2.50 , N/A ,$2.60 , N/A ,$6.63 ,$5.36 , N/A ,$6.63 , N/A ,$9.38 ,$1.68 ,$10.72 , N/A , N/A ,$9.38 , N/A ,$8.04 , N/A ,$10.05 ,$7.40 ,$6.67 ,$7.40 , N/A ,$7.40 ,$10.85 ,$13.40 ,$10.85 ,$11.39 , N/A ,$9.29 , N/A ,$13.40 ,$7.52 , N/A ,$3.51 ,$13.40 , N/A , N/A , N/A ,$10.72 ,$6.63 ,$3.75 ,$12.06 ,$5.09 ,$1.52 , N/A ,$6.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 2500 MCG/50ML SOLN per 0.1 mg,636,1 ,$11.05 ,$7.96 ,$1.52 ,$11.05 , N/A ,$5.64 ,$6.08 , N/A ,$3.09 ,$2.50 , N/A ,$2.60 , N/A ,$5.47 ,$4.42 , N/A ,$5.47 , N/A ,$7.74 ,$1.68 ,$8.84 , N/A , N/A ,$7.74 , N/A ,$6.63 , N/A ,$8.29 ,$6.10 ,$5.50 ,$6.10 , N/A ,$6.10 ,$8.95 ,$11.05 ,$8.95 ,$9.39 , N/A ,$7.66 , N/A ,$11.05 ,$6.20 , N/A ,$2.90 ,$11.05 , N/A , N/A , N/A ,$8.84 ,$5.47 ,$3.09 ,$9.95 ,$4.20 ,$1.52 , N/A ,$5.30 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3010,FENTANYL 500 MCG/10ML SOLN 10 ML VIAL per 0.1 mg,636,1 ,$13.91 ,$10.02 ,$1.52 ,$13.91 , N/A ,$7.09 ,$7.65 , N/A ,$3.89 ,$2.50 , N/A ,$2.60 , N/A ,$6.89 ,$5.56 , N/A ,$6.89 , N/A ,$9.74 ,$1.68 ,$11.13 , N/A , N/A ,$9.74 , N/A ,$8.35 , N/A ,$10.43 ,$7.68 ,$6.93 ,$7.68 , N/A ,$7.68 ,$11.27 ,$13.91 ,$11.27 ,$11.82 , N/A ,$9.64 , N/A ,$13.91 ,$7.80 , N/A ,$3.64 ,$13.91 , N/A , N/A , N/A ,$11.13 ,$6.89 ,$3.89 ,$12.52 ,$5.29 ,$1.52 , N/A ,$6.68 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1439,FERRIC CARBOXYMALTOSE 750 MG/15ML SOLN 15 ML VIAL per 1 mg,636,1 ,$5.77 ,$4.15 ,$1.11 ,$120.45 ,$2.83 ,$2.94 ,$3.17 ,$1.11 ,$1.62 ,$3.02 ,$1.11 ,$3.17 ,$1.11 ,$2.86 ,$2.31 ,$1.11 ,$2.86 ,$2.29 ,$4.04 ,$2.22 ,$4.62 ,$2.84 ,$1.11 ,$4.04 ,$1.11 ,$3.46 ,$1.14 ,$4.33 ,$3.19 ,$2.87 ,$3.19 ,$1.11 ,$3.19 ,$4.67 ,$5.77 ,$4.67 ,$4.90 ,$2.84 ,$4.00 ,$1.11 ,$5.77 ,$3.24 ,$1.11 ,$1.51 ,$5.77 ,$5.77 ,$120.45 ,$1.17 ,$4.62 ,$2.86 ,$1.62 ,$5.19 ,$2.19 ,$1.82 ,$1.11 ,$2.77 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2916,FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL per 12.5 mg,636,1 ,$58.43 ,$42.07 ,$3.45 ,$58.43 , N/A ,$29.80 ,$32.14 , N/A ,$16.36 ,$10.51 , N/A ,$10.95 , N/A ,$28.92 ,$23.37 , N/A ,$28.92 , N/A ,$40.90 ,$3.74 ,$46.74 , N/A , N/A ,$40.90 , N/A ,$35.06 , N/A ,$43.82 ,$32.25 ,$29.10 ,$32.25 , N/A ,$32.25 ,$47.33 ,$58.43 ,$47.33 ,$49.67 , N/A ,$40.49 , N/A ,$58.43 ,$32.78 , N/A ,$15.31 ,$58.43 , N/A , N/A , N/A ,$46.74 ,$28.92 ,$16.36 ,$52.59 ,$22.20 ,$3.45 , N/A ,$28.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q0138,FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL per 1 mg,636,1 ,$7.82 ,$5.63 ,$0.47 ,$220.57 ,$1.20 ,$3.99 ,$4.30 ,$0.47 ,$2.19 ,$4.09 ,$0.47 ,$4.30 ,$0.47 ,$3.87 ,$3.13 ,$0.47 ,$3.87 ,$0.97 ,$5.47 ,$1.40 ,$6.26 ,$1.20 ,$0.47 ,$5.47 ,$0.47 ,$4.69 ,$0.48 ,$5.87 ,$4.32 ,$3.89 ,$4.32 ,$0.47 ,$4.32 ,$6.33 ,$7.82 ,$6.33 ,$6.65 ,$1.20 ,$5.42 ,$0.47 ,$7.82 ,$4.39 ,$0.47 ,$2.05 ,$7.82 ,$7.82 ,$220.57 ,$0.49 ,$6.26 ,$3.87 ,$2.19 ,$7.04 ,$2.97 ,$0.92 ,$0.47 ,$3.75 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1442,FILGRASTIM 480 MCG/1.6 ML 480 MCG/1.6ML SOLN per 1 mcg,636,1 ,$3.55 ,$2.56 ,$0.93 ,$220.57 ,$2.45 ,$1.81 ,$1.95 ,$0.96 ,$0.99 ,$1.86 ,$0.96 ,$1.95 ,$0.96 ,$1.76 ,$1.42 ,$0.96 ,$1.76 ,$1.98 ,$2.49 ,$2.00 ,$2.84 ,$2.45 ,$0.96 ,$2.49 ,$0.96 ,$2.13 ,$0.98 ,$2.66 ,$1.96 ,$1.77 ,$1.96 ,$0.96 ,$1.96 ,$2.88 ,$3.55 ,$2.88 ,$3.02 ,$2.45 ,$2.46 ,$0.96 ,$3.55 ,$1.99 ,$0.96 ,$0.93 ,$3.55 ,$3.55 ,$220.57 ,$1.01 ,$2.84 ,$1.76 ,$0.99 ,$3.20 ,$1.35 ,$1.62 ,$0.96 ,$1.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5ML SOSY per 1 mcg,636,1 ,$4.01 ,$2.89 ,$0.40 ,$220.57 , N/A ,$2.05 ,$2.21 , N/A ,$1.12 ,$2.10 , N/A ,$2.21 , N/A ,$1.99 ,$1.60 , N/A ,$1.99 , N/A ,$2.81 ,$0.46 ,$3.21 , N/A , N/A ,$2.81 , N/A ,$2.41 , N/A ,$3.01 ,$2.21 ,$2.00 ,$2.21 , N/A ,$2.21 ,$3.25 ,$4.01 ,$3.25 ,$3.41 , N/A ,$2.78 , N/A ,$4.01 ,$2.25 , N/A ,$1.05 ,$4.01 ,$4.01 ,$220.57 , N/A ,$3.21 ,$1.99 ,$1.12 ,$3.61 ,$1.52 ,$0.40 , N/A ,$1.92 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8ML SOSY per 1 mcg,636,1 ,$3.12 ,$2.25 ,$0.40 ,$220.57 , N/A ,$1.59 ,$1.72 , N/A ,$0.87 ,$1.63 , N/A ,$1.72 , N/A ,$1.54 ,$1.25 , N/A ,$1.54 , N/A ,$2.18 ,$0.46 ,$2.50 , N/A , N/A ,$2.18 , N/A ,$1.87 , N/A ,$2.34 ,$1.72 ,$1.55 ,$1.72 , N/A ,$1.72 ,$2.53 ,$3.12 ,$2.53 ,$2.65 , N/A ,$2.16 , N/A ,$3.12 ,$1.75 , N/A ,$0.82 ,$3.12 ,$3.12 ,$220.57 , N/A ,$2.50 ,$1.54 ,$0.87 ,$2.81 ,$1.19 ,$0.40 , N/A ,$1.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1450,FLUCONAZOLE 200-0.9 MG/100ML-% SOLN per 200 mg,636,1 ,$184.40 ,$132.77 ,$3.84 ,$184.40 , N/A ,$94.04 ,$101.42 , N/A ,$51.63 ,$23.47 , N/A ,$24.45 , N/A ,$91.28 ,$73.76 , N/A ,$91.28 , N/A ,$129.08 ,$5.76 ,$147.52 , N/A , N/A ,$129.08 , N/A ,$110.64 , N/A ,$138.30 ,$101.79 ,$91.83 ,$101.79 , N/A ,$101.79 ,$149.36 ,$184.40 ,$149.36 ,$156.74 , N/A ,$127.79 , N/A ,$184.40 ,$103.45 , N/A ,$48.31 ,$184.40 , N/A , N/A , N/A ,$147.52 ,$91.28 ,$51.63 ,$165.96 ,$70.07 ,$3.84 , N/A ,$88.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1450,FLUCONAZOLE 400-0.9 MG/200ML-% SOLN per 200 mg,636,1 ,$100.00 ,$72.00 ,$3.84 ,$100.00 , N/A ,$51.00 ,$55.00 , N/A ,$28.00 ,$23.47 , N/A ,$24.45 , N/A ,$49.50 ,$40.00 , N/A ,$49.50 , N/A ,$70.00 ,$5.76 ,$80.00 , N/A , N/A ,$70.00 , N/A ,$60.00 , N/A ,$75.00 ,$55.20 ,$49.80 ,$55.20 , N/A ,$55.20 ,$81.00 ,$100.00 ,$81.00 ,$85.00 , N/A ,$69.30 , N/A ,$100.00 ,$56.10 , N/A ,$26.20 ,$100.00 , N/A , N/A , N/A ,$80.00 ,$49.50 ,$28.00 ,$90.00 ,$38.00 ,$3.84 , N/A ,$48.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9185,FLUDARABINE 50 MG SOLR 2 ML VIAL per 50 mg,636,1 ,$324.50 ,$233.64 ,$85.02 ,$404.38 ,$404.38 ,$165.50 ,$178.48 ,$158.51 ,$90.86 ,$169.71 ,$158.51 ,$178.48 ,$158.51 ,$160.63 ,$129.80 ,$158.51 ,$160.63 ,$324.50 ,$227.15 ,$96.12 ,$259.60 ,$404.37 ,$158.51 ,$227.15 ,$158.51 ,$194.70 ,$161.68 ,$243.38 ,$179.12 ,$161.60 ,$179.12 ,$158.51 ,$179.12 ,$262.85 ,$324.50 ,$262.85 ,$275.83 ,$324.50 ,$224.88 ,$158.51 ,$324.50 ,$182.04 ,$158.51 ,$85.02 ,$324.50 ,$98.77 ,$94.28 ,$166.44 ,$259.60 ,$160.63 ,$90.86 ,$292.05 ,$123.31 ,$174.24 ,$158.51 ,$155.76 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2680,FLUPHENAZINE DECANOATE 25 MG/ML SOLN per 25 mg,636,1 ,$254.60 ,$183.31 ,$15.84 ,$254.60 , N/A ,$129.85 ,$140.03 , N/A ,$71.29 ,$75.94 , N/A ,$79.10 , N/A ,$126.03 ,$101.84 , N/A ,$126.03 , N/A ,$178.22 ,$19.70 ,$203.68 , N/A , N/A ,$178.22 , N/A ,$152.76 , N/A ,$190.95 ,$140.54 ,$126.79 ,$140.54 , N/A ,$140.54 ,$206.23 ,$254.60 ,$206.23 ,$216.41 , N/A ,$176.44 , N/A ,$254.60 ,$142.83 , N/A ,$66.71 ,$254.60 , N/A , N/A , N/A ,$203.68 ,$126.03 ,$71.29 ,$229.14 ,$96.75 ,$15.84 , N/A ,$122.21 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1652,FONDAPARINUX 10 MG/0.8ML SOLN per 0.5 mg,636,1 ,$37.87 ,$27.27 ,$1.65 ,$37.87 , N/A ,$19.31 ,$20.83 , N/A ,$10.60 ,$11.86 , N/A ,$12.35 , N/A ,$18.75 ,$15.15 , N/A ,$18.75 , N/A ,$26.51 ,$2.32 ,$30.30 , N/A , N/A ,$26.51 , N/A ,$22.72 , N/A ,$28.40 ,$20.90 ,$18.86 ,$20.90 , N/A ,$20.90 ,$30.67 ,$37.87 ,$30.67 ,$32.19 , N/A ,$26.24 , N/A ,$37.87 ,$21.25 , N/A ,$9.92 ,$37.87 , N/A , N/A , N/A ,$30.30 ,$18.75 ,$10.60 ,$34.08 ,$14.39 ,$1.65 , N/A ,$18.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1652,FONDAPARINUX 2.5 MG/0.5ML SOLN per 0.5 mg,636,1 ,$70.12 ,$50.49 ,$1.65 ,$70.12 , N/A ,$35.76 ,$38.57 , N/A ,$19.63 ,$11.86 , N/A ,$12.35 , N/A ,$34.71 ,$28.05 , N/A ,$34.71 , N/A ,$49.08 ,$2.32 ,$56.10 , N/A , N/A ,$49.08 , N/A ,$42.07 , N/A ,$52.59 ,$38.71 ,$34.92 ,$38.71 , N/A ,$38.71 ,$56.80 ,$70.12 ,$56.80 ,$59.60 , N/A ,$48.59 , N/A ,$70.12 ,$39.34 , N/A ,$18.37 ,$70.12 , N/A , N/A , N/A ,$56.10 ,$34.71 ,$19.63 ,$63.11 ,$26.65 ,$1.65 , N/A ,$33.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1652,FONDAPARINUX 5 MG/0.4ML SOLN per 0.5 mg,636,1 ,$75.74 ,$54.53 ,$1.65 ,$75.74 , N/A ,$38.63 ,$41.66 , N/A ,$21.21 ,$11.86 , N/A ,$12.35 , N/A ,$37.49 ,$30.30 , N/A ,$37.49 , N/A ,$53.02 ,$2.32 ,$60.59 , N/A , N/A ,$53.02 , N/A ,$45.44 , N/A ,$56.81 ,$41.81 ,$37.72 ,$41.81 , N/A ,$41.81 ,$61.35 ,$75.74 ,$61.35 ,$64.38 , N/A ,$52.49 , N/A ,$75.74 ,$42.49 , N/A ,$19.84 ,$75.74 , N/A , N/A , N/A ,$60.59 ,$37.49 ,$21.21 ,$68.17 ,$28.78 ,$1.65 , N/A ,$36.36 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1652,FONDAPARINUX 7.5 MG/0.6ML SOLN per 0.5 mg,636,1 ,$35.23 ,$25.37 ,$1.65 ,$35.23 , N/A ,$17.97 ,$19.38 , N/A ,$9.86 ,$11.86 , N/A ,$12.35 , N/A ,$17.44 ,$14.09 , N/A ,$17.44 , N/A ,$24.66 ,$2.32 ,$28.18 , N/A , N/A ,$24.66 , N/A ,$21.14 , N/A ,$26.42 ,$19.45 ,$17.54 ,$19.45 , N/A ,$19.45 ,$28.54 ,$35.23 ,$28.54 ,$29.95 , N/A ,$24.41 , N/A ,$35.23 ,$19.76 , N/A ,$9.23 ,$35.23 , N/A , N/A , N/A ,$28.18 ,$17.44 ,$9.86 ,$31.71 ,$13.39 ,$1.65 , N/A ,$16.91 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1453,FOSAPREPITANT DIMEGLUMINE 150 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$8.76 ,$6.31 ,$0.30 ,$120.45 , N/A ,$4.47 ,$4.82 , N/A ,$2.45 ,$4.58 , N/A ,$4.82 , N/A ,$4.34 ,$3.50 , N/A ,$4.34 , N/A ,$6.13 ,$0.36 ,$7.01 , N/A , N/A ,$6.13 , N/A ,$5.26 , N/A ,$6.57 ,$4.84 ,$4.36 ,$4.84 , N/A ,$4.84 ,$7.10 ,$8.76 ,$7.10 ,$7.45 , N/A ,$6.07 , N/A ,$8.76 ,$4.91 , N/A ,$2.30 ,$8.76 ,$8.76 ,$120.45 , N/A ,$7.01 ,$4.34 ,$2.45 ,$7.88 ,$3.33 ,$0.30 , N/A ,$4.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1454,FOSNETUPITANT-PALONOSETRON 235-0.25 MG/20ML SOLN 20 ML VIAL per 20 mL,636,1 ,"$2,304.55 ","$1,659.28 ",$220.57 ,"$2,304.55 ",$981.65 ,"$1,175.32 ","$1,267.50 ",$384.81 ,$645.27 ,"$1,205.28 ",$384.81 ,"$1,267.50 ",$384.81 ,"$1,140.75 ",$921.82 ,$384.81 ,"$1,140.75 ",$793.18 ,"$1,613.19 ",$932.14 ,"$1,843.64 ",$981.66 ,$384.81 ,"$1,613.19 ",$384.81 ,"$1,382.73 ",$392.51 ,"$1,728.41 ","$1,272.11 ","$1,147.67 ","$1,272.11 ",$384.81 ,"$1,272.11 ","$1,866.69 ","$2,304.55 ","$1,866.69 ","$1,958.87 ",$981.66 ,"$1,597.05 ",$384.81 ,"$2,304.55 ","$1,292.85 ",$384.81 ,$603.79 ,"$2,304.55 ",$231.08 ,$220.57 ,$404.04 ,"$1,843.64 ","$1,140.75 ",$645.27 ,"$2,074.10 ",$875.73 ,$770.65 ,$384.81 ,"$1,106.18 "
ST. MARY'S HOSPITAL - DECATUR,63600002,Q2009,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL per 50 mg PE,636,1 ,$179.00 ,$128.88 ,$2.82 ,$179.00 , N/A ,$91.29 ,$98.45 , N/A ,$50.12 ,$23.23 , N/A ,$24.20 , N/A ,$88.61 ,$71.60 , N/A ,$88.61 , N/A ,$125.30 ,$2.82 ,$143.20 , N/A , N/A ,$125.30 , N/A ,$107.40 , N/A ,$134.25 ,$98.81 ,$89.14 ,$98.81 , N/A ,$98.81 ,$144.99 ,$179.00 ,$144.99 ,$152.15 , N/A ,$124.05 , N/A ,$179.00 ,$100.42 , N/A ,$46.90 ,$179.00 , N/A , N/A , N/A ,$143.20 ,$88.61 ,$50.12 ,$161.10 ,$68.02 ,$13.56 , N/A ,$85.92 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q2009,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL per 50 mg PE,636,1 ,$75.11 ,$54.08 ,$2.82 ,$75.11 , N/A ,$38.31 ,$41.31 , N/A ,$21.03 ,$23.23 , N/A ,$24.20 , N/A ,$37.18 ,$30.04 , N/A ,$37.18 , N/A ,$52.58 ,$2.82 ,$60.09 , N/A , N/A ,$52.58 , N/A ,$45.07 , N/A ,$56.33 ,$41.46 ,$37.40 ,$41.46 , N/A ,$41.46 ,$60.84 ,$75.11 ,$60.84 ,$63.84 , N/A ,$52.05 , N/A ,$75.11 ,$42.14 , N/A ,$19.68 ,$75.11 , N/A , N/A , N/A ,$60.09 ,$37.18 ,$21.03 ,$67.60 ,$28.54 ,$13.56 , N/A ,$36.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9395,FULVESTRANT 250 MG/5ML SOSY per 25 mg,636,1 ,$290.86 ,$209.42 ,$11.85 ,$628.55 ,$30.23 ,$148.34 ,$159.97 ,$11.85 ,$81.44 ,$152.12 ,$11.85 ,$159.97 ,$11.85 ,$143.98 ,$116.34 ,$11.85 ,$143.98 ,$24.41 ,$203.60 ,$28.02 ,$232.69 ,$30.22 ,$11.85 ,$203.60 ,$11.85 ,$174.52 ,$12.08 ,$218.15 ,$160.55 ,$144.85 ,$160.55 ,$11.85 ,$160.55 ,$235.60 ,$290.86 ,$235.60 ,$247.23 ,$30.22 ,$201.57 ,$11.85 ,$290.86 ,$163.17 ,$11.85 ,$76.21 ,$290.86 ,$290.86 ,$628.55 ,$12.44 ,$232.69 ,$143.98 ,$81.44 ,$261.77 ,$110.53 ,$20.89 ,$11.85 ,$139.61 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1940,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL per 20 mg,636,1 ,$21.50 ,$15.48 ,$1.09 ,$21.50 , N/A ,$10.97 ,$11.83 , N/A ,$6.02 ,$4.94 , N/A ,$5.15 , N/A ,$10.64 ,$8.60 , N/A ,$10.64 , N/A ,$15.05 ,$1.20 ,$17.20 , N/A , N/A ,$15.05 , N/A ,$12.90 , N/A ,$16.13 ,$11.87 ,$10.71 ,$11.87 , N/A ,$11.87 ,$17.42 ,$21.50 ,$17.42 ,$18.28 , N/A ,$14.90 , N/A ,$21.50 ,$12.06 , N/A ,$5.63 ,$21.50 , N/A , N/A , N/A ,$17.20 ,$10.64 ,$6.02 ,$19.35 ,$8.17 ,$1.09 , N/A ,$10.32 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1940,FUROSEMIDE 10 MG/ML SOLN per 20 mg,636,1 ,$89.35 ,$64.33 ,$1.09 ,$89.35 , N/A ,$45.57 ,$49.14 , N/A ,$25.02 ,$4.94 , N/A ,$5.15 , N/A ,$44.23 ,$35.74 , N/A ,$44.23 , N/A ,$62.55 ,$1.20 ,$71.48 , N/A , N/A ,$62.55 , N/A ,$53.61 , N/A ,$67.01 ,$49.32 ,$44.50 ,$49.32 , N/A ,$49.32 ,$72.37 ,$89.35 ,$72.37 ,$75.95 , N/A ,$61.92 , N/A ,$89.35 ,$50.13 , N/A ,$23.41 ,$89.35 , N/A , N/A , N/A ,$71.48 ,$44.23 ,$25.02 ,$80.42 ,$33.95 ,$1.09 , N/A ,$42.89 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1570,GANCICLOVIR 500 MG/10ML SOLN 1 EACH VIAL per 500 mg,636,1 ,$206.85 ,$148.93 ,$54.19 ,$206.85 , N/A ,$105.49 ,$113.77 , N/A ,$57.92 ,$108.18 , N/A ,$113.77 , N/A ,$102.39 ,$82.74 , N/A ,$102.39 , N/A ,$144.80 ,$94.30 ,$165.48 , N/A , N/A ,$144.80 , N/A ,$124.11 , N/A ,$155.14 ,$114.18 ,$103.01 ,$114.18 , N/A ,$114.18 ,$167.55 ,$206.85 ,$167.55 ,$175.82 , N/A ,$143.35 , N/A ,$206.85 ,$116.04 , N/A ,$54.19 ,$206.85 ,$58.00 ,$55.37 , N/A ,$165.48 ,$102.39 ,$57.92 ,$186.17 ,$78.60 ,$68.33 , N/A ,$99.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1570,GANCICLOVIR 500 MG/10ML SOLN 10 ML VIAL per 500 mg,636,1 ,$180.70 ,$130.10 ,$47.34 ,$180.70 , N/A ,$92.16 ,$99.39 , N/A ,$50.60 ,$94.51 , N/A ,$99.39 , N/A ,$89.45 ,$72.28 , N/A ,$89.45 , N/A ,$126.49 ,$94.30 ,$144.56 , N/A , N/A ,$126.49 , N/A ,$108.42 , N/A ,$135.53 ,$99.75 ,$89.99 ,$99.75 , N/A ,$99.75 ,$146.37 ,$180.70 ,$146.37 ,$153.60 , N/A ,$125.23 , N/A ,$180.70 ,$101.37 , N/A ,$47.34 ,$180.70 ,$58.00 ,$55.37 , N/A ,$144.56 ,$89.45 ,$50.60 ,$162.63 ,$68.67 ,$68.33 , N/A ,$86.74 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9201,GEMCITABINE 1 GM/26.3ML SOLN 26.3 ML VIAL per 200 mg,636,1 ,$53.93 ,$38.83 ,$5.78 ,$53.93 , N/A ,$27.50 ,$29.66 , N/A ,$15.10 ,$28.21 , N/A ,$29.66 , N/A ,$26.70 ,$21.57 , N/A ,$26.70 , N/A ,$37.75 ,$7.52 ,$43.14 , N/A , N/A ,$37.75 , N/A ,$32.36 , N/A ,$40.45 ,$29.77 ,$26.86 ,$29.77 , N/A ,$29.77 ,$43.68 ,$53.93 ,$43.68 ,$45.84 , N/A ,$37.37 , N/A ,$53.93 ,$30.25 , N/A ,$14.13 ,$53.93 , N/A , N/A , N/A ,$43.14 ,$26.70 ,$15.10 ,$48.54 ,$20.49 ,$5.78 , N/A ,$25.89 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN (PF) 10 MG/ML SOLN 2 ML VIAL per 80 mg,636,1 ,$79.05 ,$56.92 ,$4.60 ,$79.05 , N/A ,$40.32 ,$43.48 , N/A ,$22.13 ,$7.63 , N/A ,$7.95 , N/A ,$39.13 ,$31.62 , N/A ,$39.13 , N/A ,$55.34 ,$4.72 ,$63.24 , N/A , N/A ,$55.34 , N/A ,$47.43 , N/A ,$59.29 ,$43.64 ,$39.37 ,$43.64 , N/A ,$43.64 ,$64.03 ,$79.05 ,$64.03 ,$67.19 , N/A ,$54.78 , N/A ,$79.05 ,$44.35 , N/A ,$20.71 ,$79.05 , N/A , N/A , N/A ,$63.24 ,$39.13 ,$22.13 ,$71.15 ,$30.04 ,$4.60 , N/A ,$37.94 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 1.2-0.9 MG/ML-% SOLN per 80 mg,636,1 ,$45.00 ,$32.40 ,$4.60 ,$45.00 , N/A ,$22.95 ,$24.75 , N/A ,$12.60 ,$7.63 , N/A ,$7.95 , N/A ,$22.28 ,$18.00 , N/A ,$22.28 , N/A ,$31.50 ,$4.72 ,$36.00 , N/A , N/A ,$31.50 , N/A ,$27.00 , N/A ,$33.75 ,$24.84 ,$22.41 ,$24.84 , N/A ,$24.84 ,$36.45 ,$45.00 ,$36.45 ,$38.25 , N/A ,$31.19 , N/A ,$45.00 ,$25.25 , N/A ,$11.79 ,$45.00 , N/A , N/A , N/A ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$4.60 , N/A ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 1-0.9 MG/ML-% SOLN per 80 mg,636,1 ,$45.00 ,$32.40 ,$4.60 ,$45.00 , N/A ,$22.95 ,$24.75 , N/A ,$12.60 ,$7.63 , N/A ,$7.95 , N/A ,$22.28 ,$18.00 , N/A ,$22.28 , N/A ,$31.50 ,$4.72 ,$36.00 , N/A , N/A ,$31.50 , N/A ,$27.00 , N/A ,$33.75 ,$24.84 ,$22.41 ,$24.84 , N/A ,$24.84 ,$36.45 ,$45.00 ,$36.45 ,$38.25 , N/A ,$31.19 , N/A ,$45.00 ,$25.25 , N/A ,$11.79 ,$45.00 , N/A , N/A , N/A ,$36.00 ,$22.28 ,$12.60 ,$40.50 ,$17.10 ,$4.60 , N/A ,$21.60 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 2-0.9 MG/ML-% SOLN per 80 mg,636,1 ,$90.00 ,$64.80 ,$4.60 ,$90.00 , N/A ,$45.90 ,$49.50 , N/A ,$25.20 ,$7.63 , N/A ,$7.95 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$4.72 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$4.60 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 1.6-0.9 MG/ML-% SOLN per 80 mg,636,1 ,$90.00 ,$64.80 ,$4.60 ,$90.00 , N/A ,$45.90 ,$49.50 , N/A ,$25.20 ,$7.63 , N/A ,$7.95 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$4.72 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$4.60 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL per 80 mg,636,1 ,$101.00 ,$72.72 ,$4.60 ,$101.00 , N/A ,$51.51 ,$55.55 , N/A ,$28.28 ,$7.63 , N/A ,$7.95 , N/A ,$50.00 ,$40.40 , N/A ,$50.00 , N/A ,$70.70 ,$4.72 ,$80.80 , N/A , N/A ,$70.70 , N/A ,$60.60 , N/A ,$75.75 ,$55.75 ,$50.30 ,$55.75 , N/A ,$55.75 ,$81.81 ,$101.00 ,$81.81 ,$85.85 , N/A ,$69.99 , N/A ,$101.00 ,$56.66 , N/A ,$26.46 ,$101.00 , N/A , N/A , N/A ,$80.80 ,$50.00 ,$28.28 ,$90.90 ,$38.38 ,$4.60 , N/A ,$48.48 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1580,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL per 80 mg,636,1 ,$32.29 ,$23.25 ,$4.60 ,$32.29 , N/A ,$16.47 ,$17.76 , N/A ,$9.04 ,$7.63 , N/A ,$7.95 , N/A ,$15.98 ,$12.92 , N/A ,$15.98 , N/A ,$22.60 ,$4.72 ,$25.83 , N/A , N/A ,$22.60 , N/A ,$19.37 , N/A ,$24.22 ,$17.82 ,$16.08 ,$17.82 , N/A ,$17.82 ,$26.15 ,$32.29 ,$26.15 ,$27.45 , N/A ,$22.38 , N/A ,$32.29 ,$18.11 , N/A ,$8.46 ,$32.29 , N/A , N/A , N/A ,$25.83 ,$15.98 ,$9.04 ,$29.06 ,$12.27 ,$4.60 , N/A ,$15.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1610,GLUCAGON 1 MG KIT per 1 mg,636,1 ,"$1,229.40 ",$885.17 ,$55.37 ,"$1,229.40 ",$475.65 ,$626.99 ,$676.17 ,$186.45 ,$344.23 ,$642.98 ,$186.45 ,$676.17 ,$186.45 ,$608.55 ,$491.76 ,$186.45 ,$608.55 ,$384.32 ,$860.58 ,$343.20 ,$983.52 ,$475.65 ,$186.45 ,$860.58 ,$186.45 ,$737.64 ,$190.18 ,$922.05 ,$678.63 ,$612.24 ,$678.63 ,$186.45 ,$678.63 ,$995.81 ,"$1,229.40 ",$995.81 ,"$1,044.99 ",$475.65 ,$851.97 ,$186.45 ,"$1,229.40 ",$689.69 ,$186.45 ,$322.10 ,"$1,229.40 ",$58.00 ,$55.37 ,$195.77 ,$983.52 ,$608.55 ,$344.23 ,"$1,106.46 ",$467.17 ,$286.74 ,$186.45 ,$590.11 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1610,GLUCAGON 1 MG SOLR per 1 mg,636,1 ,$976.65 ,$703.19 ,$55.37 ,$976.65 ,$475.65 ,$498.09 ,$537.16 ,$186.45 ,$273.46 ,$510.79 ,$186.45 ,$537.16 ,$186.45 ,$483.44 ,$390.66 ,$186.45 ,$483.44 ,$384.32 ,$683.66 ,$343.20 ,$781.32 ,$475.65 ,$186.45 ,$683.66 ,$186.45 ,$585.99 ,$190.18 ,$732.49 ,$539.11 ,$486.37 ,$539.11 ,$186.45 ,$539.11 ,$791.09 ,$976.65 ,$791.09 ,$830.15 ,$475.65 ,$676.82 ,$186.45 ,$976.65 ,$547.90 ,$186.45 ,$255.88 ,$976.65 ,$58.00 ,$55.37 ,$195.77 ,$781.32 ,$483.44 ,$273.46 ,$878.99 ,$371.13 ,$286.74 ,$186.45 ,$468.79 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1602,GOLIMUMAB 50 MG/4ML SOLN 4 ML VIAL per 1 mg,636,1 ,$132.20 ,$95.18 ,$13.57 ,"$1,497.41 ",$34.63 ,$67.42 ,$72.71 ,$13.57 ,$37.02 ,$69.14 ,$13.57 ,$72.71 ,$13.57 ,$65.44 ,$52.88 ,$13.57 ,$65.44 ,$27.97 ,$92.54 ,$29.38 ,$105.76 ,$34.62 ,$13.57 ,$92.54 ,$13.57 ,$79.32 ,$13.85 ,$99.15 ,$72.97 ,$65.84 ,$72.97 ,$13.57 ,$72.97 ,$107.08 ,$132.20 ,$107.08 ,$112.37 ,$34.62 ,$91.61 ,$13.57 ,$132.20 ,$74.16 ,$13.57 ,$34.64 ,$132.20 ,$132.20 ,"$1,497.41 ",$14.25 ,$105.76 ,$65.44 ,$37.02 ,$118.98 ,$50.24 ,$22.85 ,$13.57 ,$63.46 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1631,HALOPERIDOL DECANOATE 50 MG/ML SOLN per 50 mg,636,1 ,$267.50 ,$192.60 ,$12.62 ,$267.50 , N/A ,$136.43 ,$147.13 , N/A ,$74.90 ,$90.10 , N/A ,$93.85 , N/A ,$132.41 ,$107.00 , N/A ,$132.41 , N/A ,$187.25 ,$17.50 ,$214.00 , N/A , N/A ,$187.25 , N/A ,$160.50 , N/A ,$200.63 ,$147.66 ,$133.22 ,$147.66 , N/A ,$147.66 ,$216.68 ,$267.50 ,$216.68 ,$227.38 , N/A ,$185.38 , N/A ,$267.50 ,$150.07 , N/A ,$70.09 ,$267.50 , N/A , N/A , N/A ,$214.00 ,$132.41 ,$74.90 ,$240.75 ,$101.65 ,$12.62 , N/A ,$128.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN per 5 mg,636,1 ,$108.95 ,$78.44 ,$1.42 ,$108.95 , N/A ,$55.56 ,$59.92 , N/A ,$30.51 ,$4.66 , N/A ,$4.85 , N/A ,$53.93 ,$43.58 , N/A ,$53.93 , N/A ,$76.27 ,$1.46 ,$87.16 , N/A , N/A ,$76.27 , N/A ,$65.37 , N/A ,$81.71 ,$60.14 ,$54.26 ,$60.14 , N/A ,$60.14 ,$88.25 ,$108.95 ,$88.25 ,$92.61 , N/A ,$75.50 , N/A ,$108.95 ,$61.12 , N/A ,$28.54 ,$108.95 , N/A , N/A , N/A ,$87.16 ,$53.93 ,$30.51 ,$98.06 ,$41.40 ,$1.42 , N/A ,$52.30 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 1000 UNIT/ML SOLN 1 ML VIAL per 1000 Units,636,1 ,$107.75 ,$77.58 ,$0.21 ,$107.75 , N/A ,$54.95 ,$59.26 , N/A ,$30.17 ,$2.40 , N/A ,$2.50 , N/A ,$53.34 ,$43.10 , N/A ,$53.34 , N/A ,$75.43 ,$0.48 ,$86.20 , N/A , N/A ,$75.43 , N/A ,$64.65 , N/A ,$80.81 ,$59.48 ,$53.66 ,$59.48 , N/A ,$59.48 ,$87.28 ,$107.75 ,$87.28 ,$91.59 , N/A ,$74.67 , N/A ,$107.75 ,$60.45 , N/A ,$28.23 ,$107.75 , N/A , N/A , N/A ,$86.20 ,$53.34 ,$30.17 ,$96.98 ,$40.95 ,$0.21 , N/A ,$51.72 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 1000 UNIT/ML SOLN per 1000 Units,636,1 ,$29.20 ,$21.02 ,$0.21 ,$29.20 , N/A ,$14.89 ,$16.06 , N/A ,$8.18 ,$2.40 , N/A ,$2.50 , N/A ,$14.45 ,$11.68 , N/A ,$14.45 , N/A ,$20.44 ,$0.48 ,$23.36 , N/A , N/A ,$20.44 , N/A ,$17.52 , N/A ,$21.90 ,$16.12 ,$14.54 ,$16.12 , N/A ,$16.12 ,$23.65 ,$29.20 ,$23.65 ,$24.82 , N/A ,$20.24 , N/A ,$29.20 ,$16.38 , N/A ,$7.65 ,$29.20 , N/A , N/A , N/A ,$23.36 ,$14.45 ,$8.18 ,$26.28 ,$11.10 ,$0.21 , N/A ,$14.02 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 10000 UNIT/ML SOLN per 1000 Units,636,1 ,$6.63 ,$4.77 ,$0.21 ,$6.63 , N/A ,$3.38 ,$3.65 , N/A ,$1.86 ,$2.40 , N/A ,$2.50 , N/A ,$3.28 ,$2.65 , N/A ,$3.28 , N/A ,$4.64 ,$0.48 ,$5.30 , N/A , N/A ,$4.64 , N/A ,$3.98 , N/A ,$4.97 ,$3.66 ,$3.30 ,$3.66 , N/A ,$3.66 ,$5.37 ,$6.63 ,$5.37 ,$5.64 , N/A ,$4.59 , N/A ,$6.63 ,$3.72 , N/A ,$1.74 ,$6.63 , N/A , N/A , N/A ,$5.30 ,$3.28 ,$1.86 ,$5.97 ,$2.52 ,$0.21 , N/A ,$3.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 2000-0.9 UNIT/L-% SOLN per 1000 Units,636,1 ,$44.67 ,$32.16 ,$0.21 ,$44.67 , N/A ,$22.78 ,$24.57 , N/A ,$12.51 ,$2.40 , N/A ,$2.50 , N/A ,$22.11 ,$17.87 , N/A ,$22.11 , N/A ,$31.27 ,$0.48 ,$35.74 , N/A , N/A ,$31.27 , N/A ,$26.80 , N/A ,$33.50 ,$24.66 ,$22.25 ,$24.66 , N/A ,$24.66 ,$36.18 ,$44.67 ,$36.18 ,$37.97 , N/A ,$30.96 , N/A ,$44.67 ,$25.06 , N/A ,$11.70 ,$44.67 , N/A , N/A , N/A ,$35.74 ,$22.11 ,$12.51 ,$40.20 ,$16.97 ,$0.21 , N/A ,$21.44 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 25000-0.45 UT/250ML-% SOLN per 1000 Units,636,1 ,$5.06 ,$3.64 ,$0.21 ,$5.06 , N/A ,$2.58 ,$2.78 , N/A ,$1.42 ,$2.40 , N/A ,$2.50 , N/A ,$2.50 ,$2.02 , N/A ,$2.50 , N/A ,$3.54 ,$0.48 ,$4.05 , N/A , N/A ,$3.54 , N/A ,$3.04 , N/A ,$3.80 ,$2.79 ,$2.52 ,$2.79 , N/A ,$2.79 ,$4.10 ,$5.06 ,$4.10 ,$4.30 , N/A ,$3.51 , N/A ,$5.06 ,$2.84 , N/A ,$1.33 ,$5.06 , N/A , N/A , N/A ,$4.05 ,$2.50 ,$1.42 ,$4.55 ,$1.92 ,$0.21 , N/A ,$2.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 5000 UNIT/ML SOLN 1 ML VIAL per 1000 Units,636,1 ,$17.37 ,$12.51 ,$0.21 ,$17.37 , N/A ,$8.86 ,$9.55 , N/A ,$4.86 ,$2.40 , N/A ,$2.50 , N/A ,$8.60 ,$6.95 , N/A ,$8.60 , N/A ,$12.16 ,$0.48 ,$13.90 , N/A , N/A ,$12.16 , N/A ,$10.42 , N/A ,$13.03 ,$9.59 ,$8.65 ,$9.59 , N/A ,$9.59 ,$14.07 ,$17.37 ,$14.07 ,$14.76 , N/A ,$12.04 , N/A ,$17.37 ,$9.74 , N/A ,$4.55 ,$17.37 , N/A , N/A , N/A ,$13.90 ,$8.60 ,$4.86 ,$15.63 ,$6.60 ,$0.21 , N/A ,$8.34 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1644,HEPARIN (PORCINE) 5000 UNIT/ML SOLN per 1000 Units,636,1 ,$21.98 ,$15.83 ,$0.21 ,$21.98 , N/A ,$11.21 ,$12.09 , N/A ,$6.15 ,$2.40 , N/A ,$2.50 , N/A ,$10.88 ,$8.79 , N/A ,$10.88 , N/A ,$15.39 ,$0.48 ,$17.58 , N/A , N/A ,$15.39 , N/A ,$13.19 , N/A ,$16.49 ,$12.13 ,$10.95 ,$12.13 , N/A ,$12.13 ,$17.80 ,$21.98 ,$17.80 ,$18.68 , N/A ,$15.23 , N/A ,$21.98 ,$12.33 , N/A ,$5.76 ,$21.98 , N/A , N/A , N/A ,$17.58 ,$10.88 ,$6.15 ,$19.78 ,$8.35 ,$0.21 , N/A ,$10.55 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN 5 ML SYRINGE per 10 Units,636,1 ,$0.89 ,$0.64 ,$0.03 ,$0.89 , N/A ,$0.47 ,$0.49 , N/A ,$0.25 ,$0.47 , N/A ,$0.49 , N/A ,$0.44 ,$0.36 , N/A ,$0.44 , N/A ,$0.62 , N/A ,$0.71 , N/A , N/A ,$0.62 , N/A ,$0.53 , N/A ,$0.67 ,$0.49 ,$0.44 ,$0.49 , N/A ,$0.49 ,$0.72 ,$0.89 ,$0.72 ,$0.76 , N/A ,$0.62 , N/A ,$0.89 ,$0.50 , N/A ,$0.23 ,$0.89 , N/A , N/A , N/A ,$0.71 ,$0.44 ,$0.25 ,$0.80 ,$0.34 ,$0.03 , N/A ,$0.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN per 10 Units,636,1 ,$0.14 ,$0.10 ,$0.03 ,$0.14 , N/A ,$0.07 ,$0.08 , N/A ,$0.04 ,$0.07 , N/A ,$0.08 , N/A ,$0.07 ,$0.06 , N/A ,$0.07 , N/A ,$0.10 , N/A ,$0.11 , N/A , N/A ,$0.10 , N/A ,$0.08 , N/A ,$0.11 ,$0.08 ,$0.07 ,$0.08 , N/A ,$0.08 ,$0.11 ,$0.14 ,$0.11 ,$0.12 , N/A ,$0.10 , N/A ,$0.14 ,$0.08 , N/A ,$0.04 ,$0.14 , N/A , N/A , N/A ,$0.11 ,$0.07 ,$0.04 ,$0.13 ,$0.05 ,$0.03 , N/A ,$0.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,90744,HEPATITIS B VACCINE 10 MCG/0.5ML SUSY per 1 mL,636,1 ,$270.20 ,$194.54 ,$15.18 ,$270.20 ,$101.33 ,$137.80 ,$148.61 ,$39.72 ,$75.66 ,$141.31 ,$39.72 ,$148.61 ,$39.72 ,$133.75 ,$30.02 ,$39.72 ,$133.75 ,$81.87 ,$189.14 ,$57.34 ,$216.16 ,$101.33 ,$39.72 ,$189.14 ,$39.72 ,$162.12 ,$40.51 ,$202.65 ,$149.15 ,$134.56 ,$149.15 ,$39.72 ,$149.15 ,$218.86 ,$270.20 ,$218.86 ,$229.67 ,$101.33 ,$187.25 ,$39.72 ,$270.20 ,$151.58 ,$39.72 ,$70.79 ,$270.20 ,$15.91 ,$15.18 ,$41.71 ,$216.16 ,$133.75 ,$75.66 ,$243.18 ,$102.68 ,$49.34 ,$39.72 ,$129.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,90746,HEPATITIS B VACCINE 20 MCG/ML SUSP per 1 mL,636,1 ,$261.80 ,$188.50 ,$15.18 ,$261.80 ,$98.18 ,$133.52 ,$143.99 ,$38.48 ,$73.30 ,$136.92 ,$38.48 ,$143.99 ,$38.48 ,$129.59 ,$78.33 ,$38.48 ,$129.59 ,$79.33 ,$183.26 ,$138.56 ,$209.44 ,$98.18 ,$38.48 ,$183.26 ,$38.48 ,$157.08 ,$39.26 ,$196.35 ,$144.51 ,$130.38 ,$144.51 ,$38.48 ,$144.51 ,$212.06 ,$261.80 ,$212.06 ,$222.53 ,$98.18 ,$181.43 ,$38.48 ,$261.80 ,$146.87 ,$38.48 ,$68.59 ,$261.80 ,$15.91 ,$15.18 ,$40.41 ,$209.44 ,$129.59 ,$73.30 ,$235.62 ,$99.48 ,$116.13 ,$38.48 ,$125.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7324,HYALURONAN 30 MG/2ML SOSY per 1 mL,636,1 ,$813.70 ,$585.86 ,$120.45 ,$813.70 ,$336.15 ,$414.99 ,$447.54 ,$131.77 ,$227.84 ,$425.57 ,$131.77 ,$447.54 ,$131.77 ,$402.78 ,$325.48 ,$131.77 ,$402.78 ,$271.61 ,$569.59 ,$263.78 ,$650.96 ,$336.16 ,$131.77 ,$569.59 ,$131.77 ,$488.22 ,$134.41 ,$610.28 ,$449.16 ,$405.22 ,$449.16 ,$131.77 ,$449.16 ,$659.10 ,$813.70 ,$659.10 ,$691.65 ,$336.16 ,$563.89 ,$131.77 ,$813.70 ,$456.49 ,$131.77 ,$213.19 ,$813.70 ,$126.18 ,$120.45 ,$138.36 ,$650.96 ,$402.78 ,$227.84 ,$732.33 ,$309.21 ,$204.01 ,$131.77 ,$390.58 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0360,HYDRALAZINE 20 MG/ML SOLN per 20 mg,636,1 ,$752.55 ,$541.84 ,$8.84 ,$752.55 , N/A ,$383.80 ,$413.90 , N/A ,$210.71 ,$17.42 , N/A ,$18.15 , N/A ,$372.51 ,$301.02 , N/A ,$372.51 , N/A ,$526.79 ,$8.84 ,$602.04 , N/A , N/A ,$526.79 , N/A ,$451.53 , N/A ,$564.41 ,$415.41 ,$374.77 ,$415.41 , N/A ,$415.41 ,$609.57 ,$752.55 ,$609.57 ,$639.67 , N/A ,$521.52 , N/A ,$752.55 ,$422.18 , N/A ,$197.17 ,$752.55 , N/A , N/A , N/A ,$602.04 ,$372.51 ,$210.71 ,$677.30 ,$285.97 ,$11.15 , N/A ,$361.22 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR per 100 mg,636,1 ,$205.50 ,$147.96 ,$29.50 ,$205.50 , N/A ,$104.81 ,$113.03 , N/A ,$57.54 ,$61.78 , N/A ,$64.35 , N/A ,$101.72 ,$82.20 , N/A ,$101.72 , N/A ,$143.85 ,$35.14 ,$164.40 , N/A , N/A ,$143.85 , N/A ,$123.30 , N/A ,$154.13 ,$113.44 ,$102.34 ,$113.44 , N/A ,$113.44 ,$166.46 ,$205.50 ,$166.46 ,$174.68 , N/A ,$142.41 , N/A ,$205.50 ,$115.29 , N/A ,$53.84 ,$205.50 , N/A , N/A , N/A ,$164.40 ,$101.72 ,$57.54 ,$184.95 ,$78.09 ,$29.50 , N/A ,$98.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1170,HYDROMORPHONE 1 MG/ML SOLN per 4 mg,636,1 ,$229.30 ,$165.10 ,$6.58 ,$229.30 , N/A ,$116.94 ,$126.12 , N/A ,$64.20 ,$7.92 , N/A ,$8.25 , N/A ,$113.50 ,$91.72 , N/A ,$113.50 , N/A ,$160.51 ,$6.58 ,$183.44 , N/A , N/A ,$160.51 , N/A ,$137.58 , N/A ,$171.98 ,$126.57 ,$114.19 ,$126.57 , N/A ,$126.57 ,$185.73 ,$229.30 ,$185.73 ,$194.91 , N/A ,$158.90 , N/A ,$229.30 ,$128.64 , N/A ,$60.08 ,$229.30 , N/A , N/A , N/A ,$183.44 ,$113.50 ,$64.20 ,$206.37 ,$87.13 ,$6.96 , N/A ,$110.06 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1170,HYDROMORPHONE HCL PF 50 MG/5ML SOLN 5 ML VIAL per 4 mg,636,1 ,$15.01 ,$10.81 ,$3.93 ,$15.01 , N/A ,$7.66 ,$8.26 , N/A ,$4.20 ,$7.85 , N/A ,$8.25 , N/A ,$7.43 ,$6.00 , N/A ,$7.43 , N/A ,$10.51 ,$6.58 ,$12.01 , N/A , N/A ,$10.51 , N/A ,$9.01 , N/A ,$11.26 ,$8.29 ,$7.48 ,$8.29 , N/A ,$8.29 ,$12.16 ,$15.01 ,$12.16 ,$12.76 , N/A ,$10.40 , N/A ,$15.01 ,$8.42 , N/A ,$3.93 ,$15.01 , N/A , N/A , N/A ,$12.01 ,$7.43 ,$4.20 ,$13.51 ,$5.70 ,$6.96 , N/A ,$7.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1170,HYDROMORPHONE HCL PF 50 MG/5ML SOLN per 4 mg,636,1 ,$11.43 ,$8.23 ,$2.99 ,$11.43 , N/A ,$5.83 ,$6.29 , N/A ,$3.20 ,$5.98 , N/A ,$6.29 , N/A ,$5.66 ,$4.57 , N/A ,$5.66 , N/A ,$8.00 ,$6.58 ,$9.14 , N/A , N/A ,$8.00 , N/A ,$6.86 , N/A ,$8.57 ,$6.31 ,$5.69 ,$6.31 , N/A ,$6.31 ,$9.26 ,$11.43 ,$9.26 ,$9.72 , N/A ,$7.92 , N/A ,$11.43 ,$6.41 , N/A ,$2.99 ,$11.43 , N/A , N/A , N/A ,$9.14 ,$5.66 ,$3.20 ,$10.29 ,$4.34 ,$6.96 , N/A ,$5.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3410,HYDROXYZINE 50 MG/ML SOLN per 25 mg,636,1 ,$127.45 ,$91.76 ,$17.62 ,$127.45 , N/A ,$65.00 ,$70.10 , N/A ,$35.69 ,$33.26 , N/A ,$34.65 , N/A ,$63.09 ,$50.98 , N/A ,$63.09 , N/A ,$89.22 ,$21.56 ,$101.96 , N/A , N/A ,$89.22 , N/A ,$76.47 , N/A ,$95.59 ,$70.35 ,$63.47 ,$70.35 , N/A ,$70.35 ,$103.23 ,$127.45 ,$103.23 ,$108.33 , N/A ,$88.32 , N/A ,$127.45 ,$71.50 , N/A ,$33.39 ,$127.45 , N/A , N/A , N/A ,$101.96 ,$63.09 ,$35.69 ,$114.71 ,$48.43 ,$17.62 , N/A ,$61.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7325,HYLAN 48 MG/6ML SOSY per 1 mg,636,1 ,$95.20 ,$68.54 ,$9.46 ,$220.57 ,$24.13 ,$48.55 ,$52.36 ,$9.46 ,$26.66 ,$49.79 ,$9.46 ,$52.36 ,$9.46 ,$47.12 ,$38.08 ,$9.46 ,$47.12 ,$19.49 ,$66.64 ,$19.54 ,$76.16 ,$24.12 ,$9.46 ,$66.64 ,$9.46 ,$57.12 ,$9.64 ,$71.40 ,$52.55 ,$47.41 ,$52.55 ,$9.46 ,$52.55 ,$77.11 ,$95.20 ,$77.11 ,$80.92 ,$24.12 ,$65.97 ,$9.46 ,$95.20 ,$53.41 ,$9.46 ,$24.94 ,$95.20 ,$95.20 ,$220.57 ,$9.93 ,$76.16 ,$47.12 ,$26.66 ,$85.68 ,$36.18 ,$16.15 ,$9.46 ,$45.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1742,IBUTILIDE 1 MG/10ML SOLN 10 ML VIAL per 1 mg,636,1 ,"$1,550.00 ","$1,116.00 ",$121.98 ,"$1,550.00 ",$698.48 ,$790.50 ,$852.50 ,$273.80 ,$434.00 ,$810.65 ,$273.80 ,$852.50 ,$273.80 ,$767.25 ,$620.00 ,$273.80 ,$767.25 ,$564.37 ,"$1,085.00 ",$410.12 ,"$1,240.00 ",$698.47 ,$273.80 ,"$1,085.00 ",$273.80 ,$930.00 ,$279.28 ,"$1,162.50 ",$855.60 ,$771.90 ,$855.60 ,$273.80 ,$855.60 ,"$1,255.50 ","$1,550.00 ","$1,255.50 ","$1,317.50 ",$698.47 ,"$1,074.15 ",$273.80 ,"$1,550.00 ",$869.55 ,$273.80 ,$406.10 ,"$1,550.00 ",$127.79 ,$121.98 ,$287.49 ,"$1,240.00 ",$767.25 ,$434.00 ,"$1,395.00 ",$589.00 ,$392.93 ,$273.80 ,$744.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9399,IDARUCIZUMAB 2.5 GM/50ML SOLN per 1 mL,636,1 ,$147.86 ,$106.46 ,$38.74 ,$147.86 , N/A ,$75.41 ,$81.32 , N/A ,$41.40 ,$77.33 , N/A ,$81.32 , N/A ,$73.19 ,$59.14 , N/A ,$73.19 ,$66.54 ,$103.50 , N/A ,$118.29 ,$103.50 , N/A ,$103.50 , N/A ,$88.72 , N/A ,$110.90 ,$81.62 ,$73.63 ,$81.62 , N/A ,$81.62 ,$119.77 ,$147.86 ,$119.77 ,$125.68 , N/A ,$102.47 , N/A ,$147.86 ,$82.95 , N/A ,$38.74 ,$147.86 , N/A , N/A , N/A ,$118.29 ,$73.19 ,$41.40 ,$133.07 ,$56.19 , N/A , N/A ,$70.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1568,IMMUNE GLOBULIN 5 GM/50ML SOLN 50 ML VIAL per 500 mg,636,1 ,$269.40 ,$193.97 ,$40.98 ,"$1,497.41 ",$104.55 ,$137.39 ,$148.17 ,$40.98 ,$75.43 ,$140.90 ,$40.98 ,$148.17 ,$40.98 ,$133.35 ,$107.76 ,$40.98 ,$133.35 ,$84.48 ,$188.58 ,$84.04 ,$215.52 ,$104.55 ,$40.98 ,$188.58 ,$40.98 ,$161.64 ,$41.81 ,$202.05 ,$148.71 ,$134.16 ,$148.71 ,$40.98 ,$148.71 ,$218.21 ,$269.40 ,$218.21 ,$228.99 ,$104.55 ,$186.69 ,$40.98 ,$269.40 ,$151.13 ,$40.98 ,$70.58 ,$269.40 , N/A ,"$1,497.41 ",$43.03 ,$215.52 ,$133.35 ,$75.43 ,$242.46 ,$102.37 ,$67.77 ,$40.98 ,$129.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1568,IMMUNE GLOBULIN 10 GM/100ML SOLN per 500 mg,636,1 ,$269.40 ,$193.97 ,$40.98 ,"$1,497.41 ",$104.55 ,$137.39 ,$148.17 ,$40.98 ,$75.43 ,$140.90 ,$40.98 ,$148.17 ,$40.98 ,$133.35 ,$107.76 ,$40.98 ,$133.35 ,$84.48 ,$188.58 ,$84.04 ,$215.52 ,$104.55 ,$40.98 ,$188.58 ,$40.98 ,$161.64 ,$41.81 ,$202.05 ,$148.71 ,$134.16 ,$148.71 ,$40.98 ,$148.71 ,$218.21 ,$269.40 ,$218.21 ,$228.99 ,$104.55 ,$186.69 ,$40.98 ,$269.40 ,$151.13 ,$40.98 ,$70.58 ,$269.40 , N/A ,"$1,497.41 ",$43.03 ,$215.52 ,$133.35 ,$75.43 ,$242.46 ,$102.37 ,$67.77 ,$40.98 ,$129.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1568,IMMUNE GLOBULIN 20 GM/200ML SOLN 200 ML VIAL per 500 mg,636,1 ,$269.40 ,$193.97 ,$40.98 ,"$1,497.41 ",$104.55 ,$137.39 ,$148.17 ,$40.98 ,$75.43 ,$140.90 ,$40.98 ,$148.17 ,$40.98 ,$133.35 ,$107.76 ,$40.98 ,$133.35 ,$84.48 ,$188.58 ,$84.04 ,$215.52 ,$104.55 ,$40.98 ,$188.58 ,$40.98 ,$161.64 ,$41.81 ,$202.05 ,$148.71 ,$134.16 ,$148.71 ,$40.98 ,$148.71 ,$218.21 ,$269.40 ,$218.21 ,$228.99 ,$104.55 ,$186.69 ,$40.98 ,$269.40 ,$151.13 ,$40.98 ,$70.58 ,$269.40 , N/A ,"$1,497.41 ",$43.03 ,$215.52 ,$133.35 ,$75.43 ,$242.46 ,$102.37 ,$67.77 ,$40.98 ,$129.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1306,INCLISIRAN 284 MG/1.5ML SOSY per 1 mg,636,1 ,$27.46 ,$19.77 ,$7.19 ,"$1,497.41 ",$29.85 ,$14.00 ,$15.10 ,$11.70 ,$7.69 ,$14.36 ,$11.70 ,$15.10 ,$11.70 ,$13.59 ,$10.98 ,$11.70 ,$13.59 ,$24.13 ,$19.22 ,$23.34 ,$21.97 ,$29.86 ,$11.70 ,$19.22 ,$11.70 ,$16.48 ,$11.94 ,$20.60 ,$15.16 ,$13.68 ,$15.16 ,$11.70 ,$15.16 ,$22.24 ,$27.46 ,$22.24 ,$23.34 ,$27.46 ,$19.03 ,$11.70 ,$27.46 ,$15.41 ,$11.70 ,$7.19 ,$27.46 ,$27.46 ,"$1,497.41 ",$12.29 ,$21.97 ,$13.59 ,$7.69 ,$24.71 ,$10.43 ,$19.78 ,$11.70 ,$13.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1745,INFLIXIMAB 100 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$280.28 ,$201.80 ,$33.36 ,"$1,497.41 ",$85.10 ,$142.94 ,$154.15 ,$33.36 ,$78.48 ,$146.59 ,$33.36 ,$154.15 ,$33.36 ,$138.74 ,$112.11 ,$33.36 ,$138.74 ,$68.77 ,$196.20 ,$71.42 ,$224.22 ,$85.11 ,$33.36 ,$196.20 ,$33.36 ,$168.17 ,$34.03 ,$210.21 ,$154.71 ,$139.58 ,$154.71 ,$33.36 ,$154.71 ,$227.03 ,$280.28 ,$227.03 ,$238.24 ,$85.11 ,$194.23 ,$33.36 ,$280.28 ,$157.24 ,$33.36 ,$73.43 ,$280.28 ,$280.28 ,"$1,497.41 ",$35.03 ,$224.22 ,$138.74 ,$78.48 ,$252.25 ,$106.51 ,$57.52 ,$33.36 ,$134.53 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5103,INFLIXIMAB-DYYB 100 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$226.78 ,$163.28 ,$20.18 ,"$1,497.41 ",$51.48 ,$115.66 ,$124.73 ,$20.18 ,$63.50 ,$118.61 ,$20.18 ,$124.73 ,$20.18 ,$112.26 ,$90.71 ,$20.18 ,$112.26 ,$41.59 ,$158.75 ,$66.50 ,$181.42 ,$51.48 ,$20.18 ,$158.75 ,$20.18 ,$136.07 ,$20.58 ,$170.09 ,$125.18 ,$112.94 ,$125.18 ,$20.18 ,$125.18 ,$183.69 ,$226.78 ,$183.69 ,$192.76 ,$51.48 ,$157.16 ,$20.18 ,$226.78 ,$127.22 ,$20.18 ,$59.42 ,$226.78 ,$226.78 ,"$1,497.41 ",$21.19 ,$181.42 ,$112.26 ,$63.50 ,$204.10 ,$86.18 ,$40.92 ,$20.18 ,$108.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,90686,INFLUENZA VIRUS VACCINE (QUAD) 0.5 ML SUSY per 0.5 mL,636,1 ,$211.80 ,$152.50 ,$15.18 ,$211.80 ,$79.43 ,$108.02 ,$116.49 ,$31.13 ,$59.30 ,$110.77 ,$31.13 ,$116.49 ,$31.13 ,$104.84 ,$20.03 ,$31.13 ,$104.84 ,$64.18 ,$148.26 ,$40.62 ,$169.44 ,$79.43 ,$31.13 ,$148.26 ,$31.13 ,$127.08 ,$31.76 ,$158.85 ,$116.91 ,$105.48 ,$116.91 ,$31.13 ,$116.91 ,$171.56 ,$211.80 ,$171.56 ,$180.03 ,$79.43 ,$146.78 ,$31.13 ,$211.80 ,$118.82 ,$31.13 ,$55.49 ,$211.80 ,$15.91 ,$15.18 ,$32.69 ,$169.44 ,$104.84 ,$59.30 ,$190.62 ,$80.48 ,$35.51 ,$31.13 ,$101.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9228,IPILIMUMAB 50 MG/10ML SOLN 10 ML VIAL per 1 mg,636,1 ,$328.14 ,$236.26 ,$85.97 ,"$13,041.26 ",$413.63 ,$167.35 ,$180.48 ,$162.14 ,$91.88 ,$171.62 ,$162.14 ,$180.48 ,$162.14 ,$162.43 ,$131.26 ,$162.14 ,$162.43 ,$328.14 ,$229.70 ,$327.32 ,$262.51 ,$413.63 ,$162.14 ,$229.70 ,$162.14 ,$196.88 ,$165.38 ,$246.11 ,$181.13 ,$163.41 ,$181.13 ,$162.14 ,$181.13 ,$265.79 ,$328.14 ,$265.79 ,$278.92 ,$328.14 ,$227.40 ,$162.14 ,$328.14 ,$184.09 ,$162.14 ,$85.97 ,$328.14 ,$328.14 ,"$13,041.26 ",$170.25 ,$262.51 ,$162.43 ,$91.88 ,$295.33 ,$124.69 ,$273.52 ,$162.14 ,$157.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1750,IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL per 50 mg,636,1 ,$137.78 ,$99.20 ,$16.24 ,$137.78 ,$41.43 ,$70.27 ,$75.78 ,$16.24 ,$38.58 ,$66.82 ,$16.24 ,$69.60 ,$16.24 ,$68.20 ,$55.11 ,$16.24 ,$68.20 ,$33.48 ,$96.45 ,$32.76 ,$110.22 ,$41.43 ,$16.24 ,$96.45 ,$16.24 ,$82.67 ,$16.56 ,$103.34 ,$76.05 ,$68.61 ,$76.05 ,$16.24 ,$76.05 ,$111.60 ,$137.78 ,$111.60 ,$117.11 ,$41.43 ,$95.48 ,$16.24 ,$137.78 ,$77.29 ,$16.24 ,$36.10 ,$137.78 ,$58.00 ,$55.37 ,$17.05 ,$110.22 ,$68.20 ,$38.58 ,$124.00 ,$52.36 ,$27.36 ,$16.24 ,$66.13 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1756,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL per 1 mg,636,1 ,$4.06 ,$2.92 ,$0.36 ,$55.37 , N/A ,$2.07 ,$2.23 , N/A ,$1.14 ,$2.12 , N/A ,$2.23 , N/A ,$2.01 ,$1.62 , N/A ,$2.01 , N/A ,$2.84 ,$0.40 ,$3.25 , N/A , N/A ,$2.84 , N/A ,$2.44 , N/A ,$3.05 ,$2.24 ,$2.02 ,$2.24 , N/A ,$2.24 ,$3.29 ,$4.06 ,$3.29 ,$3.45 , N/A ,$2.81 , N/A ,$4.06 ,$2.28 , N/A ,$1.06 ,$4.06 ,$4.06 ,$55.37 , N/A ,$3.25 ,$2.01 ,$1.14 ,$3.65 ,$1.54 ,$0.36 , N/A ,$1.95 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3490,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL per 1 mL,636,1 ,"$1,130.00 ",$813.60 ,$296.06 ,"$1,130.00 ", N/A ,$576.30 ,$621.50 , N/A ,$316.40 ,$590.99 , N/A ,$621.50 , N/A ,$559.35 ,$452.00 , N/A ,$559.35 , N/A ,$791.00 , N/A ,$904.00 , N/A , N/A ,$791.00 , N/A ,$678.00 , N/A ,$847.50 ,$623.76 ,$562.74 ,$623.76 , N/A ,$623.76 ,$915.30 ,"$1,130.00 ",$915.30 ,$960.50 , N/A ,$783.09 , N/A ,"$1,130.00 ",$633.93 , N/A ,$296.06 ,"$1,130.00 ", N/A , N/A , N/A ,$904.00 ,$559.35 ,$316.40 ,"$1,017.00 ",$429.40 , N/A , N/A ,$542.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1885,KETOROLAC 30 MG/ML SOLN 1 ML VIAL per 15 mg,636,1 ,$62.60 ,$45.07 ,$0.97 ,$62.60 , N/A ,$31.93 ,$34.43 , N/A ,$17.53 ,$2.78 , N/A ,$2.90 , N/A ,$30.99 ,$25.04 , N/A ,$30.99 , N/A ,$43.82 ,$1.32 ,$50.08 , N/A , N/A ,$43.82 , N/A ,$37.56 , N/A ,$46.95 ,$34.56 ,$31.17 ,$34.56 , N/A ,$34.56 ,$50.71 ,$62.60 ,$50.71 ,$53.21 , N/A ,$43.38 , N/A ,$62.60 ,$35.12 , N/A ,$16.40 ,$62.60 , N/A , N/A , N/A ,$50.08 ,$30.99 ,$17.53 ,$56.34 ,$23.79 ,$0.97 , N/A ,$30.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1885,KETOROLAC 60 MG/2ML SOLN per 15 mg,636,1 ,$33.08 ,$23.82 ,$0.97 ,$33.08 , N/A ,$16.87 ,$18.19 , N/A ,$9.26 ,$2.78 , N/A ,$2.90 , N/A ,$16.37 ,$13.23 , N/A ,$16.37 , N/A ,$23.16 ,$1.32 ,$26.46 , N/A , N/A ,$23.16 , N/A ,$19.85 , N/A ,$24.81 ,$18.26 ,$16.47 ,$18.26 , N/A ,$18.26 ,$26.79 ,$33.08 ,$26.79 ,$28.12 , N/A ,$22.92 , N/A ,$33.08 ,$18.56 , N/A ,$8.67 ,$33.08 , N/A , N/A , N/A ,$26.46 ,$16.37 ,$9.26 ,$29.77 ,$12.57 ,$0.97 , N/A ,$15.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9254,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL per 1 mg,636,1 ,$3.38 ,$2.43 ,$0.66 ,$3.38 , N/A ,$1.72 ,$1.86 , N/A ,$0.95 ,$1.77 , N/A ,$1.86 , N/A ,$1.67 ,$1.35 , N/A ,$1.67 , N/A ,$2.37 ,$0.66 ,$2.70 , N/A , N/A ,$2.37 , N/A ,$2.03 , N/A ,$2.54 ,$1.87 ,$1.68 ,$1.87 , N/A ,$1.87 ,$2.74 ,$3.38 ,$2.74 ,$2.87 , N/A ,$2.34 , N/A ,$3.38 ,$1.90 , N/A ,$0.89 ,$3.38 , N/A , N/A , N/A ,$2.70 ,$1.67 ,$0.95 ,$3.04 ,$1.28 , N/A , N/A ,$1.62 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7120,"LACTATED RINGERS SOLN 1,000 ML FLEX CONT per 1000 mL",636,1 ,$98.00 ,$70.56 ,$4.13 ,$98.00 , N/A ,$49.98 ,$53.90 , N/A ,$27.44 ,$13.15 , N/A ,$13.70 , N/A ,$48.51 ,$39.20 , N/A ,$48.51 , N/A ,$68.60 ,$4.98 ,$78.40 , N/A , N/A ,$68.60 , N/A ,$58.80 , N/A ,$73.50 ,$54.10 ,$48.80 ,$54.10 , N/A ,$54.10 ,$79.38 ,$98.00 ,$79.38 ,$83.30 , N/A ,$67.91 , N/A ,$98.00 ,$54.98 , N/A ,$25.68 ,$98.00 , N/A , N/A , N/A ,$78.40 ,$48.51 ,$27.44 ,$88.20 ,$37.24 ,$4.13 , N/A ,$47.04 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7120,LACTATED RINGERS SOLN per 1000 mL,636,1 ,$94.00 ,$67.68 ,$4.13 ,$94.00 , N/A ,$47.94 ,$51.70 , N/A ,$26.32 ,$13.15 , N/A ,$13.70 , N/A ,$46.53 ,$37.60 , N/A ,$46.53 , N/A ,$65.80 ,$4.98 ,$75.20 , N/A , N/A ,$65.80 , N/A ,$56.40 , N/A ,$70.50 ,$51.89 ,$46.81 ,$51.89 , N/A ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 , N/A ,$65.14 , N/A ,$94.00 ,$52.73 , N/A ,$24.63 ,$94.00 , N/A , N/A , N/A ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$4.13 , N/A ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1950,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG KIT per 3.75 mg,636,1 ,"$3,734.12 ","$2,688.57 ",$282.53 ,"$3,734.12 ","$3,702.23 ","$1,904.40 ","$2,053.77 ","$1,451.27 ","$1,045.55 ","$1,952.94 ","$1,451.27 ","$2,053.77 ","$1,451.27 ","$1,848.39 ","$1,493.65 ","$1,451.27 ","$1,848.39 ","$2,991.39 ","$2,613.88 ","$2,990.72 ","$2,987.30 ","$3,702.21 ","$1,451.27 ","$2,613.88 ","$1,451.27 ","$2,240.47 ","$1,480.29 ","$2,800.59 ","$2,061.23 ","$1,859.59 ","$2,061.23 ","$1,451.27 ","$2,061.23 ","$3,024.64 ","$3,734.12 ","$3,024.64 ","$3,174.00 ","$3,702.21 ","$2,587.75 ","$1,451.27 ","$3,734.12 ","$2,094.84 ","$1,451.27 ",$978.34 ,"$3,734.12 ",$295.99 ,$282.53 ,"$1,523.83 ","$2,987.30 ","$1,848.39 ","$1,045.55 ","$3,360.71 ","$1,418.97 ","$2,432.40 ","$1,451.27 ","$1,792.38 "
ST. MARY'S HOSPITAL - DECATUR,63600002,J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG KIT per 7.5 mg,636,1 ,"$4,449.73 ","$3,203.81 ",$169.11 ,"$4,449.73 ",$431.40 ,"$2,269.36 ","$2,447.35 ",$169.11 ,"$1,245.92 ","$1,072.94 ",$169.11 ,"$1,117.65 ",$169.11 ,"$2,202.62 ","$1,779.89 ",$169.11 ,"$2,202.62 ",$348.57 ,"$3,114.81 ",$358.54 ,"$3,559.78 ",$431.40 ,$169.11 ,"$3,114.81 ",$169.11 ,"$2,669.84 ",$172.49 ,"$3,337.30 ","$2,456.25 ","$2,215.97 ","$2,456.25 ",$169.11 ,"$2,456.25 ","$3,604.28 ","$4,449.73 ","$3,604.28 ","$3,782.27 ",$431.40 ,"$3,083.66 ",$169.11 ,"$4,449.73 ","$2,496.30 ",$169.11 ,"$1,165.83 ","$4,449.73 ",$295.99 ,$282.53 ,$177.57 ,"$3,559.78 ","$2,202.62 ","$1,245.92 ","$4,004.76 ","$1,690.90 ",$310.74 ,$169.11 ,"$2,135.87 "
ST. MARY'S HOSPITAL - DECATUR,63600002,J1953,LEVETIRACETAM 1000 MG/100ML SOLN per 10 mg,636,1 ,$3.74 ,$2.69 ,$0.15 ,$3.74 , N/A ,$1.91 ,$2.06 , N/A ,$1.05 ,$1.96 , N/A ,$2.06 , N/A ,$1.85 ,$1.50 , N/A ,$1.85 , N/A ,$2.62 ,$0.20 ,$2.99 , N/A , N/A ,$2.62 , N/A ,$2.24 , N/A ,$2.81 ,$2.06 ,$1.86 ,$2.06 , N/A ,$2.06 ,$3.03 ,$3.74 ,$3.03 ,$3.18 , N/A ,$2.59 , N/A ,$3.74 ,$2.10 , N/A ,$0.98 ,$3.74 , N/A , N/A , N/A ,$2.99 ,$1.85 ,$1.05 ,$3.37 ,$1.42 ,$0.15 , N/A ,$1.80 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1953,LEVETIRACETAM 500 MG/100ML SOLN per 10 mg,636,1 ,$5.00 ,$3.60 ,$0.15 ,$5.00 , N/A ,$2.55 ,$2.75 , N/A ,$1.40 ,$2.40 , N/A ,$2.50 , N/A ,$2.48 ,$2.00 , N/A ,$2.48 , N/A ,$3.50 ,$0.20 ,$4.00 , N/A , N/A ,$3.50 , N/A ,$3.00 , N/A ,$3.75 ,$2.76 ,$2.49 ,$2.76 , N/A ,$2.76 ,$4.05 ,$5.00 ,$4.05 ,$4.25 , N/A ,$3.47 , N/A ,$5.00 ,$2.81 , N/A ,$1.31 ,$5.00 , N/A , N/A , N/A ,$4.00 ,$2.48 ,$1.40 ,$4.50 ,$1.90 ,$0.15 , N/A ,$2.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1953,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL per 10 mg,636,1 ,$2.01 ,$1.45 ,$0.15 ,$2.01 , N/A ,$1.03 ,$1.11 , N/A ,$0.56 ,$1.05 , N/A ,$1.11 , N/A ,$1.00 ,$0.80 , N/A ,$1.00 , N/A ,$1.41 ,$0.20 ,$1.61 , N/A , N/A ,$1.41 , N/A ,$1.21 , N/A ,$1.51 ,$1.11 ,$1.00 ,$1.11 , N/A ,$1.11 ,$1.63 ,$2.01 ,$1.63 ,$1.71 , N/A ,$1.39 , N/A ,$2.01 ,$1.13 , N/A ,$0.53 ,$2.01 , N/A , N/A , N/A ,$1.61 ,$1.00 ,$0.56 ,$1.81 ,$0.76 ,$0.15 , N/A ,$0.96 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1956,LEVOFLOXACIN 250 MG/50ML SOLN per 250 mg,636,1 ,$101.90 ,$73.37 ,$1.60 ,$101.90 , N/A ,$51.97 ,$56.05 , N/A ,$28.53 ,$7.92 , N/A ,$8.25 , N/A ,$50.44 ,$40.76 , N/A ,$50.44 , N/A ,$71.33 ,$1.76 ,$81.52 , N/A , N/A ,$71.33 , N/A ,$61.14 , N/A ,$76.43 ,$56.25 ,$50.75 ,$56.25 , N/A ,$56.25 ,$82.54 ,$101.90 ,$82.54 ,$86.62 , N/A ,$70.62 , N/A ,$101.90 ,$57.17 , N/A ,$26.70 ,$101.90 , N/A , N/A , N/A ,$81.52 ,$50.44 ,$28.53 ,$91.71 ,$38.72 ,$1.60 , N/A ,$48.91 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1956,LEVOFLOXACIN 750 MG/150ML SOLN per 250 mg,636,1 ,$47.87 ,$34.47 ,$1.60 ,$47.87 , N/A ,$24.41 ,$26.33 , N/A ,$13.40 ,$7.92 , N/A ,$8.25 , N/A ,$23.70 ,$19.15 , N/A ,$23.70 , N/A ,$33.51 ,$1.76 ,$38.30 , N/A , N/A ,$33.51 , N/A ,$28.72 , N/A ,$35.90 ,$26.42 ,$23.84 ,$26.42 , N/A ,$26.42 ,$38.77 ,$47.87 ,$38.77 ,$40.69 , N/A ,$33.17 , N/A ,$47.87 ,$26.86 , N/A ,$12.54 ,$47.87 , N/A , N/A , N/A ,$38.30 ,$23.70 ,$13.40 ,$43.08 ,$18.19 ,$1.60 , N/A ,$22.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2001,LIDOCAINE (CARDIAC) 20 MG/ML INJ 5 ML SYRINGE per 10 mg,636,1 ,$10.91 ,$7.86 ,$0.04 ,$10.91 , N/A ,$5.56 ,$6.00 , N/A ,$3.05 ,$2.40 , N/A ,$2.50 , N/A ,$5.40 ,$4.36 , N/A ,$5.40 , N/A ,$7.64 ,$0.04 ,$8.73 , N/A , N/A ,$7.64 , N/A ,$6.55 , N/A ,$8.18 ,$6.02 ,$5.43 ,$6.02 , N/A ,$6.02 ,$8.84 ,$10.91 ,$8.84 ,$9.27 , N/A ,$7.56 , N/A ,$10.91 ,$6.12 , N/A ,$2.86 ,$10.91 , N/A , N/A , N/A ,$8.73 ,$5.40 ,$3.05 ,$9.82 ,$4.15 ,$0.05 , N/A ,$5.24 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2001,LIDOCAINE (CARDIAC) 20 MG/ML INJ per 10 mg,636,1 ,$30.93 ,$22.27 ,$0.04 ,$30.93 , N/A ,$15.77 ,$17.01 , N/A ,$8.66 ,$2.40 , N/A ,$2.50 , N/A ,$15.31 ,$12.37 , N/A ,$15.31 , N/A ,$21.65 ,$0.04 ,$24.74 , N/A , N/A ,$21.65 , N/A ,$18.56 , N/A ,$23.20 ,$17.07 ,$15.40 ,$17.07 , N/A ,$17.07 ,$25.05 ,$30.93 ,$25.05 ,$26.29 , N/A ,$21.43 , N/A ,$30.93 ,$17.35 , N/A ,$8.10 ,$30.93 , N/A , N/A , N/A ,$24.74 ,$15.31 ,$8.66 ,$27.84 ,$11.75 ,$0.05 , N/A ,$14.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2001,LIDOCAINE 8-5 MG/ML-% SOLN per 10 mg,636,1 ,$4.74 ,$3.41 ,$0.04 ,$4.74 , N/A ,$2.42 ,$2.61 , N/A ,$1.33 ,$2.40 , N/A ,$2.50 , N/A ,$2.35 ,$1.90 , N/A ,$2.35 , N/A ,$3.32 ,$0.04 ,$3.79 , N/A , N/A ,$3.32 , N/A ,$2.84 , N/A ,$3.56 ,$2.62 ,$2.36 ,$2.62 , N/A ,$2.62 ,$3.84 ,$4.74 ,$3.84 ,$4.03 , N/A ,$3.28 , N/A ,$4.74 ,$2.66 , N/A ,$1.24 ,$4.74 , N/A , N/A , N/A ,$3.79 ,$2.35 ,$1.33 ,$4.27 ,$1.80 ,$0.05 , N/A ,$2.28 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2020,LINEZOLID 600 MG/300ML SOLN per 200 mg,636,1 ,$236.87 ,$170.55 ,$5.33 ,$236.87 , N/A ,$120.80 ,$130.28 , N/A ,$66.32 ,$72.58 , N/A ,$75.60 , N/A ,$117.25 ,$94.75 , N/A ,$117.25 , N/A ,$165.81 ,$9.70 ,$189.50 , N/A , N/A ,$165.81 , N/A ,$142.12 , N/A ,$177.65 ,$130.75 ,$117.96 ,$130.75 , N/A ,$130.75 ,$191.86 ,$236.87 ,$191.86 ,$201.34 , N/A ,$164.15 , N/A ,$236.87 ,$132.88 , N/A ,$62.06 ,$236.87 ,$58.00 ,$55.37 , N/A ,$189.50 ,$117.25 ,$66.32 ,$213.18 ,$90.01 ,$5.33 , N/A ,$113.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3490,LIOTHYRONINE 10 MCG/ML SOLN per 10 mcg,636,1 ,$771.90 ,$555.77 ,$202.24 ,$771.90 , N/A ,$393.67 ,$424.55 , N/A ,$216.13 ,$403.70 , N/A ,$424.55 , N/A ,$382.09 ,$308.76 , N/A ,$382.09 , N/A ,$540.33 , N/A ,$617.52 , N/A , N/A ,$540.33 , N/A ,$463.14 , N/A ,$578.93 ,$426.09 ,$384.41 ,$426.09 , N/A ,$426.09 ,$625.24 ,$771.90 ,$625.24 ,$656.12 , N/A ,$534.93 , N/A ,$771.90 ,$433.04 , N/A ,$202.24 ,$771.90 , N/A , N/A , N/A ,$617.52 ,$382.09 ,$216.13 ,$694.71 ,$293.32 , N/A , N/A ,$370.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2060,LORAZEPAM 2 MG/ML SOLN per 2 mg,636,1 ,$74.40 ,$53.57 ,$1.48 ,$74.40 , N/A ,$37.94 ,$40.92 , N/A ,$20.83 ,$4.46 , N/A ,$4.65 , N/A ,$36.83 ,$29.76 , N/A ,$36.83 , N/A ,$52.08 ,$1.48 ,$59.52 , N/A , N/A ,$52.08 , N/A ,$44.64 , N/A ,$55.80 ,$41.07 ,$37.05 ,$41.07 , N/A ,$41.07 ,$60.26 ,$74.40 ,$60.26 ,$63.24 , N/A ,$51.56 , N/A ,$74.40 ,$41.74 , N/A ,$19.49 ,$74.40 , N/A , N/A , N/A ,$59.52 ,$36.83 ,$20.83 ,$66.96 ,$28.27 ,$1.50 , N/A ,$35.71 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9223,LURBINECTEDIN 4 MG SOLR 1 EACH VIAL per 0.1 mg,636,1 ,$379.49 ,$273.23 ,$99.43 ,"$2,223.78 ",$470.75 ,$193.54 ,$208.72 ,$184.53 ,$106.26 ,$198.47 ,$184.53 ,$208.72 ,$184.53 ,$187.85 ,$151.80 ,$184.53 ,$187.85 ,$379.49 ,$265.64 ,$367.96 ,$303.59 ,$470.75 ,$184.53 ,$265.64 ,$184.53 ,$227.69 ,$188.23 ,$284.62 ,$209.48 ,$188.99 ,$209.48 ,$184.53 ,$209.48 ,$307.39 ,$379.49 ,$307.39 ,$322.57 ,$379.49 ,$262.99 ,$184.53 ,$379.49 ,$212.89 ,$184.53 ,$99.43 ,$379.49 ,$379.49 ,"$2,223.78 ",$193.77 ,$303.59 ,$187.85 ,$106.26 ,$341.54 ,$144.21 ,$306.87 ,$184.53 ,$182.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 1-5 GM/100ML-% SOLN per 500 mg,636,1 ,$54.40 ,$39.17 ,$1.09 ,$54.40 , N/A ,$27.74 ,$29.92 , N/A ,$15.23 ,$2.74 , N/A ,$2.85 , N/A ,$26.93 ,$21.76 , N/A ,$26.93 , N/A ,$38.08 ,$1.50 ,$43.52 , N/A , N/A ,$38.08 , N/A ,$32.64 , N/A ,$40.80 ,$30.03 ,$27.09 ,$30.03 , N/A ,$30.03 ,$44.06 ,$54.40 ,$44.06 ,$46.24 , N/A ,$37.70 , N/A ,$54.40 ,$30.52 , N/A ,$14.25 ,$54.40 , N/A , N/A , N/A ,$43.52 ,$26.93 ,$15.23 ,$48.96 ,$20.67 ,$1.09 , N/A ,$26.11 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 2 GM/50 ML SOLN per 500 mg,636,1 ,$22.63 ,$16.29 ,$1.09 ,$22.63 , N/A ,$11.54 ,$12.45 , N/A ,$6.34 ,$2.74 , N/A ,$2.85 , N/A ,$11.20 ,$9.05 , N/A ,$11.20 , N/A ,$15.84 ,$1.50 ,$18.10 , N/A , N/A ,$15.84 , N/A ,$13.58 , N/A ,$16.97 ,$12.49 ,$11.27 ,$12.49 , N/A ,$12.49 ,$18.33 ,$22.63 ,$18.33 ,$19.24 , N/A ,$15.68 , N/A ,$22.63 ,$12.70 , N/A ,$5.93 ,$22.63 , N/A , N/A , N/A ,$18.10 ,$11.20 ,$6.34 ,$20.37 ,$8.60 ,$1.09 , N/A ,$10.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 2 GM/50ML SOLN per 500 mg,636,1 ,$41.38 ,$29.79 ,$1.09 ,$41.38 , N/A ,$21.10 ,$22.76 , N/A ,$11.59 ,$2.74 , N/A ,$2.85 , N/A ,$20.48 ,$16.55 , N/A ,$20.48 , N/A ,$28.97 ,$1.50 ,$33.10 , N/A , N/A ,$28.97 , N/A ,$24.83 , N/A ,$31.04 ,$22.84 ,$20.61 ,$22.84 , N/A ,$22.84 ,$33.52 ,$41.38 ,$33.52 ,$35.17 , N/A ,$28.68 , N/A ,$41.38 ,$23.21 , N/A ,$10.84 ,$41.38 , N/A , N/A , N/A ,$33.10 ,$20.48 ,$11.59 ,$37.24 ,$15.72 ,$1.09 , N/A ,$19.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 20 GM/500ML SOLN per 500 mg,636,1 ,$2.48 ,$1.79 ,$0.65 ,$2.48 , N/A ,$1.26 ,$1.36 , N/A ,$0.69 ,$1.30 , N/A ,$1.36 , N/A ,$1.23 ,$0.99 , N/A ,$1.23 , N/A ,$1.74 ,$1.50 ,$1.98 , N/A , N/A ,$1.74 , N/A ,$1.49 , N/A ,$1.86 ,$1.37 ,$1.24 ,$1.37 , N/A ,$1.37 ,$2.01 ,$2.48 ,$2.01 ,$2.11 , N/A ,$1.72 , N/A ,$2.48 ,$1.39 , N/A ,$0.65 ,$2.48 , N/A , N/A , N/A ,$1.98 ,$1.23 ,$0.69 ,$2.23 ,$0.94 ,$1.09 , N/A ,$1.19 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 4 GM/50ML SOLN per 500 mg,636,1 ,$13.00 ,$9.36 ,$1.09 ,$13.00 , N/A ,$6.63 ,$7.15 , N/A ,$3.64 ,$2.74 , N/A ,$2.85 , N/A ,$6.44 ,$5.20 , N/A ,$6.44 , N/A ,$9.10 ,$1.50 ,$10.40 , N/A , N/A ,$9.10 , N/A ,$7.80 , N/A ,$9.75 ,$7.18 ,$6.47 ,$7.18 , N/A ,$7.18 ,$10.53 ,$13.00 ,$10.53 ,$11.05 , N/A ,$9.01 , N/A ,$13.00 ,$7.29 , N/A ,$3.41 ,$13.00 , N/A , N/A , N/A ,$10.40 ,$6.44 ,$3.64 ,$11.70 ,$4.94 ,$1.09 , N/A ,$6.24 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 10 ML VIAL per 500 mg,636,1 ,$30.20 ,$21.74 ,$1.09 ,$30.20 , N/A ,$15.40 ,$16.61 , N/A ,$8.46 ,$2.74 , N/A ,$2.85 , N/A ,$14.95 ,$12.08 , N/A ,$14.95 , N/A ,$21.14 ,$1.50 ,$24.16 , N/A , N/A ,$21.14 , N/A ,$18.12 , N/A ,$22.65 ,$16.67 ,$15.04 ,$16.67 , N/A ,$16.67 ,$24.46 ,$30.20 ,$24.46 ,$25.67 , N/A ,$20.93 , N/A ,$30.20 ,$16.94 , N/A ,$7.91 ,$30.20 , N/A , N/A , N/A ,$24.16 ,$14.95 ,$8.46 ,$27.18 ,$11.48 ,$1.09 , N/A ,$14.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL per 500 mg,636,1 ,$62.50 ,$45.00 ,$1.09 ,$62.50 , N/A ,$31.88 ,$34.38 , N/A ,$17.50 ,$2.74 , N/A ,$2.85 , N/A ,$30.94 ,$25.00 , N/A ,$30.94 , N/A ,$43.75 ,$1.50 ,$50.00 , N/A , N/A ,$43.75 , N/A ,$37.50 , N/A ,$46.88 ,$34.50 ,$31.13 ,$34.50 , N/A ,$34.50 ,$50.63 ,$62.50 ,$50.63 ,$53.13 , N/A ,$43.31 , N/A ,$62.50 ,$35.06 , N/A ,$16.38 ,$62.50 , N/A , N/A , N/A ,$50.00 ,$30.94 ,$17.50 ,$56.25 ,$23.75 ,$1.09 , N/A ,$30.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL per 500 mg,636,1 ,$7.95 ,$5.72 ,$1.09 ,$7.95 , N/A ,$4.05 ,$4.37 , N/A ,$2.23 ,$2.74 , N/A ,$2.85 , N/A ,$3.94 ,$3.18 , N/A ,$3.94 , N/A ,$5.57 ,$1.50 ,$6.36 , N/A , N/A ,$5.57 , N/A ,$4.77 , N/A ,$5.96 ,$4.39 ,$3.96 ,$4.39 , N/A ,$4.39 ,$6.44 ,$7.95 ,$6.44 ,$6.76 , N/A ,$5.51 , N/A ,$7.95 ,$4.46 , N/A ,$2.08 ,$7.95 , N/A , N/A , N/A ,$6.36 ,$3.94 ,$2.23 ,$7.16 ,$3.02 ,$1.09 , N/A ,$3.82 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 50 ML VIAL per 500 mg,636,1 ,$15.91 ,$11.46 ,$1.09 ,$15.91 , N/A ,$8.11 ,$8.75 , N/A ,$4.45 ,$2.74 , N/A ,$2.85 , N/A ,$7.88 ,$6.36 , N/A ,$7.88 , N/A ,$11.14 ,$1.50 ,$12.73 , N/A , N/A ,$11.14 , N/A ,$9.55 , N/A ,$11.93 ,$8.78 ,$7.92 ,$8.78 , N/A ,$8.78 ,$12.89 ,$15.91 ,$12.89 ,$13.52 , N/A ,$11.03 , N/A ,$15.91 ,$8.93 , N/A ,$4.17 ,$15.91 , N/A , N/A , N/A ,$12.73 ,$7.88 ,$4.45 ,$14.32 ,$6.05 ,$1.09 , N/A ,$7.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2150,MANNITOL 25 % SOLN 50 ML VIAL per 50 mL,636,1 ,$90.00 ,$64.80 ,$5.22 ,$90.00 , N/A ,$45.90 ,$49.50 , N/A ,$25.20 ,$12.48 , N/A ,$13.00 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$5.22 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 , N/A ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$8.22 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,90707,"MEASLES, MUMPS AND RUBELLA VACCINE SOLR per 0.5 mL",636,1 ,$640.65 ,$461.27 ,$15.18 ,$640.65 , N/A ,$326.73 ,$352.36 , N/A ,$179.38 ,$335.06 , N/A ,$352.36 , N/A ,$317.12 ,$98.66 , N/A ,$317.12 , N/A ,$448.46 ,$195.58 ,$512.52 , N/A , N/A ,$448.46 , N/A ,$384.39 , N/A ,$480.49 ,$353.64 ,$319.04 ,$353.64 , N/A ,$353.64 ,$518.93 ,$640.65 ,$518.93 ,$544.55 , N/A ,$443.97 , N/A ,$640.65 ,$359.40 , N/A ,$167.85 ,$640.65 ,$15.91 ,$15.18 , N/A ,$512.52 ,$317.12 ,$179.38 ,$576.59 ,$243.45 ,$174.67 , N/A ,$307.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1050,MEDROXYPROGESTERONE 150 MG/ML SUSP per 1 mg,636,1 ,$3.92 ,$2.82 ,$0.84 ,$3.92 , N/A ,$2.00 ,$2.16 , N/A ,$1.10 ,$2.05 , N/A ,$2.16 , N/A ,$1.94 ,$1.57 , N/A ,$1.94 , N/A ,$2.74 ,$1.14 ,$3.14 , N/A , N/A ,$2.74 , N/A ,$2.35 , N/A ,$2.94 ,$2.16 ,$1.95 ,$2.16 , N/A ,$2.16 ,$3.18 ,$3.92 ,$3.18 ,$3.33 , N/A ,$2.72 , N/A ,$3.92 ,$2.20 , N/A ,$1.03 ,$3.92 , N/A , N/A , N/A ,$3.14 ,$1.94 ,$1.10 ,$3.53 ,$1.49 ,$0.84 , N/A ,$1.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2175,MEPERIDINE 100 MG/ML SOLN per 100 mg,636,1 ,$70.90 ,$51.05 ,$12.22 ,$70.90 , N/A ,$36.16 ,$39.00 , N/A ,$19.85 ,$14.45 , N/A ,$15.05 , N/A ,$35.10 ,$28.36 , N/A ,$35.10 , N/A ,$49.63 ,$12.22 ,$56.72 , N/A , N/A ,$49.63 , N/A ,$42.54 , N/A ,$53.18 ,$39.14 ,$35.31 ,$39.14 , N/A ,$39.14 ,$57.43 ,$70.90 ,$57.43 ,$60.27 , N/A ,$49.13 , N/A ,$70.90 ,$39.77 , N/A ,$18.58 ,$70.90 , N/A , N/A , N/A ,$56.72 ,$35.10 ,$19.85 ,$63.81 ,$26.94 ,$15.82 , N/A ,$34.03 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2175,MEPERIDINE 25 MG/ML SOLN per 100 mg,636,1 ,$86.60 ,$62.35 ,$12.22 ,$86.60 , N/A ,$44.17 ,$47.63 , N/A ,$24.25 ,$14.45 , N/A ,$15.05 , N/A ,$42.87 ,$34.64 , N/A ,$42.87 , N/A ,$60.62 ,$12.22 ,$69.28 , N/A , N/A ,$60.62 , N/A ,$51.96 , N/A ,$64.95 ,$47.80 ,$43.13 ,$47.80 , N/A ,$47.80 ,$70.15 ,$86.60 ,$70.15 ,$73.61 , N/A ,$60.01 , N/A ,$86.60 ,$48.58 , N/A ,$22.69 ,$86.60 , N/A , N/A , N/A ,$69.28 ,$42.87 ,$24.25 ,$77.94 ,$32.91 ,$15.82 , N/A ,$41.57 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2175,MEPERIDINE 50 MG/ML SOLN per 100 mg,636,1 ,$88.05 ,$63.40 ,$12.22 ,$88.05 , N/A ,$44.91 ,$48.43 , N/A ,$24.65 ,$14.45 , N/A ,$15.05 , N/A ,$43.58 ,$35.22 , N/A ,$43.58 , N/A ,$61.64 ,$12.22 ,$70.44 , N/A , N/A ,$61.64 , N/A ,$52.83 , N/A ,$66.04 ,$48.60 ,$43.85 ,$48.60 , N/A ,$48.60 ,$71.32 ,$88.05 ,$71.32 ,$74.84 , N/A ,$61.02 , N/A ,$88.05 ,$49.40 , N/A ,$23.07 ,$88.05 , N/A , N/A , N/A ,$70.44 ,$43.58 ,$24.65 ,$79.25 ,$33.46 ,$15.82 , N/A ,$42.26 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2182,MEPOLIZUMAB 100 MG SOLR per 1 mg,636,1 ,$108.17 ,$77.88 ,$28.34 ,"$1,497.41 ",$73.43 ,$55.17 ,$59.49 ,$28.78 ,$30.29 ,$56.57 ,$28.78 ,$59.49 ,$28.78 ,$53.54 ,$43.27 ,$28.78 ,$53.54 ,$59.34 ,$75.72 ,$58.22 ,$86.54 ,$73.44 ,$28.78 ,$75.72 ,$28.78 ,$64.90 ,$29.36 ,$81.13 ,$59.71 ,$53.87 ,$59.71 ,$28.78 ,$59.71 ,$87.62 ,$108.17 ,$87.62 ,$91.94 ,$73.44 ,$74.96 ,$28.78 ,$108.17 ,$60.68 ,$28.78 ,$28.34 ,$108.17 ,$108.17 ,"$1,497.41 ",$30.22 ,$86.54 ,$53.54 ,$30.29 ,$97.35 ,$41.10 ,$48.92 ,$28.78 ,$51.92 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2185,MEROPENEM 1 G SOLR 1 EACH VIAL per 100 mg,636,1 ,$30.20 ,$21.74 ,$1.02 ,$30.20 , N/A ,$15.40 ,$16.61 , N/A ,$8.46 ,$5.18 , N/A ,$5.40 , N/A ,$14.95 ,$12.08 , N/A ,$14.95 , N/A ,$21.14 ,$1.40 ,$24.16 , N/A , N/A ,$21.14 , N/A ,$18.12 , N/A ,$22.65 ,$16.67 ,$15.04 ,$16.67 , N/A ,$16.67 ,$24.46 ,$30.20 ,$24.46 ,$25.67 , N/A ,$20.93 , N/A ,$30.20 ,$16.94 , N/A ,$7.91 ,$30.20 , N/A , N/A , N/A ,$24.16 ,$14.95 ,$8.46 ,$27.18 ,$11.48 ,$1.02 , N/A ,$14.50 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2185,MEROPENEM 500 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$34.45 ,$24.80 ,$1.02 ,$34.45 , N/A ,$17.57 ,$18.95 , N/A ,$9.65 ,$5.18 , N/A ,$5.40 , N/A ,$17.05 ,$13.78 , N/A ,$17.05 , N/A ,$24.12 ,$1.40 ,$27.56 , N/A , N/A ,$24.12 , N/A ,$20.67 , N/A ,$25.84 ,$19.02 ,$17.16 ,$19.02 , N/A ,$19.02 ,$27.90 ,$34.45 ,$27.90 ,$29.28 , N/A ,$23.87 , N/A ,$34.45 ,$19.33 , N/A ,$9.03 ,$34.45 , N/A , N/A , N/A ,$27.56 ,$17.05 ,$9.65 ,$31.01 ,$13.09 ,$1.02 , N/A ,$16.54 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9250,METHOTREXATE (PF) 50 MG/2ML SOLN per 5 mg,636,1 ,$30.40 ,$21.89 ,$0.36 ,$30.40 , N/A ,$15.50 ,$16.72 , N/A ,$8.51 ,$2.40 , N/A ,$2.50 , N/A ,$15.05 ,$12.16 , N/A ,$15.05 , N/A ,$21.28 ,$0.40 ,$24.32 , N/A , N/A ,$21.28 , N/A ,$18.24 , N/A ,$22.80 ,$16.78 ,$15.14 ,$16.78 , N/A ,$16.78 ,$24.62 ,$30.40 ,$24.62 ,$25.84 , N/A ,$21.07 , N/A ,$30.40 ,$17.05 , N/A ,$7.96 ,$30.40 , N/A , N/A , N/A ,$24.32 ,$15.05 ,$8.51 ,$27.36 ,$11.55 ,$0.36 , N/A ,$14.59 
ST. MARY'S HOSPITAL - DECATUR,63600002,J8610,METHOTREXATE 2.5 MG TABS per 2.5 mg,636,1 ,$12.48 ,$8.99 ,$0.38 ,$12.48 , N/A ,$6.36 ,$6.86 , N/A ,$3.49 ,$2.40 , N/A ,$2.50 , N/A ,$6.18 ,$4.99 , N/A ,$6.18 , N/A ,$8.74 ,$0.38 ,$9.98 , N/A , N/A ,$8.74 , N/A ,$7.49 , N/A ,$9.36 ,$6.89 ,$6.22 ,$6.89 , N/A ,$6.89 ,$10.11 ,$12.48 ,$10.11 ,$10.61 , N/A ,$8.65 , N/A ,$12.48 ,$7.00 , N/A ,$3.27 ,$12.48 , N/A , N/A , N/A ,$9.98 ,$6.18 ,$3.49 ,$11.23 ,$4.74 ,$0.38 , N/A ,$5.99 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q9968,METHYLENE BLUE 1 % SOLN 10 ML VIAL per 1 mg,636,1 ,$36.25 ,$26.10 ,$7.25 ,$36.25 ,$18.50 ,$18.49 ,$19.94 ,$7.25 ,$10.15 ,$18.96 ,$7.25 ,$19.94 ,$7.25 ,$17.94 ,$16.80 ,$7.25 ,$17.94 ,$14.95 ,$25.38 , N/A ,$29.00 ,$18.50 ,$7.25 ,$25.38 ,$7.25 ,$21.75 ,$7.40 ,$27.19 ,$20.01 ,$18.05 ,$20.01 ,$7.25 ,$20.01 ,$29.36 ,$36.25 ,$29.36 ,$30.81 ,$18.50 ,$25.12 ,$7.25 ,$36.25 ,$20.34 ,$7.25 ,$9.50 ,$36.25 , N/A , N/A ,$7.61 ,$29.00 ,$17.94 ,$10.15 ,$32.63 ,$13.78 ,$12.79 ,$7.25 ,$17.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q9968,METHYLENE BLUE 1 % SOLN per 1 mg,636,1 ,$14.07 ,$10.13 ,$3.69 ,$18.50 ,$18.50 ,$7.18 ,$7.74 ,$7.25 ,$3.94 ,$7.36 ,$7.25 ,$7.74 ,$7.25 ,$6.96 ,$14.07 ,$7.25 ,$6.96 ,$14.07 ,$9.85 , N/A ,$11.26 ,$18.50 ,$7.25 ,$9.85 ,$7.25 ,$8.44 ,$7.40 ,$10.55 ,$7.77 ,$7.01 ,$7.77 ,$7.25 ,$7.77 ,$11.40 ,$14.07 ,$11.40 ,$11.96 ,$14.07 ,$9.75 ,$7.25 ,$14.07 ,$7.89 ,$7.25 ,$3.69 ,$14.07 , N/A , N/A ,$7.61 ,$11.26 ,$6.96 ,$3.94 ,$12.66 ,$5.35 ,$12.79 ,$7.25 ,$6.75 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9399,METHYLENE BLUE 50 MG/10ML SOLN 10 ML AMPULE per 1 mL,636,1 ,$111.88 ,$80.55 ,$29.31 ,$111.88 , N/A ,$57.06 ,$61.53 , N/A ,$31.33 ,$58.51 , N/A ,$61.53 , N/A ,$55.38 ,$44.75 , N/A ,$55.38 ,$50.35 ,$78.32 , N/A ,$89.50 ,$78.32 , N/A ,$78.32 , N/A ,$67.13 , N/A ,$83.91 ,$61.76 ,$55.72 ,$61.76 , N/A ,$61.76 ,$90.62 ,$111.88 ,$90.62 ,$95.10 , N/A ,$77.53 , N/A ,$111.88 ,$62.76 , N/A ,$29.31 ,$111.88 , N/A , N/A , N/A ,$89.50 ,$55.38 ,$31.33 ,$100.69 ,$42.51 , N/A , N/A ,$53.70 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2210,METHYLERGONOVINE 0.2 MG/ML SOLN per 0.2 mg,636,1 ,$296.40 ,$213.41 ,$33.31 ,$296.40 , N/A ,$151.16 ,$163.02 , N/A ,$82.99 ,$71.23 , N/A ,$74.20 , N/A ,$146.72 ,$118.56 , N/A ,$146.72 , N/A ,$207.48 ,$40.38 ,$237.12 , N/A , N/A ,$207.48 , N/A ,$177.84 , N/A ,$222.30 ,$163.61 ,$147.61 ,$163.61 , N/A ,$163.61 ,$240.08 ,$296.40 ,$240.08 ,$251.94 , N/A ,$205.41 , N/A ,$296.40 ,$166.28 , N/A ,$77.66 ,$296.40 , N/A , N/A , N/A ,$237.12 ,$146.72 ,$82.99 ,$266.76 ,$112.63 ,$33.31 , N/A ,$142.27 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7509,METHYLPREDNISOLONE 4 MG TABS per 4 mg,636,1 ,$25.85 ,$18.61 ,$0.41 ,$25.85 , N/A ,$13.18 ,$14.22 , N/A ,$7.24 ,$2.40 , N/A ,$2.50 , N/A ,$12.80 ,$10.34 , N/A ,$12.80 , N/A ,$18.10 ,$0.56 ,$20.68 , N/A , N/A ,$18.10 , N/A ,$15.51 , N/A ,$19.39 ,$14.27 ,$12.87 ,$14.27 , N/A ,$14.27 ,$20.94 ,$25.85 ,$20.94 ,$21.97 , N/A ,$17.91 , N/A ,$25.85 ,$14.50 , N/A ,$6.77 ,$25.85 , N/A , N/A , N/A ,$20.68 ,$12.80 ,$7.24 ,$23.27 ,$9.82 ,$0.41 , N/A ,$12.41 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP per 40 mg,636,1 ,$145.45 ,$104.72 ,$13.30 ,$145.45 , N/A ,$74.18 ,$80.00 , N/A ,$40.73 ,$34.03 , N/A ,$35.45 , N/A ,$72.00 ,$58.18 , N/A ,$72.00 , N/A ,$101.82 ,$13.84 ,$116.36 , N/A , N/A ,$101.82 , N/A ,$87.27 , N/A ,$109.09 ,$80.29 ,$72.43 ,$80.29 , N/A ,$80.29 ,$117.81 ,$145.45 ,$117.81 ,$123.63 , N/A ,$100.80 , N/A ,$145.45 ,$81.60 , N/A ,$38.11 ,$145.45 , N/A , N/A , N/A ,$116.36 ,$72.00 ,$40.73 ,$130.91 ,$55.27 ,$13.30 , N/A ,$69.82 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1040,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP per 80 mg,636,1 ,$187.10 ,$134.71 ,$20.16 ,$187.10 , N/A ,$95.42 ,$102.91 , N/A ,$52.39 ,$66.19 , N/A ,$68.95 , N/A ,$92.61 ,$74.84 , N/A ,$92.61 , N/A ,$130.97 ,$20.88 ,$149.68 , N/A , N/A ,$130.97 , N/A ,$112.26 , N/A ,$140.33 ,$103.28 ,$93.18 ,$103.28 , N/A ,$103.28 ,$151.55 ,$187.10 ,$151.55 ,$159.04 , N/A ,$129.66 , N/A ,$187.10 ,$104.96 , N/A ,$49.02 ,$187.10 , N/A , N/A , N/A ,$149.68 ,$92.61 ,$52.39 ,$168.39 ,$71.10 ,$20.16 , N/A ,$89.81 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL per 125 mg,636,1 ,$59.39 ,$42.76 ,$9.82 ,$59.39 , N/A ,$30.29 ,$32.66 , N/A ,$16.63 ,$31.06 , N/A ,$32.66 , N/A ,$29.40 ,$23.76 , N/A ,$29.40 , N/A ,$41.57 ,$11.04 ,$47.51 , N/A , N/A ,$41.57 , N/A ,$35.63 , N/A ,$44.54 ,$32.78 ,$29.58 ,$32.78 , N/A ,$32.78 ,$48.11 ,$59.39 ,$48.11 ,$50.48 , N/A ,$41.16 , N/A ,$59.39 ,$33.32 , N/A ,$15.56 ,$59.39 , N/A , N/A , N/A ,$47.51 ,$29.40 ,$16.63 ,$53.45 ,$22.57 ,$9.82 , N/A ,$28.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR per 125 mg,636,1 ,$131.85 ,$94.93 ,$9.82 ,$131.85 , N/A ,$67.24 ,$72.52 , N/A ,$36.92 ,$34.22 , N/A ,$35.65 , N/A ,$65.27 ,$52.74 , N/A ,$65.27 , N/A ,$92.30 ,$11.04 ,$105.48 , N/A , N/A ,$92.30 , N/A ,$79.11 , N/A ,$98.89 ,$72.78 ,$65.66 ,$72.78 , N/A ,$72.78 ,$106.80 ,$131.85 ,$106.80 ,$112.07 , N/A ,$91.37 , N/A ,$131.85 ,$73.97 , N/A ,$34.54 ,$131.85 , N/A , N/A , N/A ,$105.48 ,$65.27 ,$36.92 ,$118.67 ,$50.10 ,$9.82 , N/A ,$63.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2920,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLR per 40 mg,636,1 ,$108.10 ,$77.83 ,$6.73 ,$108.10 , N/A ,$55.13 ,$59.46 , N/A ,$30.27 ,$23.28 , N/A ,$24.25 , N/A ,$53.51 ,$43.24 , N/A ,$53.51 , N/A ,$75.67 ,$8.38 ,$86.48 , N/A , N/A ,$75.67 , N/A ,$64.86 , N/A ,$81.08 ,$59.67 ,$53.83 ,$59.67 , N/A ,$59.67 ,$87.56 ,$108.10 ,$87.56 ,$91.89 , N/A ,$74.91 , N/A ,$108.10 ,$60.64 , N/A ,$28.32 ,$108.10 , N/A , N/A , N/A ,$86.48 ,$53.51 ,$30.27 ,$97.29 ,$41.08 ,$6.73 , N/A ,$51.89 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG SOLR 1 EACH VIAL per 125 mg,636,1 ,$63.50 ,$45.72 ,$9.82 ,$63.50 , N/A ,$32.39 ,$34.93 , N/A ,$17.78 ,$33.21 , N/A ,$34.93 , N/A ,$31.43 ,$25.40 , N/A ,$31.43 , N/A ,$44.45 ,$11.04 ,$50.80 , N/A , N/A ,$44.45 , N/A ,$38.10 , N/A ,$47.63 ,$35.05 ,$31.62 ,$35.05 , N/A ,$35.05 ,$51.44 ,$63.50 ,$51.44 ,$53.98 , N/A ,$44.01 , N/A ,$63.50 ,$35.62 , N/A ,$16.64 ,$63.50 , N/A , N/A , N/A ,$50.80 ,$31.43 ,$17.78 ,$57.15 ,$24.13 ,$9.82 , N/A ,$30.48 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2765,METOCLOPRAMIDE 5 MG/ML SOLN per 10 mg,636,1 ,$67.05 ,$48.28 ,$1.82 ,$67.05 , N/A ,$34.20 ,$36.88 , N/A ,$18.77 ,$4.42 , N/A ,$4.60 , N/A ,$33.19 ,$26.82 , N/A ,$33.19 , N/A ,$46.94 ,$2.10 ,$53.64 , N/A , N/A ,$46.94 , N/A ,$40.23 , N/A ,$50.29 ,$37.01 ,$33.39 ,$37.01 , N/A ,$37.01 ,$54.31 ,$67.05 ,$54.31 ,$56.99 , N/A ,$46.47 , N/A ,$67.05 ,$37.62 , N/A ,$17.57 ,$67.05 , N/A , N/A , N/A ,$53.64 ,$33.19 ,$18.77 ,$60.35 ,$25.48 ,$1.82 , N/A ,$32.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2248,MICAFUNGIN 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$10.60 ,$7.63 ,$0.96 ,$55.37 , N/A ,$5.41 ,$5.83 , N/A ,$2.97 ,$4.18 , N/A ,$4.35 , N/A ,$5.25 ,$4.24 , N/A ,$5.25 , N/A ,$7.42 ,$0.96 ,$8.48 , N/A , N/A ,$7.42 , N/A ,$6.36 , N/A ,$7.95 ,$5.85 ,$5.28 ,$5.85 , N/A ,$5.85 ,$8.59 ,$10.60 ,$8.59 ,$9.01 , N/A ,$7.35 , N/A ,$10.60 ,$5.95 , N/A ,$2.78 ,$10.60 ,$10.60 ,$55.37 , N/A ,$8.48 ,$5.25 ,$2.97 ,$9.54 ,$4.03 ,$1.52 , N/A ,$5.09 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2250,MIDAZOLAM 10 MG/2ML SOLN per 1 mg,636,1 ,$18.67 ,$13.44 ,$0.26 ,$18.67 , N/A ,$9.52 ,$10.27 , N/A ,$5.23 ,$2.40 , N/A ,$2.50 , N/A ,$9.24 ,$7.47 , N/A ,$9.24 , N/A ,$13.07 ,$0.34 ,$14.94 , N/A , N/A ,$13.07 , N/A ,$11.20 , N/A ,$14.00 ,$10.31 ,$9.30 ,$10.31 , N/A ,$10.31 ,$15.12 ,$18.67 ,$15.12 ,$15.87 , N/A ,$12.94 , N/A ,$18.67 ,$10.47 , N/A ,$4.89 ,$18.67 , N/A , N/A , N/A ,$14.94 ,$9.24 ,$5.23 ,$16.80 ,$7.09 ,$0.26 , N/A ,$8.96 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2250,MIDAZOLAM 2 MG/2ML SOLN per 1 mg,636,1 ,$32.03 ,$23.06 ,$0.26 ,$32.03 , N/A ,$16.34 ,$17.62 , N/A ,$8.97 ,$2.40 , N/A ,$2.50 , N/A ,$15.85 ,$12.81 , N/A ,$15.85 , N/A ,$22.42 ,$0.34 ,$25.62 , N/A , N/A ,$22.42 , N/A ,$19.22 , N/A ,$24.02 ,$17.68 ,$15.95 ,$17.68 , N/A ,$17.68 ,$25.94 ,$32.03 ,$25.94 ,$27.23 , N/A ,$22.20 , N/A ,$32.03 ,$17.97 , N/A ,$8.39 ,$32.03 , N/A , N/A , N/A ,$25.62 ,$15.85 ,$8.97 ,$28.83 ,$12.17 ,$0.26 , N/A ,$15.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2250,MIDAZOLAM 50 MG/10ML SOLN 10 ML VIAL per 1 mg,636,1 ,$2.52 ,$1.81 ,$0.26 ,$2.52 , N/A ,$1.29 ,$1.39 , N/A ,$0.71 ,$1.32 , N/A ,$1.39 , N/A ,$1.25 ,$1.01 , N/A ,$1.25 , N/A ,$1.76 ,$0.34 ,$2.02 , N/A , N/A ,$1.76 , N/A ,$1.51 , N/A ,$1.89 ,$1.39 ,$1.26 ,$1.39 , N/A ,$1.39 ,$2.04 ,$2.52 ,$2.04 ,$2.14 , N/A ,$1.75 , N/A ,$2.52 ,$1.41 , N/A ,$0.66 ,$2.52 , N/A , N/A , N/A ,$2.02 ,$1.25 ,$0.71 ,$2.27 ,$0.96 ,$0.26 , N/A ,$1.21 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2260,MILRINONE 20-5 MG/100ML-% SOLN per 5 mg,636,1 ,$41.30 ,$29.74 ,$3.17 ,$41.30 , N/A ,$21.06 ,$22.72 , N/A ,$11.56 ,$7.63 , N/A ,$7.95 , N/A ,$20.44 ,$16.52 , N/A ,$20.44 , N/A ,$28.91 ,$3.42 ,$33.04 , N/A , N/A ,$28.91 , N/A ,$24.78 , N/A ,$30.98 ,$22.80 ,$20.57 ,$22.80 , N/A ,$22.80 ,$33.45 ,$41.30 ,$33.45 ,$35.11 , N/A ,$28.62 , N/A ,$41.30 ,$23.17 , N/A ,$10.82 ,$41.30 , N/A , N/A , N/A ,$33.04 ,$20.44 ,$11.56 ,$37.17 ,$15.69 ,$3.17 , N/A ,$19.82 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE (PF) 1 MG/ML SOLN per 10 mg,636,1 ,$62.20 ,$44.78 ,$4.06 ,$62.20 , N/A ,$31.72 ,$34.21 , N/A ,$17.42 ,$6.96 , N/A ,$7.25 , N/A ,$30.79 ,$24.88 , N/A ,$30.79 , N/A ,$43.54 ,$10.24 ,$49.76 , N/A , N/A ,$43.54 , N/A ,$37.32 , N/A ,$46.65 ,$34.33 ,$30.98 ,$34.33 , N/A ,$34.33 ,$50.38 ,$62.20 ,$50.38 ,$52.87 , N/A ,$43.10 , N/A ,$62.20 ,$34.89 , N/A ,$16.30 ,$62.20 , N/A , N/A , N/A ,$49.76 ,$30.79 ,$17.42 ,$55.98 ,$23.64 ,$4.06 , N/A ,$29.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 1 MG/ML SOLN per 10 mg,636,1 ,$50.27 ,$36.19 ,$4.06 ,$50.27 , N/A ,$25.64 ,$27.65 , N/A ,$14.08 ,$6.96 , N/A ,$7.25 , N/A ,$24.88 ,$20.11 , N/A ,$24.88 , N/A ,$35.19 ,$10.24 ,$40.22 , N/A , N/A ,$35.19 , N/A ,$30.16 , N/A ,$37.70 ,$27.75 ,$25.03 ,$27.75 , N/A ,$27.75 ,$40.72 ,$50.27 ,$40.72 ,$42.73 , N/A ,$34.84 , N/A ,$50.27 ,$28.20 , N/A ,$13.17 ,$50.27 , N/A , N/A , N/A ,$40.22 ,$24.88 ,$14.08 ,$45.24 ,$19.10 ,$4.06 , N/A ,$24.13 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 10 MG/ML SOLN per 10 mg,636,1 ,$68.40 ,$49.25 ,$4.06 ,$68.40 , N/A ,$34.88 ,$37.62 , N/A ,$19.15 ,$6.96 , N/A ,$7.25 , N/A ,$33.86 ,$27.36 , N/A ,$33.86 , N/A ,$47.88 ,$10.24 ,$54.72 , N/A , N/A ,$47.88 , N/A ,$41.04 , N/A ,$51.30 ,$37.76 ,$34.06 ,$37.76 , N/A ,$37.76 ,$55.40 ,$68.40 ,$55.40 ,$58.14 , N/A ,$47.40 , N/A ,$68.40 ,$38.37 , N/A ,$17.92 ,$68.40 , N/A , N/A , N/A ,$54.72 ,$33.86 ,$19.15 ,$61.56 ,$25.99 ,$4.06 , N/A ,$32.83 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 2 MG/ML SOLN 1 ML CARTRIDGE per 10 mg,636,1 ,$142.20 ,$102.38 ,$4.06 ,$142.20 , N/A ,$72.52 ,$78.21 , N/A ,$39.82 ,$6.96 , N/A ,$7.25 , N/A ,$70.39 ,$56.88 , N/A ,$70.39 , N/A ,$99.54 ,$10.24 ,$113.76 , N/A , N/A ,$99.54 , N/A ,$85.32 , N/A ,$106.65 ,$78.49 ,$70.82 ,$78.49 , N/A ,$78.49 ,$115.18 ,$142.20 ,$115.18 ,$120.87 , N/A ,$98.54 , N/A ,$142.20 ,$79.77 , N/A ,$37.26 ,$142.20 , N/A , N/A , N/A ,$113.76 ,$70.39 ,$39.82 ,$127.98 ,$54.04 ,$4.06 , N/A ,$68.26 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 2 MG/ML SOLN 1 ML SYRINGE per 10 mg,636,1 ,$91.35 ,$65.77 ,$4.06 ,$91.35 , N/A ,$46.59 ,$50.24 , N/A ,$25.58 ,$6.96 , N/A ,$7.25 , N/A ,$45.22 ,$36.54 , N/A ,$45.22 , N/A ,$63.95 ,$10.24 ,$73.08 , N/A , N/A ,$63.95 , N/A ,$54.81 , N/A ,$68.51 ,$50.43 ,$45.49 ,$50.43 , N/A ,$50.43 ,$73.99 ,$91.35 ,$73.99 ,$77.65 , N/A ,$63.31 , N/A ,$91.35 ,$51.25 , N/A ,$23.93 ,$91.35 , N/A , N/A , N/A ,$73.08 ,$45.22 ,$25.58 ,$82.22 ,$34.71 ,$4.06 , N/A ,$43.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 2 MG/ML SOLN 1 ML VIAL per 10 mg,636,1 ,$91.30 ,$65.74 ,$4.06 ,$91.30 , N/A ,$46.56 ,$50.22 , N/A ,$25.56 ,$6.96 , N/A ,$7.25 , N/A ,$45.19 ,$36.52 , N/A ,$45.19 , N/A ,$63.91 ,$10.24 ,$73.04 , N/A , N/A ,$63.91 , N/A ,$54.78 , N/A ,$68.48 ,$50.40 ,$45.47 ,$50.40 , N/A ,$50.40 ,$73.95 ,$91.30 ,$73.95 ,$77.61 , N/A ,$63.27 , N/A ,$91.30 ,$51.22 , N/A ,$23.92 ,$91.30 , N/A , N/A , N/A ,$73.04 ,$45.19 ,$25.56 ,$82.17 ,$34.69 ,$4.06 , N/A ,$43.82 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 4 MG/ML SOLN 1 ML VIAL per 10 mg,636,1 ,$86.00 ,$61.92 ,$4.06 ,$86.00 , N/A ,$43.86 ,$47.30 , N/A ,$24.08 ,$6.96 , N/A ,$7.25 , N/A ,$42.57 ,$34.40 , N/A ,$42.57 , N/A ,$60.20 ,$10.24 ,$68.80 , N/A , N/A ,$60.20 , N/A ,$51.60 , N/A ,$64.50 ,$47.47 ,$42.83 ,$47.47 , N/A ,$47.47 ,$69.66 ,$86.00 ,$69.66 ,$73.10 , N/A ,$59.60 , N/A ,$86.00 ,$48.25 , N/A ,$22.53 ,$86.00 , N/A , N/A , N/A ,$68.80 ,$42.57 ,$24.08 ,$77.40 ,$32.68 ,$4.06 , N/A ,$41.28 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2270,MORPHINE 4 MG/ML SOLN per 10 mg,636,1 ,$78.95 ,$56.84 ,$4.06 ,$78.95 , N/A ,$40.26 ,$43.42 , N/A ,$22.11 ,$6.96 , N/A ,$7.25 , N/A ,$39.08 ,$31.58 , N/A ,$39.08 , N/A ,$55.27 ,$10.24 ,$63.16 , N/A , N/A ,$55.27 , N/A ,$47.37 , N/A ,$59.21 ,$43.58 ,$39.32 ,$43.58 , N/A ,$43.58 ,$63.95 ,$78.95 ,$63.95 ,$67.11 , N/A ,$54.71 , N/A ,$78.95 ,$44.29 , N/A ,$20.68 ,$78.95 , N/A , N/A , N/A ,$63.16 ,$39.08 ,$22.11 ,$71.06 ,$30.00 ,$4.06 , N/A ,$37.90 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7517,MYCOPHENOLATE 250 MG CAPS per 250 mg,636,1 ,$13.75 ,$9.90 ,$0.36 ,$13.75 , N/A ,$7.01 ,$7.56 , N/A ,$3.85 ,$4.42 , N/A ,$4.60 , N/A ,$6.81 ,$5.50 , N/A ,$6.81 , N/A ,$9.63 ,$0.46 ,$11.00 , N/A , N/A ,$9.63 , N/A ,$8.25 , N/A ,$10.31 ,$7.59 ,$6.85 ,$7.59 , N/A ,$7.59 ,$11.14 ,$13.75 ,$11.14 ,$11.69 , N/A ,$9.53 , N/A ,$13.75 ,$7.71 , N/A ,$3.60 ,$13.75 , N/A , N/A , N/A ,$11.00 ,$6.81 ,$3.85 ,$12.38 ,$5.23 ,$0.36 , N/A ,$6.60 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7517,MYCOPHENOLATE MOFETIL 500 MG TABS per 250 mg,636,1 ,$10.90 ,$7.85 ,$0.36 ,$10.90 , N/A ,$5.56 ,$6.00 , N/A ,$3.05 ,$4.42 , N/A ,$4.60 , N/A ,$5.40 ,$4.36 , N/A ,$5.40 , N/A ,$7.63 ,$0.46 ,$8.72 , N/A , N/A ,$7.63 , N/A ,$6.54 , N/A ,$8.18 ,$6.02 ,$5.43 ,$6.02 , N/A ,$6.02 ,$8.83 ,$10.90 ,$8.83 ,$9.27 , N/A ,$7.55 , N/A ,$10.90 ,$6.11 , N/A ,$2.86 ,$10.90 , N/A , N/A , N/A ,$8.72 ,$5.40 ,$3.05 ,$9.81 ,$4.14 ,$0.36 , N/A ,$5.23 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2300,NALBUPHINE 20 MG/ML SOLN per 10 mg,636,1 ,$80.35 ,$57.85 ,$4.59 ,$80.35 , N/A ,$40.98 ,$44.19 , N/A ,$22.50 ,$13.15 , N/A ,$13.70 , N/A ,$39.77 ,$32.14 , N/A ,$39.77 , N/A ,$56.25 ,$5.56 ,$64.28 , N/A , N/A ,$56.25 , N/A ,$48.21 , N/A ,$60.26 ,$44.35 ,$40.01 ,$44.35 , N/A ,$44.35 ,$65.08 ,$80.35 ,$65.08 ,$68.30 , N/A ,$55.68 , N/A ,$80.35 ,$45.08 , N/A ,$21.05 ,$80.35 , N/A , N/A , N/A ,$64.28 ,$39.77 ,$22.50 ,$72.32 ,$30.53 ,$4.59 , N/A ,$38.57 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2310,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL per 1 mg,636,1 ,$465.20 ,$334.94 ,$17.00 ,$465.20 , N/A ,$237.25 ,$255.86 , N/A ,$130.26 ,$131.76 , N/A ,$137.25 , N/A ,$230.27 ,$186.08 , N/A ,$230.27 , N/A ,$325.64 ,$19.16 ,$372.16 , N/A , N/A ,$325.64 , N/A ,$279.12 , N/A ,$348.90 ,$256.79 ,$231.67 ,$256.79 , N/A ,$256.79 ,$376.81 ,$465.20 ,$376.81 ,$395.42 , N/A ,$322.38 , N/A ,$465.20 ,$260.98 , N/A ,$121.88 ,$465.20 , N/A , N/A , N/A ,$372.16 ,$230.27 ,$130.26 ,$418.68 ,$176.78 ,$17.00 , N/A ,$223.30 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2310,NALOXONE 0.4 MG/ML SOLN per 1 mg,636,1 ,$194.00 ,$139.68 ,$17.00 ,$194.00 , N/A ,$98.94 ,$106.70 , N/A ,$54.32 ,$101.46 , N/A ,$106.70 , N/A ,$96.03 ,$77.60 , N/A ,$96.03 , N/A ,$135.80 ,$19.16 ,$155.20 , N/A , N/A ,$135.80 , N/A ,$116.40 , N/A ,$145.50 ,$107.09 ,$96.61 ,$107.09 , N/A ,$107.09 ,$157.14 ,$194.00 ,$157.14 ,$164.90 , N/A ,$134.44 , N/A ,$194.00 ,$108.83 , N/A ,$50.83 ,$194.00 , N/A , N/A , N/A ,$155.20 ,$96.03 ,$54.32 ,$174.60 ,$73.72 ,$17.00 , N/A ,$93.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2310,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE per 1 mg,636,1 ,$163.60 ,$117.79 ,$17.00 ,$163.60 , N/A ,$83.44 ,$89.98 , N/A ,$45.81 ,$85.56 , N/A ,$89.98 , N/A ,$80.98 ,$65.44 , N/A ,$80.98 , N/A ,$114.52 ,$19.16 ,$130.88 , N/A , N/A ,$114.52 , N/A ,$98.16 , N/A ,$122.70 ,$90.31 ,$81.47 ,$90.31 , N/A ,$90.31 ,$132.52 ,$163.60 ,$132.52 ,$139.06 , N/A ,$113.37 , N/A ,$163.60 ,$91.78 , N/A ,$42.86 ,$163.60 , N/A , N/A , N/A ,$130.88 ,$80.98 ,$45.81 ,$147.24 ,$62.17 ,$17.00 , N/A ,$78.53 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2323,NATALIZUMAB 300 MG/15ML CONC 15 ML VIAL per 1 mg,636,1 ,$62.85 ,$45.25 ,$16.47 ,"$2,223.78 ",$59.98 ,$32.05 ,$34.57 ,$23.51 ,$17.60 ,$32.87 ,$23.51 ,$34.57 ,$23.51 ,$31.11 ,$25.14 ,$23.51 ,$31.11 ,$48.45 ,$44.00 ,$48.34 ,$50.28 ,$59.97 ,$23.51 ,$44.00 ,$23.51 ,$37.71 ,$23.98 ,$47.14 ,$34.69 ,$31.30 ,$34.69 ,$23.51 ,$34.69 ,$50.91 ,$62.85 ,$50.91 ,$53.42 ,$59.97 ,$43.56 ,$23.51 ,$62.85 ,$35.26 ,$23.51 ,$16.47 ,$62.85 ,$62.85 ,"$2,223.78 ",$24.69 ,$50.28 ,$31.11 ,$17.60 ,$56.57 ,$23.88 ,$39.30 ,$23.51 ,$30.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2710,NEOSTIGMINE 10 MG/10ML SOLN per 0.5 mg,636,1 ,$11.23 ,$8.09 ,$0.18 ,$11.23 , N/A ,$5.73 ,$6.18 , N/A ,$3.14 ,$5.87 , N/A ,$6.18 , N/A ,$5.56 ,$4.49 , N/A ,$5.56 , N/A ,$7.86 ,$0.18 ,$8.98 , N/A , N/A ,$7.86 , N/A ,$6.74 , N/A ,$8.42 ,$6.20 ,$5.59 ,$6.20 , N/A ,$6.20 ,$9.10 ,$11.23 ,$9.10 ,$9.55 , N/A ,$7.78 , N/A ,$11.23 ,$6.30 , N/A ,$2.94 ,$11.23 , N/A , N/A , N/A ,$8.98 ,$5.56 ,$3.14 ,$10.11 ,$4.27 ,$3.15 , N/A ,$5.39 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9299,NIVOLUMAB 240 MG/24ML SOLN 24 ML VIAL per 1 mg,636,1 ,$61.82 ,$44.51 ,$16.20 ,"$3,062.40 ",$74.78 ,$31.53 ,$34.00 ,$29.31 ,$17.31 ,$32.33 ,$29.31 ,$34.00 ,$29.31 ,$30.60 ,$24.73 ,$29.31 ,$30.60 ,$60.42 ,$43.27 ,$59.36 ,$49.46 ,$74.78 ,$29.31 ,$43.27 ,$29.31 ,$37.09 ,$29.90 ,$46.37 ,$34.12 ,$30.79 ,$34.12 ,$29.31 ,$34.12 ,$50.07 ,$61.82 ,$50.07 ,$52.55 ,$61.82 ,$42.84 ,$29.31 ,$61.82 ,$34.68 ,$29.31 ,$16.20 ,$61.82 ,$61.82 ,"$3,062.40 ",$30.78 ,$49.46 ,$30.60 ,$17.31 ,$55.64 ,$23.49 ,$49.50 ,$29.31 ,$29.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2354,OCTREOTIDE 100 MCG/ML SOLN 1 ML VIAL per 25 mcg,636,1 ,$28.10 ,$20.23 ,$1.64 ,$28.10 , N/A ,$14.33 ,$15.46 , N/A ,$7.87 ,$4.90 , N/A ,$5.10 , N/A ,$13.91 ,$11.24 , N/A ,$13.91 , N/A ,$19.67 ,$1.64 ,$22.48 , N/A , N/A ,$19.67 , N/A ,$16.86 , N/A ,$21.08 ,$15.51 ,$13.99 ,$15.51 , N/A ,$15.51 ,$22.76 ,$28.10 ,$22.76 ,$23.89 , N/A ,$19.47 , N/A ,$28.10 ,$15.76 , N/A ,$7.36 ,$28.10 , N/A , N/A , N/A ,$22.48 ,$13.91 ,$7.87 ,$25.29 ,$10.68 ,$2.34 , N/A ,$13.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2354,OCTREOTIDE 100 MCG/ML SOLN per 25 mcg,636,1 ,$33.38 ,$24.03 ,$1.64 ,$33.38 , N/A ,$17.02 ,$18.36 , N/A ,$9.35 ,$4.90 , N/A ,$5.10 , N/A ,$16.52 ,$13.35 , N/A ,$16.52 , N/A ,$23.37 ,$1.64 ,$26.70 , N/A , N/A ,$23.37 , N/A ,$20.03 , N/A ,$25.04 ,$18.43 ,$16.62 ,$18.43 , N/A ,$18.43 ,$27.04 ,$33.38 ,$27.04 ,$28.37 , N/A ,$23.13 , N/A ,$33.38 ,$18.73 , N/A ,$8.75 ,$33.38 , N/A , N/A , N/A ,$26.70 ,$16.52 ,$9.35 ,$30.04 ,$12.68 ,$2.34 , N/A ,$16.02 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2354,OCTREOTIDE 200 MCG/ML SOLN 5 ML VIAL per 25 mcg,636,1 ,$18.90 ,$13.61 ,$1.64 ,$18.90 , N/A ,$9.64 ,$10.40 , N/A ,$5.29 ,$4.90 , N/A ,$5.10 , N/A ,$9.36 ,$7.56 , N/A ,$9.36 , N/A ,$13.23 ,$1.64 ,$15.12 , N/A , N/A ,$13.23 , N/A ,$11.34 , N/A ,$14.18 ,$10.43 ,$9.41 ,$10.43 , N/A ,$10.43 ,$15.31 ,$18.90 ,$15.31 ,$16.07 , N/A ,$13.10 , N/A ,$18.90 ,$10.60 , N/A ,$4.95 ,$18.90 , N/A , N/A , N/A ,$15.12 ,$9.36 ,$5.29 ,$17.01 ,$7.18 ,$2.34 , N/A ,$9.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2357,OMALIZUMAB 150 MG SOLR per 5 mg,636,1 ,$135.16 ,$97.32 ,$35.41 ,$986.30 ,$94.80 ,$68.93 ,$74.34 ,$37.16 ,$37.84 ,$70.69 ,$37.16 ,$74.34 ,$37.16 ,$66.90 ,$54.06 ,$37.16 ,$66.90 ,$76.59 ,$94.61 ,$76.24 ,$108.13 ,$94.79 ,$37.16 ,$94.61 ,$37.16 ,$81.10 ,$37.90 ,$101.37 ,$74.61 ,$67.31 ,$74.61 ,$37.16 ,$74.61 ,$109.48 ,$135.16 ,$109.48 ,$114.89 ,$94.79 ,$93.67 ,$37.16 ,$135.16 ,$75.82 ,$37.16 ,$35.41 ,$135.16 ,$135.16 ,$986.30 ,$39.02 ,$108.13 ,$66.90 ,$37.84 ,$121.64 ,$51.36 ,$63.03 ,$37.16 ,$64.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0585,ONABOTULINUMTOXINA 100 UNITS SOLR per 1 Units,636,1 ,$21.17 ,$15.24 ,$5.55 ,$231.65 ,$15.80 ,$10.80 ,$11.64 ,$6.19 ,$5.93 ,$11.07 ,$6.19 ,$11.64 ,$6.19 ,$10.48 ,$8.47 ,$6.19 ,$10.48 ,$12.76 ,$14.82 ,$11.96 ,$16.94 ,$15.80 ,$6.19 ,$14.82 ,$6.19 ,$12.70 ,$6.31 ,$15.88 ,$11.69 ,$10.54 ,$11.69 ,$6.19 ,$11.69 ,$17.15 ,$21.17 ,$17.15 ,$17.99 ,$15.80 ,$14.67 ,$6.19 ,$21.17 ,$11.88 ,$6.19 ,$5.55 ,$21.17 ,$21.17 ,$231.65 ,$6.51 ,$16.94 ,$10.48 ,$5.93 ,$19.05 ,$8.04 ,$10.43 ,$6.19 ,$10.16 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2405,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL per 1 mg,636,1 ,$14.66 ,$10.56 ,$0.15 ,$14.66 , N/A ,$7.48 ,$8.06 , N/A ,$4.10 ,$2.40 , N/A ,$2.50 , N/A ,$7.26 ,$5.86 , N/A ,$7.26 , N/A ,$10.26 ,$1.52 ,$11.73 , N/A , N/A ,$10.26 , N/A ,$8.80 , N/A ,$11.00 ,$8.09 ,$7.30 ,$8.09 , N/A ,$8.09 ,$11.87 ,$14.66 ,$11.87 ,$12.46 , N/A ,$10.16 , N/A ,$14.66 ,$8.22 , N/A ,$3.84 ,$14.66 , N/A , N/A , N/A ,$11.73 ,$7.26 ,$4.10 ,$13.19 ,$5.57 ,$0.15 , N/A ,$7.04 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2405,ONDANSETRON 4 MG/2ML SOLN 20 ML VIAL per 1 mg,636,1 ,$4.75 ,$3.42 ,$0.15 ,$4.75 , N/A ,$2.42 ,$2.61 , N/A ,$1.33 ,$2.40 , N/A ,$2.50 , N/A ,$2.35 ,$1.90 , N/A ,$2.35 , N/A ,$3.33 ,$1.52 ,$3.80 , N/A , N/A ,$3.33 , N/A ,$2.85 , N/A ,$3.56 ,$2.62 ,$2.37 ,$2.62 , N/A ,$2.62 ,$3.85 ,$4.75 ,$3.85 ,$4.04 , N/A ,$3.29 , N/A ,$4.75 ,$2.66 , N/A ,$1.24 ,$4.75 , N/A , N/A , N/A ,$3.80 ,$2.35 ,$1.33 ,$4.28 ,$1.81 ,$0.15 , N/A ,$2.28 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2405,ONDANSETRON 4 MG/2ML SOLN per 1 mg,636,1 ,$14.95 ,$10.76 ,$0.15 ,$14.95 , N/A ,$7.62 ,$8.22 , N/A ,$4.19 ,$2.40 , N/A ,$2.50 , N/A ,$7.40 ,$5.98 , N/A ,$7.40 , N/A ,$10.47 ,$1.52 ,$11.96 , N/A , N/A ,$10.47 , N/A ,$8.97 , N/A ,$11.21 ,$8.25 ,$7.45 ,$8.25 , N/A ,$8.25 ,$12.11 ,$14.95 ,$12.11 ,$12.71 , N/A ,$10.36 , N/A ,$14.95 ,$8.39 , N/A ,$3.92 ,$14.95 , N/A , N/A , N/A ,$11.96 ,$7.40 ,$4.19 ,$13.46 ,$5.68 ,$0.15 , N/A ,$7.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2405,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL per 1 mg,636,1 ,$5.02 ,$3.61 ,$0.15 ,$5.02 , N/A ,$2.56 ,$2.76 , N/A ,$1.41 ,$2.40 , N/A ,$2.50 , N/A ,$2.48 ,$2.01 , N/A ,$2.48 , N/A ,$3.51 ,$1.52 ,$4.02 , N/A , N/A ,$3.51 , N/A ,$3.01 , N/A ,$3.77 ,$2.77 ,$2.50 ,$2.77 , N/A ,$2.77 ,$4.07 ,$5.02 ,$4.07 ,$4.27 , N/A ,$3.48 , N/A ,$5.02 ,$2.82 , N/A ,$1.32 ,$5.02 , N/A , N/A , N/A ,$4.02 ,$2.48 ,$1.41 ,$4.52 ,$1.91 ,$0.15 , N/A ,$2.41 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2360,ORPHENADRINE 30 MG/ML SOLN per 60 mg,636,1 ,$205.45 ,$147.92 ,$7.08 ,$205.45 , N/A ,$104.78 ,$113.00 , N/A ,$57.53 ,$39.89 , N/A ,$41.55 , N/A ,$101.70 ,$82.18 , N/A ,$101.70 , N/A ,$143.82 ,$8.22 ,$164.36 , N/A , N/A ,$143.82 , N/A ,$123.27 , N/A ,$154.09 ,$113.41 ,$102.31 ,$113.41 , N/A ,$113.41 ,$166.41 ,$205.45 ,$166.41 ,$174.63 , N/A ,$142.38 , N/A ,$205.45 ,$115.26 , N/A ,$53.83 ,$205.45 , N/A , N/A , N/A ,$164.36 ,$101.70 ,$57.53 ,$184.91 ,$78.07 ,$7.08 , N/A ,$98.62 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2700,OXACILLIN 2 G SOLR 1 EACH VIAL per 250 mg,636,1 ,$31.63 ,$22.77 ,$2.08 ,$31.63 , N/A ,$16.13 ,$17.40 , N/A ,$8.86 ,$9.60 , N/A ,$10.00 , N/A ,$15.66 ,$12.65 , N/A ,$15.66 , N/A ,$22.14 ,$2.08 ,$25.30 , N/A , N/A ,$22.14 , N/A ,$18.98 , N/A ,$23.72 ,$17.46 ,$15.75 ,$17.46 , N/A ,$17.46 ,$25.62 ,$31.63 ,$25.62 ,$26.89 , N/A ,$21.92 , N/A ,$31.63 ,$17.74 , N/A ,$8.29 ,$31.63 , N/A , N/A , N/A ,$25.30 ,$15.66 ,$8.86 ,$28.47 ,$12.02 ,$2.11 , N/A ,$15.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2590,OXYTOCIN 10 UNIT/ML SOLN per 10 Units,636,1 ,$101.85 ,$73.33 ,$1.06 ,$101.85 , N/A ,$51.94 ,$56.02 , N/A ,$28.52 ,$5.09 , N/A ,$5.30 , N/A ,$50.42 ,$40.74 , N/A ,$50.42 , N/A ,$71.30 ,$1.06 ,$81.48 , N/A , N/A ,$71.30 , N/A ,$61.11 , N/A ,$76.39 ,$56.22 ,$50.72 ,$56.22 , N/A ,$56.22 ,$82.50 ,$101.85 ,$82.50 ,$86.57 , N/A ,$70.58 , N/A ,$101.85 ,$57.14 , N/A ,$26.68 ,$101.85 , N/A , N/A , N/A ,$81.48 ,$50.42 ,$28.52 ,$91.67 ,$38.70 ,$3.12 , N/A ,$48.89 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9267,PACLITAXEL 300 MG/50ML CONC 50 ML VIAL per 1 mg,636,1 ,$1.11 ,$0.80 ,$0.20 ,$1.11 , N/A ,$0.57 ,$0.61 , N/A ,$0.31 ,$0.58 , N/A ,$0.61 , N/A ,$0.55 ,$0.44 , N/A ,$0.55 , N/A ,$0.78 ,$0.26 ,$0.89 , N/A , N/A ,$0.78 , N/A ,$0.67 , N/A ,$0.83 ,$0.61 ,$0.55 ,$0.61 , N/A ,$0.61 ,$0.90 ,$1.11 ,$0.90 ,$0.94 , N/A ,$0.77 , N/A ,$1.11 ,$0.62 , N/A ,$0.29 ,$1.11 , N/A , N/A , N/A ,$0.89 ,$0.55 ,$0.31 ,$1.00 ,$0.42 ,$0.20 , N/A ,$0.53 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9264,PACLITAXEL PROTEIN-BOUND 100 MG SUSR per 1 mg,636,1 ,$33.48 ,$24.11 ,$8.77 ,"$1,497.41 ",$29.45 ,$17.07 ,$18.41 ,$11.54 ,$9.37 ,$17.51 ,$11.54 ,$18.41 ,$11.54 ,$16.57 ,$13.39 ,$11.54 ,$16.57 ,$23.80 ,$23.44 ,$29.38 ,$26.78 ,$29.46 ,$11.54 ,$23.44 ,$11.54 ,$20.09 ,$11.78 ,$25.11 ,$18.48 ,$16.67 ,$18.48 ,$11.54 ,$18.48 ,$27.12 ,$33.48 ,$27.12 ,$28.46 ,$29.46 ,$23.20 ,$11.54 ,$33.48 ,$18.78 ,$11.54 ,$8.77 ,$33.48 ,$33.48 ,"$1,497.41 ",$12.12 ,$26.78 ,$16.57 ,$9.37 ,$30.13 ,$12.72 ,$19.77 ,$11.54 ,$16.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2426,PALIPERIDONE 156 MG/ML SUSY per 1 mg,636,1 ,$44.02 ,$31.69 ,$11.53 ,$986.30 ,$34.13 ,$22.45 ,$24.21 ,$13.38 ,$12.33 ,$23.02 ,$13.38 ,$24.21 ,$13.38 ,$21.79 ,$17.61 ,$13.38 ,$21.79 ,$27.57 ,$30.81 ,$26.26 ,$35.22 ,$34.13 ,$13.38 ,$30.81 ,$13.38 ,$26.41 ,$13.64 ,$33.02 ,$24.30 ,$21.92 ,$24.30 ,$13.38 ,$24.30 ,$35.66 ,$44.02 ,$35.66 ,$37.42 ,$34.13 ,$30.51 ,$13.38 ,$44.02 ,$24.70 ,$13.38 ,$11.53 ,$44.02 ,$44.02 ,$986.30 ,$14.04 ,$35.22 ,$21.79 ,$12.33 ,$39.62 ,$16.73 ,$21.99 ,$13.38 ,$21.13 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2426,PALIPERIDONE 234 MG/1.5ML SUSY per 1 mg,636,1 ,$45.23 ,$32.57 ,$11.85 ,$986.30 ,$34.13 ,$23.07 ,$24.88 ,$13.38 ,$12.66 ,$23.66 ,$13.38 ,$24.88 ,$13.38 ,$22.39 ,$18.09 ,$13.38 ,$22.39 ,$27.57 ,$31.66 ,$26.26 ,$36.18 ,$34.13 ,$13.38 ,$31.66 ,$13.38 ,$27.14 ,$13.64 ,$33.92 ,$24.97 ,$22.52 ,$24.97 ,$13.38 ,$24.97 ,$36.64 ,$45.23 ,$36.64 ,$38.45 ,$34.13 ,$31.34 ,$13.38 ,$45.23 ,$25.37 ,$13.38 ,$11.85 ,$45.23 ,$45.23 ,$986.30 ,$14.04 ,$36.18 ,$22.39 ,$12.66 ,$40.71 ,$17.19 ,$21.99 ,$13.38 ,$21.71 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9113,PANTOPRAZOLE 40 MG SOLR per 1 vial,636,1 ,$517.50 ,$372.60 ,$10.36 ,$517.50 , N/A ,$263.93 ,$284.63 , N/A ,$144.90 ,$270.65 , N/A ,$284.63 , N/A ,$256.16 ,$207.00 , N/A ,$256.16 , N/A ,$362.25 ,$10.36 ,$414.00 , N/A , N/A ,$362.25 , N/A ,$310.50 , N/A ,$388.13 ,$285.66 ,$257.72 ,$285.66 , N/A ,$285.66 ,$419.18 ,$517.50 ,$419.18 ,$439.88 , N/A ,$358.63 , N/A ,$517.50 ,$290.32 , N/A ,$135.59 ,$517.50 , N/A , N/A , N/A ,$414.00 ,$256.16 ,$144.90 ,$465.75 ,$196.65 , N/A , N/A ,$248.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2440,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL per 60 mg,636,1 ,$397.85 ,$286.45 ,$2.56 ,$397.85 , N/A ,$202.90 ,$218.82 , N/A ,$111.40 ,$173.09 , N/A ,$180.30 , N/A ,$196.94 ,$159.14 , N/A ,$196.94 , N/A ,$278.50 ,$2.56 ,$318.28 , N/A , N/A ,$278.50 , N/A ,$238.71 , N/A ,$298.39 ,$219.61 ,$198.13 ,$219.61 , N/A ,$219.61 ,$322.26 ,$397.85 ,$322.26 ,$338.17 , N/A ,$275.71 , N/A ,$397.85 ,$223.19 , N/A ,$104.24 ,$397.85 , N/A , N/A , N/A ,$318.28 ,$196.94 ,$111.40 ,$358.07 ,$151.18 ,$75.80 , N/A ,$190.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2506,PEGFILGRASTIM 6 MG/0.6ML SOSY per 6 mg,636,1 ,"$1,769.12 ","$1,273.77 ",$107.50 ,"$1,769.12 ",$274.23 ,$902.25 ,$973.02 ,$107.50 ,$495.35 ,$925.25 ,$107.50 ,$973.02 ,$107.50 ,$875.71 ,$707.65 ,$107.50 ,$875.71 ,$221.56 ,"$1,238.38 ",$311.66 ,"$1,415.30 ",$274.21 ,$107.50 ,"$1,238.38 ",$107.50 ,"$1,061.47 ",$109.64 ,"$1,326.84 ",$976.55 ,$881.02 ,$976.55 ,$107.50 ,$976.55 ,"$1,432.99 ","$1,769.12 ","$1,432.99 ","$1,503.75 ",$274.21 ,"$1,226.00 ",$107.50 ,"$1,769.12 ",$992.48 ,$107.50 ,$463.51 ,"$1,769.12 ","$1,568.71 ","$1,497.41 ",$112.87 ,"$1,415.30 ",$875.71 ,$495.35 ,"$1,592.21 ",$672.27 ,$223.03 ,$107.50 ,$849.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6ML SOSY per 0.5 mg,636,1 ,"$1,152.29 ",$829.65 ,$138.35 ,"$2,223.78 ",$352.93 ,$587.67 ,$633.76 ,$138.35 ,$322.64 ,$602.65 ,$138.35 ,$633.76 ,$138.35 ,$570.38 ,$460.92 ,$138.35 ,$570.38 ,$285.16 ,$806.60 ,$343.74 ,$921.83 ,$352.92 ,$138.35 ,$806.60 ,$138.35 ,$691.37 ,$141.11 ,$864.22 ,$636.06 ,$573.84 ,$636.06 ,$138.35 ,$636.06 ,$933.35 ,"$1,152.29 ",$933.35 ,$979.45 ,$352.92 ,$798.54 ,$138.35 ,"$1,152.29 ",$646.43 ,$138.35 ,$301.90 ,"$1,152.29 ","$1,152.29 ","$2,223.78 ",$145.27 ,$921.83 ,$570.38 ,$322.64 ,"$1,037.06 ",$437.87 ,$227.14 ,$138.35 ,$553.10 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9271,PEMBROLIZUMAB 100 MG/4ML SOLN 4 ML VIAL per 1 mg,636,1 ,$112.43 ,$80.95 ,$29.46 ,"$4,877.78 ",$138.55 ,$57.34 ,$61.84 ,$54.31 ,$31.48 ,$58.80 ,$54.31 ,$61.84 ,$54.31 ,$55.65 ,$44.97 ,$54.31 ,$55.65 ,$111.94 ,$78.70 ,$106.28 ,$89.94 ,$138.54 ,$54.31 ,$78.70 ,$54.31 ,$67.46 ,$55.40 ,$84.32 ,$62.06 ,$55.99 ,$62.06 ,$54.31 ,$62.06 ,$91.07 ,$112.43 ,$91.07 ,$95.57 ,$112.43 ,$77.91 ,$54.31 ,$112.43 ,$63.07 ,$54.31 ,$29.46 ,$112.43 ,$112.43 ,"$4,877.78 ",$57.03 ,$89.94 ,$55.65 ,$31.48 ,$101.19 ,$42.72 ,$88.95 ,$54.31 ,$53.97 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9305,PEMETREXED 100 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$161.32 ,$116.15 ,$16.80 ,"$3,062.40 ",$42.85 ,$82.27 ,$88.73 ,$16.80 ,$45.17 ,$84.37 ,$16.80 ,$88.73 ,$16.80 ,$79.85 ,$64.53 ,$16.80 ,$79.85 ,$34.62 ,$112.92 ,$156.80 ,$129.06 ,$42.85 ,$16.80 ,$112.92 ,$16.80 ,$96.79 ,$17.13 ,$120.99 ,$89.05 ,$80.34 ,$89.05 ,$16.80 ,$89.05 ,$130.67 ,$161.32 ,$130.67 ,$137.12 ,$42.85 ,$111.79 ,$16.80 ,$161.32 ,$90.50 ,$16.80 ,$42.27 ,$161.32 ,$161.32 ,"$3,062.40 ",$17.64 ,$129.06 ,$79.85 ,$45.17 ,$145.19 ,$61.30 ,$45.67 ,$16.80 ,$77.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9305,PEMETREXED 500 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$170.81 ,$122.98 ,$16.80 ,"$3,062.40 ",$42.85 ,$87.11 ,$93.95 ,$16.80 ,$47.83 ,$89.33 ,$16.80 ,$93.95 ,$16.80 ,$84.55 ,$68.32 ,$16.80 ,$84.55 ,$34.62 ,$119.57 ,$156.80 ,$136.65 ,$42.85 ,$16.80 ,$119.57 ,$16.80 ,$102.49 ,$17.13 ,$128.11 ,$94.29 ,$85.06 ,$94.29 ,$16.80 ,$94.29 ,$138.36 ,$170.81 ,$138.36 ,$145.19 ,$42.85 ,$118.37 ,$16.80 ,$170.81 ,$95.82 ,$16.80 ,$44.75 ,$170.81 ,$170.81 ,"$3,062.40 ",$17.64 ,$136.65 ,$84.55 ,$47.83 ,$153.73 ,$64.91 ,$45.67 ,$16.80 ,$81.99 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY per 100000 Units,636,1 ,$97.91 ,$70.50 ,$18.22 ,$97.91 ,$46.48 ,$49.93 ,$53.85 ,$18.22 ,$27.41 ,$51.21 ,$18.22 ,$53.85 ,$18.22 ,$48.47 ,$39.16 ,$18.22 ,$48.47 ,$37.55 ,$68.54 ,$32.96 ,$78.33 ,$46.48 ,$18.22 ,$68.54 ,$18.22 ,$58.75 ,$18.58 ,$73.43 ,$54.05 ,$48.76 ,$54.05 ,$18.22 ,$54.05 ,$79.31 ,$97.91 ,$79.31 ,$83.22 ,$46.48 ,$67.85 ,$18.22 ,$97.91 ,$54.93 ,$18.22 ,$25.65 ,$97.91 , N/A , N/A ,$19.13 ,$78.33 ,$48.47 ,$27.41 ,$88.12 ,$37.21 ,$29.88 ,$18.22 ,$47.00 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML SUSP per 100000 Units,636,1 ,$60.78 ,$43.76 ,$15.92 ,$60.78 ,$46.48 ,$31.00 ,$33.43 ,$18.22 ,$17.02 ,$31.79 ,$18.22 ,$33.43 ,$18.22 ,$30.09 ,$24.31 ,$18.22 ,$30.09 ,$37.55 ,$42.55 ,$32.96 ,$48.62 ,$46.48 ,$18.22 ,$42.55 ,$18.22 ,$36.47 ,$18.58 ,$45.59 ,$33.55 ,$30.27 ,$33.55 ,$18.22 ,$33.55 ,$49.23 ,$60.78 ,$49.23 ,$51.66 ,$46.48 ,$42.12 ,$18.22 ,$60.78 ,$34.10 ,$18.22 ,$15.92 ,$60.78 , N/A , N/A ,$19.13 ,$48.62 ,$30.09 ,$17.02 ,$54.70 ,$23.10 ,$29.88 ,$18.22 ,$29.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML SUSY per 100000 Units,636,1 ,$140.65 ,$101.27 ,$18.22 ,$140.65 ,$46.48 ,$71.73 ,$77.36 ,$18.22 ,$39.38 ,$65.81 ,$18.22 ,$68.55 ,$18.22 ,$69.62 ,$56.26 ,$18.22 ,$69.62 ,$37.55 ,$98.46 ,$32.96 ,$112.52 ,$46.48 ,$18.22 ,$98.46 ,$18.22 ,$84.39 ,$18.58 ,$105.49 ,$77.64 ,$70.04 ,$77.64 ,$18.22 ,$77.64 ,$113.93 ,$140.65 ,$113.93 ,$119.55 ,$46.48 ,$97.47 ,$18.22 ,$140.65 ,$78.90 ,$18.22 ,$36.85 ,$140.65 , N/A , N/A ,$19.13 ,$112.52 ,$69.62 ,$39.38 ,$126.59 ,$53.45 ,$29.88 ,$18.22 ,$67.51 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2540,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL per 600000 Units,636,1 ,$15.00 ,$10.80 ,$1.29 ,$15.00 , N/A ,$7.65 ,$8.25 , N/A ,$4.20 ,$6.34 , N/A ,$6.60 , N/A ,$7.43 ,$6.00 , N/A ,$7.43 , N/A ,$10.50 ,$1.38 ,$12.00 , N/A , N/A ,$10.50 , N/A ,$9.00 , N/A ,$11.25 ,$8.28 ,$7.47 ,$8.28 , N/A ,$8.28 ,$12.15 ,$15.00 ,$12.15 ,$12.75 , N/A ,$10.40 , N/A ,$15.00 ,$8.42 , N/A ,$3.93 ,$15.00 , N/A , N/A , N/A ,$12.00 ,$7.43 ,$4.20 ,$13.50 ,$5.70 ,$1.29 , N/A ,$7.20 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2540,PENICILLIN G POTASSIUM 5000000 UNITS SOLR 1 EACH VIAL per 600000 Units,636,1 ,$18.00 ,$12.96 ,$1.29 ,$18.00 , N/A ,$9.18 ,$9.90 , N/A ,$5.04 ,$6.34 , N/A ,$6.60 , N/A ,$8.91 ,$7.20 , N/A ,$8.91 , N/A ,$12.60 ,$1.38 ,$14.40 , N/A , N/A ,$12.60 , N/A ,$10.80 , N/A ,$13.50 ,$9.94 ,$8.96 ,$9.94 , N/A ,$9.94 ,$14.58 ,$18.00 ,$14.58 ,$15.30 , N/A ,$12.47 , N/A ,$18.00 ,$10.10 , N/A ,$4.72 ,$18.00 , N/A , N/A , N/A ,$14.40 ,$8.91 ,$5.04 ,$16.20 ,$6.84 ,$1.29 , N/A ,$8.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9306,PERTUZUMAB 420 MG/14ML SOLN 14 ML VIAL per 1 mg,636,1 ,$29.53 ,$21.26 ,$7.74 ,"$2,223.78 ",$36.08 ,$15.06 ,$16.24 ,$14.14 ,$8.27 ,$15.44 ,$14.14 ,$16.24 ,$14.14 ,$14.62 ,$11.81 ,$14.14 ,$14.62 ,$29.14 ,$20.67 ,$28.30 ,$23.62 ,$36.07 ,$14.14 ,$20.67 ,$14.14 ,$17.72 ,$14.43 ,$22.15 ,$16.30 ,$14.71 ,$16.30 ,$14.14 ,$16.30 ,$23.92 ,$29.53 ,$23.92 ,$25.10 ,$29.53 ,$20.46 ,$14.14 ,$29.53 ,$16.57 ,$14.14 ,$7.74 ,$29.53 ,$29.53 ,"$2,223.78 ",$14.85 ,$23.62 ,$14.62 ,$8.27 ,$26.58 ,$11.22 ,$23.78 ,$14.14 ,$14.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2560,PHENOBARBITAL 130 MG/ML SOLN per 120 mg,636,1 ,$250.73 ,$180.53 ,$38.25 ,$250.73 ,$97.58 ,$127.87 ,$137.90 ,$38.25 ,$70.20 ,$131.13 ,$38.25 ,$137.90 ,$38.25 ,$124.11 ,$100.29 ,$38.25 ,$124.11 ,$78.85 ,$175.51 ,$80.58 ,$200.58 ,$97.58 ,$38.25 ,$175.51 ,$38.25 ,$150.44 ,$39.01 ,$188.05 ,$138.40 ,$124.86 ,$138.40 ,$38.25 ,$138.40 ,$203.09 ,$250.73 ,$203.09 ,$213.12 ,$97.58 ,$173.76 ,$38.25 ,$250.73 ,$140.66 ,$38.25 ,$65.69 ,$250.73 , N/A , N/A ,$40.16 ,$200.58 ,$124.11 ,$70.20 ,$225.66 ,$95.28 ,$75.67 ,$38.25 ,$120.35 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2560,PHENOBARBITAL 65 MG/ML SOLN 1 ML VIAL per 120 mg,636,1 ,$211.80 ,$152.50 ,$38.25 ,$211.80 ,$97.58 ,$108.02 ,$116.49 ,$38.25 ,$59.30 ,$110.77 ,$38.25 ,$116.49 ,$38.25 ,$104.84 ,$84.72 ,$38.25 ,$104.84 ,$78.85 ,$148.26 ,$80.58 ,$169.44 ,$97.58 ,$38.25 ,$148.26 ,$38.25 ,$127.08 ,$39.01 ,$158.85 ,$116.91 ,$105.48 ,$116.91 ,$38.25 ,$116.91 ,$171.56 ,$211.80 ,$171.56 ,$180.03 ,$97.58 ,$146.78 ,$38.25 ,$211.80 ,$118.82 ,$38.25 ,$55.49 ,$211.80 , N/A , N/A ,$40.16 ,$169.44 ,$104.84 ,$59.30 ,$190.62 ,$80.48 ,$75.67 ,$38.25 ,$101.66 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 1 ML VIAL per 1 mL,636,1 ,$61.51 ,$44.29 ,$6.68 ,$61.51 , N/A ,$31.37 ,$33.83 , N/A ,$17.22 ,$22.22 , N/A ,$23.15 , N/A ,$30.45 ,$24.60 , N/A ,$30.45 , N/A ,$43.06 ,$6.68 ,$49.21 , N/A , N/A ,$43.06 , N/A ,$36.91 , N/A ,$46.13 ,$33.95 ,$30.63 ,$33.95 , N/A ,$33.95 ,$49.82 ,$61.51 ,$49.82 ,$52.28 , N/A ,$42.63 , N/A ,$61.51 ,$34.51 , N/A ,$16.12 ,$61.51 , N/A , N/A , N/A ,$49.21 ,$30.45 ,$17.22 ,$55.36 ,$23.37 ,$6.80 , N/A ,$29.52 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL per 1 mL,636,1 ,$43.60 ,$31.39 ,$6.68 ,$43.60 , N/A ,$22.24 ,$23.98 , N/A ,$12.21 ,$22.22 , N/A ,$23.15 , N/A ,$21.58 ,$17.44 , N/A ,$21.58 , N/A ,$30.52 ,$6.68 ,$34.88 , N/A , N/A ,$30.52 , N/A ,$26.16 , N/A ,$32.70 ,$24.07 ,$21.71 ,$24.07 , N/A ,$24.07 ,$35.32 ,$43.60 ,$35.32 ,$37.06 , N/A ,$30.21 , N/A ,$43.60 ,$24.46 , N/A ,$11.42 ,$43.60 , N/A , N/A , N/A ,$34.88 ,$21.58 ,$12.21 ,$39.24 ,$16.57 ,$6.80 , N/A ,$20.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 10 ML VIAL per 1 mL,636,1 ,$43.60 ,$31.39 ,$6.68 ,$43.60 , N/A ,$22.24 ,$23.98 , N/A ,$12.21 ,$22.22 , N/A ,$23.15 , N/A ,$21.58 ,$17.44 , N/A ,$21.58 , N/A ,$30.52 ,$6.68 ,$34.88 , N/A , N/A ,$30.52 , N/A ,$26.16 , N/A ,$32.70 ,$24.07 ,$21.71 ,$24.07 , N/A ,$24.07 ,$35.32 ,$43.60 ,$35.32 ,$37.06 , N/A ,$30.21 , N/A ,$43.60 ,$24.46 , N/A ,$11.42 ,$43.60 , N/A , N/A , N/A ,$34.88 ,$21.58 ,$12.21 ,$39.24 ,$16.57 ,$6.80 , N/A ,$20.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2370,PHENYLEPHRINE SOLN per 1 mL,636,1 ,$56.00 ,$40.32 ,$6.68 ,$56.00 , N/A ,$28.56 ,$30.80 , N/A ,$15.68 ,$22.22 , N/A ,$23.15 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$6.68 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$6.80 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3430,PHYTONADIONE (PEDS) 1 MG/0.5ML SOLN per 1 mg,636,1 ,$257.75 ,$185.58 ,$5.26 ,$257.75 , N/A ,$131.45 ,$141.76 , N/A ,$72.17 ,$20.98 , N/A ,$21.85 , N/A ,$127.59 ,$103.10 , N/A ,$127.59 , N/A ,$180.43 ,$6.42 ,$206.20 , N/A , N/A ,$180.43 , N/A ,$154.65 , N/A ,$193.31 ,$142.28 ,$128.36 ,$142.28 , N/A ,$142.28 ,$208.78 ,$257.75 ,$208.78 ,$219.09 , N/A ,$178.62 , N/A ,$257.75 ,$144.60 , N/A ,$67.53 ,$257.75 , N/A , N/A , N/A ,$206.20 ,$127.59 ,$72.17 ,$231.98 ,$97.95 ,$5.26 , N/A ,$123.72 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3430,PHYTONADIONE 10 MG/ML SOLN per 1 mg,636,1 ,$42.32 ,$30.47 ,$5.26 ,$42.32 , N/A ,$21.58 ,$23.28 , N/A ,$11.85 ,$20.98 , N/A ,$21.85 , N/A ,$20.95 ,$16.93 , N/A ,$20.95 , N/A ,$29.62 ,$6.42 ,$33.86 , N/A , N/A ,$29.62 , N/A ,$25.39 , N/A ,$31.74 ,$23.36 ,$21.08 ,$23.36 , N/A ,$23.36 ,$34.28 ,$42.32 ,$34.28 ,$35.97 , N/A ,$29.33 , N/A ,$42.32 ,$23.74 , N/A ,$11.09 ,$42.32 , N/A , N/A , N/A ,$33.86 ,$20.95 ,$11.85 ,$38.09 ,$16.08 ,$5.26 , N/A ,$20.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3430,PHYTONADIONE (ADULT) 10 MG/ML SOLN 1 ML AMPULE per 1 mg,636,1 ,$42.32 ,$30.47 ,$5.26 ,$42.32 , N/A ,$21.58 ,$23.28 , N/A ,$11.85 ,$20.98 , N/A ,$21.85 , N/A ,$20.95 ,$16.93 , N/A ,$20.95 , N/A ,$29.62 ,$6.42 ,$33.86 , N/A , N/A ,$29.62 , N/A ,$25.39 , N/A ,$31.74 ,$23.36 ,$21.08 ,$23.36 , N/A ,$23.36 ,$34.28 ,$42.32 ,$34.28 ,$35.97 , N/A ,$29.33 , N/A ,$42.32 ,$23.74 , N/A ,$11.09 ,$42.32 , N/A , N/A , N/A ,$33.86 ,$20.95 ,$11.85 ,$38.09 ,$16.08 ,$5.26 , N/A ,$20.31 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2543,PIPERACILLIN-TAZOBACTAM 2.25 (2-0.25) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$75.75 ,$54.54 ,$2.51 ,$75.75 , N/A ,$38.63 ,$41.66 , N/A ,$21.21 ,$15.26 , N/A ,$15.90 , N/A ,$37.50 ,$30.30 , N/A ,$37.50 , N/A ,$53.03 ,$2.56 ,$60.60 , N/A , N/A ,$53.03 , N/A ,$45.45 , N/A ,$56.81 ,$41.81 ,$37.72 ,$41.81 , N/A ,$41.81 ,$61.36 ,$75.75 ,$61.36 ,$64.39 , N/A ,$52.49 , N/A ,$75.75 ,$42.50 , N/A ,$19.85 ,$75.75 , N/A , N/A , N/A ,$60.60 ,$37.50 ,$21.21 ,$68.18 ,$28.79 ,$2.51 , N/A ,$36.36 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2543,PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$67.43 ,$48.55 ,$2.51 ,$67.43 , N/A ,$34.39 ,$37.09 , N/A ,$18.88 ,$15.26 , N/A ,$15.90 , N/A ,$33.38 ,$26.97 , N/A ,$33.38 , N/A ,$47.20 ,$2.56 ,$53.94 , N/A , N/A ,$47.20 , N/A ,$40.46 , N/A ,$50.57 ,$37.22 ,$33.58 ,$37.22 , N/A ,$37.22 ,$54.62 ,$67.43 ,$54.62 ,$57.32 , N/A ,$46.73 , N/A ,$67.43 ,$37.83 , N/A ,$17.67 ,$67.43 , N/A , N/A , N/A ,$53.94 ,$33.38 ,$18.88 ,$60.69 ,$25.62 ,$2.51 , N/A ,$32.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2543,PIPERACILLIN-TAZOBACTAM 4.5 (4-0.5) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$60.71 ,$43.71 ,$2.51 ,$60.71 , N/A ,$30.96 ,$33.39 , N/A ,$17.00 ,$15.26 , N/A ,$15.90 , N/A ,$30.05 ,$24.28 , N/A ,$30.05 , N/A ,$42.50 ,$2.56 ,$48.57 , N/A , N/A ,$42.50 , N/A ,$36.43 , N/A ,$45.53 ,$33.51 ,$30.23 ,$33.51 , N/A ,$33.51 ,$49.18 ,$60.71 ,$49.18 ,$51.60 , N/A ,$42.07 , N/A ,$60.71 ,$34.06 , N/A ,$15.91 ,$60.71 , N/A , N/A , N/A ,$48.57 ,$30.05 ,$17.00 ,$54.64 ,$23.07 ,$2.51 , N/A ,$29.14 
ST. MARY'S HOSPITAL - DECATUR,63600002,90677,PNEUMOCOCCAL 0.5 ML SUSY per 0.5 mL,636,1 ,"$1,128.05 ",$812.20 ,$63.92 ,"$1,128.05 ",$423.03 ,$575.31 ,$620.43 ,$165.83 ,$315.85 ,$589.97 ,$165.83 ,$620.43 ,$165.83 ,$558.38 ,$451.22 ,$165.83 ,$558.38 ,$341.80 ,$789.64 ,$557.76 ,$902.44 ,$423.02 ,$165.83 ,$789.64 ,$165.83 ,$676.83 ,$169.14 ,$846.04 ,$622.68 ,$561.77 ,$622.68 ,$165.83 ,$622.68 ,$913.72 ,"$1,128.05 ",$913.72 ,$958.84 ,$423.02 ,$781.74 ,$165.83 ,"$1,128.05 ",$632.84 ,$165.83 ,$295.55 ,"$1,128.05 ",$66.97 ,$63.92 ,$174.12 ,$902.44 ,$558.38 ,$315.85 ,"$1,015.25 ",$428.66 ,$468.14 ,$165.83 ,$541.46 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML PLAS CONT per 2 mEq,636,1 ,$18.00 ,$12.96 ,$0.23 ,$18.00 , N/A ,$9.18 ,$9.90 , N/A ,$5.04 ,$2.40 , N/A ,$2.50 , N/A ,$8.91 ,$7.20 , N/A ,$8.91 , N/A ,$12.60 ,$0.34 ,$14.40 , N/A , N/A ,$12.60 , N/A ,$10.80 , N/A ,$13.50 ,$9.94 ,$8.96 ,$9.94 , N/A ,$9.94 ,$14.58 ,$18.00 ,$14.58 ,$15.30 , N/A ,$12.47 , N/A ,$18.00 ,$10.10 , N/A ,$4.72 ,$18.00 , N/A , N/A , N/A ,$14.40 ,$8.91 ,$5.04 ,$16.20 ,$6.84 ,$0.23 , N/A ,$8.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL per 2 mEq,636,1 ,$9.76 ,$7.03 ,$0.23 ,$9.76 , N/A ,$4.98 ,$5.37 , N/A ,$2.73 ,$2.40 , N/A ,$2.50 , N/A ,$4.83 ,$3.90 , N/A ,$4.83 , N/A ,$6.83 ,$0.34 ,$7.81 , N/A , N/A ,$6.83 , N/A ,$5.86 , N/A ,$7.32 ,$5.39 ,$4.86 ,$5.39 , N/A ,$5.39 ,$7.91 ,$9.76 ,$7.91 ,$8.30 , N/A ,$6.76 , N/A ,$9.76 ,$5.48 , N/A ,$2.56 ,$9.76 , N/A , N/A , N/A ,$7.81 ,$4.83 ,$2.73 ,$8.78 ,$3.71 ,$0.23 , N/A ,$4.68 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL per 2 mEq,636,1 ,$4.71 ,$3.39 ,$0.23 ,$4.71 , N/A ,$2.40 ,$2.59 , N/A ,$1.32 ,$2.40 , N/A ,$2.50 , N/A ,$2.33 ,$1.88 , N/A ,$2.33 , N/A ,$3.30 ,$0.34 ,$3.77 , N/A , N/A ,$3.30 , N/A ,$2.83 , N/A ,$3.53 ,$2.60 ,$2.35 ,$2.60 , N/A ,$2.60 ,$3.82 ,$4.71 ,$3.82 ,$4.00 , N/A ,$3.26 , N/A ,$4.71 ,$2.64 , N/A ,$1.23 ,$4.71 , N/A , N/A , N/A ,$3.77 ,$2.33 ,$1.32 ,$4.24 ,$1.79 ,$0.23 , N/A ,$2.26 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML SOLN 100 ML PLAS CONT per 2 mEq,636,1 ,$9.00 ,$6.48 ,$0.23 ,$9.00 , N/A ,$4.59 ,$4.95 , N/A ,$2.52 ,$2.40 , N/A ,$2.50 , N/A ,$4.46 ,$3.60 , N/A ,$4.46 , N/A ,$6.30 ,$0.34 ,$7.20 , N/A , N/A ,$6.30 , N/A ,$5.40 , N/A ,$6.75 ,$4.97 ,$4.48 ,$4.97 , N/A ,$4.97 ,$7.29 ,$9.00 ,$7.29 ,$7.65 , N/A ,$6.24 , N/A ,$9.00 ,$5.05 , N/A ,$2.36 ,$9.00 , N/A , N/A , N/A ,$7.20 ,$4.46 ,$2.52 ,$8.10 ,$3.42 ,$0.23 , N/A ,$4.32 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7510,PREDNISOLONE 10 MG TBDP per 5 mg,636,1 ,$50.35 ,$36.25 ,$0.38 ,$50.35 , N/A ,$25.68 ,$27.69 , N/A ,$14.10 ,$2.40 , N/A ,$2.50 , N/A ,$24.92 ,$20.14 , N/A ,$24.92 , N/A ,$35.25 ,$0.46 ,$40.28 , N/A , N/A ,$35.25 , N/A ,$30.21 , N/A ,$37.76 ,$27.79 ,$25.07 ,$27.79 , N/A ,$27.79 ,$40.78 ,$50.35 ,$40.78 ,$42.80 , N/A ,$34.89 , N/A ,$50.35 ,$28.25 , N/A ,$13.19 ,$50.35 , N/A , N/A , N/A ,$40.28 ,$24.92 ,$14.10 ,$45.32 ,$19.13 ,$0.38 , N/A ,$24.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7510,PREDNISOLONE 15 MG TBDP per 5 mg,636,1 ,$55.94 ,$40.28 ,$0.38 ,$55.94 , N/A ,$28.53 ,$30.77 , N/A ,$15.66 ,$2.40 , N/A ,$2.50 , N/A ,$27.69 ,$22.38 , N/A ,$27.69 , N/A ,$39.16 ,$0.46 ,$44.75 , N/A , N/A ,$39.16 , N/A ,$33.56 , N/A ,$41.96 ,$30.88 ,$27.86 ,$30.88 , N/A ,$30.88 ,$45.31 ,$55.94 ,$45.31 ,$47.55 , N/A ,$38.77 , N/A ,$55.94 ,$31.38 , N/A ,$14.66 ,$55.94 , N/A , N/A , N/A ,$44.75 ,$27.69 ,$15.66 ,$50.35 ,$21.26 ,$0.38 , N/A ,$26.85 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7510,PREDNISOLONE 15 MG/5ML SOLN per 5 mg,636,1 ,$4.42 ,$3.18 ,$0.38 ,$4.42 , N/A ,$2.25 ,$2.43 , N/A ,$1.24 ,$2.31 , N/A ,$2.43 , N/A ,$2.19 ,$1.77 , N/A ,$2.19 , N/A ,$3.09 ,$0.46 ,$3.54 , N/A , N/A ,$3.09 , N/A ,$2.65 , N/A ,$3.32 ,$2.44 ,$2.20 ,$2.44 , N/A ,$2.44 ,$3.58 ,$4.42 ,$3.58 ,$3.76 , N/A ,$3.06 , N/A ,$4.42 ,$2.48 , N/A ,$1.16 ,$4.42 , N/A , N/A , N/A ,$3.54 ,$2.19 ,$1.24 ,$3.98 ,$1.68 ,$0.38 , N/A ,$2.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7512,PREDNISONE 1 MG TABS per 1 mg,636,1 ,$6.00 ,$4.32 ,$0.02 ,$6.00 , N/A ,$3.06 ,$3.30 , N/A ,$1.68 ,$2.40 , N/A ,$2.50 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$0.02 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 , N/A ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$0.03 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7512,PREDNISONE 10 MG TABS per 1 mg,636,1 ,$0.60 ,$0.43 ,$0.02 ,$0.60 , N/A ,$0.31 ,$0.33 , N/A ,$0.17 ,$0.31 , N/A ,$0.33 , N/A ,$0.30 ,$0.24 , N/A ,$0.30 , N/A ,$0.42 ,$0.02 ,$0.48 , N/A , N/A ,$0.42 , N/A ,$0.36 , N/A ,$0.45 ,$0.33 ,$0.30 ,$0.33 , N/A ,$0.33 ,$0.49 ,$0.60 ,$0.49 ,$0.51 , N/A ,$0.42 , N/A ,$0.60 ,$0.34 , N/A ,$0.16 ,$0.60 , N/A , N/A , N/A ,$0.48 ,$0.30 ,$0.17 ,$0.54 ,$0.23 ,$0.03 , N/A ,$0.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7512,PREDNISONE 20 MG TABS per 1 mg,636,1 ,$0.31 ,$0.22 ,$0.02 ,$0.31 , N/A ,$0.16 ,$0.17 , N/A ,$0.09 ,$0.16 , N/A ,$0.17 , N/A ,$0.15 ,$0.12 , N/A ,$0.15 , N/A ,$0.22 ,$0.02 ,$0.25 , N/A , N/A ,$0.22 , N/A ,$0.19 , N/A ,$0.23 ,$0.17 ,$0.15 ,$0.17 , N/A ,$0.17 ,$0.25 ,$0.31 ,$0.25 ,$0.26 , N/A ,$0.21 , N/A ,$0.31 ,$0.17 , N/A ,$0.08 ,$0.31 , N/A , N/A , N/A ,$0.25 ,$0.15 ,$0.09 ,$0.28 ,$0.12 ,$0.03 , N/A ,$0.15 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7512,PREDNISONE 5 MG TABS per 1 mg,636,1 ,$1.20 ,$0.86 ,$0.02 ,$1.20 , N/A ,$0.61 ,$0.66 , N/A ,$0.34 ,$0.63 , N/A ,$0.66 , N/A ,$0.59 ,$0.48 , N/A ,$0.59 , N/A ,$0.84 ,$0.02 ,$0.96 , N/A , N/A ,$0.84 , N/A ,$0.72 , N/A ,$0.90 ,$0.66 ,$0.60 ,$0.66 , N/A ,$0.66 ,$0.97 ,$1.20 ,$0.97 ,$1.02 , N/A ,$0.83 , N/A ,$1.20 ,$0.67 , N/A ,$0.31 ,$1.20 , N/A , N/A , N/A ,$0.96 ,$0.59 ,$0.34 ,$1.08 ,$0.46 ,$0.03 , N/A ,$0.58 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7512,PREDNISONE 5 MG/5ML SOLN per 1 mg,636,1 ,$4.39 ,$3.16 ,$0.02 ,$4.39 , N/A ,$2.24 ,$2.41 , N/A ,$1.23 ,$2.30 , N/A ,$2.41 , N/A ,$2.17 ,$1.76 , N/A ,$2.17 , N/A ,$3.07 ,$0.02 ,$3.51 , N/A , N/A ,$3.07 , N/A ,$2.63 , N/A ,$3.29 ,$2.42 ,$2.19 ,$2.42 , N/A ,$2.42 ,$3.56 ,$4.39 ,$3.56 ,$3.73 , N/A ,$3.04 , N/A ,$4.39 ,$2.46 , N/A ,$1.15 ,$4.39 , N/A , N/A , N/A ,$3.51 ,$2.17 ,$1.23 ,$3.95 ,$1.67 ,$0.03 , N/A ,$2.11 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0780,PROCHLORPERAZINE 10 MG/2ML SOLN per 10 mg,636,1 ,$201.20 ,$144.86 ,$4.87 ,$201.20 , N/A ,$102.61 ,$110.66 , N/A ,$56.34 ,$51.60 , N/A ,$53.75 , N/A ,$99.59 ,$80.48 , N/A ,$99.59 , N/A ,$140.84 ,$8.00 ,$160.96 , N/A , N/A ,$140.84 , N/A ,$120.72 , N/A ,$150.90 ,$111.06 ,$100.20 ,$111.06 , N/A ,$111.06 ,$162.97 ,$201.20 ,$162.97 ,$171.02 , N/A ,$139.43 , N/A ,$201.20 ,$112.87 , N/A ,$52.71 ,$201.20 , N/A , N/A , N/A ,$160.96 ,$99.59 ,$56.34 ,$181.08 ,$76.46 ,$4.87 , N/A ,$96.58 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2550,PROMETHAZINE 25 MG/ML SOLN per 50 mg,636,1 ,$80.00 ,$57.60 ,$5.31 ,$80.00 , N/A ,$40.80 ,$44.00 , N/A ,$22.40 ,$9.55 , N/A ,$9.95 , N/A ,$39.60 ,$32.00 , N/A ,$39.60 , N/A ,$56.00 ,$5.56 ,$64.00 , N/A , N/A ,$56.00 , N/A ,$48.00 , N/A ,$60.00 ,$44.16 ,$39.84 ,$44.16 , N/A ,$44.16 ,$64.80 ,$80.00 ,$64.80 ,$68.00 , N/A ,$55.44 , N/A ,$80.00 ,$44.88 , N/A ,$20.96 ,$80.00 , N/A , N/A , N/A ,$64.00 ,$39.60 ,$22.40 ,$72.00 ,$30.40 ,$5.31 , N/A ,$38.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2704,PROPOFOL 1000 MG/100ML EMUL per 10 mg,636,1 ,$2.05 ,$1.48 ,$0.23 ,$2.05 , N/A ,$1.05 ,$1.13 , N/A ,$0.57 ,$1.07 , N/A ,$1.13 , N/A ,$1.01 ,$0.82 , N/A ,$1.01 , N/A ,$1.44 ,$0.24 ,$1.64 , N/A , N/A ,$1.44 , N/A ,$1.23 , N/A ,$1.54 ,$1.13 ,$1.02 ,$1.13 , N/A ,$1.13 ,$1.66 ,$2.05 ,$1.66 ,$1.74 , N/A ,$1.42 , N/A ,$2.05 ,$1.15 , N/A ,$0.54 ,$2.05 , N/A , N/A , N/A ,$1.64 ,$1.01 ,$0.57 ,$1.85 ,$0.78 ,$0.23 , N/A ,$0.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2704,PROPOFOL 200 MG/20ML EMUL per 10 mg,636,1 ,$4.66 ,$3.36 ,$0.23 ,$4.66 , N/A ,$2.38 ,$2.56 , N/A ,$1.30 ,$2.40 , N/A ,$2.50 , N/A ,$2.31 ,$1.86 , N/A ,$2.31 , N/A ,$3.26 ,$0.24 ,$3.73 , N/A , N/A ,$3.26 , N/A ,$2.80 , N/A ,$3.50 ,$2.57 ,$2.32 ,$2.57 , N/A ,$2.57 ,$3.77 ,$4.66 ,$3.77 ,$3.96 , N/A ,$3.23 , N/A ,$4.66 ,$2.61 , N/A ,$1.22 ,$4.66 , N/A , N/A , N/A ,$3.73 ,$2.31 ,$1.30 ,$4.19 ,$1.77 ,$0.23 , N/A ,$2.24 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2720,PROTAMINE 10 MG/ML SOLN 5 ML VIAL per 10 mg,636,1 ,$47.63 ,$34.29 ,$1.68 ,$47.63 , N/A ,$24.29 ,$26.20 , N/A ,$13.34 ,$5.57 , N/A ,$5.80 , N/A ,$23.58 ,$19.05 , N/A ,$23.58 , N/A ,$33.34 ,$3.60 ,$38.10 , N/A , N/A ,$33.34 , N/A ,$28.58 , N/A ,$35.72 ,$26.29 ,$23.72 ,$26.29 , N/A ,$26.29 ,$38.58 ,$47.63 ,$38.58 ,$40.49 , N/A ,$33.01 , N/A ,$47.63 ,$26.72 , N/A ,$12.48 ,$47.63 , N/A , N/A , N/A ,$38.10 ,$23.58 ,$13.34 ,$42.87 ,$18.10 ,$1.68 , N/A ,$22.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 500 UNITS KIT per 1 Int'l Units,636,1 ,$8.53 ,$6.14 ,$2.14 ,"$1,497.41 ",$5.45 ,$4.35 ,$4.69 ,$2.14 ,$2.39 ,$4.46 ,$2.14 ,$4.69 ,$2.14 ,$4.22 ,$3.41 ,$2.14 ,$4.22 ,$4.41 ,$5.97 ,$5.54 ,$6.82 ,$5.46 ,$2.14 ,$5.97 ,$2.14 ,$5.12 ,$2.19 ,$6.40 ,$4.71 ,$4.25 ,$4.71 ,$2.14 ,$4.71 ,$6.91 ,$8.53 ,$6.91 ,$7.25 ,$5.46 ,$5.91 ,$2.14 ,$8.53 ,$4.79 ,$2.14 ,$2.23 ,$8.53 ,$8.53 ,"$1,497.41 ",$2.24 ,$6.82 ,$4.22 ,$2.39 ,$7.68 ,$3.24 ,$3.45 ,$2.14 ,$4.09 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3415,PYRIDOXINE 100 MG/ML SOLN 1 ML VIAL per 100 mg,636,1 ,$189.20 ,$136.22 ,$20.64 ,$189.20 , N/A ,$96.49 ,$104.06 , N/A ,$52.98 ,$41.95 , N/A ,$43.70 , N/A ,$93.65 ,$75.68 , N/A ,$93.65 , N/A ,$132.44 ,$20.64 ,$151.36 , N/A , N/A ,$132.44 , N/A ,$113.52 , N/A ,$141.90 ,$104.44 ,$94.22 ,$104.44 , N/A ,$104.44 ,$153.25 ,$189.20 ,$153.25 ,$160.82 , N/A ,$131.12 , N/A ,$189.20 ,$106.14 , N/A ,$49.57 ,$189.20 , N/A , N/A , N/A ,$151.36 ,$93.65 ,$52.98 ,$170.28 ,$71.90 ,$20.96 , N/A ,$90.82 
ST. MARY'S HOSPITAL - DECATUR,63600002,90375,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML SOLN 5 ML VIAL per 150 Units,636,1 ,$804.53 ,$579.26 ,$158.67 ,$840.50 ,$840.50 ,$410.31 ,$442.49 ,$329.48 ,$225.27 ,$420.77 ,$329.48 ,$442.49 ,$329.48 ,$398.24 ,$422.37 ,$329.48 ,$398.24 ,$679.12 ,$563.17 ,$750.90 ,$643.62 ,$840.50 ,$329.48 ,$563.17 ,$329.48 ,$482.72 ,$336.06 ,$603.40 ,$444.10 ,$400.66 ,$444.10 ,$329.48 ,$444.10 ,$651.67 ,$804.53 ,$651.67 ,$683.85 ,$804.53 ,$557.54 ,$329.48 ,$804.53 ,$451.34 ,$329.48 ,$210.79 ,$804.53 ,$166.22 ,$158.67 ,$345.95 ,$643.62 ,$398.24 ,$225.27 ,$724.08 ,$305.72 ,$459.10 ,$329.48 ,$386.17 
ST. MARY'S HOSPITAL - DECATUR,63600002,90375,RABIES IMMUNE GLOBULIN 300 UNIT/ML SOLN 1 ML VIAL per 150 Units,636,1 ,$482.75 ,$347.58 ,$126.48 ,$840.50 ,$840.50 ,$246.20 ,$265.51 ,$329.48 ,$135.17 ,$252.48 ,$329.48 ,$265.51 ,$329.48 ,$238.96 ,$422.37 ,$329.48 ,$238.96 ,$482.75 ,$337.93 ,$482.75 ,$386.20 ,$840.50 ,$329.48 ,$337.93 ,$329.48 ,$289.65 ,$336.06 ,$362.06 ,$266.48 ,$240.41 ,$266.48 ,$329.48 ,$266.48 ,$391.03 ,$482.75 ,$391.03 ,$410.34 ,$482.75 ,$334.55 ,$329.48 ,$482.75 ,$270.82 ,$329.48 ,$126.48 ,$482.75 ,$166.22 ,$158.67 ,$345.95 ,$386.20 ,$238.96 ,$135.17 ,$434.48 ,$183.45 ,$459.10 ,$329.48 ,$231.72 
ST. MARY'S HOSPITAL - DECATUR,63600002,90375,RABIES IMMUNE GLOBULIN 300 UNIT/ML SOLN per 150 Units,636,1 ,$804.55 ,$579.28 ,$158.67 ,$840.50 ,$840.50 ,$410.32 ,$442.50 ,$329.48 ,$225.27 ,$420.78 ,$329.48 ,$442.50 ,$329.48 ,$398.25 ,$422.37 ,$329.48 ,$398.25 ,$679.12 ,$563.19 ,$750.90 ,$643.64 ,$840.50 ,$329.48 ,$563.19 ,$329.48 ,$482.73 ,$336.06 ,$603.41 ,$444.11 ,$400.67 ,$444.11 ,$329.48 ,$444.11 ,$651.69 ,$804.55 ,$651.69 ,$683.87 ,$804.55 ,$557.55 ,$329.48 ,$804.55 ,$451.35 ,$329.48 ,$210.79 ,$804.55 ,$166.22 ,$158.67 ,$345.95 ,$643.64 ,$398.25 ,$225.27 ,$724.10 ,$305.73 ,$459.10 ,$329.48 ,$386.18 
ST. MARY'S HOSPITAL - DECATUR,63600002,90675,RABIES VACCINE SUSR per 1 mL,636,1 ,"$1,414.55 ","$1,018.48 ",$63.92 ,"$1,414.55 ",$855.55 ,$721.42 ,$778.00 ,$335.38 ,$396.07 ,$739.81 ,$335.38 ,$778.00 ,$335.38 ,$700.20 ,$437.36 ,$335.38 ,$700.20 ,$691.29 ,$990.19 ,$884.09 ,"$1,131.64 ",$855.56 ,$335.38 ,$990.19 ,$335.38 ,$848.73 ,$342.09 ,"$1,060.91 ",$780.83 ,$704.45 ,$780.83 ,$335.38 ,$780.83 ,"$1,145.79 ","$1,414.55 ","$1,145.79 ","$1,202.37 ",$855.56 ,$980.28 ,$335.38 ,"$1,414.55 ",$793.56 ,$335.38 ,$370.61 ,"$1,414.55 ",$66.97 ,$63.92 ,$352.14 ,"$1,131.64 ",$700.20 ,$396.07 ,"$1,273.10 ",$537.53 ,$586.11 ,$335.38 ,$678.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9308,RAMUCIRUMAB 500 MG/50ML SOLN 10 ML VIAL per 5 mg,636,1 ,$131.07 ,$94.37 ,$34.34 ,"$2,223.78 ",$167.13 ,$66.85 ,$72.09 ,$65.51 ,$36.70 ,$68.55 ,$65.51 ,$72.09 ,$65.51 ,$64.88 ,$52.43 ,$65.51 ,$64.88 ,$131.07 ,$91.75 ,$131.07 ,$104.86 ,$167.12 ,$65.51 ,$91.75 ,$65.51 ,$78.64 ,$66.83 ,$98.30 ,$72.35 ,$65.27 ,$72.35 ,$65.51 ,$72.35 ,$106.17 ,$131.07 ,$106.17 ,$111.41 ,$131.07 ,$90.83 ,$65.51 ,$131.07 ,$73.53 ,$65.51 ,$34.34 ,$131.07 ,$131.07 ,"$2,223.78 ",$68.79 ,$104.86 ,$64.88 ,$36.70 ,$117.96 ,$49.81 ,$110.32 ,$65.51 ,$62.91 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9308,RAMUCIRUMAB 500 MG/50ML SOLN 50 ML VIAL per 5 mg,636,1 ,$139.13 ,$100.17 ,$36.45 ,"$2,223.78 ",$167.13 ,$70.96 ,$76.52 ,$65.51 ,$38.96 ,$72.77 ,$65.51 ,$76.52 ,$65.51 ,$68.87 ,$55.65 ,$65.51 ,$68.87 ,$135.03 ,$97.39 ,$131.36 ,$111.30 ,$167.12 ,$65.51 ,$97.39 ,$65.51 ,$83.48 ,$66.83 ,$104.35 ,$76.80 ,$69.29 ,$76.80 ,$65.51 ,$76.80 ,$112.70 ,$139.13 ,$112.70 ,$118.26 ,$139.13 ,$96.42 ,$65.51 ,$139.13 ,$78.05 ,$65.51 ,$36.45 ,$139.13 ,$139.13 ,"$2,223.78 ",$68.79 ,$111.30 ,$68.87 ,$38.96 ,$125.22 ,$52.87 ,$110.32 ,$65.51 ,$66.78 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2783,RASBURICASE 1.5 MG SOLR 1 EACH VIAL per 0.5 mg,636,1 ,"$1,122.23 ",$808.01 ,$294.02 ,"$1,497.41 ",$857.18 ,$572.34 ,$617.23 ,$336.01 ,$314.22 ,$586.93 ,$336.01 ,$617.23 ,$336.01 ,$555.50 ,$448.89 ,$336.01 ,$555.50 ,$692.59 ,$785.56 ,$661.80 ,$897.78 ,$857.17 ,$336.01 ,$785.56 ,$336.01 ,$673.34 ,$342.73 ,$841.67 ,$619.47 ,$558.87 ,$619.47 ,$336.01 ,$619.47 ,$909.01 ,"$1,122.23 ",$909.01 ,$953.90 ,$857.17 ,$777.71 ,$336.01 ,"$1,122.23 ",$629.57 ,$336.01 ,$294.02 ,"$1,122.23 ","$1,122.23 ","$1,497.41 ",$352.81 ,$897.78 ,$555.50 ,$314.22 ,"$1,010.01 ",$426.45 ,$562.42 ,$336.01 ,$538.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2785,REGADENOSON 0.4 MG/5ML SOLN per 0.1 mg,636,1 ,$275.26 ,$198.19 ,$72.12 ,$275.26 , N/A ,$140.38 ,$151.39 , N/A ,$77.07 ,$143.96 , N/A ,$151.39 , N/A ,$136.25 ,$110.10 , N/A ,$136.25 , N/A ,$192.68 ,$122.96 ,$220.21 , N/A , N/A ,$192.68 , N/A ,$165.16 , N/A ,$206.45 ,$151.94 ,$137.08 ,$151.94 , N/A ,$151.94 ,$222.96 ,$275.26 ,$222.96 ,$233.97 , N/A ,$190.76 , N/A ,$275.26 ,$154.42 , N/A ,$72.12 ,$275.26 , N/A , N/A , N/A ,$220.21 ,$136.25 ,$77.07 ,$247.73 ,$104.60 ,$100.90 , N/A ,$132.12 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0248,REMDESIVIR 5 MG/ML SOLN 20 ML VIAL per 1 mg,636,1 ,$15.60 ,$11.23 ,$4.09 ,$231.65 ,$13.78 ,$7.96 ,$8.58 ,$5.40 ,$4.37 ,$8.16 ,$5.40 ,$8.58 ,$5.40 ,$7.72 ,$6.24 ,$5.40 ,$7.72 ,$11.13 ,$10.92 ,$11.02 ,$12.48 ,$13.78 ,$5.40 ,$10.92 ,$5.40 ,$9.36 ,$5.51 ,$11.70 ,$8.61 ,$7.77 ,$8.61 ,$5.40 ,$8.61 ,$12.64 ,$15.60 ,$12.64 ,$13.26 ,$13.78 ,$10.81 ,$5.40 ,$15.60 ,$8.75 ,$5.40 ,$4.09 ,$15.60 ,$15.60 ,$231.65 ,$5.67 ,$12.48 ,$7.72 ,$4.37 ,$14.04 ,$5.93 ,$9.09 ,$5.40 ,$7.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY per 100 Units,636,1 ,$73.90 ,$53.21 ,$8.22 ,$73.90 , N/A ,$37.69 ,$40.65 , N/A ,$20.69 ,$24.58 , N/A ,$25.60 , N/A ,$36.58 ,$29.56 , N/A ,$36.58 , N/A ,$51.73 ,$9.62 ,$59.12 , N/A , N/A ,$51.73 , N/A ,$44.34 , N/A ,$55.43 ,$40.79 ,$36.80 ,$40.79 , N/A ,$40.79 ,$59.86 ,$73.90 ,$59.86 ,$62.82 , N/A ,$51.21 , N/A ,$73.90 ,$41.46 , N/A ,$19.36 ,$73.90 ,$58.00 ,$55.37 , N/A ,$59.12 ,$36.58 ,$20.69 ,$66.51 ,$28.08 ,$8.22 , N/A ,$35.47 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9312,RITUXIMAB 500 MG/50ML SOLN per 10 mg,636,1 ,$197.97 ,$142.54 ,$51.87 ,"$3,062.40 ",$202.98 ,$100.96 ,$108.88 ,$79.57 ,$55.43 ,$103.54 ,$79.57 ,$108.88 ,$79.57 ,$98.00 ,$79.19 ,$79.57 ,$98.00 ,$164.00 ,$138.58 ,$168.32 ,$158.38 ,$202.97 ,$79.57 ,$138.58 ,$79.57 ,$118.78 ,$81.15 ,$148.48 ,$109.28 ,$98.59 ,$109.28 ,$79.57 ,$109.28 ,$160.36 ,$197.97 ,$160.36 ,$168.27 ,$197.97 ,$137.19 ,$79.57 ,$197.97 ,$111.06 ,$79.57 ,$51.87 ,$197.97 ,$197.97 ,"$3,062.40 ",$83.54 ,$158.38 ,$98.00 ,$55.43 ,$178.17 ,$75.23 ,$134.89 ,$79.57 ,$95.03 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5119,RITUXIMAB-PVVR 100 MG/10ML SOLN 10 ML VIAL per 10 mg,636,1 ,$151.53 ,$109.10 ,$29.37 ,"$3,062.40 ",$74.93 ,$77.28 ,$83.34 ,$29.37 ,$42.43 ,$79.25 ,$29.37 ,$83.34 ,$29.37 ,$75.01 ,$60.61 ,$29.37 ,$75.01 ,$60.55 ,$106.07 ,$88.06 ,$121.22 ,$74.94 ,$29.37 ,$106.07 ,$29.37 ,$90.92 ,$29.96 ,$113.65 ,$83.64 ,$75.46 ,$83.64 ,$29.37 ,$83.64 ,$122.74 ,$151.53 ,$122.74 ,$128.80 ,$74.94 ,$105.01 ,$29.37 ,$151.53 ,$85.01 ,$29.37 ,$39.70 ,$151.53 ,$151.53 ,"$3,062.40 ",$30.84 ,$121.22 ,$75.01 ,$42.43 ,$136.38 ,$57.58 ,$53.92 ,$29.37 ,$72.73 
ST. MARY'S HOSPITAL - DECATUR,63600002,Q5119,RITUXIMAB-PVVR 500 MG/50ML SOLN 50 ML VIAL per 10 mg,636,1 ,$150.53 ,$108.38 ,$29.37 ,"$3,062.40 ",$74.93 ,$76.77 ,$82.79 ,$29.37 ,$42.15 ,$78.73 ,$29.37 ,$82.79 ,$29.37 ,$74.51 ,$60.21 ,$29.37 ,$74.51 ,$60.55 ,$105.37 ,$88.06 ,$120.42 ,$74.94 ,$29.37 ,$105.37 ,$29.37 ,$90.32 ,$29.96 ,$112.90 ,$83.09 ,$74.96 ,$83.09 ,$29.37 ,$83.09 ,$121.93 ,$150.53 ,$121.93 ,$127.95 ,$74.94 ,$104.32 ,$29.37 ,$150.53 ,$84.45 ,$29.37 ,$39.44 ,$150.53 ,$150.53 ,"$3,062.40 ",$30.84 ,$120.42 ,$74.51 ,$42.15 ,$135.48 ,$57.20 ,$53.92 ,$29.37 ,$72.25 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2796,ROMIPLOSTIM 250 MCG SOLR per 10 mcg,636,1 ,$286.32 ,$206.15 ,$75.02 ,$986.30 ,$226.53 ,$146.02 ,$157.48 ,$88.80 ,$80.17 ,$149.75 ,$88.80 ,$157.48 ,$88.80 ,$141.73 ,$114.53 ,$88.80 ,$141.73 ,$183.04 ,$200.42 ,$175.48 ,$229.06 ,$226.53 ,$88.80 ,$200.42 ,$88.80 ,$171.79 ,$90.58 ,$214.74 ,$158.05 ,$142.59 ,$158.05 ,$88.80 ,$158.05 ,$231.92 ,$286.32 ,$231.92 ,$243.37 ,$226.53 ,$198.42 ,$88.80 ,$286.32 ,$160.63 ,$88.80 ,$75.02 ,$286.32 ,$286.32 ,$986.30 ,$93.24 ,$229.06 ,$141.73 ,$80.17 ,$257.69 ,$108.80 ,$150.55 ,$88.80 ,$137.43 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17ML SOSY per 1 mg,636,1 ,$23.39 ,$16.84 ,$6.13 ,$986.30 ,$24.75 ,$11.93 ,$12.86 ,$9.70 ,$6.55 ,$12.23 ,$9.70 ,$12.86 ,$9.70 ,$11.58 ,$9.36 ,$9.70 ,$11.58 ,$19.99 ,$16.37 ,$19.40 ,$18.71 ,$24.74 ,$9.70 ,$16.37 ,$9.70 ,$14.03 ,$9.89 ,$17.54 ,$12.91 ,$11.65 ,$12.91 ,$9.70 ,$12.91 ,$18.95 ,$23.39 ,$18.95 ,$19.88 ,$23.39 ,$16.21 ,$9.70 ,$23.39 ,$13.12 ,$9.70 ,$6.13 ,$23.39 ,$23.39 ,$986.30 ,$10.19 ,$18.71 ,$11.58 ,$6.55 ,$21.05 ,$8.89 ,$16.43 ,$9.70 ,$11.23 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2795,ROPIVACAINE 0.2 % 2 MG/ML SOLN per 1 mg,636,1 ,$11.18 ,$8.05 ,$0.12 ,$11.18 , N/A ,$5.70 ,$6.15 , N/A ,$3.13 ,$2.40 , N/A ,$2.50 , N/A ,$5.53 ,$4.47 , N/A ,$5.53 , N/A ,$7.83 ,$0.14 ,$8.94 , N/A , N/A ,$7.83 , N/A ,$6.71 , N/A ,$8.39 ,$6.17 ,$5.57 ,$6.17 , N/A ,$6.17 ,$9.06 ,$11.18 ,$9.06 ,$9.50 , N/A ,$7.75 , N/A ,$11.18 ,$6.27 , N/A ,$2.93 ,$11.18 , N/A , N/A , N/A ,$8.94 ,$5.53 ,$3.13 ,$10.06 ,$4.25 ,$0.12 , N/A ,$5.37 
ST. MARY'S HOSPITAL - DECATUR,63600002,J2795,ROPIVACAINE 5 MG/ML SOLN per 1 mg,636,1 ,$2.22 ,$1.60 ,$0.12 ,$2.22 , N/A ,$1.13 ,$1.22 , N/A ,$0.62 ,$1.16 , N/A ,$1.22 , N/A ,$1.10 ,$0.89 , N/A ,$1.10 , N/A ,$1.55 ,$0.14 ,$1.78 , N/A , N/A ,$1.55 , N/A ,$1.33 , N/A ,$1.67 ,$1.23 ,$1.11 ,$1.23 , N/A ,$1.23 ,$1.80 ,$2.22 ,$1.80 ,$1.89 , N/A ,$1.54 , N/A ,$2.22 ,$1.25 , N/A ,$0.58 ,$2.22 , N/A , N/A , N/A ,$1.78 ,$1.10 ,$0.62 ,$2.00 ,$0.84 ,$0.12 , N/A ,$1.07 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG SOLR 1 EACH VIAL per 2.5 mg,636,1 ,$65.45 ,$47.12 ,$17.15 ,$628.55 ,$81.38 ,$33.38 ,$36.00 ,$31.90 ,$18.33 ,$34.23 ,$31.90 ,$36.00 ,$31.90 ,$32.40 ,$26.18 ,$31.90 ,$32.40 ,$65.45 ,$45.82 ,$64.06 ,$52.36 ,$81.38 ,$31.90 ,$45.82 ,$31.90 ,$39.27 ,$32.54 ,$49.09 ,$36.13 ,$32.59 ,$36.13 ,$31.90 ,$36.13 ,$53.01 ,$65.45 ,$53.01 ,$55.63 ,$65.45 ,$45.36 ,$31.90 ,$65.45 ,$36.72 ,$31.90 ,$17.15 ,$65.45 ,$65.45 ,$628.55 ,$33.50 ,$52.36 ,$32.40 ,$18.33 ,$58.91 ,$24.87 ,$53.76 ,$31.90 ,$31.42 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7520,SIROLIMUS 0.5 MG TABS per 1 mg,636,1 ,$23.35 ,$16.81 ,$4.44 ,$23.35 , N/A ,$11.91 ,$12.84 , N/A ,$6.54 ,$12.21 , N/A ,$12.84 , N/A ,$11.56 ,$9.34 , N/A ,$11.56 , N/A ,$16.35 ,$4.44 ,$18.68 , N/A , N/A ,$16.35 , N/A ,$14.01 , N/A ,$17.51 ,$12.89 ,$11.63 ,$12.89 , N/A ,$12.89 ,$18.91 ,$23.35 ,$18.91 ,$19.85 , N/A ,$16.18 , N/A ,$23.35 ,$13.10 , N/A ,$6.12 ,$23.35 , N/A , N/A , N/A ,$18.68 ,$11.56 ,$6.54 ,$21.02 ,$8.87 ,$5.20 , N/A ,$11.21 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7030,SODIUM CHLORIDE 0.9 % SOLN 10 ML VIAL per 1000 mL,636,1 ,$76.40 ,$55.01 ,$4.36 ,$76.40 , N/A ,$38.96 ,$42.02 , N/A ,$21.39 ,$11.23 , N/A ,$11.70 , N/A ,$37.82 ,$30.56 , N/A ,$37.82 , N/A ,$53.48 ,$5.42 ,$61.12 , N/A , N/A ,$53.48 , N/A ,$45.84 , N/A ,$57.30 ,$42.17 ,$38.05 ,$42.17 , N/A ,$42.17 ,$61.88 ,$76.40 ,$61.88 ,$64.94 , N/A ,$52.95 , N/A ,$76.40 ,$42.86 , N/A ,$20.02 ,$76.40 , N/A , N/A , N/A ,$61.12 ,$37.82 ,$21.39 ,$68.76 ,$29.03 ,$4.36 , N/A ,$36.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7030,SODIUM CHLORIDE 0.9 % SOLN 20 ML VIAL per 1000 mL,636,1 ,$56.35 ,$40.57 ,$4.36 ,$56.35 , N/A ,$28.74 ,$30.99 , N/A ,$15.78 ,$11.23 , N/A ,$11.70 , N/A ,$27.89 ,$22.54 , N/A ,$27.89 , N/A ,$39.45 ,$5.42 ,$45.08 , N/A , N/A ,$39.45 , N/A ,$33.81 , N/A ,$42.26 ,$31.11 ,$28.06 ,$31.11 , N/A ,$31.11 ,$45.64 ,$56.35 ,$45.64 ,$47.90 , N/A ,$39.05 , N/A ,$56.35 ,$31.61 , N/A ,$14.76 ,$56.35 , N/A , N/A , N/A ,$45.08 ,$27.89 ,$15.78 ,$50.72 ,$21.41 ,$4.36 , N/A ,$27.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7030,SODIUM CHLORIDE 0.9% SOLN per 1000 mL,636,1 ,$98.00 ,$70.56 ,$4.36 ,$98.00 , N/A ,$49.98 ,$53.90 , N/A ,$27.44 ,$11.23 , N/A ,$11.70 , N/A ,$48.51 ,$39.20 , N/A ,$48.51 , N/A ,$68.60 ,$5.42 ,$78.40 , N/A , N/A ,$68.60 , N/A ,$58.80 , N/A ,$73.50 ,$54.10 ,$48.80 ,$54.10 , N/A ,$54.10 ,$79.38 ,$98.00 ,$79.38 ,$83.30 , N/A ,$67.91 , N/A ,$98.00 ,$54.98 , N/A ,$25.68 ,$98.00 , N/A , N/A , N/A ,$78.40 ,$48.51 ,$27.44 ,$88.20 ,$37.24 ,$4.36 , N/A ,$47.04 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7131,SODIUM CHLORIDE 3% per 1 mL,636,1 ,$0.60 ,$0.43 ,$0.10 ,$0.60 , N/A ,$0.31 ,$0.33 , N/A ,$0.17 ,$0.31 , N/A ,$0.33 , N/A ,$0.30 ,$0.24 , N/A ,$0.30 , N/A ,$0.42 ,$0.16 ,$0.48 , N/A , N/A ,$0.42 , N/A ,$0.36 , N/A ,$0.45 ,$0.33 ,$0.30 ,$0.33 , N/A ,$0.33 ,$0.49 ,$0.60 ,$0.49 ,$0.51 , N/A ,$0.42 , N/A ,$0.60 ,$0.34 , N/A ,$0.16 ,$0.60 , N/A , N/A , N/A ,$0.48 ,$0.30 ,$0.17 ,$0.54 ,$0.23 ,$0.10 , N/A ,$0.29 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7131,SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL per 1 mL,636,1 ,$18.67 ,$13.44 ,$0.10 ,$18.67 , N/A ,$9.52 ,$10.27 , N/A ,$5.23 ,$2.40 , N/A ,$2.50 , N/A ,$9.24 ,$7.47 , N/A ,$9.24 , N/A ,$13.07 ,$0.16 ,$14.94 , N/A , N/A ,$13.07 , N/A ,$11.20 , N/A ,$14.00 ,$10.31 ,$9.30 ,$10.31 , N/A ,$10.31 ,$15.12 ,$18.67 ,$15.12 ,$15.87 , N/A ,$12.94 , N/A ,$18.67 ,$10.47 , N/A ,$4.89 ,$18.67 , N/A , N/A , N/A ,$14.94 ,$9.24 ,$5.23 ,$16.80 ,$7.09 ,$0.10 , N/A ,$8.96 
ST. MARY'S HOSPITAL - DECATUR,63600002,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN per 20 mg,636,1 ,$26.12 ,$18.81 ,$0.30 ,$26.12 , N/A ,$13.32 ,$14.37 , N/A ,$7.31 ,$9.26 , N/A ,$9.65 , N/A ,$12.93 ,$10.45 , N/A ,$12.93 , N/A ,$18.28 ,$0.30 ,$20.90 , N/A , N/A ,$18.28 , N/A ,$15.67 , N/A ,$19.59 ,$14.42 ,$13.01 ,$14.42 , N/A ,$14.42 ,$21.16 ,$26.12 ,$21.16 ,$22.20 , N/A ,$18.10 , N/A ,$26.12 ,$14.65 , N/A ,$6.84 ,$26.12 , N/A , N/A , N/A ,$20.90 ,$12.93 ,$7.31 ,$23.51 ,$9.93 ,$3.12 , N/A ,$12.54 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN per 6 mg,636,1 ,$517.50 ,$372.60 ,$103.78 ,$517.50 , N/A ,$263.93 ,$284.63 , N/A ,$144.90 ,$270.65 , N/A ,$284.63 , N/A ,$256.16 ,$207.00 , N/A ,$256.16 , N/A ,$362.25 ,$103.78 ,$414.00 , N/A , N/A ,$362.25 , N/A ,$310.50 , N/A ,$388.13 ,$285.66 ,$257.72 ,$285.66 , N/A ,$285.66 ,$419.18 ,$517.50 ,$419.18 ,$439.88 , N/A ,$358.63 , N/A ,$517.50 ,$290.32 , N/A ,$135.59 ,$517.50 , N/A , N/A , N/A ,$414.00 ,$256.16 ,$144.90 ,$465.75 ,$196.65 ,$272.88 , N/A ,$248.40 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7507,TACROLIMUS 0.5 MG CAPS per 1 mg,636,1 ,$26.80 ,$19.30 ,$0.50 ,$26.80 , N/A ,$13.67 ,$14.74 , N/A ,$7.50 ,$2.69 , N/A ,$2.80 , N/A ,$13.27 ,$10.72 , N/A ,$13.27 , N/A ,$18.76 ,$0.74 ,$21.44 , N/A , N/A ,$18.76 , N/A ,$16.08 , N/A ,$20.10 ,$14.79 ,$13.35 ,$14.79 , N/A ,$14.79 ,$21.71 ,$26.80 ,$21.71 ,$22.78 , N/A ,$18.57 , N/A ,$26.80 ,$15.03 , N/A ,$7.02 ,$26.80 , N/A , N/A , N/A ,$21.44 ,$13.27 ,$7.50 ,$24.12 ,$10.18 ,$0.50 , N/A ,$12.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J7507,TACROLIMUS 1 MG CAPS per 1 mg,636,1 ,$53.53 ,$38.54 ,$0.50 ,$53.53 , N/A ,$27.30 ,$29.44 , N/A ,$14.99 ,$2.69 , N/A ,$2.80 , N/A ,$26.50 ,$21.41 , N/A ,$26.50 , N/A ,$37.47 ,$0.74 ,$42.82 , N/A , N/A ,$37.47 , N/A ,$32.12 , N/A ,$40.15 ,$29.55 ,$26.66 ,$29.55 , N/A ,$29.55 ,$43.36 ,$53.53 ,$43.36 ,$45.50 , N/A ,$37.10 , N/A ,$53.53 ,$30.03 , N/A ,$14.02 ,$53.53 , N/A , N/A , N/A ,$42.82 ,$26.50 ,$14.99 ,$48.18 ,$20.34 ,$0.50 , N/A ,$25.69 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1447,TBO-FILGRASTIM 300 MCG/0.5ML SOSY per 1 mcg,636,1 ,$4.66 ,$3.36 ,$0.38 ,$220.57 ,$0.98 ,$2.38 ,$2.56 ,$0.38 ,$1.30 ,$2.44 ,$0.38 ,$2.56 ,$0.38 ,$2.31 ,$1.86 ,$0.38 ,$2.31 ,$0.78 ,$3.26 ,$0.84 ,$3.73 ,$0.97 ,$0.38 ,$3.26 ,$0.38 ,$2.80 ,$0.38 ,$3.50 ,$2.57 ,$2.32 ,$2.57 ,$0.38 ,$2.57 ,$3.77 ,$4.66 ,$3.77 ,$3.96 ,$0.97 ,$3.23 ,$0.38 ,$4.66 ,$2.61 ,$0.38 ,$1.22 ,$4.66 ,$4.66 ,$220.57 ,$0.40 ,$3.73 ,$2.31 ,$1.30 ,$4.19 ,$1.77 ,$0.68 ,$0.38 ,$2.24 
ST. MARY'S HOSPITAL - DECATUR,63600002,J1447,TBO-FILGRASTIM 480 MCG/0.8ML SOSY per 1 mcg,636,1 ,$3.10 ,$2.23 ,$0.38 ,$220.57 ,$0.98 ,$1.58 ,$1.71 ,$0.38 ,$0.87 ,$1.62 ,$0.38 ,$1.71 ,$0.38 ,$1.53 ,$1.24 ,$0.38 ,$1.53 ,$0.78 ,$2.17 ,$0.84 ,$2.48 ,$0.97 ,$0.38 ,$2.17 ,$0.38 ,$1.86 ,$0.38 ,$2.33 ,$1.71 ,$1.54 ,$1.71 ,$0.38 ,$1.71 ,$2.51 ,$3.10 ,$2.51 ,$2.64 ,$0.97 ,$2.15 ,$0.38 ,$3.10 ,$1.74 ,$0.38 ,$0.81 ,$3.10 ,$3.10 ,$220.57 ,$0.40 ,$2.48 ,$1.53 ,$0.87 ,$2.79 ,$1.18 ,$0.68 ,$0.38 ,$1.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,90715,TDAP 5-2.5-18.5 LF-MCG/0.5 SUSY per 0.5 mL,636,1 ,$343.25 ,$247.14 ,$15.18 ,$343.25 , N/A ,$175.06 ,$188.79 , N/A ,$96.11 ,$179.52 , N/A ,$188.79 , N/A ,$169.91 ,$52.90 , N/A ,$169.91 , N/A ,$240.28 ,$100.36 ,$274.60 , N/A , N/A ,$240.28 , N/A ,$205.95 , N/A ,$257.44 ,$189.47 ,$170.94 ,$189.47 , N/A ,$189.47 ,$278.03 ,$343.25 ,$278.03 ,$291.76 , N/A ,$237.87 , N/A ,$343.25 ,$192.56 , N/A ,$89.93 ,$343.25 ,$15.91 ,$15.18 , N/A ,$274.60 ,$169.91 ,$96.11 ,$308.93 ,$130.44 ,$61.88 , N/A ,$164.76 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3101,TENECTEPLASE 50 MG KIT per 1 mg,636,1 ,$332.54 ,$239.43 ,$87.13 ,"$3,062.40 ",$359.23 ,$169.60 ,$182.90 ,$140.82 ,$93.11 ,$173.92 ,$140.82 ,$182.90 ,$140.82 ,$164.61 ,$133.02 ,$140.82 ,$164.61 ,$290.26 ,$232.78 ,$278.94 ,$266.03 ,$359.23 ,$140.82 ,$232.78 ,$140.82 ,$199.52 ,$143.64 ,$249.41 ,$183.56 ,$165.60 ,$183.56 ,$140.82 ,$183.56 ,$269.36 ,$332.54 ,$269.36 ,$282.66 ,$332.54 ,$230.45 ,$140.82 ,$332.54 ,$186.55 ,$140.82 ,$87.13 ,$332.54 ,$332.54 ,"$3,062.40 ",$147.85 ,$266.03 ,$164.61 ,$93.11 ,$299.29 ,$126.37 ,$237.02 ,$140.82 ,$159.62 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3105,TERBUTALINE 1 MG/ML SOLN per 1 mg,636,1 ,$87.80 ,$63.22 ,$2.18 ,$87.80 , N/A ,$44.78 ,$48.29 , N/A ,$24.58 ,$6.96 , N/A ,$7.25 , N/A ,$43.46 ,$35.12 , N/A ,$43.46 , N/A ,$61.46 ,$6.40 ,$70.24 , N/A , N/A ,$61.46 , N/A ,$52.68 , N/A ,$65.85 ,$48.47 ,$43.72 ,$48.47 , N/A ,$48.47 ,$71.12 ,$87.80 ,$71.12 ,$74.63 , N/A ,$60.85 , N/A ,$87.80 ,$49.26 , N/A ,$23.00 ,$87.80 , N/A , N/A , N/A ,$70.24 ,$43.46 ,$24.58 ,$79.02 ,$33.36 ,$2.18 , N/A ,$42.14 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3411,THIAMINE 100 MG/ML SOLN 2 ML VIAL per 100 mg,636,1 ,$91.80 ,$66.10 ,$4.62 ,$91.80 , N/A ,$46.82 ,$50.49 , N/A ,$25.70 ,$15.70 , N/A ,$16.35 , N/A ,$45.44 ,$36.72 , N/A ,$45.44 , N/A ,$64.26 ,$5.14 ,$73.44 , N/A , N/A ,$64.26 , N/A ,$55.08 , N/A ,$68.85 ,$50.67 ,$45.72 ,$50.67 , N/A ,$50.67 ,$74.36 ,$91.80 ,$74.36 ,$78.03 , N/A ,$63.62 , N/A ,$91.80 ,$51.50 , N/A ,$24.05 ,$91.80 , N/A , N/A , N/A ,$73.44 ,$45.44 ,$25.70 ,$82.62 ,$34.88 ,$4.62 , N/A ,$44.06 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3411,THIAMINE 100 MG/ML SOLN per 100 mg,636,1 ,$87.35 ,$62.89 ,$4.62 ,$87.35 , N/A ,$44.55 ,$48.04 , N/A ,$24.46 ,$15.70 , N/A ,$16.35 , N/A ,$43.24 ,$34.94 , N/A ,$43.24 , N/A ,$61.15 ,$5.14 ,$69.88 , N/A , N/A ,$61.15 , N/A ,$52.41 , N/A ,$65.51 ,$48.22 ,$43.50 ,$48.22 , N/A ,$48.22 ,$70.75 ,$87.35 ,$70.75 ,$74.25 , N/A ,$60.53 , N/A ,$87.35 ,$49.00 , N/A ,$22.89 ,$87.35 , N/A , N/A , N/A ,$69.88 ,$43.24 ,$24.46 ,$78.62 ,$33.19 ,$4.62 , N/A ,$41.93 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3590,THROMBIN 5000 UNIT SOLR 1 EACH VIAL per 1 Units,636,1 ,$526.10 ,$378.79 ,$137.84 ,$526.10 , N/A ,$268.31 ,$289.36 , N/A ,$147.31 ,$275.15 , N/A ,$289.36 , N/A ,$260.42 ,$210.44 , N/A ,$260.42 , N/A ,$368.27 , N/A ,$420.88 , N/A , N/A ,$368.27 , N/A ,$315.66 , N/A ,$394.58 ,$290.41 ,$262.00 ,$290.41 , N/A ,$290.41 ,$426.14 ,$526.10 ,$426.14 ,$447.19 , N/A ,$364.59 , N/A ,$526.10 ,$295.14 , N/A ,$137.84 ,$526.10 , N/A , N/A , N/A ,$420.88 ,$260.42 ,$147.31 ,$473.49 ,$199.92 , N/A , N/A ,$252.53 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3590,THROMBIN 5000 UNITS KIT per 1 Units,636,1 ,$0.11 ,$0.08 ,$0.03 ,$0.11 , N/A ,$0.06 ,$0.06 , N/A ,$0.03 ,$0.06 , N/A ,$0.06 , N/A ,$0.05 ,$0.04 , N/A ,$0.05 , N/A ,$0.08 , N/A ,$0.09 , N/A , N/A ,$0.08 , N/A ,$0.07 , N/A ,$0.08 ,$0.06 ,$0.05 ,$0.06 , N/A ,$0.06 ,$0.09 ,$0.11 ,$0.09 ,$0.09 , N/A ,$0.08 , N/A ,$0.11 ,$0.06 , N/A ,$0.03 ,$0.11 , N/A , N/A , N/A ,$0.09 ,$0.05 ,$0.03 ,$0.10 ,$0.04 , N/A , N/A ,$0.05 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3243,TIGECYCLINE 50 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$21.97 ,$15.82 ,$1.17 ,$120.45 , N/A ,$11.20 ,$12.08 , N/A ,$6.15 ,$11.49 , N/A ,$12.08 , N/A ,$10.88 ,$8.79 , N/A ,$10.88 , N/A ,$15.38 ,$2.00 ,$17.58 , N/A , N/A ,$15.38 , N/A ,$13.18 , N/A ,$16.48 ,$12.13 ,$10.94 ,$12.13 , N/A ,$12.13 ,$17.80 ,$21.97 ,$17.80 ,$18.67 , N/A ,$15.23 , N/A ,$21.97 ,$12.33 , N/A ,$5.76 ,$21.97 ,$21.97 ,$120.45 , N/A ,$17.58 ,$10.88 ,$6.15 ,$19.77 ,$8.35 ,$1.17 , N/A ,$10.55 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3260,TOBRAMYCIN 1.2 G SOLR per 80 mg,636,1 ,$56.00 ,$40.32 ,$4.48 ,$56.00 , N/A ,$28.56 ,$30.80 , N/A ,$15.68 ,$17.57 , N/A ,$18.30 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$4.48 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$4.49 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3260,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL per 80 mg,636,1 ,$41.06 ,$29.56 ,$4.48 ,$41.06 , N/A ,$20.94 ,$22.58 , N/A ,$11.50 ,$17.57 , N/A ,$18.30 , N/A ,$20.32 ,$16.42 , N/A ,$20.32 , N/A ,$28.74 ,$4.48 ,$32.85 , N/A , N/A ,$28.74 , N/A ,$24.64 , N/A ,$30.80 ,$22.67 ,$20.45 ,$22.67 , N/A ,$22.67 ,$33.26 ,$41.06 ,$33.26 ,$34.90 , N/A ,$28.45 , N/A ,$41.06 ,$23.03 , N/A ,$10.76 ,$41.06 , N/A , N/A , N/A ,$32.85 ,$20.32 ,$11.50 ,$36.95 ,$15.60 ,$4.49 , N/A ,$19.71 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3262,TOCILIZUMAB 400 MG/20ML SOLN 20 ML VIAL per 1 mg,636,1 ,$18.42 ,$13.26 ,$4.83 ,$986.30 ,$14.65 ,$9.39 ,$10.13 ,$5.74 ,$5.16 ,$9.63 ,$5.74 ,$10.13 ,$5.74 ,$9.12 ,$7.37 ,$5.74 ,$9.12 ,$11.84 ,$12.89 ,$11.60 ,$14.74 ,$14.65 ,$5.74 ,$12.89 ,$5.74 ,$11.05 ,$5.86 ,$13.82 ,$10.17 ,$9.17 ,$10.17 ,$5.74 ,$10.17 ,$14.92 ,$18.42 ,$14.92 ,$15.66 ,$14.65 ,$12.77 ,$5.74 ,$18.42 ,$10.33 ,$5.74 ,$4.83 ,$18.42 ,$18.42 ,$986.30 ,$6.03 ,$14.74 ,$9.12 ,$5.16 ,$16.58 ,$7.00 ,$9.88 ,$5.74 ,$8.84 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9351,TOPOTECAN 4 MG SOLR 1 EACH VIAL per 0.1 mg,636,1 ,$24.32 ,$17.51 ,$1.35 ,$94.28 , N/A ,$12.40 ,$13.38 , N/A ,$6.81 ,$5.76 , N/A ,$6.00 , N/A ,$12.04 ,$9.73 , N/A ,$12.04 , N/A ,$17.02 ,$1.66 ,$19.46 , N/A , N/A ,$17.02 , N/A ,$14.59 , N/A ,$18.24 ,$13.42 ,$12.11 ,$13.42 , N/A ,$13.42 ,$19.70 ,$24.32 ,$19.70 ,$20.67 , N/A ,$16.85 , N/A ,$24.32 ,$13.64 , N/A ,$6.37 ,$24.32 ,$24.32 ,$94.28 , N/A ,$19.46 ,$12.04 ,$6.81 ,$21.89 ,$9.24 ,$1.35 , N/A ,$11.67 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9355,TRASTUZUMAB 150 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$209.84 ,$151.08 ,$54.98 ,"$1,497.41 ",$200.63 ,$107.02 ,$115.41 ,$78.64 ,$58.76 ,$109.75 ,$78.64 ,$115.41 ,$78.64 ,$103.87 ,$83.94 ,$78.64 ,$103.87 ,$162.10 ,$146.89 ,$173.20 ,$167.87 ,$200.62 ,$78.64 ,$146.89 ,$78.64 ,$125.90 ,$80.21 ,$157.38 ,$115.83 ,$104.50 ,$115.83 ,$78.64 ,$115.83 ,$169.97 ,$209.84 ,$169.97 ,$178.36 ,$200.62 ,$145.42 ,$78.64 ,$209.84 ,$117.72 ,$78.64 ,$54.98 ,$209.84 ,$209.84 ,"$1,497.41 ",$82.57 ,$167.87 ,$103.87 ,$58.76 ,$188.86 ,$79.74 ,$136.52 ,$78.64 ,$100.72 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSP per 10 mg,636,1 ,$70.35 ,$50.65 ,$1.75 ,$70.35 , N/A ,$35.88 ,$38.69 , N/A ,$19.70 ,$9.70 , N/A ,$10.10 , N/A ,$34.82 ,$28.14 , N/A ,$34.82 , N/A ,$49.25 ,$2.58 ,$56.28 , N/A , N/A ,$49.25 , N/A ,$42.21 , N/A ,$52.76 ,$38.83 ,$35.03 ,$38.83 , N/A ,$38.83 ,$56.98 ,$70.35 ,$56.98 ,$59.80 , N/A ,$48.75 , N/A ,$70.35 ,$39.47 , N/A ,$18.43 ,$70.35 , N/A , N/A , N/A ,$56.28 ,$34.82 ,$19.70 ,$63.32 ,$26.73 ,$1.75 , N/A ,$33.77 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP per 10 mg,636,1 ,$67.85 ,$48.85 ,$1.75 ,$67.85 , N/A ,$34.60 ,$37.32 , N/A ,$19.00 ,$9.70 , N/A ,$10.10 , N/A ,$33.59 ,$27.14 , N/A ,$33.59 , N/A ,$47.50 ,$2.58 ,$54.28 , N/A , N/A ,$47.50 , N/A ,$40.71 , N/A ,$50.89 ,$37.45 ,$33.79 ,$37.45 , N/A ,$37.45 ,$54.96 ,$67.85 ,$54.96 ,$57.67 , N/A ,$47.02 , N/A ,$67.85 ,$38.06 , N/A ,$17.78 ,$67.85 , N/A , N/A , N/A ,$54.28 ,$33.59 ,$19.00 ,$61.07 ,$25.78 ,$1.75 , N/A ,$32.57 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3250,TRIMETHOBENZAMIDE 100 MG/ML SOLN per 200 mg,636,1 ,$358.30 ,$257.98 ,$71.02 ,$358.30 , N/A ,$182.73 ,$197.07 , N/A ,$100.32 ,$152.35 , N/A ,$158.70 , N/A ,$177.36 ,$143.32 , N/A ,$177.36 , N/A ,$250.81 ,$85.64 ,$286.64 , N/A , N/A ,$250.81 , N/A ,$214.98 , N/A ,$268.73 ,$197.78 ,$178.43 ,$197.78 , N/A ,$197.78 ,$290.22 ,$358.30 ,$290.22 ,$304.56 , N/A ,$248.30 , N/A ,$358.30 ,$201.01 , N/A ,$93.87 ,$358.30 , N/A , N/A , N/A ,$286.64 ,$177.36 ,$100.32 ,$322.47 ,$136.15 ,$71.02 , N/A ,$171.98 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3370,VANCOMYCIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$93.40 ,$67.25 ,$4.72 ,$93.40 , N/A ,$47.63 ,$51.37 , N/A ,$26.15 ,$17.71 , N/A ,$18.45 , N/A ,$46.23 ,$37.36 , N/A ,$46.23 , N/A ,$65.38 ,$5.92 ,$74.72 , N/A , N/A ,$65.38 , N/A ,$56.04 , N/A ,$70.05 ,$51.56 ,$46.51 ,$51.56 , N/A ,$51.56 ,$75.65 ,$93.40 ,$75.65 ,$79.39 , N/A ,$64.73 , N/A ,$93.40 ,$52.40 , N/A ,$24.47 ,$93.40 , N/A , N/A , N/A ,$74.72 ,$46.23 ,$26.15 ,$84.06 ,$35.49 ,$4.72 , N/A ,$44.83 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3370,VANCOMYCIN 10 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$69.88 ,$50.31 ,$4.72 ,$69.88 , N/A ,$35.64 ,$38.43 , N/A ,$19.57 ,$17.71 , N/A ,$18.45 , N/A ,$34.59 ,$27.95 , N/A ,$34.59 , N/A ,$48.92 ,$5.92 ,$55.90 , N/A , N/A ,$48.92 , N/A ,$41.93 , N/A ,$52.41 ,$38.57 ,$34.80 ,$38.57 , N/A ,$38.57 ,$56.60 ,$69.88 ,$56.60 ,$59.40 , N/A ,$48.43 , N/A ,$69.88 ,$39.20 , N/A ,$18.31 ,$69.88 , N/A , N/A , N/A ,$55.90 ,$34.59 ,$19.57 ,$62.89 ,$26.55 ,$4.72 , N/A ,$33.54 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3370,VANCOMYCIN 5 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$64.63 ,$46.53 ,$4.72 ,$64.63 , N/A ,$32.96 ,$35.55 , N/A ,$18.10 ,$17.71 , N/A ,$18.45 , N/A ,$31.99 ,$25.85 , N/A ,$31.99 , N/A ,$45.24 ,$5.92 ,$51.70 , N/A , N/A ,$45.24 , N/A ,$38.78 , N/A ,$48.47 ,$35.68 ,$32.19 ,$35.68 , N/A ,$35.68 ,$52.35 ,$64.63 ,$52.35 ,$54.94 , N/A ,$44.79 , N/A ,$64.63 ,$36.26 , N/A ,$16.93 ,$64.63 , N/A , N/A , N/A ,$51.70 ,$31.99 ,$18.10 ,$58.17 ,$24.56 ,$4.72 , N/A ,$31.02 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3370,VANCOMYCIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$128.35 ,$92.41 ,$4.72 ,$128.35 , N/A ,$65.46 ,$70.59 , N/A ,$35.94 ,$17.71 , N/A ,$18.45 , N/A ,$63.53 ,$51.34 , N/A ,$63.53 , N/A ,$89.85 ,$5.92 ,$102.68 , N/A , N/A ,$89.85 , N/A ,$77.01 , N/A ,$96.26 ,$70.85 ,$63.92 ,$70.85 , N/A ,$70.85 ,$103.96 ,$128.35 ,$103.96 ,$109.10 , N/A ,$88.95 , N/A ,$128.35 ,$72.00 , N/A ,$33.63 ,$128.35 , N/A , N/A , N/A ,$102.68 ,$63.53 ,$35.94 ,$115.52 ,$48.77 ,$4.72 , N/A ,$61.61 
ST. MARY'S HOSPITAL - DECATUR,63600002,C9399,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL per 1 mL,636,1 ,"$1,196.85 ",$861.73 ,$313.57 ,"$1,196.85 ", N/A ,$610.39 ,$658.27 , N/A ,$335.12 ,$625.95 , N/A ,$658.27 , N/A ,$592.44 ,$478.74 , N/A ,$592.44 ,$538.58 ,$837.80 , N/A ,$957.48 ,$837.80 , N/A ,$837.80 , N/A ,$718.11 , N/A ,$897.64 ,$660.66 ,$596.03 ,$660.66 , N/A ,$660.66 ,$969.45 ,"$1,196.85 ",$969.45 ,"$1,017.32 ", N/A ,$829.42 , N/A ,"$1,196.85 ",$671.43 , N/A ,$313.57 ,"$1,196.85 ", N/A , N/A , N/A ,$957.48 ,$592.44 ,$335.12 ,"$1,077.17 ",$454.80 , N/A , N/A ,$574.49 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3380,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$61.71 ,$44.43 ,$16.17 ,"$2,223.78 ",$54.60 ,$31.47 ,$33.94 ,$21.40 ,$17.28 ,$32.27 ,$21.40 ,$33.94 ,$21.40 ,$30.55 ,$24.68 ,$21.40 ,$30.55 ,$44.12 ,$43.20 ,$45.52 ,$49.37 ,$54.60 ,$21.40 ,$43.20 ,$21.40 ,$37.03 ,$21.83 ,$46.28 ,$34.06 ,$30.73 ,$34.06 ,$21.40 ,$34.06 ,$49.99 ,$61.71 ,$49.99 ,$52.45 ,$54.60 ,$42.77 ,$21.40 ,$61.71 ,$34.62 ,$21.40 ,$16.17 ,$61.71 ,$61.71 ,"$2,223.78 ",$22.47 ,$49.37 ,$30.55 ,$17.28 ,$55.54 ,$23.45 ,$35.81 ,$21.40 ,$29.62 
ST. MARY'S HOSPITAL - DECATUR,63600002,J9370,VINCRISTINE 1 MG/ML SOLN 2 ML VIAL per 1 mg,636,1 ,$89.05 ,$64.12 ,$8.15 ,$89.05 , N/A ,$45.42 ,$48.98 , N/A ,$24.93 ,$24.00 , N/A ,$25.00 , N/A ,$44.08 ,$35.62 , N/A ,$44.08 , N/A ,$62.34 ,$9.82 ,$71.24 , N/A , N/A ,$62.34 , N/A ,$53.43 , N/A ,$66.79 ,$49.16 ,$44.35 ,$49.16 , N/A ,$49.16 ,$72.13 ,$89.05 ,$72.13 ,$75.69 , N/A ,$61.71 , N/A ,$89.05 ,$49.96 , N/A ,$23.33 ,$89.05 , N/A , N/A , N/A ,$71.24 ,$44.08 ,$24.93 ,$80.15 ,$33.84 ,$8.15 , N/A ,$42.74 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3486,ZIPRASIDONE 20 MG SOLR per 10 mg,636,1 ,$239.30 ,$172.30 ,$16.76 ,$239.30 , N/A ,$122.04 ,$131.62 , N/A ,$67.00 ,$118.42 , N/A ,$123.35 , N/A ,$118.45 ,$95.72 , N/A ,$118.45 , N/A ,$167.51 ,$23.18 ,$191.44 , N/A , N/A ,$167.51 , N/A ,$143.58 , N/A ,$179.48 ,$132.09 ,$119.17 ,$132.09 , N/A ,$132.09 ,$193.83 ,$239.30 ,$193.83 ,$203.41 , N/A ,$165.83 , N/A ,$239.30 ,$134.25 , N/A ,$62.70 ,$239.30 , N/A , N/A , N/A ,$191.44 ,$118.45 ,$67.00 ,$215.37 ,$90.93 ,$16.76 , N/A ,$114.86 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3489,ZOLEDRONIC ACID 4 MG/100ML SOLN per 1 mg,636,1 ,$255.50 ,$183.96 ,$16.68 ,$255.50 , N/A ,$130.31 ,$140.53 , N/A ,$71.54 ,$74.59 , N/A ,$77.70 , N/A ,$126.47 ,$102.20 , N/A ,$126.47 , N/A ,$178.85 ,$16.68 ,$204.40 , N/A , N/A ,$178.85 , N/A ,$153.30 , N/A ,$191.63 ,$141.04 ,$127.24 ,$141.04 , N/A ,$141.04 ,$206.96 ,$255.50 ,$206.96 ,$217.18 , N/A ,$177.06 , N/A ,$255.50 ,$143.34 , N/A ,$66.94 ,$255.50 ,$126.18 ,$120.45 , N/A ,$204.40 ,$126.47 ,$71.54 ,$229.95 ,$97.09 ,$18.38 , N/A ,$122.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3489,ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL per 1 mg,636,1 ,$593.00 ,$426.96 ,$16.68 ,$593.00 , N/A ,$302.43 ,$326.15 , N/A ,$166.04 ,$74.59 , N/A ,$77.70 , N/A ,$293.54 ,$237.20 , N/A ,$293.54 , N/A ,$415.10 ,$16.68 ,$474.40 , N/A , N/A ,$415.10 , N/A ,$355.80 , N/A ,$444.75 ,$327.34 ,$295.31 ,$327.34 , N/A ,$327.34 ,$480.33 ,$593.00 ,$480.33 ,$504.05 , N/A ,$410.95 , N/A ,$593.00 ,$332.67 , N/A ,$155.37 ,$593.00 ,$126.18 ,$120.45 , N/A ,$474.40 ,$293.54 ,$166.04 ,$533.70 ,$225.34 ,$18.38 , N/A ,$284.64 
ST. MARY'S HOSPITAL - DECATUR,63600002,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN per 1 mg,636,1 ,$262.00 ,$188.64 ,$16.68 ,$262.00 , N/A ,$133.62 ,$144.10 , N/A ,$73.36 ,$74.59 , N/A ,$77.70 , N/A ,$129.69 ,$104.80 , N/A ,$129.69 , N/A ,$183.40 ,$16.68 ,$209.60 , N/A , N/A ,$183.40 , N/A ,$157.20 , N/A ,$196.50 ,$144.62 ,$130.48 ,$144.62 , N/A ,$144.62 ,$212.22 ,$262.00 ,$212.22 ,$222.70 , N/A ,$181.57 , N/A ,$262.00 ,$146.98 , N/A ,$68.64 ,$262.00 ,$126.18 ,$120.45 , N/A ,$209.60 ,$129.69 ,$73.36 ,$235.80 ,$99.56 ,$18.38 , N/A ,$125.76 
ST. MARY'S HOSPITAL - DECATUR,63600003,Q4102,HC OASIS PER SQ CENTIMETER,636,1 ,$33.00 ,$23.76 ,$8.65 ,$319.13 , N/A ,$16.83 ,$18.15 , N/A ,$9.24 ,$17.26 , N/A ,$18.15 , N/A ,$16.34 ,$13.20 , N/A ,$16.34 , N/A ,$23.10 ,$23.26 ,$26.40 , N/A , N/A ,$23.10 , N/A ,$19.80 , N/A ,$24.75 ,$18.22 ,$16.43 ,$18.22 , N/A ,$18.22 ,$26.73 ,$33.00 ,$26.73 ,$28.05 , N/A ,$22.87 , N/A ,$33.00 ,$18.51 , N/A ,$8.65 ,$33.00 ,$33.00 ,$319.13 , N/A ,$26.40 ,$16.34 ,$9.24 ,$29.70 ,$12.54 ,$20.99 , N/A ,$15.84 
ST. MARY'S HOSPITAL - DECATUR,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$207.00 ,$149.04 ,$54.23 ,$319.13 , N/A ,$105.57 ,$113.85 , N/A ,$57.96 ,$108.26 , N/A ,$113.85 , N/A ,$102.47 ,$181.79 , N/A ,$102.47 , N/A ,$144.90 ,$207.00 ,$165.60 , N/A , N/A ,$144.90 , N/A ,$124.20 , N/A ,$155.25 ,$114.26 ,$103.09 ,$114.26 , N/A ,$114.26 ,$167.67 ,$207.00 ,$167.67 ,$175.95 , N/A ,$143.45 , N/A ,$207.00 ,$116.13 , N/A ,$54.23 ,$207.00 ,$207.00 ,$319.13 , N/A ,$165.60 ,$102.47 ,$57.96 ,$186.30 ,$78.66 ,$207.00 , N/A ,$99.36 
ST. MARY'S HOSPITAL - DECATUR,63600012,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML SOLN per 1 mL,636,1 ,$24.92 ,$17.94 ,$3.04 ,$24.92 , N/A , N/A ,$13.71 , N/A ,$6.98 ,$13.03 , N/A ,$13.71 , N/A ,$12.34 ,$6.31 , N/A ,$12.34 , N/A ,$17.44 , N/A ,$19.94 , N/A , N/A ,$17.44 , N/A ,$14.95 , N/A ,$18.69 ,$13.76 ,$12.41 ,$13.76 , N/A ,$13.76 ,$20.19 ,$24.92 ,$20.19 ,$21.18 , N/A ,$17.27 , N/A ,$24.92 ,$13.98 , N/A ,$6.53 ,$24.92 , N/A , N/A , N/A ,$19.94 ,$12.34 ,$6.98 ,$22.43 ,$9.47 ,$3.04 , N/A ,$11.96 
ST. MARY'S HOSPITAL - DECATUR,63600012,A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML SOLN per 0.1 mL,636,1 ,$1.79 ,$1.29 ,$0.23 ,$1.79 , N/A , N/A ,$0.98 , N/A ,$0.50 ,$0.94 , N/A ,$0.98 , N/A ,$0.89 ,$0.57 , N/A ,$0.89 , N/A ,$1.25 , N/A ,$1.43 , N/A , N/A ,$1.25 , N/A ,$1.07 , N/A ,$1.34 ,$0.99 ,$0.89 ,$0.99 , N/A ,$0.99 ,$1.45 ,$1.79 ,$1.45 ,$1.52 , N/A ,$1.24 , N/A ,$1.79 ,$1.00 , N/A ,$0.47 ,$1.79 , N/A , N/A , N/A ,$1.43 ,$0.89 ,$0.50 ,$1.61 ,$0.68 ,$0.23 , N/A ,$0.86 
ST. MARY'S HOSPITAL - DECATUR,63600012,A9575,HC RX 636-CONTRAST per 0.1 mL,636,1 ,$2.11 ,$1.52 ,$0.23 ,$2.11 , N/A , N/A ,$1.16 , N/A ,$0.59 ,$1.10 , N/A ,$1.16 , N/A ,$1.04 ,$0.57 , N/A ,$1.04 , N/A ,$1.48 , N/A ,$1.69 , N/A , N/A ,$1.48 , N/A ,$1.27 , N/A ,$1.58 ,$1.16 ,$1.05 ,$1.16 , N/A ,$1.16 ,$1.71 ,$2.11 ,$1.71 ,$1.79 , N/A ,$1.46 , N/A ,$2.11 ,$1.18 , N/A ,$0.55 ,$2.11 , N/A , N/A , N/A ,$1.69 ,$1.04 ,$0.59 ,$1.90 ,$0.80 ,$0.23 , N/A ,$1.01 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9967,IODIXANOL 320 MG/ML SOLN per 1 mL,636,1 ,$4.92 ,$3.54 ,$0.50 ,$4.92 , N/A , N/A ,$2.71 , N/A ,$1.38 ,$2.40 , N/A ,$2.50 , N/A ,$2.44 ,$0.50 , N/A ,$2.44 , N/A ,$3.44 , N/A ,$3.94 , N/A , N/A ,$3.44 , N/A ,$2.95 , N/A ,$3.69 ,$2.72 ,$2.45 ,$2.72 , N/A ,$2.72 ,$3.99 ,$4.92 ,$3.99 ,$4.18 , N/A ,$3.41 , N/A ,$4.92 ,$2.76 , N/A ,$1.29 ,$4.92 , N/A , N/A , N/A ,$3.94 ,$2.44 ,$1.38 ,$4.43 ,$1.87 , N/A , N/A ,$2.36 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9966,IOPAMIDOL 41 % SOLN per 1 mL,636,1 ,$27.14 ,$19.54 ,$0.50 ,$27.14 , N/A , N/A ,$14.93 , N/A ,$7.60 ,$2.40 , N/A ,$2.50 , N/A ,$13.43 ,$0.50 , N/A ,$13.43 , N/A ,$19.00 , N/A ,$21.71 , N/A , N/A ,$19.00 , N/A ,$16.28 , N/A ,$20.36 ,$14.98 ,$13.52 ,$14.98 , N/A ,$14.98 ,$21.98 ,$27.14 ,$21.98 ,$23.07 , N/A ,$18.81 , N/A ,$27.14 ,$15.23 , N/A ,$7.11 ,$27.14 , N/A , N/A , N/A ,$21.71 ,$13.43 ,$7.60 ,$24.43 ,$10.31 ,$0.79 , N/A ,$13.03 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9967,IOPAMIDOL 61 % SOLN per 1 mL,636,1 ,$56.00 ,$40.32 ,$0.50 ,$56.00 , N/A , N/A ,$30.80 , N/A ,$15.68 ,$2.40 , N/A ,$2.50 , N/A ,$27.72 ,$0.50 , N/A ,$27.72 , N/A ,$39.20 , N/A ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 , N/A ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 , N/A , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9967,IOPAMIDOL 76 % SOLN per 1 mL,636,1 ,$2.93 ,$2.11 ,$0.50 ,$2.93 , N/A , N/A ,$1.61 , N/A ,$0.82 ,$1.53 , N/A ,$1.61 , N/A ,$1.45 ,$0.50 , N/A ,$1.45 , N/A ,$2.05 , N/A ,$2.34 , N/A , N/A ,$2.05 , N/A ,$1.76 , N/A ,$2.20 ,$1.62 ,$1.46 ,$1.62 , N/A ,$1.62 ,$2.37 ,$2.93 ,$2.37 ,$2.49 , N/A ,$2.03 , N/A ,$2.93 ,$1.64 , N/A ,$0.77 ,$2.93 , N/A , N/A , N/A ,$2.34 ,$1.45 ,$0.82 ,$2.64 ,$1.11 , N/A , N/A ,$1.41 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9961,IOTHALAMATE MEGLUMINE 60 % SOLN per 1 mL,636,1 ,$2.80 ,$2.02 ,$0.25 ,$2.80 , N/A , N/A ,$1.54 , N/A ,$0.78 ,$1.46 , N/A ,$1.54 , N/A ,$1.39 ,$0.50 , N/A ,$1.39 , N/A ,$1.96 , N/A ,$2.24 , N/A , N/A ,$1.96 , N/A ,$1.68 , N/A ,$2.10 ,$1.55 ,$1.39 ,$1.55 , N/A ,$1.55 ,$2.27 ,$2.80 ,$2.27 ,$2.38 , N/A ,$1.94 , N/A ,$2.80 ,$1.57 , N/A ,$0.73 ,$2.80 , N/A , N/A , N/A ,$2.24 ,$1.39 ,$0.78 ,$2.52 ,$1.06 ,$0.25 , N/A ,$1.34 
ST. MARY'S HOSPITAL - DECATUR,63600012,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML SUSP per 1 mL,636,1 ,$447.70 ,$322.34 ,$54.65 ,$447.70 , N/A ,$228.33 ,$246.24 , N/A ,$125.36 ,$234.15 , N/A ,$246.24 , N/A ,$221.61 ,$54.65 , N/A ,$221.61 , N/A ,$313.39 , N/A ,$358.16 , N/A , N/A ,$313.39 , N/A ,$268.62 , N/A ,$335.78 ,$247.13 ,$222.95 ,$247.13 , N/A ,$247.13 ,$362.64 ,$447.70 ,$362.64 ,$380.55 , N/A ,$310.26 , N/A ,$447.70 ,$251.16 , N/A ,$117.30 ,$447.70 , N/A , N/A , N/A ,$358.16 ,$221.61 ,$125.36 ,$402.93 ,$170.13 ,$75.54 , N/A ,$214.90 
ST. MARY'S HOSPITAL - DECATUR,63600183,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER USED - JC,636,1 ,$582.00 ,$419.04 ,$92.82 ,$582.00 , N/A ,$296.82 ,$320.10 , N/A ,$162.96 ,$304.39 , N/A ,$320.10 , N/A ,$288.09 ,$92.82 , N/A ,$288.09 , N/A ,$407.40 ,$218.90 ,$465.60 , N/A , N/A ,$407.40 , N/A ,$349.20 , N/A ,$436.50 ,$321.26 ,$289.84 ,$321.26 , N/A ,$321.26 ,$471.42 ,$582.00 ,$471.42 ,$494.70 , N/A ,$403.33 , N/A ,$582.00 ,$326.50 , N/A ,$152.48 ,$582.00 ,$334.32 ,$319.13 , N/A ,$465.60 ,$288.09 ,$162.96 ,$523.80 ,$221.16 ,$181.10 , N/A ,$279.36 
ST. MARY'S HOSPITAL - DECATUR,63600184,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER WASTED - JW,636,1 ,$582.00 ,$419.04 ,$92.82 ,$582.00 , N/A ,$296.82 ,$320.10 , N/A ,$162.96 ,$304.39 , N/A ,$320.10 , N/A ,$288.09 ,$92.82 , N/A ,$288.09 , N/A ,$407.40 ,$218.90 ,$465.60 , N/A , N/A ,$407.40 , N/A ,$349.20 , N/A ,$436.50 ,$321.26 ,$289.84 ,$321.26 , N/A ,$321.26 ,$471.42 ,$582.00 ,$471.42 ,$494.70 , N/A ,$403.33 , N/A ,$582.00 ,$326.50 , N/A ,$152.48 ,$582.00 ,$334.32 ,$319.13 , N/A ,$465.60 ,$288.09 ,$162.96 ,$523.80 ,$221.16 ,$181.10 , N/A ,$279.36 
ST. MARY'S HOSPITAL - DECATUR,63600185,Q4101,HC APLIGRAF PER SQ CM USED -JC,636,1 ,$121.00 ,$87.12 ,$31.70 ,$319.13 , N/A ,$61.71 ,$66.55 , N/A ,$33.88 ,$63.28 , N/A ,$66.55 , N/A ,$59.90 ,$48.40 , N/A ,$59.90 , N/A ,$84.70 ,$60.74 ,$96.80 , N/A , N/A ,$84.70 , N/A ,$72.60 , N/A ,$90.75 ,$66.79 ,$60.26 ,$66.79 , N/A ,$66.79 ,$98.01 ,$121.00 ,$98.01 ,$102.85 , N/A ,$83.85 , N/A ,$121.00 ,$67.88 , N/A ,$31.70 ,$121.00 ,$121.00 ,$319.13 , N/A ,$96.80 ,$59.90 ,$33.88 ,$108.90 ,$45.98 ,$50.09 , N/A ,$58.08 
ST. MARY'S HOSPITAL - DECATUR,63600186,Q4101,HC APLIGRAF PER SQ CM WASTED - JW,636,1 ,$123.00 ,$88.56 ,$32.23 ,$319.13 , N/A ,$62.73 ,$67.65 , N/A ,$34.44 ,$64.33 , N/A ,$67.65 , N/A ,$60.89 ,$49.20 , N/A ,$60.89 , N/A ,$86.10 ,$60.74 ,$98.40 , N/A , N/A ,$86.10 , N/A ,$73.80 , N/A ,$92.25 ,$67.90 ,$61.25 ,$67.90 , N/A ,$67.90 ,$99.63 ,$123.00 ,$99.63 ,$104.55 , N/A ,$85.24 , N/A ,$123.00 ,$69.00 , N/A ,$32.23 ,$123.00 ,$123.00 ,$319.13 , N/A ,$98.40 ,$60.89 ,$34.44 ,$110.70 ,$46.74 ,$50.09 , N/A ,$59.04 
ST. MARY'S HOSPITAL - DECATUR,63600187,Q4106,HC DERMAGRAFT PER SQ CM USED -JC,636,1 ,$120.00 ,$86.40 ,$26.81 ,$319.13 , N/A ,$61.20 ,$66.00 , N/A ,$33.60 ,$62.76 , N/A ,$66.00 , N/A ,$59.40 ,$48.00 , N/A ,$59.40 , N/A ,$84.00 ,$53.54 ,$96.00 , N/A , N/A ,$84.00 , N/A ,$72.00 , N/A ,$90.00 ,$66.24 ,$59.76 ,$66.24 , N/A ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 , N/A ,$83.16 , N/A ,$120.00 ,$67.32 , N/A ,$31.44 ,$120.00 ,$120.00 ,$319.13 , N/A ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$26.81 , N/A ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,63600188,Q4106,HC DERMAGRAFT PER SQ CM WASTED -JW,636,1 ,$120.00 ,$86.40 ,$26.81 ,$319.13 , N/A ,$61.20 ,$66.00 , N/A ,$33.60 ,$62.76 , N/A ,$66.00 , N/A ,$59.40 ,$48.00 , N/A ,$59.40 , N/A ,$84.00 ,$53.54 ,$96.00 , N/A , N/A ,$84.00 , N/A ,$72.00 , N/A ,$90.00 ,$66.24 ,$59.76 ,$66.24 , N/A ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 , N/A ,$83.16 , N/A ,$120.00 ,$67.32 , N/A ,$31.44 ,$120.00 ,$120.00 ,$319.13 , N/A ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$26.81 , N/A ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,63600190,Q4160,HC NUSHIELD PER SQ CM USED - JC,636,1 ,"$1,305.00 ",$939.60 ,$155.20 ,"$1,305.00 ", N/A ,$665.55 ,$717.75 , N/A ,$365.40 ,$682.52 , N/A ,$717.75 , N/A ,$645.98 ,$215.21 , N/A ,$645.98 , N/A ,$913.50 ,$184.68 ,"$1,044.00 ", N/A , N/A ,$913.50 , N/A ,$783.00 , N/A ,$978.75 ,$720.36 ,$649.89 ,$720.36 , N/A ,$720.36 ,"$1,057.05 ","$1,305.00 ","$1,057.05 ","$1,109.25 ", N/A ,$904.37 , N/A ,"$1,305.00 ",$732.11 , N/A ,$341.91 ,"$1,305.00 ",$334.32 ,$319.13 , N/A ,"$1,044.00 ",$645.98 ,$365.40 ,"$1,174.50 ",$495.90 ,$155.20 , N/A ,$626.40 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ABACAVIR 300 MG TABS,637,1 ,$28.33 ,$20.40 ,$7.42 ,$70.83 ,$70.83 ,$15.01 ,$15.58 , N/A ,$7.93 ,$14.82 , N/A ,$15.58 , N/A ,$14.02 ,$11.33 , N/A ,$14.02 , N/A ,$19.83 ,$17.71 ,$22.66 , N/A , N/A ,$19.83 , N/A ,$17.00 , N/A ,$21.25 ,$15.64 ,$14.11 ,$15.64 , N/A ,$15.64 ,$22.95 ,$28.33 ,$22.95 ,$24.08 ,$28.33 ,$19.63 , N/A ,$28.33 ,$15.89 , N/A ,$7.42 ,$28.33 , N/A , N/A , N/A ,$22.66 ,$14.02 ,$7.93 ,$25.50 ,$10.77 ,$15.41 , N/A ,$13.60 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACAMPROSATE EC 333 MG TBEC,637,1 ,$32.55 ,$23.44 ,$8.53 ,$81.38 ,$81.38 ,$17.25 ,$17.90 , N/A ,$9.11 ,$17.02 , N/A ,$17.90 , N/A ,$16.11 ,$13.02 , N/A ,$16.11 , N/A ,$22.79 ,$20.34 ,$26.04 , N/A , N/A ,$22.79 , N/A ,$19.53 , N/A ,$24.41 ,$17.97 ,$16.21 ,$17.97 , N/A ,$17.97 ,$26.37 ,$32.55 ,$26.37 ,$27.67 ,$32.55 ,$22.56 , N/A ,$32.55 ,$18.26 , N/A ,$8.53 ,$32.55 , N/A , N/A , N/A ,$26.04 ,$16.11 ,$9.11 ,$29.30 ,$12.37 ,$17.71 , N/A ,$15.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 160 MG/5ML SOLN,637,1 ,$29.25 ,$21.06 ,$7.66 ,$73.13 ,$73.13 ,$15.50 ,$16.09 , N/A ,$8.19 ,$15.30 , N/A ,$16.09 , N/A ,$14.48 ,$11.70 , N/A ,$14.48 , N/A ,$20.48 ,$18.28 ,$23.40 , N/A , N/A ,$20.48 , N/A ,$17.55 , N/A ,$21.94 ,$16.15 ,$14.57 ,$16.15 , N/A ,$16.15 ,$23.69 ,$29.25 ,$23.69 ,$24.86 ,$29.25 ,$20.27 , N/A ,$29.25 ,$16.41 , N/A ,$7.66 ,$29.25 , N/A , N/A , N/A ,$23.40 ,$14.48 ,$8.19 ,$26.33 ,$11.12 ,$15.91 , N/A ,$14.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 160 MG/5ML SOLN 5 ML CUP,637,1 ,$23.28 ,$16.76 ,$6.10 ,$58.20 ,$58.20 ,$12.34 ,$12.80 , N/A ,$6.52 ,$12.18 , N/A ,$12.80 , N/A ,$11.52 ,$9.31 , N/A ,$11.52 , N/A ,$16.30 ,$14.55 ,$18.62 , N/A , N/A ,$16.30 , N/A ,$13.97 , N/A ,$17.46 ,$12.85 ,$11.59 ,$12.85 , N/A ,$12.85 ,$18.86 ,$23.28 ,$18.86 ,$19.79 ,$23.28 ,$16.13 , N/A ,$23.28 ,$13.06 , N/A ,$6.10 ,$23.28 , N/A , N/A , N/A ,$18.62 ,$11.52 ,$6.52 ,$20.95 ,$8.85 ,$12.66 , N/A ,$11.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 325 MG SUPP,637,1 ,$7.90 ,$5.69 ,$2.07 ,$19.75 ,$19.75 ,$4.19 ,$4.35 , N/A ,$2.21 ,$4.13 , N/A ,$4.35 , N/A ,$3.91 ,$3.16 , N/A ,$3.91 , N/A ,$5.53 ,$4.94 ,$6.32 , N/A , N/A ,$5.53 , N/A ,$4.74 , N/A ,$5.93 ,$4.36 ,$3.93 ,$4.36 , N/A ,$4.36 ,$6.40 ,$7.90 ,$6.40 ,$6.72 ,$7.90 ,$5.47 , N/A ,$7.90 ,$4.43 , N/A ,$2.07 ,$7.90 , N/A , N/A , N/A ,$6.32 ,$3.91 ,$2.21 ,$7.11 ,$3.00 ,$4.30 , N/A ,$3.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN-CODEINE 120-12 MG/5ML SOLN,637,1 ,$33.85 ,$24.37 ,$8.87 ,$84.63 ,$84.63 ,$17.94 ,$18.62 , N/A ,$9.48 ,$17.70 , N/A ,$18.62 , N/A ,$16.76 ,$13.54 , N/A ,$16.76 , N/A ,$23.70 ,$21.16 ,$27.08 , N/A , N/A ,$23.70 , N/A ,$20.31 , N/A ,$25.39 ,$18.69 ,$16.86 ,$18.69 , N/A ,$18.69 ,$27.42 ,$33.85 ,$27.42 ,$28.77 ,$33.85 ,$23.46 , N/A ,$33.85 ,$18.99 , N/A ,$8.87 ,$33.85 , N/A , N/A , N/A ,$27.08 ,$16.76 ,$9.48 ,$30.47 ,$12.86 ,$18.41 , N/A ,$16.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAZOLAMIDE 250 MG TABS,637,1 ,$50.30 ,$36.22 ,$13.18 ,$125.75 ,$125.75 ,$26.66 ,$27.67 , N/A ,$14.08 ,$26.31 , N/A ,$27.67 , N/A ,$24.90 ,$20.12 , N/A ,$24.90 , N/A ,$35.21 ,$31.44 ,$40.24 , N/A , N/A ,$35.21 , N/A ,$30.18 , N/A ,$37.73 ,$27.77 ,$25.05 ,$27.77 , N/A ,$27.77 ,$40.74 ,$50.30 ,$40.74 ,$42.76 ,$50.30 ,$34.86 , N/A ,$50.30 ,$28.22 , N/A ,$13.18 ,$50.30 , N/A , N/A , N/A ,$40.24 ,$24.90 ,$14.08 ,$45.27 ,$19.11 ,$27.36 , N/A ,$24.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAZOLAMIDE ER 500 MG CP12,637,1 ,$45.65 ,$32.87 ,$11.96 ,$114.13 ,$114.13 ,$24.19 ,$25.11 , N/A ,$12.78 ,$23.88 , N/A ,$25.11 , N/A ,$22.60 ,$18.26 , N/A ,$22.60 , N/A ,$31.96 ,$28.53 ,$36.52 , N/A , N/A ,$31.96 , N/A ,$27.39 , N/A ,$34.24 ,$25.20 ,$22.73 ,$25.20 , N/A ,$25.20 ,$36.98 ,$45.65 ,$36.98 ,$38.80 ,$45.65 ,$31.64 , N/A ,$45.65 ,$25.61 , N/A ,$11.96 ,$45.65 , N/A , N/A , N/A ,$36.52 ,$22.60 ,$12.78 ,$41.09 ,$17.35 ,$24.83 , N/A ,$21.91 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACYCLOVIR 200 MG CAPS,637,1 ,$15.73 ,$11.33 ,$4.12 ,$39.33 ,$39.33 ,$8.34 ,$8.65 , N/A ,$4.40 ,$8.23 , N/A ,$8.65 , N/A ,$7.79 ,$6.29 , N/A ,$7.79 , N/A ,$11.01 ,$9.83 ,$12.58 , N/A , N/A ,$11.01 , N/A ,$9.44 , N/A ,$11.80 ,$8.68 ,$7.83 ,$8.68 , N/A ,$8.68 ,$12.74 ,$15.73 ,$12.74 ,$13.37 ,$15.73 ,$10.90 , N/A ,$15.73 ,$8.82 , N/A ,$4.12 ,$15.73 , N/A , N/A , N/A ,$12.58 ,$7.79 ,$4.40 ,$14.16 ,$5.98 ,$8.56 , N/A ,$7.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACYCLOVIR 5 % OINT 5 G TUBE,637,1 ,$772.10 ,$555.91 ,$202.29 ,"$1,930.25 ","$1,930.25 ",$409.21 ,$424.66 , N/A ,$216.19 ,$403.81 , N/A ,$424.66 , N/A ,$382.19 ,$308.84 , N/A ,$382.19 , N/A ,$540.47 ,$482.56 ,$617.68 , N/A , N/A ,$540.47 , N/A ,$463.26 , N/A ,$579.08 ,$426.20 ,$384.51 ,$426.20 , N/A ,$426.20 ,$625.40 ,$772.10 ,$625.40 ,$656.29 ,$772.10 ,$535.07 , N/A ,$772.10 ,$433.15 , N/A ,$202.29 ,$772.10 , N/A , N/A , N/A ,$617.68 ,$382.19 ,$216.19 ,$694.89 ,$293.40 ,$420.02 , N/A ,$370.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALBUTEROL 4 MG TABS,637,1 ,$59.80 ,$43.06 ,$15.67 ,$149.50 ,$149.50 ,$31.69 ,$32.89 , N/A ,$16.74 ,$31.28 , N/A ,$32.89 , N/A ,$29.60 ,$23.92 , N/A ,$29.60 , N/A ,$41.86 ,$37.38 ,$47.84 , N/A , N/A ,$41.86 , N/A ,$35.88 , N/A ,$44.85 ,$33.01 ,$29.78 ,$33.01 , N/A ,$33.01 ,$48.44 ,$59.80 ,$48.44 ,$50.83 ,$59.80 ,$41.44 , N/A ,$59.80 ,$33.55 , N/A ,$15.67 ,$59.80 , N/A , N/A , N/A ,$47.84 ,$29.60 ,$16.74 ,$53.82 ,$22.72 ,$32.53 , N/A ,$28.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT AERS,637,1 ,$30.35 ,$21.85 ,$7.95 ,$75.88 ,$75.88 ,$16.09 ,$16.69 , N/A ,$8.50 ,$15.87 , N/A ,$16.69 , N/A ,$15.02 ,$12.14 , N/A ,$15.02 , N/A ,$21.25 ,$18.97 ,$24.28 , N/A , N/A ,$21.25 , N/A ,$18.21 , N/A ,$22.76 ,$16.75 ,$15.11 ,$16.75 , N/A ,$16.75 ,$24.58 ,$30.35 ,$24.58 ,$25.80 ,$30.35 ,$21.03 , N/A ,$30.35 ,$17.03 , N/A ,$7.95 ,$30.35 , N/A , N/A , N/A ,$24.28 ,$15.02 ,$8.50 ,$27.32 ,$11.53 ,$16.51 , N/A ,$14.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALOGLIPTIN 6.25 MG TABS,637,1 ,$35.10 ,$25.27 ,$9.20 ,$87.75 ,$87.75 ,$18.60 ,$19.31 , N/A ,$9.83 ,$18.36 , N/A ,$19.31 , N/A ,$17.37 ,$14.04 , N/A ,$17.37 , N/A ,$24.57 ,$21.94 ,$28.08 , N/A , N/A ,$24.57 , N/A ,$21.06 , N/A ,$26.33 ,$19.38 ,$17.48 ,$19.38 , N/A ,$19.38 ,$28.43 ,$35.10 ,$28.43 ,$29.84 ,$35.10 ,$24.32 , N/A ,$35.10 ,$19.69 , N/A ,$9.20 ,$35.10 , N/A , N/A , N/A ,$28.08 ,$17.37 ,$9.83 ,$31.59 ,$13.34 ,$19.09 , N/A ,$16.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALOGLIPTIN 12.5 MG TABS,637,1 ,$35.10 ,$25.27 ,$9.20 ,$87.75 ,$87.75 ,$18.60 ,$19.31 , N/A ,$9.83 ,$18.36 , N/A ,$19.31 , N/A ,$17.37 ,$14.04 , N/A ,$17.37 , N/A ,$24.57 ,$21.94 ,$28.08 , N/A , N/A ,$24.57 , N/A ,$21.06 , N/A ,$26.33 ,$19.38 ,$17.48 ,$19.38 , N/A ,$19.38 ,$28.43 ,$35.10 ,$28.43 ,$29.84 ,$35.10 ,$24.32 , N/A ,$35.10 ,$19.69 , N/A ,$9.20 ,$35.10 , N/A , N/A , N/A ,$28.08 ,$17.37 ,$9.83 ,$31.59 ,$13.34 ,$19.09 , N/A ,$16.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALOGLIPTIN 25 MG TABS,637,1 ,$35.10 ,$25.27 ,$9.20 ,$87.75 ,$87.75 ,$18.60 ,$19.31 , N/A ,$9.83 ,$18.36 , N/A ,$19.31 , N/A ,$17.37 ,$14.04 , N/A ,$17.37 , N/A ,$24.57 ,$21.94 ,$28.08 , N/A , N/A ,$24.57 , N/A ,$21.06 , N/A ,$26.33 ,$19.38 ,$17.48 ,$19.38 , N/A ,$19.38 ,$28.43 ,$35.10 ,$28.43 ,$29.84 ,$35.10 ,$24.32 , N/A ,$35.10 ,$19.69 , N/A ,$9.20 ,$35.10 , N/A , N/A , N/A ,$28.08 ,$17.37 ,$9.83 ,$31.59 ,$13.34 ,$19.09 , N/A ,$16.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALVIMOPAN 12 MG CAPS,637,1 ,$600.10 ,$432.07 ,$157.23 ,"$1,500.25 ","$1,500.25 ",$318.05 ,$330.06 , N/A ,$168.03 ,$313.85 , N/A ,$330.06 , N/A ,$297.05 ,$240.04 , N/A ,$297.05 , N/A ,$420.07 ,$375.06 ,$480.08 , N/A , N/A ,$420.07 , N/A ,$360.06 , N/A ,$450.08 ,$331.26 ,$298.85 ,$331.26 , N/A ,$331.26 ,$486.08 ,$600.10 ,$486.08 ,$510.09 ,$600.10 ,$415.87 , N/A ,$600.10 ,$336.66 , N/A ,$157.23 ,$600.10 , N/A , N/A , N/A ,$480.08 ,$297.05 ,$168.03 ,$540.09 ,$228.04 ,$326.45 , N/A ,$288.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMANTADINE 100 MG CAPS,637,1 ,$41.80 ,$30.10 ,$10.95 ,$104.50 ,$104.50 ,$22.15 ,$22.99 , N/A ,$11.70 ,$21.86 , N/A ,$22.99 , N/A ,$20.69 ,$16.72 , N/A ,$20.69 , N/A ,$29.26 ,$26.13 ,$33.44 , N/A , N/A ,$29.26 , N/A ,$25.08 , N/A ,$31.35 ,$23.07 ,$20.82 ,$23.07 , N/A ,$23.07 ,$33.86 ,$41.80 ,$33.86 ,$35.53 ,$41.80 ,$28.97 , N/A ,$41.80 ,$23.45 , N/A ,$10.95 ,$41.80 , N/A , N/A , N/A ,$33.44 ,$20.69 ,$11.70 ,$37.62 ,$15.88 ,$22.74 , N/A ,$20.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMIODARONE 200 MG TABS,637,1 ,$63.60 ,$45.79 ,$16.66 ,$159.00 ,$159.00 ,$33.71 ,$34.98 , N/A ,$17.81 ,$33.26 , N/A ,$34.98 , N/A ,$31.48 ,$25.44 , N/A ,$31.48 , N/A ,$44.52 ,$39.75 ,$50.88 , N/A , N/A ,$44.52 , N/A ,$38.16 , N/A ,$47.70 ,$35.11 ,$31.67 ,$35.11 , N/A ,$35.11 ,$51.52 ,$63.60 ,$51.52 ,$54.06 ,$63.60 ,$44.07 , N/A ,$63.60 ,$35.68 , N/A ,$16.66 ,$63.60 , N/A , N/A , N/A ,$50.88 ,$31.48 ,$17.81 ,$57.24 ,$24.17 ,$34.60 , N/A ,$30.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMLODIPINE 10 MG TABS,637,1 ,$10.15 ,$7.31 ,$2.66 ,$25.38 ,$25.38 ,$5.38 ,$5.58 , N/A ,$2.84 ,$5.31 , N/A ,$5.58 , N/A ,$5.02 ,$4.06 , N/A ,$5.02 , N/A ,$7.11 ,$6.34 ,$8.12 , N/A , N/A ,$7.11 , N/A ,$6.09 , N/A ,$7.61 ,$5.60 ,$5.05 ,$5.60 , N/A ,$5.60 ,$8.22 ,$10.15 ,$8.22 ,$8.63 ,$10.15 ,$7.03 , N/A ,$10.15 ,$5.69 , N/A ,$2.66 ,$10.15 , N/A , N/A , N/A ,$8.12 ,$5.02 ,$2.84 ,$9.14 ,$3.86 ,$5.52 , N/A ,$4.87 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMLODIPINE 5 MG TABS,637,1 ,$9.05 ,$6.52 ,$2.37 ,$22.63 ,$22.63 ,$4.80 ,$4.98 , N/A ,$2.53 ,$4.73 , N/A ,$4.98 , N/A ,$4.48 ,$3.62 , N/A ,$4.48 , N/A ,$6.34 ,$5.66 ,$7.24 , N/A , N/A ,$6.34 , N/A ,$5.43 , N/A ,$6.79 ,$5.00 ,$4.51 ,$5.00 , N/A ,$5.00 ,$7.33 ,$9.05 ,$7.33 ,$7.69 ,$9.05 ,$6.27 , N/A ,$9.05 ,$5.08 , N/A ,$2.37 ,$9.05 , N/A , N/A , N/A ,$7.24 ,$4.48 ,$2.53 ,$8.15 ,$3.44 ,$4.92 , N/A ,$4.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMPHETAMINE-DEXTROAMPHETAMINE XR 10 MG CP24,637,1 ,$55.65 ,$40.07 ,$14.58 ,$139.13 ,$139.13 ,$29.49 ,$30.61 , N/A ,$15.58 ,$29.11 , N/A ,$30.61 , N/A ,$27.55 ,$22.26 , N/A ,$27.55 , N/A ,$38.96 ,$34.78 ,$44.52 , N/A , N/A ,$38.96 , N/A ,$33.39 , N/A ,$41.74 ,$30.72 ,$27.71 ,$30.72 , N/A ,$30.72 ,$45.08 ,$55.65 ,$45.08 ,$47.30 ,$55.65 ,$38.57 , N/A ,$55.65 ,$31.22 , N/A ,$14.58 ,$55.65 , N/A , N/A , N/A ,$44.52 ,$27.55 ,$15.58 ,$50.09 ,$21.15 ,$30.27 , N/A ,$26.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMPHETAMINE-DEXTROAMPHETAMINE XR 5 MG CP24,637,1 ,$16.87 ,$12.15 ,$4.42 ,$42.18 ,$42.18 ,$8.94 ,$9.28 , N/A ,$4.72 ,$8.82 , N/A ,$9.28 , N/A ,$8.35 ,$6.75 , N/A ,$8.35 , N/A ,$11.81 ,$10.54 ,$13.50 , N/A , N/A ,$11.81 , N/A ,$10.12 , N/A ,$12.65 ,$9.31 ,$8.40 ,$9.31 , N/A ,$9.31 ,$13.66 ,$16.87 ,$13.66 ,$14.34 ,$16.87 ,$11.69 , N/A ,$16.87 ,$9.46 , N/A ,$4.42 ,$16.87 , N/A , N/A , N/A ,$13.50 ,$8.35 ,$4.72 ,$15.18 ,$6.41 ,$9.18 , N/A ,$8.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ANASTROZOLE 1 MG TABS,637,1 ,$36.60 ,$26.35 ,$9.59 ,$91.50 ,$91.50 ,$19.40 ,$20.13 , N/A ,$10.25 ,$19.14 , N/A ,$20.13 , N/A ,$18.12 ,$14.64 , N/A ,$18.12 , N/A ,$25.62 ,$22.88 ,$29.28 , N/A , N/A ,$25.62 , N/A ,$21.96 , N/A ,$27.45 ,$20.20 ,$18.23 ,$20.20 , N/A ,$20.20 ,$29.65 ,$36.60 ,$29.65 ,$31.11 ,$36.60 ,$25.36 , N/A ,$36.60 ,$20.53 , N/A ,$9.59 ,$36.60 , N/A , N/A , N/A ,$29.28 ,$18.12 ,$10.25 ,$32.94 ,$13.91 ,$19.91 , N/A ,$17.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,APIXABAN 5 MG TABS,637,1 ,$29.10 ,$20.95 ,$7.62 ,$72.75 ,$72.75 ,$15.42 ,$16.01 , N/A ,$8.15 ,$15.22 , N/A ,$16.01 , N/A ,$14.40 ,$11.64 , N/A ,$14.40 , N/A ,$20.37 ,$18.19 ,$23.28 , N/A , N/A ,$20.37 , N/A ,$17.46 , N/A ,$21.83 ,$16.06 ,$14.49 ,$16.06 , N/A ,$16.06 ,$23.57 ,$29.10 ,$23.57 ,$24.74 ,$29.10 ,$20.17 , N/A ,$29.10 ,$16.33 , N/A ,$7.62 ,$29.10 , N/A , N/A , N/A ,$23.28 ,$14.40 ,$8.15 ,$26.19 ,$11.06 ,$15.83 , N/A ,$13.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARIPIPRAZOLE 2 MG TABS,637,1 ,$216.35 ,$155.77 ,$56.68 ,$540.88 ,$540.88 ,$114.67 ,$118.99 , N/A ,$60.58 ,$113.15 , N/A ,$118.99 , N/A ,$107.09 ,$86.54 , N/A ,$107.09 , N/A ,$151.45 ,$135.22 ,$173.08 , N/A , N/A ,$151.45 , N/A ,$129.81 , N/A ,$162.26 ,$119.43 ,$107.74 ,$119.43 , N/A ,$119.43 ,$175.24 ,$216.35 ,$175.24 ,$183.90 ,$216.35 ,$149.93 , N/A ,$216.35 ,$121.37 , N/A ,$56.68 ,$216.35 , N/A , N/A , N/A ,$173.08 ,$107.09 ,$60.58 ,$194.72 ,$82.21 ,$117.69 , N/A ,$103.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARIPIPRAZOLE 15 MG TABS,637,1 ,$216.35 ,$155.77 ,$56.68 ,$540.88 ,$540.88 ,$114.67 ,$118.99 , N/A ,$60.58 ,$113.15 , N/A ,$118.99 , N/A ,$107.09 ,$86.54 , N/A ,$107.09 , N/A ,$151.45 ,$135.22 ,$173.08 , N/A , N/A ,$151.45 , N/A ,$129.81 , N/A ,$162.26 ,$119.43 ,$107.74 ,$119.43 , N/A ,$119.43 ,$175.24 ,$216.35 ,$175.24 ,$183.90 ,$216.35 ,$149.93 , N/A ,$216.35 ,$121.37 , N/A ,$56.68 ,$216.35 , N/A , N/A , N/A ,$173.08 ,$107.09 ,$60.58 ,$194.72 ,$82.21 ,$117.69 , N/A ,$103.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARIPIPRAZOLE 5 MG TABS,637,1 ,$210.30 ,$151.42 ,$55.10 ,$525.75 ,$525.75 ,$111.46 ,$115.67 , N/A ,$58.88 ,$109.99 , N/A ,$115.67 , N/A ,$104.10 ,$84.12 , N/A ,$104.10 , N/A ,$147.21 ,$131.44 ,$168.24 , N/A , N/A ,$147.21 , N/A ,$126.18 , N/A ,$157.73 ,$116.09 ,$104.73 ,$116.09 , N/A ,$116.09 ,$170.34 ,$210.30 ,$170.34 ,$178.76 ,$210.30 ,$145.74 , N/A ,$210.30 ,$117.98 , N/A ,$55.10 ,$210.30 , N/A , N/A , N/A ,$168.24 ,$104.10 ,$58.88 ,$189.27 ,$79.91 ,$114.40 , N/A ,$100.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARIPIPRAZOLE 10 MG TABS,637,1 ,$210.30 ,$151.42 ,$55.10 ,$525.75 ,$525.75 ,$111.46 ,$115.67 , N/A ,$58.88 ,$109.99 , N/A ,$115.67 , N/A ,$104.10 ,$84.12 , N/A ,$104.10 , N/A ,$147.21 ,$131.44 ,$168.24 , N/A , N/A ,$147.21 , N/A ,$126.18 , N/A ,$157.73 ,$116.09 ,$104.73 ,$116.09 , N/A ,$116.09 ,$170.34 ,$210.30 ,$170.34 ,$178.76 ,$210.30 ,$145.74 , N/A ,$210.30 ,$117.98 , N/A ,$55.10 ,$210.30 , N/A , N/A , N/A ,$168.24 ,$104.10 ,$58.88 ,$189.27 ,$79.91 ,$114.40 , N/A ,$100.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARTIFICIAL TEARS 83-15 % OINT 3.5 G TUBE,637,1 ,$51.80 ,$37.30 ,$13.57 ,$129.50 ,$129.50 ,$27.45 ,$28.49 , N/A ,$14.50 ,$27.09 , N/A ,$28.49 , N/A ,$25.64 ,$20.72 , N/A ,$25.64 , N/A ,$36.26 ,$32.38 ,$41.44 , N/A , N/A ,$36.26 , N/A ,$31.08 , N/A ,$38.85 ,$28.59 ,$25.80 ,$28.59 , N/A ,$28.59 ,$41.96 ,$51.80 ,$41.96 ,$44.03 ,$51.80 ,$35.90 , N/A ,$51.80 ,$29.06 , N/A ,$13.57 ,$51.80 , N/A , N/A , N/A ,$41.44 ,$25.64 ,$14.50 ,$46.62 ,$19.68 ,$28.18 , N/A ,$24.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ARTIFICIAL TEARS OINT 3.5 G TUBE,637,1 ,$69.95 ,$50.36 ,$18.33 ,$174.88 ,$174.88 ,$37.07 ,$38.47 , N/A ,$19.59 ,$36.58 , N/A ,$38.47 , N/A ,$34.63 ,$27.98 , N/A ,$34.63 , N/A ,$48.97 ,$43.72 ,$55.96 , N/A , N/A ,$48.97 , N/A ,$41.97 , N/A ,$52.46 ,$38.61 ,$34.84 ,$38.61 , N/A ,$38.61 ,$56.66 ,$69.95 ,$56.66 ,$59.46 ,$69.95 ,$48.48 , N/A ,$69.95 ,$39.24 , N/A ,$18.33 ,$69.95 , N/A , N/A , N/A ,$55.96 ,$34.63 ,$19.59 ,$62.96 ,$26.58 ,$38.05 , N/A ,$33.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASENAPINE 5 MG SUBL,637,1 ,$108.10 ,$77.83 ,$28.32 ,$270.25 ,$270.25 ,$57.29 ,$59.46 , N/A ,$30.27 ,$56.54 , N/A ,$59.46 , N/A ,$53.51 ,$43.24 , N/A ,$53.51 , N/A ,$75.67 ,$67.56 ,$86.48 , N/A , N/A ,$75.67 , N/A ,$64.86 , N/A ,$81.08 ,$59.67 ,$53.83 ,$59.67 , N/A ,$59.67 ,$87.56 ,$108.10 ,$87.56 ,$91.89 ,$108.10 ,$74.91 , N/A ,$108.10 ,$60.64 , N/A ,$28.32 ,$108.10 , N/A , N/A , N/A ,$86.48 ,$53.51 ,$30.27 ,$97.29 ,$41.08 ,$58.81 , N/A ,$51.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATOMOXETINE 10 MG CAPS,637,1 ,$42.73 ,$30.77 ,$11.20 ,$106.83 ,$106.83 ,$22.65 ,$23.50 , N/A ,$11.96 ,$22.35 , N/A ,$23.50 , N/A ,$21.15 ,$17.09 , N/A ,$21.15 , N/A ,$29.91 ,$26.71 ,$34.18 , N/A , N/A ,$29.91 , N/A ,$25.64 , N/A ,$32.05 ,$23.59 ,$21.28 ,$23.59 , N/A ,$23.59 ,$34.61 ,$42.73 ,$34.61 ,$36.32 ,$42.73 ,$29.61 , N/A ,$42.73 ,$23.97 , N/A ,$11.20 ,$42.73 , N/A , N/A , N/A ,$34.18 ,$21.15 ,$11.96 ,$38.46 ,$16.24 ,$23.25 , N/A ,$20.51 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATOMOXETINE 25 MG CAPS,637,1 ,$42.75 ,$30.78 ,$11.20 ,$106.88 ,$106.88 ,$22.66 ,$23.51 , N/A ,$11.97 ,$22.36 , N/A ,$23.51 , N/A ,$21.16 ,$17.10 , N/A ,$21.16 , N/A ,$29.93 ,$26.72 ,$34.20 , N/A , N/A ,$29.93 , N/A ,$25.65 , N/A ,$32.06 ,$23.60 ,$21.29 ,$23.60 , N/A ,$23.60 ,$34.63 ,$42.75 ,$34.63 ,$36.34 ,$42.75 ,$29.63 , N/A ,$42.75 ,$23.98 , N/A ,$11.20 ,$42.75 , N/A , N/A , N/A ,$34.20 ,$21.16 ,$11.97 ,$38.48 ,$16.25 ,$23.26 , N/A ,$20.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATOMOXETINE 18 MG CAPS,637,1 ,$42.75 ,$30.78 ,$11.20 ,$106.88 ,$106.88 ,$22.66 ,$23.51 , N/A ,$11.97 ,$22.36 , N/A ,$23.51 , N/A ,$21.16 ,$17.10 , N/A ,$21.16 , N/A ,$29.93 ,$26.72 ,$34.20 , N/A , N/A ,$29.93 , N/A ,$25.65 , N/A ,$32.06 ,$23.60 ,$21.29 ,$23.60 , N/A ,$23.60 ,$34.63 ,$42.75 ,$34.63 ,$36.34 ,$42.75 ,$29.63 , N/A ,$42.75 ,$23.98 , N/A ,$11.20 ,$42.75 , N/A , N/A , N/A ,$34.20 ,$21.16 ,$11.97 ,$38.48 ,$16.25 ,$23.26 , N/A ,$20.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATOVAQUONE 750 MG/5ML SUSP,637,1 ,$289.10 ,$208.15 ,$75.74 ,$722.75 ,$722.75 ,$153.22 ,$159.01 , N/A ,$80.95 ,$151.20 , N/A ,$159.01 , N/A ,$143.10 ,$115.64 , N/A ,$143.10 , N/A ,$202.37 ,$180.69 ,$231.28 , N/A , N/A ,$202.37 , N/A ,$173.46 , N/A ,$216.83 ,$159.58 ,$143.97 ,$159.58 , N/A ,$159.58 ,$234.17 ,$289.10 ,$234.17 ,$245.74 ,$289.10 ,$200.35 , N/A ,$289.10 ,$162.19 , N/A ,$75.74 ,$289.10 , N/A , N/A , N/A ,$231.28 ,$143.10 ,$80.95 ,$260.19 ,$109.86 ,$157.27 , N/A ,$138.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AZELASTINE 0.1 % SOLN 30 ML BOTTLE,637,1 ,$578.85 ,$416.77 ,$151.66 ,"$1,447.13 ","$1,447.13 ",$306.79 ,$318.37 , N/A ,$162.08 ,$302.74 , N/A ,$318.37 , N/A ,$286.53 ,$231.54 , N/A ,$286.53 , N/A ,$405.20 ,$361.78 ,$463.08 , N/A , N/A ,$405.20 , N/A ,$347.31 , N/A ,$434.14 ,$319.53 ,$288.27 ,$319.53 , N/A ,$319.53 ,$468.87 ,$578.85 ,$468.87 ,$492.02 ,$578.85 ,$401.14 , N/A ,$578.85 ,$324.73 , N/A ,$151.66 ,$578.85 , N/A , N/A , N/A ,$463.08 ,$286.53 ,$162.08 ,$520.97 ,$219.96 ,$314.89 , N/A ,$277.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AZITHROMYCIN 200 MG/5ML SUSR,637,1 ,$7.98 ,$5.75 ,$2.09 ,$19.95 ,$19.95 ,$4.23 ,$4.39 , N/A ,$2.23 ,$4.17 , N/A ,$4.39 , N/A ,$3.95 ,$3.19 , N/A ,$3.95 , N/A ,$5.59 ,$4.99 ,$6.38 , N/A , N/A ,$5.59 , N/A ,$4.79 , N/A ,$5.99 ,$4.41 ,$3.97 ,$4.41 , N/A ,$4.41 ,$6.46 ,$7.98 ,$6.46 ,$6.78 ,$7.98 ,$5.53 , N/A ,$7.98 ,$4.48 , N/A ,$2.09 ,$7.98 , N/A , N/A , N/A ,$6.38 ,$3.95 ,$2.23 ,$7.18 ,$3.03 ,$4.34 , N/A ,$3.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AZITHROMYCIN 250 MG TABS,637,1 ,$59.15 ,$42.59 ,$15.50 ,$147.88 ,$147.88 ,$31.35 ,$32.53 , N/A ,$16.56 ,$30.94 , N/A ,$32.53 , N/A ,$29.28 ,$23.66 , N/A ,$29.28 , N/A ,$41.41 ,$36.97 ,$47.32 , N/A , N/A ,$41.41 , N/A ,$35.49 , N/A ,$44.36 ,$32.65 ,$29.46 ,$32.65 , N/A ,$32.65 ,$47.91 ,$59.15 ,$47.91 ,$50.28 ,$59.15 ,$40.99 , N/A ,$59.15 ,$33.18 , N/A ,$15.50 ,$59.15 , N/A , N/A , N/A ,$47.32 ,$29.28 ,$16.56 ,$53.24 ,$22.48 ,$32.18 , N/A ,$28.39 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BACITRACIN 500 UNIT/GM OINT 28.4 G TUBE,637,1 ,$60.00 ,$43.20 ,$15.72 ,$150.00 ,$150.00 ,$31.80 ,$33.00 , N/A ,$16.80 ,$31.38 , N/A ,$33.00 , N/A ,$29.70 ,$24.00 , N/A ,$29.70 , N/A ,$42.00 ,$37.50 ,$48.00 , N/A , N/A ,$42.00 , N/A ,$36.00 , N/A ,$45.00 ,$33.12 ,$29.88 ,$33.12 , N/A ,$33.12 ,$48.60 ,$60.00 ,$48.60 ,$51.00 ,$60.00 ,$41.58 , N/A ,$60.00 ,$33.66 , N/A ,$15.72 ,$60.00 , N/A , N/A , N/A ,$48.00 ,$29.70 ,$16.80 ,$54.00 ,$22.80 ,$32.64 , N/A ,$28.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,"BENADRYL,MAALOX,LIDOCAINE 0.68%,SIMETHICONE SUSP",637,1 ,$20.80 ,$14.98 ,$5.45 ,$52.00 ,$52.00 ,$11.02 ,$11.44 , N/A ,$5.82 ,$10.88 , N/A ,$11.44 , N/A ,$10.30 ,$8.32 , N/A ,$10.30 , N/A ,$14.56 ,$13.00 ,$16.64 , N/A , N/A ,$14.56 , N/A ,$12.48 , N/A ,$15.60 ,$11.48 ,$10.36 ,$11.48 , N/A ,$11.48 ,$16.85 ,$20.80 ,$16.85 ,$17.68 ,$20.80 ,$14.41 , N/A ,$20.80 ,$11.67 , N/A ,$5.45 ,$20.80 , N/A , N/A , N/A ,$16.64 ,$10.30 ,$5.82 ,$18.72 ,$7.90 ,$11.32 , N/A ,$9.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BENZTROPINE 1 MG TABS,637,1 ,$7.10 ,$5.11 ,$1.86 ,$17.75 ,$17.75 ,$3.76 ,$3.91 , N/A ,$1.99 ,$3.71 , N/A ,$3.91 , N/A ,$3.51 ,$2.84 , N/A ,$3.51 , N/A ,$4.97 ,$4.44 ,$5.68 , N/A , N/A ,$4.97 , N/A ,$4.26 , N/A ,$5.33 ,$3.92 ,$3.54 ,$3.92 , N/A ,$3.92 ,$5.75 ,$7.10 ,$5.75 ,$6.04 ,$7.10 ,$4.92 , N/A ,$7.10 ,$3.98 , N/A ,$1.86 ,$7.10 , N/A , N/A , N/A ,$5.68 ,$3.51 ,$1.99 ,$6.39 ,$2.70 ,$3.86 , N/A ,$3.41 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BENZTROPINE 0.5 MG TABS,637,1 ,$7.10 ,$5.11 ,$1.86 ,$17.75 ,$17.75 ,$3.76 ,$3.91 , N/A ,$1.99 ,$3.71 , N/A ,$3.91 , N/A ,$3.51 ,$2.84 , N/A ,$3.51 , N/A ,$4.97 ,$4.44 ,$5.68 , N/A , N/A ,$4.97 , N/A ,$4.26 , N/A ,$5.33 ,$3.92 ,$3.54 ,$3.92 , N/A ,$3.92 ,$5.75 ,$7.10 ,$5.75 ,$6.04 ,$7.10 ,$4.92 , N/A ,$7.10 ,$3.98 , N/A ,$1.86 ,$7.10 , N/A , N/A , N/A ,$5.68 ,$3.51 ,$1.99 ,$6.39 ,$2.70 ,$3.86 , N/A ,$3.41 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 120 MG SUPP,637,1 ,$7.10 ,$5.11 ,$1.86 ,$17.75 ,$17.75 ,$3.76 ,$3.91 , N/A ,$1.99 ,$3.71 , N/A ,$3.91 , N/A ,$3.51 ,$2.84 , N/A ,$3.51 , N/A ,$4.97 ,$4.44 ,$5.68 , N/A , N/A ,$4.97 , N/A ,$4.26 , N/A ,$5.33 ,$3.92 ,$3.54 ,$3.92 , N/A ,$3.92 ,$5.75 ,$7.10 ,$5.75 ,$6.04 ,$7.10 ,$4.92 , N/A ,$7.10 ,$3.98 , N/A ,$1.86 ,$7.10 , N/A , N/A , N/A ,$5.68 ,$3.51 ,$1.99 ,$6.39 ,$2.70 ,$3.86 , N/A ,$3.41 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMILORIDE 5 MG TABS,637,1 ,$7.10 ,$5.11 ,$1.86 ,$17.75 ,$17.75 ,$3.76 ,$3.91 , N/A ,$1.99 ,$3.71 , N/A ,$3.91 , N/A ,$3.51 ,$2.84 , N/A ,$3.51 , N/A ,$4.97 ,$4.44 ,$5.68 , N/A , N/A ,$4.97 , N/A ,$4.26 , N/A ,$5.33 ,$3.92 ,$3.54 ,$3.92 , N/A ,$3.92 ,$5.75 ,$7.10 ,$5.75 ,$6.04 ,$7.10 ,$4.92 , N/A ,$7.10 ,$3.98 , N/A ,$1.86 ,$7.10 , N/A , N/A , N/A ,$5.68 ,$3.51 ,$1.99 ,$6.39 ,$2.70 ,$3.86 , N/A ,$3.41 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BICTEGRAVIR-EMTRICITABINE-TENOFOVIR 50-200-25 MG TABS,637,1 ,$394.25 ,$283.86 ,$103.29 ,$985.63 ,$985.63 ,$208.95 ,$216.84 , N/A ,$110.39 ,$206.19 , N/A ,$216.84 , N/A ,$195.15 ,$157.70 , N/A ,$195.15 , N/A ,$275.98 ,$246.41 ,$315.40 , N/A , N/A ,$275.98 , N/A ,$236.55 , N/A ,$295.69 ,$217.63 ,$196.34 ,$217.63 , N/A ,$217.63 ,$319.34 ,$394.25 ,$319.34 ,$335.11 ,$394.25 ,$273.22 , N/A ,$394.25 ,$221.17 , N/A ,$103.29 ,$394.25 , N/A , N/A , N/A ,$315.40 ,$195.15 ,$110.39 ,$354.83 ,$149.82 ,$214.47 , N/A ,$189.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE,637,1 ,$6.20 ,$4.46 ,$1.62 ,$15.50 ,$15.50 ,$3.29 ,$3.41 , N/A ,$1.74 ,$3.24 , N/A ,$3.41 , N/A ,$3.07 ,$2.48 , N/A ,$3.07 , N/A ,$4.34 ,$3.88 ,$4.96 , N/A , N/A ,$4.34 , N/A ,$3.72 , N/A ,$4.65 ,$3.42 ,$3.09 ,$3.42 , N/A ,$3.42 ,$5.02 ,$6.20 ,$5.02 ,$5.27 ,$6.20 ,$4.30 , N/A ,$6.20 ,$3.48 , N/A ,$1.62 ,$6.20 , N/A , N/A , N/A ,$4.96 ,$3.07 ,$1.74 ,$5.58 ,$2.36 ,$3.37 , N/A ,$2.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMITRIPTYLINE 25 MG TABS,637,1 ,$6.20 ,$4.46 ,$1.62 ,$15.50 ,$15.50 ,$3.29 ,$3.41 , N/A ,$1.74 ,$3.24 , N/A ,$3.41 , N/A ,$3.07 ,$2.48 , N/A ,$3.07 , N/A ,$4.34 ,$3.88 ,$4.96 , N/A , N/A ,$4.34 , N/A ,$3.72 , N/A ,$4.65 ,$3.42 ,$3.09 ,$3.42 , N/A ,$3.42 ,$5.02 ,$6.20 ,$5.02 ,$5.27 ,$6.20 ,$4.30 , N/A ,$6.20 ,$3.48 , N/A ,$1.62 ,$6.20 , N/A , N/A , N/A ,$4.96 ,$3.07 ,$1.74 ,$5.58 ,$2.36 ,$3.37 , N/A ,$2.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BRIVARACETAM 50 MG TABS,637,1 ,$71.43 ,$51.43 ,$18.71 ,$178.58 ,$178.58 ,$37.86 ,$39.29 , N/A ,$20.00 ,$37.36 , N/A ,$39.29 , N/A ,$35.36 ,$28.57 , N/A ,$35.36 , N/A ,$50.00 ,$44.64 ,$57.14 , N/A , N/A ,$50.00 , N/A ,$42.86 , N/A ,$53.57 ,$39.43 ,$35.57 ,$39.43 , N/A ,$39.43 ,$57.86 ,$71.43 ,$57.86 ,$60.72 ,$71.43 ,$49.50 , N/A ,$71.43 ,$40.07 , N/A ,$18.71 ,$71.43 , N/A , N/A , N/A ,$57.14 ,$35.36 ,$20.00 ,$64.29 ,$27.14 ,$38.86 , N/A ,$34.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BROMOCRIPTINE 2.5 MG TABS,637,1 ,$66.25 ,$47.70 ,$17.36 ,$165.63 ,$165.63 ,$35.11 ,$36.44 , N/A ,$18.55 ,$34.65 , N/A ,$36.44 , N/A ,$32.79 ,$26.50 , N/A ,$32.79 , N/A ,$46.38 ,$41.41 ,$53.00 , N/A , N/A ,$46.38 , N/A ,$39.75 , N/A ,$49.69 ,$36.57 ,$32.99 ,$36.57 , N/A ,$36.57 ,$53.66 ,$66.25 ,$53.66 ,$56.31 ,$66.25 ,$45.91 , N/A ,$66.25 ,$37.17 , N/A ,$17.36 ,$66.25 , N/A , N/A , N/A ,$53.00 ,$32.79 ,$18.55 ,$59.63 ,$25.18 ,$36.04 , N/A ,$31.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUPROPION 100 MG TABS,637,1 ,$25.48 ,$18.35 ,$6.68 ,$63.70 ,$63.70 ,$13.50 ,$14.01 , N/A ,$7.13 ,$13.33 , N/A ,$14.01 , N/A ,$12.61 ,$10.19 , N/A ,$12.61 , N/A ,$17.84 ,$15.93 ,$20.38 , N/A , N/A ,$17.84 , N/A ,$15.29 , N/A ,$19.11 ,$14.07 ,$12.69 ,$14.07 , N/A ,$14.07 ,$20.64 ,$25.48 ,$20.64 ,$21.66 ,$25.48 ,$17.66 , N/A ,$25.48 ,$14.29 , N/A ,$6.68 ,$25.48 , N/A , N/A , N/A ,$20.38 ,$12.61 ,$7.13 ,$22.93 ,$9.68 ,$13.86 , N/A ,$12.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUPROPION 75 MG TABS,637,1 ,$18.60 ,$13.39 ,$4.87 ,$46.50 ,$46.50 ,$9.86 ,$10.23 , N/A ,$5.21 ,$9.73 , N/A ,$10.23 , N/A ,$9.21 ,$7.44 , N/A ,$9.21 , N/A ,$13.02 ,$11.63 ,$14.88 , N/A , N/A ,$13.02 , N/A ,$11.16 , N/A ,$13.95 ,$10.27 ,$9.26 ,$10.27 , N/A ,$10.27 ,$15.07 ,$18.60 ,$15.07 ,$15.81 ,$18.60 ,$12.89 , N/A ,$18.60 ,$10.43 , N/A ,$4.87 ,$18.60 , N/A , N/A , N/A ,$14.88 ,$9.21 ,$5.21 ,$16.74 ,$7.07 ,$10.12 , N/A ,$8.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUPROPION SR 100 MG TB12,637,1 ,$20.00 ,$14.40 ,$5.24 ,$50.00 ,$50.00 ,$10.60 ,$11.00 , N/A ,$5.60 ,$10.46 , N/A ,$11.00 , N/A ,$9.90 ,$8.00 , N/A ,$9.90 , N/A ,$14.00 ,$12.50 ,$16.00 , N/A , N/A ,$14.00 , N/A ,$12.00 , N/A ,$15.00 ,$11.04 ,$9.96 ,$11.04 , N/A ,$11.04 ,$16.20 ,$20.00 ,$16.20 ,$17.00 ,$20.00 ,$13.86 , N/A ,$20.00 ,$11.22 , N/A ,$5.24 ,$20.00 , N/A , N/A , N/A ,$16.00 ,$9.90 ,$5.60 ,$18.00 ,$7.60 ,$10.88 , N/A ,$9.60 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUPROPION XL 150 MG TB24,637,1 ,$55.90 ,$40.25 ,$14.65 ,$139.75 ,$139.75 ,$29.63 ,$30.75 , N/A ,$15.65 ,$29.24 , N/A ,$30.75 , N/A ,$27.67 ,$22.36 , N/A ,$27.67 , N/A ,$39.13 ,$34.94 ,$44.72 , N/A , N/A ,$39.13 , N/A ,$33.54 , N/A ,$41.93 ,$30.86 ,$27.84 ,$30.86 , N/A ,$30.86 ,$45.28 ,$55.90 ,$45.28 ,$47.52 ,$55.90 ,$38.74 , N/A ,$55.90 ,$31.36 , N/A ,$14.65 ,$55.90 , N/A , N/A , N/A ,$44.72 ,$27.67 ,$15.65 ,$50.31 ,$21.24 ,$30.41 , N/A ,$26.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUSPIRONE 10 MG TABS,637,1 ,$16.15 ,$11.63 ,$4.23 ,$40.38 ,$40.38 ,$8.56 ,$8.88 , N/A ,$4.52 ,$8.45 , N/A ,$8.88 , N/A ,$7.99 ,$6.46 , N/A ,$7.99 , N/A ,$11.31 ,$10.09 ,$12.92 , N/A , N/A ,$11.31 , N/A ,$9.69 , N/A ,$12.11 ,$8.91 ,$8.04 ,$8.91 , N/A ,$8.91 ,$13.08 ,$16.15 ,$13.08 ,$13.73 ,$16.15 ,$11.19 , N/A ,$16.15 ,$9.06 , N/A ,$4.23 ,$16.15 , N/A , N/A , N/A ,$12.92 ,$7.99 ,$4.52 ,$14.54 ,$6.14 ,$8.79 , N/A ,$7.75 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,637,1 ,$4.25 ,$3.06 ,$1.11 ,$10.63 ,$10.63 ,$2.25 ,$2.34 , N/A ,$1.19 ,$2.22 , N/A ,$2.34 , N/A ,$2.10 ,$1.70 , N/A ,$2.10 , N/A ,$2.98 ,$2.66 ,$3.40 , N/A , N/A ,$2.98 , N/A ,$2.55 , N/A ,$3.19 ,$2.35 ,$2.12 ,$2.35 , N/A ,$2.35 ,$3.44 ,$4.25 ,$3.44 ,$3.61 ,$4.25 ,$2.95 , N/A ,$4.25 ,$2.38 , N/A ,$1.11 ,$4.25 , N/A , N/A , N/A ,$3.40 ,$2.10 ,$1.19 ,$3.83 ,$1.62 ,$2.31 , N/A ,$2.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-325-40 MG TABS,637,1 ,$23.45 ,$16.88 ,$6.14 ,$58.63 ,$58.63 ,$12.43 ,$12.90 , N/A ,$6.57 ,$12.26 , N/A ,$12.90 , N/A ,$11.61 ,$9.38 , N/A ,$11.61 , N/A ,$16.42 ,$14.66 ,$18.76 , N/A , N/A ,$16.42 , N/A ,$14.07 , N/A ,$17.59 ,$12.94 ,$11.68 ,$12.94 , N/A ,$12.94 ,$18.99 ,$23.45 ,$18.99 ,$19.93 ,$23.45 ,$16.25 , N/A ,$23.45 ,$13.16 , N/A ,$6.14 ,$23.45 , N/A , N/A , N/A ,$18.76 ,$11.61 ,$6.57 ,$21.11 ,$8.91 ,$12.76 , N/A ,$11.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALAMINE WITH ZINC 8-8 % LOTN 177 ML BOTTLE,637,1 ,$27.65 ,$19.91 ,$7.24 ,$69.13 ,$69.13 ,$14.65 ,$15.21 , N/A ,$7.74 ,$14.46 , N/A ,$15.21 , N/A ,$13.69 ,$11.06 , N/A ,$13.69 , N/A ,$19.36 ,$17.28 ,$22.12 , N/A , N/A ,$19.36 , N/A ,$16.59 , N/A ,$20.74 ,$15.26 ,$13.77 ,$15.26 , N/A ,$15.26 ,$22.40 ,$27.65 ,$22.40 ,$23.50 ,$27.65 ,$19.16 , N/A ,$27.65 ,$15.51 , N/A ,$7.24 ,$27.65 , N/A , N/A , N/A ,$22.12 ,$13.69 ,$7.74 ,$24.89 ,$10.51 ,$15.04 , N/A ,$13.27 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCITONIN 200 UNIT/ACT SOLN 3.7 ML BOTTLE,637,1 ,$652.00 ,$469.44 ,$170.82 ,"$1,630.00 ","$1,630.00 ",$345.56 ,$358.60 , N/A ,$182.56 ,$341.00 , N/A ,$358.60 , N/A ,$322.74 ,$260.80 , N/A ,$322.74 , N/A ,$456.40 ,$407.50 ,$521.60 , N/A , N/A ,$456.40 , N/A ,$391.20 , N/A ,$489.00 ,$359.90 ,$324.70 ,$359.90 , N/A ,$359.90 ,$528.12 ,$652.00 ,$528.12 ,$554.20 ,$652.00 ,$451.84 , N/A ,$652.00 ,$365.77 , N/A ,$170.82 ,$652.00 , N/A , N/A , N/A ,$521.60 ,$322.74 ,$182.56 ,$586.80 ,$247.76 ,$354.69 , N/A ,$312.96 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARBONATE 1250 (500 CA) MG CHEW,637,1 ,$7.15 ,$5.15 ,$1.87 ,$17.88 ,$17.88 ,$3.79 ,$3.93 , N/A ,$2.00 ,$3.74 , N/A ,$3.93 , N/A ,$3.54 ,$2.86 , N/A ,$3.54 , N/A ,$5.01 ,$4.47 ,$5.72 , N/A , N/A ,$5.01 , N/A ,$4.29 , N/A ,$5.36 ,$3.95 ,$3.56 ,$3.95 , N/A ,$3.95 ,$5.79 ,$7.15 ,$5.79 ,$6.08 ,$7.15 ,$4.96 , N/A ,$7.15 ,$4.01 , N/A ,$1.87 ,$7.15 , N/A , N/A , N/A ,$5.72 ,$3.54 ,$2.00 ,$6.44 ,$2.72 ,$3.89 , N/A ,$3.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 650 MG SUPP,637,1 ,$7.15 ,$5.15 ,$1.87 ,$17.88 ,$17.88 ,$3.79 ,$3.93 , N/A ,$2.00 ,$3.74 , N/A ,$3.93 , N/A ,$3.54 ,$2.86 , N/A ,$3.54 , N/A ,$5.01 ,$4.47 ,$5.72 , N/A , N/A ,$5.01 , N/A ,$4.29 , N/A ,$5.36 ,$3.95 ,$3.56 ,$3.95 , N/A ,$3.95 ,$5.79 ,$7.15 ,$5.79 ,$6.08 ,$7.15 ,$4.96 , N/A ,$7.15 ,$4.01 , N/A ,$1.87 ,$7.15 , N/A , N/A , N/A ,$5.72 ,$3.54 ,$2.00 ,$6.44 ,$2.72 ,$3.89 , N/A ,$3.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CAPTOPRIL 25 MG TABS,637,1 ,$22.15 ,$15.95 ,$5.80 ,$55.38 ,$55.38 ,$11.74 ,$12.18 , N/A ,$6.20 ,$11.58 , N/A ,$12.18 , N/A ,$10.96 ,$8.86 , N/A ,$10.96 , N/A ,$15.51 ,$13.84 ,$17.72 , N/A , N/A ,$15.51 , N/A ,$13.29 , N/A ,$16.61 ,$12.23 ,$11.03 ,$12.23 , N/A ,$12.23 ,$17.94 ,$22.15 ,$17.94 ,$18.83 ,$22.15 ,$15.35 , N/A ,$22.15 ,$12.43 , N/A ,$5.80 ,$22.15 , N/A , N/A , N/A ,$17.72 ,$10.96 ,$6.20 ,$19.94 ,$8.42 ,$12.05 , N/A ,$10.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE 100 MG/5ML SUSP,637,1 ,$43.60 ,$31.39 ,$11.42 ,$109.00 ,$109.00 ,$23.11 ,$23.98 , N/A ,$12.21 ,$22.80 , N/A ,$23.98 , N/A ,$21.58 ,$17.44 , N/A ,$21.58 , N/A ,$30.52 ,$27.25 ,$34.88 , N/A , N/A ,$30.52 , N/A ,$26.16 , N/A ,$32.70 ,$24.07 ,$21.71 ,$24.07 , N/A ,$24.07 ,$35.32 ,$43.60 ,$35.32 ,$37.06 ,$43.60 ,$30.21 , N/A ,$43.60 ,$24.46 , N/A ,$11.42 ,$43.60 , N/A , N/A , N/A ,$34.88 ,$21.58 ,$12.21 ,$39.24 ,$16.57 ,$23.72 , N/A ,$20.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE 200 MG TABS,637,1 ,$8.80 ,$6.34 ,$2.31 ,$22.00 ,$22.00 ,$4.66 ,$4.84 , N/A ,$2.46 ,$4.60 , N/A ,$4.84 , N/A ,$4.36 ,$3.52 , N/A ,$4.36 , N/A ,$6.16 ,$5.50 ,$7.04 , N/A , N/A ,$6.16 , N/A ,$5.28 , N/A ,$6.60 ,$4.86 ,$4.38 ,$4.86 , N/A ,$4.86 ,$7.13 ,$8.80 ,$7.13 ,$7.48 ,$8.80 ,$6.10 , N/A ,$8.80 ,$4.94 , N/A ,$2.31 ,$8.80 , N/A , N/A , N/A ,$7.04 ,$4.36 ,$2.46 ,$7.92 ,$3.34 ,$4.79 , N/A ,$4.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMLODIPINE 2.5 MG TABS,637,1 ,$8.80 ,$6.34 ,$2.31 ,$22.00 ,$22.00 ,$4.66 ,$4.84 , N/A ,$2.46 ,$4.60 , N/A ,$4.84 , N/A ,$4.36 ,$3.52 , N/A ,$4.36 , N/A ,$6.16 ,$5.50 ,$7.04 , N/A , N/A ,$6.16 , N/A ,$5.28 , N/A ,$6.60 ,$4.86 ,$4.38 ,$4.86 , N/A ,$4.86 ,$7.13 ,$8.80 ,$7.13 ,$7.48 ,$8.80 ,$6.10 , N/A ,$8.80 ,$4.94 , N/A ,$2.31 ,$8.80 , N/A , N/A , N/A ,$7.04 ,$4.36 ,$2.46 ,$7.92 ,$3.34 ,$4.79 , N/A ,$4.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE ER 200 MG CP12,637,1 ,$47.28 ,$34.04 ,$12.39 ,$118.20 ,$118.20 ,$25.06 ,$26.00 , N/A ,$13.24 ,$24.73 , N/A ,$26.00 , N/A ,$23.40 ,$18.91 , N/A ,$23.40 , N/A ,$33.10 ,$29.55 ,$37.82 , N/A , N/A ,$33.10 , N/A ,$28.37 , N/A ,$35.46 ,$26.10 ,$23.55 ,$26.10 , N/A ,$26.10 ,$38.30 ,$47.28 ,$38.30 ,$40.19 ,$47.28 ,$32.77 , N/A ,$47.28 ,$26.52 , N/A ,$12.39 ,$47.28 , N/A , N/A , N/A ,$37.82 ,$23.40 ,$13.24 ,$42.55 ,$17.97 ,$25.72 , N/A ,$22.69 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE XR 100 MG TB12,637,1 ,$6.30 ,$4.54 ,$1.65 ,$15.75 ,$15.75 ,$3.34 ,$3.47 , N/A ,$1.76 ,$3.29 , N/A ,$3.47 , N/A ,$3.12 ,$2.52 , N/A ,$3.12 , N/A ,$4.41 ,$3.94 ,$5.04 , N/A , N/A ,$4.41 , N/A ,$3.78 , N/A ,$4.73 ,$3.48 ,$3.14 ,$3.48 , N/A ,$3.48 ,$5.10 ,$6.30 ,$5.10 ,$5.36 ,$6.30 ,$4.37 , N/A ,$6.30 ,$3.53 , N/A ,$1.65 ,$6.30 , N/A , N/A , N/A ,$5.04 ,$3.12 ,$1.76 ,$5.67 ,$2.39 ,$3.43 , N/A ,$3.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BACITRACIN 500 UNIT/GM OINT,637,1 ,$6.30 ,$4.54 ,$1.65 ,$15.75 ,$15.75 ,$3.34 ,$3.47 , N/A ,$1.76 ,$3.29 , N/A ,$3.47 , N/A ,$3.12 ,$2.52 , N/A ,$3.12 , N/A ,$4.41 ,$3.94 ,$5.04 , N/A , N/A ,$4.41 , N/A ,$3.78 , N/A ,$4.73 ,$3.48 ,$3.14 ,$3.48 , N/A ,$3.48 ,$5.10 ,$6.30 ,$5.10 ,$5.36 ,$6.30 ,$4.37 , N/A ,$6.30 ,$3.53 , N/A ,$1.65 ,$6.30 , N/A , N/A , N/A ,$5.04 ,$3.12 ,$1.76 ,$5.67 ,$2.39 ,$3.43 , N/A ,$3.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE XR 200 MG TB12,637,1 ,$48.50 ,$34.92 ,$12.71 ,$121.25 ,$121.25 ,$25.71 ,$26.68 , N/A ,$13.58 ,$25.37 , N/A ,$26.68 , N/A ,$24.01 ,$19.40 , N/A ,$24.01 , N/A ,$33.95 ,$30.31 ,$38.80 , N/A , N/A ,$33.95 , N/A ,$29.10 , N/A ,$36.38 ,$26.77 ,$24.15 ,$26.77 , N/A ,$26.77 ,$39.29 ,$48.50 ,$39.29 ,$41.23 ,$48.50 ,$33.61 , N/A ,$48.50 ,$27.21 , N/A ,$12.71 ,$48.50 , N/A , N/A , N/A ,$38.80 ,$24.01 ,$13.58 ,$43.65 ,$18.43 ,$26.38 , N/A ,$23.28 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBIDOPA-LEVODOPA 25-100 MG TABS,637,1 ,$9.85 ,$7.09 ,$2.58 ,$24.63 ,$24.63 ,$5.22 ,$5.42 , N/A ,$2.76 ,$5.15 , N/A ,$5.42 , N/A ,$4.88 ,$3.94 , N/A ,$4.88 , N/A ,$6.90 ,$6.16 ,$7.88 , N/A , N/A ,$6.90 , N/A ,$5.91 , N/A ,$7.39 ,$5.44 ,$4.91 ,$5.44 , N/A ,$5.44 ,$7.98 ,$9.85 ,$7.98 ,$8.37 ,$9.85 ,$6.83 , N/A ,$9.85 ,$5.53 , N/A ,$2.58 ,$9.85 , N/A , N/A , N/A ,$7.88 ,$4.88 ,$2.76 ,$8.87 ,$3.74 ,$5.36 , N/A ,$4.73 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBIDOPA-LEVODOPA CR 25-100 MG TBCR,637,1 ,$11.18 ,$8.05 ,$2.93 ,$27.95 ,$27.95 ,$5.93 ,$6.15 , N/A ,$3.13 ,$5.85 , N/A ,$6.15 , N/A ,$5.53 ,$4.47 , N/A ,$5.53 , N/A ,$7.83 ,$6.99 ,$8.94 , N/A , N/A ,$7.83 , N/A ,$6.71 , N/A ,$8.39 ,$6.17 ,$5.57 ,$6.17 , N/A ,$6.17 ,$9.06 ,$11.18 ,$9.06 ,$9.50 ,$11.18 ,$7.75 , N/A ,$11.18 ,$6.27 , N/A ,$2.93 ,$11.18 , N/A , N/A , N/A ,$8.94 ,$5.53 ,$3.13 ,$10.06 ,$4.25 ,$6.08 , N/A ,$5.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBIDOPA-LEVODOPA CR 50-200 MG TBCR,637,1 ,$19.00 ,$13.68 ,$4.98 ,$47.50 ,$47.50 ,$10.07 ,$10.45 , N/A ,$5.32 ,$9.94 , N/A ,$10.45 , N/A ,$9.41 ,$7.60 , N/A ,$9.41 , N/A ,$13.30 ,$11.88 ,$15.20 , N/A , N/A ,$13.30 , N/A ,$11.40 , N/A ,$14.25 ,$10.49 ,$9.46 ,$10.49 , N/A ,$10.49 ,$15.39 ,$19.00 ,$15.39 ,$16.15 ,$19.00 ,$13.17 , N/A ,$19.00 ,$10.66 , N/A ,$4.98 ,$19.00 , N/A , N/A , N/A ,$15.20 ,$9.41 ,$5.32 ,$17.10 ,$7.22 ,$10.34 , N/A ,$9.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARVEDILOL 25 MG TABS,637,1 ,$9.50 ,$6.84 ,$2.49 ,$23.75 ,$23.75 ,$5.04 ,$5.23 , N/A ,$2.66 ,$4.97 , N/A ,$5.23 , N/A ,$4.70 ,$3.80 , N/A ,$4.70 , N/A ,$6.65 ,$5.94 ,$7.60 , N/A , N/A ,$6.65 , N/A ,$5.70 , N/A ,$7.13 ,$5.24 ,$4.73 ,$5.24 , N/A ,$5.24 ,$7.70 ,$9.50 ,$7.70 ,$8.08 ,$9.50 ,$6.58 , N/A ,$9.50 ,$5.33 , N/A ,$2.49 ,$9.50 , N/A , N/A , N/A ,$7.60 ,$4.70 ,$2.66 ,$8.55 ,$3.61 ,$5.17 , N/A ,$4.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARVEDILOL 6.25 MG TABS,637,1 ,$25.65 ,$18.47 ,$6.72 ,$64.13 ,$64.13 ,$13.59 ,$14.11 , N/A ,$7.18 ,$13.42 , N/A ,$14.11 , N/A ,$12.70 ,$10.26 , N/A ,$12.70 , N/A ,$17.96 ,$16.03 ,$20.52 , N/A , N/A ,$17.96 , N/A ,$15.39 , N/A ,$19.24 ,$14.16 ,$12.77 ,$14.16 , N/A ,$14.16 ,$20.78 ,$25.65 ,$20.78 ,$21.80 ,$25.65 ,$17.78 , N/A ,$25.65 ,$14.39 , N/A ,$6.72 ,$25.65 , N/A , N/A , N/A ,$20.52 ,$12.70 ,$7.18 ,$23.09 ,$9.75 ,$13.95 , N/A ,$12.31 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARVEDILOL 3.125 MG TABS,637,1 ,$25.65 ,$18.47 ,$6.72 ,$64.13 ,$64.13 ,$13.59 ,$14.11 , N/A ,$7.18 ,$13.42 , N/A ,$14.11 , N/A ,$12.70 ,$10.26 , N/A ,$12.70 , N/A ,$17.96 ,$16.03 ,$20.52 , N/A , N/A ,$17.96 , N/A ,$15.39 , N/A ,$19.24 ,$14.16 ,$12.77 ,$14.16 , N/A ,$14.16 ,$20.78 ,$25.65 ,$20.78 ,$21.80 ,$25.65 ,$17.78 , N/A ,$25.65 ,$14.39 , N/A ,$6.72 ,$25.65 , N/A , N/A , N/A ,$20.52 ,$12.70 ,$7.18 ,$23.09 ,$9.75 ,$13.95 , N/A ,$12.31 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEFDINIR 125 MG/5ML SUSR,637,1 ,$69.70 ,$50.18 ,$18.26 ,$174.25 ,$174.25 ,$36.94 ,$38.34 , N/A ,$19.52 ,$36.45 , N/A ,$38.34 , N/A ,$34.50 ,$27.88 , N/A ,$34.50 , N/A ,$48.79 ,$43.56 ,$55.76 , N/A , N/A ,$48.79 , N/A ,$41.82 , N/A ,$52.28 ,$38.47 ,$34.71 ,$38.47 , N/A ,$38.47 ,$56.46 ,$69.70 ,$56.46 ,$59.25 ,$69.70 ,$48.30 , N/A ,$69.70 ,$39.10 , N/A ,$18.26 ,$69.70 , N/A , N/A , N/A ,$55.76 ,$34.50 ,$19.52 ,$62.73 ,$26.49 ,$37.92 , N/A ,$33.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEFDINIR 300 MG CAPS,637,1 ,$17.90 ,$12.89 ,$4.69 ,$44.75 ,$44.75 ,$9.49 ,$9.85 , N/A ,$5.01 ,$9.36 , N/A ,$9.85 , N/A ,$8.86 ,$7.16 , N/A ,$8.86 , N/A ,$12.53 ,$11.19 ,$14.32 , N/A , N/A ,$12.53 , N/A ,$10.74 , N/A ,$13.43 ,$9.88 ,$8.91 ,$9.88 , N/A ,$9.88 ,$14.50 ,$17.90 ,$14.50 ,$15.22 ,$17.90 ,$12.40 , N/A ,$17.90 ,$10.04 , N/A ,$4.69 ,$17.90 , N/A , N/A , N/A ,$14.32 ,$8.86 ,$5.01 ,$16.11 ,$6.80 ,$9.74 , N/A ,$8.59 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEFUROXIME 250 MG TABS,637,1 ,$49.50 ,$35.64 ,$12.97 ,$123.75 ,$123.75 ,$26.24 ,$27.23 , N/A ,$13.86 ,$25.89 , N/A ,$27.23 , N/A ,$24.50 ,$19.80 , N/A ,$24.50 , N/A ,$34.65 ,$30.94 ,$39.60 , N/A , N/A ,$34.65 , N/A ,$29.70 , N/A ,$37.13 ,$27.32 ,$24.65 ,$27.32 , N/A ,$27.32 ,$40.10 ,$49.50 ,$40.10 ,$42.08 ,$49.50 ,$34.30 , N/A ,$49.50 ,$27.77 , N/A ,$12.97 ,$49.50 , N/A , N/A , N/A ,$39.60 ,$24.50 ,$13.86 ,$44.55 ,$18.81 ,$26.93 , N/A ,$23.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CELECOXIB 100 MG CAPS,637,1 ,$55.45 ,$39.92 ,$14.53 ,$138.63 ,$138.63 ,$29.39 ,$30.50 , N/A ,$15.53 ,$29.00 , N/A ,$30.50 , N/A ,$27.45 ,$22.18 , N/A ,$27.45 , N/A ,$38.82 ,$34.66 ,$44.36 , N/A , N/A ,$38.82 , N/A ,$33.27 , N/A ,$41.59 ,$30.61 ,$27.61 ,$30.61 , N/A ,$30.61 ,$44.91 ,$55.45 ,$44.91 ,$47.13 ,$55.45 ,$38.43 , N/A ,$55.45 ,$31.11 , N/A ,$14.53 ,$55.45 , N/A , N/A , N/A ,$44.36 ,$27.45 ,$15.53 ,$49.91 ,$21.07 ,$30.16 , N/A ,$26.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CELECOXIB 200 MG CAPS,637,1 ,$29.15 ,$20.99 ,$7.64 ,$72.88 ,$72.88 ,$15.45 ,$16.03 , N/A ,$8.16 ,$15.25 , N/A ,$16.03 , N/A ,$14.43 ,$11.66 , N/A ,$14.43 , N/A ,$20.41 ,$18.22 ,$23.32 , N/A , N/A ,$20.41 , N/A ,$17.49 , N/A ,$21.86 ,$16.09 ,$14.52 ,$16.09 , N/A ,$16.09 ,$23.61 ,$29.15 ,$23.61 ,$24.78 ,$29.15 ,$20.20 , N/A ,$29.15 ,$16.35 , N/A ,$7.64 ,$29.15 , N/A , N/A , N/A ,$23.32 ,$14.43 ,$8.16 ,$26.24 ,$11.08 ,$15.86 , N/A ,$13.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEPHALEXIN 250 MG CAPS,637,1 ,$8.58 ,$6.18 ,$2.25 ,$21.45 ,$21.45 ,$4.55 ,$4.72 , N/A ,$2.40 ,$4.49 , N/A ,$4.72 , N/A ,$4.25 ,$3.43 , N/A ,$4.25 , N/A ,$6.01 ,$5.36 ,$6.86 , N/A , N/A ,$6.01 , N/A ,$5.15 , N/A ,$6.44 ,$4.74 ,$4.27 ,$4.74 , N/A ,$4.74 ,$6.95 ,$8.58 ,$6.95 ,$7.29 ,$8.58 ,$5.95 , N/A ,$8.58 ,$4.81 , N/A ,$2.25 ,$8.58 , N/A , N/A , N/A ,$6.86 ,$4.25 ,$2.40 ,$7.72 ,$3.26 ,$4.67 , N/A ,$4.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEPHALEXIN 250 MG/5ML SUSR,637,1 ,$1.95 ,$1.40 ,$0.51 ,$4.88 ,$4.88 ,$1.03 ,$1.07 , N/A ,$0.55 ,$1.02 , N/A ,$1.07 , N/A ,$0.97 ,$0.78 , N/A ,$0.97 , N/A ,$1.37 ,$1.22 ,$1.56 , N/A , N/A ,$1.37 , N/A ,$1.17 , N/A ,$1.46 ,$1.08 ,$0.97 ,$1.08 , N/A ,$1.08 ,$1.58 ,$1.95 ,$1.58 ,$1.66 ,$1.95 ,$1.35 , N/A ,$1.95 ,$1.09 , N/A ,$0.51 ,$1.95 , N/A , N/A , N/A ,$1.56 ,$0.97 ,$0.55 ,$1.76 ,$0.74 ,$1.06 , N/A ,$0.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEPHALEXIN 500 MG CAPS,637,1 ,$16.25 ,$11.70 ,$4.26 ,$40.63 ,$40.63 ,$8.61 ,$8.94 , N/A ,$4.55 ,$8.50 , N/A ,$8.94 , N/A ,$8.04 ,$6.50 , N/A ,$8.04 , N/A ,$11.38 ,$10.16 ,$13.00 , N/A , N/A ,$11.38 , N/A ,$9.75 , N/A ,$12.19 ,$8.97 ,$8.09 ,$8.97 , N/A ,$8.97 ,$13.16 ,$16.25 ,$13.16 ,$13.81 ,$16.25 ,$11.26 , N/A ,$16.25 ,$9.12 , N/A ,$4.26 ,$16.25 , N/A , N/A , N/A ,$13.00 ,$8.04 ,$4.55 ,$14.63 ,$6.18 ,$8.84 , N/A ,$7.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CETIRIZINE 5 MG/5ML SOLN,637,1 ,$34.45 ,$24.80 ,$9.03 ,$86.13 ,$86.13 ,$18.26 ,$18.95 , N/A ,$9.65 ,$18.02 , N/A ,$18.95 , N/A ,$17.05 ,$13.78 , N/A ,$17.05 , N/A ,$24.12 ,$21.53 ,$27.56 , N/A , N/A ,$24.12 , N/A ,$20.67 , N/A ,$25.84 ,$19.02 ,$17.16 ,$19.02 , N/A ,$19.02 ,$27.90 ,$34.45 ,$27.90 ,$29.28 ,$34.45 ,$23.87 , N/A ,$34.45 ,$19.33 , N/A ,$9.03 ,$34.45 , N/A , N/A , N/A ,$27.56 ,$17.05 ,$9.65 ,$31.01 ,$13.09 ,$18.74 , N/A ,$16.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORDIAZEPOXIDE 10 MG CAPS,637,1 ,$7.45 ,$5.36 ,$1.95 ,$18.63 ,$18.63 ,$3.95 ,$4.10 , N/A ,$2.09 ,$3.90 , N/A ,$4.10 , N/A ,$3.69 ,$2.98 , N/A ,$3.69 , N/A ,$5.22 ,$4.66 ,$5.96 , N/A , N/A ,$5.22 , N/A ,$4.47 , N/A ,$5.59 ,$4.11 ,$3.71 ,$4.11 , N/A ,$4.11 ,$6.03 ,$7.45 ,$6.03 ,$6.33 ,$7.45 ,$5.16 , N/A ,$7.45 ,$4.18 , N/A ,$1.95 ,$7.45 , N/A , N/A , N/A ,$5.96 ,$3.69 ,$2.09 ,$6.71 ,$2.83 ,$4.05 , N/A ,$3.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORDIAZEPOXIDE 25 MG CAPS,637,1 ,$8.05 ,$5.80 ,$2.11 ,$20.13 ,$20.13 ,$4.27 ,$4.43 , N/A ,$2.25 ,$4.21 , N/A ,$4.43 , N/A ,$3.98 ,$3.22 , N/A ,$3.98 , N/A ,$5.64 ,$5.03 ,$6.44 , N/A , N/A ,$5.64 , N/A ,$4.83 , N/A ,$6.04 ,$4.44 ,$4.01 ,$4.44 , N/A ,$4.44 ,$6.52 ,$8.05 ,$6.52 ,$6.84 ,$8.05 ,$5.58 , N/A ,$8.05 ,$4.52 , N/A ,$2.11 ,$8.05 , N/A , N/A , N/A ,$6.44 ,$3.98 ,$2.25 ,$7.25 ,$3.06 ,$4.38 , N/A ,$3.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORPROMAZINE 10 MG TABS,637,1 ,$41.20 ,$29.66 ,$10.79 ,$103.00 ,$103.00 ,$21.84 ,$22.66 , N/A ,$11.54 ,$21.55 , N/A ,$22.66 , N/A ,$20.39 ,$16.48 , N/A ,$20.39 , N/A ,$28.84 ,$25.75 ,$32.96 , N/A , N/A ,$28.84 , N/A ,$24.72 , N/A ,$30.90 ,$22.74 ,$20.52 ,$22.74 , N/A ,$22.74 ,$33.37 ,$41.20 ,$33.37 ,$35.02 ,$41.20 ,$28.55 , N/A ,$41.20 ,$23.11 , N/A ,$10.79 ,$41.20 , N/A , N/A , N/A ,$32.96 ,$20.39 ,$11.54 ,$37.08 ,$15.66 ,$22.41 , N/A ,$19.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORPROMAZINE 100 MG TABS,637,1 ,$109.13 ,$78.57 ,$28.59 ,$272.83 ,$272.83 ,$57.84 ,$60.02 , N/A ,$30.56 ,$57.08 , N/A ,$60.02 , N/A ,$54.02 ,$43.65 , N/A ,$54.02 , N/A ,$76.39 ,$68.21 ,$87.30 , N/A , N/A ,$76.39 , N/A ,$65.48 , N/A ,$81.85 ,$60.24 ,$54.35 ,$60.24 , N/A ,$60.24 ,$88.40 ,$109.13 ,$88.40 ,$92.76 ,$109.13 ,$75.63 , N/A ,$109.13 ,$61.22 , N/A ,$28.59 ,$109.13 , N/A , N/A , N/A ,$87.30 ,$54.02 ,$30.56 ,$98.22 ,$41.47 ,$59.37 , N/A ,$52.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORPROMAZINE 25 MG TABS,637,1 ,$77.60 ,$55.87 ,$20.33 ,$194.00 ,$194.00 ,$41.13 ,$42.68 , N/A ,$21.73 ,$40.58 , N/A ,$42.68 , N/A ,$38.41 ,$31.04 , N/A ,$38.41 , N/A ,$54.32 ,$48.50 ,$62.08 , N/A , N/A ,$54.32 , N/A ,$46.56 , N/A ,$58.20 ,$42.84 ,$38.64 ,$42.84 , N/A ,$42.84 ,$62.86 ,$77.60 ,$62.86 ,$65.96 ,$77.60 ,$53.78 , N/A ,$77.60 ,$43.53 , N/A ,$20.33 ,$77.60 , N/A , N/A , N/A ,$62.08 ,$38.41 ,$21.73 ,$69.84 ,$29.49 ,$42.21 , N/A ,$37.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORTHALIDONE 25 MG TABS,637,1 ,$27.60 ,$19.87 ,$7.23 ,$69.00 ,$69.00 ,$14.63 ,$15.18 , N/A ,$7.73 ,$14.43 , N/A ,$15.18 , N/A ,$13.66 ,$11.04 , N/A ,$13.66 , N/A ,$19.32 ,$17.25 ,$22.08 , N/A , N/A ,$19.32 , N/A ,$16.56 , N/A ,$20.70 ,$15.24 ,$13.74 ,$15.24 , N/A ,$15.24 ,$22.36 ,$27.60 ,$22.36 ,$23.46 ,$27.60 ,$19.13 , N/A ,$27.60 ,$15.48 , N/A ,$7.23 ,$27.60 , N/A , N/A , N/A ,$22.08 ,$13.66 ,$7.73 ,$24.84 ,$10.49 ,$15.01 , N/A ,$13.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHOLESTYRAMINE LIGHT 4 G PACK,637,1 ,$15.10 ,$10.87 ,$3.96 ,$37.75 ,$37.75 ,$8.00 ,$8.31 , N/A ,$4.23 ,$7.90 , N/A ,$8.31 , N/A ,$7.47 ,$6.04 , N/A ,$7.47 , N/A ,$10.57 ,$9.44 ,$12.08 , N/A , N/A ,$10.57 , N/A ,$9.06 , N/A ,$11.33 ,$8.34 ,$7.52 ,$8.34 , N/A ,$8.34 ,$12.23 ,$15.10 ,$12.23 ,$12.84 ,$15.10 ,$10.46 , N/A ,$15.10 ,$8.47 , N/A ,$3.96 ,$15.10 , N/A , N/A , N/A ,$12.08 ,$7.47 ,$4.23 ,$13.59 ,$5.74 ,$8.21 , N/A ,$7.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CIPROFLOXACIN 250 MG TABS,637,1 ,$43.70 ,$31.46 ,$11.45 ,$109.25 ,$109.25 ,$23.16 ,$24.04 , N/A ,$12.24 ,$22.86 , N/A ,$24.04 , N/A ,$21.63 ,$17.48 , N/A ,$21.63 , N/A ,$30.59 ,$27.31 ,$34.96 , N/A , N/A ,$30.59 , N/A ,$26.22 , N/A ,$32.78 ,$24.12 ,$21.76 ,$24.12 , N/A ,$24.12 ,$35.40 ,$43.70 ,$35.40 ,$37.15 ,$43.70 ,$30.28 , N/A ,$43.70 ,$24.52 , N/A ,$11.45 ,$43.70 , N/A , N/A , N/A ,$34.96 ,$21.63 ,$12.24 ,$39.33 ,$16.61 ,$23.77 , N/A ,$20.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CIPROFLOXACIN 500 MG TABS,637,1 ,$38.15 ,$27.47 ,$10.00 ,$95.38 ,$95.38 ,$20.22 ,$20.98 , N/A ,$10.68 ,$19.95 , N/A ,$20.98 , N/A ,$18.88 ,$15.26 , N/A ,$18.88 , N/A ,$26.71 ,$23.84 ,$30.52 , N/A , N/A ,$26.71 , N/A ,$22.89 , N/A ,$28.61 ,$21.06 ,$19.00 ,$21.06 , N/A ,$21.06 ,$30.90 ,$38.15 ,$30.90 ,$32.43 ,$38.15 ,$26.44 , N/A ,$38.15 ,$21.40 , N/A ,$10.00 ,$38.15 , N/A , N/A , N/A ,$30.52 ,$18.88 ,$10.68 ,$34.34 ,$14.50 ,$20.75 , N/A ,$18.31 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CIPROFLOXACIN 750 MG TABS,637,1 ,$24.55 ,$17.68 ,$6.43 ,$61.38 ,$61.38 ,$13.01 ,$13.50 , N/A ,$6.87 ,$12.84 , N/A ,$13.50 , N/A ,$12.15 ,$9.82 , N/A ,$12.15 , N/A ,$17.19 ,$15.34 ,$19.64 , N/A , N/A ,$17.19 , N/A ,$14.73 , N/A ,$18.41 ,$13.55 ,$12.23 ,$13.55 , N/A ,$13.55 ,$19.89 ,$24.55 ,$19.89 ,$20.87 ,$24.55 ,$17.01 , N/A ,$24.55 ,$13.77 , N/A ,$6.43 ,$24.55 , N/A , N/A , N/A ,$19.64 ,$12.15 ,$6.87 ,$22.10 ,$9.33 ,$13.36 , N/A ,$11.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % SUSP 10 ML BOTTLE,637,1 ,"$1,326.65 ",$955.19 ,$347.58 ,"$3,316.63 ","$3,316.63 ",$703.12 ,$729.66 , N/A ,$371.46 ,$693.84 , N/A ,$729.66 , N/A ,$656.69 ,$530.66 , N/A ,$656.69 , N/A ,$928.66 ,$829.16 ,"$1,061.32 ", N/A , N/A ,$928.66 , N/A ,$795.99 , N/A ,$994.99 ,$732.31 ,$660.67 ,$732.31 , N/A ,$732.31 ,"$1,074.59 ","$1,326.65 ","$1,074.59 ","$1,127.65 ","$1,326.65 ",$919.37 , N/A ,"$1,326.65 ",$744.25 , N/A ,$347.58 ,"$1,326.65 ", N/A , N/A , N/A ,"$1,061.32 ",$656.69 ,$371.46 ,"$1,193.99 ",$504.13 ,$721.70 , N/A ,$636.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CITALOPRAM 20 MG TABS,637,1 ,$30.60 ,$22.03 ,$8.02 ,$76.50 ,$76.50 ,$16.22 ,$16.83 , N/A ,$8.57 ,$16.00 , N/A ,$16.83 , N/A ,$15.15 ,$12.24 , N/A ,$15.15 , N/A ,$21.42 ,$19.13 ,$24.48 , N/A , N/A ,$21.42 , N/A ,$18.36 , N/A ,$22.95 ,$16.89 ,$15.24 ,$16.89 , N/A ,$16.89 ,$24.79 ,$30.60 ,$24.79 ,$26.01 ,$30.60 ,$21.21 , N/A ,$30.60 ,$17.17 , N/A ,$8.02 ,$30.60 , N/A , N/A , N/A ,$24.48 ,$15.15 ,$8.57 ,$27.54 ,$11.63 ,$16.65 , N/A ,$14.69 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CITRIC ACID-SODIUM CITRATE 500-334 MG/5ML SOLN,637,1 ,$44.40 ,$31.97 ,$11.63 ,$111.00 ,$111.00 ,$23.53 ,$24.42 , N/A ,$12.43 ,$23.22 , N/A ,$24.42 , N/A ,$21.98 ,$17.76 , N/A ,$21.98 , N/A ,$31.08 ,$27.75 ,$35.52 , N/A , N/A ,$31.08 , N/A ,$26.64 , N/A ,$33.30 ,$24.51 ,$22.11 ,$24.51 , N/A ,$24.51 ,$35.96 ,$44.40 ,$35.96 ,$37.74 ,$44.40 ,$30.77 , N/A ,$44.40 ,$24.91 , N/A ,$11.63 ,$44.40 , N/A , N/A , N/A ,$35.52 ,$21.98 ,$12.43 ,$39.96 ,$16.87 ,$24.15 , N/A ,$21.31 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLIDINIUM-CHLORDIAZEPOXIDE 5-2.5 MG CAPS,637,1 ,$109.35 ,$78.73 ,$28.65 ,$273.38 ,$273.38 ,$57.96 ,$60.14 , N/A ,$30.62 ,$57.19 , N/A ,$60.14 , N/A ,$54.13 ,$43.74 , N/A ,$54.13 , N/A ,$76.55 ,$68.34 ,$87.48 , N/A , N/A ,$76.55 , N/A ,$65.61 , N/A ,$82.01 ,$60.36 ,$54.46 ,$60.36 , N/A ,$60.36 ,$88.57 ,$109.35 ,$88.57 ,$92.95 ,$109.35 ,$75.78 , N/A ,$109.35 ,$61.35 , N/A ,$28.65 ,$109.35 , N/A , N/A , N/A ,$87.48 ,$54.13 ,$30.62 ,$98.42 ,$41.55 ,$59.49 , N/A ,$52.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLINDAMYCIN 150 MG CAPS,637,1 ,$7.53 ,$5.42 ,$1.97 ,$18.83 ,$18.83 ,$3.99 ,$4.14 , N/A ,$2.11 ,$3.94 , N/A ,$4.14 , N/A ,$3.73 ,$3.01 , N/A ,$3.73 , N/A ,$5.27 ,$4.71 ,$6.02 , N/A , N/A ,$5.27 , N/A ,$4.52 , N/A ,$5.65 ,$4.16 ,$3.75 ,$4.16 , N/A ,$4.16 ,$6.10 ,$7.53 ,$6.10 ,$6.40 ,$7.53 ,$5.22 , N/A ,$7.53 ,$4.22 , N/A ,$1.97 ,$7.53 , N/A , N/A , N/A ,$6.02 ,$3.73 ,$2.11 ,$6.78 ,$2.86 ,$4.10 , N/A ,$3.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLINDAMYCIN 75 MG/5ML SOLR,637,1 ,$3.13 ,$2.25 ,$0.82 ,$7.83 ,$7.83 ,$1.66 ,$1.72 , N/A ,$0.88 ,$1.64 , N/A ,$1.72 , N/A ,$1.55 ,$1.25 , N/A ,$1.55 , N/A ,$2.19 ,$1.96 ,$2.50 , N/A , N/A ,$2.19 , N/A ,$1.88 , N/A ,$2.35 ,$1.73 ,$1.56 ,$1.73 , N/A ,$1.73 ,$2.54 ,$3.13 ,$2.54 ,$2.66 ,$3.13 ,$2.17 , N/A ,$3.13 ,$1.76 , N/A ,$0.82 ,$3.13 , N/A , N/A , N/A ,$2.50 ,$1.55 ,$0.88 ,$2.82 ,$1.19 ,$1.70 , N/A ,$1.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOBETASOL 0.05 % CREA 30 G TUBE,637,1 ,"$1,154.15 ",$830.99 ,$302.39 ,"$2,885.38 ","$2,885.38 ",$611.70 ,$634.78 , N/A ,$323.16 ,$603.62 , N/A ,$634.78 , N/A ,$571.30 ,$461.66 , N/A ,$571.30 , N/A ,$807.91 ,$721.34 ,$923.32 , N/A , N/A ,$807.91 , N/A ,$692.49 , N/A ,$865.61 ,$637.09 ,$574.77 ,$637.09 , N/A ,$637.09 ,$934.86 ,"$1,154.15 ",$934.86 ,$981.03 ,"$1,154.15 ",$799.83 , N/A ,"$1,154.15 ",$647.48 , N/A ,$302.39 ,"$1,154.15 ", N/A , N/A , N/A ,$923.32 ,$571.30 ,$323.16 ,"$1,038.74 ",$438.58 ,$627.86 , N/A ,$553.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOMIPRAMINE 25 MG CAPS,637,1 ,$30.95 ,$22.28 ,$8.11 ,$77.38 ,$77.38 ,$16.40 ,$17.02 , N/A ,$8.67 ,$16.19 , N/A ,$17.02 , N/A ,$15.32 ,$12.38 , N/A ,$15.32 , N/A ,$21.67 ,$19.34 ,$24.76 , N/A , N/A ,$21.67 , N/A ,$18.57 , N/A ,$23.21 ,$17.08 ,$15.41 ,$17.08 , N/A ,$17.08 ,$25.07 ,$30.95 ,$25.07 ,$26.31 ,$30.95 ,$21.45 , N/A ,$30.95 ,$17.36 , N/A ,$8.11 ,$30.95 , N/A , N/A , N/A ,$24.76 ,$15.32 ,$8.67 ,$27.86 ,$11.76 ,$16.84 , N/A ,$14.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOMIPRAMINE 50 MG CAPS,637,1 ,$39.35 ,$28.33 ,$10.31 ,$98.38 ,$98.38 ,$20.86 ,$21.64 , N/A ,$11.02 ,$20.58 , N/A ,$21.64 , N/A ,$19.48 ,$15.74 , N/A ,$19.48 , N/A ,$27.55 ,$24.59 ,$31.48 , N/A , N/A ,$27.55 , N/A ,$23.61 , N/A ,$29.51 ,$21.72 ,$19.60 ,$21.72 , N/A ,$21.72 ,$31.87 ,$39.35 ,$31.87 ,$33.45 ,$39.35 ,$27.27 , N/A ,$39.35 ,$22.08 , N/A ,$10.31 ,$39.35 , N/A , N/A , N/A ,$31.48 ,$19.48 ,$11.02 ,$35.42 ,$14.95 ,$21.41 , N/A ,$18.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONAZEPAM 0.5 MG TABS,637,1 ,$8.53 ,$6.14 ,$2.23 ,$21.33 ,$21.33 ,$4.52 ,$4.69 , N/A ,$2.39 ,$4.46 , N/A ,$4.69 , N/A ,$4.22 ,$3.41 , N/A ,$4.22 , N/A ,$5.97 ,$5.33 ,$6.82 , N/A , N/A ,$5.97 , N/A ,$5.12 , N/A ,$6.40 ,$4.71 ,$4.25 ,$4.71 , N/A ,$4.71 ,$6.91 ,$8.53 ,$6.91 ,$7.25 ,$8.53 ,$5.91 , N/A ,$8.53 ,$4.79 , N/A ,$2.23 ,$8.53 , N/A , N/A , N/A ,$6.82 ,$4.22 ,$2.39 ,$7.68 ,$3.24 ,$4.64 , N/A ,$4.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONAZEPAM 0.5 MG TBDP,637,1 ,$15.60 ,$11.23 ,$4.09 ,$39.00 ,$39.00 ,$8.27 ,$8.58 , N/A ,$4.37 ,$8.16 , N/A ,$8.58 , N/A ,$7.72 ,$6.24 , N/A ,$7.72 , N/A ,$10.92 ,$9.75 ,$12.48 , N/A , N/A ,$10.92 , N/A ,$9.36 , N/A ,$11.70 ,$8.61 ,$7.77 ,$8.61 , N/A ,$8.61 ,$12.64 ,$15.60 ,$12.64 ,$13.26 ,$15.60 ,$10.81 , N/A ,$15.60 ,$8.75 , N/A ,$4.09 ,$15.60 , N/A , N/A , N/A ,$12.48 ,$7.72 ,$4.37 ,$14.04 ,$5.93 ,$8.49 , N/A ,$7.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLINDAMYCIN 300 MG CAPS,637,1 ,$15.60 ,$11.23 ,$4.09 ,$39.00 ,$39.00 ,$8.27 ,$8.58 , N/A ,$4.37 ,$8.16 , N/A ,$8.58 , N/A ,$7.72 ,$6.24 , N/A ,$7.72 , N/A ,$10.92 ,$9.75 ,$12.48 , N/A , N/A ,$10.92 , N/A ,$9.36 , N/A ,$11.70 ,$8.61 ,$7.77 ,$8.61 , N/A ,$8.61 ,$12.64 ,$15.60 ,$12.64 ,$13.26 ,$15.60 ,$10.81 , N/A ,$15.60 ,$8.75 , N/A ,$4.09 ,$15.60 , N/A , N/A , N/A ,$12.48 ,$7.72 ,$4.37 ,$14.04 ,$5.93 ,$8.49 , N/A ,$7.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONIDINE 0.1 MG/24HR PTWK,637,1 ,$232.15 ,$167.15 ,$60.82 ,$580.38 ,$580.38 ,$123.04 ,$127.68 , N/A ,$65.00 ,$121.41 , N/A ,$127.68 , N/A ,$114.91 ,$92.86 , N/A ,$114.91 , N/A ,$162.51 ,$145.09 ,$185.72 , N/A , N/A ,$162.51 , N/A ,$139.29 , N/A ,$174.11 ,$128.15 ,$115.61 ,$128.15 , N/A ,$128.15 ,$188.04 ,$232.15 ,$188.04 ,$197.33 ,$232.15 ,$160.88 , N/A ,$232.15 ,$130.24 , N/A ,$60.82 ,$232.15 , N/A , N/A , N/A ,$185.72 ,$114.91 ,$65.00 ,$208.94 ,$88.22 ,$126.29 , N/A ,$111.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONIDINE 0.2 MG/24HR PTWK,637,1 ,$306.75 ,$220.86 ,$80.37 ,$766.88 ,$766.88 ,$162.58 ,$168.71 , N/A ,$85.89 ,$160.43 , N/A ,$168.71 , N/A ,$151.84 ,$122.70 , N/A ,$151.84 , N/A ,$214.73 ,$191.72 ,$245.40 , N/A , N/A ,$214.73 , N/A ,$184.05 , N/A ,$230.06 ,$169.33 ,$152.76 ,$169.33 , N/A ,$169.33 ,$248.47 ,$306.75 ,$248.47 ,$260.74 ,$306.75 ,$212.58 , N/A ,$306.75 ,$172.09 , N/A ,$80.37 ,$306.75 , N/A , N/A , N/A ,$245.40 ,$151.84 ,$85.89 ,$276.08 ,$116.57 ,$166.87 , N/A ,$147.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONIDINE 0.3 MG/24HR PTWK,637,1 ,$425.50 ,$306.36 ,$111.48 ,"$1,063.75 ","$1,063.75 ",$225.52 ,$234.03 , N/A ,$119.14 ,$222.54 , N/A ,$234.03 , N/A ,$210.62 ,$170.20 , N/A ,$210.62 , N/A ,$297.85 ,$265.94 ,$340.40 , N/A , N/A ,$297.85 , N/A ,$255.30 , N/A ,$319.13 ,$234.88 ,$211.90 ,$234.88 , N/A ,$234.88 ,$344.66 ,$425.50 ,$344.66 ,$361.68 ,$425.50 ,$294.87 , N/A ,$425.50 ,$238.71 , N/A ,$111.48 ,$425.50 , N/A , N/A , N/A ,$340.40 ,$210.62 ,$119.14 ,$382.95 ,$161.69 ,$231.47 , N/A ,$204.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONIDINE ER 0.1 MG TB12,637,1 ,$54.90 ,$39.53 ,$14.38 ,$137.25 ,$137.25 ,$29.10 ,$30.20 , N/A ,$15.37 ,$28.71 , N/A ,$30.20 , N/A ,$27.18 ,$21.96 , N/A ,$27.18 , N/A ,$38.43 ,$34.31 ,$43.92 , N/A , N/A ,$38.43 , N/A ,$32.94 , N/A ,$41.18 ,$30.30 ,$27.34 ,$30.30 , N/A ,$30.30 ,$44.47 ,$54.90 ,$44.47 ,$46.67 ,$54.90 ,$38.05 , N/A ,$54.90 ,$30.80 , N/A ,$14.38 ,$54.90 , N/A , N/A , N/A ,$43.92 ,$27.18 ,$15.37 ,$49.41 ,$20.86 ,$29.87 , N/A ,$26.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VENLAFAXINE XR 150 MG CP24,637,1 ,$54.90 ,$39.53 ,$14.38 ,$137.25 ,$137.25 ,$29.10 ,$30.20 , N/A ,$15.37 ,$28.71 , N/A ,$30.20 , N/A ,$27.18 ,$21.96 , N/A ,$27.18 , N/A ,$38.43 ,$34.31 ,$43.92 , N/A , N/A ,$38.43 , N/A ,$32.94 , N/A ,$41.18 ,$30.30 ,$27.34 ,$30.30 , N/A ,$30.30 ,$44.47 ,$54.90 ,$44.47 ,$46.67 ,$54.90 ,$38.05 , N/A ,$54.90 ,$30.80 , N/A ,$14.38 ,$54.90 , N/A , N/A , N/A ,$43.92 ,$27.18 ,$15.37 ,$49.41 ,$20.86 ,$29.87 , N/A ,$26.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOPIDOGREL 300 MG TABS,637,1 ,$186.45 ,$134.24 ,$48.85 ,$466.13 ,$466.13 ,$98.82 ,$102.55 , N/A ,$52.21 ,$97.51 , N/A ,$102.55 , N/A ,$92.29 ,$74.58 , N/A ,$92.29 , N/A ,$130.52 ,$116.53 ,$149.16 , N/A , N/A ,$130.52 , N/A ,$111.87 , N/A ,$139.84 ,$102.92 ,$92.85 ,$102.92 , N/A ,$102.92 ,$151.02 ,$186.45 ,$151.02 ,$158.48 ,$186.45 ,$129.21 , N/A ,$186.45 ,$104.60 , N/A ,$48.85 ,$186.45 , N/A , N/A , N/A ,$149.16 ,$92.29 ,$52.21 ,$167.81 ,$70.85 ,$101.43 , N/A ,$89.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOPIDOGREL 75 MG TABS,637,1 ,$54.55 ,$39.28 ,$14.29 ,$136.38 ,$136.38 ,$28.91 ,$30.00 , N/A ,$15.27 ,$28.53 , N/A ,$30.00 , N/A ,$27.00 ,$21.82 , N/A ,$27.00 , N/A ,$38.19 ,$34.09 ,$43.64 , N/A , N/A ,$38.19 , N/A ,$32.73 , N/A ,$40.91 ,$30.11 ,$27.17 ,$30.11 , N/A ,$30.11 ,$44.19 ,$54.55 ,$44.19 ,$46.37 ,$54.55 ,$37.80 , N/A ,$54.55 ,$30.60 , N/A ,$14.29 ,$54.55 , N/A , N/A , N/A ,$43.64 ,$27.00 ,$15.27 ,$49.10 ,$20.73 ,$29.68 , N/A ,$26.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLORAZEPATE 3.75 MG TABS,637,1 ,$9.15 ,$6.59 ,$2.40 ,$22.88 ,$22.88 ,$4.85 ,$5.03 , N/A ,$2.56 ,$4.79 , N/A ,$5.03 , N/A ,$4.53 ,$3.66 , N/A ,$4.53 , N/A ,$6.41 ,$5.72 ,$7.32 , N/A , N/A ,$6.41 , N/A ,$5.49 , N/A ,$6.86 ,$5.05 ,$4.56 ,$5.05 , N/A ,$5.05 ,$7.41 ,$9.15 ,$7.41 ,$7.78 ,$9.15 ,$6.34 , N/A ,$9.15 ,$5.13 , N/A ,$2.40 ,$9.15 , N/A , N/A , N/A ,$7.32 ,$4.53 ,$2.56 ,$8.24 ,$3.48 ,$4.98 , N/A ,$4.39 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOTRIMAZOLE 1 % CREA 30 G TUBE,637,1 ,$68.65 ,$49.43 ,$17.99 ,$171.63 ,$171.63 ,$36.38 ,$37.76 , N/A ,$19.22 ,$35.90 , N/A ,$37.76 , N/A ,$33.98 ,$27.46 , N/A ,$33.98 , N/A ,$48.06 ,$42.91 ,$54.92 , N/A , N/A ,$48.06 , N/A ,$41.19 , N/A ,$51.49 ,$37.89 ,$34.19 ,$37.89 , N/A ,$37.89 ,$55.61 ,$68.65 ,$55.61 ,$58.35 ,$68.65 ,$47.57 , N/A ,$68.65 ,$38.51 , N/A ,$17.99 ,$68.65 , N/A , N/A , N/A ,$54.92 ,$33.98 ,$19.22 ,$61.79 ,$26.09 ,$37.35 , N/A ,$32.95 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOTRIMAZOLE 10 MG TROC,637,1 ,$8.85 ,$6.37 ,$2.32 ,$22.13 ,$22.13 ,$4.69 ,$4.87 , N/A ,$2.48 ,$4.63 , N/A ,$4.87 , N/A ,$4.38 ,$3.54 , N/A ,$4.38 , N/A ,$6.20 ,$5.53 ,$7.08 , N/A , N/A ,$6.20 , N/A ,$5.31 , N/A ,$6.64 ,$4.89 ,$4.41 ,$4.89 , N/A ,$4.89 ,$7.17 ,$8.85 ,$7.17 ,$7.52 ,$8.85 ,$6.13 , N/A ,$8.85 ,$4.96 , N/A ,$2.32 ,$8.85 , N/A , N/A , N/A ,$7.08 ,$4.38 ,$2.48 ,$7.97 ,$3.36 ,$4.81 , N/A ,$4.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUPROPION SR 150 MG TB12,637,1 ,$8.85 ,$6.37 ,$2.32 ,$22.13 ,$22.13 ,$4.69 ,$4.87 , N/A ,$2.48 ,$4.63 , N/A ,$4.87 , N/A ,$4.38 ,$3.54 , N/A ,$4.38 , N/A ,$6.20 ,$5.53 ,$7.08 , N/A , N/A ,$6.20 , N/A ,$5.31 , N/A ,$6.64 ,$4.89 ,$4.41 ,$4.89 , N/A ,$4.89 ,$7.17 ,$8.85 ,$7.17 ,$7.52 ,$8.85 ,$6.13 , N/A ,$8.85 ,$4.96 , N/A ,$2.32 ,$8.85 , N/A , N/A , N/A ,$7.08 ,$4.38 ,$2.48 ,$7.97 ,$3.36 ,$4.81 , N/A ,$4.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE ER 100 MG CP12,637,1 ,$8.85 ,$6.37 ,$2.32 ,$22.13 ,$22.13 ,$4.69 ,$4.87 , N/A ,$2.48 ,$4.63 , N/A ,$4.87 , N/A ,$4.38 ,$3.54 , N/A ,$4.38 , N/A ,$6.20 ,$5.53 ,$7.08 , N/A , N/A ,$6.20 , N/A ,$5.31 , N/A ,$6.64 ,$4.89 ,$4.41 ,$4.89 , N/A ,$4.89 ,$7.17 ,$8.85 ,$7.17 ,$7.52 ,$8.85 ,$6.13 , N/A ,$8.85 ,$4.96 , N/A ,$2.32 ,$8.85 , N/A , N/A , N/A ,$7.08 ,$4.38 ,$2.48 ,$7.97 ,$3.36 ,$4.81 , N/A ,$4.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOZAPINE 100 MG TABS,637,1 ,$41.50 ,$29.88 ,$10.87 ,$103.75 ,$103.75 ,$22.00 ,$22.83 , N/A ,$11.62 ,$21.70 , N/A ,$22.83 , N/A ,$20.54 ,$16.60 , N/A ,$20.54 , N/A ,$29.05 ,$25.94 ,$33.20 , N/A , N/A ,$29.05 , N/A ,$24.90 , N/A ,$31.13 ,$22.91 ,$20.67 ,$22.91 , N/A ,$22.91 ,$33.62 ,$41.50 ,$33.62 ,$35.28 ,$41.50 ,$28.76 , N/A ,$41.50 ,$23.28 , N/A ,$10.87 ,$41.50 , N/A , N/A , N/A ,$33.20 ,$20.54 ,$11.62 ,$37.35 ,$15.77 ,$22.58 , N/A ,$19.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOZAPINE 25 MG TABS,637,1 ,$15.97 ,$11.50 ,$4.18 ,$39.93 ,$39.93 ,$8.46 ,$8.78 , N/A ,$4.47 ,$8.35 , N/A ,$8.78 , N/A ,$7.91 ,$6.39 , N/A ,$7.91 , N/A ,$11.18 ,$9.98 ,$12.78 , N/A , N/A ,$11.18 , N/A ,$9.58 , N/A ,$11.98 ,$8.82 ,$7.95 ,$8.82 , N/A ,$8.82 ,$12.94 ,$15.97 ,$12.94 ,$13.57 ,$15.97 ,$11.07 , N/A ,$15.97 ,$8.96 , N/A ,$4.18 ,$15.97 , N/A , N/A , N/A ,$12.78 ,$7.91 ,$4.47 ,$14.37 ,$6.07 ,$8.69 , N/A ,$7.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,COLCHICINE 0.6 MG TABS,637,1 ,$78.05 ,$56.20 ,$20.45 ,$195.13 ,$195.13 ,$41.37 ,$42.93 , N/A ,$21.85 ,$40.82 , N/A ,$42.93 , N/A ,$38.63 ,$31.22 , N/A ,$38.63 , N/A ,$54.64 ,$48.78 ,$62.44 , N/A , N/A ,$54.64 , N/A ,$46.83 , N/A ,$58.54 ,$43.08 ,$38.87 ,$43.08 , N/A ,$43.08 ,$63.22 ,$78.05 ,$63.22 ,$66.34 ,$78.05 ,$54.09 , N/A ,$78.05 ,$43.79 , N/A ,$20.45 ,$78.05 , N/A , N/A , N/A ,$62.44 ,$38.63 ,$21.85 ,$70.25 ,$29.66 ,$42.46 , N/A ,$37.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,COLESEVELAM 625 MG TABS,637,1 ,$10.90 ,$7.85 ,$2.86 ,$27.25 ,$27.25 ,$5.78 ,$6.00 , N/A ,$3.05 ,$5.70 , N/A ,$6.00 , N/A ,$5.40 ,$4.36 , N/A ,$5.40 , N/A ,$7.63 ,$6.81 ,$8.72 , N/A , N/A ,$7.63 , N/A ,$6.54 , N/A ,$8.18 ,$6.02 ,$5.43 ,$6.02 , N/A ,$6.02 ,$8.83 ,$10.90 ,$8.83 ,$9.27 ,$10.90 ,$7.55 , N/A ,$10.90 ,$6.11 , N/A ,$2.86 ,$10.90 , N/A , N/A , N/A ,$8.72 ,$5.40 ,$3.05 ,$9.81 ,$4.14 ,$5.93 , N/A ,$5.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,COLESTIPOL 5 G PACK,637,1 ,$13.00 ,$9.36 ,$3.41 ,$32.50 ,$32.50 ,$6.89 ,$7.15 , N/A ,$3.64 ,$6.80 , N/A ,$7.15 , N/A ,$6.44 ,$5.20 , N/A ,$6.44 , N/A ,$9.10 ,$8.13 ,$10.40 , N/A , N/A ,$9.10 , N/A ,$7.80 , N/A ,$9.75 ,$7.18 ,$6.47 ,$7.18 , N/A ,$7.18 ,$10.53 ,$13.00 ,$10.53 ,$11.05 ,$13.00 ,$9.01 , N/A ,$13.00 ,$7.29 , N/A ,$3.41 ,$13.00 , N/A , N/A , N/A ,$10.40 ,$6.44 ,$3.64 ,$11.70 ,$4.94 ,$7.07 , N/A ,$6.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CONJUGATED ESTROGENS 0.625 MG/GM CREA 30 G TUBE,637,1 ,"$1,498.05 ","$1,078.60 ",$392.49 ,"$3,745.13 ","$3,745.13 ",$793.97 ,$823.93 , N/A ,$419.45 ,$783.48 , N/A ,$823.93 , N/A ,$741.53 ,$599.22 , N/A ,$741.53 , N/A ,"$1,048.64 ",$936.28 ,"$1,198.44 ", N/A , N/A ,"$1,048.64 ", N/A ,$898.83 , N/A ,"$1,123.54 ",$826.92 ,$746.03 ,$826.92 , N/A ,$826.92 ,"$1,213.42 ","$1,498.05 ","$1,213.42 ","$1,273.34 ","$1,498.05 ","$1,038.15 ", N/A ,"$1,498.05 ",$840.41 , N/A ,$392.49 ,"$1,498.05 ", N/A , N/A , N/A ,"$1,198.44 ",$741.53 ,$419.45 ,"$1,348.25 ",$569.26 ,$814.94 , N/A ,$719.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DABIGATRAN 75 MG CAPS,637,1 ,$27.30 ,$19.66 ,$7.15 ,$68.25 ,$68.25 ,$14.47 ,$15.02 , N/A ,$7.64 ,$14.28 , N/A ,$15.02 , N/A ,$13.51 ,$10.92 , N/A ,$13.51 , N/A ,$19.11 ,$17.06 ,$21.84 , N/A , N/A ,$19.11 , N/A ,$16.38 , N/A ,$20.48 ,$15.07 ,$13.60 ,$15.07 , N/A ,$15.07 ,$22.11 ,$27.30 ,$22.11 ,$23.21 ,$27.30 ,$18.92 , N/A ,$27.30 ,$15.32 , N/A ,$7.15 ,$27.30 , N/A , N/A , N/A ,$21.84 ,$13.51 ,$7.64 ,$24.57 ,$10.37 ,$14.85 , N/A ,$13.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DABIGATRAN 150 MG CAPS,637,1 ,$27.30 ,$19.66 ,$7.15 ,$68.25 ,$68.25 ,$14.47 ,$15.02 , N/A ,$7.64 ,$14.28 , N/A ,$15.02 , N/A ,$13.51 ,$10.92 , N/A ,$13.51 , N/A ,$19.11 ,$17.06 ,$21.84 , N/A , N/A ,$19.11 , N/A ,$16.38 , N/A ,$20.48 ,$15.07 ,$13.60 ,$15.07 , N/A ,$15.07 ,$22.11 ,$27.30 ,$22.11 ,$23.21 ,$27.30 ,$18.92 , N/A ,$27.30 ,$15.32 , N/A ,$7.15 ,$27.30 , N/A , N/A , N/A ,$21.84 ,$13.51 ,$7.64 ,$24.57 ,$10.37 ,$14.85 , N/A ,$13.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DANTROLENE 25 MG CAPS,637,1 ,$23.30 ,$16.78 ,$6.10 ,$58.25 ,$58.25 ,$12.35 ,$12.82 , N/A ,$6.52 ,$12.19 , N/A ,$12.82 , N/A ,$11.53 ,$9.32 , N/A ,$11.53 , N/A ,$16.31 ,$14.56 ,$18.64 , N/A , N/A ,$16.31 , N/A ,$13.98 , N/A ,$17.48 ,$12.86 ,$11.60 ,$12.86 , N/A ,$12.86 ,$18.87 ,$23.30 ,$18.87 ,$19.81 ,$23.30 ,$16.15 , N/A ,$23.30 ,$13.07 , N/A ,$6.10 ,$23.30 , N/A , N/A , N/A ,$18.64 ,$11.53 ,$6.52 ,$20.97 ,$8.85 ,$12.68 , N/A ,$11.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DESIPRAMINE 25 MG TABS,637,1 ,$9.03 ,$6.50 ,$2.37 ,$22.58 ,$22.58 ,$4.79 ,$4.97 , N/A ,$2.53 ,$4.72 , N/A ,$4.97 , N/A ,$4.47 ,$3.61 , N/A ,$4.47 , N/A ,$6.32 ,$5.64 ,$7.22 , N/A , N/A ,$6.32 , N/A ,$5.42 , N/A ,$6.77 ,$4.98 ,$4.50 ,$4.98 , N/A ,$4.98 ,$7.31 ,$9.03 ,$7.31 ,$7.68 ,$9.03 ,$6.26 , N/A ,$9.03 ,$5.07 , N/A ,$2.37 ,$9.03 , N/A , N/A , N/A ,$7.22 ,$4.47 ,$2.53 ,$8.13 ,$3.43 ,$4.91 , N/A ,$4.33 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DESMOPRESSIN 0.1 MG TABS,637,1 ,$36.25 ,$26.10 ,$9.50 ,$90.63 ,$90.63 ,$19.21 ,$19.94 , N/A ,$10.15 ,$18.96 , N/A ,$19.94 , N/A ,$17.94 ,$14.50 , N/A ,$17.94 , N/A ,$25.38 ,$22.66 ,$29.00 , N/A , N/A ,$25.38 , N/A ,$21.75 , N/A ,$27.19 ,$20.01 ,$18.05 ,$20.01 , N/A ,$20.01 ,$29.36 ,$36.25 ,$29.36 ,$30.81 ,$36.25 ,$25.12 , N/A ,$36.25 ,$20.34 , N/A ,$9.50 ,$36.25 , N/A , N/A , N/A ,$29.00 ,$17.94 ,$10.15 ,$32.63 ,$13.78 ,$19.72 , N/A ,$17.40 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXMETHYLPHENIDATE XR 10 MG CP24,637,1 ,$45.25 ,$32.58 ,$11.86 ,$113.13 ,$113.13 ,$23.98 ,$24.89 , N/A ,$12.67 ,$23.67 , N/A ,$24.89 , N/A ,$22.40 ,$18.10 , N/A ,$22.40 , N/A ,$31.68 ,$28.28 ,$36.20 , N/A , N/A ,$31.68 , N/A ,$27.15 , N/A ,$33.94 ,$24.98 ,$22.53 ,$24.98 , N/A ,$24.98 ,$36.65 ,$45.25 ,$36.65 ,$38.46 ,$45.25 ,$31.36 , N/A ,$45.25 ,$25.39 , N/A ,$11.86 ,$45.25 , N/A , N/A , N/A ,$36.20 ,$22.40 ,$12.67 ,$40.73 ,$17.20 ,$24.62 , N/A ,$21.72 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXMETHYLPHENIDATE XR 5 MG CP24,637,1 ,$26.05 ,$18.76 ,$6.83 ,$65.13 ,$65.13 ,$13.81 ,$14.33 , N/A ,$7.29 ,$13.62 , N/A ,$14.33 , N/A ,$12.89 ,$10.42 , N/A ,$12.89 , N/A ,$18.24 ,$16.28 ,$20.84 , N/A , N/A ,$18.24 , N/A ,$15.63 , N/A ,$19.54 ,$14.38 ,$12.97 ,$14.38 , N/A ,$14.38 ,$21.10 ,$26.05 ,$21.10 ,$22.14 ,$26.05 ,$18.05 , N/A ,$26.05 ,$14.61 , N/A ,$6.83 ,$26.05 , N/A , N/A , N/A ,$20.84 ,$12.89 ,$7.29 ,$23.45 ,$9.90 ,$14.17 , N/A ,$12.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXTROAMPHETAMINE ER 15 MG CP24,637,1 ,$18.00 ,$12.96 ,$4.72 ,$45.00 ,$45.00 ,$9.54 ,$9.90 , N/A ,$5.04 ,$9.41 , N/A ,$9.90 , N/A ,$8.91 ,$7.20 , N/A ,$8.91 , N/A ,$12.60 ,$11.25 ,$14.40 , N/A , N/A ,$12.60 , N/A ,$10.80 , N/A ,$13.50 ,$9.94 ,$8.96 ,$9.94 , N/A ,$9.94 ,$14.58 ,$18.00 ,$14.58 ,$15.30 ,$18.00 ,$12.47 , N/A ,$18.00 ,$10.10 , N/A ,$4.72 ,$18.00 , N/A , N/A , N/A ,$14.40 ,$8.91 ,$5.04 ,$16.20 ,$6.84 ,$9.79 , N/A ,$8.64 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXTROMETHORPHAN-GUAIFENESIN ER 30-600 MG TB12,637,1 ,$7.40 ,$5.33 ,$1.94 ,$18.50 ,$18.50 ,$3.92 ,$4.07 , N/A ,$2.07 ,$3.87 , N/A ,$4.07 , N/A ,$3.66 ,$2.96 , N/A ,$3.66 , N/A ,$5.18 ,$4.63 ,$5.92 , N/A , N/A ,$5.18 , N/A ,$4.44 , N/A ,$5.55 ,$4.08 ,$3.69 ,$4.08 , N/A ,$4.08 ,$5.99 ,$7.40 ,$5.99 ,$6.29 ,$7.40 ,$5.13 , N/A ,$7.40 ,$4.15 , N/A ,$1.94 ,$7.40 , N/A , N/A , N/A ,$5.92 ,$3.66 ,$2.07 ,$6.66 ,$2.81 ,$4.03 , N/A ,$3.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXTROSE 40 % GEL 37.5 G TUBE,637,1 ,$47.25 ,$34.02 ,$12.38 ,$118.13 ,$118.13 ,$25.04 ,$25.99 , N/A ,$13.23 ,$24.71 , N/A ,$25.99 , N/A ,$23.39 ,$18.90 , N/A ,$23.39 , N/A ,$33.08 ,$29.53 ,$37.80 , N/A , N/A ,$33.08 , N/A ,$28.35 , N/A ,$35.44 ,$26.08 ,$23.53 ,$26.08 , N/A ,$26.08 ,$38.27 ,$47.25 ,$38.27 ,$40.16 ,$47.25 ,$32.74 , N/A ,$47.25 ,$26.51 , N/A ,$12.38 ,$47.25 , N/A , N/A , N/A ,$37.80 ,$23.39 ,$13.23 ,$42.53 ,$17.96 ,$25.70 , N/A ,$22.68 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIAZEPAM 2 MG TABS,637,1 ,$6.27 ,$4.51 ,$1.64 ,$15.68 ,$15.68 ,$3.32 ,$3.45 , N/A ,$1.76 ,$3.28 , N/A ,$3.45 , N/A ,$3.10 ,$2.51 , N/A ,$3.10 , N/A ,$4.39 ,$3.92 ,$5.02 , N/A , N/A ,$4.39 , N/A ,$3.76 , N/A ,$4.70 ,$3.46 ,$3.12 ,$3.46 , N/A ,$3.46 ,$5.08 ,$6.27 ,$5.08 ,$5.33 ,$6.27 ,$4.35 , N/A ,$6.27 ,$3.52 , N/A ,$1.64 ,$6.27 , N/A , N/A , N/A ,$5.02 ,$3.10 ,$1.76 ,$5.64 ,$2.38 ,$3.41 , N/A ,$3.01 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIAZEPAM 5 MG TABS,637,1 ,$8.35 ,$6.01 ,$2.19 ,$20.88 ,$20.88 ,$4.43 ,$4.59 , N/A ,$2.34 ,$4.37 , N/A ,$4.59 , N/A ,$4.13 ,$3.34 , N/A ,$4.13 , N/A ,$5.85 ,$5.22 ,$6.68 , N/A , N/A ,$5.85 , N/A ,$5.01 , N/A ,$6.26 ,$4.61 ,$4.16 ,$4.61 , N/A ,$4.61 ,$6.76 ,$8.35 ,$6.76 ,$7.10 ,$8.35 ,$5.79 , N/A ,$8.35 ,$4.68 , N/A ,$2.19 ,$8.35 , N/A , N/A , N/A ,$6.68 ,$4.13 ,$2.34 ,$7.52 ,$3.17 ,$4.54 , N/A ,$4.01 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIBUCAINE (PERIANAL) 1 % OINT 28 G TUBE,637,1 ,$47.95 ,$34.52 ,$12.56 ,$119.88 ,$119.88 ,$25.41 ,$26.37 , N/A ,$13.43 ,$25.08 , N/A ,$26.37 , N/A ,$23.74 ,$19.18 , N/A ,$23.74 , N/A ,$33.57 ,$29.97 ,$38.36 , N/A , N/A ,$33.57 , N/A ,$28.77 , N/A ,$35.96 ,$26.47 ,$23.88 ,$26.47 , N/A ,$26.47 ,$38.84 ,$47.95 ,$38.84 ,$40.76 ,$47.95 ,$33.23 , N/A ,$47.95 ,$26.90 , N/A ,$12.56 ,$47.95 , N/A , N/A , N/A ,$38.36 ,$23.74 ,$13.43 ,$43.16 ,$18.22 ,$26.08 , N/A ,$23.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIBUCAINE 1 % OINT 28 G TUBE,637,1 ,$47.05 ,$33.88 ,$12.33 ,$117.63 ,$117.63 ,$24.94 ,$25.88 , N/A ,$13.17 ,$24.61 , N/A ,$25.88 , N/A ,$23.29 ,$18.82 , N/A ,$23.29 , N/A ,$32.94 ,$29.41 ,$37.64 , N/A , N/A ,$32.94 , N/A ,$28.23 , N/A ,$35.29 ,$25.97 ,$23.43 ,$25.97 , N/A ,$25.97 ,$38.11 ,$47.05 ,$38.11 ,$39.99 ,$47.05 ,$32.61 , N/A ,$47.05 ,$26.40 , N/A ,$12.33 ,$47.05 , N/A , N/A , N/A ,$37.64 ,$23.29 ,$13.17 ,$42.35 ,$17.88 ,$25.60 , N/A ,$22.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICLOFENAC EC 50 MG TBEC,637,1 ,$8.10 ,$5.83 ,$2.12 ,$20.25 ,$20.25 ,$4.29 ,$4.46 , N/A ,$2.27 ,$4.24 , N/A ,$4.46 , N/A ,$4.01 ,$3.24 , N/A ,$4.01 , N/A ,$5.67 ,$5.06 ,$6.48 , N/A , N/A ,$5.67 , N/A ,$4.86 , N/A ,$6.08 ,$4.47 ,$4.03 ,$4.47 , N/A ,$4.47 ,$6.56 ,$8.10 ,$6.56 ,$6.89 ,$8.10 ,$5.61 , N/A ,$8.10 ,$4.54 , N/A ,$2.12 ,$8.10 , N/A , N/A , N/A ,$6.48 ,$4.01 ,$2.27 ,$7.29 ,$3.08 ,$4.41 , N/A ,$3.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICLOXACILLIN 250 MG CAPS,637,1 ,$7.60 ,$5.47 ,$1.99 ,$19.00 ,$19.00 ,$4.03 ,$4.18 , N/A ,$2.13 ,$3.97 , N/A ,$4.18 , N/A ,$3.76 ,$3.04 , N/A ,$3.76 , N/A ,$5.32 ,$4.75 ,$6.08 , N/A , N/A ,$5.32 , N/A ,$4.56 , N/A ,$5.70 ,$4.20 ,$3.78 ,$4.20 , N/A ,$4.20 ,$6.16 ,$7.60 ,$6.16 ,$6.46 ,$7.60 ,$5.27 , N/A ,$7.60 ,$4.26 , N/A ,$1.99 ,$7.60 , N/A , N/A , N/A ,$6.08 ,$3.76 ,$2.13 ,$6.84 ,$2.89 ,$4.13 , N/A ,$3.65 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICYCLOMINE 10 MG/5ML SOLN,637,1 ,$1.65 ,$1.19 ,$0.43 ,$4.13 ,$4.13 ,$0.87 ,$0.91 , N/A ,$0.46 ,$0.86 , N/A ,$0.91 , N/A ,$0.82 ,$0.66 , N/A ,$0.82 , N/A ,$1.16 ,$1.03 ,$1.32 , N/A , N/A ,$1.16 , N/A ,$0.99 , N/A ,$1.24 ,$0.91 ,$0.82 ,$0.91 , N/A ,$0.91 ,$1.34 ,$1.65 ,$1.34 ,$1.40 ,$1.65 ,$1.14 , N/A ,$1.65 ,$0.93 , N/A ,$0.43 ,$1.65 , N/A , N/A , N/A ,$1.32 ,$0.82 ,$0.46 ,$1.49 ,$0.63 ,$0.90 , N/A ,$0.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIGOXIN 0.125 MG TABS,637,1 ,$30.75 ,$22.14 ,$8.06 ,$76.88 ,$76.88 ,$16.30 ,$16.91 , N/A ,$8.61 ,$16.08 , N/A ,$16.91 , N/A ,$15.22 ,$12.30 , N/A ,$15.22 , N/A ,$21.53 ,$19.22 ,$24.60 , N/A , N/A ,$21.53 , N/A ,$18.45 , N/A ,$23.06 ,$16.97 ,$15.31 ,$16.97 , N/A ,$16.97 ,$24.91 ,$30.75 ,$24.91 ,$26.14 ,$30.75 ,$21.31 , N/A ,$30.75 ,$17.25 , N/A ,$8.06 ,$30.75 , N/A , N/A , N/A ,$24.60 ,$15.22 ,$8.61 ,$27.68 ,$11.69 ,$16.73 , N/A ,$14.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIGOXIN 0.25 MG TABS,637,1 ,$9.30 ,$6.70 ,$2.44 ,$23.25 ,$23.25 ,$4.93 ,$5.12 , N/A ,$2.60 ,$4.86 , N/A ,$5.12 , N/A ,$4.60 ,$3.72 , N/A ,$4.60 , N/A ,$6.51 ,$5.81 ,$7.44 , N/A , N/A ,$6.51 , N/A ,$5.58 , N/A ,$6.98 ,$5.13 ,$4.63 ,$5.13 , N/A ,$5.13 ,$7.53 ,$9.30 ,$7.53 ,$7.91 ,$9.30 ,$6.44 , N/A ,$9.30 ,$5.22 , N/A ,$2.44 ,$9.30 , N/A , N/A , N/A ,$7.44 ,$4.60 ,$2.60 ,$8.37 ,$3.53 ,$5.06 , N/A ,$4.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUSPIRONE 5 MG TABS,637,1 ,$9.30 ,$6.70 ,$2.44 ,$23.25 ,$23.25 ,$4.93 ,$5.12 , N/A ,$2.60 ,$4.86 , N/A ,$5.12 , N/A ,$4.60 ,$3.72 , N/A ,$4.60 , N/A ,$6.51 ,$5.81 ,$7.44 , N/A , N/A ,$6.51 , N/A ,$5.58 , N/A ,$6.98 ,$5.13 ,$4.63 ,$5.13 , N/A ,$5.13 ,$7.53 ,$9.30 ,$7.53 ,$7.91 ,$9.30 ,$6.44 , N/A ,$9.30 ,$5.22 , N/A ,$2.44 ,$9.30 , N/A , N/A , N/A ,$7.44 ,$4.60 ,$2.60 ,$8.37 ,$3.53 ,$5.06 , N/A ,$4.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM CD 120 MG CP24,637,1 ,$11.65 ,$8.39 ,$3.05 ,$29.13 ,$29.13 ,$6.17 ,$6.41 , N/A ,$3.26 ,$6.09 , N/A ,$6.41 , N/A ,$5.77 ,$4.66 , N/A ,$5.77 , N/A ,$8.16 ,$7.28 ,$9.32 , N/A , N/A ,$8.16 , N/A ,$6.99 , N/A ,$8.74 ,$6.43 ,$5.80 ,$6.43 , N/A ,$6.43 ,$9.44 ,$11.65 ,$9.44 ,$9.90 ,$11.65 ,$8.07 , N/A ,$11.65 ,$6.54 , N/A ,$3.05 ,$11.65 , N/A , N/A , N/A ,$9.32 ,$5.77 ,$3.26 ,$10.49 ,$4.43 ,$6.34 , N/A ,$5.59 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM CD 240 MG CP24,637,1 ,$9.65 ,$6.95 ,$2.53 ,$24.13 ,$24.13 ,$5.11 ,$5.31 , N/A ,$2.70 ,$5.05 , N/A ,$5.31 , N/A ,$4.78 ,$3.86 , N/A ,$4.78 , N/A ,$6.76 ,$6.03 ,$7.72 , N/A , N/A ,$6.76 , N/A ,$5.79 , N/A ,$7.24 ,$5.33 ,$4.81 ,$5.33 , N/A ,$5.33 ,$7.82 ,$9.65 ,$7.82 ,$8.20 ,$9.65 ,$6.69 , N/A ,$9.65 ,$5.41 , N/A ,$2.53 ,$9.65 , N/A , N/A , N/A ,$7.72 ,$4.78 ,$2.70 ,$8.69 ,$3.67 ,$5.25 , N/A ,$4.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONIDINE 0.1 MG TABS,637,1 ,$9.65 ,$6.95 ,$2.53 ,$24.13 ,$24.13 ,$5.11 ,$5.31 , N/A ,$2.70 ,$5.05 , N/A ,$5.31 , N/A ,$4.78 ,$3.86 , N/A ,$4.78 , N/A ,$6.76 ,$6.03 ,$7.72 , N/A , N/A ,$6.76 , N/A ,$5.79 , N/A ,$7.24 ,$5.33 ,$4.81 ,$5.33 , N/A ,$5.33 ,$7.82 ,$9.65 ,$7.82 ,$8.20 ,$9.65 ,$6.69 , N/A ,$9.65 ,$5.41 , N/A ,$2.53 ,$9.65 , N/A , N/A , N/A ,$7.72 ,$4.78 ,$2.70 ,$8.69 ,$3.67 ,$5.25 , N/A ,$4.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM CD 300 MG CP24,637,1 ,$32.20 ,$23.18 ,$8.44 ,$80.50 ,$80.50 ,$17.07 ,$17.71 , N/A ,$9.02 ,$16.84 , N/A ,$17.71 , N/A ,$15.94 ,$12.88 , N/A ,$15.94 , N/A ,$22.54 ,$20.13 ,$25.76 , N/A , N/A ,$22.54 , N/A ,$19.32 , N/A ,$24.15 ,$17.77 ,$16.04 ,$17.77 , N/A ,$17.77 ,$26.08 ,$32.20 ,$26.08 ,$27.37 ,$32.20 ,$22.31 , N/A ,$32.20 ,$18.06 , N/A ,$8.44 ,$32.20 , N/A , N/A , N/A ,$25.76 ,$15.94 ,$9.02 ,$28.98 ,$12.24 ,$17.52 , N/A ,$15.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM SR 120 MG CP12,637,1 ,$52.20 ,$37.58 ,$13.68 ,$130.50 ,$130.50 ,$27.67 ,$28.71 , N/A ,$14.62 ,$27.30 , N/A ,$28.71 , N/A ,$25.84 ,$20.88 , N/A ,$25.84 , N/A ,$36.54 ,$32.63 ,$41.76 , N/A , N/A ,$36.54 , N/A ,$31.32 , N/A ,$39.15 ,$28.81 ,$26.00 ,$28.81 , N/A ,$28.81 ,$42.28 ,$52.20 ,$42.28 ,$44.37 ,$52.20 ,$36.17 , N/A ,$52.20 ,$29.28 , N/A ,$13.68 ,$52.20 , N/A , N/A , N/A ,$41.76 ,$25.84 ,$14.62 ,$46.98 ,$19.84 ,$28.40 , N/A ,$25.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM SR 90 MG CP12,637,1 ,$56.05 ,$40.36 ,$14.69 ,$140.13 ,$140.13 ,$29.71 ,$30.83 , N/A ,$15.69 ,$29.31 , N/A ,$30.83 , N/A ,$27.74 ,$22.42 , N/A ,$27.74 , N/A ,$39.24 ,$35.03 ,$44.84 , N/A , N/A ,$39.24 , N/A ,$33.63 , N/A ,$42.04 ,$30.94 ,$27.91 ,$30.94 , N/A ,$30.94 ,$45.40 ,$56.05 ,$45.40 ,$47.64 ,$56.05 ,$38.84 , N/A ,$56.05 ,$31.44 , N/A ,$14.69 ,$56.05 , N/A , N/A , N/A ,$44.84 ,$27.74 ,$15.69 ,$50.45 ,$21.30 ,$30.49 , N/A ,$26.90 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM XR 180 MG CP24,637,1 ,$6.15 ,$4.43 ,$1.61 ,$15.38 ,$15.38 ,$3.26 ,$3.38 , N/A ,$1.72 ,$3.22 , N/A ,$3.38 , N/A ,$3.04 ,$2.46 , N/A ,$3.04 , N/A ,$4.31 ,$3.84 ,$4.92 , N/A , N/A ,$4.31 , N/A ,$3.69 , N/A ,$4.61 ,$3.39 ,$3.06 ,$3.39 , N/A ,$3.39 ,$4.98 ,$6.15 ,$4.98 ,$5.23 ,$6.15 ,$4.26 , N/A ,$6.15 ,$3.45 , N/A ,$1.61 ,$6.15 , N/A , N/A , N/A ,$4.92 ,$3.04 ,$1.72 ,$5.54 ,$2.34 ,$3.35 , N/A ,$2.95 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIAMTERENE-HYDROCHLOROTHIAZIDE 75-50 MG TABS,637,1 ,$6.15 ,$4.43 ,$1.61 ,$15.38 ,$15.38 ,$3.26 ,$3.38 , N/A ,$1.72 ,$3.22 , N/A ,$3.38 , N/A ,$3.04 ,$2.46 , N/A ,$3.04 , N/A ,$4.31 ,$3.84 ,$4.92 , N/A , N/A ,$4.31 , N/A ,$3.69 , N/A ,$4.61 ,$3.39 ,$3.06 ,$3.39 , N/A ,$3.39 ,$4.98 ,$6.15 ,$4.98 ,$5.23 ,$6.15 ,$4.26 , N/A ,$6.15 ,$3.45 , N/A ,$1.61 ,$6.15 , N/A , N/A , N/A ,$4.92 ,$3.04 ,$1.72 ,$5.54 ,$2.34 ,$3.35 , N/A ,$2.95 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIPHENHYDRAMINE 12.5 MG/5ML ELIX,637,1 ,$54.60 ,$39.31 ,$14.31 ,$136.50 ,$136.50 ,$28.94 ,$30.03 , N/A ,$15.29 ,$28.56 , N/A ,$30.03 , N/A ,$27.03 ,$21.84 , N/A ,$27.03 , N/A ,$38.22 ,$34.13 ,$43.68 , N/A , N/A ,$38.22 , N/A ,$32.76 , N/A ,$40.95 ,$30.14 ,$27.19 ,$30.14 , N/A ,$30.14 ,$44.23 ,$54.60 ,$44.23 ,$46.41 ,$54.60 ,$37.84 , N/A ,$54.60 ,$30.63 , N/A ,$14.31 ,$54.60 , N/A , N/A , N/A ,$43.68 ,$27.03 ,$15.29 ,$49.14 ,$20.75 ,$29.70 , N/A ,$26.21 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACYCLOVIR 800 MG TABS,637,1 ,$54.60 ,$39.31 ,$14.31 ,$136.50 ,$136.50 ,$28.94 ,$30.03 , N/A ,$15.29 ,$28.56 , N/A ,$30.03 , N/A ,$27.03 ,$21.84 , N/A ,$27.03 , N/A ,$38.22 ,$34.13 ,$43.68 , N/A , N/A ,$38.22 , N/A ,$32.76 , N/A ,$40.95 ,$30.14 ,$27.19 ,$30.14 , N/A ,$30.14 ,$44.23 ,$54.60 ,$44.23 ,$46.41 ,$54.60 ,$37.84 , N/A ,$54.60 ,$30.63 , N/A ,$14.31 ,$54.60 , N/A , N/A , N/A ,$43.68 ,$27.03 ,$15.29 ,$49.14 ,$20.75 ,$29.70 , N/A ,$26.21 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX DR SPRINKLE 125 MG CSDR,637,1 ,$17.05 ,$12.28 ,$4.47 ,$42.63 ,$42.63 ,$9.04 ,$9.38 , N/A ,$4.77 ,$8.92 , N/A ,$9.38 , N/A ,$8.44 ,$6.82 , N/A ,$8.44 , N/A ,$11.94 ,$10.66 ,$13.64 , N/A , N/A ,$11.94 , N/A ,$10.23 , N/A ,$12.79 ,$9.41 ,$8.49 ,$9.41 , N/A ,$9.41 ,$13.81 ,$17.05 ,$13.81 ,$14.49 ,$17.05 ,$11.82 , N/A ,$17.05 ,$9.57 , N/A ,$4.47 ,$17.05 , N/A , N/A , N/A ,$13.64 ,$8.44 ,$4.77 ,$15.35 ,$6.48 ,$9.28 , N/A ,$8.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX EC 125 MG TBEC,637,1 ,$10.70 ,$7.70 ,$2.80 ,$26.75 ,$26.75 ,$5.67 ,$5.89 , N/A ,$3.00 ,$5.60 , N/A ,$5.89 , N/A ,$5.30 ,$4.28 , N/A ,$5.30 , N/A ,$7.49 ,$6.69 ,$8.56 , N/A , N/A ,$7.49 , N/A ,$6.42 , N/A ,$8.03 ,$5.91 ,$5.33 ,$5.91 , N/A ,$5.91 ,$8.67 ,$10.70 ,$8.67 ,$9.10 ,$10.70 ,$7.42 , N/A ,$10.70 ,$6.00 , N/A ,$2.80 ,$10.70 , N/A , N/A , N/A ,$8.56 ,$5.30 ,$3.00 ,$9.63 ,$4.07 ,$5.82 , N/A ,$5.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATENOLOL 50 MG TABS,637,1 ,$10.70 ,$7.70 ,$2.80 ,$26.75 ,$26.75 ,$5.67 ,$5.89 , N/A ,$3.00 ,$5.60 , N/A ,$5.89 , N/A ,$5.30 ,$4.28 , N/A ,$5.30 , N/A ,$7.49 ,$6.69 ,$8.56 , N/A , N/A ,$7.49 , N/A ,$6.42 , N/A ,$8.03 ,$5.91 ,$5.33 ,$5.91 , N/A ,$5.91 ,$8.67 ,$10.70 ,$8.67 ,$9.10 ,$10.70 ,$7.42 , N/A ,$10.70 ,$6.00 , N/A ,$2.80 ,$10.70 , N/A , N/A , N/A ,$8.56 ,$5.30 ,$3.00 ,$9.63 ,$4.07 ,$5.82 , N/A ,$5.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCITRIOL 0.25 MCG CAPS,637,1 ,$10.70 ,$7.70 ,$2.80 ,$26.75 ,$26.75 ,$5.67 ,$5.89 , N/A ,$3.00 ,$5.60 , N/A ,$5.89 , N/A ,$5.30 ,$4.28 , N/A ,$5.30 , N/A ,$7.49 ,$6.69 ,$8.56 , N/A , N/A ,$7.49 , N/A ,$6.42 , N/A ,$8.03 ,$5.91 ,$5.33 ,$5.91 , N/A ,$5.91 ,$8.67 ,$10.70 ,$8.67 ,$9.10 ,$10.70 ,$7.42 , N/A ,$10.70 ,$6.00 , N/A ,$2.80 ,$10.70 , N/A , N/A , N/A ,$8.56 ,$5.30 ,$3.00 ,$9.63 ,$4.07 ,$5.82 , N/A ,$5.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABS,637,1 ,$10.70 ,$7.70 ,$2.80 ,$26.75 ,$26.75 ,$5.67 ,$5.89 , N/A ,$3.00 ,$5.60 , N/A ,$5.89 , N/A ,$5.30 ,$4.28 , N/A ,$5.30 , N/A ,$7.49 ,$6.69 ,$8.56 , N/A , N/A ,$7.49 , N/A ,$6.42 , N/A ,$8.03 ,$5.91 ,$5.33 ,$5.91 , N/A ,$5.91 ,$8.67 ,$10.70 ,$8.67 ,$9.10 ,$10.70 ,$7.42 , N/A ,$10.70 ,$6.00 , N/A ,$2.80 ,$10.70 , N/A , N/A , N/A ,$8.56 ,$5.30 ,$3.00 ,$9.63 ,$4.07 ,$5.82 , N/A ,$5.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX EC 250 MG TBEC,637,1 ,$21.15 ,$15.23 ,$5.54 ,$52.88 ,$52.88 ,$11.21 ,$11.63 , N/A ,$5.92 ,$11.06 , N/A ,$11.63 , N/A ,$10.47 ,$8.46 , N/A ,$10.47 , N/A ,$14.81 ,$13.22 ,$16.92 , N/A , N/A ,$14.81 , N/A ,$12.69 , N/A ,$15.86 ,$11.67 ,$10.53 ,$11.67 , N/A ,$11.67 ,$17.13 ,$21.15 ,$17.13 ,$17.98 ,$21.15 ,$14.66 , N/A ,$21.15 ,$11.87 , N/A ,$5.54 ,$21.15 , N/A , N/A , N/A ,$16.92 ,$10.47 ,$5.92 ,$19.04 ,$8.04 ,$11.51 , N/A ,$10.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX EC 500 MG TBEC,637,1 ,$17.10 ,$12.31 ,$4.48 ,$42.75 ,$42.75 ,$9.06 ,$9.41 , N/A ,$4.79 ,$8.94 , N/A ,$9.41 , N/A ,$8.46 ,$6.84 , N/A ,$8.46 , N/A ,$11.97 ,$10.69 ,$13.68 , N/A , N/A ,$11.97 , N/A ,$10.26 , N/A ,$12.83 ,$9.44 ,$8.52 ,$9.44 , N/A ,$9.44 ,$13.85 ,$17.10 ,$13.85 ,$14.54 ,$17.10 ,$11.85 , N/A ,$17.10 ,$9.59 , N/A ,$4.48 ,$17.10 , N/A , N/A , N/A ,$13.68 ,$8.46 ,$4.79 ,$15.39 ,$6.50 ,$9.30 , N/A ,$8.21 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX ER 250 MG TB24,637,1 ,$29.40 ,$21.17 ,$7.70 ,$73.50 ,$73.50 ,$15.58 ,$16.17 , N/A ,$8.23 ,$15.38 , N/A ,$16.17 , N/A ,$14.55 ,$11.76 , N/A ,$14.55 , N/A ,$20.58 ,$18.38 ,$23.52 , N/A , N/A ,$20.58 , N/A ,$17.64 , N/A ,$22.05 ,$16.23 ,$14.64 ,$16.23 , N/A ,$16.23 ,$23.81 ,$29.40 ,$23.81 ,$24.99 ,$29.40 ,$20.37 , N/A ,$29.40 ,$16.49 , N/A ,$7.70 ,$29.40 , N/A , N/A , N/A ,$23.52 ,$14.55 ,$8.23 ,$26.46 ,$11.17 ,$15.99 , N/A ,$14.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOCUSATE 50 MG/5ML LIQD,637,1 ,$16.00 ,$11.52 ,$4.19 ,$40.00 ,$40.00 ,$8.48 ,$8.80 , N/A ,$4.48 ,$8.37 , N/A ,$8.80 , N/A ,$7.92 ,$6.40 , N/A ,$7.92 , N/A ,$11.20 ,$10.00 ,$12.80 , N/A , N/A ,$11.20 , N/A ,$9.60 , N/A ,$12.00 ,$8.83 ,$7.97 ,$8.83 , N/A ,$8.83 ,$12.96 ,$16.00 ,$12.96 ,$13.60 ,$16.00 ,$11.09 , N/A ,$16.00 ,$8.98 , N/A ,$4.19 ,$16.00 , N/A , N/A , N/A ,$12.80 ,$7.92 ,$4.48 ,$14.40 ,$6.08 ,$8.70 , N/A ,$7.68 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOFETILIDE 125 MCG CAPS,637,1 ,$23.55 ,$16.96 ,$6.17 ,$58.88 ,$58.88 ,$12.48 ,$12.95 , N/A ,$6.59 ,$12.32 , N/A ,$12.95 , N/A ,$11.66 ,$9.42 , N/A ,$11.66 , N/A ,$16.49 ,$14.72 ,$18.84 , N/A , N/A ,$16.49 , N/A ,$14.13 , N/A ,$17.66 ,$13.00 ,$11.73 ,$13.00 , N/A ,$13.00 ,$19.08 ,$23.55 ,$19.08 ,$20.02 ,$23.55 ,$16.32 , N/A ,$23.55 ,$13.21 , N/A ,$6.17 ,$23.55 , N/A , N/A , N/A ,$18.84 ,$11.66 ,$6.59 ,$21.20 ,$8.95 ,$12.81 , N/A ,$11.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOLUTEGRAVIR 50 MG TABS,637,1 ,$221.30 ,$159.34 ,$57.98 ,$553.25 ,$553.25 ,$117.29 ,$121.72 , N/A ,$61.96 ,$115.74 , N/A ,$121.72 , N/A ,$109.54 ,$88.52 , N/A ,$109.54 , N/A ,$154.91 ,$138.31 ,$177.04 , N/A , N/A ,$154.91 , N/A ,$132.78 , N/A ,$165.98 ,$122.16 ,$110.21 ,$122.16 , N/A ,$122.16 ,$179.25 ,$221.30 ,$179.25 ,$188.11 ,$221.30 ,$153.36 , N/A ,$221.30 ,$124.15 , N/A ,$57.98 ,$221.30 , N/A , N/A , N/A ,$177.04 ,$109.54 ,$61.96 ,$199.17 ,$84.09 ,$120.39 , N/A ,$106.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,637,1 ,$367.40 ,$264.53 ,$96.26 ,$918.50 ,$918.50 ,$194.72 ,$202.07 , N/A ,$102.87 ,$192.15 , N/A ,$202.07 , N/A ,$181.86 ,$146.96 , N/A ,$181.86 , N/A ,$257.18 ,$229.63 ,$293.92 , N/A , N/A ,$257.18 , N/A ,$220.44 , N/A ,$275.55 ,$202.80 ,$182.97 ,$202.80 , N/A ,$202.80 ,$297.59 ,$367.40 ,$297.59 ,$312.29 ,$367.40 ,$254.61 , N/A ,$367.40 ,$206.11 , N/A ,$96.26 ,$367.40 , N/A , N/A , N/A ,$293.92 ,$181.86 ,$102.87 ,$330.66 ,$139.61 ,$199.87 , N/A ,$176.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOXYCYCLINE HYCLATE 100 MG TABS,637,1 ,$44.75 ,$32.22 ,$11.72 ,$111.88 ,$111.88 ,$23.72 ,$24.61 , N/A ,$12.53 ,$23.40 , N/A ,$24.61 , N/A ,$22.15 ,$17.90 , N/A ,$22.15 , N/A ,$31.33 ,$27.97 ,$35.80 , N/A , N/A ,$31.33 , N/A ,$26.85 , N/A ,$33.56 ,$24.70 ,$22.29 ,$24.70 , N/A ,$24.70 ,$36.25 ,$44.75 ,$36.25 ,$38.04 ,$44.75 ,$31.01 , N/A ,$44.75 ,$25.10 , N/A ,$11.72 ,$44.75 , N/A , N/A , N/A ,$35.80 ,$22.15 ,$12.53 ,$40.28 ,$17.01 ,$24.34 , N/A ,$21.48 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DRONABINOL 2.5 MG CAPS,637,1 ,$42.45 ,$30.56 ,$11.12 ,$106.13 ,$106.13 ,$22.50 ,$23.35 , N/A ,$11.89 ,$22.20 , N/A ,$23.35 , N/A ,$21.01 ,$16.98 , N/A ,$21.01 , N/A ,$29.72 ,$26.53 ,$33.96 , N/A , N/A ,$29.72 , N/A ,$25.47 , N/A ,$31.84 ,$23.43 ,$21.14 ,$23.43 , N/A ,$23.43 ,$34.38 ,$42.45 ,$34.38 ,$36.08 ,$42.45 ,$29.42 , N/A ,$42.45 ,$23.81 , N/A ,$11.12 ,$42.45 , N/A , N/A , N/A ,$33.96 ,$21.01 ,$11.89 ,$38.21 ,$16.13 ,$23.09 , N/A ,$20.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DULOXETINE 20 MG CPEP,637,1 ,$65.35 ,$47.05 ,$17.12 ,$163.38 ,$163.38 ,$34.64 ,$35.94 , N/A ,$18.30 ,$34.18 , N/A ,$35.94 , N/A ,$32.35 ,$26.14 , N/A ,$32.35 , N/A ,$45.75 ,$40.84 ,$52.28 , N/A , N/A ,$45.75 , N/A ,$39.21 , N/A ,$49.01 ,$36.07 ,$32.54 ,$36.07 , N/A ,$36.07 ,$52.93 ,$65.35 ,$52.93 ,$55.55 ,$65.35 ,$45.29 , N/A ,$65.35 ,$36.66 , N/A ,$17.12 ,$65.35 , N/A , N/A , N/A ,$52.28 ,$32.35 ,$18.30 ,$58.82 ,$24.83 ,$35.55 , N/A ,$31.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DULOXETINE 60 MG CPEP,637,1 ,$61.60 ,$44.35 ,$16.14 ,$154.00 ,$154.00 ,$32.65 ,$33.88 , N/A ,$17.25 ,$32.22 , N/A ,$33.88 , N/A ,$30.49 ,$24.64 , N/A ,$30.49 , N/A ,$43.12 ,$38.50 ,$49.28 , N/A , N/A ,$43.12 , N/A ,$36.96 , N/A ,$46.20 ,$34.00 ,$30.68 ,$34.00 , N/A ,$34.00 ,$49.90 ,$61.60 ,$49.90 ,$52.36 ,$61.60 ,$42.69 , N/A ,$61.60 ,$34.56 , N/A ,$16.14 ,$61.60 , N/A , N/A , N/A ,$49.28 ,$30.49 ,$17.25 ,$55.44 ,$23.41 ,$33.51 , N/A ,$29.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DULOXETINE 30 MG CPEP,637,1 ,$61.60 ,$44.35 ,$16.14 ,$154.00 ,$154.00 ,$32.65 ,$33.88 , N/A ,$17.25 ,$32.22 , N/A ,$33.88 , N/A ,$30.49 ,$24.64 , N/A ,$30.49 , N/A ,$43.12 ,$38.50 ,$49.28 , N/A , N/A ,$43.12 , N/A ,$36.96 , N/A ,$46.20 ,$34.00 ,$30.68 ,$34.00 , N/A ,$34.00 ,$49.90 ,$61.60 ,$49.90 ,$52.36 ,$61.60 ,$42.69 , N/A ,$61.60 ,$34.56 , N/A ,$16.14 ,$61.60 , N/A , N/A , N/A ,$49.28 ,$30.49 ,$17.25 ,$55.44 ,$23.41 ,$33.51 , N/A ,$29.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DUTASTERIDE 0.5 MG CAPS,637,1 ,$16.65 ,$11.99 ,$4.36 ,$41.63 ,$41.63 ,$8.82 ,$9.16 , N/A ,$4.66 ,$8.71 , N/A ,$9.16 , N/A ,$8.24 ,$6.66 , N/A ,$8.24 , N/A ,$11.66 ,$10.41 ,$13.32 , N/A , N/A ,$11.66 , N/A ,$9.99 , N/A ,$12.49 ,$9.19 ,$8.29 ,$9.19 , N/A ,$9.19 ,$13.49 ,$16.65 ,$13.49 ,$14.15 ,$16.65 ,$11.54 , N/A ,$16.65 ,$9.34 , N/A ,$4.36 ,$16.65 , N/A , N/A , N/A ,$13.32 ,$8.24 ,$4.66 ,$14.99 ,$6.33 ,$9.06 , N/A ,$7.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,EMPAGLIFLOZIN 25 MG TABS,637,1 ,$62.80 ,$45.22 ,$16.45 ,$157.00 ,$157.00 ,$33.28 ,$34.54 , N/A ,$17.58 ,$32.84 , N/A ,$34.54 , N/A ,$31.09 ,$25.12 , N/A ,$31.09 , N/A ,$43.96 ,$39.25 ,$50.24 , N/A , N/A ,$43.96 , N/A ,$37.68 , N/A ,$47.10 ,$34.67 ,$31.27 ,$34.67 , N/A ,$34.67 ,$50.87 ,$62.80 ,$50.87 ,$53.38 ,$62.80 ,$43.52 , N/A ,$62.80 ,$35.23 , N/A ,$16.45 ,$62.80 , N/A , N/A , N/A ,$50.24 ,$31.09 ,$17.58 ,$56.52 ,$23.86 ,$34.16 , N/A ,$30.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,637,1 ,$62.80 ,$45.22 ,$16.45 ,$157.00 ,$157.00 ,$33.28 ,$34.54 , N/A ,$17.58 ,$32.84 , N/A ,$34.54 , N/A ,$31.09 ,$25.12 , N/A ,$31.09 , N/A ,$43.96 ,$39.25 ,$50.24 , N/A , N/A ,$43.96 , N/A ,$37.68 , N/A ,$47.10 ,$34.67 ,$31.27 ,$34.67 , N/A ,$34.67 ,$50.87 ,$62.80 ,$50.87 ,$53.38 ,$62.80 ,$43.52 , N/A ,$62.80 ,$35.23 , N/A ,$16.45 ,$62.80 , N/A , N/A , N/A ,$50.24 ,$31.09 ,$17.58 ,$56.52 ,$23.86 ,$34.16 , N/A ,$30.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,EMPAGLIFLOZIN 10 MG TABS,637,1 ,$62.80 ,$45.22 ,$16.45 ,$157.00 ,$157.00 ,$33.28 ,$34.54 , N/A ,$17.58 ,$32.84 , N/A ,$34.54 , N/A ,$31.09 ,$25.12 , N/A ,$31.09 , N/A ,$43.96 ,$39.25 ,$50.24 , N/A , N/A ,$43.96 , N/A ,$37.68 , N/A ,$47.10 ,$34.67 ,$31.27 ,$34.67 , N/A ,$34.67 ,$50.87 ,$62.80 ,$50.87 ,$53.38 ,$62.80 ,$43.52 , N/A ,$62.80 ,$35.23 , N/A ,$16.45 ,$62.80 , N/A , N/A , N/A ,$50.24 ,$31.09 ,$17.58 ,$56.52 ,$23.86 ,$34.16 , N/A ,$30.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,EMTRICITABINE 200 MG CAPS,637,1 ,$59.05 ,$42.52 ,$15.47 ,$147.63 ,$147.63 ,$31.30 ,$32.48 , N/A ,$16.53 ,$30.88 , N/A ,$32.48 , N/A ,$29.23 ,$23.62 , N/A ,$29.23 , N/A ,$41.34 ,$36.91 ,$47.24 , N/A , N/A ,$41.34 , N/A ,$35.43 , N/A ,$44.29 ,$32.60 ,$29.41 ,$32.60 , N/A ,$32.60 ,$47.83 ,$59.05 ,$47.83 ,$50.19 ,$59.05 ,$40.92 , N/A ,$59.05 ,$33.13 , N/A ,$15.47 ,$59.05 , N/A , N/A , N/A ,$47.24 ,$29.23 ,$16.53 ,$53.15 ,$22.44 ,$32.12 , N/A ,$28.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,EPINEPHRINE 0.3 MG/0.3ML SOAJ,637,1 ,$791.05 ,$569.56 ,$207.26 ,"$1,977.63 ","$1,977.63 ",$419.26 ,$435.08 , N/A ,$221.49 ,$413.72 , N/A ,$435.08 , N/A ,$391.57 ,$316.42 , N/A ,$391.57 , N/A ,$553.74 ,$494.41 ,$632.84 , N/A , N/A ,$553.74 , N/A ,$474.63 , N/A ,$593.29 ,$436.66 ,$393.94 ,$436.66 , N/A ,$436.66 ,$640.75 ,$791.05 ,$640.75 ,$672.39 ,$791.05 ,$548.20 , N/A ,$791.05 ,$443.78 , N/A ,$207.26 ,$791.05 , N/A , N/A , N/A ,$632.84 ,$391.57 ,$221.49 ,$711.95 ,$300.60 ,$430.33 , N/A ,$379.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,637,1 ,$71.55 ,$51.52 ,$18.75 ,$178.88 ,$178.88 ,$37.92 ,$39.35 , N/A ,$20.03 ,$37.42 , N/A ,$39.35 , N/A ,$35.42 ,$28.62 , N/A ,$35.42 , N/A ,$50.09 ,$44.72 ,$57.24 , N/A , N/A ,$50.09 , N/A ,$42.93 , N/A ,$53.66 ,$39.50 ,$35.63 ,$39.50 , N/A ,$39.50 ,$57.96 ,$71.55 ,$57.96 ,$60.82 ,$71.55 ,$49.58 , N/A ,$71.55 ,$40.14 , N/A ,$18.75 ,$71.55 , N/A , N/A , N/A ,$57.24 ,$35.42 ,$20.03 ,$64.40 ,$27.19 ,$38.92 , N/A ,$34.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ERYTHROMYCIN EC 250 MG TBEC,637,1 ,$23.10 ,$16.63 ,$6.05 ,$57.75 ,$57.75 ,$12.24 ,$12.71 , N/A ,$6.47 ,$12.08 , N/A ,$12.71 , N/A ,$11.43 ,$9.24 , N/A ,$11.43 , N/A ,$16.17 ,$14.44 ,$18.48 , N/A , N/A ,$16.17 , N/A ,$13.86 , N/A ,$17.33 ,$12.75 ,$11.50 ,$12.75 , N/A ,$12.75 ,$18.71 ,$23.10 ,$18.71 ,$19.64 ,$23.10 ,$16.01 , N/A ,$23.10 ,$12.96 , N/A ,$6.05 ,$23.10 , N/A , N/A , N/A ,$18.48 ,$11.43 ,$6.47 ,$20.79 ,$8.78 ,$12.57 , N/A ,$11.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML SUSR,637,1 ,$109.20 ,$78.62 ,$28.61 ,$273.00 ,$273.00 ,$57.88 ,$60.06 , N/A ,$30.58 ,$57.11 , N/A ,$60.06 , N/A ,$54.05 ,$43.68 , N/A ,$54.05 , N/A ,$76.44 ,$68.25 ,$87.36 , N/A , N/A ,$76.44 , N/A ,$65.52 , N/A ,$81.90 ,$60.28 ,$54.38 ,$60.28 , N/A ,$60.28 ,$88.45 ,$109.20 ,$88.45 ,$92.82 ,$109.20 ,$75.68 , N/A ,$109.20 ,$61.26 , N/A ,$28.61 ,$109.20 , N/A , N/A , N/A ,$87.36 ,$54.05 ,$30.58 ,$98.28 ,$41.50 ,$59.40 , N/A ,$52.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ESCITALOPRAM 20 MG TABS,637,1 ,$55.20 ,$39.74 ,$14.46 ,$138.00 ,$138.00 ,$29.26 ,$30.36 , N/A ,$15.46 ,$28.87 , N/A ,$30.36 , N/A ,$27.32 ,$22.08 , N/A ,$27.32 , N/A ,$38.64 ,$34.50 ,$44.16 , N/A , N/A ,$38.64 , N/A ,$33.12 , N/A ,$41.40 ,$30.47 ,$27.49 ,$30.47 , N/A ,$30.47 ,$44.71 ,$55.20 ,$44.71 ,$46.92 ,$55.20 ,$38.25 , N/A ,$55.20 ,$30.97 , N/A ,$14.46 ,$55.20 , N/A , N/A , N/A ,$44.16 ,$27.32 ,$15.46 ,$49.68 ,$20.98 ,$30.03 , N/A ,$26.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ESTROGENS (CONJUGATED) 0.3 MG TABS,637,1 ,$21.08 ,$15.18 ,$5.52 ,$52.70 ,$52.70 ,$11.17 ,$11.59 , N/A ,$5.90 ,$11.02 , N/A ,$11.59 , N/A ,$10.43 ,$8.43 , N/A ,$10.43 , N/A ,$14.76 ,$13.18 ,$16.86 , N/A , N/A ,$14.76 , N/A ,$12.65 , N/A ,$15.81 ,$11.64 ,$10.50 ,$11.64 , N/A ,$11.64 ,$17.07 ,$21.08 ,$17.07 ,$17.92 ,$21.08 ,$14.61 , N/A ,$21.08 ,$11.83 , N/A ,$5.52 ,$21.08 , N/A , N/A , N/A ,$16.86 ,$10.43 ,$5.90 ,$18.97 ,$8.01 ,$11.47 , N/A ,$10.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLARITHROMYCIN 250 MG TABS,637,1 ,$21.08 ,$15.18 ,$5.52 ,$52.70 ,$52.70 ,$11.17 ,$11.59 , N/A ,$5.90 ,$11.02 , N/A ,$11.59 , N/A ,$10.43 ,$8.43 , N/A ,$10.43 , N/A ,$14.76 ,$13.18 ,$16.86 , N/A , N/A ,$14.76 , N/A ,$12.65 , N/A ,$15.81 ,$11.64 ,$10.50 ,$11.64 , N/A ,$11.64 ,$17.07 ,$21.08 ,$17.07 ,$17.92 ,$21.08 ,$14.61 , N/A ,$21.08 ,$11.83 , N/A ,$5.52 ,$21.08 , N/A , N/A , N/A ,$16.86 ,$10.43 ,$5.90 ,$18.97 ,$8.01 ,$11.47 , N/A ,$10.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ETHACRYNIC ACID 25 MG TABS,637,1 ,$65.88 ,$47.43 ,$17.26 ,$164.70 ,$164.70 ,$34.92 ,$36.23 , N/A ,$18.45 ,$34.46 , N/A ,$36.23 , N/A ,$32.61 ,$26.35 , N/A ,$32.61 , N/A ,$46.12 ,$41.18 ,$52.70 , N/A , N/A ,$46.12 , N/A ,$39.53 , N/A ,$49.41 ,$36.37 ,$32.81 ,$36.37 , N/A ,$36.37 ,$53.36 ,$65.88 ,$53.36 ,$56.00 ,$65.88 ,$45.65 , N/A ,$65.88 ,$36.96 , N/A ,$17.26 ,$65.88 , N/A , N/A , N/A ,$52.70 ,$32.61 ,$18.45 ,$59.29 ,$25.03 ,$35.84 , N/A ,$31.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ETHAMBUTOL 400 MG TABS,637,1 ,$19.50 ,$14.04 ,$5.11 ,$48.75 ,$48.75 ,$10.34 ,$10.73 , N/A ,$5.46 ,$10.20 , N/A ,$10.73 , N/A ,$9.65 ,$7.80 , N/A ,$9.65 , N/A ,$13.65 ,$12.19 ,$15.60 , N/A , N/A ,$13.65 , N/A ,$11.70 , N/A ,$14.63 ,$10.76 ,$9.71 ,$10.76 , N/A ,$10.76 ,$15.80 ,$19.50 ,$15.80 ,$16.58 ,$19.50 ,$13.51 , N/A ,$19.50 ,$10.94 , N/A ,$5.11 ,$19.50 , N/A , N/A , N/A ,$15.60 ,$9.65 ,$5.46 ,$17.55 ,$7.41 ,$10.61 , N/A ,$9.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,EZETIMIBE 10 MG TABS,637,1 ,$86.80 ,$62.50 ,$22.74 ,$217.00 ,$217.00 ,$46.00 ,$47.74 , N/A ,$24.30 ,$45.40 , N/A ,$47.74 , N/A ,$42.97 ,$34.72 , N/A ,$42.97 , N/A ,$60.76 ,$54.25 ,$69.44 , N/A , N/A ,$60.76 , N/A ,$52.08 , N/A ,$65.10 ,$47.91 ,$43.23 ,$47.91 , N/A ,$47.91 ,$70.31 ,$86.80 ,$70.31 ,$73.78 ,$86.80 ,$60.15 , N/A ,$86.80 ,$48.69 , N/A ,$22.74 ,$86.80 , N/A , N/A , N/A ,$69.44 ,$42.97 ,$24.30 ,$78.12 ,$32.98 ,$47.22 , N/A ,$41.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FAMOTIDINE 20 MG TABS,637,1 ,$18.25 ,$13.14 ,$4.78 ,$45.63 ,$45.63 ,$9.67 ,$10.04 , N/A ,$5.11 ,$9.54 , N/A ,$10.04 , N/A ,$9.03 ,$7.30 , N/A ,$9.03 , N/A ,$12.78 ,$11.41 ,$14.60 , N/A , N/A ,$12.78 , N/A ,$10.95 , N/A ,$13.69 ,$10.07 ,$9.09 ,$10.07 , N/A ,$10.07 ,$14.78 ,$18.25 ,$14.78 ,$15.51 ,$18.25 ,$12.65 , N/A ,$18.25 ,$10.24 , N/A ,$4.78 ,$18.25 , N/A , N/A , N/A ,$14.60 ,$9.03 ,$5.11 ,$16.43 ,$6.94 ,$9.93 , N/A ,$8.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FAMOTIDINE 40 MG/5ML SUSR,637,1 ,$16.23 ,$11.69 ,$4.25 ,$40.58 ,$40.58 ,$8.60 ,$8.93 , N/A ,$4.54 ,$8.49 , N/A ,$8.93 , N/A ,$8.03 ,$6.49 , N/A ,$8.03 , N/A ,$11.36 ,$10.14 ,$12.98 , N/A , N/A ,$11.36 , N/A ,$9.74 , N/A ,$12.17 ,$8.96 ,$8.08 ,$8.96 , N/A ,$8.96 ,$13.15 ,$16.23 ,$13.15 ,$13.80 ,$16.23 ,$11.25 , N/A ,$16.23 ,$9.11 , N/A ,$4.25 ,$16.23 , N/A , N/A , N/A ,$12.98 ,$8.03 ,$4.54 ,$14.61 ,$6.17 ,$8.83 , N/A ,$7.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FEBUXOSTAT 40 MG TABS,637,1 ,$41.55 ,$29.92 ,$10.89 ,$103.88 ,$103.88 ,$22.02 ,$22.85 , N/A ,$11.63 ,$21.73 , N/A ,$22.85 , N/A ,$20.57 ,$16.62 , N/A ,$20.57 , N/A ,$29.09 ,$25.97 ,$33.24 , N/A , N/A ,$29.09 , N/A ,$24.93 , N/A ,$31.16 ,$22.94 ,$20.69 ,$22.94 , N/A ,$22.94 ,$33.66 ,$41.55 ,$33.66 ,$35.32 ,$41.55 ,$28.79 , N/A ,$41.55 ,$23.31 , N/A ,$10.89 ,$41.55 , N/A , N/A , N/A ,$33.24 ,$20.57 ,$11.63 ,$37.40 ,$15.79 ,$22.60 , N/A ,$19.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENOFIBRATE 145 MG TABS,637,1 ,$15.80 ,$11.38 ,$4.14 ,$39.50 ,$39.50 ,$8.37 ,$8.69 , N/A ,$4.42 ,$8.26 , N/A ,$8.69 , N/A ,$7.82 ,$6.32 , N/A ,$7.82 , N/A ,$11.06 ,$9.88 ,$12.64 , N/A , N/A ,$11.06 , N/A ,$9.48 , N/A ,$11.85 ,$8.72 ,$7.87 ,$8.72 , N/A ,$8.72 ,$12.80 ,$15.80 ,$12.80 ,$13.43 ,$15.80 ,$10.95 , N/A ,$15.80 ,$8.86 , N/A ,$4.14 ,$15.80 , N/A , N/A , N/A ,$12.64 ,$7.82 ,$4.42 ,$14.22 ,$6.00 ,$8.60 , N/A ,$7.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENOFIBRATE 48 MG TABS,637,1 ,$22.95 ,$16.52 ,$6.01 ,$57.38 ,$57.38 ,$12.16 ,$12.62 , N/A ,$6.43 ,$12.00 , N/A ,$12.62 , N/A ,$11.36 ,$9.18 , N/A ,$11.36 , N/A ,$16.07 ,$14.34 ,$18.36 , N/A , N/A ,$16.07 , N/A ,$13.77 , N/A ,$17.21 ,$12.67 ,$11.43 ,$12.67 , N/A ,$12.67 ,$18.59 ,$22.95 ,$18.59 ,$19.51 ,$22.95 ,$15.90 , N/A ,$22.95 ,$12.88 , N/A ,$6.01 ,$22.95 , N/A , N/A , N/A ,$18.36 ,$11.36 ,$6.43 ,$20.66 ,$8.72 ,$12.48 , N/A ,$11.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENTANYL 100 MCG/HR PT72,637,1 ,$432.95 ,$311.72 ,$113.43 ,"$1,082.38 ","$1,082.38 ",$229.46 ,$238.12 , N/A ,$121.23 ,$226.43 , N/A ,$238.12 , N/A ,$214.31 ,$173.18 , N/A ,$214.31 , N/A ,$303.07 ,$270.59 ,$346.36 , N/A , N/A ,$303.07 , N/A ,$259.77 , N/A ,$324.71 ,$238.99 ,$215.61 ,$238.99 , N/A ,$238.99 ,$350.69 ,$432.95 ,$350.69 ,$368.01 ,$432.95 ,$300.03 , N/A ,$432.95 ,$242.89 , N/A ,$113.43 ,$432.95 , N/A , N/A , N/A ,$346.36 ,$214.31 ,$121.23 ,$389.66 ,$164.52 ,$235.52 , N/A ,$207.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENTANYL 12 MCG/HR PT72,637,1 ,$111.70 ,$80.42 ,$29.27 ,$279.25 ,$279.25 ,$59.20 ,$61.44 , N/A ,$31.28 ,$58.42 , N/A ,$61.44 , N/A ,$55.29 ,$44.68 , N/A ,$55.29 , N/A ,$78.19 ,$69.81 ,$89.36 , N/A , N/A ,$78.19 , N/A ,$67.02 , N/A ,$83.78 ,$61.66 ,$55.63 ,$61.66 , N/A ,$61.66 ,$90.48 ,$111.70 ,$90.48 ,$94.95 ,$111.70 ,$77.41 , N/A ,$111.70 ,$62.66 , N/A ,$29.27 ,$111.70 , N/A , N/A , N/A ,$89.36 ,$55.29 ,$31.28 ,$100.53 ,$42.45 ,$60.76 , N/A ,$53.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENTANYL 50 MCG/HR PT72,637,1 ,$272.20 ,$195.98 ,$71.32 ,$680.50 ,$680.50 ,$144.27 ,$149.71 , N/A ,$76.22 ,$142.36 , N/A ,$149.71 , N/A ,$134.74 ,$108.88 , N/A ,$134.74 , N/A ,$190.54 ,$170.13 ,$217.76 , N/A , N/A ,$190.54 , N/A ,$163.32 , N/A ,$204.15 ,$150.25 ,$135.56 ,$150.25 , N/A ,$150.25 ,$220.48 ,$272.20 ,$220.48 ,$231.37 ,$272.20 ,$188.63 , N/A ,$272.20 ,$152.70 , N/A ,$71.32 ,$272.20 , N/A , N/A , N/A ,$217.76 ,$134.74 ,$76.22 ,$244.98 ,$103.44 ,$148.08 , N/A ,$130.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENTANYL 75 MCG/HR PT72,637,1 ,$326.25 ,$234.90 ,$85.48 ,$815.63 ,$815.63 ,$172.91 ,$179.44 , N/A ,$91.35 ,$170.63 , N/A ,$179.44 , N/A ,$161.49 ,$130.50 , N/A ,$161.49 , N/A ,$228.38 ,$203.91 ,$261.00 , N/A , N/A ,$228.38 , N/A ,$195.75 , N/A ,$244.69 ,$180.09 ,$162.47 ,$180.09 , N/A ,$180.09 ,$264.26 ,$326.25 ,$264.26 ,$277.31 ,$326.25 ,$226.09 , N/A ,$326.25 ,$183.03 , N/A ,$85.48 ,$326.25 , N/A , N/A , N/A ,$261.00 ,$161.49 ,$91.35 ,$293.63 ,$123.98 ,$177.48 , N/A ,$156.60 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FERROUS SULFATE 300 (60 FE) MG/5ML SYRP,637,1 ,$48.85 ,$35.17 ,$12.80 ,$122.13 ,$122.13 ,$25.89 ,$26.87 , N/A ,$13.68 ,$25.55 , N/A ,$26.87 , N/A ,$24.18 ,$19.54 , N/A ,$24.18 , N/A ,$34.20 ,$30.53 ,$39.08 , N/A , N/A ,$34.20 , N/A ,$29.31 , N/A ,$36.64 ,$26.97 ,$24.33 ,$26.97 , N/A ,$26.97 ,$39.57 ,$48.85 ,$39.57 ,$41.52 ,$48.85 ,$33.85 , N/A ,$48.85 ,$27.40 , N/A ,$12.80 ,$48.85 , N/A , N/A , N/A ,$39.08 ,$24.18 ,$13.68 ,$43.97 ,$18.56 ,$26.57 , N/A ,$23.45 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIVALPROEX ER 500 MG TB24,637,1 ,$48.85 ,$35.17 ,$12.80 ,$122.13 ,$122.13 ,$25.89 ,$26.87 , N/A ,$13.68 ,$25.55 , N/A ,$26.87 , N/A ,$24.18 ,$19.54 , N/A ,$24.18 , N/A ,$34.20 ,$30.53 ,$39.08 , N/A , N/A ,$34.20 , N/A ,$29.31 , N/A ,$36.64 ,$26.97 ,$24.33 ,$26.97 , N/A ,$26.97 ,$39.57 ,$48.85 ,$39.57 ,$41.52 ,$48.85 ,$33.85 , N/A ,$48.85 ,$27.40 , N/A ,$12.80 ,$48.85 , N/A , N/A , N/A ,$39.08 ,$24.18 ,$13.68 ,$43.97 ,$18.56 ,$26.57 , N/A ,$23.45 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FIDAXOMICIN 200 MG TABS,637,1 ,$738.45 ,$531.68 ,$193.47 ,"$1,846.13 ","$1,846.13 ",$391.38 ,$406.15 , N/A ,$206.77 ,$386.21 , N/A ,$406.15 , N/A ,$365.53 ,$295.38 , N/A ,$365.53 , N/A ,$516.92 ,$461.53 ,$590.76 , N/A , N/A ,$516.92 , N/A ,$443.07 , N/A ,$553.84 ,$407.62 ,$367.75 ,$407.62 , N/A ,$407.62 ,$598.14 ,$738.45 ,$598.14 ,$627.68 ,$738.45 ,$511.75 , N/A ,$738.45 ,$414.27 , N/A ,$193.47 ,$738.45 , N/A , N/A , N/A ,$590.76 ,$365.53 ,$206.77 ,$664.61 ,$280.61 ,$401.72 , N/A ,$354.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUCONAZOLE 10 MG/ML SUSR,637,1 ,$107.75 ,$77.58 ,$28.23 ,$269.38 ,$269.38 ,$57.11 ,$59.26 , N/A ,$30.17 ,$56.35 , N/A ,$59.26 , N/A ,$53.34 ,$43.10 , N/A ,$53.34 , N/A ,$75.43 ,$67.34 ,$86.20 , N/A , N/A ,$75.43 , N/A ,$64.65 , N/A ,$80.81 ,$59.48 ,$53.66 ,$59.48 , N/A ,$59.48 ,$87.28 ,$107.75 ,$87.28 ,$91.59 ,$107.75 ,$74.67 , N/A ,$107.75 ,$60.45 , N/A ,$28.23 ,$107.75 , N/A , N/A , N/A ,$86.20 ,$53.34 ,$30.17 ,$96.98 ,$40.95 ,$58.62 , N/A ,$51.72 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUCONAZOLE 100 MG TABS,637,1 ,$168.00 ,$120.96 ,$44.02 ,$420.00 ,$420.00 ,$89.04 ,$92.40 , N/A ,$47.04 ,$87.86 , N/A ,$92.40 , N/A ,$83.16 ,$67.20 , N/A ,$83.16 , N/A ,$117.60 ,$105.00 ,$134.40 , N/A , N/A ,$117.60 , N/A ,$100.80 , N/A ,$126.00 ,$92.74 ,$83.66 ,$92.74 , N/A ,$92.74 ,$136.08 ,$168.00 ,$136.08 ,$142.80 ,$168.00 ,$116.42 , N/A ,$168.00 ,$94.25 , N/A ,$44.02 ,$168.00 , N/A , N/A , N/A ,$134.40 ,$83.16 ,$47.04 ,$151.20 ,$63.84 ,$91.39 , N/A ,$80.64 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUCONAZOLE 50 MG TABS,637,1 ,$30.85 ,$22.21 ,$8.08 ,$77.13 ,$77.13 ,$16.35 ,$16.97 , N/A ,$8.64 ,$16.13 , N/A ,$16.97 , N/A ,$15.27 ,$12.34 , N/A ,$15.27 , N/A ,$21.60 ,$19.28 ,$24.68 , N/A , N/A ,$21.60 , N/A ,$18.51 , N/A ,$23.14 ,$17.03 ,$15.36 ,$17.03 , N/A ,$17.03 ,$24.99 ,$30.85 ,$24.99 ,$26.22 ,$30.85 ,$21.38 , N/A ,$30.85 ,$17.31 , N/A ,$8.08 ,$30.85 , N/A , N/A , N/A ,$24.68 ,$15.27 ,$8.64 ,$27.77 ,$11.72 ,$16.78 , N/A ,$14.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUOXETINE 10 MG TABS,637,1 ,$12.95 ,$9.32 ,$3.39 ,$32.38 ,$32.38 ,$6.86 ,$7.12 , N/A ,$3.63 ,$6.77 , N/A ,$7.12 , N/A ,$6.41 ,$5.18 , N/A ,$6.41 , N/A ,$9.07 ,$8.09 ,$10.36 , N/A , N/A ,$9.07 , N/A ,$7.77 , N/A ,$9.71 ,$7.15 ,$6.45 ,$7.15 , N/A ,$7.15 ,$10.49 ,$12.95 ,$10.49 ,$11.01 ,$12.95 ,$8.97 , N/A ,$12.95 ,$7.27 , N/A ,$3.39 ,$12.95 , N/A , N/A , N/A ,$10.36 ,$6.41 ,$3.63 ,$11.66 ,$4.92 ,$7.04 , N/A ,$6.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUOXETINE 20 MG CAPS,637,1 ,$30.20 ,$21.74 ,$7.91 ,$75.50 ,$75.50 ,$16.01 ,$16.61 , N/A ,$8.46 ,$15.79 , N/A ,$16.61 , N/A ,$14.95 ,$12.08 , N/A ,$14.95 , N/A ,$21.14 ,$18.88 ,$24.16 , N/A , N/A ,$21.14 , N/A ,$18.12 , N/A ,$22.65 ,$16.67 ,$15.04 ,$16.67 , N/A ,$16.67 ,$24.46 ,$30.20 ,$24.46 ,$25.67 ,$30.20 ,$20.93 , N/A ,$30.20 ,$16.94 , N/A ,$7.91 ,$30.20 , N/A , N/A , N/A ,$24.16 ,$14.95 ,$8.46 ,$27.18 ,$11.48 ,$16.43 , N/A ,$14.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUOXETINE 20 MG/5ML SOLN,637,1 ,$56.38 ,$40.59 ,$14.77 ,$140.95 ,$140.95 ,$29.88 ,$31.01 , N/A ,$15.79 ,$29.49 , N/A ,$31.01 , N/A ,$27.91 ,$22.55 , N/A ,$27.91 , N/A ,$39.47 ,$35.24 ,$45.10 , N/A , N/A ,$39.47 , N/A ,$33.83 , N/A ,$42.29 ,$31.12 ,$28.08 ,$31.12 , N/A ,$31.12 ,$45.67 ,$56.38 ,$45.67 ,$47.92 ,$56.38 ,$39.07 , N/A ,$56.38 ,$31.63 , N/A ,$14.77 ,$56.38 , N/A , N/A , N/A ,$45.10 ,$27.91 ,$15.79 ,$50.74 ,$21.42 ,$30.67 , N/A ,$27.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE 110 MCG/ACT AERO,637,1 ,$19.20 ,$13.82 ,$5.03 ,$48.00 ,$48.00 ,$10.18 ,$10.56 , N/A ,$5.38 ,$10.04 , N/A ,$10.56 , N/A ,$9.50 ,$7.68 , N/A ,$9.50 , N/A ,$13.44 ,$12.00 ,$15.36 , N/A , N/A ,$13.44 , N/A ,$11.52 , N/A ,$14.40 ,$10.60 ,$9.56 ,$10.60 , N/A ,$10.60 ,$15.55 ,$19.20 ,$15.55 ,$16.32 ,$19.20 ,$13.31 , N/A ,$19.20 ,$10.77 , N/A ,$5.03 ,$19.20 , N/A , N/A , N/A ,$15.36 ,$9.50 ,$5.38 ,$17.28 ,$7.30 ,$10.44 , N/A ,$9.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE PROPIONATE 50 MCG/ACT SUSP 16 G BOTTLE,637,1 ,$469.00 ,$337.68 ,$122.88 ,"$1,172.50 ","$1,172.50 ",$248.57 ,$257.95 , N/A ,$131.32 ,$245.29 , N/A ,$257.95 , N/A ,$232.16 ,$187.60 , N/A ,$232.16 , N/A ,$328.30 ,$293.13 ,$375.20 , N/A , N/A ,$328.30 , N/A ,$281.40 , N/A ,$351.75 ,$258.89 ,$233.56 ,$258.89 , N/A ,$258.89 ,$379.89 ,$469.00 ,$379.89 ,$398.65 ,$469.00 ,$325.02 , N/A ,$469.00 ,$263.11 , N/A ,$122.88 ,$469.00 , N/A , N/A , N/A ,$375.20 ,$232.16 ,$131.32 ,$422.10 ,$178.22 ,$255.14 , N/A ,$225.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE-SALMETEROL 230-21 MCG/ACT AERO,637,1 ,$45.45 ,$32.72 ,$11.91 ,$113.63 ,$113.63 ,$24.09 ,$25.00 , N/A ,$12.73 ,$23.77 , N/A ,$25.00 , N/A ,$22.50 ,$18.18 , N/A ,$22.50 , N/A ,$31.82 ,$28.41 ,$36.36 , N/A , N/A ,$31.82 , N/A ,$27.27 , N/A ,$34.09 ,$25.09 ,$22.63 ,$25.09 , N/A ,$25.09 ,$36.81 ,$45.45 ,$36.81 ,$38.63 ,$45.45 ,$31.50 , N/A ,$45.45 ,$25.50 , N/A ,$11.91 ,$45.45 , N/A , N/A , N/A ,$36.36 ,$22.50 ,$12.73 ,$40.91 ,$17.27 ,$24.72 , N/A ,$21.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE-SALMETEROL 45-21 MCG/ACT AERO,637,1 ,$39.40 ,$28.37 ,$10.32 ,$98.50 ,$98.50 ,$20.88 ,$21.67 , N/A ,$11.03 ,$20.61 , N/A ,$21.67 , N/A ,$19.50 ,$15.76 , N/A ,$19.50 , N/A ,$27.58 ,$24.63 ,$31.52 , N/A , N/A ,$27.58 , N/A ,$23.64 , N/A ,$29.55 ,$21.75 ,$19.62 ,$21.75 , N/A ,$21.75 ,$31.91 ,$39.40 ,$31.91 ,$33.49 ,$39.40 ,$27.30 , N/A ,$39.40 ,$22.10 , N/A ,$10.32 ,$39.40 , N/A , N/A , N/A ,$31.52 ,$19.50 ,$11.03 ,$35.46 ,$14.97 ,$21.43 , N/A ,$18.91 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE-SALMETEROL 115-21 MCG/ACT AERO,637,1 ,$39.40 ,$28.37 ,$10.32 ,$98.50 ,$98.50 ,$20.88 ,$21.67 , N/A ,$11.03 ,$20.61 , N/A ,$21.67 , N/A ,$19.50 ,$15.76 , N/A ,$19.50 , N/A ,$27.58 ,$24.63 ,$31.52 , N/A , N/A ,$27.58 , N/A ,$23.64 , N/A ,$29.55 ,$21.75 ,$19.62 ,$21.75 , N/A ,$21.75 ,$31.91 ,$39.40 ,$31.91 ,$33.49 ,$39.40 ,$27.30 , N/A ,$39.40 ,$22.10 , N/A ,$10.32 ,$39.40 , N/A , N/A , N/A ,$31.52 ,$19.50 ,$11.03 ,$35.46 ,$14.97 ,$21.43 , N/A ,$18.91 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GABAPENTIN 100 MG CAPS,637,1 ,$7.05 ,$5.08 ,$1.85 ,$17.63 ,$17.63 ,$3.74 ,$3.88 , N/A ,$1.97 ,$3.69 , N/A ,$3.88 , N/A ,$3.49 ,$2.82 , N/A ,$3.49 , N/A ,$4.94 ,$4.41 ,$5.64 , N/A , N/A ,$4.94 , N/A ,$4.23 , N/A ,$5.29 ,$3.89 ,$3.51 ,$3.89 , N/A ,$3.89 ,$5.71 ,$7.05 ,$5.71 ,$5.99 ,$7.05 ,$4.89 , N/A ,$7.05 ,$3.96 , N/A ,$1.85 ,$7.05 , N/A , N/A , N/A ,$5.64 ,$3.49 ,$1.97 ,$6.35 ,$2.68 ,$3.84 , N/A ,$3.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GABAPENTIN 250 MG/5ML SOLN,637,1 ,$41.60 ,$29.95 ,$10.90 ,$104.00 ,$104.00 ,$22.05 ,$22.88 , N/A ,$11.65 ,$21.76 , N/A ,$22.88 , N/A ,$20.59 ,$16.64 , N/A ,$20.59 , N/A ,$29.12 ,$26.00 ,$33.28 , N/A , N/A ,$29.12 , N/A ,$24.96 , N/A ,$31.20 ,$22.96 ,$20.72 ,$22.96 , N/A ,$22.96 ,$33.70 ,$41.60 ,$33.70 ,$35.36 ,$41.60 ,$28.83 , N/A ,$41.60 ,$23.34 , N/A ,$10.90 ,$41.60 , N/A , N/A , N/A ,$33.28 ,$20.59 ,$11.65 ,$37.44 ,$15.81 ,$22.63 , N/A ,$19.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GABAPENTIN 300 MG CAPS,637,1 ,$16.55 ,$11.92 ,$4.34 ,$41.38 ,$41.38 ,$8.77 ,$9.10 , N/A ,$4.63 ,$8.66 , N/A ,$9.10 , N/A ,$8.19 ,$6.62 , N/A ,$8.19 , N/A ,$11.59 ,$10.34 ,$13.24 , N/A , N/A ,$11.59 , N/A ,$9.93 , N/A ,$12.41 ,$9.14 ,$8.24 ,$9.14 , N/A ,$9.14 ,$13.41 ,$16.55 ,$13.41 ,$14.07 ,$16.55 ,$11.47 , N/A ,$16.55 ,$9.28 , N/A ,$4.34 ,$16.55 , N/A , N/A , N/A ,$13.24 ,$8.19 ,$4.63 ,$14.90 ,$6.29 ,$9.00 , N/A ,$7.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GEMFIBROZIL 600 MG TABS,637,1 ,$27.80 ,$20.02 ,$7.28 ,$69.50 ,$69.50 ,$14.73 ,$15.29 , N/A ,$7.78 ,$14.54 , N/A ,$15.29 , N/A ,$13.76 ,$11.12 , N/A ,$13.76 , N/A ,$19.46 ,$17.38 ,$22.24 , N/A , N/A ,$19.46 , N/A ,$16.68 , N/A ,$20.85 ,$15.35 ,$13.84 ,$15.35 , N/A ,$15.35 ,$22.52 ,$27.80 ,$22.52 ,$23.63 ,$27.80 ,$19.27 , N/A ,$27.80 ,$15.60 , N/A ,$7.28 ,$27.80 , N/A , N/A , N/A ,$22.24 ,$13.76 ,$7.78 ,$25.02 ,$10.56 ,$15.12 , N/A ,$13.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GENTAMICIN 0.3 % OINT 3.5 G TUBE,637,1 ,$272.70 ,$196.34 ,$71.45 ,$681.75 ,$681.75 ,$144.53 ,$149.99 , N/A ,$76.36 ,$142.62 , N/A ,$149.99 , N/A ,$134.99 ,$109.08 , N/A ,$134.99 , N/A ,$190.89 ,$170.44 ,$218.16 , N/A , N/A ,$190.89 , N/A ,$163.62 , N/A ,$204.53 ,$150.53 ,$135.80 ,$150.53 , N/A ,$150.53 ,$220.89 ,$272.70 ,$220.89 ,$231.80 ,$272.70 ,$188.98 , N/A ,$272.70 ,$152.98 , N/A ,$71.45 ,$272.70 , N/A , N/A , N/A ,$218.16 ,$134.99 ,$76.36 ,$245.43 ,$103.63 ,$148.35 , N/A ,$130.90 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$299.95 ,$215.96 ,$78.59 ,$749.88 ,$749.88 ,$158.97 ,$164.97 , N/A ,$83.99 ,$156.87 , N/A ,$164.97 , N/A ,$148.48 ,$119.98 , N/A ,$148.48 , N/A ,$209.97 ,$187.47 ,$239.96 , N/A , N/A ,$209.97 , N/A ,$179.97 , N/A ,$224.96 ,$165.57 ,$149.38 ,$165.57 , N/A ,$165.57 ,$242.96 ,$299.95 ,$242.96 ,$254.96 ,$299.95 ,$207.87 , N/A ,$299.95 ,$168.27 , N/A ,$78.59 ,$299.95 , N/A , N/A , N/A ,$239.96 ,$148.48 ,$83.99 ,$269.96 ,$113.98 ,$163.17 , N/A ,$143.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLIMEPIRIDE 1 MG TABS,637,1 ,$12.10 ,$8.71 ,$3.17 ,$30.25 ,$30.25 ,$6.41 ,$6.66 , N/A ,$3.39 ,$6.33 , N/A ,$6.66 , N/A ,$5.99 ,$4.84 , N/A ,$5.99 , N/A ,$8.47 ,$7.56 ,$9.68 , N/A , N/A ,$8.47 , N/A ,$7.26 , N/A ,$9.08 ,$6.68 ,$6.03 ,$6.68 , N/A ,$6.68 ,$9.80 ,$12.10 ,$9.80 ,$10.29 ,$12.10 ,$8.39 , N/A ,$12.10 ,$6.79 , N/A ,$3.17 ,$12.10 , N/A , N/A , N/A ,$9.68 ,$5.99 ,$3.39 ,$10.89 ,$4.60 ,$6.58 , N/A ,$5.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLIPIZIDE 5 MG TABS,637,1 ,$11.60 ,$8.35 ,$3.04 ,$29.00 ,$29.00 ,$6.15 ,$6.38 , N/A ,$3.25 ,$6.07 , N/A ,$6.38 , N/A ,$5.74 ,$4.64 , N/A ,$5.74 , N/A ,$8.12 ,$7.25 ,$9.28 , N/A , N/A ,$8.12 , N/A ,$6.96 , N/A ,$8.70 ,$6.40 ,$5.78 ,$6.40 , N/A ,$6.40 ,$9.40 ,$11.60 ,$9.40 ,$9.86 ,$11.60 ,$8.04 , N/A ,$11.60 ,$6.51 , N/A ,$3.04 ,$11.60 , N/A , N/A , N/A ,$9.28 ,$5.74 ,$3.25 ,$10.44 ,$4.41 ,$6.31 , N/A ,$5.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUVOXAMINE 50 MG TABS,637,1 ,$11.60 ,$8.35 ,$3.04 ,$29.00 ,$29.00 ,$6.15 ,$6.38 , N/A ,$3.25 ,$6.07 , N/A ,$6.38 , N/A ,$5.74 ,$4.64 , N/A ,$5.74 , N/A ,$8.12 ,$7.25 ,$9.28 , N/A , N/A ,$8.12 , N/A ,$6.96 , N/A ,$8.70 ,$6.40 ,$5.78 ,$6.40 , N/A ,$6.40 ,$9.40 ,$11.60 ,$9.40 ,$9.86 ,$11.60 ,$8.04 , N/A ,$11.60 ,$6.51 , N/A ,$3.04 ,$11.60 , N/A , N/A , N/A ,$9.28 ,$5.74 ,$3.25 ,$10.44 ,$4.41 ,$6.31 , N/A ,$5.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLYBURIDE 5 MG TABS,637,1 ,$4.28 ,$3.08 ,$1.12 ,$10.70 ,$10.70 ,$2.27 ,$2.35 , N/A ,$1.20 ,$2.24 , N/A ,$2.35 , N/A ,$2.12 ,$1.71 , N/A ,$2.12 , N/A ,$3.00 ,$2.68 ,$3.42 , N/A , N/A ,$3.00 , N/A ,$2.57 , N/A ,$3.21 ,$2.36 ,$2.13 ,$2.36 , N/A ,$2.36 ,$3.47 ,$4.28 ,$3.47 ,$3.64 ,$4.28 ,$2.97 , N/A ,$4.28 ,$2.40 , N/A ,$1.12 ,$4.28 , N/A , N/A , N/A ,$3.42 ,$2.12 ,$1.20 ,$3.85 ,$1.63 ,$2.33 , N/A ,$2.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLYCOPYRROLATE 1 MG TABS,637,1 ,$15.00 ,$10.80 ,$3.93 ,$37.50 ,$37.50 ,$7.95 ,$8.25 , N/A ,$4.20 ,$7.85 , N/A ,$8.25 , N/A ,$7.43 ,$6.00 , N/A ,$7.43 , N/A ,$10.50 ,$9.38 ,$12.00 , N/A , N/A ,$10.50 , N/A ,$9.00 , N/A ,$11.25 ,$8.28 ,$7.47 ,$8.28 , N/A ,$8.28 ,$12.15 ,$15.00 ,$12.15 ,$12.75 ,$15.00 ,$10.40 , N/A ,$15.00 ,$8.42 , N/A ,$3.93 ,$15.00 , N/A , N/A , N/A ,$12.00 ,$7.43 ,$4.20 ,$13.50 ,$5.70 ,$8.16 , N/A ,$7.20 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUAIFENESIN ER 600 MG TB12,637,1 ,$12.05 ,$8.68 ,$3.16 ,$30.13 ,$30.13 ,$6.39 ,$6.63 , N/A ,$3.37 ,$6.30 , N/A ,$6.63 , N/A ,$5.96 ,$4.82 , N/A ,$5.96 , N/A ,$8.44 ,$7.53 ,$9.64 , N/A , N/A ,$8.44 , N/A ,$7.23 , N/A ,$9.04 ,$6.65 ,$6.00 ,$6.65 , N/A ,$6.65 ,$9.76 ,$12.05 ,$9.76 ,$10.24 ,$12.05 ,$8.35 , N/A ,$12.05 ,$6.76 , N/A ,$3.16 ,$12.05 , N/A , N/A , N/A ,$9.64 ,$5.96 ,$3.37 ,$10.85 ,$4.58 ,$6.56 , N/A ,$5.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BETHANECHOL 25 MG TABS,637,1 ,$12.05 ,$8.68 ,$3.16 ,$30.13 ,$30.13 ,$6.39 ,$6.63 , N/A ,$3.37 ,$6.30 , N/A ,$6.63 , N/A ,$5.96 ,$4.82 , N/A ,$5.96 , N/A ,$8.44 ,$7.53 ,$9.64 , N/A , N/A ,$8.44 , N/A ,$7.23 , N/A ,$9.04 ,$6.65 ,$6.00 ,$6.65 , N/A ,$6.65 ,$9.76 ,$12.05 ,$9.76 ,$10.24 ,$12.05 ,$8.35 , N/A ,$12.05 ,$6.76 , N/A ,$3.16 ,$12.05 , N/A , N/A , N/A ,$9.64 ,$5.96 ,$3.37 ,$10.85 ,$4.58 ,$6.56 , N/A ,$5.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUAIFENESIN-CODEINE 100-10 MG/5ML SOLN,637,1 ,$7.80 ,$5.62 ,$2.04 ,$19.50 ,$19.50 ,$4.13 ,$4.29 , N/A ,$2.18 ,$4.08 , N/A ,$4.29 , N/A ,$3.86 ,$3.12 , N/A ,$3.86 , N/A ,$5.46 ,$4.88 ,$6.24 , N/A , N/A ,$5.46 , N/A ,$4.68 , N/A ,$5.85 ,$4.31 ,$3.88 ,$4.31 , N/A ,$4.31 ,$6.32 ,$7.80 ,$6.32 ,$6.63 ,$7.80 ,$5.41 , N/A ,$7.80 ,$4.38 , N/A ,$2.04 ,$7.80 , N/A , N/A , N/A ,$6.24 ,$3.86 ,$2.18 ,$7.02 ,$2.96 ,$4.24 , N/A ,$3.74 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUAIFENESIN-DEXTROMETHORPHAN 100-10 MG/5ML SYRP,637,1 ,$29.95 ,$21.56 ,$7.85 ,$74.88 ,$74.88 ,$15.87 ,$16.47 , N/A ,$8.39 ,$15.66 , N/A ,$16.47 , N/A ,$14.83 ,$11.98 , N/A ,$14.83 , N/A ,$20.97 ,$18.72 ,$23.96 , N/A , N/A ,$20.97 , N/A ,$17.97 , N/A ,$22.46 ,$16.53 ,$14.92 ,$16.53 , N/A ,$16.53 ,$24.26 ,$29.95 ,$24.26 ,$25.46 ,$29.95 ,$20.76 , N/A ,$29.95 ,$16.80 , N/A ,$7.85 ,$29.95 , N/A , N/A , N/A ,$23.96 ,$14.83 ,$8.39 ,$26.96 ,$11.38 ,$16.29 , N/A ,$14.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CETIRIZINE 10 MG TABS,637,1 ,$29.95 ,$21.56 ,$7.85 ,$74.88 ,$74.88 ,$15.87 ,$16.47 , N/A ,$8.39 ,$15.66 , N/A ,$16.47 , N/A ,$14.83 ,$11.98 , N/A ,$14.83 , N/A ,$20.97 ,$18.72 ,$23.96 , N/A , N/A ,$20.97 , N/A ,$17.97 , N/A ,$22.46 ,$16.53 ,$14.92 ,$16.53 , N/A ,$16.53 ,$24.26 ,$29.95 ,$24.26 ,$25.46 ,$29.95 ,$20.76 , N/A ,$29.95 ,$16.80 , N/A ,$7.85 ,$29.95 , N/A , N/A , N/A ,$23.96 ,$14.83 ,$8.39 ,$26.96 ,$11.38 ,$16.29 , N/A ,$14.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUANFACINE ER 3 MG TB24,637,1 ,$28.90 ,$20.81 ,$7.57 ,$72.25 ,$72.25 ,$15.32 ,$15.90 , N/A ,$8.09 ,$15.11 , N/A ,$15.90 , N/A ,$14.31 ,$11.56 , N/A ,$14.31 , N/A ,$20.23 ,$18.06 ,$23.12 , N/A , N/A ,$20.23 , N/A ,$17.34 , N/A ,$21.68 ,$15.95 ,$14.39 ,$15.95 , N/A ,$15.95 ,$23.41 ,$28.90 ,$23.41 ,$24.57 ,$28.90 ,$20.03 , N/A ,$28.90 ,$16.21 , N/A ,$7.57 ,$28.90 , N/A , N/A , N/A ,$23.12 ,$14.31 ,$8.09 ,$26.01 ,$10.98 ,$15.72 , N/A ,$13.87 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUANFACINE ER 1 MG TB24,637,1 ,$28.90 ,$20.81 ,$7.57 ,$72.25 ,$72.25 ,$15.32 ,$15.90 , N/A ,$8.09 ,$15.11 , N/A ,$15.90 , N/A ,$14.31 ,$11.56 , N/A ,$14.31 , N/A ,$20.23 ,$18.06 ,$23.12 , N/A , N/A ,$20.23 , N/A ,$17.34 , N/A ,$21.68 ,$15.95 ,$14.39 ,$15.95 , N/A ,$15.95 ,$23.41 ,$28.90 ,$23.41 ,$24.57 ,$28.90 ,$20.03 , N/A ,$28.90 ,$16.21 , N/A ,$7.57 ,$28.90 , N/A , N/A , N/A ,$23.12 ,$14.31 ,$8.09 ,$26.01 ,$10.98 ,$15.72 , N/A ,$13.87 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDRALAZINE 10 MG TABS,637,1 ,$6.40 ,$4.61 ,$1.68 ,$16.00 ,$16.00 ,$3.39 ,$3.52 , N/A ,$1.79 ,$3.35 , N/A ,$3.52 , N/A ,$3.17 ,$2.56 , N/A ,$3.17 , N/A ,$4.48 ,$4.00 ,$5.12 , N/A , N/A ,$4.48 , N/A ,$3.84 , N/A ,$4.80 ,$3.53 ,$3.19 ,$3.53 , N/A ,$3.53 ,$5.18 ,$6.40 ,$5.18 ,$5.44 ,$6.40 ,$4.44 , N/A ,$6.40 ,$3.59 , N/A ,$1.68 ,$6.40 , N/A , N/A , N/A ,$5.12 ,$3.17 ,$1.79 ,$5.76 ,$2.43 ,$3.48 , N/A ,$3.07 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CYCLOBENZAPRINE 10 MG TABS,637,1 ,$6.40 ,$4.61 ,$1.68 ,$16.00 ,$16.00 ,$3.39 ,$3.52 , N/A ,$1.79 ,$3.35 , N/A ,$3.52 , N/A ,$3.17 ,$2.56 , N/A ,$3.17 , N/A ,$4.48 ,$4.00 ,$5.12 , N/A , N/A ,$4.48 , N/A ,$3.84 , N/A ,$4.80 ,$3.53 ,$3.19 ,$3.53 , N/A ,$3.53 ,$5.18 ,$6.40 ,$5.18 ,$5.44 ,$6.40 ,$4.44 , N/A ,$6.40 ,$3.59 , N/A ,$1.68 ,$6.40 , N/A , N/A , N/A ,$5.12 ,$3.17 ,$1.79 ,$5.76 ,$2.43 ,$3.48 , N/A ,$3.07 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALPRAZOLAM 1 MG TABS,637,1 ,$6.40 ,$4.61 ,$1.68 ,$16.00 ,$16.00 ,$3.39 ,$3.52 , N/A ,$1.79 ,$3.35 , N/A ,$3.52 , N/A ,$3.17 ,$2.56 , N/A ,$3.17 , N/A ,$4.48 ,$4.00 ,$5.12 , N/A , N/A ,$4.48 , N/A ,$3.84 , N/A ,$4.80 ,$3.53 ,$3.19 ,$3.53 , N/A ,$3.53 ,$5.18 ,$6.40 ,$5.18 ,$5.44 ,$6.40 ,$4.44 , N/A ,$6.40 ,$3.59 , N/A ,$1.68 ,$6.40 , N/A , N/A , N/A ,$5.12 ,$3.17 ,$1.79 ,$5.76 ,$2.43 ,$3.48 , N/A ,$3.07 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCHLOROTHIAZIDE 25 MG TABS,637,1 ,$6.60 ,$4.75 ,$1.73 ,$16.50 ,$16.50 ,$3.50 ,$3.63 , N/A ,$1.85 ,$3.45 , N/A ,$3.63 , N/A ,$3.27 ,$2.64 , N/A ,$3.27 , N/A ,$4.62 ,$4.13 ,$5.28 , N/A , N/A ,$4.62 , N/A ,$3.96 , N/A ,$4.95 ,$3.64 ,$3.29 ,$3.64 , N/A ,$3.64 ,$5.35 ,$6.60 ,$5.35 ,$5.61 ,$6.60 ,$4.57 , N/A ,$6.60 ,$3.70 , N/A ,$1.73 ,$6.60 , N/A , N/A , N/A ,$5.28 ,$3.27 ,$1.85 ,$5.94 ,$2.51 ,$3.59 , N/A ,$3.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$14.55 ,$10.48 ,$3.81 ,$36.38 ,$36.38 ,$7.71 ,$8.00 , N/A ,$4.07 ,$7.61 , N/A ,$8.00 , N/A ,$7.20 ,$5.82 , N/A ,$7.20 , N/A ,$10.19 ,$9.09 ,$11.64 , N/A , N/A ,$10.19 , N/A ,$8.73 , N/A ,$10.91 ,$8.03 ,$7.25 ,$8.03 , N/A ,$8.03 ,$11.79 ,$14.55 ,$11.79 ,$12.37 ,$14.55 ,$10.08 , N/A ,$14.55 ,$8.16 , N/A ,$3.81 ,$14.55 , N/A , N/A , N/A ,$11.64 ,$7.20 ,$4.07 ,$13.10 ,$5.53 ,$7.92 , N/A ,$6.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$9.55 ,$6.88 ,$2.50 ,$23.88 ,$23.88 ,$5.06 ,$5.25 , N/A ,$2.67 ,$4.99 , N/A ,$5.25 , N/A ,$4.73 ,$3.82 , N/A ,$4.73 , N/A ,$6.69 ,$5.97 ,$7.64 , N/A , N/A ,$6.69 , N/A ,$5.73 , N/A ,$7.16 ,$5.27 ,$4.76 ,$5.27 , N/A ,$5.27 ,$7.74 ,$9.55 ,$7.74 ,$8.12 ,$9.55 ,$6.62 , N/A ,$9.55 ,$5.36 , N/A ,$2.50 ,$9.55 , N/A , N/A , N/A ,$7.64 ,$4.73 ,$2.67 ,$8.60 ,$3.63 ,$5.20 , N/A ,$4.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$10.65 ,$7.67 ,$2.79 ,$26.63 ,$26.63 ,$5.64 ,$5.86 , N/A ,$2.98 ,$5.57 , N/A ,$5.86 , N/A ,$5.27 ,$4.26 , N/A ,$5.27 , N/A ,$7.46 ,$6.66 ,$8.52 , N/A , N/A ,$7.46 , N/A ,$6.39 , N/A ,$7.99 ,$5.88 ,$5.30 ,$5.88 , N/A ,$5.88 ,$8.63 ,$10.65 ,$8.63 ,$9.05 ,$10.65 ,$7.38 , N/A ,$10.65 ,$5.97 , N/A ,$2.79 ,$10.65 , N/A , N/A , N/A ,$8.52 ,$5.27 ,$2.98 ,$9.59 ,$4.05 ,$5.79 , N/A ,$5.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM 30 MG TABS,637,1 ,$10.65 ,$7.67 ,$2.79 ,$26.63 ,$26.63 ,$5.64 ,$5.86 , N/A ,$2.98 ,$5.57 , N/A ,$5.86 , N/A ,$5.27 ,$4.26 , N/A ,$5.27 , N/A ,$7.46 ,$6.66 ,$8.52 , N/A , N/A ,$7.46 , N/A ,$6.39 , N/A ,$7.99 ,$5.88 ,$5.30 ,$5.88 , N/A ,$5.88 ,$8.63 ,$10.65 ,$8.63 ,$9.05 ,$10.65 ,$7.38 , N/A ,$10.65 ,$5.97 , N/A ,$2.79 ,$10.65 , N/A , N/A , N/A ,$8.52 ,$5.27 ,$2.98 ,$9.59 ,$4.05 ,$5.79 , N/A ,$5.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML SOLN,637,1 ,$79.45 ,$57.20 ,$20.82 ,$198.63 ,$198.63 ,$42.11 ,$43.70 , N/A ,$22.25 ,$41.55 , N/A ,$43.70 , N/A ,$39.33 ,$31.78 , N/A ,$39.33 , N/A ,$55.62 ,$49.66 ,$63.56 , N/A , N/A ,$55.62 , N/A ,$47.67 , N/A ,$59.59 ,$43.86 ,$39.57 ,$43.86 , N/A ,$43.86 ,$64.35 ,$79.45 ,$64.35 ,$67.53 ,$79.45 ,$55.06 , N/A ,$79.45 ,$44.57 , N/A ,$20.82 ,$79.45 , N/A , N/A , N/A ,$63.56 ,$39.33 ,$22.25 ,$71.51 ,$30.19 ,$43.22 , N/A ,$38.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 1 % CREA 28 G TUBE,637,1 ,$48.05 ,$34.60 ,$12.59 ,$120.13 ,$120.13 ,$25.47 ,$26.43 , N/A ,$13.45 ,$25.13 , N/A ,$26.43 , N/A ,$23.78 ,$19.22 , N/A ,$23.78 , N/A ,$33.64 ,$30.03 ,$38.44 , N/A , N/A ,$33.64 , N/A ,$28.83 , N/A ,$36.04 ,$26.52 ,$23.93 ,$26.52 , N/A ,$26.52 ,$38.92 ,$48.05 ,$38.92 ,$40.84 ,$48.05 ,$33.30 , N/A ,$48.05 ,$26.96 , N/A ,$12.59 ,$48.05 , N/A , N/A , N/A ,$38.44 ,$23.78 ,$13.45 ,$43.25 ,$18.26 ,$26.14 , N/A ,$23.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIPHENHYDRAMINE-ZINC 2-0.1 % CREA 28 G TUBE,637,1 ,$48.05 ,$34.60 ,$12.59 ,$120.13 ,$120.13 ,$25.47 ,$26.43 , N/A ,$13.45 ,$25.13 , N/A ,$26.43 , N/A ,$23.78 ,$19.22 , N/A ,$23.78 , N/A ,$33.64 ,$30.03 ,$38.44 , N/A , N/A ,$33.64 , N/A ,$28.83 , N/A ,$36.04 ,$26.52 ,$23.93 ,$26.52 , N/A ,$26.52 ,$38.92 ,$48.05 ,$38.92 ,$40.84 ,$48.05 ,$33.30 , N/A ,$48.05 ,$26.96 , N/A ,$12.59 ,$48.05 , N/A , N/A , N/A ,$38.44 ,$23.78 ,$13.45 ,$43.25 ,$18.26 ,$26.14 , N/A ,$23.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 100 MG/60ML ENEM,637,1 ,$180.20 ,$129.74 ,$47.21 ,$450.50 ,$450.50 ,$95.51 ,$99.11 , N/A ,$50.46 ,$94.24 , N/A ,$99.11 , N/A ,$89.20 ,$72.08 , N/A ,$89.20 , N/A ,$126.14 ,$112.63 ,$144.16 , N/A , N/A ,$126.14 , N/A ,$108.12 , N/A ,$135.15 ,$99.47 ,$89.74 ,$99.47 , N/A ,$99.47 ,$145.96 ,$180.20 ,$145.96 ,$153.17 ,$180.20 ,$124.88 , N/A ,$180.20 ,$101.09 , N/A ,$47.21 ,$180.20 , N/A , N/A , N/A ,$144.16 ,$89.20 ,$50.46 ,$162.18 ,$68.48 ,$98.03 , N/A ,$86.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 2.5 % CREA 28.35 G TUBE,637,1 ,$480.25 ,$345.78 ,$125.83 ,"$1,200.63 ","$1,200.63 ",$254.53 ,$264.14 , N/A ,$134.47 ,$251.17 , N/A ,$264.14 , N/A ,$237.72 ,$192.10 , N/A ,$237.72 , N/A ,$336.18 ,$300.16 ,$384.20 , N/A , N/A ,$336.18 , N/A ,$288.15 , N/A ,$360.19 ,$265.10 ,$239.16 ,$265.10 , N/A ,$265.10 ,$389.00 ,$480.25 ,$389.00 ,$408.21 ,$480.25 ,$332.81 , N/A ,$480.25 ,$269.42 , N/A ,$125.83 ,$480.25 , N/A , N/A , N/A ,$384.20 ,$237.72 ,$134.47 ,$432.23 ,$182.50 ,$261.26 , N/A ,$230.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 2.5 % CREA 30 G TUBE,637,1 ,$480.35 ,$345.85 ,$125.85 ,"$1,200.88 ","$1,200.88 ",$254.59 ,$264.19 , N/A ,$134.50 ,$251.22 , N/A ,$264.19 , N/A ,$237.77 ,$192.14 , N/A ,$237.77 , N/A ,$336.25 ,$300.22 ,$384.28 , N/A , N/A ,$336.25 , N/A ,$288.21 , N/A ,$360.26 ,$265.15 ,$239.21 ,$265.15 , N/A ,$265.15 ,$389.08 ,$480.35 ,$389.08 ,$408.30 ,$480.35 ,$332.88 , N/A ,$480.35 ,$269.48 , N/A ,$125.85 ,$480.35 , N/A , N/A , N/A ,$384.28 ,$237.77 ,$134.50 ,$432.32 ,$182.53 ,$261.31 , N/A ,$230.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 25 MG SUPP,637,1 ,$79.35 ,$57.13 ,$20.79 ,$198.38 ,$198.38 ,$42.06 ,$43.64 , N/A ,$22.22 ,$41.50 , N/A ,$43.64 , N/A ,$39.28 ,$31.74 , N/A ,$39.28 , N/A ,$55.55 ,$49.59 ,$63.48 , N/A , N/A ,$55.55 , N/A ,$47.61 , N/A ,$59.51 ,$43.80 ,$39.52 ,$43.80 , N/A ,$43.80 ,$64.27 ,$79.35 ,$64.27 ,$67.45 ,$79.35 ,$54.99 , N/A ,$79.35 ,$44.52 , N/A ,$20.79 ,$79.35 , N/A , N/A , N/A ,$63.48 ,$39.28 ,$22.22 ,$71.42 ,$30.15 ,$43.17 , N/A ,$38.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FENTANYL 25 MCG/HR PT72,637,1 ,$79.35 ,$57.13 ,$20.79 ,$198.38 ,$198.38 ,$42.06 ,$43.64 , N/A ,$22.22 ,$41.50 , N/A ,$43.64 , N/A ,$39.28 ,$31.74 , N/A ,$39.28 , N/A ,$55.55 ,$49.59 ,$63.48 , N/A , N/A ,$55.55 , N/A ,$47.61 , N/A ,$59.51 ,$43.80 ,$39.52 ,$43.80 , N/A ,$43.80 ,$64.27 ,$79.35 ,$64.27 ,$67.45 ,$79.35 ,$54.99 , N/A ,$79.35 ,$44.52 , N/A ,$20.79 ,$79.35 , N/A , N/A , N/A ,$63.48 ,$39.28 ,$22.22 ,$71.42 ,$30.15 ,$43.17 , N/A ,$38.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROMORPHONE 2 MG TABS,637,1 ,$8.60 ,$6.19 ,$2.25 ,$21.50 ,$21.50 ,$4.56 ,$4.73 , N/A ,$2.41 ,$4.50 , N/A ,$4.73 , N/A ,$4.26 ,$3.44 , N/A ,$4.26 , N/A ,$6.02 ,$5.38 ,$6.88 , N/A , N/A ,$6.02 , N/A ,$5.16 , N/A ,$6.45 ,$4.75 ,$4.28 ,$4.75 , N/A ,$4.75 ,$6.97 ,$8.60 ,$6.97 ,$7.31 ,$8.60 ,$5.96 , N/A ,$8.60 ,$4.82 , N/A ,$2.25 ,$8.60 , N/A , N/A , N/A ,$6.88 ,$4.26 ,$2.41 ,$7.74 ,$3.27 ,$4.68 , N/A ,$4.13 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYCHLOROQUINE 200 MG TABS,637,1 ,$52.70 ,$37.94 ,$13.81 ,$131.75 ,$131.75 ,$27.93 ,$28.99 , N/A ,$14.76 ,$27.56 , N/A ,$28.99 , N/A ,$26.09 ,$21.08 , N/A ,$26.09 , N/A ,$36.89 ,$32.94 ,$42.16 , N/A , N/A ,$36.89 , N/A ,$31.62 , N/A ,$39.53 ,$29.09 ,$26.24 ,$29.09 , N/A ,$29.09 ,$42.69 ,$52.70 ,$42.69 ,$44.80 ,$52.70 ,$36.52 , N/A ,$52.70 ,$29.56 , N/A ,$13.81 ,$52.70 , N/A , N/A , N/A ,$42.16 ,$26.09 ,$14.76 ,$47.43 ,$20.03 ,$28.67 , N/A ,$25.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYUREA 500 MG CAPS,637,1 ,$13.20 ,$9.50 ,$3.46 ,$33.00 ,$33.00 ,$7.00 ,$7.26 , N/A ,$3.70 ,$6.90 , N/A ,$7.26 , N/A ,$6.53 ,$5.28 , N/A ,$6.53 , N/A ,$9.24 ,$8.25 ,$10.56 , N/A , N/A ,$9.24 , N/A ,$7.92 , N/A ,$9.90 ,$7.29 ,$6.57 ,$7.29 , N/A ,$7.29 ,$10.69 ,$13.20 ,$10.69 ,$11.22 ,$13.20 ,$9.15 , N/A ,$13.20 ,$7.41 , N/A ,$3.46 ,$13.20 , N/A , N/A , N/A ,$10.56 ,$6.53 ,$3.70 ,$11.88 ,$5.02 ,$7.18 , N/A ,$6.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUPHENAZINE 1 MG TABS,637,1 ,$13.20 ,$9.50 ,$3.46 ,$33.00 ,$33.00 ,$7.00 ,$7.26 , N/A ,$3.70 ,$6.90 , N/A ,$7.26 , N/A ,$6.53 ,$5.28 , N/A ,$6.53 , N/A ,$9.24 ,$8.25 ,$10.56 , N/A , N/A ,$9.24 , N/A ,$7.92 , N/A ,$9.90 ,$7.29 ,$6.57 ,$7.29 , N/A ,$7.29 ,$10.69 ,$13.20 ,$10.69 ,$11.22 ,$13.20 ,$9.15 , N/A ,$13.20 ,$7.41 , N/A ,$3.46 ,$13.20 , N/A , N/A , N/A ,$10.56 ,$6.53 ,$3.70 ,$11.88 ,$5.02 ,$7.18 , N/A ,$6.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYZINE 10 MG/5ML SYRP,637,1 ,$1.14 ,$0.82 ,$0.30 ,$2.85 ,$2.85 ,$0.60 ,$0.63 , N/A ,$0.32 ,$0.60 , N/A ,$0.63 , N/A ,$0.56 ,$0.46 , N/A ,$0.56 , N/A ,$0.80 ,$0.71 ,$0.91 , N/A , N/A ,$0.80 , N/A ,$0.68 , N/A ,$0.86 ,$0.63 ,$0.57 ,$0.63 , N/A ,$0.63 ,$0.92 ,$1.14 ,$0.92 ,$0.97 ,$1.14 ,$0.79 , N/A ,$1.14 ,$0.64 , N/A ,$0.30 ,$1.14 , N/A , N/A , N/A ,$0.91 ,$0.56 ,$0.32 ,$1.03 ,$0.43 ,$0.62 , N/A ,$0.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYZINE 50 MG CAPS,637,1 ,$6.90 ,$4.97 ,$1.81 ,$17.25 ,$17.25 ,$3.66 ,$3.80 , N/A ,$1.93 ,$3.61 , N/A ,$3.80 , N/A ,$3.42 ,$2.76 , N/A ,$3.42 , N/A ,$4.83 ,$4.31 ,$5.52 , N/A , N/A ,$4.83 , N/A ,$4.14 , N/A ,$5.18 ,$3.81 ,$3.44 ,$3.81 , N/A ,$3.81 ,$5.59 ,$6.90 ,$5.59 ,$5.87 ,$6.90 ,$4.78 , N/A ,$6.90 ,$3.87 , N/A ,$1.81 ,$6.90 , N/A , N/A , N/A ,$5.52 ,$3.42 ,$1.93 ,$6.21 ,$2.62 ,$3.75 , N/A ,$3.31 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IBUPROFEN 100 MG/5ML SUSP,637,1 ,$11.62 ,$8.37 ,$3.04 ,$29.05 ,$29.05 ,$6.16 ,$6.39 , N/A ,$3.25 ,$6.08 , N/A ,$6.39 , N/A ,$5.75 ,$4.65 , N/A ,$5.75 , N/A ,$8.13 ,$7.26 ,$9.30 , N/A , N/A ,$8.13 , N/A ,$6.97 , N/A ,$8.72 ,$6.41 ,$5.79 ,$6.41 , N/A ,$6.41 ,$9.41 ,$11.62 ,$9.41 ,$9.88 ,$11.62 ,$8.05 , N/A ,$11.62 ,$6.52 , N/A ,$3.04 ,$11.62 , N/A , N/A , N/A ,$9.30 ,$5.75 ,$3.25 ,$10.46 ,$4.42 ,$6.32 , N/A ,$5.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IBUPROFEN 800 MG TABS,637,1 ,$11.20 ,$8.06 ,$2.93 ,$28.00 ,$28.00 ,$5.94 ,$6.16 , N/A ,$3.14 ,$5.86 , N/A ,$6.16 , N/A ,$5.54 ,$4.48 , N/A ,$5.54 , N/A ,$7.84 ,$7.00 ,$8.96 , N/A , N/A ,$7.84 , N/A ,$6.72 , N/A ,$8.40 ,$6.18 ,$5.58 ,$6.18 , N/A ,$6.18 ,$9.07 ,$11.20 ,$9.07 ,$9.52 ,$11.20 ,$7.76 , N/A ,$11.20 ,$6.28 , N/A ,$2.93 ,$11.20 , N/A , N/A , N/A ,$8.96 ,$5.54 ,$3.14 ,$10.08 ,$4.26 ,$6.09 , N/A ,$5.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,J1815,INSULIN GLARGINE 100 UNIT/ML SOLN per 5 Units,637,1 ,$10.13 ,$7.29 ,$2.65 ,$25.33 ,$25.33 ,$5.37 ,$5.57 , N/A ,$2.84 ,$4.42 , N/A ,$4.60 , N/A ,$5.01 ,$4.05 , N/A ,$5.01 , N/A ,$7.09 ,$6.33 ,$8.10 , N/A , N/A ,$7.09 , N/A ,$6.08 , N/A ,$7.60 ,$5.59 ,$5.04 ,$5.59 , N/A ,$5.59 ,$8.21 ,$10.13 ,$8.21 ,$8.61 ,$10.13 ,$7.02 , N/A ,$10.13 ,$5.68 , N/A ,$2.65 ,$10.13 , N/A , N/A , N/A ,$8.10 ,$5.01 ,$2.84 ,$9.12 ,$3.85 ,$5.51 , N/A ,$4.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,J1815,INSULIN LISPRO 100 UNIT/ML SOLN per 5 Units,637,1 ,$28.48 ,$20.51 ,$4.42 ,$71.20 ,$71.20 ,$15.09 ,$15.66 , N/A ,$7.97 ,$4.42 , N/A ,$4.60 , N/A ,$14.10 ,$11.39 , N/A ,$14.10 , N/A ,$19.94 ,$17.80 ,$22.78 , N/A , N/A ,$19.94 , N/A ,$17.09 , N/A ,$21.36 ,$15.72 ,$14.18 ,$15.72 , N/A ,$15.72 ,$23.07 ,$28.48 ,$23.07 ,$24.21 ,$28.48 ,$19.74 , N/A ,$28.48 ,$15.98 , N/A ,$7.46 ,$28.48 , N/A , N/A , N/A ,$22.78 ,$14.10 ,$7.97 ,$25.63 ,$10.82 ,$15.49 , N/A ,$13.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,J1815,INSULIN NPH 100 UNIT/ML SUSP per 5 Units,637,1 ,$13.24 ,$9.53 ,$3.47 ,$33.10 ,$33.10 ,$7.02 ,$7.28 , N/A ,$3.71 ,$4.42 , N/A ,$4.60 , N/A ,$6.55 ,$5.30 , N/A ,$6.55 , N/A ,$9.27 ,$8.28 ,$10.59 , N/A , N/A ,$9.27 , N/A ,$7.94 , N/A ,$9.93 ,$7.31 ,$6.59 ,$7.31 , N/A ,$7.31 ,$10.72 ,$13.24 ,$10.72 ,$11.25 ,$13.24 ,$9.18 , N/A ,$13.24 ,$7.43 , N/A ,$3.47 ,$13.24 , N/A , N/A , N/A ,$10.59 ,$6.55 ,$3.71 ,$11.92 ,$5.03 ,$7.20 , N/A ,$6.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,J1815,INSULIN NPH-INSULIN REGULAR (70-30) 100 UNIT/ML SUSP per 5 Units,637,1 ,$17.41 ,$12.54 ,$4.42 ,$43.53 ,$43.53 ,$9.23 ,$9.58 , N/A ,$4.87 ,$4.42 , N/A ,$4.60 , N/A ,$8.62 ,$6.96 , N/A ,$8.62 , N/A ,$12.19 ,$10.88 ,$13.93 , N/A , N/A ,$12.19 , N/A ,$10.45 , N/A ,$13.06 ,$9.61 ,$8.67 ,$9.61 , N/A ,$9.61 ,$14.10 ,$17.41 ,$14.10 ,$14.80 ,$17.41 ,$12.07 , N/A ,$17.41 ,$9.77 , N/A ,$4.56 ,$17.41 , N/A , N/A , N/A ,$13.93 ,$8.62 ,$4.87 ,$15.67 ,$6.62 ,$9.47 , N/A ,$8.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,J1815,INSULIN REGULAR 100 UNIT/ML SOLN per 5 Units,637,1 ,$56.00 ,$40.32 ,$4.42 ,$140.00 ,$140.00 ,$29.68 ,$30.80 , N/A ,$15.68 ,$4.42 , N/A ,$4.60 , N/A ,$27.72 ,$22.40 , N/A ,$27.72 , N/A ,$39.20 ,$35.00 ,$44.80 , N/A , N/A ,$39.20 , N/A ,$33.60 , N/A ,$42.00 ,$30.91 ,$27.89 ,$30.91 , N/A ,$30.91 ,$45.36 ,$56.00 ,$45.36 ,$47.60 ,$56.00 ,$38.81 , N/A ,$56.00 ,$31.42 , N/A ,$14.67 ,$56.00 , N/A , N/A , N/A ,$44.80 ,$27.72 ,$15.68 ,$50.40 ,$21.28 ,$30.46 , N/A ,$26.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT AERS 4 G INHALER,637,1 ,"$1,522.15 ","$1,095.95 ",$398.80 ,"$3,805.38 ","$3,805.38 ",$806.74 ,$837.18 , N/A ,$426.20 ,$796.08 , N/A ,$837.18 , N/A ,$753.46 ,$608.86 , N/A ,$753.46 , N/A ,"$1,065.51 ",$951.34 ,"$1,217.72 ", N/A , N/A ,"$1,065.51 ", N/A ,$913.29 , N/A ,"$1,141.61 ",$840.23 ,$758.03 ,$840.23 , N/A ,$840.23 ,"$1,232.94 ","$1,522.15 ","$1,232.94 ","$1,293.83 ","$1,522.15 ","$1,054.85 ", N/A ,"$1,522.15 ",$853.93 , N/A ,$398.80 ,"$1,522.15 ", N/A , N/A , N/A ,"$1,217.72 ",$753.46 ,$426.20 ,"$1,369.94 ",$578.42 ,$828.05 , N/A ,$730.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ISOSORBIDE DINITRATE 20 MG TABS,637,1 ,$16.20 ,$11.66 ,$4.24 ,$40.50 ,$40.50 ,$8.59 ,$8.91 , N/A ,$4.54 ,$8.47 , N/A ,$8.91 , N/A ,$8.02 ,$6.48 , N/A ,$8.02 , N/A ,$11.34 ,$10.13 ,$12.96 , N/A , N/A ,$11.34 , N/A ,$9.72 , N/A ,$12.15 ,$8.94 ,$8.07 ,$8.94 , N/A ,$8.94 ,$13.12 ,$16.20 ,$13.12 ,$13.77 ,$16.20 ,$11.23 , N/A ,$16.20 ,$9.09 , N/A ,$4.24 ,$16.20 , N/A , N/A , N/A ,$12.96 ,$8.02 ,$4.54 ,$14.58 ,$6.16 ,$8.81 , N/A ,$7.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ISOSORBIDE DINITRATE 5 MG TABS,637,1 ,$12.78 ,$9.20 ,$3.35 ,$31.95 ,$31.95 ,$6.77 ,$7.03 , N/A ,$3.58 ,$6.68 , N/A ,$7.03 , N/A ,$6.33 ,$5.11 , N/A ,$6.33 , N/A ,$8.95 ,$7.99 ,$10.22 , N/A , N/A ,$8.95 , N/A ,$7.67 , N/A ,$9.59 ,$7.05 ,$6.36 ,$7.05 , N/A ,$7.05 ,$10.35 ,$12.78 ,$10.35 ,$10.86 ,$12.78 ,$8.86 , N/A ,$12.78 ,$7.17 , N/A ,$3.35 ,$12.78 , N/A , N/A , N/A ,$10.22 ,$6.33 ,$3.58 ,$11.50 ,$4.86 ,$6.95 , N/A ,$6.13 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HALOPERIDOL 1 MG TABS,637,1 ,$12.78 ,$9.20 ,$3.35 ,$31.95 ,$31.95 ,$6.77 ,$7.03 , N/A ,$3.58 ,$6.68 , N/A ,$7.03 , N/A ,$6.33 ,$5.11 , N/A ,$6.33 , N/A ,$8.95 ,$7.99 ,$10.22 , N/A , N/A ,$8.95 , N/A ,$7.67 , N/A ,$9.59 ,$7.05 ,$6.36 ,$7.05 , N/A ,$7.05 ,$10.35 ,$12.78 ,$10.35 ,$10.86 ,$12.78 ,$8.86 , N/A ,$12.78 ,$7.17 , N/A ,$3.35 ,$12.78 , N/A , N/A , N/A ,$10.22 ,$6.33 ,$3.58 ,$11.50 ,$4.86 ,$6.95 , N/A ,$6.13 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ISOSORBIDE MONONITRATE ER 60 MG TB24,637,1 ,$24.70 ,$17.78 ,$6.47 ,$61.75 ,$61.75 ,$13.09 ,$13.59 , N/A ,$6.92 ,$12.92 , N/A ,$13.59 , N/A ,$12.23 ,$9.88 , N/A ,$12.23 , N/A ,$17.29 ,$15.44 ,$19.76 , N/A , N/A ,$17.29 , N/A ,$14.82 , N/A ,$18.53 ,$13.63 ,$12.30 ,$13.63 , N/A ,$13.63 ,$20.01 ,$24.70 ,$20.01 ,$21.00 ,$24.70 ,$17.12 , N/A ,$24.70 ,$13.86 , N/A ,$6.47 ,$24.70 , N/A , N/A , N/A ,$19.76 ,$12.23 ,$6.92 ,$22.23 ,$9.39 ,$13.44 , N/A ,$11.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ITRACONAZOLE 100 MG CAPS,637,1 ,$48.00 ,$34.56 ,$12.58 ,$120.00 ,$120.00 ,$25.44 ,$26.40 , N/A ,$13.44 ,$25.10 , N/A ,$26.40 , N/A ,$23.76 ,$19.20 , N/A ,$23.76 , N/A ,$33.60 ,$30.00 ,$38.40 , N/A , N/A ,$33.60 , N/A ,$28.80 , N/A ,$36.00 ,$26.50 ,$23.90 ,$26.50 , N/A ,$26.50 ,$38.88 ,$48.00 ,$38.88 ,$40.80 ,$48.00 ,$33.26 , N/A ,$48.00 ,$26.93 , N/A ,$12.58 ,$48.00 , N/A , N/A , N/A ,$38.40 ,$23.76 ,$13.44 ,$43.20 ,$18.24 ,$26.11 , N/A ,$23.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,637,1 ,$587.80 ,$423.22 ,$154.00 ,"$1,469.50 ","$1,469.50 ",$311.53 ,$323.29 , N/A ,$164.58 ,$307.42 , N/A ,$323.29 , N/A ,$290.96 ,$235.12 , N/A ,$290.96 , N/A ,$411.46 ,$367.38 ,$470.24 , N/A , N/A ,$411.46 , N/A ,$352.68 , N/A ,$440.85 ,$324.47 ,$292.72 ,$324.47 , N/A ,$324.47 ,$476.12 ,$587.80 ,$476.12 ,$499.63 ,$587.80 ,$407.35 , N/A ,$587.80 ,$329.76 , N/A ,$154.00 ,$587.80 , N/A , N/A , N/A ,$470.24 ,$290.96 ,$164.58 ,$529.02 ,$223.36 ,$319.76 , N/A ,$282.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,KETOROLAC 10 MG TABS,637,1 ,$58.55 ,$42.16 ,$15.34 ,$146.38 ,$146.38 ,$31.03 ,$32.20 , N/A ,$16.39 ,$30.62 , N/A ,$32.20 , N/A ,$28.98 ,$23.42 , N/A ,$28.98 , N/A ,$40.99 ,$36.59 ,$46.84 , N/A , N/A ,$40.99 , N/A ,$35.13 , N/A ,$43.91 ,$32.32 ,$29.16 ,$32.32 , N/A ,$32.32 ,$47.43 ,$58.55 ,$47.43 ,$49.77 ,$58.55 ,$40.58 , N/A ,$58.55 ,$32.85 , N/A ,$15.34 ,$58.55 , N/A , N/A , N/A ,$46.84 ,$28.98 ,$16.39 ,$52.70 ,$22.25 ,$31.85 , N/A ,$28.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,KETOTIFEN 0.025 % SOLN 5 ML BOTTLE,637,1 ,$85.35 ,$61.45 ,$22.36 ,$213.38 ,$213.38 ,$45.24 ,$46.94 , N/A ,$23.90 ,$44.64 , N/A ,$46.94 , N/A ,$42.25 ,$34.14 , N/A ,$42.25 , N/A ,$59.75 ,$53.34 ,$68.28 , N/A , N/A ,$59.75 , N/A ,$51.21 , N/A ,$64.01 ,$47.11 ,$42.50 ,$47.11 , N/A ,$47.11 ,$69.13 ,$85.35 ,$69.13 ,$72.55 ,$85.35 ,$59.15 , N/A ,$85.35 ,$47.88 , N/A ,$22.36 ,$85.35 , N/A , N/A , N/A ,$68.28 ,$42.25 ,$23.90 ,$76.82 ,$32.43 ,$46.43 , N/A ,$40.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LABETALOL 100 MG TABS,637,1 ,$6.55 ,$4.72 ,$1.72 ,$16.38 ,$16.38 ,$3.47 ,$3.60 , N/A ,$1.83 ,$3.43 , N/A ,$3.60 , N/A ,$3.24 ,$2.62 , N/A ,$3.24 , N/A ,$4.59 ,$4.09 ,$5.24 , N/A , N/A ,$4.59 , N/A ,$3.93 , N/A ,$4.91 ,$3.62 ,$3.26 ,$3.62 , N/A ,$3.62 ,$5.31 ,$6.55 ,$5.31 ,$5.57 ,$6.55 ,$4.54 , N/A ,$6.55 ,$3.67 , N/A ,$1.72 ,$6.55 , N/A , N/A , N/A ,$5.24 ,$3.24 ,$1.83 ,$5.90 ,$2.49 ,$3.56 , N/A ,$3.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUDESONIDE EC 3 MG CPEP,637,1 ,$6.55 ,$4.72 ,$1.72 ,$16.38 ,$16.38 ,$3.47 ,$3.60 , N/A ,$1.83 ,$3.43 , N/A ,$3.60 , N/A ,$3.24 ,$2.62 , N/A ,$3.24 , N/A ,$4.59 ,$4.09 ,$5.24 , N/A , N/A ,$4.59 , N/A ,$3.93 , N/A ,$4.91 ,$3.62 ,$3.26 ,$3.62 , N/A ,$3.62 ,$5.31 ,$6.55 ,$5.31 ,$5.57 ,$6.55 ,$4.54 , N/A ,$6.55 ,$3.67 , N/A ,$1.72 ,$6.55 , N/A , N/A , N/A ,$5.24 ,$3.24 ,$1.83 ,$5.90 ,$2.49 ,$3.56 , N/A ,$3.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICYCLOMINE 20 MG TABS,637,1 ,$6.55 ,$4.72 ,$1.72 ,$16.38 ,$16.38 ,$3.47 ,$3.60 , N/A ,$1.83 ,$3.43 , N/A ,$3.60 , N/A ,$3.24 ,$2.62 , N/A ,$3.24 , N/A ,$4.59 ,$4.09 ,$5.24 , N/A , N/A ,$4.59 , N/A ,$3.93 , N/A ,$4.91 ,$3.62 ,$3.26 ,$3.62 , N/A ,$3.62 ,$5.31 ,$6.55 ,$5.31 ,$5.57 ,$6.55 ,$4.54 , N/A ,$6.55 ,$3.67 , N/A ,$1.72 ,$6.55 , N/A , N/A , N/A ,$5.24 ,$3.24 ,$1.83 ,$5.90 ,$2.49 ,$3.56 , N/A ,$3.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LABETALOL 5 MG/ML,637,1 ,$90.00 ,$64.80 ,$23.58 ,$225.00 ,$225.00 ,$47.70 ,$49.50 , N/A ,$25.20 ,$47.07 , N/A ,$49.50 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$56.25 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 ,$90.00 ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$48.96 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUPHENAZINE 5 MG TABS,637,1 ,$90.00 ,$64.80 ,$23.58 ,$225.00 ,$225.00 ,$47.70 ,$49.50 , N/A ,$25.20 ,$47.07 , N/A ,$49.50 , N/A ,$44.55 ,$36.00 , N/A ,$44.55 , N/A ,$63.00 ,$56.25 ,$72.00 , N/A , N/A ,$63.00 , N/A ,$54.00 , N/A ,$67.50 ,$49.68 ,$44.82 ,$49.68 , N/A ,$49.68 ,$72.90 ,$90.00 ,$72.90 ,$76.50 ,$90.00 ,$62.37 , N/A ,$90.00 ,$50.49 , N/A ,$23.58 ,$90.00 , N/A , N/A , N/A ,$72.00 ,$44.55 ,$25.20 ,$81.00 ,$34.20 ,$48.96 , N/A ,$43.20 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACOSAMIDE 50 MG TABS,637,1 ,$38.65 ,$27.83 ,$10.13 ,$96.63 ,$96.63 ,$20.48 ,$21.26 , N/A ,$10.82 ,$20.21 , N/A ,$21.26 , N/A ,$19.13 ,$15.46 , N/A ,$19.13 , N/A ,$27.06 ,$24.16 ,$30.92 , N/A , N/A ,$27.06 , N/A ,$23.19 , N/A ,$28.99 ,$21.33 ,$19.25 ,$21.33 , N/A ,$21.33 ,$31.31 ,$38.65 ,$31.31 ,$32.85 ,$38.65 ,$26.78 , N/A ,$38.65 ,$21.68 , N/A ,$10.13 ,$38.65 , N/A , N/A , N/A ,$30.92 ,$19.13 ,$10.82 ,$34.79 ,$14.69 ,$21.03 , N/A ,$18.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACTULOSE 10 GM/15ML SOLN 30 ML CUP,637,1 ,$9.75 ,$7.02 ,$2.55 ,$24.38 ,$24.38 ,$5.17 ,$5.36 , N/A ,$2.73 ,$5.10 , N/A ,$5.36 , N/A ,$4.83 ,$3.90 , N/A ,$4.83 , N/A ,$6.83 ,$6.09 ,$7.80 , N/A , N/A ,$6.83 , N/A ,$5.85 , N/A ,$7.31 ,$5.38 ,$4.86 ,$5.38 , N/A ,$5.38 ,$7.90 ,$9.75 ,$7.90 ,$8.29 ,$9.75 ,$6.76 , N/A ,$9.75 ,$5.47 , N/A ,$2.55 ,$9.75 , N/A , N/A , N/A ,$7.80 ,$4.83 ,$2.73 ,$8.78 ,$3.71 ,$5.30 , N/A ,$4.68 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHLORDIAZEPOXIDE 5 MG CAPS,637,1 ,$9.75 ,$7.02 ,$2.55 ,$24.38 ,$24.38 ,$5.17 ,$5.36 , N/A ,$2.73 ,$5.10 , N/A ,$5.36 , N/A ,$4.83 ,$3.90 , N/A ,$4.83 , N/A ,$6.83 ,$6.09 ,$7.80 , N/A , N/A ,$6.83 , N/A ,$5.85 , N/A ,$7.31 ,$5.38 ,$4.86 ,$5.38 , N/A ,$5.38 ,$7.90 ,$9.75 ,$7.90 ,$8.29 ,$9.75 ,$6.76 , N/A ,$9.75 ,$5.47 , N/A ,$2.55 ,$9.75 , N/A , N/A , N/A ,$7.80 ,$4.83 ,$2.73 ,$8.78 ,$3.71 ,$5.30 , N/A ,$4.68 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,637,1 ,$153.30 ,$110.38 ,$40.16 ,$383.25 ,$383.25 ,$81.25 ,$84.32 , N/A ,$42.92 ,$80.18 , N/A ,$84.32 , N/A ,$75.88 ,$61.32 , N/A ,$75.88 , N/A ,$107.31 ,$95.81 ,$122.64 , N/A , N/A ,$107.31 , N/A ,$91.98 , N/A ,$114.98 ,$84.62 ,$76.34 ,$84.62 , N/A ,$84.62 ,$124.17 ,$153.30 ,$124.17 ,$130.31 ,$153.30 ,$106.24 , N/A ,$153.30 ,$86.00 , N/A ,$40.16 ,$153.30 , N/A , N/A , N/A ,$122.64 ,$75.88 ,$42.92 ,$137.97 ,$58.25 ,$83.40 , N/A ,$73.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LANSOPRAZOLE 15 MG TBDD,637,1 ,$116.25 ,$83.70 ,$30.46 ,$290.63 ,$290.63 ,$61.61 ,$63.94 , N/A ,$32.55 ,$60.80 , N/A ,$63.94 , N/A ,$57.54 ,$46.50 , N/A ,$57.54 , N/A ,$81.38 ,$72.66 ,$93.00 , N/A , N/A ,$81.38 , N/A ,$69.75 , N/A ,$87.19 ,$64.17 ,$57.89 ,$64.17 , N/A ,$64.17 ,$94.16 ,$116.25 ,$94.16 ,$98.81 ,$116.25 ,$80.56 , N/A ,$116.25 ,$65.22 , N/A ,$30.46 ,$116.25 , N/A , N/A , N/A ,$93.00 ,$57.54 ,$32.55 ,$104.63 ,$44.18 ,$63.24 , N/A ,$55.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LANSOPRAZOLE 30 MG TBDD,637,1 ,$110.45 ,$79.52 ,$28.94 ,$276.13 ,$276.13 ,$58.54 ,$60.75 , N/A ,$30.93 ,$57.77 , N/A ,$60.75 , N/A ,$54.67 ,$44.18 , N/A ,$54.67 , N/A ,$77.32 ,$69.03 ,$88.36 , N/A , N/A ,$77.32 , N/A ,$66.27 , N/A ,$82.84 ,$60.97 ,$55.00 ,$60.97 , N/A ,$60.97 ,$89.46 ,$110.45 ,$89.46 ,$93.88 ,$110.45 ,$76.54 , N/A ,$110.45 ,$61.96 , N/A ,$28.94 ,$110.45 , N/A , N/A , N/A ,$88.36 ,$54.67 ,$30.93 ,$99.41 ,$41.97 ,$60.08 , N/A ,$53.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LANTHANUM 500 MG CHEW,637,1 ,$39.63 ,$28.53 ,$10.38 ,$99.08 ,$99.08 ,$21.00 ,$21.80 , N/A ,$11.10 ,$20.73 , N/A ,$21.80 , N/A ,$19.62 ,$15.85 , N/A ,$19.62 , N/A ,$27.74 ,$24.77 ,$31.70 , N/A , N/A ,$27.74 , N/A ,$23.78 , N/A ,$29.72 ,$21.88 ,$19.74 ,$21.88 , N/A ,$21.88 ,$32.10 ,$39.63 ,$32.10 ,$33.69 ,$39.63 ,$27.46 , N/A ,$39.63 ,$22.23 , N/A ,$10.38 ,$39.63 , N/A , N/A , N/A ,$31.70 ,$19.62 ,$11.10 ,$35.67 ,$15.06 ,$21.56 , N/A ,$19.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LANTHANUM CARBONATE 1000 MG CHEW,637,1 ,$79.25 ,$57.06 ,$20.76 ,$198.13 ,$198.13 ,$42.00 ,$43.59 , N/A ,$22.19 ,$41.45 , N/A ,$43.59 , N/A ,$39.23 ,$31.70 , N/A ,$39.23 , N/A ,$55.48 ,$49.53 ,$63.40 , N/A , N/A ,$55.48 , N/A ,$47.55 , N/A ,$59.44 ,$43.75 ,$39.47 ,$43.75 , N/A ,$43.75 ,$64.19 ,$79.25 ,$64.19 ,$67.36 ,$79.25 ,$54.92 , N/A ,$79.25 ,$44.46 , N/A ,$20.76 ,$79.25 , N/A , N/A , N/A ,$63.40 ,$39.23 ,$22.19 ,$71.33 ,$30.12 ,$43.11 , N/A ,$38.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,637,1 ,$524.00 ,$377.28 ,$137.29 ,"$1,310.00 ","$1,310.00 ",$277.72 ,$288.20 , N/A ,$146.72 ,$274.05 , N/A ,$288.20 , N/A ,$259.38 ,$209.60 , N/A ,$259.38 , N/A ,$366.80 ,$327.50 ,$419.20 , N/A , N/A ,$366.80 , N/A ,$314.40 , N/A ,$393.00 ,$289.25 ,$260.95 ,$289.25 , N/A ,$289.25 ,$424.44 ,$524.00 ,$424.44 ,$445.40 ,$524.00 ,$363.13 , N/A ,$524.00 ,$293.96 , N/A ,$137.29 ,$524.00 , N/A , N/A , N/A ,$419.20 ,$259.38 ,$146.72 ,$471.60 ,$199.12 ,$285.06 , N/A ,$251.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LETROZOLE 2.5 MG TABS,637,1 ,$126.40 ,$91.01 ,$33.12 ,$316.00 ,$316.00 ,$66.99 ,$69.52 , N/A ,$35.39 ,$66.11 , N/A ,$69.52 , N/A ,$62.57 ,$50.56 , N/A ,$62.57 , N/A ,$88.48 ,$79.00 ,$101.12 , N/A , N/A ,$88.48 , N/A ,$75.84 , N/A ,$94.80 ,$69.77 ,$62.95 ,$69.77 , N/A ,$69.77 ,$102.38 ,$126.40 ,$102.38 ,$107.44 ,$126.40 ,$87.60 , N/A ,$126.40 ,$70.91 , N/A ,$33.12 ,$126.40 , N/A , N/A , N/A ,$101.12 ,$62.57 ,$35.39 ,$113.76 ,$48.03 ,$68.76 , N/A ,$60.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEUCOVORIN 5 MG TABS,637,1 ,$39.00 ,$28.08 ,$10.22 ,$97.50 ,$97.50 ,$20.67 ,$21.45 , N/A ,$10.92 ,$20.40 , N/A ,$21.45 , N/A ,$19.31 ,$15.60 , N/A ,$19.31 , N/A ,$27.30 ,$24.38 ,$31.20 , N/A , N/A ,$27.30 , N/A ,$23.40 , N/A ,$29.25 ,$21.53 ,$19.42 ,$21.53 , N/A ,$21.53 ,$31.59 ,$39.00 ,$31.59 ,$33.15 ,$39.00 ,$27.03 , N/A ,$39.00 ,$21.88 , N/A ,$10.22 ,$39.00 , N/A , N/A , N/A ,$31.20 ,$19.31 ,$10.92 ,$35.10 ,$14.82 ,$21.22 , N/A ,$18.72 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVETIRACETAM 100 MG/ML SOLN,637,1 ,$63.30 ,$45.58 ,$16.58 ,$158.25 ,$158.25 ,$33.55 ,$34.82 , N/A ,$17.72 ,$33.11 , N/A ,$34.82 , N/A ,$31.33 ,$25.32 , N/A ,$31.33 , N/A ,$44.31 ,$39.56 ,$50.64 , N/A , N/A ,$44.31 , N/A ,$37.98 , N/A ,$47.48 ,$34.94 ,$31.52 ,$34.94 , N/A ,$34.94 ,$51.27 ,$63.30 ,$51.27 ,$53.81 ,$63.30 ,$43.87 , N/A ,$63.30 ,$35.51 , N/A ,$16.58 ,$63.30 , N/A , N/A , N/A ,$50.64 ,$31.33 ,$17.72 ,$56.97 ,$24.05 ,$34.44 , N/A ,$30.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVETIRACETAM 500 MG TABS,637,1 ,$42.20 ,$30.38 ,$11.06 ,$105.50 ,$105.50 ,$22.37 ,$23.21 , N/A ,$11.82 ,$22.07 , N/A ,$23.21 , N/A ,$20.89 ,$16.88 , N/A ,$20.89 , N/A ,$29.54 ,$26.38 ,$33.76 , N/A , N/A ,$29.54 , N/A ,$25.32 , N/A ,$31.65 ,$23.29 ,$21.02 ,$23.29 , N/A ,$23.29 ,$34.18 ,$42.20 ,$34.18 ,$35.87 ,$42.20 ,$29.24 , N/A ,$42.20 ,$23.67 , N/A ,$11.06 ,$42.20 , N/A , N/A , N/A ,$33.76 ,$20.89 ,$11.82 ,$37.98 ,$16.04 ,$22.96 , N/A ,$20.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOFLOXACIN 250 MG TABS,637,1 ,$40.50 ,$29.16 ,$10.61 ,$101.25 ,$101.25 ,$21.47 ,$22.28 , N/A ,$11.34 ,$21.18 , N/A ,$22.28 , N/A ,$20.05 ,$16.20 , N/A ,$20.05 , N/A ,$28.35 ,$25.31 ,$32.40 , N/A , N/A ,$28.35 , N/A ,$24.30 , N/A ,$30.38 ,$22.36 ,$20.17 ,$22.36 , N/A ,$22.36 ,$32.81 ,$40.50 ,$32.81 ,$34.43 ,$40.50 ,$28.07 , N/A ,$40.50 ,$22.72 , N/A ,$10.61 ,$40.50 , N/A , N/A , N/A ,$32.40 ,$20.05 ,$11.34 ,$36.45 ,$15.39 ,$22.03 , N/A ,$19.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOFLOXACIN 500 MG TABS,637,1 ,$46.30 ,$33.34 ,$12.13 ,$115.75 ,$115.75 ,$24.54 ,$25.47 , N/A ,$12.96 ,$24.21 , N/A ,$25.47 , N/A ,$22.92 ,$18.52 , N/A ,$22.92 , N/A ,$32.41 ,$28.94 ,$37.04 , N/A , N/A ,$32.41 , N/A ,$27.78 , N/A ,$34.73 ,$25.56 ,$23.06 ,$25.56 , N/A ,$25.56 ,$37.50 ,$46.30 ,$37.50 ,$39.36 ,$46.30 ,$32.09 , N/A ,$46.30 ,$25.97 , N/A ,$12.13 ,$46.30 , N/A , N/A , N/A ,$37.04 ,$22.92 ,$12.96 ,$41.67 ,$17.59 ,$25.19 , N/A ,$22.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOFLOXACIN 750 MG TABS,637,1 ,$67.70 ,$48.74 ,$17.74 ,$169.25 ,$169.25 ,$35.88 ,$37.24 , N/A ,$18.96 ,$35.41 , N/A ,$37.24 , N/A ,$33.51 ,$27.08 , N/A ,$33.51 , N/A ,$47.39 ,$42.31 ,$54.16 , N/A , N/A ,$47.39 , N/A ,$40.62 , N/A ,$50.78 ,$37.37 ,$33.71 ,$37.37 , N/A ,$37.37 ,$54.84 ,$67.70 ,$54.84 ,$57.55 ,$67.70 ,$46.92 , N/A ,$67.70 ,$37.98 , N/A ,$17.74 ,$67.70 , N/A , N/A , N/A ,$54.16 ,$33.51 ,$18.96 ,$60.93 ,$25.73 ,$36.83 , N/A ,$32.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 100 MCG TABS,637,1 ,$7.33 ,$5.28 ,$1.92 ,$18.33 ,$18.33 ,$3.88 ,$4.03 , N/A ,$2.05 ,$3.83 , N/A ,$4.03 , N/A ,$3.63 ,$2.93 , N/A ,$3.63 , N/A ,$5.13 ,$4.58 ,$5.86 , N/A , N/A ,$5.13 , N/A ,$4.40 , N/A ,$5.50 ,$4.05 ,$3.65 ,$4.05 , N/A ,$4.05 ,$5.94 ,$7.33 ,$5.94 ,$6.23 ,$7.33 ,$5.08 , N/A ,$7.33 ,$4.11 , N/A ,$1.92 ,$7.33 , N/A , N/A , N/A ,$5.86 ,$3.63 ,$2.05 ,$6.60 ,$2.79 ,$3.99 , N/A ,$3.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 112 MCG TABS,637,1 ,$8.55 ,$6.16 ,$2.24 ,$21.38 ,$21.38 ,$4.53 ,$4.70 , N/A ,$2.39 ,$4.47 , N/A ,$4.70 , N/A ,$4.23 ,$3.42 , N/A ,$4.23 , N/A ,$5.99 ,$5.34 ,$6.84 , N/A , N/A ,$5.99 , N/A ,$5.13 , N/A ,$6.41 ,$4.72 ,$4.26 ,$4.72 , N/A ,$4.72 ,$6.93 ,$8.55 ,$6.93 ,$7.27 ,$8.55 ,$5.93 , N/A ,$8.55 ,$4.80 , N/A ,$2.24 ,$8.55 , N/A , N/A , N/A ,$6.84 ,$4.23 ,$2.39 ,$7.70 ,$3.25 ,$4.65 , N/A ,$4.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLONAZEPAM 1 MG TABS,637,1 ,$8.55 ,$6.16 ,$2.24 ,$21.38 ,$21.38 ,$4.53 ,$4.70 , N/A ,$2.39 ,$4.47 , N/A ,$4.70 , N/A ,$4.23 ,$3.42 , N/A ,$4.23 , N/A ,$5.99 ,$5.34 ,$6.84 , N/A , N/A ,$5.99 , N/A ,$5.13 , N/A ,$6.41 ,$4.72 ,$4.26 ,$4.72 , N/A ,$4.72 ,$6.93 ,$8.55 ,$6.93 ,$7.27 ,$8.55 ,$5.93 , N/A ,$8.55 ,$4.80 , N/A ,$2.24 ,$8.55 , N/A , N/A , N/A ,$6.84 ,$4.23 ,$2.39 ,$7.70 ,$3.25 ,$4.65 , N/A ,$4.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,INDAPAMIDE 2.5 MG TABS,637,1 ,$8.55 ,$6.16 ,$2.24 ,$21.38 ,$21.38 ,$4.53 ,$4.70 , N/A ,$2.39 ,$4.47 , N/A ,$4.70 , N/A ,$4.23 ,$3.42 , N/A ,$4.23 , N/A ,$5.99 ,$5.34 ,$6.84 , N/A , N/A ,$5.99 , N/A ,$5.13 , N/A ,$6.41 ,$4.72 ,$4.26 ,$4.72 , N/A ,$4.72 ,$6.93 ,$8.55 ,$6.93 ,$7.27 ,$8.55 ,$5.93 , N/A ,$8.55 ,$4.80 , N/A ,$2.24 ,$8.55 , N/A , N/A , N/A ,$6.84 ,$4.23 ,$2.39 ,$7.70 ,$3.25 ,$4.65 , N/A ,$4.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 125 MCG TABS,637,1 ,$10.25 ,$7.38 ,$2.69 ,$25.63 ,$25.63 ,$5.43 ,$5.64 , N/A ,$2.87 ,$5.36 , N/A ,$5.64 , N/A ,$5.07 ,$4.10 , N/A ,$5.07 , N/A ,$7.18 ,$6.41 ,$8.20 , N/A , N/A ,$7.18 , N/A ,$6.15 , N/A ,$7.69 ,$5.66 ,$5.10 ,$5.66 , N/A ,$5.66 ,$8.30 ,$10.25 ,$8.30 ,$8.71 ,$10.25 ,$7.10 , N/A ,$10.25 ,$5.75 , N/A ,$2.69 ,$10.25 , N/A , N/A , N/A ,$8.20 ,$5.07 ,$2.87 ,$9.23 ,$3.90 ,$5.58 , N/A ,$4.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN 300 MG SUPP,637,1 ,$10.25 ,$7.38 ,$2.69 ,$25.63 ,$25.63 ,$5.43 ,$5.64 , N/A ,$2.87 ,$5.36 , N/A ,$5.64 , N/A ,$5.07 ,$4.10 , N/A ,$5.07 , N/A ,$7.18 ,$6.41 ,$8.20 , N/A , N/A ,$7.18 , N/A ,$6.15 , N/A ,$7.69 ,$5.66 ,$5.10 ,$5.66 , N/A ,$5.66 ,$8.30 ,$10.25 ,$8.30 ,$8.71 ,$10.25 ,$7.10 , N/A ,$10.25 ,$5.75 , N/A ,$2.69 ,$10.25 , N/A , N/A , N/A ,$8.20 ,$5.07 ,$2.87 ,$9.23 ,$3.90 ,$5.58 , N/A ,$4.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 25 MCG TABS,637,1 ,$12.55 ,$9.04 ,$3.29 ,$31.38 ,$31.38 ,$6.65 ,$6.90 , N/A ,$3.51 ,$6.56 , N/A ,$6.90 , N/A ,$6.21 ,$5.02 , N/A ,$6.21 , N/A ,$8.79 ,$7.84 ,$10.04 , N/A , N/A ,$8.79 , N/A ,$7.53 , N/A ,$9.41 ,$6.93 ,$6.25 ,$6.93 , N/A ,$6.93 ,$10.17 ,$12.55 ,$10.17 ,$10.67 ,$12.55 ,$8.70 , N/A ,$12.55 ,$7.04 , N/A ,$3.29 ,$12.55 , N/A , N/A , N/A ,$10.04 ,$6.21 ,$3.51 ,$11.30 ,$4.77 ,$6.83 , N/A ,$6.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLECAINIDE 100 MG TABS,637,1 ,$12.55 ,$9.04 ,$3.29 ,$31.38 ,$31.38 ,$6.65 ,$6.90 , N/A ,$3.51 ,$6.56 , N/A ,$6.90 , N/A ,$6.21 ,$5.02 , N/A ,$6.21 , N/A ,$8.79 ,$7.84 ,$10.04 , N/A , N/A ,$8.79 , N/A ,$7.53 , N/A ,$9.41 ,$6.93 ,$6.25 ,$6.93 , N/A ,$6.93 ,$10.17 ,$12.55 ,$10.17 ,$10.67 ,$12.55 ,$8.70 , N/A ,$12.55 ,$7.04 , N/A ,$3.29 ,$12.55 , N/A , N/A , N/A ,$10.04 ,$6.21 ,$3.51 ,$11.30 ,$4.77 ,$6.83 , N/A ,$6.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 50 MCG TABS,637,1 ,$6.80 ,$4.90 ,$1.78 ,$17.00 ,$17.00 ,$3.60 ,$3.74 , N/A ,$1.90 ,$3.56 , N/A ,$3.74 , N/A ,$3.37 ,$2.72 , N/A ,$3.37 , N/A ,$4.76 ,$4.25 ,$5.44 , N/A , N/A ,$4.76 , N/A ,$4.08 , N/A ,$5.10 ,$3.75 ,$3.39 ,$3.75 , N/A ,$3.75 ,$5.51 ,$6.80 ,$5.51 ,$5.78 ,$6.80 ,$4.71 , N/A ,$6.80 ,$3.81 , N/A ,$1.78 ,$6.80 , N/A , N/A , N/A ,$5.44 ,$3.37 ,$1.90 ,$6.12 ,$2.58 ,$3.70 , N/A ,$3.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIPHENHYDRAMINE 25 MG TABS,637,1 ,$6.80 ,$4.90 ,$1.78 ,$17.00 ,$17.00 ,$3.60 ,$3.74 , N/A ,$1.90 ,$3.56 , N/A ,$3.74 , N/A ,$3.37 ,$2.72 , N/A ,$3.37 , N/A ,$4.76 ,$4.25 ,$5.44 , N/A , N/A ,$4.76 , N/A ,$4.08 , N/A ,$5.10 ,$3.75 ,$3.39 ,$3.75 , N/A ,$3.75 ,$5.51 ,$6.80 ,$5.51 ,$5.78 ,$6.80 ,$4.71 , N/A ,$6.80 ,$3.81 , N/A ,$1.78 ,$6.80 , N/A , N/A , N/A ,$5.44 ,$3.37 ,$1.90 ,$6.12 ,$2.58 ,$3.70 , N/A ,$3.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IBUPROFEN 400 MG TABS,637,1 ,$6.80 ,$4.90 ,$1.78 ,$17.00 ,$17.00 ,$3.60 ,$3.74 , N/A ,$1.90 ,$3.56 , N/A ,$3.74 , N/A ,$3.37 ,$2.72 , N/A ,$3.37 , N/A ,$4.76 ,$4.25 ,$5.44 , N/A , N/A ,$4.76 , N/A ,$4.08 , N/A ,$5.10 ,$3.75 ,$3.39 ,$3.75 , N/A ,$3.75 ,$5.51 ,$6.80 ,$5.51 ,$5.78 ,$6.80 ,$4.71 , N/A ,$6.80 ,$3.81 , N/A ,$1.78 ,$6.80 , N/A , N/A , N/A ,$5.44 ,$3.37 ,$1.90 ,$6.12 ,$2.58 ,$3.70 , N/A ,$3.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 75 MCG TABS,637,1 ,$8.50 ,$6.12 ,$2.23 ,$21.25 ,$21.25 ,$4.51 ,$4.68 , N/A ,$2.38 ,$4.45 , N/A ,$4.68 , N/A ,$4.21 ,$3.40 , N/A ,$4.21 , N/A ,$5.95 ,$5.31 ,$6.80 , N/A , N/A ,$5.95 , N/A ,$5.10 , N/A ,$6.38 ,$4.69 ,$4.23 ,$4.69 , N/A ,$4.69 ,$6.89 ,$8.50 ,$6.89 ,$7.23 ,$8.50 ,$5.89 , N/A ,$8.50 ,$4.77 , N/A ,$2.23 ,$8.50 , N/A , N/A , N/A ,$6.80 ,$4.21 ,$2.38 ,$7.65 ,$3.23 ,$4.62 , N/A ,$4.08 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CHOLECALCIFEROL 125 MCG (5000 UT) TABS,637,1 ,$8.50 ,$6.12 ,$2.23 ,$21.25 ,$21.25 ,$4.51 ,$4.68 , N/A ,$2.38 ,$4.45 , N/A ,$4.68 , N/A ,$4.21 ,$3.40 , N/A ,$4.21 , N/A ,$5.95 ,$5.31 ,$6.80 , N/A , N/A ,$5.95 , N/A ,$5.10 , N/A ,$6.38 ,$4.69 ,$4.23 ,$4.69 , N/A ,$4.69 ,$6.89 ,$8.50 ,$6.89 ,$7.23 ,$8.50 ,$5.89 , N/A ,$8.50 ,$4.77 , N/A ,$2.23 ,$8.50 , N/A , N/A , N/A ,$6.80 ,$4.21 ,$2.38 ,$7.65 ,$3.23 ,$4.62 , N/A ,$4.08 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 88 MCG TABS,637,1 ,$8.40 ,$6.05 ,$2.20 ,$21.00 ,$21.00 ,$4.45 ,$4.62 , N/A ,$2.35 ,$4.39 , N/A ,$4.62 , N/A ,$4.16 ,$3.36 , N/A ,$4.16 , N/A ,$5.88 ,$5.25 ,$6.72 , N/A , N/A ,$5.88 , N/A ,$5.04 , N/A ,$6.30 ,$4.64 ,$4.18 ,$4.64 , N/A ,$4.64 ,$6.80 ,$8.40 ,$6.80 ,$7.14 ,$8.40 ,$5.82 , N/A ,$8.40 ,$4.71 , N/A ,$2.20 ,$8.40 , N/A , N/A , N/A ,$6.72 ,$4.16 ,$2.35 ,$7.56 ,$3.19 ,$4.57 , N/A ,$4.03 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LINEZOLID 100 MG/5ML SUSR,637,1 ,$15.04 ,$10.83 ,$3.94 ,$37.60 ,$37.60 ,$7.97 ,$8.27 , N/A ,$4.21 ,$7.87 , N/A ,$8.27 , N/A ,$7.44 ,$6.02 , N/A ,$7.44 , N/A ,$10.53 ,$9.40 ,$12.03 , N/A , N/A ,$10.53 , N/A ,$9.02 , N/A ,$11.28 ,$8.30 ,$7.49 ,$8.30 , N/A ,$8.30 ,$12.18 ,$15.04 ,$12.18 ,$12.78 ,$15.04 ,$10.42 , N/A ,$15.04 ,$8.44 , N/A ,$3.94 ,$15.04 , N/A , N/A , N/A ,$12.03 ,$7.44 ,$4.21 ,$13.54 ,$5.72 ,$8.18 , N/A ,$7.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LINEZOLID 600 MG TABS,637,1 ,"$1,010.15 ",$727.31 ,$264.66 ,"$2,525.38 ","$2,525.38 ",$535.38 ,$555.58 , N/A ,$282.84 ,$528.31 , N/A ,$555.58 , N/A ,$500.02 ,$404.06 , N/A ,$500.02 , N/A ,$707.11 ,$631.34 ,$808.12 , N/A , N/A ,$707.11 , N/A ,$606.09 , N/A ,$757.61 ,$557.60 ,$503.05 ,$557.60 , N/A ,$557.60 ,$818.22 ,"$1,010.15 ",$818.22 ,$858.63 ,"$1,010.15 ",$700.03 , N/A ,"$1,010.15 ",$566.69 , N/A ,$264.66 ,"$1,010.15 ", N/A , N/A , N/A ,$808.12 ,$500.02 ,$282.84 ,$909.14 ,$383.86 ,$549.52 , N/A ,$484.87 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISDEXAMFETAMINE 30 MG CAPS,637,1 ,$38.70 ,$27.86 ,$10.14 ,$96.75 ,$96.75 ,$20.51 ,$21.29 , N/A ,$10.84 ,$20.24 , N/A ,$21.29 , N/A ,$19.16 ,$15.48 , N/A ,$19.16 , N/A ,$27.09 ,$24.19 ,$30.96 , N/A , N/A ,$27.09 , N/A ,$23.22 , N/A ,$29.03 ,$21.36 ,$19.27 ,$21.36 , N/A ,$21.36 ,$31.35 ,$38.70 ,$31.35 ,$32.90 ,$38.70 ,$26.82 , N/A ,$38.70 ,$21.71 , N/A ,$10.14 ,$38.70 , N/A , N/A , N/A ,$30.96 ,$19.16 ,$10.84 ,$34.83 ,$14.71 ,$21.05 , N/A ,$18.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISDEXAMFETAMINE 10 MG CAPS,637,1 ,$38.70 ,$27.86 ,$10.14 ,$96.75 ,$96.75 ,$20.51 ,$21.29 , N/A ,$10.84 ,$20.24 , N/A ,$21.29 , N/A ,$19.16 ,$15.48 , N/A ,$19.16 , N/A ,$27.09 ,$24.19 ,$30.96 , N/A , N/A ,$27.09 , N/A ,$23.22 , N/A ,$29.03 ,$21.36 ,$19.27 ,$21.36 , N/A ,$21.36 ,$31.35 ,$38.70 ,$31.35 ,$32.90 ,$38.70 ,$26.82 , N/A ,$38.70 ,$21.71 , N/A ,$10.14 ,$38.70 , N/A , N/A , N/A ,$30.96 ,$19.16 ,$10.84 ,$34.83 ,$14.71 ,$21.05 , N/A ,$18.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISINOPRIL 5 MG TABS,637,1 ,$10.47 ,$7.54 ,$2.74 ,$26.18 ,$26.18 ,$5.55 ,$5.76 , N/A ,$2.93 ,$5.48 , N/A ,$5.76 , N/A ,$5.18 ,$4.19 , N/A ,$5.18 , N/A ,$7.33 ,$6.54 ,$8.38 , N/A , N/A ,$7.33 , N/A ,$6.28 , N/A ,$7.85 ,$5.78 ,$5.21 ,$5.78 , N/A ,$5.78 ,$8.48 ,$10.47 ,$8.48 ,$8.90 ,$10.47 ,$7.26 , N/A ,$10.47 ,$5.87 , N/A ,$2.74 ,$10.47 , N/A , N/A , N/A ,$8.38 ,$5.18 ,$2.93 ,$9.42 ,$3.98 ,$5.70 , N/A ,$5.03 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LITHIUM CR 300 MG TBCR,637,1 ,$12.48 ,$8.99 ,$3.27 ,$31.20 ,$31.20 ,$6.61 ,$6.86 , N/A ,$3.49 ,$6.53 , N/A ,$6.86 , N/A ,$6.18 ,$4.99 , N/A ,$6.18 , N/A ,$8.74 ,$7.80 ,$9.98 , N/A , N/A ,$8.74 , N/A ,$7.49 , N/A ,$9.36 ,$6.89 ,$6.22 ,$6.89 , N/A ,$6.89 ,$10.11 ,$12.48 ,$10.11 ,$10.61 ,$12.48 ,$8.65 , N/A ,$12.48 ,$7.00 , N/A ,$3.27 ,$12.48 , N/A , N/A , N/A ,$9.98 ,$6.18 ,$3.49 ,$11.23 ,$4.74 ,$6.79 , N/A ,$5.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LITHIUM CR 450 MG TBCR,637,1 ,$9.10 ,$6.55 ,$2.38 ,$22.75 ,$22.75 ,$4.82 ,$5.01 , N/A ,$2.55 ,$4.76 , N/A ,$5.01 , N/A ,$4.50 ,$3.64 , N/A ,$4.50 , N/A ,$6.37 ,$5.69 ,$7.28 , N/A , N/A ,$6.37 , N/A ,$5.46 , N/A ,$6.83 ,$5.02 ,$4.53 ,$5.02 , N/A ,$5.02 ,$7.37 ,$9.10 ,$7.37 ,$7.74 ,$9.10 ,$6.31 , N/A ,$9.10 ,$5.11 , N/A ,$2.38 ,$9.10 , N/A , N/A , N/A ,$7.28 ,$4.50 ,$2.55 ,$8.19 ,$3.46 ,$4.95 , N/A ,$4.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOPERAMIDE 1 MG/7.5ML LIQD,637,1 ,$0.45 ,$0.32 ,$0.12 ,$1.13 ,$1.13 ,$0.24 ,$0.25 , N/A ,$0.13 ,$0.24 , N/A ,$0.25 , N/A ,$0.22 ,$0.18 , N/A ,$0.22 , N/A ,$0.32 ,$0.28 ,$0.36 , N/A , N/A ,$0.32 , N/A ,$0.27 , N/A ,$0.34 ,$0.25 ,$0.22 ,$0.25 , N/A ,$0.25 ,$0.36 ,$0.45 ,$0.36 ,$0.38 ,$0.45 ,$0.31 , N/A ,$0.45 ,$0.25 , N/A ,$0.12 ,$0.45 , N/A , N/A , N/A ,$0.36 ,$0.22 ,$0.13 ,$0.41 ,$0.17 ,$0.24 , N/A ,$0.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOSARTAN 100 MG TABS,637,1 ,$36.95 ,$26.60 ,$9.68 ,$92.38 ,$92.38 ,$19.58 ,$20.32 , N/A ,$10.35 ,$19.32 , N/A ,$20.32 , N/A ,$18.29 ,$14.78 , N/A ,$18.29 , N/A ,$25.87 ,$23.09 ,$29.56 , N/A , N/A ,$25.87 , N/A ,$22.17 , N/A ,$27.71 ,$20.40 ,$18.40 ,$20.40 , N/A ,$20.40 ,$29.93 ,$36.95 ,$29.93 ,$31.41 ,$36.95 ,$25.61 , N/A ,$36.95 ,$20.73 , N/A ,$9.68 ,$36.95 , N/A , N/A , N/A ,$29.56 ,$18.29 ,$10.35 ,$33.26 ,$14.04 ,$20.10 , N/A ,$17.74 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOSARTAN 25 MG TABS,637,1 ,$20.15 ,$14.51 ,$5.28 ,$50.38 ,$50.38 ,$10.68 ,$11.08 , N/A ,$5.64 ,$10.54 , N/A ,$11.08 , N/A ,$9.97 ,$8.06 , N/A ,$9.97 , N/A ,$14.11 ,$12.59 ,$16.12 , N/A , N/A ,$14.11 , N/A ,$12.09 , N/A ,$15.11 ,$11.12 ,$10.03 ,$11.12 , N/A ,$11.12 ,$16.32 ,$20.15 ,$16.32 ,$17.13 ,$20.15 ,$13.96 , N/A ,$20.15 ,$11.30 , N/A ,$5.28 ,$20.15 , N/A , N/A , N/A ,$16.12 ,$9.97 ,$5.64 ,$18.14 ,$7.66 ,$10.96 , N/A ,$9.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ISOSORBIDE MONONITRATE ER 30 MG TB24,637,1 ,$20.15 ,$14.51 ,$5.28 ,$50.38 ,$50.38 ,$10.68 ,$11.08 , N/A ,$5.64 ,$10.54 , N/A ,$11.08 , N/A ,$9.97 ,$8.06 , N/A ,$9.97 , N/A ,$14.11 ,$12.59 ,$16.12 , N/A , N/A ,$14.11 , N/A ,$12.09 , N/A ,$15.11 ,$11.12 ,$10.03 ,$11.12 , N/A ,$11.12 ,$16.32 ,$20.15 ,$16.32 ,$17.13 ,$20.15 ,$13.96 , N/A ,$20.15 ,$11.30 , N/A ,$5.28 ,$20.15 , N/A , N/A , N/A ,$16.12 ,$9.97 ,$5.64 ,$18.14 ,$7.66 ,$10.96 , N/A ,$9.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOSARTAN 50 MG TABS,637,1 ,$27.00 ,$19.44 ,$7.07 ,$67.50 ,$67.50 ,$14.31 ,$14.85 , N/A ,$7.56 ,$14.12 , N/A ,$14.85 , N/A ,$13.37 ,$10.80 , N/A ,$13.37 , N/A ,$18.90 ,$16.88 ,$21.60 , N/A , N/A ,$18.90 , N/A ,$16.20 , N/A ,$20.25 ,$14.90 ,$13.45 ,$14.90 , N/A ,$14.90 ,$21.87 ,$27.00 ,$21.87 ,$22.95 ,$27.00 ,$18.71 , N/A ,$27.00 ,$15.15 , N/A ,$7.07 ,$27.00 , N/A , N/A , N/A ,$21.60 ,$13.37 ,$7.56 ,$24.30 ,$10.26 ,$14.69 , N/A ,$12.96 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CILOSTAZOL 100 MG TABS,637,1 ,$27.00 ,$19.44 ,$7.07 ,$67.50 ,$67.50 ,$14.31 ,$14.85 , N/A ,$7.56 ,$14.12 , N/A ,$14.85 , N/A ,$13.37 ,$10.80 , N/A ,$13.37 , N/A ,$18.90 ,$16.88 ,$21.60 , N/A , N/A ,$18.90 , N/A ,$16.20 , N/A ,$20.25 ,$14.90 ,$13.45 ,$14.90 , N/A ,$14.90 ,$21.87 ,$27.00 ,$21.87 ,$22.95 ,$27.00 ,$18.71 , N/A ,$27.00 ,$15.15 , N/A ,$7.07 ,$27.00 , N/A , N/A , N/A ,$21.60 ,$13.37 ,$7.56 ,$24.30 ,$10.26 ,$14.69 , N/A ,$12.96 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LUBIPROSTONE 24 MCG CAPS,637,1 ,$20.05 ,$14.44 ,$5.25 ,$50.13 ,$50.13 ,$10.63 ,$11.03 , N/A ,$5.61 ,$10.49 , N/A ,$11.03 , N/A ,$9.92 ,$8.02 , N/A ,$9.92 , N/A ,$14.04 ,$12.53 ,$16.04 , N/A , N/A ,$14.04 , N/A ,$12.03 , N/A ,$15.04 ,$11.07 ,$9.98 ,$11.07 , N/A ,$11.07 ,$16.24 ,$20.05 ,$16.24 ,$17.04 ,$20.05 ,$13.89 , N/A ,$20.05 ,$11.25 , N/A ,$5.25 ,$20.05 , N/A , N/A , N/A ,$16.04 ,$9.92 ,$5.61 ,$18.05 ,$7.62 ,$10.91 , N/A ,$9.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LUBIPROSTONE 8 MCG CAPS,637,1 ,$22.30 ,$16.06 ,$5.84 ,$55.75 ,$55.75 ,$11.82 ,$12.27 , N/A ,$6.24 ,$11.66 , N/A ,$12.27 , N/A ,$11.04 ,$8.92 , N/A ,$11.04 , N/A ,$15.61 ,$13.94 ,$17.84 , N/A , N/A ,$15.61 , N/A ,$13.38 , N/A ,$16.73 ,$12.31 ,$11.11 ,$12.31 , N/A ,$12.31 ,$18.06 ,$22.30 ,$18.06 ,$18.96 ,$22.30 ,$15.45 , N/A ,$22.30 ,$12.51 , N/A ,$5.84 ,$22.30 , N/A , N/A , N/A ,$17.84 ,$11.04 ,$6.24 ,$20.07 ,$8.47 ,$12.13 , N/A ,$10.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LURASIDONE 20 MG TABS,637,1 ,$156.10 ,$112.39 ,$40.90 ,$390.25 ,$390.25 ,$82.73 ,$85.86 , N/A ,$43.71 ,$81.64 , N/A ,$85.86 , N/A ,$77.27 ,$62.44 , N/A ,$77.27 , N/A ,$109.27 ,$97.56 ,$124.88 , N/A , N/A ,$109.27 , N/A ,$93.66 , N/A ,$117.08 ,$86.17 ,$77.74 ,$86.17 , N/A ,$86.17 ,$126.44 ,$156.10 ,$126.44 ,$132.69 ,$156.10 ,$108.18 , N/A ,$156.10 ,$87.57 , N/A ,$40.90 ,$156.10 , N/A , N/A , N/A ,$124.88 ,$77.27 ,$43.71 ,$140.49 ,$59.32 ,$84.92 , N/A ,$74.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LURASIDONE 40 MG TABS,637,1 ,$156.08 ,$112.38 ,$40.89 ,$390.20 ,$390.20 ,$82.72 ,$85.84 , N/A ,$43.70 ,$81.63 , N/A ,$85.84 , N/A ,$77.26 ,$62.43 , N/A ,$77.26 , N/A ,$109.26 ,$97.55 ,$124.86 , N/A , N/A ,$109.26 , N/A ,$93.65 , N/A ,$117.06 ,$86.16 ,$77.73 ,$86.16 , N/A ,$86.16 ,$126.42 ,$156.08 ,$126.42 ,$132.67 ,$156.08 ,$108.16 , N/A ,$156.08 ,$87.56 , N/A ,$40.89 ,$156.08 , N/A , N/A , N/A ,$124.86 ,$77.26 ,$43.70 ,$140.47 ,$59.31 ,$84.91 , N/A ,$74.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MAGNESIUM CITRATE 1.745 GM/30ML SOLN,637,1 ,$28.45 ,$20.48 ,$7.45 ,$71.13 ,$71.13 ,$15.08 ,$15.65 , N/A ,$7.97 ,$14.88 , N/A ,$15.65 , N/A ,$14.08 ,$11.38 , N/A ,$14.08 , N/A ,$19.92 ,$17.78 ,$22.76 , N/A , N/A ,$19.92 , N/A ,$17.07 , N/A ,$21.34 ,$15.70 ,$14.17 ,$15.70 , N/A ,$15.70 ,$23.04 ,$28.45 ,$23.04 ,$24.18 ,$28.45 ,$19.72 , N/A ,$28.45 ,$15.96 , N/A ,$7.45 ,$28.45 , N/A , N/A , N/A ,$22.76 ,$14.08 ,$7.97 ,$25.61 ,$10.81 ,$15.48 , N/A ,$13.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP,637,1 ,$28.10 ,$20.23 ,$7.36 ,$70.25 ,$70.25 ,$14.89 ,$15.46 , N/A ,$7.87 ,$14.70 , N/A ,$15.46 , N/A ,$13.91 ,$11.24 , N/A ,$13.91 , N/A ,$19.67 ,$17.56 ,$22.48 , N/A , N/A ,$19.67 , N/A ,$16.86 , N/A ,$21.08 ,$15.51 ,$13.99 ,$15.51 , N/A ,$15.51 ,$22.76 ,$28.10 ,$22.76 ,$23.89 ,$28.10 ,$19.47 , N/A ,$28.10 ,$15.76 , N/A ,$7.36 ,$28.10 , N/A , N/A , N/A ,$22.48 ,$13.91 ,$7.87 ,$25.29 ,$10.68 ,$15.29 , N/A ,$13.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML SUSP 30 ML CUP,637,1 ,$45.40 ,$32.69 ,$11.89 ,$113.50 ,$113.50 ,$24.06 ,$24.97 , N/A ,$12.71 ,$23.74 , N/A ,$24.97 , N/A ,$22.47 ,$18.16 , N/A ,$22.47 , N/A ,$31.78 ,$28.38 ,$36.32 , N/A , N/A ,$31.78 , N/A ,$27.24 , N/A ,$34.05 ,$25.06 ,$22.61 ,$25.06 , N/A ,$25.06 ,$36.77 ,$45.40 ,$36.77 ,$38.59 ,$45.40 ,$31.46 , N/A ,$45.40 ,$25.47 , N/A ,$11.89 ,$45.40 , N/A , N/A , N/A ,$36.32 ,$22.47 ,$12.71 ,$40.86 ,$17.25 ,$24.70 , N/A ,$21.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MECLIZINE 25 MG TABS,637,1 ,$10.30 ,$7.42 ,$2.70 ,$25.75 ,$25.75 ,$5.46 ,$5.67 , N/A ,$2.88 ,$5.39 , N/A ,$5.67 , N/A ,$5.10 ,$4.12 , N/A ,$5.10 , N/A ,$7.21 ,$6.44 ,$8.24 , N/A , N/A ,$7.21 , N/A ,$6.18 , N/A ,$7.73 ,$5.69 ,$5.13 ,$5.69 , N/A ,$5.69 ,$8.34 ,$10.30 ,$8.34 ,$8.76 ,$10.30 ,$7.14 , N/A ,$10.30 ,$5.78 , N/A ,$2.70 ,$10.30 , N/A , N/A , N/A ,$8.24 ,$5.10 ,$2.88 ,$9.27 ,$3.91 ,$5.60 , N/A ,$4.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATORVASTATIN 40 MG TABS,637,1 ,$10.30 ,$7.42 ,$2.70 ,$25.75 ,$25.75 ,$5.46 ,$5.67 , N/A ,$2.88 ,$5.39 , N/A ,$5.67 , N/A ,$5.10 ,$4.12 , N/A ,$5.10 , N/A ,$7.21 ,$6.44 ,$8.24 , N/A , N/A ,$7.21 , N/A ,$6.18 , N/A ,$7.73 ,$5.69 ,$5.13 ,$5.69 , N/A ,$5.69 ,$8.34 ,$10.30 ,$8.34 ,$8.76 ,$10.30 ,$7.14 , N/A ,$10.30 ,$5.78 , N/A ,$2.70 ,$10.30 , N/A , N/A , N/A ,$8.24 ,$5.10 ,$2.88 ,$9.27 ,$3.91 ,$5.60 , N/A ,$4.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEDROXYPROGESTERONE 2.5 MG TABS,637,1 ,$2.20 ,$1.58 ,$0.58 ,$5.50 ,$5.50 ,$1.17 ,$1.21 , N/A ,$0.62 ,$1.15 , N/A ,$1.21 , N/A ,$1.09 ,$0.88 , N/A ,$1.09 , N/A ,$1.54 ,$1.38 ,$1.76 , N/A , N/A ,$1.54 , N/A ,$1.32 , N/A ,$1.65 ,$1.21 ,$1.10 ,$1.21 , N/A ,$1.21 ,$1.78 ,$2.20 ,$1.78 ,$1.87 ,$2.20 ,$1.52 , N/A ,$2.20 ,$1.23 , N/A ,$0.58 ,$2.20 , N/A , N/A , N/A ,$1.76 ,$1.09 ,$0.62 ,$1.98 ,$0.84 ,$1.20 , N/A ,$1.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEGESTROL 40 MG TABS,637,1 ,$9.40 ,$6.77 ,$2.46 ,$23.50 ,$23.50 ,$4.98 ,$5.17 , N/A ,$2.63 ,$4.92 , N/A ,$5.17 , N/A ,$4.65 ,$3.76 , N/A ,$4.65 , N/A ,$6.58 ,$5.88 ,$7.52 , N/A , N/A ,$6.58 , N/A ,$5.64 , N/A ,$7.05 ,$5.19 ,$4.68 ,$5.19 , N/A ,$5.19 ,$7.61 ,$9.40 ,$7.61 ,$7.99 ,$9.40 ,$6.51 , N/A ,$9.40 ,$5.27 , N/A ,$2.46 ,$9.40 , N/A , N/A , N/A ,$7.52 ,$4.65 ,$2.63 ,$8.46 ,$3.57 ,$5.11 , N/A ,$4.51 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEGESTROL 400 MG/10ML SUSP,637,1 ,$54.40 ,$39.17 ,$14.25 ,$136.00 ,$136.00 ,$28.83 ,$29.92 , N/A ,$15.23 ,$28.45 , N/A ,$29.92 , N/A ,$26.93 ,$21.76 , N/A ,$26.93 , N/A ,$38.08 ,$34.00 ,$43.52 , N/A , N/A ,$38.08 , N/A ,$32.64 , N/A ,$40.80 ,$30.03 ,$27.09 ,$30.03 , N/A ,$30.03 ,$44.06 ,$54.40 ,$44.06 ,$46.24 ,$54.40 ,$37.70 , N/A ,$54.40 ,$30.52 , N/A ,$14.25 ,$54.40 , N/A , N/A , N/A ,$43.52 ,$26.93 ,$15.23 ,$48.96 ,$20.67 ,$29.59 , N/A ,$26.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MELOXICAM 7.5 MG TABS,637,1 ,$37.20 ,$26.78 ,$9.75 ,$93.00 ,$93.00 ,$19.72 ,$20.46 , N/A ,$10.42 ,$19.46 , N/A ,$20.46 , N/A ,$18.41 ,$14.88 , N/A ,$18.41 , N/A ,$26.04 ,$23.25 ,$29.76 , N/A , N/A ,$26.04 , N/A ,$22.32 , N/A ,$27.90 ,$20.53 ,$18.53 ,$20.53 , N/A ,$20.53 ,$30.13 ,$37.20 ,$30.13 ,$31.62 ,$37.20 ,$25.78 , N/A ,$37.20 ,$20.87 , N/A ,$9.75 ,$37.20 , N/A , N/A , N/A ,$29.76 ,$18.41 ,$10.42 ,$33.48 ,$14.14 ,$20.24 , N/A ,$17.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEMANTINE ER 28 MG CP24,637,1 ,$42.00 ,$30.24 ,$11.00 ,$105.00 ,$105.00 ,$22.26 ,$23.10 , N/A ,$11.76 ,$21.97 , N/A ,$23.10 , N/A ,$20.79 ,$16.80 , N/A ,$20.79 , N/A ,$29.40 ,$26.25 ,$33.60 , N/A , N/A ,$29.40 , N/A ,$25.20 , N/A ,$31.50 ,$23.18 ,$20.92 ,$23.18 , N/A ,$23.18 ,$34.02 ,$42.00 ,$34.02 ,$35.70 ,$42.00 ,$29.11 , N/A ,$42.00 ,$23.56 , N/A ,$11.00 ,$42.00 , N/A , N/A , N/A ,$33.60 ,$20.79 ,$11.76 ,$37.80 ,$15.96 ,$22.85 , N/A ,$20.16 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEMANTINE ER 7 MG CP24,637,1 ,$45.80 ,$32.98 ,$12.00 ,$114.50 ,$114.50 ,$24.27 ,$25.19 , N/A ,$12.82 ,$23.95 , N/A ,$25.19 , N/A ,$22.67 ,$18.32 , N/A ,$22.67 , N/A ,$32.06 ,$28.63 ,$36.64 , N/A , N/A ,$32.06 , N/A ,$27.48 , N/A ,$34.35 ,$25.28 ,$22.81 ,$25.28 , N/A ,$25.28 ,$37.10 ,$45.80 ,$37.10 ,$38.93 ,$45.80 ,$31.74 , N/A ,$45.80 ,$25.69 , N/A ,$12.00 ,$45.80 , N/A , N/A , N/A ,$36.64 ,$22.67 ,$12.82 ,$41.22 ,$17.40 ,$24.92 , N/A ,$21.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEMANTINE ER 14 MG CP24,637,1 ,$45.80 ,$32.98 ,$12.00 ,$114.50 ,$114.50 ,$24.27 ,$25.19 , N/A ,$12.82 ,$23.95 , N/A ,$25.19 , N/A ,$22.67 ,$18.32 , N/A ,$22.67 , N/A ,$32.06 ,$28.63 ,$36.64 , N/A , N/A ,$32.06 , N/A ,$27.48 , N/A ,$34.35 ,$25.28 ,$22.81 ,$25.28 , N/A ,$25.28 ,$37.10 ,$45.80 ,$37.10 ,$38.93 ,$45.80 ,$31.74 , N/A ,$45.80 ,$25.69 , N/A ,$12.00 ,$45.80 , N/A , N/A , N/A ,$36.64 ,$22.67 ,$12.82 ,$41.22 ,$17.40 ,$24.92 , N/A ,$21.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MENTHOL-METHYL SALICYLATE 10-15 % CREA 85 G TUBE,637,1 ,$41.85 ,$30.13 ,$10.96 ,$104.63 ,$104.63 ,$22.18 ,$23.02 , N/A ,$11.72 ,$21.89 , N/A ,$23.02 , N/A ,$20.72 ,$16.74 , N/A ,$20.72 , N/A ,$29.30 ,$26.16 ,$33.48 , N/A , N/A ,$29.30 , N/A ,$25.11 , N/A ,$31.39 ,$23.10 ,$20.84 ,$23.10 , N/A ,$23.10 ,$33.90 ,$41.85 ,$33.90 ,$35.57 ,$41.85 ,$29.00 , N/A ,$41.85 ,$23.48 , N/A ,$10.96 ,$41.85 , N/A , N/A , N/A ,$33.48 ,$20.72 ,$11.72 ,$37.67 ,$15.90 ,$22.77 , N/A ,$20.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MESALAMINE 1000 MG SUPP,637,1 ,$127.80 ,$92.02 ,$33.48 ,$319.50 ,$319.50 ,$67.73 ,$70.29 , N/A ,$35.78 ,$66.84 , N/A ,$70.29 , N/A ,$63.26 ,$51.12 , N/A ,$63.26 , N/A ,$89.46 ,$79.88 ,$102.24 , N/A , N/A ,$89.46 , N/A ,$76.68 , N/A ,$95.85 ,$70.55 ,$63.64 ,$70.55 , N/A ,$70.55 ,$103.52 ,$127.80 ,$103.52 ,$108.63 ,$127.80 ,$88.57 , N/A ,$127.80 ,$71.70 , N/A ,$33.48 ,$127.80 , N/A , N/A , N/A ,$102.24 ,$63.26 ,$35.78 ,$115.02 ,$48.56 ,$69.52 , N/A ,$61.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MESALAMINE 250 MG CPCR,637,1 ,$10.03 ,$7.22 ,$2.63 ,$25.08 ,$25.08 ,$5.32 ,$5.52 , N/A ,$2.81 ,$5.25 , N/A ,$5.52 , N/A ,$4.96 ,$4.01 , N/A ,$4.96 , N/A ,$7.02 ,$6.27 ,$8.02 , N/A , N/A ,$7.02 , N/A ,$6.02 , N/A ,$7.52 ,$5.54 ,$4.99 ,$5.54 , N/A ,$5.54 ,$8.12 ,$10.03 ,$8.12 ,$8.53 ,$10.03 ,$6.95 , N/A ,$10.03 ,$5.63 , N/A ,$2.63 ,$10.03 , N/A , N/A , N/A ,$8.02 ,$4.96 ,$2.81 ,$9.03 ,$3.81 ,$5.46 , N/A ,$4.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MESALAMINE 4 G ENEM,637,1 ,$170.95 ,$123.08 ,$44.79 ,$427.38 ,$427.38 ,$90.60 ,$94.02 , N/A ,$47.87 ,$89.41 , N/A ,$94.02 , N/A ,$84.62 ,$68.38 , N/A ,$84.62 , N/A ,$119.67 ,$106.84 ,$136.76 , N/A , N/A ,$119.67 , N/A ,$102.57 , N/A ,$128.21 ,$94.36 ,$85.13 ,$94.36 , N/A ,$94.36 ,$138.47 ,$170.95 ,$138.47 ,$145.31 ,$170.95 ,$118.47 , N/A ,$170.95 ,$95.90 , N/A ,$44.79 ,$170.95 , N/A , N/A , N/A ,$136.76 ,$84.62 ,$47.87 ,$153.86 ,$64.96 ,$93.00 , N/A ,$82.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MESALAMINE DR 400 MG CPDR,637,1 ,$12.83 ,$9.24 ,$3.36 ,$32.08 ,$32.08 ,$6.80 ,$7.06 , N/A ,$3.59 ,$6.71 , N/A ,$7.06 , N/A ,$6.35 ,$5.13 , N/A ,$6.35 , N/A ,$8.98 ,$8.02 ,$10.26 , N/A , N/A ,$8.98 , N/A ,$7.70 , N/A ,$9.62 ,$7.08 ,$6.39 ,$7.08 , N/A ,$7.08 ,$10.39 ,$12.83 ,$10.39 ,$10.91 ,$12.83 ,$8.89 , N/A ,$12.83 ,$7.20 , N/A ,$3.36 ,$12.83 , N/A , N/A , N/A ,$10.26 ,$6.35 ,$3.59 ,$11.55 ,$4.88 ,$6.98 , N/A ,$6.16 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METAXALONE 800 MG TABS,637,1 ,$47.15 ,$33.95 ,$12.35 ,$117.88 ,$117.88 ,$24.99 ,$25.93 , N/A ,$13.20 ,$24.66 , N/A ,$25.93 , N/A ,$23.34 ,$18.86 , N/A ,$23.34 , N/A ,$33.01 ,$29.47 ,$37.72 , N/A , N/A ,$33.01 , N/A ,$28.29 , N/A ,$35.36 ,$26.03 ,$23.48 ,$26.03 , N/A ,$26.03 ,$38.19 ,$47.15 ,$38.19 ,$40.08 ,$47.15 ,$32.68 , N/A ,$47.15 ,$26.45 , N/A ,$12.35 ,$47.15 , N/A , N/A , N/A ,$37.72 ,$23.34 ,$13.20 ,$42.44 ,$17.92 ,$25.65 , N/A ,$22.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METFORMIN 500 MG TABS,637,1 ,$8.45 ,$6.08 ,$2.21 ,$21.13 ,$21.13 ,$4.48 ,$4.65 , N/A ,$2.37 ,$4.42 , N/A ,$4.65 , N/A ,$4.18 ,$3.38 , N/A ,$4.18 , N/A ,$5.92 ,$5.28 ,$6.76 , N/A , N/A ,$5.92 , N/A ,$5.07 , N/A ,$6.34 ,$4.66 ,$4.21 ,$4.66 , N/A ,$4.66 ,$6.84 ,$8.45 ,$6.84 ,$7.18 ,$8.45 ,$5.86 , N/A ,$8.45 ,$4.74 , N/A ,$2.21 ,$8.45 , N/A , N/A , N/A ,$6.76 ,$4.18 ,$2.37 ,$7.61 ,$3.21 ,$4.60 , N/A ,$4.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METFORMIN 850 MG TABS,637,1 ,$14.45 ,$10.40 ,$3.79 ,$36.13 ,$36.13 ,$7.66 ,$7.95 , N/A ,$4.05 ,$7.56 , N/A ,$7.95 , N/A ,$7.15 ,$5.78 , N/A ,$7.15 , N/A ,$10.12 ,$9.03 ,$11.56 , N/A , N/A ,$10.12 , N/A ,$8.67 , N/A ,$10.84 ,$7.98 ,$7.20 ,$7.98 , N/A ,$7.98 ,$11.70 ,$14.45 ,$11.70 ,$12.28 ,$14.45 ,$10.01 , N/A ,$14.45 ,$8.11 , N/A ,$3.79 ,$14.45 , N/A , N/A , N/A ,$11.56 ,$7.15 ,$4.05 ,$13.01 ,$5.49 ,$7.86 , N/A ,$6.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHADONE 10 MG TABS,637,1 ,$11.42 ,$8.22 ,$2.99 ,$28.55 ,$28.55 ,$6.05 ,$6.28 , N/A ,$3.20 ,$5.97 , N/A ,$6.28 , N/A ,$5.65 ,$4.57 , N/A ,$5.65 , N/A ,$7.99 ,$7.14 ,$9.14 , N/A , N/A ,$7.99 , N/A ,$6.85 , N/A ,$8.57 ,$6.30 ,$5.69 ,$6.30 , N/A ,$6.30 ,$9.25 ,$11.42 ,$9.25 ,$9.71 ,$11.42 ,$7.91 , N/A ,$11.42 ,$6.41 , N/A ,$2.99 ,$11.42 , N/A , N/A , N/A ,$9.14 ,$5.65 ,$3.20 ,$10.28 ,$4.34 ,$6.21 , N/A ,$5.48 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHENAMINE 1 G TABS,637,1 ,$9.45 ,$6.80 ,$2.48 ,$23.63 ,$23.63 ,$5.01 ,$5.20 , N/A ,$2.65 ,$4.94 , N/A ,$5.20 , N/A ,$4.68 ,$3.78 , N/A ,$4.68 , N/A ,$6.62 ,$5.91 ,$7.56 , N/A , N/A ,$6.62 , N/A ,$5.67 , N/A ,$7.09 ,$5.22 ,$4.71 ,$5.22 , N/A ,$5.22 ,$7.65 ,$9.45 ,$7.65 ,$8.03 ,$9.45 ,$6.55 , N/A ,$9.45 ,$5.30 , N/A ,$2.48 ,$9.45 , N/A , N/A , N/A ,$7.56 ,$4.68 ,$2.65 ,$8.51 ,$3.59 ,$5.14 , N/A ,$4.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IBUPROFEN 600 MG TABS,637,1 ,$9.45 ,$6.80 ,$2.48 ,$23.63 ,$23.63 ,$5.01 ,$5.20 , N/A ,$2.65 ,$4.94 , N/A ,$5.20 , N/A ,$4.68 ,$3.78 , N/A ,$4.68 , N/A ,$6.62 ,$5.91 ,$7.56 , N/A , N/A ,$6.62 , N/A ,$5.67 , N/A ,$7.09 ,$5.22 ,$4.71 ,$5.22 , N/A ,$5.22 ,$7.65 ,$9.45 ,$7.65 ,$8.03 ,$9.45 ,$6.55 , N/A ,$9.45 ,$5.30 , N/A ,$2.48 ,$9.45 , N/A , N/A , N/A ,$7.56 ,$4.68 ,$2.65 ,$8.51 ,$3.59 ,$5.14 , N/A ,$4.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG TABS,637,1 ,$9.45 ,$6.80 ,$2.48 ,$23.63 ,$23.63 ,$5.01 ,$5.20 , N/A ,$2.65 ,$4.94 , N/A ,$5.20 , N/A ,$4.68 ,$3.78 , N/A ,$4.68 , N/A ,$6.62 ,$5.91 ,$7.56 , N/A , N/A ,$6.62 , N/A ,$5.67 , N/A ,$7.09 ,$5.22 ,$4.71 ,$5.22 , N/A ,$5.22 ,$7.65 ,$9.45 ,$7.65 ,$8.03 ,$9.45 ,$6.55 , N/A ,$9.45 ,$5.30 , N/A ,$2.48 ,$9.45 , N/A , N/A , N/A ,$7.56 ,$4.68 ,$2.65 ,$8.51 ,$3.59 ,$5.14 , N/A ,$4.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMPHETAMINE-DEXTROAMPHETAMINE 20 MG TABS,637,1 ,$9.45 ,$6.80 ,$2.48 ,$23.63 ,$23.63 ,$5.01 ,$5.20 , N/A ,$2.65 ,$4.94 , N/A ,$5.20 , N/A ,$4.68 ,$3.78 , N/A ,$4.68 , N/A ,$6.62 ,$5.91 ,$7.56 , N/A , N/A ,$6.62 , N/A ,$5.67 , N/A ,$7.09 ,$5.22 ,$4.71 ,$5.22 , N/A ,$5.22 ,$7.65 ,$9.45 ,$7.65 ,$8.03 ,$9.45 ,$6.55 , N/A ,$9.45 ,$5.30 , N/A ,$2.48 ,$9.45 , N/A , N/A , N/A ,$7.56 ,$4.68 ,$2.65 ,$8.51 ,$3.59 ,$5.14 , N/A ,$4.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG TABS,637,1 ,$9.45 ,$6.80 ,$2.48 ,$23.63 ,$23.63 ,$5.01 ,$5.20 , N/A ,$2.65 ,$4.94 , N/A ,$5.20 , N/A ,$4.68 ,$3.78 , N/A ,$4.68 , N/A ,$6.62 ,$5.91 ,$7.56 , N/A , N/A ,$6.62 , N/A ,$5.67 , N/A ,$7.09 ,$5.22 ,$4.71 ,$5.22 , N/A ,$5.22 ,$7.65 ,$9.45 ,$7.65 ,$8.03 ,$9.45 ,$6.55 , N/A ,$9.45 ,$5.30 , N/A ,$2.48 ,$9.45 , N/A , N/A , N/A ,$7.56 ,$4.68 ,$2.65 ,$8.51 ,$3.59 ,$5.14 , N/A ,$4.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHIMAZOLE 10 MG TABS,637,1 ,$9.25 ,$6.66 ,$2.42 ,$23.13 ,$23.13 ,$4.90 ,$5.09 , N/A ,$2.59 ,$4.84 , N/A ,$5.09 , N/A ,$4.58 ,$3.70 , N/A ,$4.58 , N/A ,$6.48 ,$5.78 ,$7.40 , N/A , N/A ,$6.48 , N/A ,$5.55 , N/A ,$6.94 ,$5.11 ,$4.61 ,$5.11 , N/A ,$5.11 ,$7.49 ,$9.25 ,$7.49 ,$7.86 ,$9.25 ,$6.41 , N/A ,$9.25 ,$5.19 , N/A ,$2.42 ,$9.25 , N/A , N/A , N/A ,$7.40 ,$4.58 ,$2.59 ,$8.33 ,$3.52 ,$5.03 , N/A ,$4.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE PROPIONATE 44 MCG/ACT AERO,637,1 ,$9.25 ,$6.66 ,$2.42 ,$23.13 ,$23.13 ,$4.90 ,$5.09 , N/A ,$2.59 ,$4.84 , N/A ,$5.09 , N/A ,$4.58 ,$3.70 , N/A ,$4.58 , N/A ,$6.48 ,$5.78 ,$7.40 , N/A , N/A ,$6.48 , N/A ,$5.55 , N/A ,$6.94 ,$5.11 ,$4.61 ,$5.11 , N/A ,$5.11 ,$7.49 ,$9.25 ,$7.49 ,$7.86 ,$9.25 ,$6.41 , N/A ,$9.25 ,$5.19 , N/A ,$2.42 ,$9.25 , N/A , N/A , N/A ,$7.40 ,$4.58 ,$2.59 ,$8.33 ,$3.52 ,$5.03 , N/A ,$4.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHIMAZOLE 5 MG TABS,637,1 ,$7.20 ,$5.18 ,$1.89 ,$18.00 ,$18.00 ,$3.82 ,$3.96 , N/A ,$2.02 ,$3.77 , N/A ,$3.96 , N/A ,$3.56 ,$2.88 , N/A ,$3.56 , N/A ,$5.04 ,$4.50 ,$5.76 , N/A , N/A ,$5.04 , N/A ,$4.32 , N/A ,$5.40 ,$3.97 ,$3.59 ,$3.97 , N/A ,$3.97 ,$5.83 ,$7.20 ,$5.83 ,$6.12 ,$7.20 ,$4.99 , N/A ,$7.20 ,$4.04 , N/A ,$1.89 ,$7.20 , N/A , N/A , N/A ,$5.76 ,$3.56 ,$2.02 ,$6.48 ,$2.74 ,$3.92 , N/A ,$3.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUAIFENESIN 100 MG/5ML SOLN,637,1 ,$7.20 ,$5.18 ,$1.89 ,$18.00 ,$18.00 ,$3.82 ,$3.96 , N/A ,$2.02 ,$3.77 , N/A ,$3.96 , N/A ,$3.56 ,$2.88 , N/A ,$3.56 , N/A ,$5.04 ,$4.50 ,$5.76 , N/A , N/A ,$5.04 , N/A ,$4.32 , N/A ,$5.40 ,$3.97 ,$3.59 ,$3.97 , N/A ,$3.97 ,$5.83 ,$7.20 ,$5.83 ,$6.12 ,$7.20 ,$4.99 , N/A ,$7.20 ,$4.04 , N/A ,$1.89 ,$7.20 , N/A , N/A , N/A ,$5.76 ,$3.56 ,$2.02 ,$6.48 ,$2.74 ,$3.92 , N/A ,$3.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYZINE 25 MG CAPS,637,1 ,$7.20 ,$5.18 ,$1.89 ,$18.00 ,$18.00 ,$3.82 ,$3.96 , N/A ,$2.02 ,$3.77 , N/A ,$3.96 , N/A ,$3.56 ,$2.88 , N/A ,$3.56 , N/A ,$5.04 ,$4.50 ,$5.76 , N/A , N/A ,$5.04 , N/A ,$4.32 , N/A ,$5.40 ,$3.97 ,$3.59 ,$3.97 , N/A ,$3.97 ,$5.83 ,$7.20 ,$5.83 ,$6.12 ,$7.20 ,$4.99 , N/A ,$7.20 ,$4.04 , N/A ,$1.89 ,$7.20 , N/A , N/A , N/A ,$5.76 ,$3.56 ,$2.02 ,$6.48 ,$2.74 ,$3.92 , N/A ,$3.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLERGONOVINE 0.2 MG TABS,637,1 ,$363.00 ,$261.36 ,$95.11 ,$907.50 ,$907.50 ,$192.39 ,$199.65 , N/A ,$101.64 ,$189.85 , N/A ,$199.65 , N/A ,$179.69 ,$145.20 , N/A ,$179.69 , N/A ,$254.10 ,$226.88 ,$290.40 , N/A , N/A ,$254.10 , N/A ,$217.80 , N/A ,$272.25 ,$200.38 ,$180.77 ,$200.38 , N/A ,$200.38 ,$294.03 ,$363.00 ,$294.03 ,$308.55 ,$363.00 ,$251.56 , N/A ,$363.00 ,$203.64 , N/A ,$95.11 ,$363.00 , N/A , N/A , N/A ,$290.40 ,$179.69 ,$101.64 ,$326.70 ,$137.94 ,$197.47 , N/A ,$174.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE 10 MG CPCR,637,1 ,$15.88 ,$11.43 ,$4.16 ,$39.70 ,$39.70 ,$8.42 ,$8.73 , N/A ,$4.45 ,$8.31 , N/A ,$8.73 , N/A ,$7.86 ,$6.35 , N/A ,$7.86 , N/A ,$11.12 ,$9.93 ,$12.70 , N/A , N/A ,$11.12 , N/A ,$9.53 , N/A ,$11.91 ,$8.77 ,$7.91 ,$8.77 , N/A ,$8.77 ,$12.86 ,$15.88 ,$12.86 ,$13.50 ,$15.88 ,$11.00 , N/A ,$15.88 ,$8.91 , N/A ,$4.16 ,$15.88 , N/A , N/A , N/A ,$12.70 ,$7.86 ,$4.45 ,$14.29 ,$6.03 ,$8.64 , N/A ,$7.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE 5 MG TABS,637,1 ,$24.00 ,$17.28 ,$6.29 ,$60.00 ,$60.00 ,$12.72 ,$13.20 , N/A ,$6.72 ,$12.55 , N/A ,$13.20 , N/A ,$11.88 ,$9.60 , N/A ,$11.88 , N/A ,$16.80 ,$15.00 ,$19.20 , N/A , N/A ,$16.80 , N/A ,$14.40 , N/A ,$18.00 ,$13.25 ,$11.95 ,$13.25 , N/A ,$13.25 ,$19.44 ,$24.00 ,$19.44 ,$20.40 ,$24.00 ,$16.63 , N/A ,$24.00 ,$13.46 , N/A ,$6.29 ,$24.00 , N/A , N/A , N/A ,$19.20 ,$11.88 ,$6.72 ,$21.60 ,$9.12 ,$13.06 , N/A ,$11.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOXEPIN 100 MG CAPS,637,1 ,$24.00 ,$17.28 ,$6.29 ,$60.00 ,$60.00 ,$12.72 ,$13.20 , N/A ,$6.72 ,$12.55 , N/A ,$13.20 , N/A ,$11.88 ,$9.60 , N/A ,$11.88 , N/A ,$16.80 ,$15.00 ,$19.20 , N/A , N/A ,$16.80 , N/A ,$14.40 , N/A ,$18.00 ,$13.25 ,$11.95 ,$13.25 , N/A ,$13.25 ,$19.44 ,$24.00 ,$19.44 ,$20.40 ,$24.00 ,$16.63 , N/A ,$24.00 ,$13.46 , N/A ,$6.29 ,$24.00 , N/A , N/A , N/A ,$19.20 ,$11.88 ,$6.72 ,$21.60 ,$9.12 ,$13.06 , N/A ,$11.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LANOLIN CREA 9 ML,637,1 ,$24.00 ,$17.28 ,$6.29 ,$60.00 ,$60.00 ,$12.72 ,$13.20 , N/A ,$6.72 ,$12.55 , N/A ,$13.20 , N/A ,$11.88 ,$9.60 , N/A ,$11.88 , N/A ,$16.80 ,$15.00 ,$19.20 , N/A , N/A ,$16.80 , N/A ,$14.40 , N/A ,$18.00 ,$13.25 ,$11.95 ,$13.25 , N/A ,$13.25 ,$19.44 ,$24.00 ,$19.44 ,$20.40 ,$24.00 ,$16.63 , N/A ,$24.00 ,$13.46 , N/A ,$6.29 ,$24.00 , N/A , N/A , N/A ,$19.20 ,$11.88 ,$6.72 ,$21.60 ,$9.12 ,$13.06 , N/A ,$11.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE CR 18 MG TBCR,637,1 ,$60.80 ,$43.78 ,$15.93 ,$152.00 ,$152.00 ,$32.22 ,$33.44 , N/A ,$17.02 ,$31.80 , N/A ,$33.44 , N/A ,$30.10 ,$24.32 , N/A ,$30.10 , N/A ,$42.56 ,$38.00 ,$48.64 , N/A , N/A ,$42.56 , N/A ,$36.48 , N/A ,$45.60 ,$33.56 ,$30.28 ,$33.56 , N/A ,$33.56 ,$49.25 ,$60.80 ,$49.25 ,$51.68 ,$60.80 ,$42.13 , N/A ,$60.80 ,$34.11 , N/A ,$15.93 ,$60.80 , N/A , N/A , N/A ,$48.64 ,$30.10 ,$17.02 ,$54.72 ,$23.10 ,$33.08 , N/A ,$29.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE CR 20 MG TBCR,637,1 ,$21.35 ,$15.37 ,$5.59 ,$53.38 ,$53.38 ,$11.32 ,$11.74 , N/A ,$5.98 ,$11.17 , N/A ,$11.74 , N/A ,$10.57 ,$8.54 , N/A ,$10.57 , N/A ,$14.95 ,$13.34 ,$17.08 , N/A , N/A ,$14.95 , N/A ,$12.81 , N/A ,$16.01 ,$11.79 ,$10.63 ,$11.79 , N/A ,$11.79 ,$17.29 ,$21.35 ,$17.29 ,$18.15 ,$21.35 ,$14.80 , N/A ,$21.35 ,$11.98 , N/A ,$5.59 ,$21.35 , N/A , N/A , N/A ,$17.08 ,$10.57 ,$5.98 ,$19.22 ,$8.11 ,$11.61 , N/A ,$10.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE CR 27 MG TBCR,637,1 ,$64.30 ,$46.30 ,$16.85 ,$160.75 ,$160.75 ,$34.08 ,$35.37 , N/A ,$18.00 ,$33.63 , N/A ,$35.37 , N/A ,$31.83 ,$25.72 , N/A ,$31.83 , N/A ,$45.01 ,$40.19 ,$51.44 , N/A , N/A ,$45.01 , N/A ,$38.58 , N/A ,$48.23 ,$35.49 ,$32.02 ,$35.49 , N/A ,$35.49 ,$52.08 ,$64.30 ,$52.08 ,$54.66 ,$64.30 ,$44.56 , N/A ,$64.30 ,$36.07 , N/A ,$16.85 ,$64.30 , N/A , N/A , N/A ,$51.44 ,$31.83 ,$18.00 ,$57.87 ,$24.43 ,$34.98 , N/A ,$30.86 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOCLOPRAMIDE 1 MG/ML 5 MG/5ML SOLN,637,1 ,$50.80 ,$36.58 ,$13.31 ,$127.00 ,$127.00 ,$26.92 ,$27.94 , N/A ,$14.22 ,$26.57 , N/A ,$27.94 , N/A ,$25.15 ,$20.32 , N/A ,$25.15 , N/A ,$35.56 ,$31.75 ,$40.64 , N/A , N/A ,$35.56 , N/A ,$30.48 , N/A ,$38.10 ,$28.04 ,$25.30 ,$28.04 , N/A ,$28.04 ,$41.15 ,$50.80 ,$41.15 ,$43.18 ,$50.80 ,$35.20 , N/A ,$50.80 ,$28.50 , N/A ,$13.31 ,$50.80 , N/A , N/A , N/A ,$40.64 ,$25.15 ,$14.22 ,$45.72 ,$19.30 ,$27.64 , N/A ,$24.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOLAZONE 5 MG TABS,637,1 ,$44.80 ,$32.26 ,$11.74 ,$112.00 ,$112.00 ,$23.74 ,$24.64 , N/A ,$12.54 ,$23.43 , N/A ,$24.64 , N/A ,$22.18 ,$17.92 , N/A ,$22.18 , N/A ,$31.36 ,$28.00 ,$35.84 , N/A , N/A ,$31.36 , N/A ,$26.88 , N/A ,$33.60 ,$24.73 ,$22.31 ,$24.73 , N/A ,$24.73 ,$36.29 ,$44.80 ,$36.29 ,$38.08 ,$44.80 ,$31.05 , N/A ,$44.80 ,$25.13 , N/A ,$11.74 ,$44.80 , N/A , N/A , N/A ,$35.84 ,$22.18 ,$12.54 ,$40.32 ,$17.02 ,$24.37 , N/A ,$21.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL SUCCINATE ER 100 MG TB24,637,1 ,$20.10 ,$14.47 ,$5.27 ,$50.25 ,$50.25 ,$10.65 ,$11.06 , N/A ,$5.63 ,$10.51 , N/A ,$11.06 , N/A ,$9.95 ,$8.04 , N/A ,$9.95 , N/A ,$14.07 ,$12.56 ,$16.08 , N/A , N/A ,$14.07 , N/A ,$12.06 , N/A ,$15.08 ,$11.10 ,$10.01 ,$11.10 , N/A ,$11.10 ,$16.28 ,$20.10 ,$16.28 ,$17.09 ,$20.10 ,$13.93 , N/A ,$20.10 ,$11.28 , N/A ,$5.27 ,$20.10 , N/A , N/A , N/A ,$16.08 ,$9.95 ,$5.63 ,$18.09 ,$7.64 ,$10.93 , N/A ,$9.65 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL SUCCINATE ER 50 MG TB24,637,1 ,$13.40 ,$9.65 ,$3.51 ,$33.50 ,$33.50 ,$7.10 ,$7.37 , N/A ,$3.75 ,$7.01 , N/A ,$7.37 , N/A ,$6.63 ,$5.36 , N/A ,$6.63 , N/A ,$9.38 ,$8.38 ,$10.72 , N/A , N/A ,$9.38 , N/A ,$8.04 , N/A ,$10.05 ,$7.40 ,$6.67 ,$7.40 , N/A ,$7.40 ,$10.85 ,$13.40 ,$10.85 ,$11.39 ,$13.40 ,$9.29 , N/A ,$13.40 ,$7.52 , N/A ,$3.51 ,$13.40 , N/A , N/A , N/A ,$10.72 ,$6.63 ,$3.75 ,$12.06 ,$5.09 ,$7.29 , N/A ,$6.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL SUCCINATE ER 25 MG TB24,637,1 ,$13.40 ,$9.65 ,$3.51 ,$33.50 ,$33.50 ,$7.10 ,$7.37 , N/A ,$3.75 ,$7.01 , N/A ,$7.37 , N/A ,$6.63 ,$5.36 , N/A ,$6.63 , N/A ,$9.38 ,$8.38 ,$10.72 , N/A , N/A ,$9.38 , N/A ,$8.04 , N/A ,$10.05 ,$7.40 ,$6.67 ,$7.40 , N/A ,$7.40 ,$10.85 ,$13.40 ,$10.85 ,$11.39 ,$13.40 ,$9.29 , N/A ,$13.40 ,$7.52 , N/A ,$3.51 ,$13.40 , N/A , N/A , N/A ,$10.72 ,$6.63 ,$3.75 ,$12.06 ,$5.09 ,$7.29 , N/A ,$6.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL TARTRATE 25 MG TABS,637,1 ,$6.35 ,$4.57 ,$1.66 ,$15.88 ,$15.88 ,$3.37 ,$3.49 , N/A ,$1.78 ,$3.32 , N/A ,$3.49 , N/A ,$3.14 ,$2.54 , N/A ,$3.14 , N/A ,$4.45 ,$3.97 ,$5.08 , N/A , N/A ,$4.45 , N/A ,$3.81 , N/A ,$4.76 ,$3.51 ,$3.16 ,$3.51 , N/A ,$3.51 ,$5.14 ,$6.35 ,$5.14 ,$5.40 ,$6.35 ,$4.40 , N/A ,$6.35 ,$3.56 , N/A ,$1.66 ,$6.35 , N/A , N/A , N/A ,$5.08 ,$3.14 ,$1.78 ,$5.72 ,$2.41 ,$3.45 , N/A ,$3.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL TARTRATE 50 MG TABS,637,1 ,$6.85 ,$4.93 ,$1.79 ,$17.13 ,$17.13 ,$3.63 ,$3.77 , N/A ,$1.92 ,$3.58 , N/A ,$3.77 , N/A ,$3.39 ,$2.74 , N/A ,$3.39 , N/A ,$4.80 ,$4.28 ,$5.48 , N/A , N/A ,$4.80 , N/A ,$4.11 , N/A ,$5.14 ,$3.78 ,$3.41 ,$3.78 , N/A ,$3.78 ,$5.55 ,$6.85 ,$5.55 ,$5.82 ,$6.85 ,$4.75 , N/A ,$6.85 ,$3.84 , N/A ,$1.79 ,$6.85 , N/A , N/A , N/A ,$5.48 ,$3.39 ,$1.92 ,$6.17 ,$2.60 ,$3.73 , N/A ,$3.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP,637,1 ,$6.85 ,$4.93 ,$1.79 ,$17.13 ,$17.13 ,$3.63 ,$3.77 , N/A ,$1.92 ,$3.58 , N/A ,$3.77 , N/A ,$3.39 ,$2.74 , N/A ,$3.39 , N/A ,$4.80 ,$4.28 ,$5.48 , N/A , N/A ,$4.80 , N/A ,$4.11 , N/A ,$5.14 ,$3.78 ,$3.41 ,$3.78 , N/A ,$3.78 ,$5.55 ,$6.85 ,$5.55 ,$5.82 ,$6.85 ,$4.75 , N/A ,$6.85 ,$3.84 , N/A ,$1.79 ,$6.85 , N/A , N/A , N/A ,$5.48 ,$3.39 ,$1.92 ,$6.17 ,$2.60 ,$3.73 , N/A ,$3.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METRONIDAZOLE 0.75 % GEL 70 G TUBE,637,1 ,$840.50 ,$605.16 ,$220.21 ,"$2,101.25 ","$2,101.25 ",$445.47 ,$462.28 , N/A ,$235.34 ,$439.58 , N/A ,$462.28 , N/A ,$416.05 ,$336.20 , N/A ,$416.05 , N/A ,$588.35 ,$525.31 ,$672.40 , N/A , N/A ,$588.35 , N/A ,$504.30 , N/A ,$630.38 ,$463.96 ,$418.57 ,$463.96 , N/A ,$463.96 ,$680.81 ,$840.50 ,$680.81 ,$714.43 ,$840.50 ,$582.47 , N/A ,$840.50 ,$471.52 , N/A ,$220.21 ,$840.50 , N/A , N/A , N/A ,$672.40 ,$416.05 ,$235.34 ,$756.45 ,$319.39 ,$457.23 , N/A ,$403.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METRONIDAZOLE 500 MG TABS,637,1 ,$11.05 ,$7.96 ,$2.90 ,$27.63 ,$27.63 ,$5.86 ,$6.08 , N/A ,$3.09 ,$5.78 , N/A ,$6.08 , N/A ,$5.47 ,$4.42 , N/A ,$5.47 , N/A ,$7.74 ,$6.91 ,$8.84 , N/A , N/A ,$7.74 , N/A ,$6.63 , N/A ,$8.29 ,$6.10 ,$5.50 ,$6.10 , N/A ,$6.10 ,$8.95 ,$11.05 ,$8.95 ,$9.39 ,$11.05 ,$7.66 , N/A ,$11.05 ,$6.20 , N/A ,$2.90 ,$11.05 , N/A , N/A , N/A ,$8.84 ,$5.47 ,$3.09 ,$9.95 ,$4.20 ,$6.01 , N/A ,$5.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 7.5 MG TABS,637,1 ,$11.05 ,$7.96 ,$2.90 ,$27.63 ,$27.63 ,$5.86 ,$6.08 , N/A ,$3.09 ,$5.78 , N/A ,$6.08 , N/A ,$5.47 ,$4.42 , N/A ,$5.47 , N/A ,$7.74 ,$6.91 ,$8.84 , N/A , N/A ,$7.74 , N/A ,$6.63 , N/A ,$8.29 ,$6.10 ,$5.50 ,$6.10 , N/A ,$6.10 ,$8.95 ,$11.05 ,$8.95 ,$9.39 ,$11.05 ,$7.66 , N/A ,$11.05 ,$6.20 , N/A ,$2.90 ,$11.05 , N/A , N/A , N/A ,$8.84 ,$5.47 ,$3.09 ,$9.95 ,$4.20 ,$6.01 , N/A ,$5.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MEXILETINE 150 MG CAPS,637,1 ,$11.45 ,$8.24 ,$3.00 ,$28.63 ,$28.63 ,$6.07 ,$6.30 , N/A ,$3.21 ,$5.99 , N/A ,$6.30 , N/A ,$5.67 ,$4.58 , N/A ,$5.67 , N/A ,$8.02 ,$7.16 ,$9.16 , N/A , N/A ,$8.02 , N/A ,$6.87 , N/A ,$8.59 ,$6.32 ,$5.70 ,$6.32 , N/A ,$6.32 ,$9.27 ,$11.45 ,$9.27 ,$9.73 ,$11.45 ,$7.93 , N/A ,$11.45 ,$6.42 , N/A ,$3.00 ,$11.45 , N/A , N/A , N/A ,$9.16 ,$5.67 ,$3.21 ,$10.31 ,$4.35 ,$6.23 , N/A ,$5.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMITRIPTYLINE 100 MG TABS,637,1 ,$11.45 ,$8.24 ,$3.00 ,$28.63 ,$28.63 ,$6.07 ,$6.30 , N/A ,$3.21 ,$5.99 , N/A ,$6.30 , N/A ,$5.67 ,$4.58 , N/A ,$5.67 , N/A ,$8.02 ,$7.16 ,$9.16 , N/A , N/A ,$8.02 , N/A ,$6.87 , N/A ,$8.59 ,$6.32 ,$5.70 ,$6.32 , N/A ,$6.32 ,$9.27 ,$11.45 ,$9.27 ,$9.73 ,$11.45 ,$7.93 , N/A ,$11.45 ,$6.42 , N/A ,$3.00 ,$11.45 , N/A , N/A , N/A ,$9.16 ,$5.67 ,$3.21 ,$10.31 ,$4.35 ,$6.23 , N/A ,$5.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MICONAZOLE 2 % CREA 45 G TUBE,637,1 ,$80.05 ,$57.64 ,$20.97 ,$200.13 ,$200.13 ,$42.43 ,$44.03 , N/A ,$22.41 ,$41.87 , N/A ,$44.03 , N/A ,$39.62 ,$32.02 , N/A ,$39.62 , N/A ,$56.04 ,$50.03 ,$64.04 , N/A , N/A ,$56.04 , N/A ,$48.03 , N/A ,$60.04 ,$44.19 ,$39.86 ,$44.19 , N/A ,$44.19 ,$64.84 ,$80.05 ,$64.84 ,$68.04 ,$80.05 ,$55.47 , N/A ,$80.05 ,$44.91 , N/A ,$20.97 ,$80.05 , N/A , N/A , N/A ,$64.04 ,$39.62 ,$22.41 ,$72.05 ,$30.42 ,$43.55 , N/A ,$38.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MICONAZOLE 2 % POWD 71 G BOTTLE,637,1 ,$47.75 ,$34.38 ,$12.51 ,$119.38 ,$119.38 ,$25.31 ,$26.26 , N/A ,$13.37 ,$24.97 , N/A ,$26.26 , N/A ,$23.64 ,$19.10 , N/A ,$23.64 , N/A ,$33.43 ,$29.84 ,$38.20 , N/A , N/A ,$33.43 , N/A ,$28.65 , N/A ,$35.81 ,$26.36 ,$23.78 ,$26.36 , N/A ,$26.36 ,$38.68 ,$47.75 ,$38.68 ,$40.59 ,$47.75 ,$33.09 , N/A ,$47.75 ,$26.79 , N/A ,$12.51 ,$47.75 , N/A , N/A , N/A ,$38.20 ,$23.64 ,$13.37 ,$42.98 ,$18.15 ,$25.98 , N/A ,$22.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MICONAZOLE 2 % POWD 85 G BOTTLE,637,1 ,$51.70 ,$37.22 ,$13.55 ,$129.25 ,$129.25 ,$27.40 ,$28.44 , N/A ,$14.48 ,$27.04 , N/A ,$28.44 , N/A ,$25.59 ,$20.68 , N/A ,$25.59 , N/A ,$36.19 ,$32.31 ,$41.36 , N/A , N/A ,$36.19 , N/A ,$31.02 , N/A ,$38.78 ,$28.54 ,$25.75 ,$28.54 , N/A ,$28.54 ,$41.88 ,$51.70 ,$41.88 ,$43.95 ,$51.70 ,$35.83 , N/A ,$51.70 ,$29.00 , N/A ,$13.55 ,$51.70 , N/A , N/A , N/A ,$41.36 ,$25.59 ,$14.48 ,$46.53 ,$19.65 ,$28.12 , N/A ,$24.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MIDAZOLAM 2 MG/ML SYRP,637,1 ,$58.65 ,$42.23 ,$15.37 ,$146.63 ,$146.63 ,$31.08 ,$32.26 , N/A ,$16.42 ,$30.67 , N/A ,$32.26 , N/A ,$29.03 ,$23.46 , N/A ,$29.03 , N/A ,$41.06 ,$36.66 ,$46.92 , N/A , N/A ,$41.06 , N/A ,$35.19 , N/A ,$43.99 ,$32.37 ,$29.21 ,$32.37 , N/A ,$32.37 ,$47.51 ,$58.65 ,$47.51 ,$49.85 ,$58.65 ,$40.64 , N/A ,$58.65 ,$32.90 , N/A ,$15.37 ,$58.65 , N/A , N/A , N/A ,$46.92 ,$29.03 ,$16.42 ,$52.79 ,$22.29 ,$31.91 , N/A ,$28.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MIDODRINE 10 MG TABS,637,1 ,$26.75 ,$19.26 ,$7.01 ,$66.88 ,$66.88 ,$14.18 ,$14.71 , N/A ,$7.49 ,$13.99 , N/A ,$14.71 , N/A ,$13.24 ,$10.70 , N/A ,$13.24 , N/A ,$18.73 ,$16.72 ,$21.40 , N/A , N/A ,$18.73 , N/A ,$16.05 , N/A ,$20.06 ,$14.77 ,$13.32 ,$14.77 , N/A ,$14.77 ,$21.67 ,$26.75 ,$21.67 ,$22.74 ,$26.75 ,$18.54 , N/A ,$26.75 ,$15.01 , N/A ,$7.01 ,$26.75 , N/A , N/A , N/A ,$21.40 ,$13.24 ,$7.49 ,$24.08 ,$10.17 ,$14.55 , N/A ,$12.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MIDODRINE 2.5 MG TABS,637,1 ,$17.18 ,$12.37 ,$4.50 ,$42.95 ,$42.95 ,$9.11 ,$9.45 , N/A ,$4.81 ,$8.99 , N/A ,$9.45 , N/A ,$8.50 ,$6.87 , N/A ,$8.50 , N/A ,$12.03 ,$10.74 ,$13.74 , N/A , N/A ,$12.03 , N/A ,$10.31 , N/A ,$12.89 ,$9.48 ,$8.56 ,$9.48 , N/A ,$9.48 ,$13.92 ,$17.18 ,$13.92 ,$14.60 ,$17.18 ,$11.91 , N/A ,$17.18 ,$9.64 , N/A ,$4.50 ,$17.18 , N/A , N/A , N/A ,$13.74 ,$8.50 ,$4.81 ,$15.46 ,$6.53 ,$9.35 , N/A ,$8.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MINERAL OIL OIL 10 ML VIAL,637,1 ,$128.05 ,$92.20 ,$33.55 ,$320.13 ,$320.13 ,$67.87 ,$70.43 , N/A ,$35.85 ,$66.97 , N/A ,$70.43 , N/A ,$63.38 ,$51.22 , N/A ,$63.38 , N/A ,$89.64 ,$80.03 ,$102.44 , N/A , N/A ,$89.64 , N/A ,$76.83 , N/A ,$96.04 ,$70.68 ,$63.77 ,$70.68 , N/A ,$70.68 ,$103.72 ,$128.05 ,$103.72 ,$108.84 ,$128.05 ,$88.74 , N/A ,$128.05 ,$71.84 , N/A ,$33.55 ,$128.05 , N/A , N/A , N/A ,$102.44 ,$63.38 ,$35.85 ,$115.25 ,$48.66 ,$69.66 , N/A ,$61.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MINOXIDIL 2.5 MG TABS,637,1 ,$20.35 ,$14.65 ,$5.33 ,$50.88 ,$50.88 ,$10.79 ,$11.19 , N/A ,$5.70 ,$10.64 , N/A ,$11.19 , N/A ,$10.07 ,$8.14 , N/A ,$10.07 , N/A ,$14.25 ,$12.72 ,$16.28 , N/A , N/A ,$14.25 , N/A ,$12.21 , N/A ,$15.26 ,$11.23 ,$10.13 ,$11.23 , N/A ,$11.23 ,$16.48 ,$20.35 ,$16.48 ,$17.30 ,$20.35 ,$14.10 , N/A ,$20.35 ,$11.42 , N/A ,$5.33 ,$20.35 , N/A , N/A , N/A ,$16.28 ,$10.07 ,$5.70 ,$18.32 ,$7.73 ,$11.07 , N/A ,$9.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MIRABEGRON ER 25 MG TB24,637,1 ,$47.30 ,$34.06 ,$12.39 ,$118.25 ,$118.25 ,$25.07 ,$26.02 , N/A ,$13.24 ,$24.74 , N/A ,$26.02 , N/A ,$23.41 ,$18.92 , N/A ,$23.41 , N/A ,$33.11 ,$29.56 ,$37.84 , N/A , N/A ,$33.11 , N/A ,$28.38 , N/A ,$35.48 ,$26.11 ,$23.56 ,$26.11 , N/A ,$26.11 ,$38.31 ,$47.30 ,$38.31 ,$40.21 ,$47.30 ,$32.78 , N/A ,$47.30 ,$26.54 , N/A ,$12.39 ,$47.30 , N/A , N/A , N/A ,$37.84 ,$23.41 ,$13.24 ,$42.57 ,$17.97 ,$25.73 , N/A ,$22.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MIRTAZAPINE 15 MG TABS,637,1 ,$32.60 ,$23.47 ,$8.54 ,$81.50 ,$81.50 ,$17.28 ,$17.93 , N/A ,$9.13 ,$17.05 , N/A ,$17.93 , N/A ,$16.14 ,$13.04 , N/A ,$16.14 , N/A ,$22.82 ,$20.38 ,$26.08 , N/A , N/A ,$22.82 , N/A ,$19.56 , N/A ,$24.45 ,$18.00 ,$16.23 ,$18.00 , N/A ,$18.00 ,$26.41 ,$32.60 ,$26.41 ,$27.71 ,$32.60 ,$22.59 , N/A ,$32.60 ,$18.29 , N/A ,$8.54 ,$32.60 , N/A , N/A , N/A ,$26.08 ,$16.14 ,$9.13 ,$29.34 ,$12.39 ,$17.73 , N/A ,$15.65 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MISOPROSTOL 100 MCG TABS,637,1 ,$29.80 ,$21.46 ,$7.81 ,$74.50 ,$74.50 ,$15.79 ,$16.39 , N/A ,$8.34 ,$15.59 , N/A ,$16.39 , N/A ,$14.75 ,$11.92 , N/A ,$14.75 , N/A ,$20.86 ,$18.63 ,$23.84 , N/A , N/A ,$20.86 , N/A ,$17.88 , N/A ,$22.35 ,$16.45 ,$14.84 ,$16.45 , N/A ,$16.45 ,$24.14 ,$29.80 ,$24.14 ,$25.33 ,$29.80 ,$20.65 , N/A ,$29.80 ,$16.72 , N/A ,$7.81 ,$29.80 , N/A , N/A , N/A ,$23.84 ,$14.75 ,$8.34 ,$26.82 ,$11.32 ,$16.21 , N/A ,$14.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CITALOPRAM 10 MG TABS,637,1 ,$29.80 ,$21.46 ,$7.81 ,$74.50 ,$74.50 ,$15.79 ,$16.39 , N/A ,$8.34 ,$15.59 , N/A ,$16.39 , N/A ,$14.75 ,$11.92 , N/A ,$14.75 , N/A ,$20.86 ,$18.63 ,$23.84 , N/A , N/A ,$20.86 , N/A ,$17.88 , N/A ,$22.35 ,$16.45 ,$14.84 ,$16.45 , N/A ,$16.45 ,$24.14 ,$29.80 ,$24.14 ,$25.33 ,$29.80 ,$20.65 , N/A ,$29.80 ,$16.72 , N/A ,$7.81 ,$29.80 , N/A , N/A , N/A ,$23.84 ,$14.75 ,$8.34 ,$26.82 ,$11.32 ,$16.21 , N/A ,$14.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MISOPROSTOL 200 MCG TABS,637,1 ,$32.77 ,$23.59 ,$8.59 ,$81.93 ,$81.93 ,$17.37 ,$18.02 , N/A ,$9.18 ,$17.14 , N/A ,$18.02 , N/A ,$16.22 ,$13.11 , N/A ,$16.22 , N/A ,$22.94 ,$20.48 ,$26.22 , N/A , N/A ,$22.94 , N/A ,$19.66 , N/A ,$24.58 ,$18.09 ,$16.32 ,$18.09 , N/A ,$18.09 ,$26.54 ,$32.77 ,$26.54 ,$27.85 ,$32.77 ,$22.71 , N/A ,$32.77 ,$18.38 , N/A ,$8.59 ,$32.77 , N/A , N/A , N/A ,$26.22 ,$16.22 ,$9.18 ,$29.49 ,$12.45 ,$17.83 , N/A ,$15.73 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MODAFINIL 200 MG TABS,637,1 ,$247.75 ,$178.38 ,$64.91 ,$619.38 ,$619.38 ,$131.31 ,$136.26 , N/A ,$69.37 ,$129.57 , N/A ,$136.26 , N/A ,$122.64 ,$99.10 , N/A ,$122.64 , N/A ,$173.43 ,$154.84 ,$198.20 , N/A , N/A ,$173.43 , N/A ,$148.65 , N/A ,$185.81 ,$136.76 ,$123.38 ,$136.76 , N/A ,$136.76 ,$200.68 ,$247.75 ,$200.68 ,$210.59 ,$247.75 ,$171.69 , N/A ,$247.75 ,$138.99 , N/A ,$64.91 ,$247.75 , N/A , N/A , N/A ,$198.20 ,$122.64 ,$69.37 ,$222.98 ,$94.15 ,$134.78 , N/A ,$118.92 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MOISTURIZING SOLN 59 ML BOTTLE,637,1 ,$56.20 ,$40.46 ,$14.72 ,$140.50 ,$140.50 ,$29.79 ,$30.91 , N/A ,$15.74 ,$29.39 , N/A ,$30.91 , N/A ,$27.82 ,$22.48 , N/A ,$27.82 , N/A ,$39.34 ,$35.13 ,$44.96 , N/A , N/A ,$39.34 , N/A ,$33.72 , N/A ,$42.15 ,$31.02 ,$27.99 ,$31.02 , N/A ,$31.02 ,$45.52 ,$56.20 ,$45.52 ,$47.77 ,$56.20 ,$38.95 , N/A ,$56.20 ,$31.53 , N/A ,$14.72 ,$56.20 , N/A , N/A , N/A ,$44.96 ,$27.82 ,$15.74 ,$50.58 ,$21.36 ,$30.57 , N/A ,$26.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MONTELUKAST 10 MG TABS,637,1 ,$44.05 ,$31.72 ,$11.54 ,$110.13 ,$110.13 ,$23.35 ,$24.23 , N/A ,$12.33 ,$23.04 , N/A ,$24.23 , N/A ,$21.80 ,$17.62 , N/A ,$21.80 , N/A ,$30.84 ,$27.53 ,$35.24 , N/A , N/A ,$30.84 , N/A ,$26.43 , N/A ,$33.04 ,$24.32 ,$21.94 ,$24.32 , N/A ,$24.32 ,$35.68 ,$44.05 ,$35.68 ,$37.44 ,$44.05 ,$30.53 , N/A ,$44.05 ,$24.71 , N/A ,$11.54 ,$44.05 , N/A , N/A , N/A ,$35.24 ,$21.80 ,$12.33 ,$39.65 ,$16.74 ,$23.96 , N/A ,$21.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MONTELUKAST 5 MG CHEW,637,1 ,$49.30 ,$35.50 ,$12.92 ,$123.25 ,$123.25 ,$26.13 ,$27.12 , N/A ,$13.80 ,$25.78 , N/A ,$27.12 , N/A ,$24.40 ,$19.72 , N/A ,$24.40 , N/A ,$34.51 ,$30.81 ,$39.44 , N/A , N/A ,$34.51 , N/A ,$29.58 , N/A ,$36.98 ,$27.21 ,$24.55 ,$27.21 , N/A ,$27.21 ,$39.93 ,$49.30 ,$39.93 ,$41.91 ,$49.30 ,$34.16 , N/A ,$49.30 ,$27.66 , N/A ,$12.92 ,$49.30 , N/A , N/A , N/A ,$39.44 ,$24.40 ,$13.80 ,$44.37 ,$18.73 ,$26.82 , N/A ,$23.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MORPHINE 15 MG TABS,637,1 ,$5.00 ,$3.60 ,$1.31 ,$12.50 ,$12.50 ,$2.65 ,$2.75 , N/A ,$1.40 ,$2.62 , N/A ,$2.75 , N/A ,$2.48 ,$2.00 , N/A ,$2.48 , N/A ,$3.50 ,$3.13 ,$4.00 , N/A , N/A ,$3.50 , N/A ,$3.00 , N/A ,$3.75 ,$2.76 ,$2.49 ,$2.76 , N/A ,$2.76 ,$4.05 ,$5.00 ,$4.05 ,$4.25 ,$5.00 ,$3.47 , N/A ,$5.00 ,$2.81 , N/A ,$1.31 ,$5.00 , N/A , N/A , N/A ,$4.00 ,$2.48 ,$1.40 ,$4.50 ,$1.90 ,$2.72 , N/A ,$2.40 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MORPHINE CR 15 MG TBCR,637,1 ,$22.48 ,$16.19 ,$5.89 ,$56.20 ,$56.20 ,$11.91 ,$12.36 , N/A ,$6.29 ,$11.76 , N/A ,$12.36 , N/A ,$11.13 ,$8.99 , N/A ,$11.13 , N/A ,$15.74 ,$14.05 ,$17.98 , N/A , N/A ,$15.74 , N/A ,$13.49 , N/A ,$16.86 ,$12.41 ,$11.20 ,$12.41 , N/A ,$12.41 ,$18.21 ,$22.48 ,$18.21 ,$19.11 ,$22.48 ,$15.58 , N/A ,$22.48 ,$12.61 , N/A ,$5.89 ,$22.48 , N/A , N/A , N/A ,$17.98 ,$11.13 ,$6.29 ,$20.23 ,$8.54 ,$12.23 , N/A ,$10.79 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MORPHINE CR 30 MG TBCR,637,1 ,$39.95 ,$28.76 ,$10.47 ,$99.88 ,$99.88 ,$21.17 ,$21.97 , N/A ,$11.19 ,$20.89 , N/A ,$21.97 , N/A ,$19.78 ,$15.98 , N/A ,$19.78 , N/A ,$27.97 ,$24.97 ,$31.96 , N/A , N/A ,$27.97 , N/A ,$23.97 , N/A ,$29.96 ,$22.05 ,$19.90 ,$22.05 , N/A ,$22.05 ,$32.36 ,$39.95 ,$32.36 ,$33.96 ,$39.95 ,$27.69 , N/A ,$39.95 ,$22.41 , N/A ,$10.47 ,$39.95 , N/A , N/A , N/A ,$31.96 ,$19.78 ,$11.19 ,$35.96 ,$15.18 ,$21.73 , N/A ,$19.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MORPHINE SULFATE 100 MG/5ML SOLN,637,1 ,$28.50 ,$20.52 ,$7.47 ,$71.25 ,$71.25 ,$15.11 ,$15.68 , N/A ,$7.98 ,$14.91 , N/A ,$15.68 , N/A ,$14.11 ,$11.40 , N/A ,$14.11 , N/A ,$19.95 ,$17.81 ,$22.80 , N/A , N/A ,$19.95 , N/A ,$17.10 , N/A ,$21.38 ,$15.73 ,$14.19 ,$15.73 , N/A ,$15.73 ,$23.09 ,$28.50 ,$23.09 ,$24.23 ,$28.50 ,$19.75 , N/A ,$28.50 ,$15.99 , N/A ,$7.47 ,$28.50 , N/A , N/A , N/A ,$22.80 ,$14.11 ,$7.98 ,$25.65 ,$10.83 ,$15.50 , N/A ,$13.68 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MUPIROCIN 2 % OINT 22 G TUBE,637,1 ,$470.25 ,$338.58 ,$123.21 ,"$1,175.63 ","$1,175.63 ",$249.23 ,$258.64 , N/A ,$131.67 ,$245.94 , N/A ,$258.64 , N/A ,$232.77 ,$188.10 , N/A ,$232.77 , N/A ,$329.18 ,$293.91 ,$376.20 , N/A , N/A ,$329.18 , N/A ,$282.15 , N/A ,$352.69 ,$259.58 ,$234.18 ,$259.58 , N/A ,$259.58 ,$380.90 ,$470.25 ,$380.90 ,$399.71 ,$470.25 ,$325.88 , N/A ,$470.25 ,$263.81 , N/A ,$123.21 ,$470.25 , N/A , N/A , N/A ,$376.20 ,$232.77 ,$131.67 ,$423.23 ,$178.70 ,$255.82 , N/A ,$225.72 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NABUMETONE 500 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.93 ,$18.38 ,$18.38 ,$3.90 ,$4.04 , N/A ,$2.06 ,$3.84 , N/A ,$4.04 , N/A ,$3.64 ,$2.94 , N/A ,$3.64 , N/A ,$5.15 ,$4.59 ,$5.88 , N/A , N/A ,$5.15 , N/A ,$4.41 , N/A ,$5.51 ,$4.06 ,$3.66 ,$4.06 , N/A ,$4.06 ,$5.95 ,$7.35 ,$5.95 ,$6.25 ,$7.35 ,$5.09 , N/A ,$7.35 ,$4.12 , N/A ,$1.93 ,$7.35 , N/A , N/A , N/A ,$5.88 ,$3.64 ,$2.06 ,$6.62 ,$2.79 ,$4.00 , N/A ,$3.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN-CODEINE 300-30 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.93 ,$18.38 ,$18.38 ,$3.90 ,$4.04 , N/A ,$2.06 ,$3.84 , N/A ,$4.04 , N/A ,$3.64 ,$2.94 , N/A ,$3.64 , N/A ,$5.15 ,$4.59 ,$5.88 , N/A , N/A ,$5.15 , N/A ,$4.41 , N/A ,$5.51 ,$4.06 ,$3.66 ,$4.06 , N/A ,$4.06 ,$5.95 ,$7.35 ,$5.95 ,$6.25 ,$7.35 ,$5.09 , N/A ,$7.35 ,$4.12 , N/A ,$1.93 ,$7.35 , N/A , N/A , N/A ,$5.88 ,$3.64 ,$2.06 ,$6.62 ,$2.79 ,$4.00 , N/A ,$3.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISINOPRIL 40 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.93 ,$18.38 ,$18.38 ,$3.90 ,$4.04 , N/A ,$2.06 ,$3.84 , N/A ,$4.04 , N/A ,$3.64 ,$2.94 , N/A ,$3.64 , N/A ,$5.15 ,$4.59 ,$5.88 , N/A , N/A ,$5.15 , N/A ,$4.41 , N/A ,$5.51 ,$4.06 ,$3.66 ,$4.06 , N/A ,$4.06 ,$5.95 ,$7.35 ,$5.95 ,$6.25 ,$7.35 ,$5.09 , N/A ,$7.35 ,$4.12 , N/A ,$1.93 ,$7.35 , N/A , N/A , N/A ,$5.88 ,$3.64 ,$2.06 ,$6.62 ,$2.79 ,$4.00 , N/A ,$3.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN B-6 50 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.93 ,$18.38 ,$18.38 ,$3.90 ,$4.04 , N/A ,$2.06 ,$3.84 , N/A ,$4.04 , N/A ,$3.64 ,$2.94 , N/A ,$3.64 , N/A ,$5.15 ,$4.59 ,$5.88 , N/A , N/A ,$5.15 , N/A ,$4.41 , N/A ,$5.51 ,$4.06 ,$3.66 ,$4.06 , N/A ,$4.06 ,$5.95 ,$7.35 ,$5.95 ,$6.25 ,$7.35 ,$5.09 , N/A ,$7.35 ,$4.12 , N/A ,$1.93 ,$7.35 , N/A , N/A , N/A ,$5.88 ,$3.64 ,$2.06 ,$6.62 ,$2.79 ,$4.00 , N/A ,$3.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 1 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.93 ,$18.38 ,$18.38 ,$3.90 ,$4.04 , N/A ,$2.06 ,$3.84 , N/A ,$4.04 , N/A ,$3.64 ,$2.94 , N/A ,$3.64 , N/A ,$5.15 ,$4.59 ,$5.88 , N/A , N/A ,$5.15 , N/A ,$4.41 , N/A ,$5.51 ,$4.06 ,$3.66 ,$4.06 , N/A ,$4.06 ,$5.95 ,$7.35 ,$5.95 ,$6.25 ,$7.35 ,$5.09 , N/A ,$7.35 ,$4.12 , N/A ,$1.93 ,$7.35 , N/A , N/A , N/A ,$5.88 ,$3.64 ,$2.06 ,$6.62 ,$2.79 ,$4.00 , N/A ,$3.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NALTREXONE 50 MG TABS,637,1 ,$51.75 ,$37.26 ,$13.56 ,$129.38 ,$129.38 ,$27.43 ,$28.46 , N/A ,$14.49 ,$27.07 , N/A ,$28.46 , N/A ,$25.62 ,$20.70 , N/A ,$25.62 , N/A ,$36.23 ,$32.34 ,$41.40 , N/A , N/A ,$36.23 , N/A ,$31.05 , N/A ,$38.81 ,$28.57 ,$25.77 ,$28.57 , N/A ,$28.57 ,$41.92 ,$51.75 ,$41.92 ,$43.99 ,$51.75 ,$35.86 , N/A ,$51.75 ,$29.03 , N/A ,$13.56 ,$51.75 , N/A , N/A , N/A ,$41.40 ,$25.62 ,$14.49 ,$46.58 ,$19.67 ,$28.15 , N/A ,$24.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NAPROXEN 250 MG TABS,637,1 ,$9.35 ,$6.73 ,$2.45 ,$23.38 ,$23.38 ,$4.96 ,$5.14 , N/A ,$2.62 ,$4.89 , N/A ,$5.14 , N/A ,$4.63 ,$3.74 , N/A ,$4.63 , N/A ,$6.55 ,$5.84 ,$7.48 , N/A , N/A ,$6.55 , N/A ,$5.61 , N/A ,$7.01 ,$5.16 ,$4.66 ,$5.16 , N/A ,$5.16 ,$7.57 ,$9.35 ,$7.57 ,$7.95 ,$9.35 ,$6.48 , N/A ,$9.35 ,$5.25 , N/A ,$2.45 ,$9.35 , N/A , N/A , N/A ,$7.48 ,$4.63 ,$2.62 ,$8.42 ,$3.55 ,$5.09 , N/A ,$4.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DONEPEZIL 10 MG TABS,637,1 ,$9.35 ,$6.73 ,$2.45 ,$23.38 ,$23.38 ,$4.96 ,$5.14 , N/A ,$2.62 ,$4.89 , N/A ,$5.14 , N/A ,$4.63 ,$3.74 , N/A ,$4.63 , N/A ,$6.55 ,$5.84 ,$7.48 , N/A , N/A ,$6.55 , N/A ,$5.61 , N/A ,$7.01 ,$5.16 ,$4.66 ,$5.16 , N/A ,$5.16 ,$7.57 ,$9.35 ,$7.57 ,$7.95 ,$9.35 ,$6.48 , N/A ,$9.35 ,$5.25 , N/A ,$2.45 ,$9.35 , N/A , N/A , N/A ,$7.48 ,$4.63 ,$2.62 ,$8.42 ,$3.55 ,$5.09 , N/A ,$4.49 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NASAL SANITIZER 62 % SWAB,637,1 ,$24.50 ,$17.64 ,$6.42 ,$61.25 ,$61.25 ,$12.99 ,$13.48 , N/A ,$6.86 ,$12.81 , N/A ,$13.48 , N/A ,$12.13 ,$9.80 , N/A ,$12.13 , N/A ,$17.15 ,$15.31 ,$19.60 , N/A , N/A ,$17.15 , N/A ,$14.70 , N/A ,$18.38 ,$13.52 ,$12.20 ,$13.52 , N/A ,$13.52 ,$19.85 ,$24.50 ,$19.85 ,$20.83 ,$24.50 ,$16.98 , N/A ,$24.50 ,$13.74 , N/A ,$6.42 ,$24.50 , N/A , N/A , N/A ,$19.60 ,$12.13 ,$6.86 ,$22.05 ,$9.31 ,$13.33 , N/A ,$11.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NEBIVOLOL 5 MG TABS,637,1 ,$36.50 ,$26.28 ,$9.56 ,$91.25 ,$91.25 ,$19.35 ,$20.08 , N/A ,$10.22 ,$19.09 , N/A ,$20.08 , N/A ,$18.07 ,$14.60 , N/A ,$18.07 , N/A ,$25.55 ,$22.81 ,$29.20 , N/A , N/A ,$25.55 , N/A ,$21.90 , N/A ,$27.38 ,$20.15 ,$18.18 ,$20.15 , N/A ,$20.15 ,$29.57 ,$36.50 ,$29.57 ,$31.03 ,$36.50 ,$25.29 , N/A ,$36.50 ,$20.48 , N/A ,$9.56 ,$36.50 , N/A , N/A , N/A ,$29.20 ,$18.07 ,$10.22 ,$32.85 ,$13.87 ,$19.86 , N/A ,$17.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT,637,1 ,$7.25 ,$5.22 ,$1.90 ,$18.13 ,$18.13 ,$3.84 ,$3.99 , N/A ,$2.03 ,$3.79 , N/A ,$3.99 , N/A ,$3.59 ,$2.90 , N/A ,$3.59 , N/A ,$5.08 ,$4.53 ,$5.80 , N/A , N/A ,$5.08 , N/A ,$4.35 , N/A ,$5.44 ,$4.00 ,$3.61 ,$4.00 , N/A ,$4.00 ,$5.87 ,$7.25 ,$5.87 ,$6.16 ,$7.25 ,$5.02 , N/A ,$7.25 ,$4.07 , N/A ,$1.90 ,$7.25 , N/A , N/A , N/A ,$5.80 ,$3.59 ,$2.03 ,$6.53 ,$2.76 ,$3.94 , N/A ,$3.48 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROXYZINE 10 MG TABS,637,1 ,$7.25 ,$5.22 ,$1.90 ,$18.13 ,$18.13 ,$3.84 ,$3.99 , N/A ,$2.03 ,$3.79 , N/A ,$3.99 , N/A ,$3.59 ,$2.90 , N/A ,$3.59 , N/A ,$5.08 ,$4.53 ,$5.80 , N/A , N/A ,$5.08 , N/A ,$4.35 , N/A ,$5.44 ,$4.00 ,$3.61 ,$4.00 , N/A ,$4.00 ,$5.87 ,$7.25 ,$5.87 ,$6.16 ,$7.25 ,$5.02 , N/A ,$7.25 ,$4.07 , N/A ,$1.90 ,$7.25 , N/A , N/A , N/A ,$5.80 ,$3.59 ,$2.03 ,$6.53 ,$2.76 ,$3.94 , N/A ,$3.48 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT 28.4 G TUBE,637,1 ,$42.30 ,$30.46 ,$11.08 ,$105.75 ,$105.75 ,$22.42 ,$23.27 , N/A ,$11.84 ,$22.12 , N/A ,$23.27 , N/A ,$20.94 ,$16.92 , N/A ,$20.94 , N/A ,$29.61 ,$26.44 ,$33.84 , N/A , N/A ,$29.61 , N/A ,$25.38 , N/A ,$31.73 ,$23.35 ,$21.07 ,$23.35 , N/A ,$23.35 ,$34.26 ,$42.30 ,$34.26 ,$35.96 ,$42.30 ,$29.31 , N/A ,$42.30 ,$23.73 , N/A ,$11.08 ,$42.30 , N/A , N/A , N/A ,$33.84 ,$20.94 ,$11.84 ,$38.07 ,$16.07 ,$23.01 , N/A ,$20.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SOLN 10 ML BOTTLE,637,1 ,$576.85 ,$415.33 ,$151.13 ,"$1,442.13 ","$1,442.13 ",$305.73 ,$317.27 , N/A ,$161.52 ,$301.69 , N/A ,$317.27 , N/A ,$285.54 ,$230.74 , N/A ,$285.54 , N/A ,$403.80 ,$360.53 ,$461.48 , N/A , N/A ,$403.80 , N/A ,$346.11 , N/A ,$432.64 ,$318.42 ,$287.27 ,$318.42 , N/A ,$318.42 ,$467.25 ,$576.85 ,$467.25 ,$490.32 ,$576.85 ,$399.76 , N/A ,$576.85 ,$323.61 , N/A ,$151.13 ,$576.85 , N/A , N/A , N/A ,$461.48 ,$285.54 ,$161.52 ,$519.17 ,$219.20 ,$313.81 , N/A ,$276.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NICOTINE 14 MG/24HR PT24,637,1 ,$27.45 ,$19.76 ,$7.19 ,$68.63 ,$68.63 ,$14.55 ,$15.10 , N/A ,$7.69 ,$14.36 , N/A ,$15.10 , N/A ,$13.59 ,$10.98 , N/A ,$13.59 , N/A ,$19.22 ,$17.16 ,$21.96 , N/A , N/A ,$19.22 , N/A ,$16.47 , N/A ,$20.59 ,$15.15 ,$13.67 ,$15.15 , N/A ,$15.15 ,$22.23 ,$27.45 ,$22.23 ,$23.33 ,$27.45 ,$19.02 , N/A ,$27.45 ,$15.40 , N/A ,$7.19 ,$27.45 , N/A , N/A , N/A ,$21.96 ,$13.59 ,$7.69 ,$24.71 ,$10.43 ,$14.93 , N/A ,$13.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NICOTINE 21 MG/24HR PT24,637,1 ,$30.90 ,$22.25 ,$8.10 ,$77.25 ,$77.25 ,$16.38 ,$17.00 , N/A ,$8.65 ,$16.16 , N/A ,$17.00 , N/A ,$15.30 ,$12.36 , N/A ,$15.30 , N/A ,$21.63 ,$19.31 ,$24.72 , N/A , N/A ,$21.63 , N/A ,$18.54 , N/A ,$23.18 ,$17.06 ,$15.39 ,$17.06 , N/A ,$17.06 ,$25.03 ,$30.90 ,$25.03 ,$26.27 ,$30.90 ,$21.41 , N/A ,$30.90 ,$17.33 , N/A ,$8.10 ,$30.90 , N/A , N/A , N/A ,$24.72 ,$15.30 ,$8.65 ,$27.81 ,$11.74 ,$16.81 , N/A ,$14.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NICOTINE 7 MG/24HR PT24,637,1 ,$23.15 ,$16.67 ,$6.07 ,$57.88 ,$57.88 ,$12.27 ,$12.73 , N/A ,$6.48 ,$12.11 , N/A ,$12.73 , N/A ,$11.46 ,$9.26 , N/A ,$11.46 , N/A ,$16.21 ,$14.47 ,$18.52 , N/A , N/A ,$16.21 , N/A ,$13.89 , N/A ,$17.36 ,$12.78 ,$11.53 ,$12.78 , N/A ,$12.78 ,$18.75 ,$23.15 ,$18.75 ,$19.68 ,$23.15 ,$16.04 , N/A ,$23.15 ,$12.99 , N/A ,$6.07 ,$23.15 , N/A , N/A , N/A ,$18.52 ,$11.46 ,$6.48 ,$20.84 ,$8.80 ,$12.59 , N/A ,$11.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIFEDIPINE 10 MG CAPS,637,1 ,$14.70 ,$10.58 ,$3.85 ,$36.75 ,$36.75 ,$7.79 ,$8.09 , N/A ,$4.12 ,$7.69 , N/A ,$8.09 , N/A ,$7.28 ,$5.88 , N/A ,$7.28 , N/A ,$10.29 ,$9.19 ,$11.76 , N/A , N/A ,$10.29 , N/A ,$8.82 , N/A ,$11.03 ,$8.11 ,$7.32 ,$8.11 , N/A ,$8.11 ,$11.91 ,$14.70 ,$11.91 ,$12.50 ,$14.70 ,$10.19 , N/A ,$14.70 ,$8.25 , N/A ,$3.85 ,$14.70 , N/A , N/A , N/A ,$11.76 ,$7.28 ,$4.12 ,$13.23 ,$5.59 ,$8.00 , N/A ,$7.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GABAPENTIN 400 MG CAPS,637,1 ,$14.70 ,$10.58 ,$3.85 ,$36.75 ,$36.75 ,$7.79 ,$8.09 , N/A ,$4.12 ,$7.69 , N/A ,$8.09 , N/A ,$7.28 ,$5.88 , N/A ,$7.28 , N/A ,$10.29 ,$9.19 ,$11.76 , N/A , N/A ,$10.29 , N/A ,$8.82 , N/A ,$11.03 ,$8.11 ,$7.32 ,$8.11 , N/A ,$8.11 ,$11.91 ,$14.70 ,$11.91 ,$12.50 ,$14.70 ,$10.19 , N/A ,$14.70 ,$8.25 , N/A ,$3.85 ,$14.70 , N/A , N/A , N/A ,$11.76 ,$7.28 ,$4.12 ,$13.23 ,$5.59 ,$8.00 , N/A ,$7.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN-CLAVULANATE 875-125 MG TABS,637,1 ,$14.70 ,$10.58 ,$3.85 ,$36.75 ,$36.75 ,$7.79 ,$8.09 , N/A ,$4.12 ,$7.69 , N/A ,$8.09 , N/A ,$7.28 ,$5.88 , N/A ,$7.28 , N/A ,$10.29 ,$9.19 ,$11.76 , N/A , N/A ,$10.29 , N/A ,$8.82 , N/A ,$11.03 ,$8.11 ,$7.32 ,$8.11 , N/A ,$8.11 ,$11.91 ,$14.70 ,$11.91 ,$12.50 ,$14.70 ,$10.19 , N/A ,$14.70 ,$8.25 , N/A ,$3.85 ,$14.70 , N/A , N/A , N/A ,$11.76 ,$7.28 ,$4.12 ,$13.23 ,$5.59 ,$8.00 , N/A ,$7.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIFEDIPINE XL 30 MG TB24,637,1 ,$21.50 ,$15.48 ,$5.63 ,$53.75 ,$53.75 ,$11.40 ,$11.83 , N/A ,$6.02 ,$11.24 , N/A ,$11.83 , N/A ,$10.64 ,$8.60 , N/A ,$10.64 , N/A ,$15.05 ,$13.44 ,$17.20 , N/A , N/A ,$15.05 , N/A ,$12.90 , N/A ,$16.13 ,$11.87 ,$10.71 ,$11.87 , N/A ,$11.87 ,$17.42 ,$21.50 ,$17.42 ,$18.28 ,$21.50 ,$14.90 , N/A ,$21.50 ,$12.06 , N/A ,$5.63 ,$21.50 , N/A , N/A , N/A ,$17.20 ,$10.64 ,$6.02 ,$19.35 ,$8.17 ,$11.70 , N/A ,$10.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LAMIVUDINE 150 MG TABS,637,1 ,$21.50 ,$15.48 ,$5.63 ,$53.75 ,$53.75 ,$11.40 ,$11.83 , N/A ,$6.02 ,$11.24 , N/A ,$11.83 , N/A ,$10.64 ,$8.60 , N/A ,$10.64 , N/A ,$15.05 ,$13.44 ,$17.20 , N/A , N/A ,$15.05 , N/A ,$12.90 , N/A ,$16.13 ,$11.87 ,$10.71 ,$11.87 , N/A ,$11.87 ,$17.42 ,$21.50 ,$17.42 ,$18.28 ,$21.50 ,$14.90 , N/A ,$21.50 ,$12.06 , N/A ,$5.63 ,$21.50 , N/A , N/A , N/A ,$17.20 ,$10.64 ,$6.02 ,$19.35 ,$8.17 ,$11.70 , N/A ,$10.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOPERAMIDE 1 MG/5ML LIQD,637,1 ,$21.50 ,$15.48 ,$5.63 ,$53.75 ,$53.75 ,$11.40 ,$11.83 , N/A ,$6.02 ,$11.24 , N/A ,$11.83 , N/A ,$10.64 ,$8.60 , N/A ,$10.64 , N/A ,$15.05 ,$13.44 ,$17.20 , N/A , N/A ,$15.05 , N/A ,$12.90 , N/A ,$16.13 ,$11.87 ,$10.71 ,$11.87 , N/A ,$11.87 ,$17.42 ,$21.50 ,$17.42 ,$18.28 ,$21.50 ,$14.90 , N/A ,$21.50 ,$12.06 , N/A ,$5.63 ,$21.50 , N/A , N/A , N/A ,$17.20 ,$10.64 ,$6.02 ,$19.35 ,$8.17 ,$11.70 , N/A ,$10.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIFEDIPINE XL 60 MG TB24,637,1 ,$35.65 ,$25.67 ,$9.34 ,$89.13 ,$89.13 ,$18.89 ,$19.61 , N/A ,$9.98 ,$18.65 , N/A ,$19.61 , N/A ,$17.65 ,$14.26 , N/A ,$17.65 , N/A ,$24.96 ,$22.28 ,$28.52 , N/A , N/A ,$24.96 , N/A ,$21.39 , N/A ,$26.74 ,$19.68 ,$17.75 ,$19.68 , N/A ,$19.68 ,$28.88 ,$35.65 ,$28.88 ,$30.30 ,$35.65 ,$24.71 , N/A ,$35.65 ,$20.00 , N/A ,$9.34 ,$35.65 , N/A , N/A , N/A ,$28.52 ,$17.65 ,$9.98 ,$32.09 ,$13.55 ,$19.39 , N/A ,$17.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIMODIPINE 30 MG CAPS,637,1 ,$52.90 ,$38.09 ,$13.86 ,$132.25 ,$132.25 ,$28.04 ,$29.10 , N/A ,$14.81 ,$27.67 , N/A ,$29.10 , N/A ,$26.19 ,$21.16 , N/A ,$26.19 , N/A ,$37.03 ,$33.06 ,$42.32 , N/A , N/A ,$37.03 , N/A ,$31.74 , N/A ,$39.68 ,$29.20 ,$26.34 ,$29.20 , N/A ,$29.20 ,$42.85 ,$52.90 ,$42.85 ,$44.97 ,$52.90 ,$36.66 , N/A ,$52.90 ,$29.68 , N/A ,$13.86 ,$52.90 , N/A , N/A , N/A ,$42.32 ,$26.19 ,$14.81 ,$47.61 ,$20.10 ,$28.78 , N/A ,$25.39 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROFURANTOIN (MACROCRYSTAL-MONOHYDRATE) 100 MG CAPS,637,1 ,$42.40 ,$30.53 ,$11.11 ,$106.00 ,$106.00 ,$22.47 ,$23.32 , N/A ,$11.87 ,$22.18 , N/A ,$23.32 , N/A ,$20.99 ,$16.96 , N/A ,$20.99 , N/A ,$29.68 ,$26.50 ,$33.92 , N/A , N/A ,$29.68 , N/A ,$25.44 , N/A ,$31.80 ,$23.40 ,$21.12 ,$23.40 , N/A ,$23.40 ,$34.34 ,$42.40 ,$34.34 ,$36.04 ,$42.40 ,$29.38 , N/A ,$42.40 ,$23.79 , N/A ,$11.11 ,$42.40 , N/A , N/A , N/A ,$33.92 ,$20.99 ,$11.87 ,$38.16 ,$16.11 ,$23.07 , N/A ,$20.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROFURANTOIN 50 MG CAPS,637,1 ,$53.03 ,$38.18 ,$13.89 ,$132.58 ,$132.58 ,$28.11 ,$29.17 , N/A ,$14.85 ,$27.73 , N/A ,$29.17 , N/A ,$26.25 ,$21.21 , N/A ,$26.25 , N/A ,$37.12 ,$33.14 ,$42.42 , N/A , N/A ,$37.12 , N/A ,$31.82 , N/A ,$39.77 ,$29.27 ,$26.41 ,$29.27 , N/A ,$29.27 ,$42.95 ,$53.03 ,$42.95 ,$45.08 ,$53.03 ,$36.75 , N/A ,$53.03 ,$29.75 , N/A ,$13.89 ,$53.03 , N/A , N/A , N/A ,$42.42 ,$26.25 ,$14.85 ,$47.73 ,$20.15 ,$28.85 , N/A ,$25.45 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 0.2 MG/HR PT24,637,1 ,$22.85 ,$16.45 ,$5.99 ,$57.13 ,$57.13 ,$12.11 ,$12.57 , N/A ,$6.40 ,$11.95 , N/A ,$12.57 , N/A ,$11.31 ,$9.14 , N/A ,$11.31 , N/A ,$16.00 ,$14.28 ,$18.28 , N/A , N/A ,$16.00 , N/A ,$13.71 , N/A ,$17.14 ,$12.61 ,$11.38 ,$12.61 , N/A ,$12.61 ,$18.51 ,$22.85 ,$18.51 ,$19.42 ,$22.85 ,$15.84 , N/A ,$22.85 ,$12.82 , N/A ,$5.99 ,$22.85 , N/A , N/A , N/A ,$18.28 ,$11.31 ,$6.40 ,$20.57 ,$8.68 ,$12.43 , N/A ,$10.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 0.3 MG/HR PT24,637,1 ,$329.70 ,$237.38 ,$86.38 ,$824.25 ,$824.25 ,$174.74 ,$181.34 , N/A ,$92.32 ,$172.43 , N/A ,$181.34 , N/A ,$163.20 ,$131.88 , N/A ,$163.20 , N/A ,$230.79 ,$206.06 ,$263.76 , N/A , N/A ,$230.79 , N/A ,$197.82 , N/A ,$247.28 ,$181.99 ,$164.19 ,$181.99 , N/A ,$181.99 ,$267.06 ,$329.70 ,$267.06 ,$280.25 ,$329.70 ,$228.48 , N/A ,$329.70 ,$184.96 , N/A ,$86.38 ,$329.70 , N/A , N/A , N/A ,$263.76 ,$163.20 ,$92.32 ,$296.73 ,$125.29 ,$179.36 , N/A ,$158.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 0.4 MG SUBL,637,1 ,$11.55 ,$8.32 ,$3.03 ,$28.88 ,$28.88 ,$6.12 ,$6.35 , N/A ,$3.23 ,$6.04 , N/A ,$6.35 , N/A ,$5.72 ,$4.62 , N/A ,$5.72 , N/A ,$8.09 ,$7.22 ,$9.24 , N/A , N/A ,$8.09 , N/A ,$6.93 , N/A ,$8.66 ,$6.38 ,$5.75 ,$6.38 , N/A ,$6.38 ,$9.36 ,$11.55 ,$9.36 ,$9.82 ,$11.55 ,$8.00 , N/A ,$11.55 ,$6.48 , N/A ,$3.03 ,$11.55 , N/A , N/A , N/A ,$9.24 ,$5.72 ,$3.23 ,$10.40 ,$4.39 ,$6.28 , N/A ,$5.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 0.4 MG/HR PT24,637,1 ,$26.10 ,$18.79 ,$6.84 ,$65.25 ,$65.25 ,$13.83 ,$14.36 , N/A ,$7.31 ,$13.65 , N/A ,$14.36 , N/A ,$12.92 ,$10.44 , N/A ,$12.92 , N/A ,$18.27 ,$16.31 ,$20.88 , N/A , N/A ,$18.27 , N/A ,$15.66 , N/A ,$19.58 ,$14.41 ,$13.00 ,$14.41 , N/A ,$14.41 ,$21.14 ,$26.10 ,$21.14 ,$22.19 ,$26.10 ,$18.09 , N/A ,$26.10 ,$14.64 , N/A ,$6.84 ,$26.10 , N/A , N/A , N/A ,$20.88 ,$12.92 ,$7.31 ,$23.49 ,$9.92 ,$14.20 , N/A ,$12.53 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 2 % OINT,637,1 ,$33.10 ,$23.83 ,$8.67 ,$82.75 ,$82.75 ,$17.54 ,$18.21 , N/A ,$9.27 ,$17.31 , N/A ,$18.21 , N/A ,$16.38 ,$13.24 , N/A ,$16.38 , N/A ,$23.17 ,$20.69 ,$26.48 , N/A , N/A ,$23.17 , N/A ,$19.86 , N/A ,$24.83 ,$18.27 ,$16.48 ,$18.27 , N/A ,$18.27 ,$26.81 ,$33.10 ,$26.81 ,$28.14 ,$33.10 ,$22.94 , N/A ,$33.10 ,$18.57 , N/A ,$8.67 ,$33.10 , N/A , N/A , N/A ,$26.48 ,$16.38 ,$9.27 ,$29.79 ,$12.58 ,$18.01 , N/A ,$15.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG TABS,637,1 ,$7.65 ,$5.51 ,$2.00 ,$19.13 ,$19.13 ,$4.05 ,$4.21 , N/A ,$2.14 ,$4.00 , N/A ,$4.21 , N/A ,$3.79 ,$3.06 , N/A ,$3.79 , N/A ,$5.36 ,$4.78 ,$6.12 , N/A , N/A ,$5.36 , N/A ,$4.59 , N/A ,$5.74 ,$4.22 ,$3.81 ,$4.22 , N/A ,$4.22 ,$6.20 ,$7.65 ,$6.20 ,$6.50 ,$7.65 ,$5.30 , N/A ,$7.65 ,$4.29 , N/A ,$2.00 ,$7.65 , N/A , N/A , N/A ,$6.12 ,$3.79 ,$2.14 ,$6.89 ,$2.91 ,$4.16 , N/A ,$3.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 2.5 MG TABS,637,1 ,$7.65 ,$5.51 ,$2.00 ,$19.13 ,$19.13 ,$4.05 ,$4.21 , N/A ,$2.14 ,$4.00 , N/A ,$4.21 , N/A ,$3.79 ,$3.06 , N/A ,$3.79 , N/A ,$5.36 ,$4.78 ,$6.12 , N/A , N/A ,$5.36 , N/A ,$4.59 , N/A ,$5.74 ,$4.22 ,$3.81 ,$4.22 , N/A ,$4.22 ,$6.20 ,$7.65 ,$6.20 ,$6.50 ,$7.65 ,$5.30 , N/A ,$7.65 ,$4.29 , N/A ,$2.00 ,$7.65 , N/A , N/A , N/A ,$6.12 ,$3.79 ,$2.14 ,$6.89 ,$2.91 ,$4.16 , N/A ,$3.67 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NORTRIPTYLINE 10 MG CAPS,637,1 ,$11.50 ,$8.28 ,$3.01 ,$28.75 ,$28.75 ,$6.10 ,$6.33 , N/A ,$3.22 ,$6.01 , N/A ,$6.33 , N/A ,$5.69 ,$4.60 , N/A ,$5.69 , N/A ,$8.05 ,$7.19 ,$9.20 , N/A , N/A ,$8.05 , N/A ,$6.90 , N/A ,$8.63 ,$6.35 ,$5.73 ,$6.35 , N/A ,$6.35 ,$9.32 ,$11.50 ,$9.32 ,$9.78 ,$11.50 ,$7.97 , N/A ,$11.50 ,$6.45 , N/A ,$3.01 ,$11.50 , N/A , N/A , N/A ,$9.20 ,$5.69 ,$3.22 ,$10.35 ,$4.37 ,$6.26 , N/A ,$5.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDRALAZINE 50 MG TABS,637,1 ,$11.50 ,$8.28 ,$3.01 ,$28.75 ,$28.75 ,$6.10 ,$6.33 , N/A ,$3.22 ,$6.01 , N/A ,$6.33 , N/A ,$5.69 ,$4.60 , N/A ,$5.69 , N/A ,$8.05 ,$7.19 ,$9.20 , N/A , N/A ,$8.05 , N/A ,$6.90 , N/A ,$8.63 ,$6.35 ,$5.73 ,$6.35 , N/A ,$6.35 ,$9.32 ,$11.50 ,$9.32 ,$9.78 ,$11.50 ,$7.97 , N/A ,$11.50 ,$6.45 , N/A ,$3.01 ,$11.50 , N/A , N/A , N/A ,$9.20 ,$5.69 ,$3.22 ,$10.35 ,$4.37 ,$6.26 , N/A ,$5.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NORTRIPTYLINE 25 MG CAPS,637,1 ,$10.60 ,$7.63 ,$2.78 ,$26.50 ,$26.50 ,$5.62 ,$5.83 , N/A ,$2.97 ,$5.54 , N/A ,$5.83 , N/A ,$5.25 ,$4.24 , N/A ,$5.25 , N/A ,$7.42 ,$6.63 ,$8.48 , N/A , N/A ,$7.42 , N/A ,$6.36 , N/A ,$7.95 ,$5.85 ,$5.28 ,$5.85 , N/A ,$5.85 ,$8.59 ,$10.60 ,$8.59 ,$9.01 ,$10.60 ,$7.35 , N/A ,$10.60 ,$5.95 , N/A ,$2.78 ,$10.60 , N/A , N/A , N/A ,$8.48 ,$5.25 ,$2.97 ,$9.54 ,$4.03 ,$5.77 , N/A ,$5.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLIMEPIRIDE 2 MG TABS,637,1 ,$10.60 ,$7.63 ,$2.78 ,$26.50 ,$26.50 ,$5.62 ,$5.83 , N/A ,$2.97 ,$5.54 , N/A ,$5.83 , N/A ,$5.25 ,$4.24 , N/A ,$5.25 , N/A ,$7.42 ,$6.63 ,$8.48 , N/A , N/A ,$7.42 , N/A ,$6.36 , N/A ,$7.95 ,$5.85 ,$5.28 ,$5.85 , N/A ,$5.85 ,$8.59 ,$10.60 ,$8.59 ,$9.01 ,$10.60 ,$7.35 , N/A ,$10.60 ,$5.95 , N/A ,$2.78 ,$10.60 , N/A , N/A , N/A ,$8.48 ,$5.25 ,$2.97 ,$9.54 ,$4.03 ,$5.77 , N/A ,$5.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NORTRIPTYLINE 50 MG CAPS,637,1 ,$20.85 ,$15.01 ,$5.46 ,$52.13 ,$52.13 ,$11.05 ,$11.47 , N/A ,$5.84 ,$10.90 , N/A ,$11.47 , N/A ,$10.32 ,$8.34 , N/A ,$10.32 , N/A ,$14.60 ,$13.03 ,$16.68 , N/A , N/A ,$14.60 , N/A ,$12.51 , N/A ,$15.64 ,$11.51 ,$10.38 ,$11.51 , N/A ,$11.51 ,$16.89 ,$20.85 ,$16.89 ,$17.72 ,$20.85 ,$14.45 , N/A ,$20.85 ,$11.70 , N/A ,$5.46 ,$20.85 , N/A , N/A , N/A ,$16.68 ,$10.32 ,$5.84 ,$18.77 ,$7.92 ,$11.34 , N/A ,$10.01 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,637,1 ,$20.85 ,$15.01 ,$5.46 ,$52.13 ,$52.13 ,$11.05 ,$11.47 , N/A ,$5.84 ,$10.90 , N/A ,$11.47 , N/A ,$10.32 ,$8.34 , N/A ,$10.32 , N/A ,$14.60 ,$13.03 ,$16.68 , N/A , N/A ,$14.60 , N/A ,$12.51 , N/A ,$15.64 ,$11.51 ,$10.38 ,$11.51 , N/A ,$11.51 ,$16.89 ,$20.85 ,$16.89 ,$17.72 ,$20.85 ,$14.45 , N/A ,$20.85 ,$11.70 , N/A ,$5.46 ,$20.85 , N/A , N/A , N/A ,$16.68 ,$10.32 ,$5.84 ,$18.77 ,$7.92 ,$11.34 , N/A ,$10.01 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,637,1 ,$122.85 ,$88.45 ,$32.19 ,$307.13 ,$307.13 ,$65.11 ,$67.57 , N/A ,$34.40 ,$64.25 , N/A ,$67.57 , N/A ,$60.81 ,$49.14 , N/A ,$60.81 , N/A ,$86.00 ,$76.78 ,$98.28 , N/A , N/A ,$86.00 , N/A ,$73.71 , N/A ,$92.14 ,$67.81 ,$61.18 ,$67.81 , N/A ,$67.81 ,$99.51 ,$122.85 ,$99.51 ,$104.42 ,$122.85 ,$85.14 , N/A ,$122.85 ,$68.92 , N/A ,$32.19 ,$122.85 , N/A , N/A , N/A ,$98.28 ,$60.81 ,$34.40 ,$110.57 ,$46.68 ,$66.83 , N/A ,$58.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NYSTATIN 100000 UNIT/GM OINT 15 G TUBE,637,1 ,$122.55 ,$88.24 ,$32.11 ,$306.38 ,$306.38 ,$64.95 ,$67.40 , N/A ,$34.31 ,$64.09 , N/A ,$67.40 , N/A ,$60.66 ,$49.02 , N/A ,$60.66 , N/A ,$85.79 ,$76.59 ,$98.04 , N/A , N/A ,$85.79 , N/A ,$73.53 , N/A ,$91.91 ,$67.65 ,$61.03 ,$67.65 , N/A ,$67.65 ,$99.27 ,$122.55 ,$99.27 ,$104.17 ,$122.55 ,$84.93 , N/A ,$122.55 ,$68.75 , N/A ,$32.11 ,$122.55 , N/A , N/A , N/A ,$98.04 ,$60.66 ,$34.31 ,$110.30 ,$46.57 ,$66.67 , N/A ,$58.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,637,1 ,$192.30 ,$138.46 ,$50.38 ,$480.75 ,$480.75 ,$101.92 ,$105.77 , N/A ,$53.84 ,$100.57 , N/A ,$105.77 , N/A ,$95.19 ,$76.92 , N/A ,$95.19 , N/A ,$134.61 ,$120.19 ,$153.84 , N/A , N/A ,$134.61 , N/A ,$115.38 , N/A ,$144.23 ,$106.15 ,$95.77 ,$106.15 , N/A ,$106.15 ,$155.76 ,$192.30 ,$155.76 ,$163.46 ,$192.30 ,$133.26 , N/A ,$192.30 ,$107.88 , N/A ,$50.38 ,$192.30 , N/A , N/A , N/A ,$153.84 ,$95.19 ,$53.84 ,$173.07 ,$73.07 ,$104.61 , N/A ,$92.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% CREA 30 G TUBE,637,1 ,$877.35 ,$631.69 ,$229.87 ,"$2,193.38 ","$2,193.38 ",$465.00 ,$482.54 , N/A ,$245.66 ,$458.85 , N/A ,$482.54 , N/A ,$434.29 ,$350.94 , N/A ,$434.29 , N/A ,$614.15 ,$548.34 ,$701.88 , N/A , N/A ,$614.15 , N/A ,$526.41 , N/A ,$658.01 ,$484.30 ,$436.92 ,$484.30 , N/A ,$484.30 ,$710.65 ,$877.35 ,$710.65 ,$745.75 ,$877.35 ,$608.00 , N/A ,$877.35 ,$492.19 , N/A ,$229.87 ,$877.35 , N/A , N/A , N/A ,$701.88 ,$434.29 ,$245.66 ,$789.62 ,$333.39 ,$477.28 , N/A ,$421.13 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OLANZAPINE 10 MG TABS,637,1 ,$142.25 ,$102.42 ,$37.27 ,$355.63 ,$355.63 ,$75.39 ,$78.24 , N/A ,$39.83 ,$74.40 , N/A ,$78.24 , N/A ,$70.41 ,$56.90 , N/A ,$70.41 , N/A ,$99.58 ,$88.91 ,$113.80 , N/A , N/A ,$99.58 , N/A ,$85.35 , N/A ,$106.69 ,$78.52 ,$70.84 ,$78.52 , N/A ,$78.52 ,$115.22 ,$142.25 ,$115.22 ,$120.91 ,$142.25 ,$98.58 , N/A ,$142.25 ,$79.80 , N/A ,$37.27 ,$142.25 , N/A , N/A , N/A ,$113.80 ,$70.41 ,$39.83 ,$128.03 ,$54.06 ,$77.38 , N/A ,$68.28 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OLANZAPINE 2.5 MG TABS,637,1 ,$78.25 ,$56.34 ,$20.50 ,$195.63 ,$195.63 ,$41.47 ,$43.04 , N/A ,$21.91 ,$40.92 , N/A ,$43.04 , N/A ,$38.73 ,$31.30 , N/A ,$38.73 , N/A ,$54.78 ,$48.91 ,$62.60 , N/A , N/A ,$54.78 , N/A ,$46.95 , N/A ,$58.69 ,$43.19 ,$38.97 ,$43.19 , N/A ,$43.19 ,$63.38 ,$78.25 ,$63.38 ,$66.51 ,$78.25 ,$54.23 , N/A ,$78.25 ,$43.90 , N/A ,$20.50 ,$78.25 , N/A , N/A , N/A ,$62.60 ,$38.73 ,$21.91 ,$70.43 ,$29.74 ,$42.57 , N/A ,$37.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OLANZAPINE 5 MG TABS,637,1 ,$76.25 ,$54.90 ,$19.98 ,$190.63 ,$190.63 ,$40.41 ,$41.94 , N/A ,$21.35 ,$39.88 , N/A ,$41.94 , N/A ,$37.74 ,$30.50 , N/A ,$37.74 , N/A ,$53.38 ,$47.66 ,$61.00 , N/A , N/A ,$53.38 , N/A ,$45.75 , N/A ,$57.19 ,$42.09 ,$37.97 ,$42.09 , N/A ,$42.09 ,$61.76 ,$76.25 ,$61.76 ,$64.81 ,$76.25 ,$52.84 , N/A ,$76.25 ,$42.78 , N/A ,$19.98 ,$76.25 , N/A , N/A , N/A ,$61.00 ,$37.74 ,$21.35 ,$68.63 ,$28.98 ,$41.48 , N/A ,$36.60 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OLANZAPINE 5 MG TBDP,637,1 ,$99.93 ,$71.95 ,$26.18 ,$249.83 ,$249.83 ,$52.96 ,$54.96 , N/A ,$27.98 ,$52.26 , N/A ,$54.96 , N/A ,$49.47 ,$39.97 , N/A ,$49.47 , N/A ,$69.95 ,$62.46 ,$79.94 , N/A , N/A ,$69.95 , N/A ,$59.96 , N/A ,$74.95 ,$55.16 ,$49.77 ,$55.16 , N/A ,$55.16 ,$80.94 ,$99.93 ,$80.94 ,$84.94 ,$99.93 ,$69.25 , N/A ,$99.93 ,$56.06 , N/A ,$26.18 ,$99.93 , N/A , N/A , N/A ,$79.94 ,$49.47 ,$27.98 ,$89.94 ,$37.97 ,$54.36 , N/A ,$47.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OLOPATADINE 0.2 % SOLN 2.5 ML BOTTLE,637,1 ,$73.95 ,$53.24 ,$19.37 ,$184.88 ,$184.88 ,$39.19 ,$40.67 , N/A ,$20.71 ,$38.68 , N/A ,$40.67 , N/A ,$36.61 ,$29.58 , N/A ,$36.61 , N/A ,$51.77 ,$46.22 ,$59.16 , N/A , N/A ,$51.77 , N/A ,$44.37 , N/A ,$55.46 ,$40.82 ,$36.83 ,$40.82 , N/A ,$40.82 ,$59.90 ,$73.95 ,$59.90 ,$62.86 ,$73.95 ,$51.25 , N/A ,$73.95 ,$41.49 , N/A ,$19.37 ,$73.95 , N/A , N/A , N/A ,$59.16 ,$36.61 ,$20.71 ,$66.56 ,$28.10 ,$40.23 , N/A ,$35.50 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ONDANSETRON 4 MG TBDP,637,1 ,$161.80 ,$116.50 ,$42.39 ,$404.50 ,$404.50 ,$85.75 ,$88.99 , N/A ,$45.30 ,$84.62 , N/A ,$88.99 , N/A ,$80.09 ,$64.72 , N/A ,$80.09 , N/A ,$113.26 ,$101.13 ,$129.44 , N/A , N/A ,$113.26 , N/A ,$97.08 , N/A ,$121.35 ,$89.31 ,$80.58 ,$89.31 , N/A ,$89.31 ,$131.06 ,$161.80 ,$131.06 ,$137.53 ,$161.80 ,$112.13 , N/A ,$161.80 ,$90.77 , N/A ,$42.39 ,$161.80 , N/A , N/A , N/A ,$129.44 ,$80.09 ,$45.30 ,$145.62 ,$61.48 ,$88.02 , N/A ,$77.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ONDANSETRON 4 MG/5ML SOLN,637,1 ,$114.80 ,$82.66 ,$30.08 ,$287.00 ,$287.00 ,$60.84 ,$63.14 , N/A ,$32.14 ,$60.04 , N/A ,$63.14 , N/A ,$56.83 ,$45.92 , N/A ,$56.83 , N/A ,$80.36 ,$71.75 ,$91.84 , N/A , N/A ,$80.36 , N/A ,$68.88 , N/A ,$86.10 ,$63.37 ,$57.17 ,$63.37 , N/A ,$63.37 ,$92.99 ,$114.80 ,$92.99 ,$97.58 ,$114.80 ,$79.56 , N/A ,$114.80 ,$64.40 , N/A ,$30.08 ,$114.80 , N/A , N/A , N/A ,$91.84 ,$56.83 ,$32.14 ,$103.32 ,$43.62 ,$62.45 , N/A ,$55.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ONDANSETRON 8 MG TBDP,637,1 ,$269.50 ,$194.04 ,$70.61 ,$673.75 ,$673.75 ,$142.84 ,$148.23 , N/A ,$75.46 ,$140.95 , N/A ,$148.23 , N/A ,$133.40 ,$107.80 , N/A ,$133.40 , N/A ,$188.65 ,$168.44 ,$215.60 , N/A , N/A ,$188.65 , N/A ,$161.70 , N/A ,$202.13 ,$148.76 ,$134.21 ,$148.76 , N/A ,$148.76 ,$218.30 ,$269.50 ,$218.30 ,$229.08 ,$269.50 ,$186.76 , N/A ,$269.50 ,$151.19 , N/A ,$70.61 ,$269.50 , N/A , N/A , N/A ,$215.60 ,$133.40 ,$75.46 ,$242.55 ,$102.41 ,$146.61 , N/A ,$129.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OPIUM-BELLADONA 16.2-30 MG SUPP,637,1 ,$96.35 ,$69.37 ,$25.24 ,$240.88 ,$240.88 ,$51.07 ,$52.99 , N/A ,$26.98 ,$50.39 , N/A ,$52.99 , N/A ,$47.69 ,$38.54 , N/A ,$47.69 , N/A ,$67.45 ,$60.22 ,$77.08 , N/A , N/A ,$67.45 , N/A ,$57.81 , N/A ,$72.26 ,$53.19 ,$47.98 ,$53.19 , N/A ,$53.19 ,$78.04 ,$96.35 ,$78.04 ,$81.90 ,$96.35 ,$66.77 , N/A ,$96.35 ,$54.05 , N/A ,$25.24 ,$96.35 , N/A , N/A , N/A ,$77.08 ,$47.69 ,$26.98 ,$86.72 ,$36.61 ,$52.41 , N/A ,$46.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OPIUM-BELLADONNA 16.2-60 MG SUPP,637,1 ,$100.40 ,$72.29 ,$26.30 ,$251.00 ,$251.00 ,$53.21 ,$55.22 , N/A ,$28.11 ,$52.51 , N/A ,$55.22 , N/A ,$49.70 ,$40.16 , N/A ,$49.70 , N/A ,$70.28 ,$62.75 ,$80.32 , N/A , N/A ,$70.28 , N/A ,$60.24 , N/A ,$75.30 ,$55.42 ,$50.00 ,$55.42 , N/A ,$55.42 ,$81.32 ,$100.40 ,$81.32 ,$85.34 ,$100.40 ,$69.58 , N/A ,$100.40 ,$56.32 , N/A ,$26.30 ,$100.40 , N/A , N/A , N/A ,$80.32 ,$49.70 ,$28.11 ,$90.36 ,$38.15 ,$54.62 , N/A ,$48.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ORPHENADRINE ER 100 MG TB12,637,1 ,$10.40 ,$7.49 ,$2.72 ,$26.00 ,$26.00 ,$5.51 ,$5.72 , N/A ,$2.91 ,$5.44 , N/A ,$5.72 , N/A ,$5.15 ,$4.16 , N/A ,$5.15 , N/A ,$7.28 ,$6.50 ,$8.32 , N/A , N/A ,$7.28 , N/A ,$6.24 , N/A ,$7.80 ,$5.74 ,$5.18 ,$5.74 , N/A ,$5.74 ,$8.42 ,$10.40 ,$8.42 ,$8.84 ,$10.40 ,$7.21 , N/A ,$10.40 ,$5.83 , N/A ,$2.72 ,$10.40 , N/A , N/A , N/A ,$8.32 ,$5.15 ,$2.91 ,$9.36 ,$3.95 ,$5.66 , N/A ,$4.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OSELTAMIVIR 45 MG CAPS,637,1 ,$78.00 ,$56.16 ,$20.44 ,$195.00 ,$195.00 ,$41.34 ,$42.90 , N/A ,$21.84 ,$40.79 , N/A ,$42.90 , N/A ,$38.61 ,$31.20 , N/A ,$38.61 , N/A ,$54.60 ,$48.75 ,$62.40 , N/A , N/A ,$54.60 , N/A ,$46.80 , N/A ,$58.50 ,$43.06 ,$38.84 ,$43.06 , N/A ,$43.06 ,$63.18 ,$78.00 ,$63.18 ,$66.30 ,$78.00 ,$54.05 , N/A ,$78.00 ,$43.76 , N/A ,$20.44 ,$78.00 , N/A , N/A , N/A ,$62.40 ,$38.61 ,$21.84 ,$70.20 ,$29.64 ,$42.43 , N/A ,$37.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OSELTAMIVIR 30 MG CAPS,637,1 ,$78.00 ,$56.16 ,$20.44 ,$195.00 ,$195.00 ,$41.34 ,$42.90 , N/A ,$21.84 ,$40.79 , N/A ,$42.90 , N/A ,$38.61 ,$31.20 , N/A ,$38.61 , N/A ,$54.60 ,$48.75 ,$62.40 , N/A , N/A ,$54.60 , N/A ,$46.80 , N/A ,$58.50 ,$43.06 ,$38.84 ,$43.06 , N/A ,$43.06 ,$63.18 ,$78.00 ,$63.18 ,$66.30 ,$78.00 ,$54.05 , N/A ,$78.00 ,$43.76 , N/A ,$20.44 ,$78.00 , N/A , N/A , N/A ,$62.40 ,$38.61 ,$21.84 ,$70.20 ,$29.64 ,$42.43 , N/A ,$37.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OSELTAMIVIR 6 MG/ML SUSR,637,1 ,$15.01 ,$10.81 ,$3.93 ,$37.53 ,$37.53 ,$7.96 ,$8.26 , N/A ,$4.20 ,$7.85 , N/A ,$8.26 , N/A ,$7.43 ,$6.00 , N/A ,$7.43 , N/A ,$10.51 ,$9.38 ,$12.01 , N/A , N/A ,$10.51 , N/A ,$9.01 , N/A ,$11.26 ,$8.29 ,$7.48 ,$8.29 , N/A ,$8.29 ,$12.16 ,$15.01 ,$12.16 ,$12.76 ,$15.01 ,$10.40 , N/A ,$15.01 ,$8.42 , N/A ,$3.93 ,$15.01 , N/A , N/A , N/A ,$12.01 ,$7.43 ,$4.20 ,$13.51 ,$5.70 ,$8.17 , N/A ,$7.20 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OSELTAMIVIR 75 MG CAPS,637,1 ,$100.25 ,$72.18 ,$26.27 ,$250.63 ,$250.63 ,$53.13 ,$55.14 , N/A ,$28.07 ,$52.43 , N/A ,$55.14 , N/A ,$49.62 ,$40.10 , N/A ,$49.62 , N/A ,$70.18 ,$62.66 ,$80.20 , N/A , N/A ,$70.18 , N/A ,$60.15 , N/A ,$75.19 ,$55.34 ,$49.92 ,$55.34 , N/A ,$55.34 ,$81.20 ,$100.25 ,$81.20 ,$85.21 ,$100.25 ,$69.47 , N/A ,$100.25 ,$56.24 , N/A ,$26.27 ,$100.25 , N/A , N/A , N/A ,$80.20 ,$49.62 ,$28.07 ,$90.23 ,$38.10 ,$54.54 , N/A ,$48.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYBUTYNIN 5 MG TABS,637,1 ,$13.05 ,$9.40 ,$3.42 ,$32.63 ,$32.63 ,$6.92 ,$7.18 , N/A ,$3.65 ,$6.83 , N/A ,$7.18 , N/A ,$6.46 ,$5.22 , N/A ,$6.46 , N/A ,$9.14 ,$8.16 ,$10.44 , N/A , N/A ,$9.14 , N/A ,$7.83 , N/A ,$9.79 ,$7.20 ,$6.50 ,$7.20 , N/A ,$7.20 ,$10.57 ,$13.05 ,$10.57 ,$11.09 ,$13.05 ,$9.04 , N/A ,$13.05 ,$7.32 , N/A ,$3.42 ,$13.05 , N/A , N/A , N/A ,$10.44 ,$6.46 ,$3.65 ,$11.75 ,$4.96 ,$7.10 , N/A ,$6.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALLOPURINOL 100 MG TABS,637,1 ,$13.05 ,$9.40 ,$3.42 ,$32.63 ,$32.63 ,$6.92 ,$7.18 , N/A ,$3.65 ,$6.83 , N/A ,$7.18 , N/A ,$6.46 ,$5.22 , N/A ,$6.46 , N/A ,$9.14 ,$8.16 ,$10.44 , N/A , N/A ,$9.14 , N/A ,$7.83 , N/A ,$9.79 ,$7.20 ,$6.50 ,$7.20 , N/A ,$7.20 ,$10.57 ,$13.05 ,$10.57 ,$11.09 ,$13.05 ,$9.04 , N/A ,$13.05 ,$7.32 , N/A ,$3.42 ,$13.05 , N/A , N/A , N/A ,$10.44 ,$6.46 ,$3.65 ,$11.75 ,$4.96 ,$7.10 , N/A ,$6.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN-CLAVULANATE 400-57 MG/5ML SUSR,637,1 ,$13.05 ,$9.40 ,$3.42 ,$32.63 ,$32.63 ,$6.92 ,$7.18 , N/A ,$3.65 ,$6.83 , N/A ,$7.18 , N/A ,$6.46 ,$5.22 , N/A ,$6.46 , N/A ,$9.14 ,$8.16 ,$10.44 , N/A , N/A ,$9.14 , N/A ,$7.83 , N/A ,$9.79 ,$7.20 ,$6.50 ,$7.20 , N/A ,$7.20 ,$10.57 ,$13.05 ,$10.57 ,$11.09 ,$13.05 ,$9.04 , N/A ,$13.05 ,$7.32 , N/A ,$3.42 ,$13.05 , N/A , N/A , N/A ,$10.44 ,$6.46 ,$3.65 ,$11.75 ,$4.96 ,$7.10 , N/A ,$6.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYBUTYNIN XL 5 MG TB24,637,1 ,$36.12 ,$26.01 ,$9.46 ,$90.30 ,$90.30 ,$19.14 ,$19.87 , N/A ,$10.11 ,$18.89 , N/A ,$19.87 , N/A ,$17.88 ,$14.45 , N/A ,$17.88 , N/A ,$25.28 ,$22.58 ,$28.90 , N/A , N/A ,$25.28 , N/A ,$21.67 , N/A ,$27.09 ,$19.94 ,$17.99 ,$19.94 , N/A ,$19.94 ,$29.26 ,$36.12 ,$29.26 ,$30.70 ,$36.12 ,$25.03 , N/A ,$36.12 ,$20.26 , N/A ,$9.46 ,$36.12 , N/A , N/A , N/A ,$28.90 ,$17.88 ,$10.11 ,$32.51 ,$13.73 ,$19.65 , N/A ,$17.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE ER 10 MG T12A,637,1 ,$31.60 ,$22.75 ,$8.28 ,$79.00 ,$79.00 ,$16.75 ,$17.38 , N/A ,$8.85 ,$16.53 , N/A ,$17.38 , N/A ,$15.64 ,$12.64 , N/A ,$15.64 , N/A ,$22.12 ,$19.75 ,$25.28 , N/A , N/A ,$22.12 , N/A ,$18.96 , N/A ,$23.70 ,$17.44 ,$15.74 ,$17.44 , N/A ,$17.44 ,$25.60 ,$31.60 ,$25.60 ,$26.86 ,$31.60 ,$21.90 , N/A ,$31.60 ,$17.73 , N/A ,$8.28 ,$31.60 , N/A , N/A , N/A ,$25.28 ,$15.64 ,$8.85 ,$28.44 ,$12.01 ,$17.19 , N/A ,$15.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE ER 20 MG T12A,637,1 ,$48.15 ,$34.67 ,$12.62 ,$120.38 ,$120.38 ,$25.52 ,$26.48 , N/A ,$13.48 ,$25.18 , N/A ,$26.48 , N/A ,$23.83 ,$19.26 , N/A ,$23.83 , N/A ,$33.71 ,$30.09 ,$38.52 , N/A , N/A ,$33.71 , N/A ,$28.89 , N/A ,$36.11 ,$26.58 ,$23.98 ,$26.58 , N/A ,$26.58 ,$39.00 ,$48.15 ,$39.00 ,$40.93 ,$48.15 ,$33.37 , N/A ,$48.15 ,$27.01 , N/A ,$12.62 ,$48.15 , N/A , N/A , N/A ,$38.52 ,$23.83 ,$13.48 ,$43.34 ,$18.30 ,$26.19 , N/A ,$23.11 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE ER 40 MG T12A,637,1 ,$64.10 ,$46.15 ,$16.79 ,$160.25 ,$160.25 ,$33.97 ,$35.26 , N/A ,$17.95 ,$33.52 , N/A ,$35.26 , N/A ,$31.73 ,$25.64 , N/A ,$31.73 , N/A ,$44.87 ,$40.06 ,$51.28 , N/A , N/A ,$44.87 , N/A ,$38.46 , N/A ,$48.08 ,$35.38 ,$31.92 ,$35.38 , N/A ,$35.38 ,$51.92 ,$64.10 ,$51.92 ,$54.49 ,$64.10 ,$44.42 , N/A ,$64.10 ,$35.96 , N/A ,$16.79 ,$64.10 , N/A , N/A , N/A ,$51.28 ,$31.73 ,$17.95 ,$57.69 ,$24.36 ,$34.87 , N/A ,$30.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE ER 80 MG T12A,637,1 ,$87.90 ,$63.29 ,$23.03 ,$219.75 ,$219.75 ,$46.59 ,$48.35 , N/A ,$24.61 ,$45.97 , N/A ,$48.35 , N/A ,$43.51 ,$35.16 , N/A ,$43.51 , N/A ,$61.53 ,$54.94 ,$70.32 , N/A , N/A ,$61.53 , N/A ,$52.74 , N/A ,$65.93 ,$48.52 ,$43.77 ,$48.52 , N/A ,$48.52 ,$71.20 ,$87.90 ,$71.20 ,$74.72 ,$87.90 ,$60.91 , N/A ,$87.90 ,$49.31 , N/A ,$23.03 ,$87.90 , N/A , N/A , N/A ,$70.32 ,$43.51 ,$24.61 ,$79.11 ,$33.40 ,$47.82 , N/A ,$42.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$42.85 ,$30.85 ,$11.23 ,$107.13 ,$107.13 ,$22.71 ,$23.57 , N/A ,$12.00 ,$22.41 , N/A ,$23.57 , N/A ,$21.21 ,$17.14 , N/A ,$21.21 , N/A ,$30.00 ,$26.78 ,$34.28 , N/A , N/A ,$30.00 , N/A ,$25.71 , N/A ,$32.14 ,$23.65 ,$21.34 ,$23.65 , N/A ,$23.65 ,$34.71 ,$42.85 ,$34.71 ,$36.42 ,$42.85 ,$29.70 , N/A ,$42.85 ,$24.04 , N/A ,$11.23 ,$42.85 , N/A , N/A , N/A ,$34.28 ,$21.21 ,$12.00 ,$38.57 ,$16.28 ,$23.31 , N/A ,$20.57 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$16.70 ,$12.02 ,$4.38 ,$41.75 ,$41.75 ,$8.85 ,$9.19 , N/A ,$4.68 ,$8.73 , N/A ,$9.19 , N/A ,$8.27 ,$6.68 , N/A ,$8.27 , N/A ,$11.69 ,$10.44 ,$13.36 , N/A , N/A ,$11.69 , N/A ,$10.02 , N/A ,$12.53 ,$9.22 ,$8.32 ,$9.22 , N/A ,$9.22 ,$13.53 ,$16.70 ,$13.53 ,$14.20 ,$16.70 ,$11.57 , N/A ,$16.70 ,$9.37 , N/A ,$4.38 ,$16.70 , N/A , N/A , N/A ,$13.36 ,$8.27 ,$4.68 ,$15.03 ,$6.35 ,$9.08 , N/A ,$8.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$33.00 ,$23.76 ,$8.65 ,$82.50 ,$82.50 ,$17.49 ,$18.15 , N/A ,$9.24 ,$17.26 , N/A ,$18.15 , N/A ,$16.34 ,$13.20 , N/A ,$16.34 , N/A ,$23.10 ,$20.63 ,$26.40 , N/A , N/A ,$23.10 , N/A ,$19.80 , N/A ,$24.75 ,$18.22 ,$16.43 ,$18.22 , N/A ,$18.22 ,$26.73 ,$33.00 ,$26.73 ,$28.05 ,$33.00 ,$22.87 , N/A ,$33.00 ,$18.51 , N/A ,$8.65 ,$33.00 , N/A , N/A , N/A ,$26.40 ,$16.34 ,$9.24 ,$29.70 ,$12.54 ,$17.95 , N/A ,$15.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXCARBAZEPINE 300 MG TABS,637,1 ,$33.00 ,$23.76 ,$8.65 ,$82.50 ,$82.50 ,$17.49 ,$18.15 , N/A ,$9.24 ,$17.26 , N/A ,$18.15 , N/A ,$16.34 ,$13.20 , N/A ,$16.34 , N/A ,$23.10 ,$20.63 ,$26.40 , N/A , N/A ,$23.10 , N/A ,$19.80 , N/A ,$24.75 ,$18.22 ,$16.43 ,$18.22 , N/A ,$18.22 ,$26.73 ,$33.00 ,$26.73 ,$28.05 ,$33.00 ,$22.87 , N/A ,$33.00 ,$18.51 , N/A ,$8.65 ,$33.00 , N/A , N/A , N/A ,$26.40 ,$16.34 ,$9.24 ,$29.70 ,$12.54 ,$17.95 , N/A ,$15.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYMETAZOLINE 0.05 % SOLN 30 ML SPRAY BOTTLE,637,1 ,$29.55 ,$21.28 ,$7.74 ,$73.88 ,$73.88 ,$15.66 ,$16.25 , N/A ,$8.27 ,$15.45 , N/A ,$16.25 , N/A ,$14.63 ,$11.82 , N/A ,$14.63 , N/A ,$20.69 ,$18.47 ,$23.64 , N/A , N/A ,$20.69 , N/A ,$17.73 , N/A ,$22.16 ,$16.31 ,$14.72 ,$16.31 , N/A ,$16.31 ,$23.94 ,$29.55 ,$23.94 ,$25.12 ,$29.55 ,$20.48 , N/A ,$29.55 ,$16.58 , N/A ,$7.74 ,$29.55 , N/A , N/A , N/A ,$23.64 ,$14.63 ,$8.27 ,$26.60 ,$11.23 ,$16.08 , N/A ,$14.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FUROSEMIDE 8 MG/ML SOLN,637,1 ,$29.55 ,$21.28 ,$7.74 ,$73.88 ,$73.88 ,$15.66 ,$16.25 , N/A ,$8.27 ,$15.45 , N/A ,$16.25 , N/A ,$14.63 ,$11.82 , N/A ,$14.63 , N/A ,$20.69 ,$18.47 ,$23.64 , N/A , N/A ,$20.69 , N/A ,$17.73 , N/A ,$22.16 ,$16.31 ,$14.72 ,$16.31 , N/A ,$16.31 ,$23.94 ,$29.55 ,$23.94 ,$25.12 ,$29.55 ,$20.48 , N/A ,$29.55 ,$16.58 , N/A ,$7.74 ,$29.55 , N/A , N/A , N/A ,$23.64 ,$14.63 ,$8.27 ,$26.60 ,$11.23 ,$16.08 , N/A ,$14.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PALIPERIDONE ER 3 MG TB24,637,1 ,$213.70 ,$153.86 ,$55.99 ,$534.25 ,$534.25 ,$113.26 ,$117.54 , N/A ,$59.84 ,$111.77 , N/A ,$117.54 , N/A ,$105.78 ,$85.48 , N/A ,$105.78 , N/A ,$149.59 ,$133.56 ,$170.96 , N/A , N/A ,$149.59 , N/A ,$128.22 , N/A ,$160.28 ,$117.96 ,$106.42 ,$117.96 , N/A ,$117.96 ,$173.10 ,$213.70 ,$173.10 ,$181.65 ,$213.70 ,$148.09 , N/A ,$213.70 ,$119.89 , N/A ,$55.99 ,$213.70 , N/A , N/A , N/A ,$170.96 ,$105.78 ,$59.84 ,$192.33 ,$81.21 ,$116.25 , N/A ,$102.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PALIPERIDONE ER 6 MG TB24,637,1 ,$121.45 ,$87.44 ,$31.82 ,$303.63 ,$303.63 ,$64.37 ,$66.80 , N/A ,$34.01 ,$63.52 , N/A ,$66.80 , N/A ,$60.12 ,$48.58 , N/A ,$60.12 , N/A ,$85.02 ,$75.91 ,$97.16 , N/A , N/A ,$85.02 , N/A ,$72.87 , N/A ,$91.09 ,$67.04 ,$60.48 ,$67.04 , N/A ,$67.04 ,$98.37 ,$121.45 ,$98.37 ,$103.23 ,$121.45 ,$84.16 , N/A ,$121.45 ,$68.13 , N/A ,$31.82 ,$121.45 , N/A , N/A , N/A ,$97.16 ,$60.12 ,$34.01 ,$109.31 ,$46.15 ,$66.07 , N/A ,$58.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PANCRELIPASE (LIP-PROT-AMYL) 10500-35500 UNITS CPEP,637,1 ,$12.65 ,$9.11 ,$3.31 ,$31.63 ,$31.63 ,$6.70 ,$6.96 , N/A ,$3.54 ,$6.62 , N/A ,$6.96 , N/A ,$6.26 ,$5.06 , N/A ,$6.26 , N/A ,$8.86 ,$7.91 ,$10.12 , N/A , N/A ,$8.86 , N/A ,$7.59 , N/A ,$9.49 ,$6.98 ,$6.30 ,$6.98 , N/A ,$6.98 ,$10.25 ,$12.65 ,$10.25 ,$10.75 ,$12.65 ,$8.77 , N/A ,$12.65 ,$7.10 , N/A ,$3.31 ,$12.65 , N/A , N/A , N/A ,$10.12 ,$6.26 ,$3.54 ,$11.39 ,$4.81 ,$6.88 , N/A ,$6.07 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PANTOPRAZOLE EC 20 MG TBEC,637,1 ,$47.85 ,$34.45 ,$12.54 ,$119.63 ,$119.63 ,$25.36 ,$26.32 , N/A ,$13.40 ,$25.03 , N/A ,$26.32 , N/A ,$23.69 ,$19.14 , N/A ,$23.69 , N/A ,$33.50 ,$29.91 ,$38.28 , N/A , N/A ,$33.50 , N/A ,$28.71 , N/A ,$35.89 ,$26.41 ,$23.83 ,$26.41 , N/A ,$26.41 ,$38.76 ,$47.85 ,$38.76 ,$40.67 ,$47.85 ,$33.16 , N/A ,$47.85 ,$26.84 , N/A ,$12.54 ,$47.85 , N/A , N/A , N/A ,$38.28 ,$23.69 ,$13.40 ,$43.07 ,$18.18 ,$26.03 , N/A ,$22.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PANTOPRAZOLE EC 40 MG TBEC,637,1 ,$12.00 ,$8.64 ,$3.14 ,$30.00 ,$30.00 ,$6.36 ,$6.60 , N/A ,$3.36 ,$6.28 , N/A ,$6.60 , N/A ,$5.94 ,$4.80 , N/A ,$5.94 , N/A ,$8.40 ,$7.50 ,$9.60 , N/A , N/A ,$8.40 , N/A ,$7.20 , N/A ,$9.00 ,$6.62 ,$5.98 ,$6.62 , N/A ,$6.62 ,$9.72 ,$12.00 ,$9.72 ,$10.20 ,$12.00 ,$8.32 , N/A ,$12.00 ,$6.73 , N/A ,$3.14 ,$12.00 , N/A , N/A , N/A ,$9.60 ,$5.94 ,$3.36 ,$10.80 ,$4.56 ,$6.53 , N/A ,$5.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHADONE 5 MG TABS,637,1 ,$12.00 ,$8.64 ,$3.14 ,$30.00 ,$30.00 ,$6.36 ,$6.60 , N/A ,$3.36 ,$6.28 , N/A ,$6.60 , N/A ,$5.94 ,$4.80 , N/A ,$5.94 , N/A ,$8.40 ,$7.50 ,$9.60 , N/A , N/A ,$8.40 , N/A ,$7.20 , N/A ,$9.00 ,$6.62 ,$5.98 ,$6.62 , N/A ,$6.62 ,$9.72 ,$12.00 ,$9.72 ,$10.20 ,$12.00 ,$8.32 , N/A ,$12.00 ,$6.73 , N/A ,$3.14 ,$12.00 , N/A , N/A , N/A ,$9.60 ,$5.94 ,$3.36 ,$10.80 ,$4.56 ,$6.53 , N/A ,$5.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PAROXETINE 10 MG TABS,637,1 ,$9.20 ,$6.62 ,$2.41 ,$23.00 ,$23.00 ,$4.88 ,$5.06 , N/A ,$2.58 ,$4.81 , N/A ,$5.06 , N/A ,$4.55 ,$3.68 , N/A ,$4.55 , N/A ,$6.44 ,$5.75 ,$7.36 , N/A , N/A ,$6.44 , N/A ,$5.52 , N/A ,$6.90 ,$5.08 ,$4.58 ,$5.08 , N/A ,$5.08 ,$7.45 ,$9.20 ,$7.45 ,$7.82 ,$9.20 ,$6.38 , N/A ,$9.20 ,$5.16 , N/A ,$2.41 ,$9.20 , N/A , N/A , N/A ,$7.36 ,$4.55 ,$2.58 ,$8.28 ,$3.50 ,$5.00 , N/A ,$4.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PAROXETINE 20 MG TABS,637,1 ,$33.48 ,$24.11 ,$8.77 ,$83.70 ,$83.70 ,$17.74 ,$18.41 , N/A ,$9.37 ,$17.51 , N/A ,$18.41 , N/A ,$16.57 ,$13.39 , N/A ,$16.57 , N/A ,$23.44 ,$20.93 ,$26.78 , N/A , N/A ,$23.44 , N/A ,$20.09 , N/A ,$25.11 ,$18.48 ,$16.67 ,$18.48 , N/A ,$18.48 ,$27.12 ,$33.48 ,$27.12 ,$28.46 ,$33.48 ,$23.20 , N/A ,$33.48 ,$18.78 , N/A ,$8.77 ,$33.48 , N/A , N/A , N/A ,$26.78 ,$16.57 ,$9.37 ,$30.13 ,$12.72 ,$18.21 , N/A ,$16.07 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PATIROMER 8.4 G PACK,637,1 ,$270.50 ,$194.76 ,$70.87 ,$676.25 ,$676.25 ,$143.37 ,$148.78 , N/A ,$75.74 ,$141.47 , N/A ,$148.78 , N/A ,$133.90 ,$108.20 , N/A ,$133.90 , N/A ,$189.35 ,$169.06 ,$216.40 , N/A , N/A ,$189.35 , N/A ,$162.30 , N/A ,$202.88 ,$149.32 ,$134.71 ,$149.32 , N/A ,$149.32 ,$219.11 ,$270.50 ,$219.11 ,$229.93 ,$270.50 ,$187.46 , N/A ,$270.50 ,$151.75 , N/A ,$70.87 ,$270.50 , N/A , N/A , N/A ,$216.40 ,$133.90 ,$75.74 ,$243.45 ,$102.79 ,$147.15 , N/A ,$129.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PENICILLIN VK 250 MG TABS,637,1 ,$4.68 ,$3.37 ,$1.23 ,$11.70 ,$11.70 ,$2.48 ,$2.57 , N/A ,$1.31 ,$2.45 , N/A ,$2.57 , N/A ,$2.32 ,$1.87 , N/A ,$2.32 , N/A ,$3.28 ,$2.93 ,$3.74 , N/A , N/A ,$3.28 , N/A ,$2.81 , N/A ,$3.51 ,$2.58 ,$2.33 ,$2.58 , N/A ,$2.58 ,$3.79 ,$4.68 ,$3.79 ,$3.98 ,$4.68 ,$3.24 , N/A ,$4.68 ,$2.63 , N/A ,$1.23 ,$4.68 , N/A , N/A , N/A ,$3.74 ,$2.32 ,$1.31 ,$4.21 ,$1.78 ,$2.55 , N/A ,$2.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LIOTHYRONINE 5 MCG TABS,637,1 ,$4.68 ,$3.37 ,$1.23 ,$11.70 ,$11.70 ,$2.48 ,$2.57 , N/A ,$1.31 ,$2.45 , N/A ,$2.57 , N/A ,$2.32 ,$1.87 , N/A ,$2.32 , N/A ,$3.28 ,$2.93 ,$3.74 , N/A , N/A ,$3.28 , N/A ,$2.81 , N/A ,$3.51 ,$2.58 ,$2.33 ,$2.58 , N/A ,$2.58 ,$3.79 ,$4.68 ,$3.79 ,$3.98 ,$4.68 ,$3.24 , N/A ,$4.68 ,$2.63 , N/A ,$1.23 ,$4.68 , N/A , N/A , N/A ,$3.74 ,$2.32 ,$1.31 ,$4.21 ,$1.78 ,$2.55 , N/A ,$2.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PERMETHRIN 1 % LIQD 59 ML BOTTLE,637,1 ,$88.00 ,$63.36 ,$23.06 ,$220.00 ,$220.00 ,$46.64 ,$48.40 , N/A ,$24.64 ,$46.02 , N/A ,$48.40 , N/A ,$43.56 ,$35.20 , N/A ,$43.56 , N/A ,$61.60 ,$55.00 ,$70.40 , N/A , N/A ,$61.60 , N/A ,$52.80 , N/A ,$66.00 ,$48.58 ,$43.82 ,$48.58 , N/A ,$48.58 ,$71.28 ,$88.00 ,$71.28 ,$74.80 ,$88.00 ,$60.98 , N/A ,$88.00 ,$49.37 , N/A ,$23.06 ,$88.00 , N/A , N/A , N/A ,$70.40 ,$43.56 ,$24.64 ,$79.20 ,$33.44 ,$47.87 , N/A ,$42.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PERMETHRIN 5 % CREA 60 G TUBE,637,1 ,$680.80 ,$490.18 ,$178.37 ,"$1,702.00 ","$1,702.00 ",$360.82 ,$374.44 , N/A ,$190.62 ,$356.06 , N/A ,$374.44 , N/A ,$337.00 ,$272.32 , N/A ,$337.00 , N/A ,$476.56 ,$425.50 ,$544.64 , N/A , N/A ,$476.56 , N/A ,$408.48 , N/A ,$510.60 ,$375.80 ,$339.04 ,$375.80 , N/A ,$375.80 ,$551.45 ,$680.80 ,$551.45 ,$578.68 ,$680.80 ,$471.79 , N/A ,$680.80 ,$381.93 , N/A ,$178.37 ,$680.80 , N/A , N/A , N/A ,$544.64 ,$337.00 ,$190.62 ,$612.72 ,$258.70 ,$370.36 , N/A ,$326.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PERPHENAZINE 2 MG TABS,637,1 ,$9.90 ,$7.13 ,$2.59 ,$24.75 ,$24.75 ,$5.25 ,$5.45 , N/A ,$2.77 ,$5.18 , N/A ,$5.45 , N/A ,$4.90 ,$3.96 , N/A ,$4.90 , N/A ,$6.93 ,$6.19 ,$7.92 , N/A , N/A ,$6.93 , N/A ,$5.94 , N/A ,$7.43 ,$5.46 ,$4.93 ,$5.46 , N/A ,$5.46 ,$8.02 ,$9.90 ,$8.02 ,$8.42 ,$9.90 ,$6.86 , N/A ,$9.90 ,$5.55 , N/A ,$2.59 ,$9.90 , N/A , N/A , N/A ,$7.92 ,$4.90 ,$2.77 ,$8.91 ,$3.76 ,$5.39 , N/A ,$4.75 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENAZOPYRIDINE 100 MG TABS,637,1 ,$12.15 ,$8.75 ,$3.18 ,$30.38 ,$30.38 ,$6.44 ,$6.68 , N/A ,$3.40 ,$6.35 , N/A ,$6.68 , N/A ,$6.01 ,$4.86 , N/A ,$6.01 , N/A ,$8.51 ,$7.59 ,$9.72 , N/A , N/A ,$8.51 , N/A ,$7.29 , N/A ,$9.11 ,$6.71 ,$6.05 ,$6.71 , N/A ,$6.71 ,$9.84 ,$12.15 ,$9.84 ,$10.33 ,$12.15 ,$8.42 , N/A ,$12.15 ,$6.82 , N/A ,$3.18 ,$12.15 , N/A , N/A , N/A ,$9.72 ,$6.01 ,$3.40 ,$10.94 ,$4.62 ,$6.61 , N/A ,$5.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DAPSONE 100 MG TABS,637,1 ,$12.15 ,$8.75 ,$3.18 ,$30.38 ,$30.38 ,$6.44 ,$6.68 , N/A ,$3.40 ,$6.35 , N/A ,$6.68 , N/A ,$6.01 ,$4.86 , N/A ,$6.01 , N/A ,$8.51 ,$7.59 ,$9.72 , N/A , N/A ,$8.51 , N/A ,$7.29 , N/A ,$9.11 ,$6.71 ,$6.05 ,$6.71 , N/A ,$6.71 ,$9.84 ,$12.15 ,$9.84 ,$10.33 ,$12.15 ,$8.42 , N/A ,$12.15 ,$6.82 , N/A ,$3.18 ,$12.15 , N/A , N/A , N/A ,$9.72 ,$6.01 ,$3.40 ,$10.94 ,$4.62 ,$6.61 , N/A ,$5.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENOBARBITAL 30 MG TABS,637,1 ,$2.98 ,$2.15 ,$0.78 ,$7.45 ,$7.45 ,$1.58 ,$1.64 , N/A ,$0.83 ,$1.56 , N/A ,$1.64 , N/A ,$1.48 ,$1.19 , N/A ,$1.48 , N/A ,$2.09 ,$1.86 ,$2.38 , N/A , N/A ,$2.09 , N/A ,$1.79 , N/A ,$2.24 ,$1.65 ,$1.48 ,$1.65 , N/A ,$1.65 ,$2.41 ,$2.98 ,$2.41 ,$2.53 ,$2.98 ,$2.07 , N/A ,$2.98 ,$1.67 , N/A ,$0.78 ,$2.98 , N/A , N/A , N/A ,$2.38 ,$1.48 ,$0.83 ,$2.68 ,$1.13 ,$1.62 , N/A ,$1.43 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENOBARBITAL 32.4 MG TABS,637,1 ,$3.20 ,$2.30 ,$0.84 ,$8.00 ,$8.00 ,$1.70 ,$1.76 , N/A ,$0.90 ,$1.67 , N/A ,$1.76 , N/A ,$1.58 ,$1.28 , N/A ,$1.58 , N/A ,$2.24 ,$2.00 ,$2.56 , N/A , N/A ,$2.24 , N/A ,$1.92 , N/A ,$2.40 ,$1.77 ,$1.59 ,$1.77 , N/A ,$1.77 ,$2.59 ,$3.20 ,$2.59 ,$2.72 ,$3.20 ,$2.22 , N/A ,$3.20 ,$1.80 , N/A ,$0.84 ,$3.20 , N/A , N/A , N/A ,$2.56 ,$1.58 ,$0.90 ,$2.88 ,$1.22 ,$1.74 , N/A ,$1.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENOL 1.4 % LIQD 177 ML BOTTLE,637,1 ,$58.10 ,$41.83 ,$15.22 ,$145.25 ,$145.25 ,$30.79 ,$31.96 , N/A ,$16.27 ,$30.39 , N/A ,$31.96 , N/A ,$28.76 ,$23.24 , N/A ,$28.76 , N/A ,$40.67 ,$36.31 ,$46.48 , N/A , N/A ,$40.67 , N/A ,$34.86 , N/A ,$43.58 ,$32.07 ,$28.93 ,$32.07 , N/A ,$32.07 ,$47.06 ,$58.10 ,$47.06 ,$49.39 ,$58.10 ,$40.26 , N/A ,$58.10 ,$32.59 , N/A ,$15.22 ,$58.10 , N/A , N/A , N/A ,$46.48 ,$28.76 ,$16.27 ,$52.29 ,$22.08 ,$31.61 , N/A ,$27.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENOL 1.4 % LIQD 177 ML SPRAY BOTTLE,637,1 ,$36.15 ,$26.03 ,$9.47 ,$90.38 ,$90.38 ,$19.16 ,$19.88 , N/A ,$10.12 ,$18.91 , N/A ,$19.88 , N/A ,$17.89 ,$14.46 , N/A ,$17.89 , N/A ,$25.31 ,$22.59 ,$28.92 , N/A , N/A ,$25.31 , N/A ,$21.69 , N/A ,$27.11 ,$19.95 ,$18.00 ,$19.95 , N/A ,$19.95 ,$29.28 ,$36.15 ,$29.28 ,$30.73 ,$36.15 ,$25.05 , N/A ,$36.15 ,$20.28 , N/A ,$9.47 ,$36.15 , N/A , N/A , N/A ,$28.92 ,$17.89 ,$10.12 ,$32.54 ,$13.74 ,$19.67 , N/A ,$17.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYLEPHRINE 0.5 % SOLN 15 ML BOTTLE,637,1 ,$47.00 ,$33.84 ,$12.31 ,$117.50 ,$117.50 ,$24.91 ,$25.85 , N/A ,$13.16 ,$24.58 , N/A ,$25.85 , N/A ,$23.27 ,$18.80 , N/A ,$23.27 , N/A ,$32.90 ,$29.38 ,$37.60 , N/A , N/A ,$32.90 , N/A ,$28.20 , N/A ,$35.25 ,$25.94 ,$23.41 ,$25.94 , N/A ,$25.94 ,$38.07 ,$47.00 ,$38.07 ,$39.95 ,$47.00 ,$32.57 , N/A ,$47.00 ,$26.37 , N/A ,$12.31 ,$47.00 , N/A , N/A , N/A ,$37.60 ,$23.27 ,$13.16 ,$42.30 ,$17.86 ,$25.57 , N/A ,$22.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYLEPHRINE 0.25 % SOLN 15 ML BOTTLE,637,1 ,$47.00 ,$33.84 ,$12.31 ,$117.50 ,$117.50 ,$24.91 ,$25.85 , N/A ,$13.16 ,$24.58 , N/A ,$25.85 , N/A ,$23.27 ,$18.80 , N/A ,$23.27 , N/A ,$32.90 ,$29.38 ,$37.60 , N/A , N/A ,$32.90 , N/A ,$28.20 , N/A ,$35.25 ,$25.94 ,$23.41 ,$25.94 , N/A ,$25.94 ,$38.07 ,$47.00 ,$38.07 ,$39.95 ,$47.00 ,$32.57 , N/A ,$47.00 ,$26.37 , N/A ,$12.31 ,$47.00 , N/A , N/A , N/A ,$37.60 ,$23.27 ,$13.16 ,$42.30 ,$17.86 ,$25.57 , N/A ,$22.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOCUSATE SODIUM 283 MG ENEM,637,1 ,$47.00 ,$33.84 ,$12.31 ,$117.50 ,$117.50 ,$24.91 ,$25.85 , N/A ,$13.16 ,$24.58 , N/A ,$25.85 , N/A ,$23.27 ,$18.80 , N/A ,$23.27 , N/A ,$32.90 ,$29.38 ,$37.60 , N/A , N/A ,$32.90 , N/A ,$28.20 , N/A ,$35.25 ,$25.94 ,$23.41 ,$25.94 , N/A ,$25.94 ,$38.07 ,$47.00 ,$38.07 ,$39.95 ,$47.00 ,$32.57 , N/A ,$47.00 ,$26.37 , N/A ,$12.31 ,$47.00 , N/A , N/A , N/A ,$37.60 ,$23.27 ,$13.16 ,$42.30 ,$17.86 ,$25.57 , N/A ,$22.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYLEPHRINE 1 % SOLN 15 ML BOTTLE,637,1 ,$52.75 ,$37.98 ,$13.82 ,$131.88 ,$131.88 ,$27.96 ,$29.01 , N/A ,$14.77 ,$27.59 , N/A ,$29.01 , N/A ,$26.11 ,$21.10 , N/A ,$26.11 , N/A ,$36.93 ,$32.97 ,$42.20 , N/A , N/A ,$36.93 , N/A ,$31.65 , N/A ,$39.56 ,$29.12 ,$26.27 ,$29.12 , N/A ,$29.12 ,$42.73 ,$52.75 ,$42.73 ,$44.84 ,$52.75 ,$36.56 , N/A ,$52.75 ,$29.59 , N/A ,$13.82 ,$52.75 , N/A , N/A , N/A ,$42.20 ,$26.11 ,$14.77 ,$47.48 ,$20.05 ,$28.70 , N/A ,$25.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYTOIN 125 MG/5ML SUSP,637,1 ,$69.15 ,$49.79 ,$18.12 ,$172.88 ,$172.88 ,$36.65 ,$38.03 , N/A ,$19.36 ,$36.17 , N/A ,$38.03 , N/A ,$34.23 ,$27.66 , N/A ,$34.23 , N/A ,$48.41 ,$43.22 ,$55.32 , N/A , N/A ,$48.41 , N/A ,$41.49 , N/A ,$51.86 ,$38.17 ,$34.44 ,$38.17 , N/A ,$38.17 ,$56.01 ,$69.15 ,$56.01 ,$58.78 ,$69.15 ,$47.92 , N/A ,$69.15 ,$38.79 , N/A ,$18.12 ,$69.15 , N/A , N/A , N/A ,$55.32 ,$34.23 ,$19.36 ,$62.24 ,$26.28 ,$37.62 , N/A ,$33.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYTOIN 50 MG CHEW,637,1 ,$21.60 ,$15.55 ,$5.66 ,$54.00 ,$54.00 ,$11.45 ,$11.88 , N/A ,$6.05 ,$11.30 , N/A ,$11.88 , N/A ,$10.69 ,$8.64 , N/A ,$10.69 , N/A ,$15.12 ,$13.50 ,$17.28 , N/A , N/A ,$15.12 , N/A ,$12.96 , N/A ,$16.20 ,$11.92 ,$10.76 ,$11.92 , N/A ,$11.92 ,$17.50 ,$21.60 ,$17.50 ,$18.36 ,$21.60 ,$14.97 , N/A ,$21.60 ,$12.12 , N/A ,$5.66 ,$21.60 , N/A , N/A , N/A ,$17.28 ,$10.69 ,$6.05 ,$19.44 ,$8.21 ,$11.75 , N/A ,$10.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PHENYTOIN ER 100 MG CAPS,637,1 ,$8.18 ,$5.89 ,$2.14 ,$20.45 ,$20.45 ,$4.34 ,$4.50 , N/A ,$2.29 ,$4.28 , N/A ,$4.50 , N/A ,$4.05 ,$3.27 , N/A ,$4.05 , N/A ,$5.73 ,$5.11 ,$6.54 , N/A , N/A ,$5.73 , N/A ,$4.91 , N/A ,$6.14 ,$4.52 ,$4.07 ,$4.52 , N/A ,$4.52 ,$6.63 ,$8.18 ,$6.63 ,$6.95 ,$8.18 ,$5.67 , N/A ,$8.18 ,$4.59 , N/A ,$2.14 ,$8.18 , N/A , N/A , N/A ,$6.54 ,$4.05 ,$2.29 ,$7.36 ,$3.11 ,$4.45 , N/A ,$3.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PILOCARPINE 5 MG TABS,637,1 ,$36.00 ,$25.92 ,$9.43 ,$90.00 ,$90.00 ,$19.08 ,$19.80 , N/A ,$10.08 ,$18.83 , N/A ,$19.80 , N/A ,$17.82 ,$14.40 , N/A ,$17.82 , N/A ,$25.20 ,$22.50 ,$28.80 , N/A , N/A ,$25.20 , N/A ,$21.60 , N/A ,$27.00 ,$19.87 ,$17.93 ,$19.87 , N/A ,$19.87 ,$29.16 ,$36.00 ,$29.16 ,$30.60 ,$36.00 ,$24.95 , N/A ,$36.00 ,$20.20 , N/A ,$9.43 ,$36.00 , N/A , N/A , N/A ,$28.80 ,$17.82 ,$10.08 ,$32.40 ,$13.68 ,$19.58 , N/A ,$17.28 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POLYETHYLENE GLYCOL PACK,637,1 ,$33.40 ,$24.05 ,$8.75 ,$83.50 ,$83.50 ,$17.70 ,$18.37 , N/A ,$9.35 ,$17.47 , N/A ,$18.37 , N/A ,$16.53 ,$13.36 , N/A ,$16.53 , N/A ,$23.38 ,$20.88 ,$26.72 , N/A , N/A ,$23.38 , N/A ,$20.04 , N/A ,$25.05 ,$18.44 ,$16.63 ,$18.44 , N/A ,$18.44 ,$27.05 ,$33.40 ,$27.05 ,$28.39 ,$33.40 ,$23.15 , N/A ,$33.40 ,$18.74 , N/A ,$8.75 ,$33.40 , N/A , N/A , N/A ,$26.72 ,$16.53 ,$9.35 ,$30.06 ,$12.69 ,$18.17 , N/A ,$16.03 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POLYVINYL ALCOHOL 1.4 % SOLN 15 ML BOTTLE,637,1 ,$59.30 ,$42.70 ,$15.54 ,$148.25 ,$148.25 ,$31.43 ,$32.62 , N/A ,$16.60 ,$31.01 , N/A ,$32.62 , N/A ,$29.35 ,$23.72 , N/A ,$29.35 , N/A ,$41.51 ,$37.06 ,$47.44 , N/A , N/A ,$41.51 , N/A ,$35.58 , N/A ,$44.48 ,$32.73 ,$29.53 ,$32.73 , N/A ,$32.73 ,$48.03 ,$59.30 ,$48.03 ,$50.41 ,$59.30 ,$41.09 , N/A ,$59.30 ,$33.27 , N/A ,$15.54 ,$59.30 , N/A , N/A , N/A ,$47.44 ,$29.35 ,$16.60 ,$53.37 ,$22.53 ,$32.26 , N/A ,$28.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ENTACAPONE 200 MG TABS,637,1 ,$59.30 ,$42.70 ,$15.54 ,$148.25 ,$148.25 ,$31.43 ,$32.62 , N/A ,$16.60 ,$31.01 , N/A ,$32.62 , N/A ,$29.35 ,$23.72 , N/A ,$29.35 , N/A ,$41.51 ,$37.06 ,$47.44 , N/A , N/A ,$41.51 , N/A ,$35.58 , N/A ,$44.48 ,$32.73 ,$29.53 ,$32.73 , N/A ,$32.73 ,$48.03 ,$59.30 ,$48.03 ,$50.41 ,$59.30 ,$41.09 , N/A ,$59.30 ,$33.27 , N/A ,$15.54 ,$59.30 , N/A , N/A , N/A ,$47.44 ,$29.35 ,$16.60 ,$53.37 ,$22.53 ,$32.26 , N/A ,$28.46 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POTASSIUM  AND  SODIUM PHOSPHATES 280-160-250 MG PACK,637,1 ,$7.85 ,$5.65 ,$2.06 ,$19.63 ,$19.63 ,$4.16 ,$4.32 , N/A ,$2.20 ,$4.11 , N/A ,$4.32 , N/A ,$3.89 ,$3.14 , N/A ,$3.89 , N/A ,$5.50 ,$4.91 ,$6.28 , N/A , N/A ,$5.50 , N/A ,$4.71 , N/A ,$5.89 ,$4.33 ,$3.91 ,$4.33 , N/A ,$4.33 ,$6.36 ,$7.85 ,$6.36 ,$6.67 ,$7.85 ,$5.44 , N/A ,$7.85 ,$4.40 , N/A ,$2.06 ,$7.85 , N/A , N/A , N/A ,$6.28 ,$3.89 ,$2.20 ,$7.07 ,$2.98 ,$4.27 , N/A ,$3.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHOCARBAMOL 500 MG TABS,637,1 ,$7.85 ,$5.65 ,$2.06 ,$19.63 ,$19.63 ,$4.16 ,$4.32 , N/A ,$2.20 ,$4.11 , N/A ,$4.32 , N/A ,$3.89 ,$3.14 , N/A ,$3.89 , N/A ,$5.50 ,$4.91 ,$6.28 , N/A , N/A ,$5.50 , N/A ,$4.71 , N/A ,$5.89 ,$4.33 ,$3.91 ,$4.33 , N/A ,$4.33 ,$6.36 ,$7.85 ,$6.36 ,$6.67 ,$7.85 ,$5.44 , N/A ,$7.85 ,$4.40 , N/A ,$2.06 ,$7.85 , N/A , N/A , N/A ,$6.28 ,$3.89 ,$2.20 ,$7.07 ,$2.98 ,$4.27 , N/A ,$3.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ TBEF,637,1 ,$6.73 ,$4.85 ,$1.76 ,$16.83 ,$16.83 ,$3.57 ,$3.70 , N/A ,$1.88 ,$3.52 , N/A ,$3.70 , N/A ,$3.33 ,$2.69 , N/A ,$3.33 , N/A ,$4.71 ,$4.21 ,$5.38 , N/A , N/A ,$4.71 , N/A ,$4.04 , N/A ,$5.05 ,$3.72 ,$3.35 ,$3.72 , N/A ,$3.72 ,$5.45 ,$6.73 ,$5.45 ,$5.72 ,$6.73 ,$4.66 , N/A ,$6.73 ,$3.78 , N/A ,$1.76 ,$6.73 , N/A , N/A , N/A ,$5.38 ,$3.33 ,$1.88 ,$6.06 ,$2.56 ,$3.66 , N/A ,$3.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POTASSIUM CHLORIDE CR 10 MEQ TBCR,637,1 ,$8.65 ,$6.23 ,$2.27 ,$21.63 ,$21.63 ,$4.58 ,$4.76 , N/A ,$2.42 ,$4.52 , N/A ,$4.76 , N/A ,$4.28 ,$3.46 , N/A ,$4.28 , N/A ,$6.06 ,$5.41 ,$6.92 , N/A , N/A ,$6.06 , N/A ,$5.19 , N/A ,$6.49 ,$4.77 ,$4.31 ,$4.77 , N/A ,$4.77 ,$7.01 ,$8.65 ,$7.01 ,$7.35 ,$8.65 ,$5.99 , N/A ,$8.65 ,$4.85 , N/A ,$2.27 ,$8.65 , N/A , N/A , N/A ,$6.92 ,$4.28 ,$2.42 ,$7.79 ,$3.29 ,$4.71 , N/A ,$4.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOCLOPRAMIDE 10 MG TABS,637,1 ,$8.65 ,$6.23 ,$2.27 ,$21.63 ,$21.63 ,$4.58 ,$4.76 , N/A ,$2.42 ,$4.52 , N/A ,$4.76 , N/A ,$4.28 ,$3.46 , N/A ,$4.28 , N/A ,$6.06 ,$5.41 ,$6.92 , N/A , N/A ,$6.06 , N/A ,$5.19 , N/A ,$6.49 ,$4.77 ,$4.31 ,$4.77 , N/A ,$4.77 ,$7.01 ,$8.65 ,$7.01 ,$7.35 ,$8.65 ,$5.99 , N/A ,$8.65 ,$4.85 , N/A ,$2.27 ,$8.65 , N/A , N/A , N/A ,$6.92 ,$4.28 ,$2.42 ,$7.79 ,$3.29 ,$4.71 , N/A ,$4.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DILTIAZEM 60 MG TABS,637,1 ,$8.65 ,$6.23 ,$2.27 ,$21.63 ,$21.63 ,$4.58 ,$4.76 , N/A ,$2.42 ,$4.52 , N/A ,$4.76 , N/A ,$4.28 ,$3.46 , N/A ,$4.28 , N/A ,$6.06 ,$5.41 ,$6.92 , N/A , N/A ,$6.06 , N/A ,$5.19 , N/A ,$6.49 ,$4.77 ,$4.31 ,$4.77 , N/A ,$4.77 ,$7.01 ,$8.65 ,$7.01 ,$7.35 ,$8.65 ,$5.99 , N/A ,$8.65 ,$4.85 , N/A ,$2.27 ,$8.65 , N/A , N/A , N/A ,$6.92 ,$4.28 ,$2.42 ,$7.79 ,$3.29 ,$4.71 , N/A ,$4.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POTASSIUM CHLORIDE CR 20 MEQ TBCR,637,1 ,$9.60 ,$6.91 ,$2.52 ,$24.00 ,$24.00 ,$5.09 ,$5.28 , N/A ,$2.69 ,$5.02 , N/A ,$5.28 , N/A ,$4.75 ,$3.84 , N/A ,$4.75 , N/A ,$6.72 ,$6.00 ,$7.68 , N/A , N/A ,$6.72 , N/A ,$5.76 , N/A ,$7.20 ,$5.30 ,$4.78 ,$5.30 , N/A ,$5.30 ,$7.78 ,$9.60 ,$7.78 ,$8.16 ,$9.60 ,$6.65 , N/A ,$9.60 ,$5.39 , N/A ,$2.52 ,$9.60 , N/A , N/A , N/A ,$7.68 ,$4.75 ,$2.69 ,$8.64 ,$3.65 ,$5.22 , N/A ,$4.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATORVASTATIN 10 MG TABS,637,1 ,$9.60 ,$6.91 ,$2.52 ,$24.00 ,$24.00 ,$5.09 ,$5.28 , N/A ,$2.69 ,$5.02 , N/A ,$5.28 , N/A ,$4.75 ,$3.84 , N/A ,$4.75 , N/A ,$6.72 ,$6.00 ,$7.68 , N/A , N/A ,$6.72 , N/A ,$5.76 , N/A ,$7.20 ,$5.30 ,$4.78 ,$5.30 , N/A ,$5.30 ,$7.78 ,$9.60 ,$7.78 ,$8.16 ,$9.60 ,$6.65 , N/A ,$9.60 ,$5.39 , N/A ,$2.52 ,$9.60 , N/A , N/A , N/A ,$7.68 ,$4.75 ,$2.69 ,$8.64 ,$3.65 ,$5.22 , N/A ,$4.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICLOFENAC EC 75 MG TBEC,637,1 ,$9.60 ,$6.91 ,$2.52 ,$24.00 ,$24.00 ,$5.09 ,$5.28 , N/A ,$2.69 ,$5.02 , N/A ,$5.28 , N/A ,$4.75 ,$3.84 , N/A ,$4.75 , N/A ,$6.72 ,$6.00 ,$7.68 , N/A , N/A ,$6.72 , N/A ,$5.76 , N/A ,$7.20 ,$5.30 ,$4.78 ,$5.30 , N/A ,$5.30 ,$7.78 ,$9.60 ,$7.78 ,$8.16 ,$9.60 ,$6.65 , N/A ,$9.60 ,$5.39 , N/A ,$2.52 ,$9.60 , N/A , N/A , N/A ,$7.68 ,$4.75 ,$2.69 ,$8.64 ,$3.65 ,$5.22 , N/A ,$4.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRAMADOL 50 MG TABS,637,1 ,$9.60 ,$6.91 ,$2.52 ,$24.00 ,$24.00 ,$5.09 ,$5.28 , N/A ,$2.69 ,$5.02 , N/A ,$5.28 , N/A ,$4.75 ,$3.84 , N/A ,$4.75 , N/A ,$6.72 ,$6.00 ,$7.68 , N/A , N/A ,$6.72 , N/A ,$5.76 , N/A ,$7.20 ,$5.30 ,$4.78 ,$5.30 , N/A ,$5.30 ,$7.78 ,$9.60 ,$7.78 ,$8.16 ,$9.60 ,$6.65 , N/A ,$9.60 ,$5.39 , N/A ,$2.52 ,$9.60 , N/A , N/A , N/A ,$7.68 ,$4.75 ,$2.69 ,$8.64 ,$3.65 ,$5.22 , N/A ,$4.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POTASSIUM CITRATE CR 10 MEQ (1080 MG) TBCR,637,1 ,$12.45 ,$8.96 ,$3.26 ,$31.13 ,$31.13 ,$6.60 ,$6.85 , N/A ,$3.49 ,$6.51 , N/A ,$6.85 , N/A ,$6.16 ,$4.98 , N/A ,$6.16 , N/A ,$8.72 ,$7.78 ,$9.96 , N/A , N/A ,$8.72 , N/A ,$7.47 , N/A ,$9.34 ,$6.87 ,$6.20 ,$6.87 , N/A ,$6.87 ,$10.08 ,$12.45 ,$10.08 ,$10.58 ,$12.45 ,$8.63 , N/A ,$12.45 ,$6.98 , N/A ,$3.26 ,$12.45 , N/A , N/A , N/A ,$9.96 ,$6.16 ,$3.49 ,$11.21 ,$4.73 ,$6.77 , N/A ,$5.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHAZOLAMIDE 25 MG TABS,637,1 ,$12.45 ,$8.96 ,$3.26 ,$31.13 ,$31.13 ,$6.60 ,$6.85 , N/A ,$3.49 ,$6.51 , N/A ,$6.85 , N/A ,$6.16 ,$4.98 , N/A ,$6.16 , N/A ,$8.72 ,$7.78 ,$9.96 , N/A , N/A ,$8.72 , N/A ,$7.47 , N/A ,$9.34 ,$6.87 ,$6.20 ,$6.87 , N/A ,$6.87 ,$10.08 ,$12.45 ,$10.08 ,$10.58 ,$12.45 ,$8.63 , N/A ,$12.45 ,$6.98 , N/A ,$3.26 ,$12.45 , N/A , N/A , N/A ,$9.96 ,$6.16 ,$3.49 ,$11.21 ,$4.73 ,$6.77 , N/A ,$5.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAMIPEXOLE 0.25 MG TABS,637,1 ,$13.25 ,$9.54 ,$3.47 ,$33.13 ,$33.13 ,$7.02 ,$7.29 , N/A ,$3.71 ,$6.93 , N/A ,$7.29 , N/A ,$6.56 ,$5.30 , N/A ,$6.56 , N/A ,$9.28 ,$8.28 ,$10.60 , N/A , N/A ,$9.28 , N/A ,$7.95 , N/A ,$9.94 ,$7.31 ,$6.60 ,$7.31 , N/A ,$7.31 ,$10.73 ,$13.25 ,$10.73 ,$11.26 ,$13.25 ,$9.18 , N/A ,$13.25 ,$7.43 , N/A ,$3.47 ,$13.25 , N/A , N/A , N/A ,$10.60 ,$6.56 ,$3.71 ,$11.93 ,$5.04 ,$7.21 , N/A ,$6.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAMIPEXOLE 1 MG TABS,637,1 ,$14.10 ,$10.15 ,$3.69 ,$35.25 ,$35.25 ,$7.47 ,$7.76 , N/A ,$3.95 ,$7.37 , N/A ,$7.76 , N/A ,$6.98 ,$5.64 , N/A ,$6.98 , N/A ,$9.87 ,$8.81 ,$11.28 , N/A , N/A ,$9.87 , N/A ,$8.46 , N/A ,$10.58 ,$7.78 ,$7.02 ,$7.78 , N/A ,$7.78 ,$11.42 ,$14.10 ,$11.42 ,$11.99 ,$14.10 ,$9.77 , N/A ,$14.10 ,$7.91 , N/A ,$3.69 ,$14.10 , N/A , N/A , N/A ,$11.28 ,$6.98 ,$3.95 ,$12.69 ,$5.36 ,$7.67 , N/A ,$6.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAMIPEXOLE 1.5 MG TABS,637,1 ,$13.30 ,$9.58 ,$3.48 ,$33.25 ,$33.25 ,$7.05 ,$7.32 , N/A ,$3.72 ,$6.96 , N/A ,$7.32 , N/A ,$6.58 ,$5.32 , N/A ,$6.58 , N/A ,$9.31 ,$8.31 ,$10.64 , N/A , N/A ,$9.31 , N/A ,$7.98 , N/A ,$9.98 ,$7.34 ,$6.62 ,$7.34 , N/A ,$7.34 ,$10.77 ,$13.30 ,$10.77 ,$11.31 ,$13.30 ,$9.22 , N/A ,$13.30 ,$7.46 , N/A ,$3.48 ,$13.30 , N/A , N/A , N/A ,$10.64 ,$6.58 ,$3.72 ,$11.97 ,$5.05 ,$7.24 , N/A ,$6.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRASUGREL 10 MG TABS,637,1 ,$128.55 ,$92.56 ,$33.68 ,$321.38 ,$321.38 ,$68.13 ,$70.70 , N/A ,$35.99 ,$67.23 , N/A ,$70.70 , N/A ,$63.63 ,$51.42 , N/A ,$63.63 , N/A ,$89.99 ,$80.34 ,$102.84 , N/A , N/A ,$89.99 , N/A ,$77.13 , N/A ,$96.41 ,$70.96 ,$64.02 ,$70.96 , N/A ,$70.96 ,$104.13 ,$128.55 ,$104.13 ,$109.27 ,$128.55 ,$89.09 , N/A ,$128.55 ,$72.12 , N/A ,$33.68 ,$128.55 , N/A , N/A , N/A ,$102.84 ,$63.63 ,$35.99 ,$115.70 ,$48.85 ,$69.93 , N/A ,$61.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAVASTATIN 20 MG TABS,637,1 ,$39.22 ,$28.24 ,$10.28 ,$98.05 ,$98.05 ,$20.79 ,$21.57 , N/A ,$10.98 ,$20.51 , N/A ,$21.57 , N/A ,$19.41 ,$15.69 , N/A ,$19.41 , N/A ,$27.45 ,$24.51 ,$31.38 , N/A , N/A ,$27.45 , N/A ,$23.53 , N/A ,$29.42 ,$21.65 ,$19.53 ,$21.65 , N/A ,$21.65 ,$31.77 ,$39.22 ,$31.77 ,$33.34 ,$39.22 ,$27.18 , N/A ,$39.22 ,$22.00 , N/A ,$10.28 ,$39.22 , N/A , N/A , N/A ,$31.38 ,$19.41 ,$10.98 ,$35.30 ,$14.90 ,$21.34 , N/A ,$18.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAZOSIN 1 MG CAPS,637,1 ,$21.75 ,$15.66 ,$5.70 ,$54.38 ,$54.38 ,$11.53 ,$11.96 , N/A ,$6.09 ,$11.38 , N/A ,$11.96 , N/A ,$10.77 ,$8.70 , N/A ,$10.77 , N/A ,$15.23 ,$13.59 ,$17.40 , N/A , N/A ,$15.23 , N/A ,$13.05 , N/A ,$16.31 ,$12.01 ,$10.83 ,$12.01 , N/A ,$12.01 ,$17.62 ,$21.75 ,$17.62 ,$18.49 ,$21.75 ,$15.07 , N/A ,$21.75 ,$12.20 , N/A ,$5.70 ,$21.75 , N/A , N/A , N/A ,$17.40 ,$10.77 ,$6.09 ,$19.58 ,$8.27 ,$11.83 , N/A ,$10.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VERAPAMIL 180 MG TBCR,637,1 ,$21.75 ,$15.66 ,$5.70 ,$54.38 ,$54.38 ,$11.53 ,$11.96 , N/A ,$6.09 ,$11.38 , N/A ,$11.96 , N/A ,$10.77 ,$8.70 , N/A ,$10.77 , N/A ,$15.23 ,$13.59 ,$17.40 , N/A , N/A ,$15.23 , N/A ,$13.05 , N/A ,$16.31 ,$12.01 ,$10.83 ,$12.01 , N/A ,$12.01 ,$17.62 ,$21.75 ,$17.62 ,$18.49 ,$21.75 ,$15.07 , N/A ,$21.75 ,$12.20 , N/A ,$5.70 ,$21.75 , N/A , N/A , N/A ,$17.40 ,$10.77 ,$6.09 ,$19.58 ,$8.27 ,$11.83 , N/A ,$10.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRAZOSIN 5 MG CAPS,637,1 ,$49.40 ,$35.57 ,$12.94 ,$123.50 ,$123.50 ,$26.18 ,$27.17 , N/A ,$13.83 ,$25.84 , N/A ,$27.17 , N/A ,$24.45 ,$19.76 , N/A ,$24.45 , N/A ,$34.58 ,$30.88 ,$39.52 , N/A , N/A ,$34.58 , N/A ,$29.64 , N/A ,$37.05 ,$27.27 ,$24.60 ,$27.27 , N/A ,$27.27 ,$40.01 ,$49.40 ,$40.01 ,$41.99 ,$49.40 ,$34.23 , N/A ,$49.40 ,$27.71 , N/A ,$12.94 ,$49.40 , N/A , N/A , N/A ,$39.52 ,$24.45 ,$13.83 ,$44.46 ,$18.77 ,$26.87 , N/A ,$23.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BICALUTAMIDE 50 MG TABS,637,1 ,$49.40 ,$35.57 ,$12.94 ,$123.50 ,$123.50 ,$26.18 ,$27.17 , N/A ,$13.83 ,$25.84 , N/A ,$27.17 , N/A ,$24.45 ,$19.76 , N/A ,$24.45 , N/A ,$34.58 ,$30.88 ,$39.52 , N/A , N/A ,$34.58 , N/A ,$29.64 , N/A ,$37.05 ,$27.27 ,$24.60 ,$27.27 , N/A ,$27.27 ,$40.01 ,$49.40 ,$40.01 ,$41.99 ,$49.40 ,$34.23 , N/A ,$49.40 ,$27.71 , N/A ,$12.94 ,$49.40 , N/A , N/A , N/A ,$39.52 ,$24.45 ,$13.83 ,$44.46 ,$18.77 ,$26.87 , N/A ,$23.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PREGABALIN 25 MG CAPS,637,1 ,$29.75 ,$21.42 ,$7.79 ,$74.38 ,$74.38 ,$15.77 ,$16.36 , N/A ,$8.33 ,$15.56 , N/A ,$16.36 , N/A ,$14.73 ,$11.90 , N/A ,$14.73 , N/A ,$20.83 ,$18.59 ,$23.80 , N/A , N/A ,$20.83 , N/A ,$17.85 , N/A ,$22.31 ,$16.42 ,$14.82 ,$16.42 , N/A ,$16.42 ,$24.10 ,$29.75 ,$24.10 ,$25.29 ,$29.75 ,$20.62 , N/A ,$29.75 ,$16.69 , N/A ,$7.79 ,$29.75 , N/A , N/A , N/A ,$23.80 ,$14.73 ,$8.33 ,$26.78 ,$11.31 ,$16.18 , N/A ,$14.28 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PREGABALIN 75 MG CAPS,637,1 ,$32.70 ,$23.54 ,$8.57 ,$81.75 ,$81.75 ,$17.33 ,$17.99 , N/A ,$9.16 ,$17.10 , N/A ,$17.99 , N/A ,$16.19 ,$13.08 , N/A ,$16.19 , N/A ,$22.89 ,$20.44 ,$26.16 , N/A , N/A ,$22.89 , N/A ,$19.62 , N/A ,$24.53 ,$18.05 ,$16.28 ,$18.05 , N/A ,$18.05 ,$26.49 ,$32.70 ,$26.49 ,$27.80 ,$32.70 ,$22.66 , N/A ,$32.70 ,$18.34 , N/A ,$8.57 ,$32.70 , N/A , N/A , N/A ,$26.16 ,$16.19 ,$9.16 ,$29.43 ,$12.43 ,$17.79 , N/A ,$15.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PREGABALIN 100 MG CAPS,637,1 ,$32.70 ,$23.54 ,$8.57 ,$81.75 ,$81.75 ,$17.33 ,$17.99 , N/A ,$9.16 ,$17.10 , N/A ,$17.99 , N/A ,$16.19 ,$13.08 , N/A ,$16.19 , N/A ,$22.89 ,$20.44 ,$26.16 , N/A , N/A ,$22.89 , N/A ,$19.62 , N/A ,$24.53 ,$18.05 ,$16.28 ,$18.05 , N/A ,$18.05 ,$26.49 ,$32.70 ,$26.49 ,$27.80 ,$32.70 ,$22.66 , N/A ,$32.70 ,$18.34 , N/A ,$8.57 ,$32.70 , N/A , N/A , N/A ,$26.16 ,$16.19 ,$9.16 ,$29.43 ,$12.43 ,$17.79 , N/A ,$15.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRIMIDONE 250 MG TABS,637,1 ,$12.60 ,$9.07 ,$3.30 ,$31.50 ,$31.50 ,$6.68 ,$6.93 , N/A ,$3.53 ,$6.59 , N/A ,$6.93 , N/A ,$6.24 ,$5.04 , N/A ,$6.24 , N/A ,$8.82 ,$7.88 ,$10.08 , N/A , N/A ,$8.82 , N/A ,$7.56 , N/A ,$9.45 ,$6.96 ,$6.27 ,$6.96 , N/A ,$6.96 ,$10.21 ,$12.60 ,$10.21 ,$10.71 ,$12.60 ,$8.73 , N/A ,$12.60 ,$7.07 , N/A ,$3.30 ,$12.60 , N/A , N/A , N/A ,$10.08 ,$6.24 ,$3.53 ,$11.34 ,$4.79 ,$6.85 , N/A ,$6.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MINERAL OIL OIL,637,1 ,$12.60 ,$9.07 ,$3.30 ,$31.50 ,$31.50 ,$6.68 ,$6.93 , N/A ,$3.53 ,$6.59 , N/A ,$6.93 , N/A ,$6.24 ,$5.04 , N/A ,$6.24 , N/A ,$8.82 ,$7.88 ,$10.08 , N/A , N/A ,$8.82 , N/A ,$7.56 , N/A ,$9.45 ,$6.96 ,$6.27 ,$6.96 , N/A ,$6.96 ,$10.21 ,$12.60 ,$10.21 ,$10.71 ,$12.60 ,$8.73 , N/A ,$12.60 ,$7.07 , N/A ,$3.30 ,$12.60 , N/A , N/A , N/A ,$10.08 ,$6.24 ,$3.53 ,$11.34 ,$4.79 ,$6.85 , N/A ,$6.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUDROCORTISONE 0.1 MG TABS,637,1 ,$12.60 ,$9.07 ,$3.30 ,$31.50 ,$31.50 ,$6.68 ,$6.93 , N/A ,$3.53 ,$6.59 , N/A ,$6.93 , N/A ,$6.24 ,$5.04 , N/A ,$6.24 , N/A ,$8.82 ,$7.88 ,$10.08 , N/A , N/A ,$8.82 , N/A ,$7.56 , N/A ,$9.45 ,$6.96 ,$6.27 ,$6.96 , N/A ,$6.96 ,$10.21 ,$12.60 ,$10.21 ,$10.71 ,$12.60 ,$8.73 , N/A ,$12.60 ,$7.07 , N/A ,$3.30 ,$12.60 , N/A , N/A , N/A ,$10.08 ,$6.24 ,$3.53 ,$11.34 ,$4.79 ,$6.85 , N/A ,$6.05 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRIMIDONE 50 MG TABS,637,1 ,$11.77 ,$8.47 ,$3.08 ,$29.43 ,$29.43 ,$6.24 ,$6.47 , N/A ,$3.30 ,$6.16 , N/A ,$6.47 , N/A ,$5.83 ,$4.71 , N/A ,$5.83 , N/A ,$8.24 ,$7.36 ,$9.42 , N/A , N/A ,$8.24 , N/A ,$7.06 , N/A ,$8.83 ,$6.50 ,$5.86 ,$6.50 , N/A ,$6.50 ,$9.53 ,$11.77 ,$9.53 ,$10.00 ,$11.77 ,$8.16 , N/A ,$11.77 ,$6.60 , N/A ,$3.08 ,$11.77 , N/A , N/A , N/A ,$9.42 ,$5.83 ,$3.30 ,$10.59 ,$4.47 ,$6.40 , N/A ,$5.65 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROBENECID 500 MG TABS,637,1 ,$13.10 ,$9.43 ,$3.43 ,$32.75 ,$32.75 ,$6.94 ,$7.21 , N/A ,$3.67 ,$6.85 , N/A ,$7.21 , N/A ,$6.48 ,$5.24 , N/A ,$6.48 , N/A ,$9.17 ,$8.19 ,$10.48 , N/A , N/A ,$9.17 , N/A ,$7.86 , N/A ,$9.83 ,$7.23 ,$6.52 ,$7.23 , N/A ,$7.23 ,$10.61 ,$13.10 ,$10.61 ,$11.14 ,$13.10 ,$9.08 , N/A ,$13.10 ,$7.35 , N/A ,$3.43 ,$13.10 , N/A , N/A , N/A ,$10.48 ,$6.48 ,$3.67 ,$11.79 ,$4.98 ,$7.13 , N/A ,$6.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROCHLORPERAZINE 10 MG TABS,637,1 ,$21.25 ,$15.30 ,$5.57 ,$53.13 ,$53.13 ,$11.26 ,$11.69 , N/A ,$5.95 ,$11.11 , N/A ,$11.69 , N/A ,$10.52 ,$8.50 , N/A ,$10.52 , N/A ,$14.88 ,$13.28 ,$17.00 , N/A , N/A ,$14.88 , N/A ,$12.75 , N/A ,$15.94 ,$11.73 ,$10.58 ,$11.73 , N/A ,$11.73 ,$17.21 ,$21.25 ,$17.21 ,$18.06 ,$21.25 ,$14.73 , N/A ,$21.25 ,$11.92 , N/A ,$5.57 ,$21.25 , N/A , N/A , N/A ,$17.00 ,$10.52 ,$5.95 ,$19.13 ,$8.08 ,$11.56 , N/A ,$10.20 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROCHLORPERAZINE 5 MG TABS,637,1 ,$19.35 ,$13.93 ,$5.07 ,$48.38 ,$48.38 ,$10.26 ,$10.64 , N/A ,$5.42 ,$10.12 , N/A ,$10.64 , N/A ,$9.58 ,$7.74 , N/A ,$9.58 , N/A ,$13.55 ,$12.09 ,$15.48 , N/A , N/A ,$13.55 , N/A ,$11.61 , N/A ,$14.51 ,$10.68 ,$9.64 ,$10.68 , N/A ,$10.68 ,$15.67 ,$19.35 ,$15.67 ,$16.45 ,$19.35 ,$13.41 , N/A ,$19.35 ,$10.86 , N/A ,$5.07 ,$19.35 , N/A , N/A , N/A ,$15.48 ,$9.58 ,$5.42 ,$17.42 ,$7.35 ,$10.53 , N/A ,$9.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROMETHAZINE 25 MG SUPP,637,1 ,$79.70 ,$57.38 ,$20.88 ,$199.25 ,$199.25 ,$42.24 ,$43.84 , N/A ,$22.32 ,$41.68 , N/A ,$43.84 , N/A ,$39.45 ,$31.88 , N/A ,$39.45 , N/A ,$55.79 ,$49.81 ,$63.76 , N/A , N/A ,$55.79 , N/A ,$47.82 , N/A ,$59.78 ,$43.99 ,$39.69 ,$43.99 , N/A ,$43.99 ,$64.56 ,$79.70 ,$64.56 ,$67.75 ,$79.70 ,$55.23 , N/A ,$79.70 ,$44.71 , N/A ,$20.88 ,$79.70 , N/A , N/A , N/A ,$63.76 ,$39.45 ,$22.32 ,$71.73 ,$30.29 ,$43.36 , N/A ,$38.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CAPSAICIN 0.025 % CREA 60 G TUBE,637,1 ,$79.70 ,$57.38 ,$20.88 ,$199.25 ,$199.25 ,$42.24 ,$43.84 , N/A ,$22.32 ,$41.68 , N/A ,$43.84 , N/A ,$39.45 ,$31.88 , N/A ,$39.45 , N/A ,$55.79 ,$49.81 ,$63.76 , N/A , N/A ,$55.79 , N/A ,$47.82 , N/A ,$59.78 ,$43.99 ,$39.69 ,$43.99 , N/A ,$43.99 ,$64.56 ,$79.70 ,$64.56 ,$67.75 ,$79.70 ,$55.23 , N/A ,$79.70 ,$44.71 , N/A ,$20.88 ,$79.70 , N/A , N/A , N/A ,$63.76 ,$39.45 ,$22.32 ,$71.73 ,$30.29 ,$43.36 , N/A ,$38.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROMETHAZINE 25 MG TABS,637,1 ,$6.50 ,$4.68 ,$1.70 ,$16.25 ,$16.25 ,$3.45 ,$3.58 , N/A ,$1.82 ,$3.40 , N/A ,$3.58 , N/A ,$3.22 ,$2.60 , N/A ,$3.22 , N/A ,$4.55 ,$4.06 ,$5.20 , N/A , N/A ,$4.55 , N/A ,$3.90 , N/A ,$4.88 ,$3.59 ,$3.24 ,$3.59 , N/A ,$3.59 ,$5.27 ,$6.50 ,$5.27 ,$5.53 ,$6.50 ,$4.50 , N/A ,$6.50 ,$3.65 , N/A ,$1.70 ,$6.50 , N/A , N/A , N/A ,$5.20 ,$3.22 ,$1.82 ,$5.85 ,$2.47 ,$3.54 , N/A ,$3.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXYCODONE IMMEDIATE RELEASE 5 MG TABS,637,1 ,$6.50 ,$4.68 ,$1.70 ,$16.25 ,$16.25 ,$3.45 ,$3.58 , N/A ,$1.82 ,$3.40 , N/A ,$3.58 , N/A ,$3.22 ,$2.60 , N/A ,$3.22 , N/A ,$4.55 ,$4.06 ,$5.20 , N/A , N/A ,$4.55 , N/A ,$3.90 , N/A ,$4.88 ,$3.59 ,$3.24 ,$3.59 , N/A ,$3.59 ,$5.27 ,$6.50 ,$5.27 ,$5.53 ,$6.50 ,$4.50 , N/A ,$6.50 ,$3.65 , N/A ,$1.70 ,$6.50 , N/A , N/A , N/A ,$5.20 ,$3.22 ,$1.82 ,$5.85 ,$2.47 ,$3.54 , N/A ,$3.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROMETHAZINE 6.25 MG/5ML SYRP,637,1 ,$0.60 ,$0.43 ,$0.16 ,$1.50 ,$1.50 ,$0.32 ,$0.33 , N/A ,$0.17 ,$0.31 , N/A ,$0.33 , N/A ,$0.30 ,$0.24 , N/A ,$0.30 , N/A ,$0.42 ,$0.38 ,$0.48 , N/A , N/A ,$0.42 , N/A ,$0.36 , N/A ,$0.45 ,$0.33 ,$0.30 ,$0.33 , N/A ,$0.33 ,$0.49 ,$0.60 ,$0.49 ,$0.51 ,$0.60 ,$0.42 , N/A ,$0.60 ,$0.34 , N/A ,$0.16 ,$0.60 , N/A , N/A , N/A ,$0.48 ,$0.30 ,$0.17 ,$0.54 ,$0.23 ,$0.33 , N/A ,$0.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN 250 MG/5ML SUSR,637,1 ,$0.60 ,$0.43 ,$0.16 ,$1.50 ,$1.50 ,$0.32 ,$0.33 , N/A ,$0.17 ,$0.31 , N/A ,$0.33 , N/A ,$0.30 ,$0.24 , N/A ,$0.30 , N/A ,$0.42 ,$0.38 ,$0.48 , N/A , N/A ,$0.42 , N/A ,$0.36 , N/A ,$0.45 ,$0.33 ,$0.30 ,$0.33 , N/A ,$0.33 ,$0.49 ,$0.60 ,$0.49 ,$0.51 ,$0.60 ,$0.42 , N/A ,$0.60 ,$0.34 , N/A ,$0.16 ,$0.60 , N/A , N/A , N/A ,$0.48 ,$0.30 ,$0.17 ,$0.54 ,$0.23 ,$0.33 , N/A ,$0.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROPAFENONE 150 MG TABS,637,1 ,$11.15 ,$8.03 ,$2.92 ,$27.88 ,$27.88 ,$5.91 ,$6.13 , N/A ,$3.12 ,$5.83 , N/A ,$6.13 , N/A ,$5.52 ,$4.46 , N/A ,$5.52 , N/A ,$7.81 ,$6.97 ,$8.92 , N/A , N/A ,$7.81 , N/A ,$6.69 , N/A ,$8.36 ,$6.15 ,$5.55 ,$6.15 , N/A ,$6.15 ,$9.03 ,$11.15 ,$9.03 ,$9.48 ,$11.15 ,$7.73 , N/A ,$11.15 ,$6.26 , N/A ,$2.92 ,$11.15 , N/A , N/A , N/A ,$8.92 ,$5.52 ,$3.12 ,$10.04 ,$4.24 ,$6.07 , N/A ,$5.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BACLOFEN 10 MG TABS,637,1 ,$11.15 ,$8.03 ,$2.92 ,$27.88 ,$27.88 ,$5.91 ,$6.13 , N/A ,$3.12 ,$5.83 , N/A ,$6.13 , N/A ,$5.52 ,$4.46 , N/A ,$5.52 , N/A ,$7.81 ,$6.97 ,$8.92 , N/A , N/A ,$7.81 , N/A ,$6.69 , N/A ,$8.36 ,$6.15 ,$5.55 ,$6.15 , N/A ,$6.15 ,$9.03 ,$11.15 ,$9.03 ,$9.48 ,$11.15 ,$7.73 , N/A ,$11.15 ,$6.26 , N/A ,$2.92 ,$11.15 , N/A , N/A , N/A ,$8.92 ,$5.52 ,$3.12 ,$10.04 ,$4.24 ,$6.07 , N/A ,$5.35 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROPRANOLOL 10 MG TABS,637,1 ,$3.00 ,$2.16 ,$0.79 ,$7.50 ,$7.50 ,$1.59 ,$1.65 , N/A ,$0.84 ,$1.57 , N/A ,$1.65 , N/A ,$1.49 ,$1.20 , N/A ,$1.49 , N/A ,$2.10 ,$1.88 ,$2.40 , N/A , N/A ,$2.10 , N/A ,$1.80 , N/A ,$2.25 ,$1.66 ,$1.49 ,$1.66 , N/A ,$1.66 ,$2.43 ,$3.00 ,$2.43 ,$2.55 ,$3.00 ,$2.08 , N/A ,$3.00 ,$1.68 , N/A ,$0.79 ,$3.00 , N/A , N/A , N/A ,$2.40 ,$1.49 ,$0.84 ,$2.70 ,$1.14 ,$1.63 , N/A ,$1.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BISACODYL EC 5 MG TBEC,637,1 ,$3.00 ,$2.16 ,$0.79 ,$7.50 ,$7.50 ,$1.59 ,$1.65 , N/A ,$0.84 ,$1.57 , N/A ,$1.65 , N/A ,$1.49 ,$1.20 , N/A ,$1.49 , N/A ,$2.10 ,$1.88 ,$2.40 , N/A , N/A ,$2.10 , N/A ,$1.80 , N/A ,$2.25 ,$1.66 ,$1.49 ,$1.66 , N/A ,$1.66 ,$2.43 ,$3.00 ,$2.43 ,$2.55 ,$3.00 ,$2.08 , N/A ,$3.00 ,$1.68 , N/A ,$0.79 ,$3.00 , N/A , N/A , N/A ,$2.40 ,$1.49 ,$0.84 ,$2.70 ,$1.14 ,$1.63 , N/A ,$1.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 500 MG TABS,637,1 ,$3.00 ,$2.16 ,$0.79 ,$7.50 ,$7.50 ,$1.59 ,$1.65 , N/A ,$0.84 ,$1.57 , N/A ,$1.65 , N/A ,$1.49 ,$1.20 , N/A ,$1.49 , N/A ,$2.10 ,$1.88 ,$2.40 , N/A , N/A ,$2.10 , N/A ,$1.80 , N/A ,$2.25 ,$1.66 ,$1.49 ,$1.66 , N/A ,$1.66 ,$2.43 ,$3.00 ,$2.43 ,$2.55 ,$3.00 ,$2.08 , N/A ,$3.00 ,$1.68 , N/A ,$0.79 ,$3.00 , N/A , N/A , N/A ,$2.40 ,$1.49 ,$0.84 ,$2.70 ,$1.14 ,$1.63 , N/A ,$1.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIHEXYPHENIDYL 2 MG TABS,637,1 ,$3.00 ,$2.16 ,$0.79 ,$7.50 ,$7.50 ,$1.59 ,$1.65 , N/A ,$0.84 ,$1.57 , N/A ,$1.65 , N/A ,$1.49 ,$1.20 , N/A ,$1.49 , N/A ,$2.10 ,$1.88 ,$2.40 , N/A , N/A ,$2.10 , N/A ,$1.80 , N/A ,$2.25 ,$1.66 ,$1.49 ,$1.66 , N/A ,$1.66 ,$2.43 ,$3.00 ,$2.43 ,$2.55 ,$3.00 ,$2.08 , N/A ,$3.00 ,$1.68 , N/A ,$0.79 ,$3.00 , N/A , N/A , N/A ,$2.40 ,$1.49 ,$0.84 ,$2.70 ,$1.14 ,$1.63 , N/A ,$1.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN 250 MG CAPS,637,1 ,$3.00 ,$2.16 ,$0.79 ,$7.50 ,$7.50 ,$1.59 ,$1.65 , N/A ,$0.84 ,$1.57 , N/A ,$1.65 , N/A ,$1.49 ,$1.20 , N/A ,$1.49 , N/A ,$2.10 ,$1.88 ,$2.40 , N/A , N/A ,$2.10 , N/A ,$1.80 , N/A ,$2.25 ,$1.66 ,$1.49 ,$1.66 , N/A ,$1.66 ,$2.43 ,$3.00 ,$2.43 ,$2.55 ,$3.00 ,$2.08 , N/A ,$3.00 ,$1.68 , N/A ,$0.79 ,$3.00 , N/A , N/A , N/A ,$2.40 ,$1.49 ,$0.84 ,$2.70 ,$1.14 ,$1.63 , N/A ,$1.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROPRANOLOL 20 MG TABS,637,1 ,$13.95 ,$10.04 ,$3.65 ,$34.88 ,$34.88 ,$7.39 ,$7.67 , N/A ,$3.91 ,$7.30 , N/A ,$7.67 , N/A ,$6.91 ,$5.58 , N/A ,$6.91 , N/A ,$9.77 ,$8.72 ,$11.16 , N/A , N/A ,$9.77 , N/A ,$8.37 , N/A ,$10.46 ,$7.70 ,$6.95 ,$7.70 , N/A ,$7.70 ,$11.30 ,$13.95 ,$11.30 ,$11.86 ,$13.95 ,$9.67 , N/A ,$13.95 ,$7.83 , N/A ,$3.65 ,$13.95 , N/A , N/A , N/A ,$11.16 ,$6.91 ,$3.91 ,$12.56 ,$5.30 ,$7.59 , N/A ,$6.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROPRANOLOL 40 MG TABS,637,1 ,$15.65 ,$11.27 ,$4.10 ,$39.13 ,$39.13 ,$8.29 ,$8.61 , N/A ,$4.38 ,$8.19 , N/A ,$8.61 , N/A ,$7.75 ,$6.26 , N/A ,$7.75 , N/A ,$10.96 ,$9.78 ,$12.52 , N/A , N/A ,$10.96 , N/A ,$9.39 , N/A ,$11.74 ,$8.64 ,$7.79 ,$8.64 , N/A ,$8.64 ,$12.68 ,$15.65 ,$12.68 ,$13.30 ,$15.65 ,$10.85 , N/A ,$15.65 ,$8.78 , N/A ,$4.10 ,$15.65 , N/A , N/A , N/A ,$12.52 ,$7.75 ,$4.38 ,$14.09 ,$5.95 ,$8.51 , N/A ,$7.51 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PYRIDOSTIGMINE 60 MG TABS,637,1 ,$17.80 ,$12.82 ,$4.66 ,$44.50 ,$44.50 ,$9.43 ,$9.79 , N/A ,$4.98 ,$9.31 , N/A ,$9.79 , N/A ,$8.81 ,$7.12 , N/A ,$8.81 , N/A ,$12.46 ,$11.13 ,$14.24 , N/A , N/A ,$12.46 , N/A ,$10.68 , N/A ,$13.35 ,$9.83 ,$8.86 ,$9.83 , N/A ,$9.83 ,$14.42 ,$17.80 ,$14.42 ,$15.13 ,$17.80 ,$12.34 , N/A ,$17.80 ,$9.99 , N/A ,$4.66 ,$17.80 , N/A , N/A , N/A ,$14.24 ,$8.81 ,$4.98 ,$16.02 ,$6.76 ,$9.68 , N/A ,$8.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PYRIDOSTIGMINE CR 180 MG TBCR,637,1 ,$68.25 ,$49.14 ,$17.88 ,$170.63 ,$170.63 ,$36.17 ,$37.54 , N/A ,$19.11 ,$35.69 , N/A ,$37.54 , N/A ,$33.78 ,$27.30 , N/A ,$33.78 , N/A ,$47.78 ,$42.66 ,$54.60 , N/A , N/A ,$47.78 , N/A ,$40.95 , N/A ,$51.19 ,$37.67 ,$33.99 ,$37.67 , N/A ,$37.67 ,$55.28 ,$68.25 ,$55.28 ,$58.01 ,$68.25 ,$47.30 , N/A ,$68.25 ,$38.29 , N/A ,$17.88 ,$68.25 , N/A , N/A , N/A ,$54.60 ,$33.78 ,$19.11 ,$61.43 ,$25.94 ,$37.13 , N/A ,$32.76 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 100 MG TABS,637,1 ,$51.85 ,$37.33 ,$13.58 ,$129.63 ,$129.63 ,$27.48 ,$28.52 , N/A ,$14.52 ,$27.12 , N/A ,$28.52 , N/A ,$25.67 ,$20.74 , N/A ,$25.67 , N/A ,$36.30 ,$32.41 ,$41.48 , N/A , N/A ,$36.30 , N/A ,$31.11 , N/A ,$38.89 ,$28.62 ,$25.82 ,$28.62 , N/A ,$28.62 ,$42.00 ,$51.85 ,$42.00 ,$44.07 ,$51.85 ,$35.93 , N/A ,$51.85 ,$29.09 , N/A ,$13.58 ,$51.85 , N/A , N/A , N/A ,$41.48 ,$25.67 ,$14.52 ,$46.67 ,$19.70 ,$28.21 , N/A ,$24.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ESCITALOPRAM 10 MG TABS,637,1 ,$51.85 ,$37.33 ,$13.58 ,$129.63 ,$129.63 ,$27.48 ,$28.52 , N/A ,$14.52 ,$27.12 , N/A ,$28.52 , N/A ,$25.67 ,$20.74 , N/A ,$25.67 , N/A ,$36.30 ,$32.41 ,$41.48 , N/A , N/A ,$36.30 , N/A ,$31.11 , N/A ,$38.89 ,$28.62 ,$25.82 ,$28.62 , N/A ,$28.62 ,$42.00 ,$51.85 ,$42.00 ,$44.07 ,$51.85 ,$35.93 , N/A ,$51.85 ,$29.09 , N/A ,$13.58 ,$51.85 , N/A , N/A , N/A ,$41.48 ,$25.67 ,$14.52 ,$46.67 ,$19.70 ,$28.21 , N/A ,$24.89 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 200 MG TABS,637,1 ,$85.55 ,$61.60 ,$22.41 ,$213.88 ,$213.88 ,$45.34 ,$47.05 , N/A ,$23.95 ,$44.74 , N/A ,$47.05 , N/A ,$42.35 ,$34.22 , N/A ,$42.35 , N/A ,$59.89 ,$53.47 ,$68.44 , N/A , N/A ,$59.89 , N/A ,$51.33 , N/A ,$64.16 ,$47.22 ,$42.60 ,$47.22 , N/A ,$47.22 ,$69.30 ,$85.55 ,$69.30 ,$72.72 ,$85.55 ,$59.29 , N/A ,$85.55 ,$47.99 , N/A ,$22.41 ,$85.55 , N/A , N/A , N/A ,$68.44 ,$42.35 ,$23.95 ,$77.00 ,$32.51 ,$46.54 , N/A ,$41.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 25 MG TABS,637,1 ,$45.35 ,$32.65 ,$11.88 ,$113.38 ,$113.38 ,$24.04 ,$24.94 , N/A ,$12.70 ,$23.72 , N/A ,$24.94 , N/A ,$22.45 ,$18.14 , N/A ,$22.45 , N/A ,$31.75 ,$28.34 ,$36.28 , N/A , N/A ,$31.75 , N/A ,$27.21 , N/A ,$34.01 ,$25.03 ,$22.58 ,$25.03 , N/A ,$25.03 ,$36.73 ,$45.35 ,$36.73 ,$38.55 ,$45.35 ,$31.43 , N/A ,$45.35 ,$25.44 , N/A ,$11.88 ,$45.35 , N/A , N/A , N/A ,$36.28 ,$22.45 ,$12.70 ,$40.82 ,$17.23 ,$24.67 , N/A ,$21.77 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 300 MG TABS,637,1 ,$112.15 ,$80.75 ,$29.38 ,$280.38 ,$280.38 ,$59.44 ,$61.68 , N/A ,$31.40 ,$58.65 , N/A ,$61.68 , N/A ,$55.51 ,$44.86 , N/A ,$55.51 , N/A ,$78.51 ,$70.09 ,$89.72 , N/A , N/A ,$78.51 , N/A ,$67.29 , N/A ,$84.11 ,$61.91 ,$55.85 ,$61.91 , N/A ,$61.91 ,$90.84 ,$112.15 ,$90.84 ,$95.33 ,$112.15 ,$77.72 , N/A ,$112.15 ,$62.92 , N/A ,$29.38 ,$112.15 , N/A , N/A , N/A ,$89.72 ,$55.51 ,$31.40 ,$100.94 ,$42.62 ,$61.01 , N/A ,$53.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 400 MG TABS,637,1 ,$131.80 ,$94.90 ,$34.53 ,$329.50 ,$329.50 ,$69.85 ,$72.49 , N/A ,$36.90 ,$68.93 , N/A ,$72.49 , N/A ,$65.24 ,$52.72 , N/A ,$65.24 , N/A ,$92.26 ,$82.38 ,$105.44 , N/A , N/A ,$92.26 , N/A ,$79.08 , N/A ,$98.85 ,$72.75 ,$65.64 ,$72.75 , N/A ,$72.75 ,$106.76 ,$131.80 ,$106.76 ,$112.03 ,$131.80 ,$91.34 , N/A ,$131.80 ,$73.94 , N/A ,$34.53 ,$131.80 , N/A , N/A , N/A ,$105.44 ,$65.24 ,$36.90 ,$118.62 ,$50.08 ,$71.70 , N/A ,$63.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE 50 MG TABS,637,1 ,$49.65 ,$35.75 ,$13.01 ,$124.13 ,$124.13 ,$26.31 ,$27.31 , N/A ,$13.90 ,$25.97 , N/A ,$27.31 , N/A ,$24.58 ,$19.86 , N/A ,$24.58 , N/A ,$34.76 ,$31.03 ,$39.72 , N/A , N/A ,$34.76 , N/A ,$29.79 , N/A ,$37.24 ,$27.41 ,$24.73 ,$27.41 , N/A ,$27.41 ,$40.22 ,$49.65 ,$40.22 ,$42.20 ,$49.65 ,$34.41 , N/A ,$49.65 ,$27.85 , N/A ,$13.01 ,$49.65 , N/A , N/A , N/A ,$39.72 ,$24.58 ,$13.90 ,$44.69 ,$18.87 ,$27.01 , N/A ,$23.83 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE XR 150 MG TB24,637,1 ,$43.80 ,$31.54 ,$11.48 ,$109.50 ,$109.50 ,$23.21 ,$24.09 , N/A ,$12.26 ,$22.91 , N/A ,$24.09 , N/A ,$21.68 ,$17.52 , N/A ,$21.68 , N/A ,$30.66 ,$27.38 ,$35.04 , N/A , N/A ,$30.66 , N/A ,$26.28 , N/A ,$32.85 ,$24.18 ,$21.81 ,$24.18 , N/A ,$24.18 ,$35.48 ,$43.80 ,$35.48 ,$37.23 ,$43.80 ,$30.35 , N/A ,$43.80 ,$24.57 , N/A ,$11.48 ,$43.80 , N/A , N/A , N/A ,$35.04 ,$21.68 ,$12.26 ,$39.42 ,$16.64 ,$23.83 , N/A ,$21.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE XR 200 MG TB24,637,1 ,$48.20 ,$34.70 ,$12.63 ,$120.50 ,$120.50 ,$25.55 ,$26.51 , N/A ,$13.50 ,$25.21 , N/A ,$26.51 , N/A ,$23.86 ,$19.28 , N/A ,$23.86 , N/A ,$33.74 ,$30.13 ,$38.56 , N/A , N/A ,$33.74 , N/A ,$28.92 , N/A ,$36.15 ,$26.61 ,$24.00 ,$26.61 , N/A ,$26.61 ,$39.04 ,$48.20 ,$39.04 ,$40.97 ,$48.20 ,$33.40 , N/A ,$48.20 ,$27.04 , N/A ,$12.63 ,$48.20 , N/A , N/A , N/A ,$38.56 ,$23.86 ,$13.50 ,$43.38 ,$18.32 ,$26.22 , N/A ,$23.14 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE XR 300 MG TB24,637,1 ,$63.20 ,$45.50 ,$16.56 ,$158.00 ,$158.00 ,$33.50 ,$34.76 , N/A ,$17.70 ,$33.05 , N/A ,$34.76 , N/A ,$31.28 ,$25.28 , N/A ,$31.28 , N/A ,$44.24 ,$39.50 ,$50.56 , N/A , N/A ,$44.24 , N/A ,$37.92 , N/A ,$47.40 ,$34.89 ,$31.47 ,$34.89 , N/A ,$34.89 ,$51.19 ,$63.20 ,$51.19 ,$53.72 ,$63.20 ,$43.80 , N/A ,$63.20 ,$35.46 , N/A ,$16.56 ,$63.20 , N/A , N/A , N/A ,$50.56 ,$31.28 ,$17.70 ,$56.88 ,$24.02 ,$34.38 , N/A ,$30.34 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE XR 400 MG TB24,637,1 ,$74.30 ,$53.50 ,$19.47 ,$185.75 ,$185.75 ,$39.38 ,$40.87 , N/A ,$20.80 ,$38.86 , N/A ,$40.87 , N/A ,$36.78 ,$29.72 , N/A ,$36.78 , N/A ,$52.01 ,$46.44 ,$59.44 , N/A , N/A ,$52.01 , N/A ,$44.58 , N/A ,$55.73 ,$41.01 ,$37.00 ,$41.01 , N/A ,$41.01 ,$60.18 ,$74.30 ,$60.18 ,$63.16 ,$74.30 ,$51.49 , N/A ,$74.30 ,$41.68 , N/A ,$19.47 ,$74.30 , N/A , N/A , N/A ,$59.44 ,$36.78 ,$20.80 ,$66.87 ,$28.23 ,$40.42 , N/A ,$35.66 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,QUETIAPINE XR 50 MG TB24,637,1 ,$24.40 ,$17.57 ,$6.39 ,$61.00 ,$61.00 ,$12.93 ,$13.42 , N/A ,$6.83 ,$12.76 , N/A ,$13.42 , N/A ,$12.08 ,$9.76 , N/A ,$12.08 , N/A ,$17.08 ,$15.25 ,$19.52 , N/A , N/A ,$17.08 , N/A ,$14.64 , N/A ,$18.30 ,$13.47 ,$12.15 ,$13.47 , N/A ,$13.47 ,$19.76 ,$24.40 ,$19.76 ,$20.74 ,$24.40 ,$16.91 , N/A ,$24.40 ,$13.69 , N/A ,$6.39 ,$24.40 , N/A , N/A , N/A ,$19.52 ,$12.08 ,$6.83 ,$21.96 ,$9.27 ,$13.27 , N/A ,$11.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACTOBACILLUS PACK,637,1 ,$24.40 ,$17.57 ,$6.39 ,$61.00 ,$61.00 ,$12.93 ,$13.42 , N/A ,$6.83 ,$12.76 , N/A ,$13.42 , N/A ,$12.08 ,$9.76 , N/A ,$12.08 , N/A ,$17.08 ,$15.25 ,$19.52 , N/A , N/A ,$17.08 , N/A ,$14.64 , N/A ,$18.30 ,$13.47 ,$12.15 ,$13.47 , N/A ,$13.47 ,$19.76 ,$24.40 ,$19.76 ,$20.74 ,$24.40 ,$16.91 , N/A ,$24.40 ,$13.69 , N/A ,$6.39 ,$24.40 , N/A , N/A , N/A ,$19.52 ,$12.08 ,$6.83 ,$21.96 ,$9.27 ,$13.27 , N/A ,$11.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RALOXIFENE 60 MG TABS,637,1 ,$58.70 ,$42.26 ,$15.38 ,$146.75 ,$146.75 ,$31.11 ,$32.29 , N/A ,$16.44 ,$30.70 , N/A ,$32.29 , N/A ,$29.06 ,$23.48 , N/A ,$29.06 , N/A ,$41.09 ,$36.69 ,$46.96 , N/A , N/A ,$41.09 , N/A ,$35.22 , N/A ,$44.03 ,$32.40 ,$29.23 ,$32.40 , N/A ,$32.40 ,$47.55 ,$58.70 ,$47.55 ,$49.90 ,$58.70 ,$40.68 , N/A ,$58.70 ,$32.93 , N/A ,$15.38 ,$58.70 , N/A , N/A , N/A ,$46.96 ,$29.06 ,$16.44 ,$52.83 ,$22.31 ,$31.93 , N/A ,$28.18 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RALTEGRAVIR 400 MG TABS,637,1 ,$100.20 ,$72.14 ,$26.25 ,$250.50 ,$250.50 ,$53.11 ,$55.11 , N/A ,$28.06 ,$52.40 , N/A ,$55.11 , N/A ,$49.60 ,$40.08 , N/A ,$49.60 , N/A ,$70.14 ,$62.63 ,$80.16 , N/A , N/A ,$70.14 , N/A ,$60.12 , N/A ,$75.15 ,$55.31 ,$49.90 ,$55.31 , N/A ,$55.31 ,$81.16 ,$100.20 ,$81.16 ,$85.17 ,$100.20 ,$69.44 , N/A ,$100.20 ,$56.21 , N/A ,$26.25 ,$100.20 , N/A , N/A , N/A ,$80.16 ,$49.60 ,$28.06 ,$90.18 ,$38.08 ,$54.51 , N/A ,$48.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RANOLAZINE ER 500 MG TB12,637,1 ,$20.20 ,$14.54 ,$5.29 ,$50.50 ,$50.50 ,$10.71 ,$11.11 , N/A ,$5.66 ,$10.56 , N/A ,$11.11 , N/A ,$10.00 ,$8.08 , N/A ,$10.00 , N/A ,$14.14 ,$12.63 ,$16.16 , N/A , N/A ,$14.14 , N/A ,$12.12 , N/A ,$15.15 ,$11.15 ,$10.06 ,$11.15 , N/A ,$11.15 ,$16.36 ,$20.20 ,$16.36 ,$17.17 ,$20.20 ,$14.00 , N/A ,$20.20 ,$11.33 , N/A ,$5.29 ,$20.20 , N/A , N/A , N/A ,$16.16 ,$10.00 ,$5.66 ,$18.18 ,$7.68 ,$10.99 , N/A ,$9.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM ACETATE (PHOS BINDER) 667 MG CAPS,637,1 ,$20.20 ,$14.54 ,$5.29 ,$50.50 ,$50.50 ,$10.71 ,$11.11 , N/A ,$5.66 ,$10.56 , N/A ,$11.11 , N/A ,$10.00 ,$8.08 , N/A ,$10.00 , N/A ,$14.14 ,$12.63 ,$16.16 , N/A , N/A ,$14.14 , N/A ,$12.12 , N/A ,$15.15 ,$11.15 ,$10.06 ,$11.15 , N/A ,$11.15 ,$16.36 ,$20.20 ,$16.36 ,$17.17 ,$20.20 ,$14.00 , N/A ,$20.20 ,$11.33 , N/A ,$5.29 ,$20.20 , N/A , N/A , N/A ,$16.16 ,$10.00 ,$5.66 ,$18.18 ,$7.68 ,$10.99 , N/A ,$9.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NYSTATIN 100000 UNIT/ML SUSP,637,1 ,$20.20 ,$14.54 ,$5.29 ,$50.50 ,$50.50 ,$10.71 ,$11.11 , N/A ,$5.66 ,$10.56 , N/A ,$11.11 , N/A ,$10.00 ,$8.08 , N/A ,$10.00 , N/A ,$14.14 ,$12.63 ,$16.16 , N/A , N/A ,$14.14 , N/A ,$12.12 , N/A ,$15.15 ,$11.15 ,$10.06 ,$11.15 , N/A ,$11.15 ,$16.36 ,$20.20 ,$16.36 ,$17.17 ,$20.20 ,$14.00 , N/A ,$20.20 ,$11.33 , N/A ,$5.29 ,$20.20 , N/A , N/A , N/A ,$16.16 ,$10.00 ,$5.66 ,$18.18 ,$7.68 ,$10.99 , N/A ,$9.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACTULOSE 20 GM/30ML SOLN,637,1 ,$20.20 ,$14.54 ,$5.29 ,$50.50 ,$50.50 ,$10.71 ,$11.11 , N/A ,$5.66 ,$10.56 , N/A ,$11.11 , N/A ,$10.00 ,$8.08 , N/A ,$10.00 , N/A ,$14.14 ,$12.63 ,$16.16 , N/A , N/A ,$14.14 , N/A ,$12.12 , N/A ,$15.15 ,$11.15 ,$10.06 ,$11.15 , N/A ,$11.15 ,$16.36 ,$20.20 ,$16.36 ,$17.17 ,$20.20 ,$14.00 , N/A ,$20.20 ,$11.33 , N/A ,$5.29 ,$20.20 , N/A , N/A , N/A ,$16.16 ,$10.00 ,$5.66 ,$18.18 ,$7.68 ,$10.99 , N/A ,$9.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIFAMPIN 300 MG CAPS,637,1 ,$20.50 ,$14.76 ,$5.37 ,$51.25 ,$51.25 ,$10.87 ,$11.28 , N/A ,$5.74 ,$10.72 , N/A ,$11.28 , N/A ,$10.15 ,$8.20 , N/A ,$10.15 , N/A ,$14.35 ,$12.81 ,$16.40 , N/A , N/A ,$14.35 , N/A ,$12.30 , N/A ,$15.38 ,$11.32 ,$10.21 ,$11.32 , N/A ,$11.32 ,$16.61 ,$20.50 ,$16.61 ,$17.43 ,$20.50 ,$14.21 , N/A ,$20.50 ,$11.50 , N/A ,$5.37 ,$20.50 , N/A , N/A , N/A ,$16.40 ,$10.15 ,$5.74 ,$18.45 ,$7.79 ,$11.15 , N/A ,$9.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CLOTRIMAZOLE 1 % CREA 28 G TUBE,637,1 ,$20.50 ,$14.76 ,$5.37 ,$51.25 ,$51.25 ,$10.87 ,$11.28 , N/A ,$5.74 ,$10.72 , N/A ,$11.28 , N/A ,$10.15 ,$8.20 , N/A ,$10.15 , N/A ,$14.35 ,$12.81 ,$16.40 , N/A , N/A ,$14.35 , N/A ,$12.30 , N/A ,$15.38 ,$11.32 ,$10.21 ,$11.32 , N/A ,$11.32 ,$16.61 ,$20.50 ,$16.61 ,$17.43 ,$20.50 ,$14.21 , N/A ,$20.50 ,$11.50 , N/A ,$5.37 ,$20.50 , N/A , N/A , N/A ,$16.40 ,$10.15 ,$5.74 ,$18.45 ,$7.79 ,$11.15 , N/A ,$9.84 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIFAXIMIN 550 MG TABS,637,1 ,$163.65 ,$117.83 ,$42.88 ,$409.13 ,$409.13 ,$86.73 ,$90.01 , N/A ,$45.82 ,$85.59 , N/A ,$90.01 , N/A ,$81.01 ,$65.46 , N/A ,$81.01 , N/A ,$114.56 ,$102.28 ,$130.92 , N/A , N/A ,$114.56 , N/A ,$98.19 , N/A ,$122.74 ,$90.33 ,$81.50 ,$90.33 , N/A ,$90.33 ,$132.56 ,$163.65 ,$132.56 ,$139.10 ,$163.65 ,$113.41 , N/A ,$163.65 ,$91.81 , N/A ,$42.88 ,$163.65 , N/A , N/A , N/A ,$130.92 ,$81.01 ,$45.82 ,$147.29 ,$62.19 ,$89.03 , N/A ,$78.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 0.25 MG TABS,637,1 ,$46.75 ,$33.66 ,$12.25 ,$116.88 ,$116.88 ,$24.78 ,$25.71 , N/A ,$13.09 ,$24.45 , N/A ,$25.71 , N/A ,$23.14 ,$18.70 , N/A ,$23.14 , N/A ,$32.73 ,$29.22 ,$37.40 , N/A , N/A ,$32.73 , N/A ,$28.05 , N/A ,$35.06 ,$25.81 ,$23.28 ,$25.81 , N/A ,$25.81 ,$37.87 ,$46.75 ,$37.87 ,$39.74 ,$46.75 ,$32.40 , N/A ,$46.75 ,$26.23 , N/A ,$12.25 ,$46.75 , N/A , N/A , N/A ,$37.40 ,$23.14 ,$13.09 ,$42.08 ,$17.77 ,$25.43 , N/A ,$22.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 0.5 MG TABS,637,1 ,$51.30 ,$36.94 ,$13.44 ,$128.25 ,$128.25 ,$27.19 ,$28.22 , N/A ,$14.36 ,$26.83 , N/A ,$28.22 , N/A ,$25.39 ,$20.52 , N/A ,$25.39 , N/A ,$35.91 ,$32.06 ,$41.04 , N/A , N/A ,$35.91 , N/A ,$30.78 , N/A ,$38.48 ,$28.32 ,$25.55 ,$28.32 , N/A ,$28.32 ,$41.55 ,$51.30 ,$41.55 ,$43.61 ,$51.30 ,$35.55 , N/A ,$51.30 ,$28.78 , N/A ,$13.44 ,$51.30 , N/A , N/A , N/A ,$41.04 ,$25.39 ,$14.36 ,$46.17 ,$19.49 ,$27.91 , N/A ,$24.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 1 MG TABS,637,1 ,$54.50 ,$39.24 ,$14.28 ,$136.25 ,$136.25 ,$28.89 ,$29.98 , N/A ,$15.26 ,$28.50 , N/A ,$29.98 , N/A ,$26.98 ,$21.80 , N/A ,$26.98 , N/A ,$38.15 ,$34.06 ,$43.60 , N/A , N/A ,$38.15 , N/A ,$32.70 , N/A ,$40.88 ,$30.08 ,$27.14 ,$30.08 , N/A ,$30.08 ,$44.15 ,$54.50 ,$44.15 ,$46.33 ,$54.50 ,$37.77 , N/A ,$54.50 ,$30.57 , N/A ,$14.28 ,$54.50 , N/A , N/A , N/A ,$43.60 ,$26.98 ,$15.26 ,$49.05 ,$20.71 ,$29.65 , N/A ,$26.16 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 1 MG/ML SOLN,637,1 ,$7.00 ,$5.04 ,$1.83 ,$17.50 ,$17.50 ,$3.71 ,$3.85 , N/A ,$1.96 ,$3.66 , N/A ,$3.85 , N/A ,$3.47 ,$2.80 , N/A ,$3.47 , N/A ,$4.90 ,$4.38 ,$5.60 , N/A , N/A ,$4.90 , N/A ,$4.20 , N/A ,$5.25 ,$3.86 ,$3.49 ,$3.86 , N/A ,$3.86 ,$5.67 ,$7.00 ,$5.67 ,$5.95 ,$7.00 ,$4.85 , N/A ,$7.00 ,$3.93 , N/A ,$1.83 ,$7.00 , N/A , N/A , N/A ,$5.60 ,$3.47 ,$1.96 ,$6.30 ,$2.66 ,$3.81 , N/A ,$3.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 2 MG TABS,637,1 ,$60.73 ,$43.73 ,$15.91 ,$151.83 ,$151.83 ,$32.19 ,$33.40 , N/A ,$17.00 ,$31.76 , N/A ,$33.40 , N/A ,$30.06 ,$24.29 , N/A ,$30.06 , N/A ,$42.51 ,$37.96 ,$48.58 , N/A , N/A ,$42.51 , N/A ,$36.44 , N/A ,$45.55 ,$33.52 ,$30.24 ,$33.52 , N/A ,$33.52 ,$49.19 ,$60.73 ,$49.19 ,$51.62 ,$60.73 ,$42.09 , N/A ,$60.73 ,$34.07 , N/A ,$15.91 ,$60.73 , N/A , N/A , N/A ,$48.58 ,$30.06 ,$17.00 ,$54.66 ,$23.08 ,$33.04 , N/A ,$29.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ATOMOXETINE 40 MG CAPS,637,1 ,$60.73 ,$43.73 ,$15.91 ,$151.83 ,$151.83 ,$32.19 ,$33.40 , N/A ,$17.00 ,$31.76 , N/A ,$33.40 , N/A ,$30.06 ,$24.29 , N/A ,$30.06 , N/A ,$42.51 ,$37.96 ,$48.58 , N/A , N/A ,$42.51 , N/A ,$36.44 , N/A ,$45.55 ,$33.52 ,$30.24 ,$33.52 , N/A ,$33.52 ,$49.19 ,$60.73 ,$49.19 ,$51.62 ,$60.73 ,$42.09 , N/A ,$60.73 ,$34.07 , N/A ,$15.91 ,$60.73 , N/A , N/A , N/A ,$48.58 ,$30.06 ,$17.00 ,$54.66 ,$23.08 ,$33.04 , N/A ,$29.15 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RISPERIDONE 3 MG TABS,637,1 ,$71.35 ,$51.37 ,$18.69 ,$178.38 ,$178.38 ,$37.82 ,$39.24 , N/A ,$19.98 ,$37.32 , N/A ,$39.24 , N/A ,$35.32 ,$28.54 , N/A ,$35.32 , N/A ,$49.95 ,$44.59 ,$57.08 , N/A , N/A ,$49.95 , N/A ,$42.81 , N/A ,$53.51 ,$39.39 ,$35.53 ,$39.39 , N/A ,$39.39 ,$57.79 ,$71.35 ,$57.79 ,$60.65 ,$71.35 ,$49.45 , N/A ,$71.35 ,$40.03 , N/A ,$18.69 ,$71.35 , N/A , N/A , N/A ,$57.08 ,$35.32 ,$19.98 ,$64.22 ,$27.11 ,$38.81 , N/A ,$34.25 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVAROXABAN 2.5 MG TABS,637,1 ,$72.35 ,$52.09 ,$18.96 ,$180.88 ,$180.88 ,$38.35 ,$39.79 , N/A ,$20.26 ,$37.84 , N/A ,$39.79 , N/A ,$35.81 ,$28.94 , N/A ,$35.81 , N/A ,$50.65 ,$45.22 ,$57.88 , N/A , N/A ,$50.65 , N/A ,$43.41 , N/A ,$54.26 ,$39.94 ,$36.03 ,$39.94 , N/A ,$39.94 ,$58.60 ,$72.35 ,$58.60 ,$61.50 ,$72.35 ,$50.14 , N/A ,$72.35 ,$40.59 , N/A ,$18.96 ,$72.35 , N/A , N/A , N/A ,$57.88 ,$35.81 ,$20.26 ,$65.12 ,$27.49 ,$39.36 , N/A ,$34.73 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVAROXABAN 20 MG TABS,637,1 ,$56.85 ,$40.93 ,$14.89 ,$142.13 ,$142.13 ,$30.13 ,$31.27 , N/A ,$15.92 ,$29.73 , N/A ,$31.27 , N/A ,$28.14 ,$22.74 , N/A ,$28.14 , N/A ,$39.80 ,$35.53 ,$45.48 , N/A , N/A ,$39.80 , N/A ,$34.11 , N/A ,$42.64 ,$31.38 ,$28.31 ,$31.38 , N/A ,$31.38 ,$46.05 ,$56.85 ,$46.05 ,$48.32 ,$56.85 ,$39.40 , N/A ,$56.85 ,$31.89 , N/A ,$14.89 ,$56.85 , N/A , N/A , N/A ,$45.48 ,$28.14 ,$15.92 ,$51.17 ,$21.60 ,$30.93 , N/A ,$27.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVAROXABAN 10 MG TABS,637,1 ,$56.85 ,$40.93 ,$14.89 ,$142.13 ,$142.13 ,$30.13 ,$31.27 , N/A ,$15.92 ,$29.73 , N/A ,$31.27 , N/A ,$28.14 ,$22.74 , N/A ,$28.14 , N/A ,$39.80 ,$35.53 ,$45.48 , N/A , N/A ,$39.80 , N/A ,$34.11 , N/A ,$42.64 ,$31.38 ,$28.31 ,$31.38 , N/A ,$31.38 ,$46.05 ,$56.85 ,$46.05 ,$48.32 ,$56.85 ,$39.40 , N/A ,$56.85 ,$31.89 , N/A ,$14.89 ,$56.85 , N/A , N/A , N/A ,$45.48 ,$28.14 ,$15.92 ,$51.17 ,$21.60 ,$30.93 , N/A ,$27.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVAROXABAN 15 MG TABS,637,1 ,$56.85 ,$40.93 ,$14.89 ,$142.13 ,$142.13 ,$30.13 ,$31.27 , N/A ,$15.92 ,$29.73 , N/A ,$31.27 , N/A ,$28.14 ,$22.74 , N/A ,$28.14 , N/A ,$39.80 ,$35.53 ,$45.48 , N/A , N/A ,$39.80 , N/A ,$34.11 , N/A ,$42.64 ,$31.38 ,$28.31 ,$31.38 , N/A ,$31.38 ,$46.05 ,$56.85 ,$46.05 ,$48.32 ,$56.85 ,$39.40 , N/A ,$56.85 ,$31.89 , N/A ,$14.89 ,$56.85 , N/A , N/A , N/A ,$45.48 ,$28.14 ,$15.92 ,$51.17 ,$21.60 ,$30.93 , N/A ,$27.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVASTIGMINE 1.5 MG CAPS,637,1 ,$49.90 ,$35.93 ,$13.07 ,$124.75 ,$124.75 ,$26.45 ,$27.45 , N/A ,$13.97 ,$26.10 , N/A ,$27.45 , N/A ,$24.70 ,$19.96 , N/A ,$24.70 , N/A ,$34.93 ,$31.19 ,$39.92 , N/A , N/A ,$34.93 , N/A ,$29.94 , N/A ,$37.43 ,$27.54 ,$24.85 ,$27.54 , N/A ,$27.54 ,$40.42 ,$49.90 ,$40.42 ,$42.42 ,$49.90 ,$34.58 , N/A ,$49.90 ,$27.99 , N/A ,$13.07 ,$49.90 , N/A , N/A , N/A ,$39.92 ,$24.70 ,$13.97 ,$44.91 ,$18.96 ,$27.15 , N/A ,$23.95 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVASTIGMINE 6 MG CAPS,637,1 ,$18.15 ,$13.07 ,$4.76 ,$45.38 ,$45.38 ,$9.62 ,$9.98 , N/A ,$5.08 ,$9.49 , N/A ,$9.98 , N/A ,$8.98 ,$7.26 , N/A ,$8.98 , N/A ,$12.71 ,$11.34 ,$14.52 , N/A , N/A ,$12.71 , N/A ,$10.89 , N/A ,$13.61 ,$10.02 ,$9.04 ,$10.02 , N/A ,$10.02 ,$14.70 ,$18.15 ,$14.70 ,$15.43 ,$18.15 ,$12.58 , N/A ,$18.15 ,$10.18 , N/A ,$4.76 ,$18.15 , N/A , N/A , N/A ,$14.52 ,$8.98 ,$5.08 ,$16.34 ,$6.90 ,$9.87 , N/A ,$8.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXCARBAZEPINE 150 MG TABS,637,1 ,$18.15 ,$13.07 ,$4.76 ,$45.38 ,$45.38 ,$9.62 ,$9.98 , N/A ,$5.08 ,$9.49 , N/A ,$9.98 , N/A ,$8.98 ,$7.26 , N/A ,$8.98 , N/A ,$12.71 ,$11.34 ,$14.52 , N/A , N/A ,$12.71 , N/A ,$10.89 , N/A ,$13.61 ,$10.02 ,$9.04 ,$10.02 , N/A ,$10.02 ,$14.70 ,$18.15 ,$14.70 ,$15.43 ,$18.15 ,$12.58 , N/A ,$18.15 ,$10.18 , N/A ,$4.76 ,$18.15 , N/A , N/A , N/A ,$14.52 ,$8.98 ,$5.08 ,$16.34 ,$6.90 ,$9.87 , N/A ,$8.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVASTIGMINE 9.5 MG/24HR PT24,637,1 ,$118.30 ,$85.18 ,$30.99 ,$295.75 ,$295.75 ,$62.70 ,$65.07 , N/A ,$33.12 ,$61.87 , N/A ,$65.07 , N/A ,$58.56 ,$47.32 , N/A ,$58.56 , N/A ,$82.81 ,$73.94 ,$94.64 , N/A , N/A ,$82.81 , N/A ,$70.98 , N/A ,$88.73 ,$65.30 ,$58.91 ,$65.30 , N/A ,$65.30 ,$95.82 ,$118.30 ,$95.82 ,$100.56 ,$118.30 ,$81.98 , N/A ,$118.30 ,$66.37 , N/A ,$30.99 ,$118.30 , N/A , N/A , N/A ,$94.64 ,$58.56 ,$33.12 ,$106.47 ,$44.95 ,$64.36 , N/A ,$56.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVASTIGMINE 13.3 MG/24HR PT24,637,1 ,$118.30 ,$85.18 ,$30.99 ,$295.75 ,$295.75 ,$62.70 ,$65.07 , N/A ,$33.12 ,$61.87 , N/A ,$65.07 , N/A ,$58.56 ,$47.32 , N/A ,$58.56 , N/A ,$82.81 ,$73.94 ,$94.64 , N/A , N/A ,$82.81 , N/A ,$70.98 , N/A ,$88.73 ,$65.30 ,$58.91 ,$65.30 , N/A ,$65.30 ,$95.82 ,$118.30 ,$95.82 ,$100.56 ,$118.30 ,$81.98 , N/A ,$118.30 ,$66.37 , N/A ,$30.99 ,$118.30 , N/A , N/A , N/A ,$94.64 ,$58.56 ,$33.12 ,$106.47 ,$44.95 ,$64.36 , N/A ,$56.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,RIVASTIGMINE 4.6 MG/24HR PT24,637,1 ,$118.30 ,$85.18 ,$30.99 ,$295.75 ,$295.75 ,$62.70 ,$65.07 , N/A ,$33.12 ,$61.87 , N/A ,$65.07 , N/A ,$58.56 ,$47.32 , N/A ,$58.56 , N/A ,$82.81 ,$73.94 ,$94.64 , N/A , N/A ,$82.81 , N/A ,$70.98 , N/A ,$88.73 ,$65.30 ,$58.91 ,$65.30 , N/A ,$65.30 ,$95.82 ,$118.30 ,$95.82 ,$100.56 ,$118.30 ,$81.98 , N/A ,$118.30 ,$66.37 , N/A ,$30.99 ,$118.30 , N/A , N/A , N/A ,$94.64 ,$58.56 ,$33.12 ,$106.47 ,$44.95 ,$64.36 , N/A ,$56.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ROFLUMILAST 500 MCG TABS,637,1 ,$46.05 ,$33.16 ,$12.07 ,$115.13 ,$115.13 ,$24.41 ,$25.33 , N/A ,$12.89 ,$24.08 , N/A ,$25.33 , N/A ,$22.79 ,$18.42 , N/A ,$22.79 , N/A ,$32.24 ,$28.78 ,$36.84 , N/A , N/A ,$32.24 , N/A ,$27.63 , N/A ,$34.54 ,$25.42 ,$22.93 ,$25.42 , N/A ,$25.42 ,$37.30 ,$46.05 ,$37.30 ,$39.14 ,$46.05 ,$31.91 , N/A ,$46.05 ,$25.83 , N/A ,$12.07 ,$46.05 , N/A , N/A , N/A ,$36.84 ,$22.79 ,$12.89 ,$41.45 ,$17.50 ,$25.05 , N/A ,$22.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ROPINIROLE 0.25 MG TABS,637,1 ,$3.25 ,$2.34 ,$0.85 ,$8.13 ,$8.13 ,$1.72 ,$1.79 , N/A ,$0.91 ,$1.70 , N/A ,$1.79 , N/A ,$1.61 ,$1.30 , N/A ,$1.61 , N/A ,$2.28 ,$2.03 ,$2.60 , N/A , N/A ,$2.28 , N/A ,$1.95 , N/A ,$2.44 ,$1.79 ,$1.62 ,$1.79 , N/A ,$1.79 ,$2.63 ,$3.25 ,$2.63 ,$2.76 ,$3.25 ,$2.25 , N/A ,$3.25 ,$1.82 , N/A ,$0.85 ,$3.25 , N/A , N/A , N/A ,$2.60 ,$1.61 ,$0.91 ,$2.93 ,$1.24 ,$1.77 , N/A ,$1.56 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ROPINIROLE 1 MG TABS,637,1 ,$8.36 ,$6.02 ,$2.19 ,$20.90 ,$20.90 ,$4.43 ,$4.60 , N/A ,$2.34 ,$4.37 , N/A ,$4.60 , N/A ,$4.14 ,$3.34 , N/A ,$4.14 , N/A ,$5.85 ,$5.23 ,$6.69 , N/A , N/A ,$5.85 , N/A ,$5.02 , N/A ,$6.27 ,$4.61 ,$4.16 ,$4.61 , N/A ,$4.61 ,$6.77 ,$8.36 ,$6.77 ,$7.11 ,$8.36 ,$5.79 , N/A ,$8.36 ,$4.69 , N/A ,$2.19 ,$8.36 , N/A , N/A , N/A ,$6.69 ,$4.14 ,$2.34 ,$7.52 ,$3.18 ,$4.55 , N/A ,$4.01 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SACCHAROMYCES BOULARDII 250 MG CAPS,637,1 ,$11.30 ,$8.14 ,$2.96 ,$28.25 ,$28.25 ,$5.99 ,$6.22 , N/A ,$3.16 ,$5.91 , N/A ,$6.22 , N/A ,$5.59 ,$4.52 , N/A ,$5.59 , N/A ,$7.91 ,$7.06 ,$9.04 , N/A , N/A ,$7.91 , N/A ,$6.78 , N/A ,$8.48 ,$6.24 ,$5.63 ,$6.24 , N/A ,$6.24 ,$9.15 ,$11.30 ,$9.15 ,$9.61 ,$11.30 ,$7.83 , N/A ,$11.30 ,$6.34 , N/A ,$2.96 ,$11.30 , N/A , N/A , N/A ,$9.04 ,$5.59 ,$3.16 ,$10.17 ,$4.29 ,$6.15 , N/A ,$5.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BENZONATATE 100 MG CAPS,637,1 ,$11.30 ,$8.14 ,$2.96 ,$28.25 ,$28.25 ,$5.99 ,$6.22 , N/A ,$3.16 ,$5.91 , N/A ,$6.22 , N/A ,$5.59 ,$4.52 , N/A ,$5.59 , N/A ,$7.91 ,$7.06 ,$9.04 , N/A , N/A ,$7.91 , N/A ,$6.78 , N/A ,$8.48 ,$6.24 ,$5.63 ,$6.24 , N/A ,$6.24 ,$9.15 ,$11.30 ,$9.15 ,$9.61 ,$11.30 ,$7.83 , N/A ,$11.30 ,$6.34 , N/A ,$2.96 ,$11.30 , N/A , N/A , N/A ,$9.04 ,$5.59 ,$3.16 ,$10.17 ,$4.29 ,$6.15 , N/A ,$5.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALLOPURINOL 300 MG TABS,637,1 ,$11.30 ,$8.14 ,$2.96 ,$28.25 ,$28.25 ,$5.99 ,$6.22 , N/A ,$3.16 ,$5.91 , N/A ,$6.22 , N/A ,$5.59 ,$4.52 , N/A ,$5.59 , N/A ,$7.91 ,$7.06 ,$9.04 , N/A , N/A ,$7.91 , N/A ,$6.78 , N/A ,$8.48 ,$6.24 ,$5.63 ,$6.24 , N/A ,$6.24 ,$9.15 ,$11.30 ,$9.15 ,$9.61 ,$11.30 ,$7.83 , N/A ,$11.30 ,$6.34 , N/A ,$2.96 ,$11.30 , N/A , N/A , N/A ,$9.04 ,$5.59 ,$3.16 ,$10.17 ,$4.29 ,$6.15 , N/A ,$5.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLYCERIN (ADULT) 2 G SUPP,637,1 ,$11.30 ,$8.14 ,$2.96 ,$28.25 ,$28.25 ,$5.99 ,$6.22 , N/A ,$3.16 ,$5.91 , N/A ,$6.22 , N/A ,$5.59 ,$4.52 , N/A ,$5.59 , N/A ,$7.91 ,$7.06 ,$9.04 , N/A , N/A ,$7.91 , N/A ,$6.78 , N/A ,$8.48 ,$6.24 ,$5.63 ,$6.24 , N/A ,$6.24 ,$9.15 ,$11.30 ,$9.15 ,$9.61 ,$11.30 ,$7.83 , N/A ,$11.30 ,$6.34 , N/A ,$2.96 ,$11.30 , N/A , N/A , N/A ,$9.04 ,$5.59 ,$3.16 ,$10.17 ,$4.29 ,$6.15 , N/A ,$5.42 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SACUBITRIL-VALSARTAN 97-103 MG TABS,637,1 ,$35.00 ,$25.20 ,$9.17 ,$87.50 ,$87.50 ,$18.55 ,$19.25 , N/A ,$9.80 ,$18.31 , N/A ,$19.25 , N/A ,$17.33 ,$14.00 , N/A ,$17.33 , N/A ,$24.50 ,$21.88 ,$28.00 , N/A , N/A ,$24.50 , N/A ,$21.00 , N/A ,$26.25 ,$19.32 ,$17.43 ,$19.32 , N/A ,$19.32 ,$28.35 ,$35.00 ,$28.35 ,$29.75 ,$35.00 ,$24.26 , N/A ,$35.00 ,$19.64 , N/A ,$9.17 ,$35.00 , N/A , N/A , N/A ,$28.00 ,$17.33 ,$9.80 ,$31.50 ,$13.30 ,$19.04 , N/A ,$16.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SACUBITRIL-VALSARTAN 24-26 MG TABS,637,1 ,$35.00 ,$25.20 ,$9.17 ,$87.50 ,$87.50 ,$18.55 ,$19.25 , N/A ,$9.80 ,$18.31 , N/A ,$19.25 , N/A ,$17.33 ,$14.00 , N/A ,$17.33 , N/A ,$24.50 ,$21.88 ,$28.00 , N/A , N/A ,$24.50 , N/A ,$21.00 , N/A ,$26.25 ,$19.32 ,$17.43 ,$19.32 , N/A ,$19.32 ,$28.35 ,$35.00 ,$28.35 ,$29.75 ,$35.00 ,$24.26 , N/A ,$35.00 ,$19.64 , N/A ,$9.17 ,$35.00 , N/A , N/A , N/A ,$28.00 ,$17.33 ,$9.80 ,$31.50 ,$13.30 ,$19.04 , N/A ,$16.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SACUBITRIL-VALSARTAN 49-51 MG TABS,637,1 ,$35.00 ,$25.20 ,$9.17 ,$87.50 ,$87.50 ,$18.55 ,$19.25 , N/A ,$9.80 ,$18.31 , N/A ,$19.25 , N/A ,$17.33 ,$14.00 , N/A ,$17.33 , N/A ,$24.50 ,$21.88 ,$28.00 , N/A , N/A ,$24.50 , N/A ,$21.00 , N/A ,$26.25 ,$19.32 ,$17.43 ,$19.32 , N/A ,$19.32 ,$28.35 ,$35.00 ,$28.35 ,$29.75 ,$35.00 ,$24.26 , N/A ,$35.00 ,$19.64 , N/A ,$9.17 ,$35.00 , N/A , N/A , N/A ,$28.00 ,$17.33 ,$9.80 ,$31.50 ,$13.30 ,$19.04 , N/A ,$16.80 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SALINE (FLEET) PEDIATRIC 3.5-9.5 GM/59ML ENEM,637,1 ,$26.15 ,$18.83 ,$6.85 ,$65.38 ,$65.38 ,$13.86 ,$14.38 , N/A ,$7.32 ,$13.68 , N/A ,$14.38 , N/A ,$12.94 ,$10.46 , N/A ,$12.94 , N/A ,$18.31 ,$16.34 ,$20.92 , N/A , N/A ,$18.31 , N/A ,$15.69 , N/A ,$19.61 ,$14.43 ,$13.02 ,$14.43 , N/A ,$14.43 ,$21.18 ,$26.15 ,$21.18 ,$22.23 ,$26.15 ,$18.12 , N/A ,$26.15 ,$14.67 , N/A ,$6.85 ,$26.15 , N/A , N/A , N/A ,$20.92 ,$12.94 ,$7.32 ,$23.54 ,$9.94 ,$14.23 , N/A ,$12.55 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SALINE ENEMA ADULT 7-19 GM/118ML ENEM,637,1 ,$22.35 ,$16.09 ,$5.86 ,$55.88 ,$55.88 ,$11.85 ,$12.29 , N/A ,$6.26 ,$11.69 , N/A ,$12.29 , N/A ,$11.06 ,$8.94 , N/A ,$11.06 , N/A ,$15.65 ,$13.97 ,$17.88 , N/A , N/A ,$15.65 , N/A ,$13.41 , N/A ,$16.76 ,$12.34 ,$11.13 ,$12.34 , N/A ,$12.34 ,$18.10 ,$22.35 ,$18.10 ,$19.00 ,$22.35 ,$15.49 , N/A ,$22.35 ,$12.54 , N/A ,$5.86 ,$22.35 , N/A , N/A , N/A ,$17.88 ,$11.06 ,$6.26 ,$20.12 ,$8.49 ,$12.16 , N/A ,$10.73 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NITROGLYCERIN 0.1 MG/HR PT24,637,1 ,$22.35 ,$16.09 ,$5.86 ,$55.88 ,$55.88 ,$11.85 ,$12.29 , N/A ,$6.26 ,$11.69 , N/A ,$12.29 , N/A ,$11.06 ,$8.94 , N/A ,$11.06 , N/A ,$15.65 ,$13.97 ,$17.88 , N/A , N/A ,$15.65 , N/A ,$13.41 , N/A ,$16.76 ,$12.34 ,$11.13 ,$12.34 , N/A ,$12.34 ,$18.10 ,$22.35 ,$18.10 ,$19.00 ,$22.35 ,$15.49 , N/A ,$22.35 ,$12.54 , N/A ,$5.86 ,$22.35 , N/A , N/A , N/A ,$17.88 ,$11.06 ,$6.26 ,$20.12 ,$8.49 ,$12.16 , N/A ,$10.73 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SALINE NASAL GEL 14.1 G TUBE,637,1 ,$38.25 ,$27.54 ,$10.02 ,$95.63 ,$95.63 ,$20.27 ,$21.04 , N/A ,$10.71 ,$20.00 , N/A ,$21.04 , N/A ,$18.93 ,$15.30 , N/A ,$18.93 , N/A ,$26.78 ,$23.91 ,$30.60 , N/A , N/A ,$26.78 , N/A ,$22.95 , N/A ,$28.69 ,$21.11 ,$19.05 ,$21.11 , N/A ,$21.11 ,$30.98 ,$38.25 ,$30.98 ,$32.51 ,$38.25 ,$26.51 , N/A ,$38.25 ,$21.46 , N/A ,$10.02 ,$38.25 , N/A , N/A , N/A ,$30.60 ,$18.93 ,$10.71 ,$34.43 ,$14.54 ,$20.81 , N/A ,$18.36 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SALSALATE 500 MG TABS,637,1 ,$10.45 ,$7.52 ,$2.74 ,$26.13 ,$26.13 ,$5.54 ,$5.75 , N/A ,$2.93 ,$5.47 , N/A ,$5.75 , N/A ,$5.17 ,$4.18 , N/A ,$5.17 , N/A ,$7.32 ,$6.53 ,$8.36 , N/A , N/A ,$7.32 , N/A ,$6.27 , N/A ,$7.84 ,$5.77 ,$5.20 ,$5.77 , N/A ,$5.77 ,$8.46 ,$10.45 ,$8.46 ,$8.88 ,$10.45 ,$7.24 , N/A ,$10.45 ,$5.86 , N/A ,$2.74 ,$10.45 , N/A , N/A , N/A ,$8.36 ,$5.17 ,$2.93 ,$9.41 ,$3.97 ,$5.68 , N/A ,$5.02 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SELENIUM SULFIDE 1 % LOTN 207 ML BOTTLE,637,1 ,$54.65 ,$39.35 ,$14.32 ,$136.63 ,$136.63 ,$28.96 ,$30.06 , N/A ,$15.30 ,$28.58 , N/A ,$30.06 , N/A ,$27.05 ,$21.86 , N/A ,$27.05 , N/A ,$38.26 ,$34.16 ,$43.72 , N/A , N/A ,$38.26 , N/A ,$32.79 , N/A ,$40.99 ,$30.17 ,$27.22 ,$30.17 , N/A ,$30.17 ,$44.27 ,$54.65 ,$44.27 ,$46.45 ,$54.65 ,$37.87 , N/A ,$54.65 ,$30.66 , N/A ,$14.32 ,$54.65 , N/A , N/A , N/A ,$43.72 ,$27.05 ,$15.30 ,$49.19 ,$20.77 ,$29.73 , N/A ,$26.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SERTRALINE 100 MG TABS,637,1 ,$12.85 ,$9.25 ,$3.37 ,$32.13 ,$32.13 ,$6.81 ,$7.07 , N/A ,$3.60 ,$6.72 , N/A ,$7.07 , N/A ,$6.36 ,$5.14 , N/A ,$6.36 , N/A ,$9.00 ,$8.03 ,$10.28 , N/A , N/A ,$9.00 , N/A ,$7.71 , N/A ,$9.64 ,$7.09 ,$6.40 ,$7.09 , N/A ,$7.09 ,$10.41 ,$12.85 ,$10.41 ,$10.92 ,$12.85 ,$8.91 , N/A ,$12.85 ,$7.21 , N/A ,$3.37 ,$12.85 , N/A , N/A , N/A ,$10.28 ,$6.36 ,$3.60 ,$11.57 ,$4.88 ,$6.99 , N/A ,$6.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OXAPROZIN 600 MG TABS,637,1 ,$12.85 ,$9.25 ,$3.37 ,$32.13 ,$32.13 ,$6.81 ,$7.07 , N/A ,$3.60 ,$6.72 , N/A ,$7.07 , N/A ,$6.36 ,$5.14 , N/A ,$6.36 , N/A ,$9.00 ,$8.03 ,$10.28 , N/A , N/A ,$9.00 , N/A ,$7.71 , N/A ,$9.64 ,$7.09 ,$6.40 ,$7.09 , N/A ,$7.09 ,$10.41 ,$12.85 ,$10.41 ,$10.92 ,$12.85 ,$8.91 , N/A ,$12.85 ,$7.21 , N/A ,$3.37 ,$12.85 , N/A , N/A , N/A ,$10.28 ,$6.36 ,$3.60 ,$11.57 ,$4.88 ,$6.99 , N/A ,$6.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SERTRALINE 50 MG TABS,637,1 ,$10.50 ,$7.56 ,$2.75 ,$26.25 ,$26.25 ,$5.57 ,$5.78 , N/A ,$2.94 ,$5.49 , N/A ,$5.78 , N/A ,$5.20 ,$4.20 , N/A ,$5.20 , N/A ,$7.35 ,$6.56 ,$8.40 , N/A , N/A ,$7.35 , N/A ,$6.30 , N/A ,$7.88 ,$5.80 ,$5.23 ,$5.80 , N/A ,$5.80 ,$8.51 ,$10.50 ,$8.51 ,$8.93 ,$10.50 ,$7.28 , N/A ,$10.50 ,$5.89 , N/A ,$2.75 ,$10.50 , N/A , N/A , N/A ,$8.40 ,$5.20 ,$2.94 ,$9.45 ,$3.99 ,$5.71 , N/A ,$5.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVOTHYROXINE 150 MCG TABS,637,1 ,$10.50 ,$7.56 ,$2.75 ,$26.25 ,$26.25 ,$5.57 ,$5.78 , N/A ,$2.94 ,$5.49 , N/A ,$5.78 , N/A ,$5.20 ,$4.20 , N/A ,$5.20 , N/A ,$7.35 ,$6.56 ,$8.40 , N/A , N/A ,$7.35 , N/A ,$6.30 , N/A ,$7.88 ,$5.80 ,$5.23 ,$5.80 , N/A ,$5.80 ,$8.51 ,$10.50 ,$8.51 ,$8.93 ,$10.50 ,$7.28 , N/A ,$10.50 ,$5.89 , N/A ,$2.75 ,$10.50 , N/A , N/A , N/A ,$8.40 ,$5.20 ,$2.94 ,$9.45 ,$3.99 ,$5.71 , N/A ,$5.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIMETHOPRIM 100 MG TABS,637,1 ,$10.50 ,$7.56 ,$2.75 ,$26.25 ,$26.25 ,$5.57 ,$5.78 , N/A ,$2.94 ,$5.49 , N/A ,$5.78 , N/A ,$5.20 ,$4.20 , N/A ,$5.20 , N/A ,$7.35 ,$6.56 ,$8.40 , N/A , N/A ,$7.35 , N/A ,$6.30 , N/A ,$7.88 ,$5.80 ,$5.23 ,$5.80 , N/A ,$5.80 ,$8.51 ,$10.50 ,$8.51 ,$8.93 ,$10.50 ,$7.28 , N/A ,$10.50 ,$5.89 , N/A ,$2.75 ,$10.50 , N/A , N/A , N/A ,$8.40 ,$5.20 ,$2.94 ,$9.45 ,$3.99 ,$5.71 , N/A ,$5.04 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SEVELAMER 400 MG TABS,637,1 ,$11.08 ,$7.98 ,$2.90 ,$27.70 ,$27.70 ,$5.87 ,$6.09 , N/A ,$3.10 ,$5.79 , N/A ,$6.09 , N/A ,$5.48 ,$4.43 , N/A ,$5.48 , N/A ,$7.76 ,$6.93 ,$8.86 , N/A , N/A ,$7.76 , N/A ,$6.65 , N/A ,$8.31 ,$6.12 ,$5.52 ,$6.12 , N/A ,$6.12 ,$8.97 ,$11.08 ,$8.97 ,$9.42 ,$11.08 ,$7.68 , N/A ,$11.08 ,$6.22 , N/A ,$2.90 ,$11.08 , N/A , N/A , N/A ,$8.86 ,$5.48 ,$3.10 ,$9.97 ,$4.21 ,$6.03 , N/A ,$5.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SEVELAMER 800 MG TABS,637,1 ,$71.40 ,$51.41 ,$18.71 ,$178.50 ,$178.50 ,$37.84 ,$39.27 , N/A ,$19.99 ,$37.34 , N/A ,$39.27 , N/A ,$35.34 ,$28.56 , N/A ,$35.34 , N/A ,$49.98 ,$44.63 ,$57.12 , N/A , N/A ,$49.98 , N/A ,$42.84 , N/A ,$53.55 ,$39.41 ,$35.56 ,$39.41 , N/A ,$39.41 ,$57.83 ,$71.40 ,$57.83 ,$60.69 ,$71.40 ,$49.48 , N/A ,$71.40 ,$40.06 , N/A ,$18.71 ,$71.40 , N/A , N/A , N/A ,$57.12 ,$35.34 ,$19.99 ,$64.26 ,$27.13 ,$38.84 , N/A ,$34.27 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SILDENAFIL 20 MG TABS,637,1 ,$141.60 ,$101.95 ,$37.10 ,$354.00 ,$354.00 ,$75.05 ,$77.88 , N/A ,$39.65 ,$74.06 , N/A ,$77.88 , N/A ,$70.09 ,$56.64 , N/A ,$70.09 , N/A ,$99.12 ,$88.50 ,$113.28 , N/A , N/A ,$99.12 , N/A ,$84.96 , N/A ,$106.20 ,$78.16 ,$70.52 ,$78.16 , N/A ,$78.16 ,$114.70 ,$141.60 ,$114.70 ,$120.36 ,$141.60 ,$98.13 , N/A ,$141.60 ,$79.44 , N/A ,$37.10 ,$141.60 , N/A , N/A , N/A ,$113.28 ,$70.09 ,$39.65 ,$127.44 ,$53.81 ,$77.03 , N/A ,$67.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SILVER SULFADIAZINE 1 % CREA 50 G TUBE,637,1 ,$105.70 ,$76.10 ,$27.69 ,$264.25 ,$264.25 ,$56.02 ,$58.14 , N/A ,$29.60 ,$55.28 , N/A ,$58.14 , N/A ,$52.32 ,$42.28 , N/A ,$52.32 , N/A ,$73.99 ,$66.06 ,$84.56 , N/A , N/A ,$73.99 , N/A ,$63.42 , N/A ,$79.28 ,$58.35 ,$52.64 ,$58.35 , N/A ,$58.35 ,$85.62 ,$105.70 ,$85.62 ,$89.85 ,$105.70 ,$73.25 , N/A ,$105.70 ,$59.30 , N/A ,$27.69 ,$105.70 , N/A , N/A , N/A ,$84.56 ,$52.32 ,$29.60 ,$95.13 ,$40.17 ,$57.50 , N/A ,$50.74 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SILVER SULFADIAZINE 1 % CREA 50 G JAR,637,1 ,$105.70 ,$76.10 ,$27.69 ,$264.25 ,$264.25 ,$56.02 ,$58.14 , N/A ,$29.60 ,$55.28 , N/A ,$58.14 , N/A ,$52.32 ,$42.28 , N/A ,$52.32 , N/A ,$73.99 ,$66.06 ,$84.56 , N/A , N/A ,$73.99 , N/A ,$63.42 , N/A ,$79.28 ,$58.35 ,$52.64 ,$58.35 , N/A ,$58.35 ,$85.62 ,$105.70 ,$85.62 ,$89.85 ,$105.70 ,$73.25 , N/A ,$105.70 ,$59.30 , N/A ,$27.69 ,$105.70 , N/A , N/A , N/A ,$84.56 ,$52.32 ,$29.60 ,$95.13 ,$40.17 ,$57.50 , N/A ,$50.74 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM BICARBONATE 650 MG TABS,637,1 ,$5.30 ,$3.82 ,$1.39 ,$13.25 ,$13.25 ,$2.81 ,$2.92 , N/A ,$1.48 ,$2.77 , N/A ,$2.92 , N/A ,$2.62 ,$2.12 , N/A ,$2.62 , N/A ,$3.71 ,$3.31 ,$4.24 , N/A , N/A ,$3.71 , N/A ,$3.18 , N/A ,$3.98 ,$2.93 ,$2.64 ,$2.93 , N/A ,$2.93 ,$4.29 ,$5.30 ,$4.29 ,$4.51 ,$5.30 ,$3.67 , N/A ,$5.30 ,$2.97 , N/A ,$1.39 ,$5.30 , N/A , N/A , N/A ,$4.24 ,$2.62 ,$1.48 ,$4.77 ,$2.01 ,$2.88 , N/A ,$2.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM CHLORIDE 0.65 % SOLN 44 ML BOTTLE,637,1 ,$25.35 ,$18.25 ,$6.64 ,$63.38 ,$63.38 ,$13.44 ,$13.94 , N/A ,$7.10 ,$13.26 , N/A ,$13.94 , N/A ,$12.55 ,$10.14 , N/A ,$12.55 , N/A ,$17.75 ,$15.84 ,$20.28 , N/A , N/A ,$17.75 , N/A ,$15.21 , N/A ,$19.01 ,$13.99 ,$12.62 ,$13.99 , N/A ,$13.99 ,$20.53 ,$25.35 ,$20.53 ,$21.55 ,$25.35 ,$17.57 , N/A ,$25.35 ,$14.22 , N/A ,$6.64 ,$25.35 , N/A , N/A , N/A ,$20.28 ,$12.55 ,$7.10 ,$22.82 ,$9.63 ,$13.79 , N/A ,$12.17 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM CHLORIDE 1 GM TABS,637,1 ,$7.50 ,$5.40 ,$1.97 ,$18.75 ,$18.75 ,$3.98 ,$4.13 , N/A ,$2.10 ,$3.92 , N/A ,$4.13 , N/A ,$3.71 ,$3.00 , N/A ,$3.71 , N/A ,$5.25 ,$4.69 ,$6.00 , N/A , N/A ,$5.25 , N/A ,$4.50 , N/A ,$5.63 ,$4.14 ,$3.74 ,$4.14 , N/A ,$4.14 ,$6.08 ,$7.50 ,$6.08 ,$6.38 ,$7.50 ,$5.20 , N/A ,$7.50 ,$4.21 , N/A ,$1.97 ,$7.50 , N/A , N/A , N/A ,$6.00 ,$3.71 ,$2.10 ,$6.75 ,$2.85 ,$4.08 , N/A ,$3.60 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM POLYSTYRENE 15 GM/60ML SUSP,637,1 ,$176.00 ,$126.72 ,$46.11 ,$440.00 ,$440.00 ,$93.28 ,$96.80 , N/A ,$49.28 ,$92.05 , N/A ,$96.80 , N/A ,$87.12 ,$70.40 , N/A ,$87.12 , N/A ,$123.20 ,$110.00 ,$140.80 , N/A , N/A ,$123.20 , N/A ,$105.60 , N/A ,$132.00 ,$97.15 ,$87.65 ,$97.15 , N/A ,$97.15 ,$142.56 ,$176.00 ,$142.56 ,$149.60 ,$176.00 ,$121.97 , N/A ,$176.00 ,$98.74 , N/A ,$46.11 ,$176.00 , N/A , N/A , N/A ,$140.80 ,$87.12 ,$49.28 ,$158.40 ,$66.88 ,$95.74 , N/A ,$84.48 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK,637,1 ,$204.30 ,$147.10 ,$53.53 ,$510.75 ,$510.75 ,$108.28 ,$112.37 , N/A ,$57.20 ,$106.85 , N/A ,$112.37 , N/A ,$101.13 ,$81.72 , N/A ,$101.13 , N/A ,$143.01 ,$127.69 ,$163.44 , N/A , N/A ,$143.01 , N/A ,$122.58 , N/A ,$153.23 ,$112.77 ,$101.74 ,$112.77 , N/A ,$112.77 ,$165.48 ,$204.30 ,$165.48 ,$173.66 ,$204.30 ,$141.58 , N/A ,$204.30 ,$114.61 , N/A ,$53.53 ,$204.30 , N/A , N/A , N/A ,$163.44 ,$101.13 ,$57.20 ,$183.87 ,$77.63 ,$111.14 , N/A ,$98.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK,637,1 ,$204.30 ,$147.10 ,$53.53 ,$510.75 ,$510.75 ,$108.28 ,$112.37 , N/A ,$57.20 ,$106.85 , N/A ,$112.37 , N/A ,$101.13 ,$81.72 , N/A ,$101.13 , N/A ,$143.01 ,$127.69 ,$163.44 , N/A , N/A ,$143.01 , N/A ,$122.58 , N/A ,$153.23 ,$112.77 ,$101.74 ,$112.77 , N/A ,$112.77 ,$165.48 ,$204.30 ,$165.48 ,$173.66 ,$204.30 ,$141.58 , N/A ,$204.30 ,$114.61 , N/A ,$53.53 ,$204.30 , N/A , N/A , N/A ,$163.44 ,$101.13 ,$57.20 ,$183.87 ,$77.63 ,$111.14 , N/A ,$98.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SOLIFENACIN 5 MG TABS,637,1 ,$45.90 ,$33.05 ,$12.03 ,$114.75 ,$114.75 ,$24.33 ,$25.25 , N/A ,$12.85 ,$24.01 , N/A ,$25.25 , N/A ,$22.72 ,$18.36 , N/A ,$22.72 , N/A ,$32.13 ,$28.69 ,$36.72 , N/A , N/A ,$32.13 , N/A ,$27.54 , N/A ,$34.43 ,$25.34 ,$22.86 ,$25.34 , N/A ,$25.34 ,$37.18 ,$45.90 ,$37.18 ,$39.02 ,$45.90 ,$31.81 , N/A ,$45.90 ,$25.75 , N/A ,$12.03 ,$45.90 , N/A , N/A , N/A ,$36.72 ,$22.72 ,$12.85 ,$41.31 ,$17.44 ,$24.97 , N/A ,$22.03 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIACIN CR 500 MG TBCR,637,1 ,$45.90 ,$33.05 ,$12.03 ,$114.75 ,$114.75 ,$24.33 ,$25.25 , N/A ,$12.85 ,$24.01 , N/A ,$25.25 , N/A ,$22.72 ,$18.36 , N/A ,$22.72 , N/A ,$32.13 ,$28.69 ,$36.72 , N/A , N/A ,$32.13 , N/A ,$27.54 , N/A ,$34.43 ,$25.34 ,$22.86 ,$25.34 , N/A ,$25.34 ,$37.18 ,$45.90 ,$37.18 ,$39.02 ,$45.90 ,$31.81 , N/A ,$45.90 ,$25.75 , N/A ,$12.03 ,$45.90 , N/A , N/A , N/A ,$36.72 ,$22.72 ,$12.85 ,$41.31 ,$17.44 ,$24.97 , N/A ,$22.03 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SOLIFENACIN SUCCINATE 10 MG TABS,637,1 ,$36.05 ,$25.96 ,$9.45 ,$90.13 ,$90.13 ,$19.11 ,$19.83 , N/A ,$10.09 ,$18.85 , N/A ,$19.83 , N/A ,$17.84 ,$14.42 , N/A ,$17.84 , N/A ,$25.24 ,$22.53 ,$28.84 , N/A , N/A ,$25.24 , N/A ,$21.63 , N/A ,$27.04 ,$19.90 ,$17.95 ,$19.90 , N/A ,$19.90 ,$29.20 ,$36.05 ,$29.20 ,$30.64 ,$36.05 ,$24.98 , N/A ,$36.05 ,$20.22 , N/A ,$9.45 ,$36.05 , N/A , N/A , N/A ,$28.84 ,$17.84 ,$10.09 ,$32.45 ,$13.70 ,$19.61 , N/A ,$17.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SOTALOL 80 MG TABS,637,1 ,$27.85 ,$20.05 ,$7.30 ,$69.63 ,$69.63 ,$14.76 ,$15.32 , N/A ,$7.80 ,$14.57 , N/A ,$15.32 , N/A ,$13.79 ,$11.14 , N/A ,$13.79 , N/A ,$19.50 ,$17.41 ,$22.28 , N/A , N/A ,$19.50 , N/A ,$16.71 , N/A ,$20.89 ,$15.37 ,$13.87 ,$15.37 , N/A ,$15.37 ,$22.56 ,$27.85 ,$22.56 ,$23.67 ,$27.85 ,$19.30 , N/A ,$27.85 ,$15.62 , N/A ,$7.30 ,$27.85 , N/A , N/A , N/A ,$22.28 ,$13.79 ,$7.80 ,$25.07 ,$10.58 ,$15.15 , N/A ,$13.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE 10 MG TABS,637,1 ,$27.85 ,$20.05 ,$7.30 ,$69.63 ,$69.63 ,$14.76 ,$15.32 , N/A ,$7.80 ,$14.57 , N/A ,$15.32 , N/A ,$13.79 ,$11.14 , N/A ,$13.79 , N/A ,$19.50 ,$17.41 ,$22.28 , N/A , N/A ,$19.50 , N/A ,$16.71 , N/A ,$20.89 ,$15.37 ,$13.87 ,$15.37 , N/A ,$15.37 ,$22.56 ,$27.85 ,$22.56 ,$23.67 ,$27.85 ,$19.30 , N/A ,$27.85 ,$15.62 , N/A ,$7.30 ,$27.85 , N/A , N/A , N/A ,$22.28 ,$13.79 ,$7.80 ,$25.07 ,$10.58 ,$15.15 , N/A ,$13.37 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SPIRONOLACTONE 25 MG TABS,637,1 ,$11.23 ,$8.09 ,$2.94 ,$28.08 ,$28.08 ,$5.95 ,$6.18 , N/A ,$3.14 ,$5.87 , N/A ,$6.18 , N/A ,$5.56 ,$4.49 , N/A ,$5.56 , N/A ,$7.86 ,$7.02 ,$8.98 , N/A , N/A ,$7.86 , N/A ,$6.74 , N/A ,$8.42 ,$6.20 ,$5.59 ,$6.20 , N/A ,$6.20 ,$9.10 ,$11.23 ,$9.10 ,$9.55 ,$11.23 ,$7.78 , N/A ,$11.23 ,$6.30 , N/A ,$2.94 ,$11.23 , N/A , N/A , N/A ,$8.98 ,$5.56 ,$3.14 ,$10.11 ,$4.27 ,$6.11 , N/A ,$5.39 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,INDOMETHACIN 25 MG CAPS,637,1 ,$11.23 ,$8.09 ,$2.94 ,$28.08 ,$28.08 ,$5.95 ,$6.18 , N/A ,$3.14 ,$5.87 , N/A ,$6.18 , N/A ,$5.56 ,$4.49 , N/A ,$5.56 , N/A ,$7.86 ,$7.02 ,$8.98 , N/A , N/A ,$7.86 , N/A ,$6.74 , N/A ,$8.42 ,$6.20 ,$5.59 ,$6.20 , N/A ,$6.20 ,$9.10 ,$11.23 ,$9.10 ,$9.55 ,$11.23 ,$7.78 , N/A ,$11.23 ,$6.30 , N/A ,$2.94 ,$11.23 , N/A , N/A , N/A ,$8.98 ,$5.56 ,$3.14 ,$10.11 ,$4.27 ,$6.11 , N/A ,$5.39 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SUCRALFATE 1 G TABS,637,1 ,$9.95 ,$7.16 ,$2.61 ,$24.88 ,$24.88 ,$5.27 ,$5.47 , N/A ,$2.79 ,$5.20 , N/A ,$5.47 , N/A ,$4.93 ,$3.98 , N/A ,$4.93 , N/A ,$6.97 ,$6.22 ,$7.96 , N/A , N/A ,$6.97 , N/A ,$5.97 , N/A ,$7.46 ,$5.49 ,$4.96 ,$5.49 , N/A ,$5.49 ,$8.06 ,$9.95 ,$8.06 ,$8.46 ,$9.95 ,$6.90 , N/A ,$9.95 ,$5.58 , N/A ,$2.61 ,$9.95 , N/A , N/A , N/A ,$7.96 ,$4.93 ,$2.79 ,$8.96 ,$3.78 ,$5.41 , N/A ,$4.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SUCRALFATE 1 GM/10ML SUSP,637,1 ,$85.30 ,$61.42 ,$22.35 ,$213.25 ,$213.25 ,$45.21 ,$46.92 , N/A ,$23.88 ,$44.61 , N/A ,$46.92 , N/A ,$42.22 ,$34.12 , N/A ,$42.22 , N/A ,$59.71 ,$53.31 ,$68.24 , N/A , N/A ,$59.71 , N/A ,$51.18 , N/A ,$63.98 ,$47.09 ,$42.48 ,$47.09 , N/A ,$47.09 ,$69.09 ,$85.30 ,$69.09 ,$72.51 ,$85.30 ,$59.11 , N/A ,$85.30 ,$47.85 , N/A ,$22.35 ,$85.30 , N/A , N/A , N/A ,$68.24 ,$42.22 ,$23.88 ,$76.77 ,$32.41 ,$46.40 , N/A ,$40.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SUCROSE 24 % SUSP,637,1 ,$10.10 ,$7.27 ,$2.65 ,$25.25 ,$25.25 ,$5.35 ,$5.56 , N/A ,$2.83 ,$5.28 , N/A ,$5.56 , N/A ,$5.00 ,$4.04 , N/A ,$5.00 , N/A ,$7.07 ,$6.31 ,$8.08 , N/A , N/A ,$7.07 , N/A ,$6.06 , N/A ,$7.58 ,$5.58 ,$5.03 ,$5.58 , N/A ,$5.58 ,$8.18 ,$10.10 ,$8.18 ,$8.59 ,$10.10 ,$7.00 , N/A ,$10.10 ,$5.67 , N/A ,$2.65 ,$10.10 , N/A , N/A , N/A ,$8.08 ,$5.00 ,$2.83 ,$9.09 ,$3.84 ,$5.49 , N/A ,$4.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOXEPIN 25 MG CAPS,637,1 ,$10.10 ,$7.27 ,$2.65 ,$25.25 ,$25.25 ,$5.35 ,$5.56 , N/A ,$2.83 ,$5.28 , N/A ,$5.56 , N/A ,$5.00 ,$4.04 , N/A ,$5.00 , N/A ,$7.07 ,$6.31 ,$8.08 , N/A , N/A ,$7.07 , N/A ,$6.06 , N/A ,$7.58 ,$5.58 ,$5.03 ,$5.58 , N/A ,$5.58 ,$8.18 ,$10.10 ,$8.18 ,$8.59 ,$10.10 ,$7.00 , N/A ,$10.10 ,$5.67 , N/A ,$2.65 ,$10.10 , N/A , N/A , N/A ,$8.08 ,$5.00 ,$2.83 ,$9.09 ,$3.84 ,$5.49 , N/A ,$4.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LEVETIRACETAM 250 MG TABS,637,1 ,$10.10 ,$7.27 ,$2.65 ,$25.25 ,$25.25 ,$5.35 ,$5.56 , N/A ,$2.83 ,$5.28 , N/A ,$5.56 , N/A ,$5.00 ,$4.04 , N/A ,$5.00 , N/A ,$7.07 ,$6.31 ,$8.08 , N/A , N/A ,$7.07 , N/A ,$6.06 , N/A ,$7.58 ,$5.58 ,$5.03 ,$5.58 , N/A ,$5.58 ,$8.18 ,$10.10 ,$8.18 ,$8.59 ,$10.10 ,$7.00 , N/A ,$10.10 ,$5.67 , N/A ,$2.65 ,$10.10 , N/A , N/A , N/A ,$8.08 ,$5.00 ,$2.83 ,$9.09 ,$3.84 ,$5.49 , N/A ,$4.85 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSP,637,1 ,$1.32 ,$0.95 ,$0.35 ,$3.30 ,$3.30 ,$0.70 ,$0.73 , N/A ,$0.37 ,$0.69 , N/A ,$0.73 , N/A ,$0.65 ,$0.53 , N/A ,$0.65 , N/A ,$0.92 ,$0.83 ,$1.06 , N/A , N/A ,$0.92 , N/A ,$0.79 , N/A ,$0.99 ,$0.73 ,$0.66 ,$0.73 , N/A ,$0.73 ,$1.07 ,$1.32 ,$1.07 ,$1.12 ,$1.32 ,$0.91 , N/A ,$1.32 ,$0.74 , N/A ,$0.35 ,$1.32 , N/A , N/A , N/A ,$1.06 ,$0.65 ,$0.37 ,$1.19 ,$0.50 ,$0.72 , N/A ,$0.63 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABS,637,1 ,$8.25 ,$5.94 ,$2.16 ,$20.63 ,$20.63 ,$4.37 ,$4.54 , N/A ,$2.31 ,$4.31 , N/A ,$4.54 , N/A ,$4.08 ,$3.30 , N/A ,$4.08 , N/A ,$5.78 ,$5.16 ,$6.60 , N/A , N/A ,$5.78 , N/A ,$4.95 , N/A ,$6.19 ,$4.55 ,$4.11 ,$4.55 , N/A ,$4.55 ,$6.68 ,$8.25 ,$6.68 ,$7.01 ,$8.25 ,$5.72 , N/A ,$8.25 ,$4.63 , N/A ,$2.16 ,$8.25 , N/A , N/A , N/A ,$6.60 ,$4.08 ,$2.31 ,$7.43 ,$3.14 ,$4.49 , N/A ,$3.96 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METHYLPHENIDATE 20 MG TABS,637,1 ,$8.25 ,$5.94 ,$2.16 ,$20.63 ,$20.63 ,$4.37 ,$4.54 , N/A ,$2.31 ,$4.31 , N/A ,$4.54 , N/A ,$4.08 ,$3.30 , N/A ,$4.08 , N/A ,$5.78 ,$5.16 ,$6.60 , N/A , N/A ,$5.78 , N/A ,$4.95 , N/A ,$6.19 ,$4.55 ,$4.11 ,$4.55 , N/A ,$4.55 ,$6.68 ,$8.25 ,$6.68 ,$7.01 ,$8.25 ,$5.72 , N/A ,$8.25 ,$4.63 , N/A ,$2.16 ,$8.25 , N/A , N/A , N/A ,$6.60 ,$4.08 ,$2.31 ,$7.43 ,$3.14 ,$4.49 , N/A ,$3.96 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SULFASALAZINE 500 MG TABS,637,1 ,$6.70 ,$4.82 ,$1.76 ,$16.75 ,$16.75 ,$3.55 ,$3.69 , N/A ,$1.88 ,$3.50 , N/A ,$3.69 , N/A ,$3.32 ,$2.68 , N/A ,$3.32 , N/A ,$4.69 ,$4.19 ,$5.36 , N/A , N/A ,$4.69 , N/A ,$4.02 , N/A ,$5.03 ,$3.70 ,$3.34 ,$3.70 , N/A ,$3.70 ,$5.43 ,$6.70 ,$5.43 ,$5.70 ,$6.70 ,$4.64 , N/A ,$6.70 ,$3.76 , N/A ,$1.76 ,$6.70 , N/A , N/A , N/A ,$5.36 ,$3.32 ,$1.88 ,$6.03 ,$2.55 ,$3.64 , N/A ,$3.22 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SULINDAC 200 MG TABS,637,1 ,$6.65 ,$4.79 ,$1.74 ,$16.63 ,$16.63 ,$3.52 ,$3.66 , N/A ,$1.86 ,$3.48 , N/A ,$3.66 , N/A ,$3.29 ,$2.66 , N/A ,$3.29 , N/A ,$4.66 ,$4.16 ,$5.32 , N/A , N/A ,$4.66 , N/A ,$3.99 , N/A ,$4.99 ,$3.67 ,$3.31 ,$3.67 , N/A ,$3.67 ,$5.39 ,$6.65 ,$5.39 ,$5.65 ,$6.65 ,$4.61 , N/A ,$6.65 ,$3.73 , N/A ,$1.74 ,$6.65 , N/A , N/A , N/A ,$5.32 ,$3.29 ,$1.86 ,$5.99 ,$2.53 ,$3.62 , N/A ,$3.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDRALAZINE 25 MG TABS,637,1 ,$6.65 ,$4.79 ,$1.74 ,$16.63 ,$16.63 ,$3.52 ,$3.66 , N/A ,$1.86 ,$3.48 , N/A ,$3.66 , N/A ,$3.29 ,$2.66 , N/A ,$3.29 , N/A ,$4.66 ,$4.16 ,$5.32 , N/A , N/A ,$4.66 , N/A ,$3.99 , N/A ,$4.99 ,$3.67 ,$3.31 ,$3.67 , N/A ,$3.67 ,$5.39 ,$6.65 ,$5.39 ,$5.65 ,$6.65 ,$4.61 , N/A ,$6.65 ,$3.73 , N/A ,$1.74 ,$6.65 , N/A , N/A , N/A ,$5.32 ,$3.29 ,$1.86 ,$5.99 ,$2.53 ,$3.62 , N/A ,$3.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SUMATRIPTAN 25 MG TABS,637,1 ,$121.75 ,$87.66 ,$31.90 ,$304.38 ,$304.38 ,$64.53 ,$66.96 , N/A ,$34.09 ,$63.68 , N/A ,$66.96 , N/A ,$60.27 ,$48.70 , N/A ,$60.27 , N/A ,$85.23 ,$76.09 ,$97.40 , N/A , N/A ,$85.23 , N/A ,$73.05 , N/A ,$91.31 ,$67.21 ,$60.63 ,$67.21 , N/A ,$67.21 ,$98.62 ,$121.75 ,$98.62 ,$103.49 ,$121.75 ,$84.37 , N/A ,$121.75 ,$68.30 , N/A ,$31.90 ,$121.75 , N/A , N/A , N/A ,$97.40 ,$60.27 ,$34.09 ,$109.58 ,$46.27 ,$66.23 , N/A ,$58.44 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TAMOXIFEN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VERAPAMIL 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN 81 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN BUFFERED (CACARB-MGCARB-MGO) 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN EC 325 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ASPIRIN EC 81 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,B COMPLEX-C-FOLIC ACID 0.8 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BENZOCAINE-MENTHOL 15-2.6 MG LOZG,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BENZOCAINE-MENTHOL 15-3.6 MG LOZG,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BISACODYL 10 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,BUFFERED SALT TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARB-CHOLECALCIFEROL 250-3.125 MG-MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARBONATE 1250 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARBONATE 500 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CALCIUM CARBONATE-VITAMIN D 500-5 MG-MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBAMAZEPINE 100 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBIDOPA-LEVODOPA 10-100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBOXYMETHYLCELLULOSE PF 0.5 % SOLN,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARISOPRODOL 350 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CYPROHEPTADINE 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DEXMETHYLPHENIDATE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,METOPROLOL TARTRATE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MULTI VITAMIN/MINERALS TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MULTIVITAMIN WITH MINERALS LIQD,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NIACIN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,NICOTINE POLACRILEX 2 MG GUM,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,OYSTER SHELL CALCIUM 500 MG (ELEMENTAL) 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,POLYCARBOPHIL 625 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PRENATAL VITAMIN (LOW IRON) 27-0.8 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PROMETHAZINE-CODEINE 6.25-10 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PSEUDOEPHEDRINE ER 120 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PSYLLIUM 58.12 % PACK,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,PYRIDOXINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SENNA 8.6 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SENNA-DOCUSATE 8.6-50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SIMETHICONE 80 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,SIMPLE SYRUP SYRP,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ACETAMINOPHEN-CODEINE 300-15 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIPHENHYDRAMINE 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOCUSATE SODIUM 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ESTRADIOL 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FERROUS SULFATE (65 MG ELEMENTAL) 325 (65 FE) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FERROUS SULFATE EC 325 (65 FE) MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FIBER 4 G PACK,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FOLIC ACID 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FUROSEMIDE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FUROSEMIDE 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLUCOSE 15 GM/32ML GEL,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GLYCERIN (PEDS/INFANT) 1.2 G SUPP,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HALOPERIDOL 2 MG/ML CONC,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HALOPERIDOL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROCORTISONE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYDROMORPHONE 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,HYOSCYAMINE 0.125 MG SUBL,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IMIPRAMINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IMIPRAMINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IRON CONTAINING PEDS MULTIVITAMIN 11 MG/ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,IRON POLYSACCHARIDES 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LACTASE 3000 UNITS TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LAMOTRIGINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LAMOTRIGINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISINOPRIL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LISINOPRIL 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LITHIUM 300 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LITHIUM 300 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LORAZEPAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LORAZEPAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MAGNESIUM OXIDE 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MAGNESIUM OXIDE 400 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,MELATONIN 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN C 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 1.25 MG (50000 UT) CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 10 MCG (400 UNIT) TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 1000 UNIT TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN E 180 MG (400 UNIT) CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN E 90 MG (200 UNIT) CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRAZODONE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRAZODONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIHEXYPHENIDYL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALPRAZOLAM 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ALPRAZOLAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMITRIPTYLINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,AMOXICILLIN 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.57 ,$15.00 ,$15.00 ,$3.18 ,$3.30 , N/A ,$1.68 ,$3.14 , N/A ,$3.30 , N/A ,$2.97 ,$2.40 , N/A ,$2.97 , N/A ,$4.20 ,$3.75 ,$4.80 , N/A , N/A ,$4.20 , N/A ,$3.60 , N/A ,$4.50 ,$3.31 ,$2.99 ,$3.31 , N/A ,$3.31 ,$4.86 ,$6.00 ,$4.86 ,$5.10 ,$6.00 ,$4.16 , N/A ,$6.00 ,$3.37 , N/A ,$1.57 ,$6.00 , N/A , N/A , N/A ,$4.80 ,$2.97 ,$1.68 ,$5.40 ,$2.28 ,$3.26 , N/A ,$2.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TAMSULOSIN 0.4 MG CAPS,637,1 ,$50.60 ,$36.43 ,$13.26 ,$126.50 ,$126.50 ,$26.82 ,$27.83 , N/A ,$14.17 ,$26.46 , N/A ,$27.83 , N/A ,$25.05 ,$20.24 , N/A ,$25.05 , N/A ,$35.42 ,$31.63 ,$40.48 , N/A , N/A ,$35.42 , N/A ,$30.36 , N/A ,$37.95 ,$27.93 ,$25.20 ,$27.93 , N/A ,$27.93 ,$40.99 ,$50.60 ,$40.99 ,$43.01 ,$50.60 ,$35.07 , N/A ,$50.60 ,$28.39 , N/A ,$13.26 ,$50.60 , N/A , N/A , N/A ,$40.48 ,$25.05 ,$14.17 ,$45.54 ,$19.23 ,$27.53 , N/A ,$24.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABS,637,1 ,$105.60 ,$76.03 ,$27.67 ,$264.00 ,$264.00 ,$55.97 ,$58.08 , N/A ,$29.57 ,$55.23 , N/A ,$58.08 , N/A ,$52.27 ,$42.24 , N/A ,$52.27 , N/A ,$73.92 ,$66.00 ,$84.48 , N/A , N/A ,$73.92 , N/A ,$63.36 , N/A ,$79.20 ,$58.29 ,$52.59 ,$58.29 , N/A ,$58.29 ,$85.54 ,$105.60 ,$85.54 ,$89.76 ,$105.60 ,$73.18 , N/A ,$105.60 ,$59.24 , N/A ,$27.67 ,$105.60 , N/A , N/A , N/A ,$84.48 ,$52.27 ,$29.57 ,$95.04 ,$40.13 ,$57.45 , N/A ,$50.69 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TERAZOSIN 5 MG CAPS,637,1 ,$19.30 ,$13.90 ,$5.06 ,$48.25 ,$48.25 ,$10.23 ,$10.62 , N/A ,$5.40 ,$10.09 , N/A ,$10.62 , N/A ,$9.55 ,$7.72 , N/A ,$9.55 , N/A ,$13.51 ,$12.06 ,$15.44 , N/A , N/A ,$13.51 , N/A ,$11.58 , N/A ,$14.48 ,$10.65 ,$9.61 ,$10.65 , N/A ,$10.65 ,$15.63 ,$19.30 ,$15.63 ,$16.41 ,$19.30 ,$13.37 , N/A ,$19.30 ,$10.83 , N/A ,$5.06 ,$19.30 , N/A , N/A , N/A ,$15.44 ,$9.55 ,$5.40 ,$17.37 ,$7.33 ,$10.50 , N/A ,$9.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TERAZOSIN 1 MG CAPS,637,1 ,$19.30 ,$13.90 ,$5.06 ,$48.25 ,$48.25 ,$10.23 ,$10.62 , N/A ,$5.40 ,$10.09 , N/A ,$10.62 , N/A ,$9.55 ,$7.72 , N/A ,$9.55 , N/A ,$13.51 ,$12.06 ,$15.44 , N/A , N/A ,$13.51 , N/A ,$11.58 , N/A ,$14.48 ,$10.65 ,$9.61 ,$10.65 , N/A ,$10.65 ,$15.63 ,$19.30 ,$15.63 ,$16.41 ,$19.30 ,$13.37 , N/A ,$19.30 ,$10.83 , N/A ,$5.06 ,$19.30 , N/A , N/A , N/A ,$15.44 ,$9.55 ,$5.40 ,$17.37 ,$7.33 ,$10.50 , N/A ,$9.26 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TERBUTALINE 5 MG TABS,637,1 ,$18.30 ,$13.18 ,$4.79 ,$45.75 ,$45.75 ,$9.70 ,$10.07 , N/A ,$5.12 ,$9.57 , N/A ,$10.07 , N/A ,$9.06 ,$7.32 , N/A ,$9.06 , N/A ,$12.81 ,$11.44 ,$14.64 , N/A , N/A ,$12.81 , N/A ,$10.98 , N/A ,$13.73 ,$10.10 ,$9.11 ,$10.10 , N/A ,$10.10 ,$14.82 ,$18.30 ,$14.82 ,$15.56 ,$18.30 ,$12.68 , N/A ,$18.30 ,$10.27 , N/A ,$4.79 ,$18.30 , N/A , N/A , N/A ,$14.64 ,$9.06 ,$5.12 ,$16.47 ,$6.95 ,$9.96 , N/A ,$8.78 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TETRACYCLINE 500 MG CAPS,637,1 ,$43.35 ,$31.21 ,$11.36 ,$108.38 ,$108.38 ,$22.98 ,$23.84 , N/A ,$12.14 ,$22.67 , N/A ,$23.84 , N/A ,$21.46 ,$17.34 , N/A ,$21.46 , N/A ,$30.35 ,$27.09 ,$34.68 , N/A , N/A ,$30.35 , N/A ,$26.01 , N/A ,$32.51 ,$23.93 ,$21.59 ,$23.93 , N/A ,$23.93 ,$35.11 ,$43.35 ,$35.11 ,$36.85 ,$43.35 ,$30.04 , N/A ,$43.35 ,$24.32 , N/A ,$11.36 ,$43.35 , N/A , N/A , N/A ,$34.68 ,$21.46 ,$12.14 ,$39.02 ,$16.47 ,$23.58 , N/A ,$20.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TETRAHYDROZOLINE 0.05 % SOLN 15 ML BOTTLE,637,1 ,$22.90 ,$16.49 ,$6.00 ,$57.25 ,$57.25 ,$12.14 ,$12.60 , N/A ,$6.41 ,$11.98 , N/A ,$12.60 , N/A ,$11.34 ,$9.16 , N/A ,$11.34 , N/A ,$16.03 ,$14.31 ,$18.32 , N/A , N/A ,$16.03 , N/A ,$13.74 , N/A ,$17.18 ,$12.64 ,$11.40 ,$12.64 , N/A ,$12.64 ,$18.55 ,$22.90 ,$18.55 ,$19.47 ,$22.90 ,$15.87 , N/A ,$22.90 ,$12.85 , N/A ,$6.00 ,$22.90 , N/A , N/A , N/A ,$18.32 ,$11.34 ,$6.41 ,$20.61 ,$8.70 ,$12.46 , N/A ,$10.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,THEOPHYLLINE ER 100 MG CP24,637,1 ,$12.25 ,$8.82 ,$3.21 ,$30.63 ,$30.63 ,$6.49 ,$6.74 , N/A ,$3.43 ,$6.41 , N/A ,$6.74 , N/A ,$6.06 ,$4.90 , N/A ,$6.06 , N/A ,$8.58 ,$7.66 ,$9.80 , N/A , N/A ,$8.58 , N/A ,$7.35 , N/A ,$9.19 ,$6.76 ,$6.10 ,$6.76 , N/A ,$6.76 ,$9.92 ,$12.25 ,$9.92 ,$10.41 ,$12.25 ,$8.49 , N/A ,$12.25 ,$6.87 , N/A ,$3.21 ,$12.25 , N/A , N/A , N/A ,$9.80 ,$6.06 ,$3.43 ,$11.03 ,$4.66 ,$6.66 , N/A ,$5.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CEVIMELINE 30 MG CAPS,637,1 ,$12.25 ,$8.82 ,$3.21 ,$30.63 ,$30.63 ,$6.49 ,$6.74 , N/A ,$3.43 ,$6.41 , N/A ,$6.74 , N/A ,$6.06 ,$4.90 , N/A ,$6.06 , N/A ,$8.58 ,$7.66 ,$9.80 , N/A , N/A ,$8.58 , N/A ,$7.35 , N/A ,$9.19 ,$6.76 ,$6.10 ,$6.76 , N/A ,$6.76 ,$9.92 ,$12.25 ,$9.92 ,$10.41 ,$12.25 ,$8.49 , N/A ,$12.25 ,$6.87 , N/A ,$3.21 ,$12.25 , N/A , N/A , N/A ,$9.80 ,$6.06 ,$3.43 ,$11.03 ,$4.66 ,$6.66 , N/A ,$5.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,LOPERAMIDE 2 MG CAPS,637,1 ,$12.25 ,$8.82 ,$3.21 ,$30.63 ,$30.63 ,$6.49 ,$6.74 , N/A ,$3.43 ,$6.41 , N/A ,$6.74 , N/A ,$6.06 ,$4.90 , N/A ,$6.06 , N/A ,$8.58 ,$7.66 ,$9.80 , N/A , N/A ,$8.58 , N/A ,$7.35 , N/A ,$9.19 ,$6.76 ,$6.10 ,$6.76 , N/A ,$6.76 ,$9.92 ,$12.25 ,$9.92 ,$10.41 ,$12.25 ,$8.49 , N/A ,$12.25 ,$6.87 , N/A ,$3.21 ,$12.25 , N/A , N/A , N/A ,$9.80 ,$6.06 ,$3.43 ,$11.03 ,$4.66 ,$6.66 , N/A ,$5.88 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,THIORIDAZINE 25 MG TABS,637,1 ,$9.13 ,$6.57 ,$2.39 ,$22.83 ,$22.83 ,$4.84 ,$5.02 , N/A ,$2.56 ,$4.78 , N/A ,$5.02 , N/A ,$4.52 ,$3.65 , N/A ,$4.52 , N/A ,$6.39 ,$5.71 ,$7.30 , N/A , N/A ,$6.39 , N/A ,$5.48 , N/A ,$6.85 ,$5.04 ,$4.55 ,$5.04 , N/A ,$5.04 ,$7.40 ,$9.13 ,$7.40 ,$7.76 ,$9.13 ,$6.33 , N/A ,$9.13 ,$5.12 , N/A ,$2.39 ,$9.13 , N/A , N/A , N/A ,$7.30 ,$4.52 ,$2.56 ,$8.22 ,$3.47 ,$4.97 , N/A ,$4.38 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,THYROID 60 MG TABS,637,1 ,$6.10 ,$4.39 ,$1.60 ,$15.25 ,$15.25 ,$3.23 ,$3.36 , N/A ,$1.71 ,$3.19 , N/A ,$3.36 , N/A ,$3.02 ,$2.44 , N/A ,$3.02 , N/A ,$4.27 ,$3.81 ,$4.88 , N/A , N/A ,$4.27 , N/A ,$3.66 , N/A ,$4.58 ,$3.37 ,$3.04 ,$3.37 , N/A ,$3.37 ,$4.94 ,$6.10 ,$4.94 ,$5.19 ,$6.10 ,$4.23 , N/A ,$6.10 ,$3.42 , N/A ,$1.60 ,$6.10 , N/A , N/A , N/A ,$4.88 ,$3.02 ,$1.71 ,$5.49 ,$2.32 ,$3.32 , N/A ,$2.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZINC SULFATE 220 MG CAPS,637,1 ,$6.10 ,$4.39 ,$1.60 ,$15.25 ,$15.25 ,$3.23 ,$3.36 , N/A ,$1.71 ,$3.19 , N/A ,$3.36 , N/A ,$3.02 ,$2.44 , N/A ,$3.02 , N/A ,$4.27 ,$3.81 ,$4.88 , N/A , N/A ,$4.27 , N/A ,$3.66 , N/A ,$4.58 ,$3.37 ,$3.04 ,$3.37 , N/A ,$3.37 ,$4.94 ,$6.10 ,$4.94 ,$5.19 ,$6.10 ,$4.23 , N/A ,$6.10 ,$3.42 , N/A ,$1.60 ,$6.10 , N/A , N/A , N/A ,$4.88 ,$3.02 ,$1.71 ,$5.49 ,$2.32 ,$3.32 , N/A ,$2.93 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TICAGRELOR 90 MG TABS,637,1 ,$23.40 ,$16.85 ,$6.13 ,$58.50 ,$58.50 ,$12.40 ,$12.87 , N/A ,$6.55 ,$12.24 , N/A ,$12.87 , N/A ,$11.58 ,$9.36 , N/A ,$11.58 , N/A ,$16.38 ,$14.63 ,$18.72 , N/A , N/A ,$16.38 , N/A ,$14.04 , N/A ,$17.55 ,$12.92 ,$11.65 ,$12.92 , N/A ,$12.92 ,$18.95 ,$23.40 ,$18.95 ,$19.89 ,$23.40 ,$16.22 , N/A ,$23.40 ,$13.13 , N/A ,$6.13 ,$23.40 , N/A , N/A , N/A ,$18.72 ,$11.58 ,$6.55 ,$21.06 ,$8.89 ,$12.73 , N/A ,$11.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TICAGRELOR 60 MG TABS,637,1 ,$23.40 ,$16.85 ,$6.13 ,$58.50 ,$58.50 ,$12.40 ,$12.87 , N/A ,$6.55 ,$12.24 , N/A ,$12.87 , N/A ,$11.58 ,$9.36 , N/A ,$11.58 , N/A ,$16.38 ,$14.63 ,$18.72 , N/A , N/A ,$16.38 , N/A ,$14.04 , N/A ,$17.55 ,$12.92 ,$11.65 ,$12.92 , N/A ,$12.92 ,$18.95 ,$23.40 ,$18.95 ,$19.89 ,$23.40 ,$16.22 , N/A ,$23.40 ,$13.13 , N/A ,$6.13 ,$23.40 , N/A , N/A , N/A ,$18.72 ,$11.58 ,$6.55 ,$21.06 ,$8.89 ,$12.73 , N/A ,$11.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,FLUTICASONE PROPIONATE 220 MCG/ACT AERO,637,1 ,$23.40 ,$16.85 ,$6.13 ,$58.50 ,$58.50 ,$12.40 ,$12.87 , N/A ,$6.55 ,$12.24 , N/A ,$12.87 , N/A ,$11.58 ,$9.36 , N/A ,$11.58 , N/A ,$16.38 ,$14.63 ,$18.72 , N/A , N/A ,$16.38 , N/A ,$14.04 , N/A ,$17.55 ,$12.92 ,$11.65 ,$12.92 , N/A ,$12.92 ,$18.95 ,$23.40 ,$18.95 ,$19.89 ,$23.40 ,$16.22 , N/A ,$23.40 ,$13.13 , N/A ,$6.13 ,$23.40 , N/A , N/A , N/A ,$18.72 ,$11.58 ,$6.55 ,$21.06 ,$8.89 ,$12.73 , N/A ,$11.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,GUANFACINE 1 MG TABS,637,1 ,$23.40 ,$16.85 ,$6.13 ,$58.50 ,$58.50 ,$12.40 ,$12.87 , N/A ,$6.55 ,$12.24 , N/A ,$12.87 , N/A ,$11.58 ,$9.36 , N/A ,$11.58 , N/A ,$16.38 ,$14.63 ,$18.72 , N/A , N/A ,$16.38 , N/A ,$14.04 , N/A ,$17.55 ,$12.92 ,$11.65 ,$12.92 , N/A ,$12.92 ,$18.95 ,$23.40 ,$18.95 ,$19.89 ,$23.40 ,$16.22 , N/A ,$23.40 ,$13.13 , N/A ,$6.13 ,$23.40 , N/A , N/A , N/A ,$18.72 ,$11.58 ,$6.55 ,$21.06 ,$8.89 ,$12.73 , N/A ,$11.23 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,637,1 ,$43.00 ,$30.96 ,$11.27 ,$107.50 ,$107.50 ,$22.79 ,$23.65 , N/A ,$12.04 ,$22.49 , N/A ,$23.65 , N/A ,$21.29 ,$17.20 , N/A ,$21.29 , N/A ,$30.10 ,$26.88 ,$34.40 , N/A , N/A ,$30.10 , N/A ,$25.80 , N/A ,$32.25 ,$23.74 ,$21.41 ,$23.74 , N/A ,$23.74 ,$34.83 ,$43.00 ,$34.83 ,$36.55 ,$43.00 ,$29.80 , N/A ,$43.00 ,$24.12 , N/A ,$11.27 ,$43.00 , N/A , N/A , N/A ,$34.40 ,$21.29 ,$12.04 ,$38.70 ,$16.34 ,$23.39 , N/A ,$20.64 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TIMOLOL 0.5 % SOLN 10 ML BOTTLE,637,1 ,$226.45 ,$163.04 ,$59.33 ,$566.13 ,$566.13 ,$120.02 ,$124.55 , N/A ,$63.41 ,$118.43 , N/A ,$124.55 , N/A ,$112.09 ,$90.58 , N/A ,$112.09 , N/A ,$158.52 ,$141.53 ,$181.16 , N/A , N/A ,$158.52 , N/A ,$135.87 , N/A ,$169.84 ,$125.00 ,$112.77 ,$125.00 , N/A ,$125.00 ,$183.42 ,$226.45 ,$183.42 ,$192.48 ,$226.45 ,$156.93 , N/A ,$226.45 ,$127.04 , N/A ,$59.33 ,$226.45 , N/A , N/A , N/A ,$181.16 ,$112.09 ,$63.41 ,$203.81 ,$86.05 ,$123.19 , N/A ,$108.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,637,1 ,$119.00 ,$85.68 ,$31.18 ,$297.50 ,$297.50 ,$63.07 ,$65.45 , N/A ,$33.32 ,$62.24 , N/A ,$65.45 , N/A ,$58.91 ,$47.60 , N/A ,$58.91 , N/A ,$83.30 ,$74.38 ,$95.20 , N/A , N/A ,$83.30 , N/A ,$71.40 , N/A ,$89.25 ,$65.69 ,$59.26 ,$65.69 , N/A ,$65.69 ,$96.39 ,$119.00 ,$96.39 ,$101.15 ,$119.00 ,$82.47 , N/A ,$119.00 ,$66.76 , N/A ,$31.18 ,$119.00 , N/A , N/A , N/A ,$95.20 ,$58.91 ,$33.32 ,$107.10 ,$45.22 ,$64.74 , N/A ,$57.12 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TIOTROPIUM 2.5 MCG/ACT AERS 4 G INHALER,637,1 ,$99.00 ,$71.28 ,$25.94 ,$247.50 ,$247.50 ,$52.47 ,$54.45 , N/A ,$27.72 ,$51.78 , N/A ,$54.45 , N/A ,$49.01 ,$39.60 , N/A ,$49.01 , N/A ,$69.30 ,$61.88 ,$79.20 , N/A , N/A ,$69.30 , N/A ,$59.40 , N/A ,$74.25 ,$54.65 ,$49.30 ,$54.65 , N/A ,$54.65 ,$80.19 ,$99.00 ,$80.19 ,$84.15 ,$99.00 ,$68.61 , N/A ,$99.00 ,$55.54 , N/A ,$25.94 ,$99.00 , N/A , N/A , N/A ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$53.86 , N/A ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TIZANIDINE 4 MG TABS,637,1 ,$18.20 ,$13.10 ,$4.77 ,$45.50 ,$45.50 ,$9.65 ,$10.01 , N/A ,$5.10 ,$9.52 , N/A ,$10.01 , N/A ,$9.01 ,$7.28 , N/A ,$9.01 , N/A ,$12.74 ,$11.38 ,$14.56 , N/A , N/A ,$12.74 , N/A ,$10.92 , N/A ,$13.65 ,$10.05 ,$9.06 ,$10.05 , N/A ,$10.05 ,$14.74 ,$18.20 ,$14.74 ,$15.47 ,$18.20 ,$12.61 , N/A ,$18.20 ,$10.21 , N/A ,$4.77 ,$18.20 , N/A , N/A , N/A ,$14.56 ,$9.01 ,$5.10 ,$16.38 ,$6.92 ,$9.90 , N/A ,$8.74 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOBRAMYCIN 0.3 % OINT 3.5 G TUBE,637,1 ,"$1,157.55 ",$833.44 ,$303.28 ,"$2,893.88 ","$2,893.88 ",$613.50 ,$636.65 , N/A ,$324.11 ,$605.40 , N/A ,$636.65 , N/A ,$572.99 ,$463.02 , N/A ,$572.99 , N/A ,$810.29 ,$723.47 ,$926.04 , N/A , N/A ,$810.29 , N/A ,$694.53 , N/A ,$868.16 ,$638.97 ,$576.46 ,$638.97 , N/A ,$638.97 ,$937.62 ,"$1,157.55 ",$937.62 ,$983.92 ,"$1,157.55 ",$802.18 , N/A ,"$1,157.55 ",$649.39 , N/A ,$303.28 ,"$1,157.55 ", N/A , N/A , N/A ,$926.04 ,$572.99 ,$324.11 ,"$1,041.80 ",$439.87 ,$629.71 , N/A ,$555.62 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$238.00 ,$171.36 ,$62.36 ,$595.00 ,$595.00 ,$126.14 ,$130.90 , N/A ,$66.64 ,$124.47 , N/A ,$130.90 , N/A ,$117.81 ,$95.20 , N/A ,$117.81 , N/A ,$166.60 ,$148.75 ,$190.40 , N/A , N/A ,$166.60 , N/A ,$142.80 , N/A ,$178.50 ,$131.38 ,$118.52 ,$131.38 , N/A ,$131.38 ,$192.78 ,$238.00 ,$192.78 ,$202.30 ,$238.00 ,$164.93 , N/A ,$238.00 ,$133.52 , N/A ,$62.36 ,$238.00 , N/A , N/A , N/A ,$190.40 ,$117.81 ,$66.64 ,$214.20 ,$90.44 ,$129.47 , N/A ,$114.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % SUSP 5 ML BOTTLE,637,1 ,$669.25 ,$481.86 ,$175.34 ,"$1,673.13 ","$1,673.13 ",$354.70 ,$368.09 , N/A ,$187.39 ,$350.02 , N/A ,$368.09 , N/A ,$331.28 ,$267.70 , N/A ,$331.28 , N/A ,$468.48 ,$418.28 ,$535.40 , N/A , N/A ,$468.48 , N/A ,$401.55 , N/A ,$501.94 ,$369.43 ,$333.29 ,$369.43 , N/A ,$369.43 ,$542.09 ,$669.25 ,$542.09 ,$568.86 ,$669.25 ,$463.79 , N/A ,$669.25 ,$375.45 , N/A ,$175.34 ,$669.25 , N/A , N/A , N/A ,$535.40 ,$331.28 ,$187.39 ,$602.33 ,$254.32 ,$364.07 , N/A ,$321.24 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOLNAFTATE 1 % CREA 30 G TUBE,637,1 ,$69.60 ,$50.11 ,$18.24 ,$174.00 ,$174.00 ,$36.89 ,$38.28 , N/A ,$19.49 ,$36.40 , N/A ,$38.28 , N/A ,$34.45 ,$27.84 , N/A ,$34.45 , N/A ,$48.72 ,$43.50 ,$55.68 , N/A , N/A ,$48.72 , N/A ,$41.76 , N/A ,$52.20 ,$38.42 ,$34.66 ,$38.42 , N/A ,$38.42 ,$56.38 ,$69.60 ,$56.38 ,$59.16 ,$69.60 ,$48.23 , N/A ,$69.60 ,$39.05 , N/A ,$18.24 ,$69.60 , N/A , N/A , N/A ,$55.68 ,$34.45 ,$19.49 ,$62.64 ,$26.45 ,$37.86 , N/A ,$33.41 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOLVAPTAN 15 MG TABS,637,1 ,"$1,716.65 ","$1,235.99 ",$449.76 ,"$4,291.63 ","$4,291.63 ",$909.82 ,$944.16 , N/A ,$480.66 ,$897.81 , N/A ,$944.16 , N/A ,$849.74 ,$686.66 , N/A ,$849.74 , N/A ,"$1,201.66 ","$1,072.91 ","$1,373.32 ", N/A , N/A ,"$1,201.66 ", N/A ,"$1,029.99 ", N/A ,"$1,287.49 ",$947.59 ,$854.89 ,$947.59 , N/A ,$947.59 ,"$1,390.49 ","$1,716.65 ","$1,390.49 ","$1,459.15 ","$1,716.65 ","$1,189.64 ", N/A ,"$1,716.65 ",$963.04 , N/A ,$449.76 ,"$1,716.65 ", N/A , N/A , N/A ,"$1,373.32 ",$849.74 ,$480.66 ,"$1,544.99 ",$652.33 ,$933.86 , N/A ,$823.99 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOPIRAMATE 100 MG TABS,637,1 ,$49.60 ,$35.71 ,$13.00 ,$124.00 ,$124.00 ,$26.29 ,$27.28 , N/A ,$13.89 ,$25.94 , N/A ,$27.28 , N/A ,$24.55 ,$19.84 , N/A ,$24.55 , N/A ,$34.72 ,$31.00 ,$39.68 , N/A , N/A ,$34.72 , N/A ,$29.76 , N/A ,$37.20 ,$27.38 ,$24.70 ,$27.38 , N/A ,$27.38 ,$40.18 ,$49.60 ,$40.18 ,$42.16 ,$49.60 ,$34.37 , N/A ,$49.60 ,$27.83 , N/A ,$13.00 ,$49.60 , N/A , N/A , N/A ,$39.68 ,$24.55 ,$13.89 ,$44.64 ,$18.85 ,$26.98 , N/A ,$23.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TOPIRAMATE 25 MG TABS,637,1 ,$25.20 ,$18.14 ,$6.60 ,$63.00 ,$63.00 ,$13.36 ,$13.86 , N/A ,$7.06 ,$13.18 , N/A ,$13.86 , N/A ,$12.47 ,$10.08 , N/A ,$12.47 , N/A ,$17.64 ,$15.75 ,$20.16 , N/A , N/A ,$17.64 , N/A ,$15.12 , N/A ,$18.90 ,$13.91 ,$12.55 ,$13.91 , N/A ,$13.91 ,$20.41 ,$25.20 ,$20.41 ,$21.42 ,$25.20 ,$17.46 , N/A ,$25.20 ,$14.14 , N/A ,$6.60 ,$25.20 , N/A , N/A , N/A ,$20.16 ,$12.47 ,$7.06 ,$22.68 ,$9.58 ,$13.71 , N/A ,$12.10 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TORSEMIDE 20 MG TABS,637,1 ,$10.05 ,$7.24 ,$2.63 ,$25.13 ,$25.13 ,$5.33 ,$5.53 , N/A ,$2.81 ,$5.26 , N/A ,$5.53 , N/A ,$4.97 ,$4.02 , N/A ,$4.97 , N/A ,$7.04 ,$6.28 ,$8.04 , N/A , N/A ,$7.04 , N/A ,$6.03 , N/A ,$7.54 ,$5.55 ,$5.00 ,$5.55 , N/A ,$5.55 ,$8.14 ,$10.05 ,$8.14 ,$8.54 ,$10.05 ,$6.96 , N/A ,$10.05 ,$5.64 , N/A ,$2.63 ,$10.05 , N/A , N/A , N/A ,$8.04 ,$4.97 ,$2.81 ,$9.05 ,$3.82 ,$5.47 , N/A ,$4.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIAMCINOLONE 0.1 % CREA 80 G TUBE,637,1 ,$101.95 ,$73.40 ,$26.71 ,$254.88 ,$254.88 ,$54.03 ,$56.07 , N/A ,$28.55 ,$53.32 , N/A ,$56.07 , N/A ,$50.47 ,$40.78 , N/A ,$50.47 , N/A ,$71.37 ,$63.72 ,$81.56 , N/A , N/A ,$71.37 , N/A ,$61.17 , N/A ,$76.46 ,$56.28 ,$50.77 ,$56.28 , N/A ,$56.28 ,$82.58 ,$101.95 ,$82.58 ,$86.66 ,$101.95 ,$70.65 , N/A ,$101.95 ,$57.19 , N/A ,$26.71 ,$101.95 , N/A , N/A , N/A ,$81.56 ,$50.47 ,$28.55 ,$91.76 ,$38.74 ,$55.46 , N/A ,$48.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TRIAMCINOLONE 0.5 % CREA 15 G TUBE,637,1 ,$77.70 ,$55.94 ,$20.36 ,$194.25 ,$194.25 ,$41.18 ,$42.74 , N/A ,$21.76 ,$40.64 , N/A ,$42.74 , N/A ,$38.46 ,$31.08 , N/A ,$38.46 , N/A ,$54.39 ,$48.56 ,$62.16 , N/A , N/A ,$54.39 , N/A ,$46.62 , N/A ,$58.28 ,$42.89 ,$38.69 ,$42.89 , N/A ,$42.89 ,$62.94 ,$77.70 ,$62.94 ,$66.05 ,$77.70 ,$53.85 , N/A ,$77.70 ,$43.59 , N/A ,$20.36 ,$77.70 , N/A , N/A , N/A ,$62.16 ,$38.46 ,$21.76 ,$69.93 ,$29.53 ,$42.27 , N/A ,$37.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,TROLAMINE SALICYLATE 10 % CREA 85 G TUBE,637,1 ,$74.40 ,$53.57 ,$19.49 ,$186.00 ,$186.00 ,$39.43 ,$40.92 , N/A ,$20.83 ,$38.91 , N/A ,$40.92 , N/A ,$36.83 ,$29.76 , N/A ,$36.83 , N/A ,$52.08 ,$46.50 ,$59.52 , N/A , N/A ,$52.08 , N/A ,$44.64 , N/A ,$55.80 ,$41.07 ,$37.05 ,$41.07 , N/A ,$41.07 ,$60.26 ,$74.40 ,$60.26 ,$63.24 ,$74.40 ,$51.56 , N/A ,$74.40 ,$41.74 , N/A ,$19.49 ,$74.40 , N/A , N/A , N/A ,$59.52 ,$36.83 ,$20.83 ,$66.96 ,$28.27 ,$40.47 , N/A ,$35.71 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VALACYCLOVIR 500 MG TABS,637,1 ,$47.70 ,$34.34 ,$12.50 ,$119.25 ,$119.25 ,$25.28 ,$26.24 , N/A ,$13.36 ,$24.95 , N/A ,$26.24 , N/A ,$23.61 ,$19.08 , N/A ,$23.61 , N/A ,$33.39 ,$29.81 ,$38.16 , N/A , N/A ,$33.39 , N/A ,$28.62 , N/A ,$35.78 ,$26.33 ,$23.75 ,$26.33 , N/A ,$26.33 ,$38.64 ,$47.70 ,$38.64 ,$40.55 ,$47.70 ,$33.06 , N/A ,$47.70 ,$26.76 , N/A ,$12.50 ,$47.70 , N/A , N/A , N/A ,$38.16 ,$23.61 ,$13.36 ,$42.93 ,$18.13 ,$25.95 , N/A ,$22.90 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VALPROIC ACID 250 MG/5ML SOLN,637,1 ,$12.68 ,$9.13 ,$3.32 ,$31.70 ,$31.70 ,$6.72 ,$6.97 , N/A ,$3.55 ,$6.63 , N/A ,$6.97 , N/A ,$6.28 ,$5.07 , N/A ,$6.28 , N/A ,$8.88 ,$7.93 ,$10.14 , N/A , N/A ,$8.88 , N/A ,$7.61 , N/A ,$9.51 ,$7.00 ,$6.31 ,$7.00 , N/A ,$7.00 ,$10.27 ,$12.68 ,$10.27 ,$10.78 ,$12.68 ,$8.79 , N/A ,$12.68 ,$7.11 , N/A ,$3.32 ,$12.68 , N/A , N/A , N/A ,$10.14 ,$6.28 ,$3.55 ,$11.41 ,$4.82 ,$6.90 , N/A ,$6.09 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VALSARTAN 320 MG TABS,637,1 ,$17.30 ,$12.46 ,$4.53 ,$43.25 ,$43.25 ,$9.17 ,$9.52 , N/A ,$4.84 ,$9.05 , N/A ,$9.52 , N/A ,$8.56 ,$6.92 , N/A ,$8.56 , N/A ,$12.11 ,$10.81 ,$13.84 , N/A , N/A ,$12.11 , N/A ,$10.38 , N/A ,$12.98 ,$9.55 ,$8.62 ,$9.55 , N/A ,$9.55 ,$14.01 ,$17.30 ,$14.01 ,$14.71 ,$17.30 ,$11.99 , N/A ,$17.30 ,$9.71 , N/A ,$4.53 ,$17.30 , N/A , N/A , N/A ,$13.84 ,$8.56 ,$4.84 ,$15.57 ,$6.57 ,$9.41 , N/A ,$8.30 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VANCOMYCIN 125 MG CAPS,637,1 ,$86.10 ,$61.99 ,$22.56 ,$215.25 ,$215.25 ,$45.63 ,$47.36 , N/A ,$24.11 ,$45.03 , N/A ,$47.36 , N/A ,$42.62 ,$34.44 , N/A ,$42.62 , N/A ,$60.27 ,$53.81 ,$68.88 , N/A , N/A ,$60.27 , N/A ,$51.66 , N/A ,$64.58 ,$47.53 ,$42.88 ,$47.53 , N/A ,$47.53 ,$69.74 ,$86.10 ,$69.74 ,$73.19 ,$86.10 ,$59.67 , N/A ,$86.10 ,$48.30 , N/A ,$22.56 ,$86.10 , N/A , N/A , N/A ,$68.88 ,$42.62 ,$24.11 ,$77.49 ,$32.72 ,$46.84 , N/A ,$41.33 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VARENICLINE 0.5 MG TABS,637,1 ,$27.68 ,$19.93 ,$7.25 ,$69.20 ,$69.20 ,$14.67 ,$15.22 , N/A ,$7.75 ,$14.48 , N/A ,$15.22 , N/A ,$13.70 ,$11.07 , N/A ,$13.70 , N/A ,$19.38 ,$17.30 ,$22.14 , N/A , N/A ,$19.38 , N/A ,$16.61 , N/A ,$20.76 ,$15.28 ,$13.78 ,$15.28 , N/A ,$15.28 ,$22.42 ,$27.68 ,$22.42 ,$23.53 ,$27.68 ,$19.18 , N/A ,$27.68 ,$15.53 , N/A ,$7.25 ,$27.68 , N/A , N/A , N/A ,$22.14 ,$13.70 ,$7.75 ,$24.91 ,$10.52 ,$15.06 , N/A ,$13.29 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VENLAFAXINE XR 37.5 MG CP24,637,1 ,$44.95 ,$32.36 ,$11.78 ,$112.38 ,$112.38 ,$23.82 ,$24.72 , N/A ,$12.59 ,$23.51 , N/A ,$24.72 , N/A ,$22.25 ,$17.98 , N/A ,$22.25 , N/A ,$31.47 ,$28.09 ,$35.96 , N/A , N/A ,$31.47 , N/A ,$26.97 , N/A ,$33.71 ,$24.81 ,$22.39 ,$24.81 , N/A ,$24.81 ,$36.41 ,$44.95 ,$36.41 ,$38.21 ,$44.95 ,$31.15 , N/A ,$44.95 ,$25.22 , N/A ,$11.78 ,$44.95 , N/A , N/A , N/A ,$35.96 ,$22.25 ,$12.59 ,$40.46 ,$17.08 ,$24.45 , N/A ,$21.58 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VENLAFAXINE XR 75 MG CP24,637,1 ,$50.40 ,$36.29 ,$13.20 ,$126.00 ,$126.00 ,$26.71 ,$27.72 , N/A ,$14.11 ,$26.36 , N/A ,$27.72 , N/A ,$24.95 ,$20.16 , N/A ,$24.95 , N/A ,$35.28 ,$31.50 ,$40.32 , N/A , N/A ,$35.28 , N/A ,$30.24 , N/A ,$37.80 ,$27.82 ,$25.10 ,$27.82 , N/A ,$27.82 ,$40.82 ,$50.40 ,$40.82 ,$42.84 ,$50.40 ,$34.93 , N/A ,$50.40 ,$28.27 , N/A ,$13.20 ,$50.40 , N/A , N/A , N/A ,$40.32 ,$24.95 ,$14.11 ,$45.36 ,$19.15 ,$27.42 , N/A ,$24.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VERAPAMIL 240 MG TBCR,637,1 ,$9.00 ,$6.48 ,$2.36 ,$22.50 ,$22.50 ,$4.77 ,$4.95 , N/A ,$2.52 ,$4.71 , N/A ,$4.95 , N/A ,$4.46 ,$3.60 , N/A ,$4.46 , N/A ,$6.30 ,$5.63 ,$7.20 , N/A , N/A ,$6.30 , N/A ,$5.40 , N/A ,$6.75 ,$4.97 ,$4.48 ,$4.97 , N/A ,$4.97 ,$7.29 ,$9.00 ,$7.29 ,$7.65 ,$9.00 ,$6.24 , N/A ,$9.00 ,$5.05 , N/A ,$2.36 ,$9.00 , N/A , N/A , N/A ,$7.20 ,$4.46 ,$2.52 ,$8.10 ,$3.42 ,$4.90 , N/A ,$4.32 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VILAZODONE 20 MG TABS,637,1 ,$44.15 ,$31.79 ,$11.57 ,$110.38 ,$110.38 ,$23.40 ,$24.28 , N/A ,$12.36 ,$23.09 , N/A ,$24.28 , N/A ,$21.85 ,$17.66 , N/A ,$21.85 , N/A ,$30.91 ,$27.59 ,$35.32 , N/A , N/A ,$30.91 , N/A ,$26.49 , N/A ,$33.11 ,$24.37 ,$21.99 ,$24.37 , N/A ,$24.37 ,$35.76 ,$44.15 ,$35.76 ,$37.53 ,$44.15 ,$30.60 , N/A ,$44.15 ,$24.77 , N/A ,$11.57 ,$44.15 , N/A , N/A , N/A ,$35.32 ,$21.85 ,$12.36 ,$39.74 ,$16.78 ,$24.02 , N/A ,$21.19 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN B-1 100 MG TABS,637,1 ,$8.20 ,$5.90 ,$2.15 ,$20.50 ,$20.50 ,$4.35 ,$4.51 , N/A ,$2.30 ,$4.29 , N/A ,$4.51 , N/A ,$4.06 ,$3.28 , N/A ,$4.06 , N/A ,$5.74 ,$5.13 ,$6.56 , N/A , N/A ,$5.74 , N/A ,$4.92 , N/A ,$6.15 ,$4.53 ,$4.08 ,$4.53 , N/A ,$4.53 ,$6.64 ,$8.20 ,$6.64 ,$6.97 ,$8.20 ,$5.68 , N/A ,$8.20 ,$4.60 , N/A ,$2.15 ,$8.20 , N/A , N/A , N/A ,$6.56 ,$4.06 ,$2.30 ,$7.38 ,$3.12 ,$4.46 , N/A ,$3.94 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN B-12 500 MCG TABS,637,1 ,$8.28 ,$5.96 ,$2.17 ,$20.70 ,$20.70 ,$4.39 ,$4.55 , N/A ,$2.32 ,$4.33 , N/A ,$4.55 , N/A ,$4.10 ,$3.31 , N/A ,$4.10 , N/A ,$5.80 ,$5.18 ,$6.62 , N/A , N/A ,$5.80 , N/A ,$4.97 , N/A ,$6.21 ,$4.57 ,$4.12 ,$4.57 , N/A ,$4.57 ,$6.71 ,$8.28 ,$6.71 ,$7.04 ,$8.28 ,$5.74 , N/A ,$8.28 ,$4.65 , N/A ,$2.17 ,$8.28 , N/A , N/A , N/A ,$6.62 ,$4.10 ,$2.32 ,$7.45 ,$3.15 ,$4.50 , N/A ,$3.97 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN D2 (ERGOCALCIFEROL) 50000 UNITS CAPS,637,1 ,$23.05 ,$16.60 ,$6.04 ,$57.63 ,$57.63 ,$12.22 ,$12.68 , N/A ,$6.45 ,$12.06 , N/A ,$12.68 , N/A ,$11.41 ,$9.22 , N/A ,$11.41 , N/A ,$16.14 ,$14.41 ,$18.44 , N/A , N/A ,$16.14 , N/A ,$13.83 , N/A ,$17.29 ,$12.72 ,$11.48 ,$12.72 , N/A ,$12.72 ,$18.67 ,$23.05 ,$18.67 ,$19.59 ,$23.05 ,$15.97 , N/A ,$23.05 ,$12.93 , N/A ,$6.04 ,$23.05 , N/A , N/A , N/A ,$18.44 ,$11.41 ,$6.45 ,$20.75 ,$8.76 ,$12.54 , N/A ,$11.06 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VORICONAZOLE 200 MG TABS,637,1 ,$328.35 ,$236.41 ,$86.03 ,$820.88 ,$820.88 ,$174.03 ,$180.59 , N/A ,$91.94 ,$171.73 , N/A ,$180.59 , N/A ,$162.53 ,$131.34 , N/A ,$162.53 , N/A ,$229.85 ,$205.22 ,$262.68 , N/A , N/A ,$229.85 , N/A ,$197.01 , N/A ,$246.26 ,$181.25 ,$163.52 ,$181.25 , N/A ,$181.25 ,$265.96 ,$328.35 ,$265.96 ,$279.10 ,$328.35 ,$227.55 , N/A ,$328.35 ,$184.20 , N/A ,$86.03 ,$328.35 , N/A , N/A , N/A ,$262.68 ,$162.53 ,$91.94 ,$295.52 ,$124.77 ,$178.62 , N/A ,$157.61 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 10 MG TABS,637,1 ,$11.40 ,$8.21 ,$2.99 ,$28.50 ,$28.50 ,$6.04 ,$6.27 , N/A ,$3.19 ,$5.96 , N/A ,$6.27 , N/A ,$5.64 ,$4.56 , N/A ,$5.64 , N/A ,$7.98 ,$7.13 ,$9.12 , N/A , N/A ,$7.98 , N/A ,$6.84 , N/A ,$8.55 ,$6.29 ,$5.68 ,$6.29 , N/A ,$6.29 ,$9.23 ,$11.40 ,$9.23 ,$9.69 ,$11.40 ,$7.90 , N/A ,$11.40 ,$6.40 , N/A ,$2.99 ,$11.40 , N/A , N/A , N/A ,$9.12 ,$5.64 ,$3.19 ,$10.26 ,$4.33 ,$6.20 , N/A ,$5.47 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,CARBIDOPA-LEVODOPA 25-250 MG TABS,637,1 ,$11.40 ,$8.21 ,$2.99 ,$28.50 ,$28.50 ,$6.04 ,$6.27 , N/A ,$3.19 ,$5.96 , N/A ,$6.27 , N/A ,$5.64 ,$4.56 , N/A ,$5.64 , N/A ,$7.98 ,$7.13 ,$9.12 , N/A , N/A ,$7.98 , N/A ,$6.84 , N/A ,$8.55 ,$6.29 ,$5.68 ,$6.29 , N/A ,$6.29 ,$9.23 ,$11.40 ,$9.23 ,$9.69 ,$11.40 ,$7.90 , N/A ,$11.40 ,$6.40 , N/A ,$2.99 ,$11.40 , N/A , N/A , N/A ,$9.12 ,$5.64 ,$3.19 ,$10.26 ,$4.33 ,$6.20 , N/A ,$5.47 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 2 MG TABS,637,1 ,$7.70 ,$5.54 ,$2.02 ,$19.25 ,$19.25 ,$4.08 ,$4.24 , N/A ,$2.16 ,$4.03 , N/A ,$4.24 , N/A ,$3.81 ,$3.08 , N/A ,$3.81 , N/A ,$5.39 ,$4.81 ,$6.16 , N/A , N/A ,$5.39 , N/A ,$4.62 , N/A ,$5.78 ,$4.25 ,$3.83 ,$4.25 , N/A ,$4.25 ,$6.24 ,$7.70 ,$6.24 ,$6.55 ,$7.70 ,$5.34 , N/A ,$7.70 ,$4.32 , N/A ,$2.02 ,$7.70 , N/A , N/A , N/A ,$6.16 ,$3.81 ,$2.16 ,$6.93 ,$2.93 ,$4.19 , N/A ,$3.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DOXEPIN 10 MG CAPS,637,1 ,$7.70 ,$5.54 ,$2.02 ,$19.25 ,$19.25 ,$4.08 ,$4.24 , N/A ,$2.16 ,$4.03 , N/A ,$4.24 , N/A ,$3.81 ,$3.08 , N/A ,$3.81 , N/A ,$5.39 ,$4.81 ,$6.16 , N/A , N/A ,$5.39 , N/A ,$4.62 , N/A ,$5.78 ,$4.25 ,$3.83 ,$4.25 , N/A ,$4.25 ,$6.24 ,$7.70 ,$6.24 ,$6.55 ,$7.70 ,$5.34 , N/A ,$7.70 ,$4.32 , N/A ,$2.02 ,$7.70 , N/A , N/A , N/A ,$6.16 ,$3.81 ,$2.16 ,$6.93 ,$2.93 ,$4.19 , N/A ,$3.70 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 3 MG TABS,637,1 ,$7.93 ,$5.71 ,$2.08 ,$19.83 ,$19.83 ,$4.20 ,$4.36 , N/A ,$2.22 ,$4.15 , N/A ,$4.36 , N/A ,$3.93 ,$3.17 , N/A ,$3.93 , N/A ,$5.55 ,$4.96 ,$6.34 , N/A , N/A ,$5.55 , N/A ,$4.76 , N/A ,$5.95 ,$4.38 ,$3.95 ,$4.38 , N/A ,$4.38 ,$6.42 ,$7.93 ,$6.42 ,$6.74 ,$7.93 ,$5.50 , N/A ,$7.93 ,$4.45 , N/A ,$2.08 ,$7.93 , N/A , N/A , N/A ,$6.34 ,$3.93 ,$2.22 ,$7.14 ,$3.01 ,$4.31 , N/A ,$3.81 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 4 MG TABS,637,1 ,$7.95 ,$5.72 ,$2.08 ,$19.88 ,$19.88 ,$4.21 ,$4.37 , N/A ,$2.23 ,$4.16 , N/A ,$4.37 , N/A ,$3.94 ,$3.18 , N/A ,$3.94 , N/A ,$5.57 ,$4.97 ,$6.36 , N/A , N/A ,$5.57 , N/A ,$4.77 , N/A ,$5.96 ,$4.39 ,$3.96 ,$4.39 , N/A ,$4.39 ,$6.44 ,$7.95 ,$6.44 ,$6.76 ,$7.95 ,$5.51 , N/A ,$7.95 ,$4.46 , N/A ,$2.08 ,$7.95 , N/A , N/A , N/A ,$6.36 ,$3.94 ,$2.23 ,$7.16 ,$3.02 ,$4.32 , N/A ,$3.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,VITAMIN B-12 100 MCG TABS,637,1 ,$7.95 ,$5.72 ,$2.08 ,$19.88 ,$19.88 ,$4.21 ,$4.37 , N/A ,$2.23 ,$4.16 , N/A ,$4.37 , N/A ,$3.94 ,$3.18 , N/A ,$3.94 , N/A ,$5.57 ,$4.97 ,$6.36 , N/A , N/A ,$5.57 , N/A ,$4.77 , N/A ,$5.96 ,$4.39 ,$3.96 ,$4.39 , N/A ,$4.39 ,$6.44 ,$7.95 ,$6.44 ,$6.76 ,$7.95 ,$5.51 , N/A ,$7.95 ,$4.46 , N/A ,$2.08 ,$7.95 , N/A , N/A , N/A ,$6.36 ,$3.94 ,$2.23 ,$7.16 ,$3.02 ,$4.32 , N/A ,$3.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,DICYCLOMINE 10 MG CAPS,637,1 ,$7.95 ,$5.72 ,$2.08 ,$19.88 ,$19.88 ,$4.21 ,$4.37 , N/A ,$2.23 ,$4.16 , N/A ,$4.37 , N/A ,$3.94 ,$3.18 , N/A ,$3.94 , N/A ,$5.57 ,$4.97 ,$6.36 , N/A , N/A ,$5.57 , N/A ,$4.77 , N/A ,$5.96 ,$4.39 ,$3.96 ,$4.39 , N/A ,$4.39 ,$6.44 ,$7.95 ,$6.44 ,$6.76 ,$7.95 ,$5.51 , N/A ,$7.95 ,$4.46 , N/A ,$2.08 ,$7.95 , N/A , N/A , N/A ,$6.36 ,$3.94 ,$2.23 ,$7.16 ,$3.02 ,$4.32 , N/A ,$3.82 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,WARFARIN 5 MG TABS,637,1 ,$8.30 ,$5.98 ,$2.17 ,$20.75 ,$20.75 ,$4.40 ,$4.57 , N/A ,$2.32 ,$4.34 , N/A ,$4.57 , N/A ,$4.11 ,$3.32 , N/A ,$4.11 , N/A ,$5.81 ,$5.19 ,$6.64 , N/A , N/A ,$5.81 , N/A ,$4.98 , N/A ,$6.23 ,$4.58 ,$4.13 ,$4.58 , N/A ,$4.58 ,$6.72 ,$8.30 ,$6.72 ,$7.06 ,$8.30 ,$5.75 , N/A ,$8.30 ,$4.66 , N/A ,$2.17 ,$8.30 , N/A , N/A , N/A ,$6.64 ,$4.11 ,$2.32 ,$7.47 ,$3.15 ,$4.52 , N/A ,$3.98 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZIPRASIDONE 40 MG CAPS,637,1 ,$67.75 ,$48.78 ,$17.75 ,$169.38 ,$169.38 ,$35.91 ,$37.26 , N/A ,$18.97 ,$35.43 , N/A ,$37.26 , N/A ,$33.54 ,$27.10 , N/A ,$33.54 , N/A ,$47.43 ,$42.34 ,$54.20 , N/A , N/A ,$47.43 , N/A ,$40.65 , N/A ,$50.81 ,$37.40 ,$33.74 ,$37.40 , N/A ,$37.40 ,$54.88 ,$67.75 ,$54.88 ,$57.59 ,$67.75 ,$46.95 , N/A ,$67.75 ,$38.01 , N/A ,$17.75 ,$67.75 , N/A , N/A , N/A ,$54.20 ,$33.54 ,$18.97 ,$60.98 ,$25.75 ,$36.86 , N/A ,$32.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZIPRASIDONE 20 MG CAPS,637,1 ,$67.75 ,$48.78 ,$17.75 ,$169.38 ,$169.38 ,$35.91 ,$37.26 , N/A ,$18.97 ,$35.43 , N/A ,$37.26 , N/A ,$33.54 ,$27.10 , N/A ,$33.54 , N/A ,$47.43 ,$42.34 ,$54.20 , N/A , N/A ,$47.43 , N/A ,$40.65 , N/A ,$50.81 ,$37.40 ,$33.74 ,$37.40 , N/A ,$37.40 ,$54.88 ,$67.75 ,$54.88 ,$57.59 ,$67.75 ,$46.95 , N/A ,$67.75 ,$38.01 , N/A ,$17.75 ,$67.75 , N/A , N/A , N/A ,$54.20 ,$33.54 ,$18.97 ,$60.98 ,$25.75 ,$36.86 , N/A ,$32.52 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZIPRASIDONE 80 MG CAPS,637,1 ,$71.95 ,$51.80 ,$18.85 ,$179.88 ,$179.88 ,$38.13 ,$39.57 , N/A ,$20.15 ,$37.63 , N/A ,$39.57 , N/A ,$35.62 ,$28.78 , N/A ,$35.62 , N/A ,$50.37 ,$44.97 ,$57.56 , N/A , N/A ,$50.37 , N/A ,$43.17 , N/A ,$53.96 ,$39.72 ,$35.83 ,$39.72 , N/A ,$39.72 ,$58.28 ,$71.95 ,$58.28 ,$61.16 ,$71.95 ,$49.86 , N/A ,$71.95 ,$40.36 , N/A ,$18.85 ,$71.95 , N/A , N/A , N/A ,$57.56 ,$35.62 ,$20.15 ,$64.76 ,$27.34 ,$39.14 , N/A ,$34.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZIPRASIDONE 60 MG CAPS,637,1 ,$71.95 ,$51.80 ,$18.85 ,$179.88 ,$179.88 ,$38.13 ,$39.57 , N/A ,$20.15 ,$37.63 , N/A ,$39.57 , N/A ,$35.62 ,$28.78 , N/A ,$35.62 , N/A ,$50.37 ,$44.97 ,$57.56 , N/A , N/A ,$50.37 , N/A ,$43.17 , N/A ,$53.96 ,$39.72 ,$35.83 ,$39.72 , N/A ,$39.72 ,$58.28 ,$71.95 ,$58.28 ,$61.16 ,$71.95 ,$49.86 , N/A ,$71.95 ,$40.36 , N/A ,$18.85 ,$71.95 , N/A , N/A , N/A ,$57.56 ,$35.62 ,$20.15 ,$64.76 ,$27.34 ,$39.14 , N/A ,$34.54 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZOLPIDEM 5 MG TABS,637,1 ,$21.10 ,$15.19 ,$5.53 ,$52.75 ,$52.75 ,$11.18 ,$11.61 , N/A ,$5.91 ,$11.04 , N/A ,$11.61 , N/A ,$10.44 ,$8.44 , N/A ,$10.44 , N/A ,$14.77 ,$13.19 ,$16.88 , N/A , N/A ,$14.77 , N/A ,$12.66 , N/A ,$15.83 ,$11.65 ,$10.51 ,$11.65 , N/A ,$11.65 ,$17.09 ,$21.10 ,$17.09 ,$17.94 ,$21.10 ,$14.62 , N/A ,$21.10 ,$11.84 , N/A ,$5.53 ,$21.10 , N/A , N/A , N/A ,$16.88 ,$10.44 ,$5.91 ,$18.99 ,$8.02 ,$11.48 , N/A ,$10.13 
ST. MARY'S HOSPITAL - DECATUR,63700001,N/A,ZONISAMIDE 100 MG CAPS,637,1 ,$9.88 ,$7.11 ,$2.59 ,$24.70 ,$24.70 ,$5.24 ,$5.43 , N/A ,$2.77 ,$5.17 , N/A ,$5.43 , N/A ,$4.89 ,$3.95 , N/A ,$4.89 , N/A ,$6.92 ,$6.18 ,$7.90 , N/A , N/A ,$6.92 , N/A ,$5.93 , N/A ,$7.41 ,$5.45 ,$4.92 ,$5.45 , N/A ,$5.45 ,$8.00 ,$9.88 ,$8.00 ,$8.40 ,$9.88 ,$6.85 , N/A ,$9.88 ,$5.54 , N/A ,$2.59 ,$9.88 , N/A , N/A , N/A ,$7.90 ,$4.89 ,$2.77 ,$8.89 ,$3.75 ,$5.37 , N/A ,$4.74 
ST. MARY'S HOSPITAL - DECATUR,71000223,N/A,HC C-SECTION RECOVERY 1 HR,710,1 ,"$2,103.00 ","$1,514.16 ",$550.99 ,"$2,103.00 ", N/A ,"$1,114.59 ","$1,156.65 ", N/A ,$588.84 ,"$1,099.87 ", N/A ,"$1,156.65 ", N/A ,"$1,040.99 ", N/A , N/A ,"$1,040.99 ", N/A ,"$1,472.10 ","$1,314.38 ","$1,682.40 ", N/A , N/A ,"$1,472.10 ", N/A ,"$1,261.80 ", N/A ,"$1,577.25 ","$1,160.86 ","$1,047.29 ","$1,160.86 ", N/A ,"$1,160.86 ","$1,703.43 ","$2,103.00 ","$1,703.43 ","$1,787.55 ", N/A ,"$1,457.38 ", N/A ,"$2,103.00 ","$1,179.78 ", N/A ,$550.99 ,"$2,103.00 ", N/A , N/A , N/A ,"$1,682.40 ","$1,040.99 ",$588.84 ,"$1,892.70 ",$799.14 ,"$1,144.03 ", N/A ,"$1,009.44 "
ST. MARY'S HOSPITAL - DECATUR,71000237,N/A,HC RECOVERY CLASS 1 INIT 15MIN,710,1 ,$957.00 ,$689.04 ,$250.73 ,$957.00 , N/A ,$507.21 ,$526.35 , N/A ,$267.96 ,$500.51 , N/A ,$526.35 , N/A ,$473.72 , N/A , N/A ,$473.72 , N/A ,$669.90 ,$598.13 ,$765.60 , N/A , N/A ,$669.90 , N/A ,$574.20 , N/A ,$717.75 ,$528.26 ,$476.59 ,$528.26 , N/A ,$528.26 ,$775.17 ,$957.00 ,$775.17 ,$813.45 , N/A ,$663.20 , N/A ,$957.00 ,$536.88 , N/A ,$250.73 ,$957.00 , N/A , N/A , N/A ,$765.60 ,$473.72 ,$267.96 ,$861.30 ,$363.66 ,$520.61 , N/A ,$459.36 
ST. MARY'S HOSPITAL - DECATUR,71000238,N/A,HC RECOVERY CLASS 1 ADDL 15MIN,710,1 ,$140.00 ,$100.80 ,$36.68 ,$140.00 , N/A ,$74.20 ,$77.00 , N/A ,$39.20 ,$73.22 , N/A ,$77.00 , N/A ,$69.30 , N/A , N/A ,$69.30 , N/A ,$98.00 ,$87.50 ,$112.00 , N/A , N/A ,$98.00 , N/A ,$84.00 , N/A ,$105.00 ,$77.28 ,$69.72 ,$77.28 , N/A ,$77.28 ,$113.40 ,$140.00 ,$113.40 ,$119.00 , N/A ,$97.02 , N/A ,$140.00 ,$78.54 , N/A ,$36.68 ,$140.00 , N/A , N/A , N/A ,$112.00 ,$69.30 ,$39.20 ,$126.00 ,$53.20 ,$76.16 , N/A ,$67.20 
ST. MARY'S HOSPITAL - DECATUR,71000239,N/A,HC RECOVERY CLASS 2 INIT 15MIN,710,1 ,"$1,074.00 ",$773.28 ,$281.39 ,"$1,074.00 ", N/A ,$569.22 ,$590.70 , N/A ,$300.72 ,$561.70 , N/A ,$590.70 , N/A ,$531.63 , N/A , N/A ,$531.63 , N/A ,$751.80 ,$671.25 ,$859.20 , N/A , N/A ,$751.80 , N/A ,$644.40 , N/A ,$805.50 ,$592.85 ,$534.85 ,$592.85 , N/A ,$592.85 ,$869.94 ,"$1,074.00 ",$869.94 ,$912.90 , N/A ,$744.28 , N/A ,"$1,074.00 ",$602.51 , N/A ,$281.39 ,"$1,074.00 ", N/A , N/A , N/A ,$859.20 ,$531.63 ,$300.72 ,$966.60 ,$408.12 ,$584.26 , N/A ,$515.52 
ST. MARY'S HOSPITAL - DECATUR,71000240,N/A,HC RECOVERY CLASS 2 ADDL 15MIN,710,1 ,$175.00 ,$126.00 ,$45.85 ,$175.00 , N/A ,$92.75 ,$96.25 , N/A ,$49.00 ,$91.53 , N/A ,$96.25 , N/A ,$86.63 , N/A , N/A ,$86.63 , N/A ,$122.50 ,$109.38 ,$140.00 , N/A , N/A ,$122.50 , N/A ,$105.00 , N/A ,$131.25 ,$96.60 ,$87.15 ,$96.60 , N/A ,$96.60 ,$141.75 ,$175.00 ,$141.75 ,$148.75 , N/A ,$121.28 , N/A ,$175.00 ,$98.18 , N/A ,$45.85 ,$175.00 , N/A , N/A , N/A ,$140.00 ,$86.63 ,$49.00 ,$157.50 ,$66.50 ,$95.20 , N/A ,$84.00 
ST. MARY'S HOSPITAL - DECATUR,71000241,N/A,HC RECOVERY CLASS 3 INIT 15MIN,710,1 ,"$1,192.00 ",$858.24 ,$312.30 ,"$1,192.00 ", N/A ,$631.76 ,$655.60 , N/A ,$333.76 ,$623.42 , N/A ,$655.60 , N/A ,$590.04 , N/A , N/A ,$590.04 , N/A ,$834.40 ,$745.00 ,$953.60 , N/A , N/A ,$834.40 , N/A ,$715.20 , N/A ,$894.00 ,$657.98 ,$593.62 ,$657.98 , N/A ,$657.98 ,$965.52 ,"$1,192.00 ",$965.52 ,"$1,013.20 ", N/A ,$826.06 , N/A ,"$1,192.00 ",$668.71 , N/A ,$312.30 ,"$1,192.00 ", N/A , N/A , N/A ,$953.60 ,$590.04 ,$333.76 ,"$1,072.80 ",$452.96 ,$648.45 , N/A ,$572.16 
ST. MARY'S HOSPITAL - DECATUR,71000242,N/A,HC RECOVERY CLASS 3 ADDL 15MIN,710,1 ,$214.00 ,$154.08 ,$56.07 ,$214.00 , N/A ,$113.42 ,$117.70 , N/A ,$59.92 ,$111.92 , N/A ,$117.70 , N/A ,$105.93 , N/A , N/A ,$105.93 , N/A ,$149.80 ,$133.75 ,$171.20 , N/A , N/A ,$149.80 , N/A ,$128.40 , N/A ,$160.50 ,$118.13 ,$106.57 ,$118.13 , N/A ,$118.13 ,$173.34 ,$214.00 ,$173.34 ,$181.90 , N/A ,$148.30 , N/A ,$214.00 ,$120.05 , N/A ,$56.07 ,$214.00 , N/A , N/A , N/A ,$171.20 ,$105.93 ,$59.92 ,$192.60 ,$81.32 ,$116.42 , N/A ,$102.72 
ST. MARY'S HOSPITAL - DECATUR,71000249,N/A,HC C-SECTION RECOVERY ADDL 30MIN,710,1 ,$175.00 ,$126.00 ,$45.85 ,$175.00 , N/A ,$92.75 ,$96.25 , N/A ,$49.00 ,$91.53 , N/A ,$96.25 , N/A ,$86.63 , N/A , N/A ,$86.63 , N/A ,$122.50 ,$109.38 ,$140.00 , N/A , N/A ,$122.50 , N/A ,$105.00 , N/A ,$131.25 ,$96.60 ,$87.15 ,$96.60 , N/A ,$96.60 ,$141.75 ,$175.00 ,$141.75 ,$148.75 , N/A ,$121.28 , N/A ,$175.00 ,$98.18 , N/A ,$45.85 ,$175.00 , N/A , N/A , N/A ,$140.00 ,$86.63 ,$49.00 ,$157.50 ,$66.50 ,$95.20 , N/A ,$84.00 
ST. MARY'S HOSPITAL - DECATUR,71000250,N/A,HC PHASE II RECOVERY INIT 15MIN,710,1 ,$188.00 ,$135.36 ,$49.26 ,$188.00 , N/A ,$99.64 ,$103.40 , N/A ,$52.64 ,$98.32 , N/A ,$103.40 , N/A ,$93.06 , N/A , N/A ,$93.06 , N/A ,$131.60 ,$117.50 ,$150.40 , N/A , N/A ,$131.60 , N/A ,$112.80 , N/A ,$141.00 ,$103.78 ,$93.62 ,$103.78 , N/A ,$103.78 ,$152.28 ,$188.00 ,$152.28 ,$159.80 , N/A ,$130.28 , N/A ,$188.00 ,$105.47 , N/A ,$49.26 ,$188.00 , N/A , N/A , N/A ,$150.40 ,$93.06 ,$52.64 ,$169.20 ,$71.44 ,$102.27 , N/A ,$90.24 
ST. MARY'S HOSPITAL - DECATUR,71000251,N/A,HC PHASE II RECOVERY ADDL 15MIN,710,1 ,$94.00 ,$67.68 ,$24.63 ,$94.00 , N/A ,$49.82 ,$51.70 , N/A ,$26.32 ,$49.16 , N/A ,$51.70 , N/A ,$46.53 , N/A , N/A ,$46.53 , N/A ,$65.80 ,$58.75 ,$75.20 , N/A , N/A ,$65.80 , N/A ,$56.40 , N/A ,$70.50 ,$51.89 ,$46.81 ,$51.89 , N/A ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 , N/A ,$65.14 , N/A ,$94.00 ,$52.73 , N/A ,$24.63 ,$94.00 , N/A , N/A , N/A ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$51.14 , N/A ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,72000008,59412,HC EXTERNAL CEPHALIC VERSION,720,1 ,"$4,704.00 ","$3,386.88 ",$175.28 ,"$6,634.31 ","$6,634.30 ","$2,493.12 ","$2,587.20 ","$2,600.65 ","$1,317.12 ","$2,460.19 ","$2,600.65 ","$2,587.20 ","$2,600.65 ","$2,328.48 ",$175.28 ,"$2,600.65 ","$2,328.48 ","$4,704.00 ","$3,292.80 ","$2,940.00 ","$3,763.20 ","$6,634.31 ","$2,600.65 ","$3,292.80 ","$2,600.65 ","$2,822.40 ","$2,652.66 ","$3,528.00 ","$2,596.61 ","$2,342.59 ","$2,596.61 ","$2,600.65 ","$2,596.61 ","$3,810.24 ","$4,704.00 ","$3,810.24 ","$3,998.40 ","$4,704.00 ","$3,259.87 ","$2,600.65 ","$4,704.00 ","$2,638.94 ","$2,600.65 ","$1,232.45 ","$4,704.00 ", N/A , N/A ,"$2,730.68 ","$3,763.20 ","$2,328.48 ","$1,317.12 ","$4,233.60 ","$1,787.52 ",$856.00 ,"$2,600.65 ","$2,257.92 "
ST. MARY'S HOSPITAL - DECATUR,72000010,99465,HC DELIV/BIRTH ROOM RESUSCITATION,720,1 ,$854.00 ,$614.88 ,$223.75 ,"$1,380.01 ","$1,380.00 ",$452.62 ,$469.70 ,$540.96 ,$239.12 ,$446.64 ,$540.96 ,$469.70 ,$540.96 ,$422.73 ,$254.54 ,$540.96 ,$422.73 ,$854.00 ,$597.80 ,$533.75 ,$683.20 ,"$1,380.01 ",$540.96 ,$597.80 ,$540.96 ,$512.40 ,$551.78 ,$640.50 ,$471.41 ,$425.29 ,$471.41 ,$540.96 ,$471.41 ,$691.74 ,$854.00 ,$691.74 ,$725.90 ,$854.00 ,$591.82 ,$540.96 ,$854.00 ,$479.09 ,$540.96 ,$223.75 ,$854.00 ,$488.73 ,$466.52 ,$568.01 ,$683.20 ,$422.73 ,$239.12 ,$768.60 ,$324.52 ,$854.00 ,$540.96 ,$409.92 
ST. MARY'S HOSPITAL - DECATUR,72000011,N/A,HC EPIDURAL PER HR,720,1 ,$148.00 ,$106.56 ,$38.78 ,$148.00 , N/A ,$78.44 ,$81.40 , N/A ,$41.44 ,$77.40 , N/A ,$81.40 , N/A ,$73.26 ,$59.20 , N/A ,$73.26 , N/A ,$103.60 ,$92.50 ,$118.40 , N/A , N/A ,$103.60 , N/A ,$88.80 , N/A ,$111.00 ,$81.70 ,$73.70 ,$81.70 , N/A ,$81.70 ,$119.88 ,$148.00 ,$119.88 ,$125.80 , N/A ,$102.56 , N/A ,$148.00 ,$83.03 , N/A ,$38.78 ,$148.00 , N/A , N/A , N/A ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$148.00 , N/A ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,72000024,59410,HC VAGINAL DELIVERY ONLY INCLUDES POSTPARTUM CARE,720,1 ,"$2,652.00 ","$1,909.44 ",$694.82 ,"$2,652.00 ", N/A ,"$1,405.56 ","$1,458.60 ", N/A ,$742.56 ,"$1,387.00 ", N/A ,"$1,458.60 ", N/A ,"$1,312.74 ","$1,780.44 ", N/A ,"$1,312.74 ", N/A ,"$1,856.40 ","$1,657.50 ","$2,121.60 ", N/A , N/A ,"$1,856.40 ", N/A ,"$1,591.20 ", N/A ,"$1,989.00 ","$1,463.90 ","$1,320.70 ","$1,463.90 ", N/A ,"$1,463.90 ","$2,148.12 ","$2,652.00 ","$2,148.12 ","$2,254.20 ", N/A ,"$1,837.84 ", N/A ,"$2,652.00 ","$1,487.77 ", N/A ,$694.82 ,"$2,652.00 ","$1,364.28 ","$1,302.26 ", N/A ,"$2,121.60 ","$1,312.74 ",$742.56 ,"$2,386.80 ","$1,007.76 ",$856.00 , N/A ,"$1,272.96 "
ST. MARY'S HOSPITAL - DECATUR,72000025,N/A,HC C-SECTION SINGLE ADDL 30 MIN,720,1 ,$780.00 ,$561.60 ,$204.36 ,$780.00 , N/A ,$413.40 ,$429.00 , N/A ,$218.40 ,$407.94 , N/A ,$429.00 , N/A ,$386.10 ,$312.00 , N/A ,$386.10 , N/A ,$546.00 ,$487.50 ,$624.00 , N/A , N/A ,$546.00 , N/A ,$468.00 , N/A ,$585.00 ,$430.56 ,$388.44 ,$430.56 , N/A ,$430.56 ,$631.80 ,$780.00 ,$631.80 ,$663.00 , N/A ,$540.54 , N/A ,$780.00 ,$437.58 , N/A ,$204.36 ,$780.00 , N/A , N/A , N/A ,$624.00 ,$386.10 ,$218.40 ,$702.00 ,$296.40 ,$780.00 , N/A ,$374.40 
ST. MARY'S HOSPITAL - DECATUR,72000026,N/A,HC C-SECTION TWIN ADDL 30 MIN,720,1 ,$691.00 ,$497.52 ,$181.04 ,$691.00 , N/A ,$366.23 ,$380.05 , N/A ,$193.48 ,$361.39 , N/A ,$380.05 , N/A ,$342.05 ,$276.40 , N/A ,$342.05 , N/A ,$483.70 ,$431.88 ,$552.80 , N/A , N/A ,$483.70 , N/A ,$414.60 , N/A ,$518.25 ,$381.43 ,$344.12 ,$381.43 , N/A ,$381.43 ,$559.71 ,$691.00 ,$559.71 ,$587.35 , N/A ,$478.86 , N/A ,$691.00 ,$387.65 , N/A ,$181.04 ,$691.00 , N/A , N/A , N/A ,$552.80 ,$342.05 ,$193.48 ,$621.90 ,$262.58 ,$691.00 , N/A ,$331.68 
ST. MARY'S HOSPITAL - DECATUR,72100004,N/A,HC LABOR INDUCTION PER HR,721,1 ,$148.00 ,$106.56 ,$38.78 ,$148.00 , N/A ,$78.44 ,$81.40 , N/A ,$41.44 ,$77.40 , N/A ,$81.40 , N/A ,$73.26 ,$59.20 , N/A ,$73.26 , N/A ,$103.60 ,$92.50 ,$118.40 , N/A , N/A ,$103.60 , N/A ,$88.80 , N/A ,$111.00 ,$81.70 ,$73.70 ,$81.70 , N/A ,$81.70 ,$119.88 ,$148.00 ,$119.88 ,$125.80 , N/A ,$102.56 , N/A ,$148.00 ,$83.03 , N/A ,$38.78 ,$148.00 , N/A , N/A , N/A ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$148.00 , N/A ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,72100005,N/A,HC LABOR PER HR,721,1 ,$148.00 ,$106.56 ,$38.78 ,$148.00 , N/A ,$78.44 ,$81.40 , N/A ,$41.44 ,$77.40 , N/A ,$81.40 , N/A ,$73.26 ,$59.20 , N/A ,$73.26 , N/A ,$103.60 ,$92.50 ,$118.40 , N/A , N/A ,$103.60 , N/A ,$88.80 , N/A ,$111.00 ,$81.70 ,$73.70 ,$81.70 , N/A ,$81.70 ,$119.88 ,$148.00 ,$119.88 ,$125.80 , N/A ,$102.56 , N/A ,$148.00 ,$83.03 , N/A ,$38.78 ,$148.00 , N/A , N/A , N/A ,$118.40 ,$73.26 ,$41.44 ,$133.20 ,$56.24 ,$148.00 , N/A ,$71.04 
ST. MARY'S HOSPITAL - DECATUR,72200005,N/A,HC C-SECT INIT 1 HR SINGLE,722,1 ,"$5,229.00 ","$3,764.88 ",$856.00 ,"$5,229.00 ", N/A ,"$2,771.37 ","$2,875.95 ", N/A ,"$1,464.12 ","$2,734.77 ", N/A ,"$2,875.95 ", N/A ,"$2,588.36 ","$2,091.60 ", N/A ,"$2,588.36 ", N/A ,"$3,660.30 ","$3,268.13 ","$4,183.20 ", N/A , N/A ,"$3,660.30 ", N/A ,"$3,137.40 ", N/A ,"$3,921.75 ","$2,886.41 ","$2,604.04 ","$2,886.41 ", N/A ,"$2,886.41 ","$4,235.49 ","$5,229.00 ","$4,235.49 ","$4,444.65 ", N/A ,"$3,623.70 ", N/A ,"$5,229.00 ","$2,933.47 ", N/A ,"$1,370.00 ","$5,229.00 ", N/A , N/A , N/A ,"$4,183.20 ","$2,588.36 ","$1,464.12 ","$4,706.10 ","$1,987.02 ",$856.00 , N/A ,"$2,509.92 "
ST. MARY'S HOSPITAL - DECATUR,72200007,N/A,HC C-SECT INIT 1 HR TWIN,722,1 ,"$4,628.00 ","$3,332.16 ",$856.00 ,"$4,628.00 ", N/A ,"$2,452.84 ","$2,545.40 ", N/A ,"$1,295.84 ","$2,420.44 ", N/A ,"$2,545.40 ", N/A ,"$2,290.86 ","$1,851.20 ", N/A ,"$2,290.86 ", N/A ,"$3,239.60 ","$2,892.50 ","$3,702.40 ", N/A , N/A ,"$3,239.60 ", N/A ,"$2,776.80 ", N/A ,"$3,471.00 ","$2,554.66 ","$2,304.74 ","$2,554.66 ", N/A ,"$2,554.66 ","$3,748.68 ","$4,628.00 ","$3,748.68 ","$3,933.80 ", N/A ,"$3,207.20 ", N/A ,"$4,628.00 ","$2,596.31 ", N/A ,"$1,212.54 ","$4,628.00 ", N/A , N/A , N/A ,"$3,702.40 ","$2,290.86 ","$1,295.84 ","$4,165.20 ","$1,758.64 ",$856.00 , N/A ,"$2,221.44 "
ST. MARY'S HOSPITAL - DECATUR,73000002,93005,HC EKG,730,1 ,$426.00 ,$306.72 ,$16.80 ,$426.00 ,$134.88 ,$225.78 ,$234.30 ,$52.87 ,$119.28 ,$99.03 ,$52.87 ,$103.46 ,$52.87 ,$210.87 ,$16.80 ,$52.87 ,$210.87 ,$108.98 ,$298.20 ,$266.25 ,$340.80 ,$134.87 ,$52.87 ,$298.20 ,$52.87 ,$255.60 ,$53.93 ,$319.50 ,$235.15 ,$212.15 ,$235.15 ,$52.87 ,$235.15 ,$345.06 ,$426.00 ,$345.06 ,$362.10 ,$134.87 ,$295.22 ,$52.87 ,$426.00 ,$238.99 ,$52.87 ,$111.61 ,$426.00 ,$18.63 ,$17.79 ,$55.52 ,$340.80 ,$210.87 ,$119.28 ,$383.40 ,$161.88 ,$426.00 ,$52.87 ,$204.48 
ST. MARY'S HOSPITAL - DECATUR,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$273.00 ,$196.56 ,$11.17 ,$273.00 ,$134.88 ,$144.69 ,$150.15 ,$52.87 ,$76.44 ,$142.78 ,$52.87 ,$150.15 ,$52.87 ,$135.14 ,$11.17 ,$52.87 ,$135.14 ,$108.98 ,$191.10 ,$170.63 ,$218.40 ,$134.87 ,$52.87 ,$191.10 ,$52.87 ,$163.80 ,$53.93 ,$204.75 ,$150.70 ,$135.95 ,$150.70 ,$52.87 ,$150.70 ,$221.13 ,$273.00 ,$221.13 ,$232.05 ,$134.87 ,$189.19 ,$52.87 ,$273.00 ,$153.15 ,$52.87 ,$71.53 ,$273.00 ,$18.63 ,$17.79 ,$55.52 ,$218.40 ,$135.14 ,$76.44 ,$245.70 ,$103.74 ,$273.00 ,$52.87 ,$131.04 
ST. MARY'S HOSPITAL - DECATUR,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$945.00 ,$680.40 ,$47.71 ,$945.00 ,$272.45 ,$500.85 ,$519.75 ,$106.80 ,$264.60 ,$302.17 ,$106.80 ,$315.70 ,$106.80 ,$467.78 ,$50.20 ,$106.80 ,$467.78 ,$220.13 ,$661.50 ,$590.63 ,$756.00 ,$272.44 ,$106.80 ,$661.50 ,$106.80 ,$567.00 ,$108.94 ,$708.75 ,$521.64 ,$470.61 ,$521.64 ,$106.80 ,$521.64 ,$765.45 ,$945.00 ,$765.45 ,$803.25 ,$272.44 ,$654.89 ,$106.80 ,$945.00 ,$530.15 ,$106.80 ,$247.59 ,$945.00 ,$49.98 ,$47.71 ,$112.14 ,$756.00 ,$467.78 ,$264.60 ,$850.50 ,$359.10 ,$894.00 ,$106.80 ,$453.60 
ST. MARY'S HOSPITAL - DECATUR,73100002,93226,HC HOLTER SCAN  AND  REPORT 48 HR,731,1 ,"$1,101.00 ",$792.72 ,$47.71 ,"$1,101.00 ",$272.45 ,$583.53 ,$605.55 ,$106.80 ,$308.28 ,$429.67 ,$106.80 ,$448.91 ,$106.80 ,$545.00 ,$70.73 ,$106.80 ,$545.00 ,$220.13 ,$770.70 ,$688.13 ,$880.80 ,$272.44 ,$106.80 ,$770.70 ,$106.80 ,$660.60 ,$108.94 ,$825.75 ,$607.75 ,$548.30 ,$607.75 ,$106.80 ,$607.75 ,$891.81 ,"$1,101.00 ",$891.81 ,$935.85 ,$272.44 ,$762.99 ,$106.80 ,"$1,101.00 ",$617.66 ,$106.80 ,$288.46 ,"$1,101.00 ",$49.98 ,$47.71 ,$112.14 ,$880.80 ,$545.00 ,$308.28 ,$990.90 ,$418.38 ,$894.00 ,$106.80 ,$528.48 
ST. MARY'S HOSPITAL - DECATUR,73100004,93270,HC CARDIAC EVENT RECORDER,731,1 ,$597.00 ,$429.84 ,$18.02 ,$597.00 ,$82.13 ,$316.41 ,$328.35 ,$32.19 ,$167.16 ,$107.00 ,$32.19 ,$111.79 ,$32.19 ,$295.52 ,$18.02 ,$32.19 ,$295.52 ,$66.36 ,$417.90 ,$373.13 ,$477.60 ,$82.12 ,$32.19 ,$417.90 ,$32.19 ,$358.20 ,$32.84 ,$447.75 ,$329.54 ,$297.31 ,$329.54 ,$32.19 ,$329.54 ,$483.57 ,$597.00 ,$483.57 ,$507.45 ,$82.12 ,$413.72 ,$32.19 ,$597.00 ,$334.92 ,$32.19 ,$156.41 ,$597.00 ,$49.98 ,$47.71 ,$33.80 ,$477.60 ,$295.52 ,$167.16 ,$537.30 ,$226.86 ,$597.00 ,$32.19 ,$286.56 
ST. MARY'S HOSPITAL - DECATUR,73100005,93271,HC CARDIAC EVENT MONITOR,731,1 ,"$2,048.00 ","$1,474.56 ",$91.81 ,"$2,048.00 ",$234.20 ,"$1,085.44 ","$1,126.40 ",$91.81 ,$573.44 ,"$1,071.10 ",$91.81 ,"$1,126.40 ",$91.81 ,"$1,013.76 ",$323.37 ,$91.81 ,"$1,013.76 ",$189.23 ,"$1,433.60 ","$1,280.00 ","$1,638.40 ",$234.19 ,$91.81 ,"$1,433.60 ",$91.81 ,"$1,228.80 ",$93.64 ,"$1,536.00 ","$1,130.50 ","$1,019.90 ","$1,130.50 ",$91.81 ,"$1,130.50 ","$1,658.88 ","$2,048.00 ","$1,658.88 ","$1,740.80 ",$234.19 ,"$1,419.26 ",$91.81 ,"$2,048.00 ","$1,148.93 ",$91.81 ,$536.58 ,"$2,048.00 ",$102.62 ,$97.95 ,$96.39 ,"$1,638.40 ","$1,013.76 ",$573.44 ,"$1,843.20 ",$778.24 ,$894.00 ,$91.81 ,$983.04 
ST. MARY'S HOSPITAL - DECATUR,74000001,95803,HC ACTIGRAPHY TESTING 72HR TO 14 DAYS,740,1 ,$367.00 ,$264.24 ,$52.87 ,$367.00 ,$134.88 ,$194.51 ,$201.85 ,$52.87 ,$102.76 ,$191.94 ,$52.87 ,$201.85 ,$52.87 ,$181.67 ,$144.13 ,$52.87 ,$181.67 ,$108.98 ,$256.90 ,$229.38 ,$293.60 ,$134.87 ,$52.87 ,$256.90 ,$52.87 ,$220.20 ,$53.93 ,$275.25 ,$202.58 ,$182.77 ,$202.58 ,$52.87 ,$202.58 ,$297.27 ,$367.00 ,$297.27 ,$311.95 ,$134.87 ,$254.33 ,$52.87 ,$367.00 ,$205.89 ,$52.87 ,$96.15 ,$367.00 ,$86.41 ,$82.48 ,$55.52 ,$293.60 ,$181.67 ,$102.76 ,$330.30 ,$139.46 ,$367.00 ,$52.87 ,$176.16 
ST. MARY'S HOSPITAL - DECATUR,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$2,716.00 ","$1,955.52 ",$444.66 ,"$2,716.00 ","$1,134.33 ","$1,439.48 ","$1,493.80 ",$444.66 ,$760.48 ,"$1,420.47 ",$444.66 ,"$1,493.80 ",$444.66 ,"$1,344.42 ",$523.20 ,$444.66 ,"$1,344.42 ",$916.53 ,"$1,901.20 ","$1,697.50 ","$2,172.80 ","$1,134.32 ",$444.66 ,"$1,901.20 ",$444.66 ,"$1,629.60 ",$453.54 ,"$2,037.00 ","$1,499.23 ","$1,352.57 ","$1,499.23 ",$444.66 ,"$1,499.23 ","$2,199.96 ","$2,716.00 ","$2,199.96 ","$2,308.60 ","$1,134.32 ","$1,882.19 ",$444.66 ,"$2,716.00 ","$1,523.68 ",$444.66 ,$711.59 ,"$2,716.00 ",$555.19 ,$529.96 ,$466.89 ,"$2,172.80 ","$1,344.42 ",$760.48 ,"$2,444.40 ","$1,032.08 ","$2,716.00 ",$444.66 ,"$1,303.68 "
ST. MARY'S HOSPITAL - DECATUR,74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,$895.00 ,$644.40 ,$127.73 ,$895.00 ,$341.23 ,$474.35 ,$492.25 ,$133.76 ,$250.60 ,$468.09 ,$133.76 ,$492.25 ,$133.76 ,$443.03 ,$127.73 ,$133.76 ,$443.03 ,$275.72 ,$626.50 ,$559.38 ,$716.00 ,$341.24 ,$133.76 ,$626.50 ,$133.76 ,$537.00 ,$136.44 ,$671.25 ,$494.04 ,$445.71 ,$494.04 ,$133.76 ,$494.04 ,$724.95 ,$895.00 ,$724.95 ,$760.75 ,$341.24 ,$620.24 ,$133.76 ,$895.00 ,$502.10 ,$133.76 ,$234.49 ,$895.00 ,$555.19 ,$529.96 ,$140.44 ,$716.00 ,$443.03 ,$250.60 ,$805.50 ,$340.10 ,$895.00 ,$133.76 ,$429.60 
ST. MARY'S HOSPITAL - DECATUR,74000006,95810,HC SLEEP STUDY,740,1 ,"$6,747.00 ","$4,857.84 ",$529.96 ,"$6,747.00 ","$2,192.43 ","$3,575.91 ","$3,710.85 ",$859.43 ,"$1,889.16 ","$3,528.68 ",$859.43 ,"$3,710.85 ",$859.43 ,"$3,339.77 ","$1,070.73 ",$859.43 ,"$3,339.77 ","$1,771.48 ","$4,722.90 ","$4,216.88 ","$5,397.60 ","$2,192.43 ",$859.43 ,"$4,722.90 ",$859.43 ,"$4,048.20 ",$876.62 ,"$5,060.25 ","$3,724.34 ","$3,360.01 ","$3,724.34 ",$859.43 ,"$3,724.34 ","$5,465.07 ","$6,747.00 ","$5,465.07 ","$5,734.95 ","$2,192.43 ","$4,675.67 ",$859.43 ,"$6,747.00 ","$3,785.07 ",$859.43 ,"$1,767.71 ","$6,747.00 ",$555.19 ,$529.96 ,$902.40 ,"$5,397.60 ","$3,339.77 ","$1,889.16 ","$6,072.30 ","$2,563.86 ","$3,479.00 ",$859.43 ,"$3,238.56 "
ST. MARY'S HOSPITAL - DECATUR,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$6,747.00 ","$4,857.84 ",$529.96 ,"$6,747.00 ","$2,192.43 ","$3,575.91 ","$3,710.85 ",$859.43 ,"$1,889.16 ","$3,528.68 ",$859.43 ,"$3,710.85 ",$859.43 ,"$3,339.77 ","$1,125.55 ",$859.43 ,"$3,339.77 ","$1,771.48 ","$4,722.90 ","$4,216.88 ","$5,397.60 ","$2,192.43 ",$859.43 ,"$4,722.90 ",$859.43 ,"$4,048.20 ",$876.62 ,"$5,060.25 ","$3,724.34 ","$3,360.01 ","$3,724.34 ",$859.43 ,"$3,724.34 ","$5,465.07 ","$6,747.00 ","$5,465.07 ","$5,734.95 ","$2,192.43 ","$4,675.67 ",$859.43 ,"$6,747.00 ","$3,785.07 ",$859.43 ,"$1,767.71 ","$6,747.00 ",$555.19 ,$529.96 ,$902.40 ,"$5,397.60 ","$3,339.77 ","$1,889.16 ","$6,072.30 ","$2,563.86 ","$3,479.00 ",$859.43 ,"$3,238.56 "
ST. MARY'S HOSPITAL - DECATUR,74000013,95813,HC EEG MONITOR > 1 HR,740,1 ,"$1,878.00 ","$1,352.16 ",$257.59 ,"$1,878.00 ",$657.13 ,$995.34 ,"$1,032.90 ",$257.59 ,$525.84 ,$982.19 ,$257.59 ,"$1,032.90 ",$257.59 ,$929.61 ,$458.52 ,$257.59 ,$929.61 ,$530.96 ,"$1,314.60 ","$1,173.75 ","$1,502.40 ",$657.13 ,$257.59 ,"$1,314.60 ",$257.59 ,"$1,126.80 ",$262.75 ,"$1,408.50 ","$1,036.66 ",$935.24 ,"$1,036.66 ",$257.59 ,"$1,036.66 ","$1,521.18 ","$1,878.00 ","$1,521.18 ","$1,596.30 ",$657.13 ,"$1,301.45 ",$257.59 ,"$1,878.00 ","$1,053.56 ",$257.59 ,$492.04 ,"$1,878.00 ",$331.82 ,$316.73 ,$270.47 ,"$1,502.40 ",$929.61 ,$525.84 ,"$1,690.20 ",$713.64 ,$578.00 ,$257.59 ,$901.44 
ST. MARY'S HOSPITAL - DECATUR,74000014,95816,HC EEG AWAKE/DROWSY,740,1 ,$788.00 ,$567.36 ,$178.85 ,$788.00 ,$657.13 ,$417.64 ,$433.40 ,$257.59 ,$220.64 ,$412.12 ,$257.59 ,$433.40 ,$257.59 ,$390.06 ,$442.12 ,$257.59 ,$390.06 ,$530.96 ,$551.60 ,$492.50 ,$630.40 ,$657.13 ,$257.59 ,$551.60 ,$257.59 ,$472.80 ,$262.75 ,$591.00 ,$434.98 ,$392.42 ,$434.98 ,$257.59 ,$434.98 ,$638.28 ,$788.00 ,$638.28 ,$669.80 ,$657.13 ,$546.08 ,$257.59 ,$788.00 ,$442.07 ,$257.59 ,$206.46 ,$788.00 ,$187.36 ,$178.85 ,$270.47 ,$630.40 ,$390.06 ,$220.64 ,$709.20 ,$299.44 ,$578.00 ,$257.59 ,$378.24 
ST. MARY'S HOSPITAL - DECATUR,74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,169.00 ",$841.68 ,$178.85 ,"$1,169.00 ",$657.13 ,$619.57 ,$642.95 ,$257.59 ,$327.32 ,$611.39 ,$257.59 ,$642.95 ,$257.59 ,$578.66 ,$535.02 ,$257.59 ,$578.66 ,$530.96 ,$818.30 ,$730.63 ,$935.20 ,$657.13 ,$257.59 ,$818.30 ,$257.59 ,$701.40 ,$262.75 ,$876.75 ,$645.29 ,$582.16 ,$645.29 ,$257.59 ,$645.29 ,$946.89 ,"$1,169.00 ",$946.89 ,$993.65 ,$657.13 ,$810.12 ,$257.59 ,"$1,169.00 ",$655.81 ,$257.59 ,$306.28 ,"$1,169.00 ",$187.36 ,$178.85 ,$270.47 ,$935.20 ,$578.66 ,$327.32 ,"$1,052.10 ",$444.22 ,$578.00 ,$257.59 ,$561.12 
ST. MARY'S HOSPITAL - DECATUR,74000018,95822,HC EEG COMA OR SLEEP ONLY,740,1 ,"$1,622.00 ","$1,167.84 ",$178.85 ,"$1,622.00 ",$657.13 ,$859.66 ,$892.10 ,$257.59 ,$454.16 ,$848.31 ,$257.59 ,$892.10 ,$257.59 ,$802.89 ,$473.89 ,$257.59 ,$802.89 ,$530.96 ,"$1,135.40 ","$1,013.75 ","$1,297.60 ",$657.13 ,$257.59 ,"$1,135.40 ",$257.59 ,$973.20 ,$262.75 ,"$1,216.50 ",$895.34 ,$807.76 ,$895.34 ,$257.59 ,$895.34 ,"$1,313.82 ","$1,622.00 ","$1,313.82 ","$1,378.70 ",$657.13 ,"$1,124.05 ",$257.59 ,"$1,622.00 ",$909.94 ,$257.59 ,$424.96 ,"$1,622.00 ",$187.36 ,$178.85 ,$270.47 ,"$1,297.60 ",$802.89 ,$454.16 ,"$1,459.80 ",$616.36 ,$578.00 ,$257.59 ,$778.56 
ST. MARY'S HOSPITAL - DECATUR,74000020,95824,HC EEG CEREBRAL DEATH EVAL,740,1 ,$788.00 ,$567.36 ,$92.13 ,"$1,134.33 ","$1,134.33 ",$417.64 ,$433.40 ,$444.66 ,$220.64 ,$412.12 ,$444.66 ,$433.40 ,$444.66 ,$390.06 ,$92.13 ,$444.66 ,$390.06 ,$788.00 ,$551.60 ,$492.50 ,$630.40 ,"$1,134.32 ",$444.66 ,$551.60 ,$444.66 ,$472.80 ,$453.54 ,$591.00 ,$434.98 ,$392.42 ,$434.98 ,$444.66 ,$434.98 ,$638.28 ,$788.00 ,$638.28 ,$669.80 ,$788.00 ,$546.08 ,$444.66 ,$788.00 ,$442.07 ,$444.66 ,$206.46 ,$788.00 ,$187.36 ,$178.85 ,$466.89 ,$630.40 ,$390.06 ,$220.64 ,$709.20 ,$299.44 ,$578.00 ,$444.66 ,$378.24 
ST. MARY'S HOSPITAL - DECATUR,74000023,95928,HC TCMEP UPPER LIMBS,740,1 ,"$1,343.00 ",$966.96 ,$201.51 ,"$2,192.43 ","$2,192.43 ",$711.79 ,$738.65 ,$859.43 ,$376.04 ,$702.39 ,$859.43 ,$738.65 ,$859.43 ,$664.79 ,$201.51 ,$859.43 ,$664.79 ,"$1,343.00 ",$940.10 ,$839.38 ,"$1,074.40 ","$2,192.43 ",$859.43 ,$940.10 ,$859.43 ,$805.80 ,$876.62 ,"$1,007.25 ",$741.34 ,$668.81 ,$741.34 ,$859.43 ,$741.34 ,"$1,087.83 ","$1,343.00 ","$1,087.83 ","$1,141.55 ","$1,343.00 ",$930.70 ,$859.43 ,"$1,343.00 ",$753.42 ,$859.43 ,$351.87 ,"$1,343.00 ",$237.58 ,$226.78 ,$902.40 ,"$1,074.40 ",$664.79 ,$376.04 ,"$1,208.70 ",$510.34 ,$578.00 ,$859.43 ,$644.64 
ST. MARY'S HOSPITAL - DECATUR,74000024,95929,HC TCMEP LWR LIMBS,740,1 ,"$1,490.00 ","$1,072.80 ",$208.68 ,"$1,490.00 ","$1,134.33 ",$789.70 ,$819.50 ,$444.66 ,$417.20 ,$779.27 ,$444.66 ,$819.50 ,$444.66 ,$737.55 ,$208.68 ,$444.66 ,$737.55 ,$916.53 ,"$1,043.00 ",$931.25 ,"$1,192.00 ","$1,134.32 ",$444.66 ,"$1,043.00 ",$444.66 ,$894.00 ,$453.54 ,"$1,117.50 ",$822.48 ,$742.02 ,$822.48 ,$444.66 ,$822.48 ,"$1,206.90 ","$1,490.00 ","$1,206.90 ","$1,266.50 ","$1,134.32 ","$1,032.57 ",$444.66 ,"$1,490.00 ",$835.89 ,$444.66 ,$390.38 ,"$1,490.00 ",$237.58 ,$226.78 ,$466.89 ,"$1,192.00 ",$737.55 ,$417.20 ,"$1,341.00 ",$566.20 ,$578.00 ,$444.66 ,$715.20 
ST. MARY'S HOSPITAL - DECATUR,74000025,95937,HC NEUROMUSCULAR JUNCTION TEST,740,1 ,$526.00 ,$378.72 ,$77.01 ,$526.00 ,$341.23 ,$278.78 ,$289.30 ,$133.76 ,$147.28 ,$275.10 ,$133.76 ,$289.30 ,$133.76 ,$260.37 ,$77.01 ,$133.76 ,$260.37 ,$275.72 ,$368.20 ,$328.75 ,$420.80 ,$341.24 ,$133.76 ,$368.20 ,$133.76 ,$315.60 ,$136.44 ,$394.50 ,$290.35 ,$261.95 ,$290.35 ,$133.76 ,$290.35 ,$426.06 ,$526.00 ,$426.06 ,$447.10 ,$341.24 ,$364.52 ,$133.76 ,$526.00 ,$295.09 ,$133.76 ,$137.81 ,$526.00 ,$237.58 ,$226.78 ,$140.44 ,$420.80 ,$260.37 ,$147.28 ,$473.40 ,$199.88 ,$526.00 ,$133.76 ,$252.48 
ST. MARY'S HOSPITAL - DECATUR,74000029,95955,HC EEG INTRAOP,740,1 ,"$1,877.00 ","$1,351.44 ",$178.85 ,"$1,877.00 ", N/A ,$994.81 ,"$1,032.35 ", N/A ,$525.56 ,$981.67 , N/A ,"$1,032.35 ", N/A ,$929.12 ,$225.59 , N/A ,$929.12 , N/A ,"$1,313.90 ","$1,173.13 ","$1,501.60 ", N/A , N/A ,"$1,313.90 ", N/A ,"$1,126.20 ", N/A ,"$1,407.75 ","$1,036.10 ",$934.75 ,"$1,036.10 ", N/A ,"$1,036.10 ","$1,520.37 ","$1,877.00 ","$1,520.37 ","$1,595.45 ", N/A ,"$1,300.76 ", N/A ,"$1,877.00 ","$1,053.00 ", N/A ,$491.77 ,"$1,877.00 ",$187.36 ,$178.85 , N/A ,"$1,501.60 ",$929.12 ,$525.56 ,"$1,689.30 ",$713.26 ,$578.00 , N/A ,$900.96 
ST. MARY'S HOSPITAL - DECATUR,74000033,95939,HC TCMEP UPPER AND LOWER,740,1 ,$847.00 ,$609.84 ,$221.91 ,"$2,192.43 ","$2,192.43 ",$448.91 ,$465.85 ,$859.43 ,$237.16 ,$442.98 ,$859.43 ,$465.85 ,$830.06 ,$419.27 ,$570.88 ,$830.06 ,$419.27 ,$847.00 ,$592.90 ,$529.38 ,$677.60 ,"$2,192.43 ",$859.43 ,$592.90 ,$859.43 ,$508.20 ,$830.06 ,$635.25 ,$467.54 ,$421.81 ,$467.54 ,$859.43 ,$467.54 ,$686.07 ,$847.00 ,$686.07 ,$719.95 ,$847.00 ,$586.97 ,$830.06 ,$847.00 ,$475.17 ,$859.43 ,$221.91 ,$847.00 ,$237.58 ,$226.78 ,$902.40 ,$677.60 ,$419.27 ,$237.16 ,$762.30 ,$321.86 ,$578.00 ,$859.43 ,$406.56 
ST. MARY'S HOSPITAL - DECATUR,74000041,95782,HC SLEEP STUDY ONE ON ONE <6 YRS,740,1 ,"$4,316.00 ","$3,107.52 ",$859.43 ,"$4,316.00 ","$2,192.43 ","$2,287.48 ","$2,373.80 ",$859.43 ,"$1,208.48 ","$2,257.27 ",$859.43 ,"$2,373.80 ",$859.43 ,"$2,136.42 ","$1,258.52 ",$859.43 ,"$2,136.42 ","$1,771.48 ","$3,021.20 ","$2,697.50 ","$3,452.80 ","$2,192.43 ",$859.43 ,"$3,021.20 ",$859.43 ,"$2,589.60 ",$876.62 ,"$3,237.00 ","$2,382.43 ","$2,149.37 ","$2,382.43 ",$859.43 ,"$2,382.43 ","$3,495.96 ","$4,316.00 ","$3,495.96 ","$3,668.60 ","$2,192.43 ","$2,990.99 ",$859.43 ,"$4,316.00 ","$2,421.28 ",$859.43 ,"$1,130.79 ","$4,316.00 ", N/A , N/A ,$902.40 ,"$3,452.80 ","$2,136.42 ","$1,208.48 ","$3,884.40 ","$1,640.08 ","$3,479.00 ",$859.43 ,"$2,071.68 "
ST. MARY'S HOSPITAL - DECATUR,74000043,95940,HC NEURO TEST INTRAOPER PER 15MIN,740,1 ,$231.00 ,$166.32 ,$51.00 ,$231.00 , N/A ,$122.43 ,$127.05 , N/A ,$64.68 ,$120.81 , N/A ,$127.05 , N/A ,$114.35 ,$51.00 , N/A ,$114.35 , N/A ,$161.70 ,$144.38 ,$184.80 , N/A , N/A ,$161.70 , N/A ,$138.60 , N/A ,$173.25 ,$127.51 ,$115.04 ,$127.51 , N/A ,$127.51 ,$187.11 ,$231.00 ,$187.11 ,$196.35 , N/A ,$160.08 , N/A ,$231.00 ,$129.59 , N/A ,$60.52 ,$231.00 , N/A , N/A , N/A ,$184.80 ,$114.35 ,$64.68 ,$207.90 ,$87.78 ,$231.00 , N/A ,$110.88 
ST. MARY'S HOSPITAL - DECATUR,74000044,95941,HC NEURO TEST INTRAOPER REMOTE/> 1 OR PER HR,740,1 ,$408.00 ,$293.76 ,$106.90 ,$408.00 , N/A ,$216.24 ,$224.40 , N/A ,$114.24 ,$213.38 , N/A ,$224.40 , N/A ,$201.96 ,$289.45 , N/A ,$201.96 , N/A ,$285.60 ,$255.00 ,$326.40 , N/A , N/A ,$285.60 , N/A ,$244.80 , N/A ,$306.00 ,$225.22 ,$203.18 ,$225.22 , N/A ,$225.22 ,$330.48 ,$408.00 ,$330.48 ,$346.80 , N/A ,$282.74 , N/A ,$408.00 ,$228.89 , N/A ,$106.90 ,$408.00 , N/A , N/A , N/A ,$326.40 ,$201.96 ,$114.24 ,$367.20 ,$155.04 ,$408.00 , N/A ,$195.84 
ST. MARY'S HOSPITAL - DECATUR,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$6,747.00 ","$4,857.84 ",$264.98 ,"$6,747.00 ","$1,096.23 ","$3,575.91 ","$3,710.85 ",$429.72 ,"$1,889.16 ","$3,528.68 ",$429.72 ,"$3,710.85 ",$429.72 ,"$3,339.77 ","$1,070.73 ",$429.72 ,"$3,339.77 ",$885.74 ,"$4,722.90 ","$4,216.88 ","$5,397.60 ","$1,096.21 ",$429.72 ,"$4,722.90 ",$429.72 ,"$4,048.20 ",$438.31 ,"$5,060.25 ","$3,724.34 ","$3,360.01 ","$3,724.34 ",$429.72 ,"$3,724.34 ","$5,465.07 ","$6,747.00 ","$5,465.07 ","$5,734.95 ","$1,096.21 ","$4,675.67 ",$429.72 ,"$6,747.00 ","$3,785.07 ",$429.72 ,"$1,767.71 ","$6,747.00 ",$277.60 ,$264.98 ,$451.20 ,"$5,397.60 ","$3,339.77 ","$1,889.16 ","$6,072.30 ","$2,563.86 ","$3,479.00 ",$429.72 ,"$3,238.56 "
ST. MARY'S HOSPITAL - DECATUR,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$6,747.00 ","$4,857.84 ",$264.98 ,"$6,747.00 ","$1,096.23 ","$3,575.91 ","$3,710.85 ",$429.72 ,"$1,889.16 ","$3,528.68 ",$429.72 ,"$3,710.85 ",$429.72 ,"$3,339.77 ","$1,125.55 ",$429.72 ,"$3,339.77 ",$885.74 ,"$4,722.90 ","$4,216.88 ","$5,397.60 ","$1,096.21 ",$429.72 ,"$4,722.90 ",$429.72 ,"$4,048.20 ",$438.31 ,"$5,060.25 ","$3,724.34 ","$3,360.01 ","$3,724.34 ",$429.72 ,"$3,724.34 ","$5,465.07 ","$6,747.00 ","$5,465.07 ","$5,734.95 ","$1,096.21 ","$4,675.67 ",$429.72 ,"$6,747.00 ","$3,785.07 ",$429.72 ,"$1,767.71 ","$6,747.00 ",$277.60 ,$264.98 ,$451.20 ,"$5,397.60 ","$3,339.77 ","$1,889.16 ","$6,072.30 ","$2,563.86 ","$3,479.00 ",$429.72 ,"$3,238.56 "
ST. MARY'S HOSPITAL - DECATUR,74000090,95712,HC VEEG W/VIDEO BY TECH 2-12 HOURS W/INTERMITTENT MONITORING,740,1 ,"$2,729.00 ","$1,964.88 ",$178.85 ,"$2,729.00 ",$657.13 ,"$1,446.37 ","$1,500.95 ",$257.59 ,$764.12 ,"$1,427.27 ",$257.59 ,"$1,500.95 ",$257.59 ,"$1,350.86 ","$1,091.60 ",$257.59 ,"$1,350.86 ",$530.96 ,"$1,910.30 ","$1,705.63 ","$2,183.20 ",$657.13 ,$257.59 ,"$1,910.30 ",$257.59 ,"$1,637.40 ",$262.75 ,"$2,046.75 ","$1,506.41 ","$1,359.04 ","$1,506.41 ",$257.59 ,"$1,506.41 ","$2,210.49 ","$2,729.00 ","$2,210.49 ","$2,319.65 ",$657.13 ,"$1,891.20 ",$257.59 ,"$2,729.00 ","$1,530.97 ",$257.59 ,$715.00 ,"$2,729.00 ",$187.36 ,$178.85 ,$270.47 ,"$2,183.20 ","$1,350.86 ",$764.12 ,"$2,456.10 ","$1,037.02 ",$578.00 ,$257.59 ,"$1,309.92 "
ST. MARY'S HOSPITAL - DECATUR,74000093,95715,HC VEEG W/VIDEO BY TECH 12-26 HOURS EACH INCREMENT W/INTERMITTENT MONITORING,740,1 ,"$5,458.00 ","$3,929.76 ",$316.73 ,"$5,458.00 ","$1,134.33 ","$2,892.74 ","$3,001.90 ",$444.66 ,"$1,528.24 ","$2,854.53 ",$444.66 ,"$3,001.90 ",$444.66 ,"$2,701.71 ","$2,183.20 ",$444.66 ,"$2,701.71 ",$916.53 ,"$3,820.60 ","$3,411.25 ","$4,366.40 ","$1,134.32 ",$444.66 ,"$3,820.60 ",$444.66 ,"$3,274.80 ",$453.54 ,"$4,093.50 ","$3,012.82 ","$2,718.08 ","$3,012.82 ",$444.66 ,"$3,012.82 ","$4,420.98 ","$5,458.00 ","$4,420.98 ","$4,639.30 ","$1,134.32 ","$3,782.39 ",$444.66 ,"$5,458.00 ","$3,061.94 ",$444.66 ,"$1,430.00 ","$5,458.00 ",$331.82 ,$316.73 ,$466.89 ,"$4,366.40 ","$2,701.71 ","$1,528.24 ","$4,912.20 ","$2,074.04 ",$578.00 ,$444.66 ,"$2,619.84 "
ST. MARY'S HOSPITAL - DECATUR,74000096,G0400,HC SLEEP STUDY UNATTENDED WATCHPAT,740,1 ,$895.00 ,$644.40 ,$82.48 ,$895.00 ,$657.13 ,$474.35 ,$492.25 ,$257.59 ,$250.60 ,$468.09 ,$257.59 ,$492.25 ,$257.59 ,$443.03 ,$127.73 ,$257.59 ,$443.03 ,$530.96 ,$626.50 ,$559.38 ,$716.00 ,$657.13 ,$257.59 ,$626.50 ,$257.59 ,$537.00 ,$262.75 ,$671.25 ,$494.04 ,$445.71 ,$494.04 ,$257.59 ,$494.04 ,$724.95 ,$895.00 ,$724.95 ,$760.75 ,$657.13 ,$620.24 ,$257.59 ,$895.00 ,$502.10 ,$257.59 ,$234.49 ,$895.00 ,$86.41 ,$82.48 ,$270.47 ,$716.00 ,$443.03 ,$250.60 ,$805.50 ,$340.10 ,$895.00 ,$257.59 ,$429.60 
ST. MARY'S HOSPITAL - DECATUR,75000095,78267,HC UREA BREATH TEST C-14 ISOTO,300,1 ,$489.00 ,$352.08 ,$7.78 ,$489.00 ,$27.65 ,$19.82 ,$268.95 ,$10.84 ,$136.92 ,$255.75 ,$10.84 ,$268.95 ,$10.84 ,$242.06 ,$7.85 ,$10.84 ,$242.06 ,$22.34 ,$342.30 ,$25.25 ,$391.20 ,$27.65 ,$10.84 ,$342.30 ,$10.84 ,$293.40 ,$11.05 ,$366.75 ,$269.93 ,$243.52 ,$269.93 ,$10.84 ,$269.93 ,$14.81 ,$489.00 ,$14.81 ,$415.65 ,$27.65 ,$338.88 ,$10.84 ,$489.00 ,$274.33 ,$10.84 ,$128.12 , N/A ,$8.15 ,$7.78 ,$11.38 ,$391.20 ,$242.06 ,$136.92 ,$440.10 ,$185.82 , N/A ,$10.84 ,$234.72 
ST. MARY'S HOSPITAL - DECATUR,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$2,719.00 ","$1,957.68 ",$477.80 ,"$2,719.00 ","$1,936.98 ","$2,719.00 ","$1,495.45 ",$759.29 ,$761.32 ,"$1,422.04 ",$759.29 ,"$1,495.45 ",$759.29 ,"$1,345.91 ","$1,345.91 ",$759.29 ,"$1,345.91 ","$1,565.08 ","$1,903.30 ","$1,699.38 ","$2,175.20 ","$1,936.98 ",$759.29 ,"$1,903.30 ",$759.29 ,"$1,631.40 ",$774.48 ,"$2,039.25 ","$1,500.89 ","$1,354.06 ","$1,500.89 ",$759.29 ,"$1,500.89 ","$2,202.39 ","$2,719.00 ","$2,202.39 ","$2,311.15 ","$1,936.98 ","$1,884.27 ",$759.29 ,"$2,719.00 ","$1,525.36 ",$759.29 ,$712.38 ,"$2,719.00 ",$500.56 ,$477.80 ,$797.26 ,"$2,175.20 ","$1,345.91 ",$761.32 ,"$2,447.10 ","$1,866.00 ","$2,248.00 ",$759.29 ,"$1,305.12 "
ST. MARY'S HOSPITAL - DECATUR,75000510,49082,HC PARACENTESIS W/O IMAGING,750,1 ,"$2,042.00 ","$1,470.24 ",$477.80 ,"$2,042.00 ","$1,936.98 ","$2,042.00 ","$1,123.10 ",$759.29 ,$571.76 ,"$1,067.97 ",$759.29 ,"$1,123.10 ",$759.29 ,"$1,010.79 ","$1,010.79 ",$759.29 ,"$1,010.79 ","$1,565.08 ","$1,429.40 ","$1,276.25 ","$1,633.60 ","$1,936.98 ",$759.29 ,"$1,429.40 ",$759.29 ,"$1,225.20 ",$774.48 ,"$1,531.50 ","$1,127.18 ","$1,016.92 ","$1,127.18 ",$759.29 ,"$1,127.18 ","$1,654.02 ","$2,042.00 ","$1,654.02 ","$1,735.70 ","$1,936.98 ","$1,415.11 ",$759.29 ,"$2,042.00 ","$1,145.56 ",$759.29 ,$535.00 ,"$2,042.00 ",$500.56 ,$477.80 ,$797.26 ,"$1,633.60 ","$1,010.79 ",$571.76 ,"$1,837.80 ","$1,866.00 ","$2,042.00 ",$759.29 ,$980.16 
ST. MARY'S HOSPITAL - DECATUR,75001053,N/A,HC ENDOSCOPY NASAL DIAGNOSTIC - 31231,750,1 ,"$1,884.00 ","$1,356.48 ",$493.61 ,"$1,884.00 ", N/A ,$998.52 ,"$1,036.20 ", N/A ,$527.52 ,$985.33 , N/A ,"$1,036.20 ", N/A ,$932.58 ,$932.58 , N/A ,$932.58 , N/A ,"$1,318.80 ","$1,177.50 ","$1,507.20 ", N/A , N/A ,"$1,318.80 ", N/A ,"$1,130.40 ", N/A ,"$1,413.00 ","$1,039.97 ",$938.23 ,"$1,039.97 ", N/A ,"$1,039.97 ","$1,526.04 ","$1,884.00 ","$1,526.04 ","$1,601.40 ", N/A ,"$1,305.61 ", N/A ,"$1,884.00 ","$1,056.92 ", N/A ,$493.61 ,"$1,884.00 ", N/A , N/A , N/A ,"$1,507.20 ",$932.58 ,$527.52 ,"$1,695.60 ", N/A , N/A , N/A ,$904.32 
ST. MARY'S HOSPITAL - DECATUR,75001055,N/A,HC BRONCHOSCOPY DX W/WASHING -31622,750,1 ,"$2,321.00 ","$1,671.12 ",$608.10 ,"$2,321.00 ", N/A ,"$1,230.13 ","$1,276.55 ", N/A ,$649.88 ,"$1,213.88 ", N/A ,"$1,276.55 ", N/A ,"$1,148.90 ","$1,148.90 ", N/A ,"$1,148.90 ", N/A ,"$1,624.70 ","$1,450.63 ","$1,856.80 ", N/A , N/A ,"$1,624.70 ", N/A ,"$1,392.60 ", N/A ,"$1,740.75 ","$1,281.19 ","$1,155.86 ","$1,281.19 ", N/A ,"$1,281.19 ","$1,880.01 ","$2,321.00 ","$1,880.01 ","$1,972.85 ", N/A ,"$1,608.45 ", N/A ,"$2,321.00 ","$1,302.08 ", N/A ,$608.10 ,"$2,321.00 ", N/A , N/A , N/A ,"$1,856.80 ","$1,148.90 ",$649.88 ,"$2,088.90 ", N/A , N/A , N/A ,"$1,114.08 "
ST. MARY'S HOSPITAL - DECATUR,75001056,N/A,HC BRONCHOSCOPY W/BRUSHING -31623,750,1 ,"$4,500.00 ","$3,240.00 ","$1,179.00 ","$4,500.00 ", N/A ,"$2,385.00 ","$2,475.00 ", N/A ,"$1,260.00 ","$2,353.50 ", N/A ,"$2,475.00 ", N/A ,"$2,227.50 ","$2,227.50 ", N/A ,"$2,227.50 ", N/A ,"$3,150.00 ","$2,812.50 ","$3,600.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,700.00 ", N/A ,"$3,375.00 ","$2,484.00 ","$2,241.00 ","$2,484.00 ", N/A ,"$2,484.00 ","$3,645.00 ","$4,500.00 ","$3,645.00 ","$3,825.00 ", N/A ,"$3,118.50 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,179.00 ","$4,500.00 ", N/A , N/A , N/A ,"$3,600.00 ","$2,227.50 ","$1,260.00 ","$4,050.00 ", N/A , N/A , N/A ,"$2,160.00 "
ST. MARY'S HOSPITAL - DECATUR,75001057,N/A,HC BRONCHOSCOPY W/ALVEOLAR LAVAGE -31624,750,1 ,"$4,266.00 ","$3,071.52 ","$1,117.69 ","$4,266.00 ", N/A ,"$2,260.98 ","$2,346.30 ", N/A ,"$1,194.48 ","$2,231.12 ", N/A ,"$2,346.30 ", N/A ,"$2,111.67 ","$2,111.67 ", N/A ,"$2,111.67 ", N/A ,"$2,986.20 ","$2,666.25 ","$3,412.80 ", N/A , N/A ,"$2,986.20 ", N/A ,"$2,559.60 ", N/A ,"$3,199.50 ","$2,354.83 ","$2,124.47 ","$2,354.83 ", N/A ,"$2,354.83 ","$3,455.46 ","$4,266.00 ","$3,455.46 ","$3,626.10 ", N/A ,"$2,956.34 ", N/A ,"$4,266.00 ","$2,393.23 ", N/A ,"$1,117.69 ","$4,266.00 ", N/A , N/A , N/A ,"$3,412.80 ","$2,111.67 ","$1,194.48 ","$3,839.40 ", N/A , N/A , N/A ,"$2,047.68 "
ST. MARY'S HOSPITAL - DECATUR,75001058,N/A,HC BRONCHOSCOPY W/BIOPSY - 31625,750,1 ,"$4,825.00 ","$3,474.00 ","$1,264.15 ","$4,825.00 ", N/A ,"$2,557.25 ","$2,653.75 ", N/A ,"$1,351.00 ","$2,523.48 ", N/A ,"$2,653.75 ", N/A ,"$2,388.38 ","$2,388.38 ", N/A ,"$2,388.38 ", N/A ,"$3,377.50 ","$3,015.63 ","$3,860.00 ", N/A , N/A ,"$3,377.50 ", N/A ,"$2,895.00 ", N/A ,"$3,618.75 ","$2,663.40 ","$2,402.85 ","$2,663.40 ", N/A ,"$2,663.40 ","$3,908.25 ","$4,825.00 ","$3,908.25 ","$4,101.25 ", N/A ,"$3,343.73 ", N/A ,"$4,825.00 ","$2,706.83 ", N/A ,"$1,264.15 ","$4,825.00 ", N/A , N/A , N/A ,"$3,860.00 ","$2,388.38 ","$1,351.00 ","$4,342.50 ", N/A , N/A , N/A ,"$2,316.00 "
ST. MARY'S HOSPITAL - DECATUR,75001059,N/A,HC BRONCHOSCOPY W/LUNG BIOPSY SGL - 31628,750,1 ,"$9,157.00 ","$6,593.04 ","$2,399.13 ","$9,157.00 ", N/A ,"$4,853.21 ","$5,036.35 ", N/A ,"$2,563.96 ","$4,789.11 ", N/A ,"$5,036.35 ", N/A ,"$4,532.72 ","$4,532.72 ", N/A ,"$4,532.72 ", N/A ,"$3,500.00 ","$5,723.13 ","$7,325.60 ", N/A , N/A ,"$6,409.90 ", N/A ,"$5,494.20 ", N/A ,"$6,867.75 ","$4,219.00 ","$3,797.00 ","$4,219.00 ", N/A ,"$4,219.00 ","$7,417.17 ","$9,157.00 ","$7,417.17 ","$7,783.45 ", N/A ,"$5,180.00 ", N/A ,"$9,157.00 ","$5,137.08 ", N/A ,"$2,399.13 ","$9,157.00 ", N/A , N/A , N/A ,"$7,325.60 ","$4,532.72 ","$2,563.96 ","$8,241.30 ", N/A , N/A , N/A ,"$4,395.36 "
ST. MARY'S HOSPITAL - DECATUR,75001063,N/A,HC ESOPHAGOSCOPY RIGID W/BIOPSY - 43193,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,393.00 ","$1,722.96 ",$626.97 ,"$2,393.00 ", N/A ,"$1,268.29 ","$1,316.15 ", N/A ,$670.04 ,"$1,251.54 ", N/A ,"$1,316.15 ", N/A ,"$1,184.54 ","$1,184.54 ", N/A ,"$1,184.54 ", N/A ,"$1,675.10 ","$1,495.63 ","$1,914.40 ", N/A , N/A ,"$1,675.10 ", N/A ,"$1,435.80 ", N/A ,"$1,794.75 ","$1,320.94 ","$1,191.71 ","$1,320.94 ", N/A ,"$1,320.94 ","$1,938.33 ","$2,393.00 ","$1,938.33 ","$2,034.05 ", N/A ,"$1,658.35 ", N/A ,"$2,393.00 ","$1,342.47 ", N/A ,$626.97 ,"$2,393.00 ", N/A , N/A , N/A ,"$1,914.40 ","$1,184.54 ",$670.04 ,"$2,153.70 ", N/A , N/A , N/A ,"$1,148.64 "
ST. MARY'S HOSPITAL - DECATUR,75001070,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/ENDO US EXAM - 43231,750,1 ,"$5,879.00 ","$4,232.88 ","$1,540.30 ","$5,879.00 ", N/A ,"$3,115.87 ","$3,233.45 ", N/A ,"$1,646.12 ","$3,074.72 ", N/A ,"$3,233.45 ", N/A ,"$2,910.11 ","$2,910.11 ", N/A ,"$2,910.11 ", N/A ,"$3,500.00 ","$3,674.38 ","$4,703.20 ", N/A , N/A ,"$4,115.30 ", N/A ,"$3,527.40 ", N/A ,"$4,409.25 ","$3,245.21 ","$2,927.74 ","$3,245.21 ", N/A ,"$3,245.21 ","$4,761.99 ","$5,879.00 ","$4,761.99 ","$4,997.15 ", N/A ,"$4,074.15 ", N/A ,"$5,879.00 ","$3,298.12 ", N/A ,"$1,540.30 ","$5,879.00 ", N/A , N/A , N/A ,"$4,703.20 ","$2,910.11 ","$1,646.12 ","$5,291.10 ", N/A , N/A , N/A ,"$2,821.92 "
ST. MARY'S HOSPITAL - DECATUR,75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$2,064.00 ","$1,486.08 ",$540.77 ,"$2,064.00 ", N/A ,"$1,093.92 ","$1,135.20 ", N/A ,$577.92 ,"$1,079.47 ", N/A ,"$1,135.20 ", N/A ,"$1,021.68 ","$1,021.68 ", N/A ,"$1,021.68 ", N/A ,"$1,444.80 ","$1,290.00 ","$1,651.20 ", N/A , N/A ,"$1,444.80 ", N/A ,"$1,238.40 ", N/A ,"$1,548.00 ","$1,139.33 ","$1,027.87 ","$1,139.33 ", N/A ,"$1,139.33 ","$1,671.84 ","$2,064.00 ","$1,671.84 ","$1,754.40 ", N/A ,"$1,430.35 ", N/A ,"$2,064.00 ","$1,157.90 ", N/A ,$540.77 ,"$2,064.00 ", N/A , N/A , N/A ,"$1,651.20 ","$1,021.68 ",$577.92 ,"$1,857.60 ", N/A , N/A , N/A ,$990.72 
ST. MARY'S HOSPITAL - DECATUR,75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$1,248.00 ",$898.56 ,$326.98 ,"$1,248.00 ", N/A ,$661.44 ,$686.40 , N/A ,$349.44 ,$652.70 , N/A ,$686.40 , N/A ,$617.76 ,$617.76 , N/A ,$617.76 , N/A ,$873.60 ,$780.00 ,$998.40 , N/A , N/A ,$873.60 , N/A ,$748.80 , N/A ,$936.00 ,$688.90 ,$621.50 ,$688.90 , N/A ,$688.90 ,"$1,010.88 ","$1,248.00 ","$1,010.88 ","$1,060.80 ", N/A ,$864.86 , N/A ,"$1,248.00 ",$700.13 , N/A ,$326.98 ,"$1,248.00 ", N/A , N/A , N/A ,$998.40 ,$617.76 ,$349.44 ,"$1,123.20 ", N/A , N/A , N/A ,$599.04 
ST. MARY'S HOSPITAL - DECATUR,75001073,N/A,HC EGD W/SUBMUCOSAL INJ - 43236,750,1 ,"$1,225.00 ",$882.00 ,$320.95 ,"$1,225.00 ", N/A ,$649.25 ,$673.75 , N/A ,$343.00 ,$640.68 , N/A ,$673.75 , N/A ,$606.38 ,$606.38 , N/A ,$606.38 , N/A ,$857.50 ,$765.63 ,$980.00 , N/A , N/A ,$857.50 , N/A ,$735.00 , N/A ,$918.75 ,$676.20 ,$610.05 ,$676.20 , N/A ,$676.20 ,$992.25 ,"$1,225.00 ",$992.25 ,"$1,041.25 ", N/A ,$848.93 , N/A ,"$1,225.00 ",$687.23 , N/A ,$320.95 ,"$1,225.00 ", N/A , N/A , N/A ,$980.00 ,$606.38 ,$343.00 ,"$1,102.50 ", N/A , N/A , N/A ,$588.00 
ST. MARY'S HOSPITAL - DECATUR,75001074,N/A,HC EGD W/ENDO US EXAM LIMITED - 43237,750,1 ,"$5,750.00 ","$4,140.00 ","$1,506.50 ","$5,750.00 ", N/A ,"$3,047.50 ","$3,162.50 ", N/A ,"$1,610.00 ","$3,007.25 ", N/A ,"$3,162.50 ", N/A ,"$2,846.25 ","$2,846.25 ", N/A ,"$2,846.25 ", N/A ,"$3,500.00 ","$3,593.75 ","$4,600.00 ", N/A , N/A ,"$4,025.00 ", N/A ,"$3,450.00 ", N/A ,"$4,312.50 ","$3,174.00 ","$2,863.50 ","$3,174.00 ", N/A ,"$3,174.00 ","$4,657.50 ","$5,750.00 ","$4,657.50 ","$4,887.50 ", N/A ,"$3,984.75 ", N/A ,"$5,750.00 ","$3,225.75 ", N/A ,"$1,506.50 ","$5,750.00 ", N/A , N/A , N/A ,"$4,600.00 ","$2,846.25 ","$1,610.00 ","$5,175.00 ", N/A , N/A , N/A ,"$2,760.00 "
ST. MARY'S HOSPITAL - DECATUR,75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$2,356.00 ","$1,696.32 ",$617.27 ,"$2,356.00 ", N/A ,"$1,248.68 ","$1,295.80 ", N/A ,$659.68 ,"$1,232.19 ", N/A ,"$1,295.80 ", N/A ,"$1,166.22 ","$1,166.22 ", N/A ,"$1,166.22 ", N/A ,"$1,649.20 ","$1,472.50 ","$1,884.80 ", N/A , N/A ,"$1,649.20 ", N/A ,"$1,413.60 ", N/A ,"$1,767.00 ","$1,300.51 ","$1,173.29 ","$1,300.51 ", N/A ,"$1,300.51 ","$1,908.36 ","$2,356.00 ","$1,908.36 ","$2,002.60 ", N/A ,"$1,632.71 ", N/A ,"$2,356.00 ","$1,321.72 ", N/A ,$617.27 ,"$2,356.00 ", N/A , N/A , N/A ,"$1,884.80 ","$1,166.22 ",$659.68 ,"$2,120.40 ", N/A , N/A , N/A ,"$1,130.88 "
ST. MARY'S HOSPITAL - DECATUR,75001080,N/A,HC EGD W/BAND LIGATION - 43244,750,1 ,"$2,274.00 ","$1,637.28 ",$595.79 ,"$2,274.00 ", N/A ,"$1,205.22 ","$1,250.70 ", N/A ,$636.72 ,"$1,189.30 ", N/A ,"$1,250.70 ", N/A ,"$1,125.63 ","$1,125.63 ", N/A ,"$1,125.63 ", N/A ,"$1,591.80 ","$1,421.25 ","$1,819.20 ", N/A , N/A ,"$1,591.80 ", N/A ,"$1,364.40 ", N/A ,"$1,705.50 ","$1,255.25 ","$1,132.45 ","$1,255.25 ", N/A ,"$1,255.25 ","$1,841.94 ","$2,274.00 ","$1,841.94 ","$1,932.90 ", N/A ,"$1,575.88 ", N/A ,"$2,274.00 ","$1,275.71 ", N/A ,$595.79 ,"$2,274.00 ", N/A , N/A , N/A ,"$1,819.20 ","$1,125.63 ",$636.72 ,"$2,046.60 ", N/A , N/A , N/A ,"$1,091.52 "
ST. MARY'S HOSPITAL - DECATUR,75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$4,490.00 ","$3,232.80 ","$1,176.38 ","$4,490.00 ", N/A ,"$2,379.70 ","$2,469.50 ", N/A ,"$1,257.20 ","$2,348.27 ", N/A ,"$2,469.50 ", N/A ,"$2,222.55 ","$2,222.55 ", N/A ,"$2,222.55 ", N/A ,"$3,143.00 ","$2,806.25 ","$3,592.00 ", N/A , N/A ,"$3,143.00 ", N/A ,"$2,694.00 ", N/A ,"$3,367.50 ","$2,478.48 ","$2,236.02 ","$2,478.48 ", N/A ,"$2,478.48 ","$3,636.90 ","$4,490.00 ","$3,636.90 ","$3,816.50 ", N/A ,"$3,111.57 ", N/A ,"$4,490.00 ","$2,518.89 ", N/A ,"$1,176.38 ","$4,490.00 ", N/A , N/A , N/A ,"$3,592.00 ","$2,222.55 ","$1,257.20 ","$4,041.00 ", N/A , N/A , N/A ,"$2,155.20 "
ST. MARY'S HOSPITAL - DECATUR,75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$3,335.00 ","$2,401.20 ",$873.77 ,"$3,335.00 ", N/A ,"$1,767.55 ","$1,834.25 ", N/A ,$933.80 ,"$1,744.21 ", N/A ,"$1,834.25 ", N/A ,"$1,650.83 ","$1,650.83 ", N/A ,"$1,650.83 ", N/A ,"$2,334.50 ","$2,084.38 ","$2,668.00 ", N/A , N/A ,"$2,334.50 ", N/A ,"$2,001.00 ", N/A ,"$2,501.25 ","$1,840.92 ","$1,660.83 ","$1,840.92 ", N/A ,"$1,840.92 ","$2,701.35 ","$3,335.00 ","$2,701.35 ","$2,834.75 ", N/A ,"$2,311.16 ", N/A ,"$3,335.00 ","$1,870.94 ", N/A ,$873.77 ,"$3,335.00 ", N/A , N/A , N/A ,"$2,668.00 ","$1,650.83 ",$933.80 ,"$3,001.50 ", N/A , N/A , N/A ,"$1,600.80 "
ST. MARY'S HOSPITAL - DECATUR,75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$2,602.00 ","$1,873.44 ",$681.72 ,"$2,602.00 ", N/A ,"$1,379.06 ","$1,431.10 ", N/A ,$728.56 ,"$1,360.85 ", N/A ,"$1,431.10 ", N/A ,"$1,287.99 ","$1,287.99 ", N/A ,"$1,287.99 ", N/A ,"$1,821.40 ","$1,626.25 ","$2,081.60 ", N/A , N/A ,"$1,821.40 ", N/A ,"$1,561.20 ", N/A ,"$1,951.50 ","$1,436.30 ","$1,295.80 ","$1,436.30 ", N/A ,"$1,436.30 ","$2,107.62 ","$2,602.00 ","$2,107.62 ","$2,211.70 ", N/A ,"$1,803.19 ", N/A ,"$2,602.00 ","$1,459.72 ", N/A ,$681.72 ,"$2,602.00 ", N/A , N/A , N/A ,"$2,081.60 ","$1,287.99 ",$728.56 ,"$2,341.80 ", N/A , N/A , N/A ,"$1,248.96 "
ST. MARY'S HOSPITAL - DECATUR,75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$2,324.00 ","$1,673.28 ",$608.89 ,"$2,324.00 ", N/A ,"$1,231.72 ","$1,278.20 ", N/A ,$650.72 ,"$1,215.45 ", N/A ,"$1,278.20 ", N/A ,"$1,150.38 ","$1,150.38 ", N/A ,"$1,150.38 ", N/A ,"$1,626.80 ","$1,452.50 ","$1,859.20 ", N/A , N/A ,"$1,626.80 ", N/A ,"$1,394.40 ", N/A ,"$1,743.00 ","$1,282.85 ","$1,157.35 ","$1,282.85 ", N/A ,"$1,282.85 ","$1,882.44 ","$2,324.00 ","$1,882.44 ","$1,975.40 ", N/A ,"$1,610.53 ", N/A ,"$2,324.00 ","$1,303.76 ", N/A ,$608.89 ,"$2,324.00 ", N/A , N/A , N/A ,"$1,859.20 ","$1,150.38 ",$650.72 ,"$2,091.60 ", N/A , N/A , N/A ,"$1,115.52 "
ST. MARY'S HOSPITAL - DECATUR,75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001086,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN HOT BIOPSY - 43250,750,1 ,"$4,258.00 ","$3,065.76 ","$1,115.60 ","$4,258.00 ", N/A ,"$2,256.74 ","$2,341.90 ", N/A ,"$1,192.24 ","$2,226.93 ", N/A ,"$2,341.90 ", N/A ,"$2,107.71 ","$2,107.71 ", N/A ,"$2,107.71 ", N/A ,"$2,980.60 ","$2,661.25 ","$3,406.40 ", N/A , N/A ,"$2,980.60 ", N/A ,"$2,554.80 ", N/A ,"$3,193.50 ","$2,350.42 ","$2,120.48 ","$2,350.42 ", N/A ,"$2,350.42 ","$3,448.98 ","$4,258.00 ","$3,448.98 ","$3,619.30 ", N/A ,"$2,950.79 ", N/A ,"$4,258.00 ","$2,388.74 ", N/A ,"$1,115.60 ","$4,258.00 ", N/A , N/A , N/A ,"$3,406.40 ","$2,107.71 ","$1,192.24 ","$3,832.20 ", N/A , N/A , N/A ,"$2,043.84 "
ST. MARY'S HOSPITAL - DECATUR,75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$2,637.00 ","$1,898.64 ",$690.89 ,"$2,637.00 ", N/A ,"$1,397.61 ","$1,450.35 ", N/A ,$738.36 ,"$1,379.15 ", N/A ,"$1,450.35 ", N/A ,"$1,305.32 ","$1,305.32 ", N/A ,"$1,305.32 ", N/A ,"$1,845.90 ","$1,648.13 ","$2,109.60 ", N/A , N/A ,"$1,845.90 ", N/A ,"$1,582.20 ", N/A ,"$1,977.75 ","$1,455.62 ","$1,313.23 ","$1,455.62 ", N/A ,"$1,455.62 ","$2,135.97 ","$2,637.00 ","$2,135.97 ","$2,241.45 ", N/A ,"$1,827.44 ", N/A ,"$2,637.00 ","$1,479.36 ", N/A ,$690.89 ,"$2,637.00 ", N/A , N/A , N/A ,"$2,109.60 ","$1,305.32 ",$738.36 ,"$2,373.30 ", N/A , N/A , N/A ,"$1,265.76 "
ST. MARY'S HOSPITAL - DECATUR,75001089,N/A,HC EGD W/ENDO MUCOSAL RESECTION - 43254,750,1 ,"$6,071.00 ","$4,371.12 ","$1,590.60 ","$6,071.00 ", N/A ,"$3,217.63 ","$3,339.05 ", N/A ,"$1,699.88 ","$3,175.13 ", N/A ,"$3,339.05 ", N/A ,"$3,005.15 ","$3,005.15 ", N/A ,"$3,005.15 ", N/A ,"$3,500.00 ","$3,794.38 ","$4,856.80 ", N/A , N/A ,"$4,249.70 ", N/A ,"$3,642.60 ", N/A ,"$4,553.25 ","$3,351.19 ","$3,023.36 ","$3,351.19 ", N/A ,"$3,351.19 ","$4,917.51 ","$6,071.00 ","$4,917.51 ","$5,160.35 ", N/A ,"$4,207.20 ", N/A ,"$6,071.00 ","$3,405.83 ", N/A ,"$1,590.60 ","$6,071.00 ", N/A , N/A , N/A ,"$4,856.80 ","$3,005.15 ","$1,699.88 ","$5,463.90 ", N/A , N/A , N/A ,"$2,914.08 "
ST. MARY'S HOSPITAL - DECATUR,75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$2,403.00 ","$1,730.16 ",$629.59 ,"$2,403.00 ", N/A ,"$1,273.59 ","$1,321.65 ", N/A ,$672.84 ,"$1,256.77 ", N/A ,"$1,321.65 ", N/A ,"$1,189.49 ","$1,189.49 ", N/A ,"$1,189.49 ", N/A ,"$1,682.10 ","$1,501.88 ","$1,922.40 ", N/A , N/A ,"$1,682.10 ", N/A ,"$1,441.80 ", N/A ,"$1,802.25 ","$1,326.46 ","$1,196.69 ","$1,326.46 ", N/A ,"$1,326.46 ","$1,946.43 ","$2,403.00 ","$1,946.43 ","$2,042.55 ", N/A ,"$1,665.28 ", N/A ,"$2,403.00 ","$1,348.08 ", N/A ,$629.59 ,"$2,403.00 ", N/A , N/A , N/A ,"$1,922.40 ","$1,189.49 ",$672.84 ,"$2,162.70 ", N/A , N/A , N/A ,"$1,153.44 "
ST. MARY'S HOSPITAL - DECATUR,75001093,N/A,HC EGD W/TUMOR ABLATION - 43270,750,1 ,"$5,941.00 ","$4,277.52 ","$1,556.54 ","$5,941.00 ", N/A ,"$3,148.73 ","$3,267.55 ", N/A ,"$1,663.48 ","$3,107.14 ", N/A ,"$3,267.55 ", N/A ,"$2,940.80 ","$2,940.80 ", N/A ,"$2,940.80 ", N/A ,"$3,500.00 ","$3,713.13 ","$4,752.80 ", N/A , N/A ,"$4,158.70 ", N/A ,"$3,564.60 ", N/A ,"$4,455.75 ","$3,279.43 ","$2,958.62 ","$3,279.43 ", N/A ,"$3,279.43 ","$4,812.21 ","$5,941.00 ","$4,812.21 ","$5,049.85 ", N/A ,"$4,117.11 ", N/A ,"$5,941.00 ","$3,332.90 ", N/A ,"$1,556.54 ","$5,941.00 ", N/A , N/A , N/A ,"$4,752.80 ","$2,940.80 ","$1,663.48 ","$5,346.90 ", N/A , N/A , N/A ,"$2,851.68 "
ST. MARY'S HOSPITAL - DECATUR,75001096,N/A,HC ERCP W/SPHINCTEROTOMY - 43262,750,1 ,"$6,108.00 ","$4,397.76 ","$1,600.30 ","$6,108.00 ", N/A ,"$3,237.24 ","$3,359.40 ", N/A ,"$1,710.24 ","$3,194.48 ", N/A ,"$3,359.40 ", N/A ,"$3,023.46 ","$3,023.46 ", N/A ,"$3,023.46 ", N/A ,"$3,500.00 ","$3,817.50 ","$4,886.40 ", N/A , N/A ,"$4,275.60 ", N/A ,"$3,664.80 ", N/A ,"$4,581.00 ","$3,371.62 ","$3,041.78 ","$3,371.62 ", N/A ,"$3,371.62 ","$4,947.48 ","$6,108.00 ","$4,947.48 ","$5,191.80 ", N/A ,"$4,232.84 ", N/A ,"$6,108.00 ","$3,426.59 ", N/A ,"$1,600.30 ","$6,108.00 ", N/A , N/A , N/A ,"$4,886.40 ","$3,023.46 ","$1,710.24 ","$5,497.20 ", N/A , N/A , N/A ,"$2,931.84 "
ST. MARY'S HOSPITAL - DECATUR,75001101,N/A,HC ERCP W/FB OR STENT REMOVAL DUCT - 43275,750,1 ,"$6,247.00 ","$4,497.84 ","$1,636.71 ","$6,247.00 ", N/A ,"$3,310.91 ","$3,435.85 ", N/A ,"$1,749.16 ","$3,267.18 ", N/A ,"$3,435.85 ", N/A ,"$3,092.27 ","$3,092.27 ", N/A ,"$3,092.27 ", N/A ,"$3,500.00 ","$3,904.38 ","$4,997.60 ", N/A , N/A ,"$4,372.90 ", N/A ,"$3,748.20 ", N/A ,"$4,685.25 ","$3,448.34 ","$3,111.01 ","$3,448.34 ", N/A ,"$3,448.34 ","$5,060.07 ","$6,247.00 ","$5,060.07 ","$5,309.95 ", N/A ,"$4,329.17 ", N/A ,"$6,247.00 ","$3,504.57 ", N/A ,"$1,636.71 ","$6,247.00 ", N/A , N/A , N/A ,"$4,997.60 ","$3,092.27 ","$1,749.16 ","$5,622.30 ", N/A , N/A , N/A ,"$2,998.56 "
ST. MARY'S HOSPITAL - DECATUR,75001111,N/A,HC ENTEROSCOPY UPPER SMALL BOWEL - 44360,750,1 ,"$1,096.00 ",$789.12 ,$287.15 ,"$1,096.00 ", N/A ,$580.88 ,$602.80 , N/A ,$306.88 ,$573.21 , N/A ,$602.80 , N/A ,$542.52 ,$542.52 , N/A ,$542.52 , N/A ,$767.20 ,$685.00 ,$876.80 , N/A , N/A ,$767.20 , N/A ,$657.60 , N/A ,$822.00 ,$604.99 ,$545.81 ,$604.99 , N/A ,$604.99 ,$887.76 ,"$1,096.00 ",$887.76 ,$931.60 , N/A ,$759.53 , N/A ,"$1,096.00 ",$614.86 , N/A ,$287.15 ,"$1,096.00 ", N/A , N/A , N/A ,$876.80 ,$542.52 ,$306.88 ,$986.40 , N/A , N/A , N/A ,$526.08 
ST. MARY'S HOSPITAL - DECATUR,75001112,N/A,HC ENTEROSCOPY UPR SM BOWEL W/BIOPSY - 44361,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001115,N/A,HC ENTEROSCOPY W/CONTROL BLEEDING - 44366,750,1 ,"$5,247.00 ","$3,777.84 ","$1,374.71 ","$5,247.00 ", N/A ,"$2,780.91 ","$2,885.85 ", N/A ,"$1,469.16 ","$2,744.18 ", N/A ,"$2,885.85 ", N/A ,"$2,597.27 ","$2,597.27 ", N/A ,"$2,597.27 ", N/A ,"$3,500.00 ","$3,279.38 ","$4,197.60 ", N/A , N/A ,"$3,672.90 ", N/A ,"$3,148.20 ", N/A ,"$3,935.25 ","$2,896.34 ","$2,613.01 ","$2,896.34 ", N/A ,"$2,896.34 ","$4,250.07 ","$5,247.00 ","$4,250.07 ","$4,459.95 ", N/A ,"$3,636.17 ", N/A ,"$5,247.00 ","$2,943.57 ", N/A ,"$1,374.71 ","$5,247.00 ", N/A , N/A , N/A ,"$4,197.60 ","$2,597.27 ","$1,469.16 ","$4,722.30 ", N/A , N/A , N/A ,"$2,518.56 "
ST. MARY'S HOSPITAL - DECATUR,75001116,N/A,HC ENTEROSCOPY W/ABLATION - 44369,750,1 ,"$6,781.00 ","$4,882.32 ","$1,776.62 ","$6,781.00 ", N/A ,"$3,593.93 ","$3,729.55 ", N/A ,"$1,898.68 ","$3,546.46 ", N/A ,"$3,729.55 ", N/A ,"$3,356.60 ","$3,356.60 ", N/A ,"$3,356.60 ", N/A ,"$3,500.00 ","$4,238.13 ","$5,424.80 ", N/A , N/A ,"$4,746.70 ", N/A ,"$4,068.60 ", N/A ,"$5,085.75 ","$3,743.11 ","$3,376.94 ","$3,743.11 ", N/A ,"$3,743.11 ","$5,492.61 ","$6,781.00 ","$5,492.61 ","$5,763.85 ", N/A ,"$4,699.23 ", N/A ,"$6,781.00 ","$3,804.14 ", N/A ,"$1,776.62 ","$6,781.00 ", N/A , N/A , N/A ,"$5,424.80 ","$3,356.60 ","$1,898.68 ","$6,102.90 ", N/A , N/A , N/A ,"$3,254.88 "
ST. MARY'S HOSPITAL - DECATUR,75001123,N/A,HC ENDOSCOPY POUCH DX W/BRUSH/WASH - 44385,750,1 ,"$2,375.00 ","$1,710.00 ",$622.25 ,"$2,375.00 ", N/A ,"$1,258.75 ","$1,306.25 ", N/A ,$665.00 ,"$1,242.13 ", N/A ,"$1,306.25 ", N/A ,"$1,175.63 ","$1,175.63 ", N/A ,"$1,175.63 ", N/A ,"$1,662.50 ","$1,484.38 ","$1,900.00 ", N/A , N/A ,"$1,662.50 ", N/A ,"$1,425.00 ", N/A ,"$1,781.25 ","$1,311.00 ","$1,182.75 ","$1,311.00 ", N/A ,"$1,311.00 ","$1,923.75 ","$2,375.00 ","$1,923.75 ","$2,018.75 ", N/A ,"$1,645.88 ", N/A ,"$2,375.00 ","$1,332.38 ", N/A ,$622.25 ,"$2,375.00 ", N/A , N/A , N/A ,"$1,900.00 ","$1,175.63 ",$665.00 ,"$2,137.50 ", N/A , N/A , N/A ,"$1,140.00 "
ST. MARY'S HOSPITAL - DECATUR,75001124,N/A,HC ENDOSCOPY POUCH W/BIOPSY SGL/MULT - 44386,750,1 ,"$1,364.00 ",$982.08 ,$357.37 ,"$1,364.00 ", N/A ,$722.92 ,$750.20 , N/A ,$381.92 ,$713.37 , N/A ,$750.20 , N/A ,$675.18 ,$675.18 , N/A ,$675.18 , N/A ,$954.80 ,$852.50 ,"$1,091.20 ", N/A , N/A ,$954.80 , N/A ,$818.40 , N/A ,"$1,023.00 ",$752.93 ,$679.27 ,$752.93 , N/A ,$752.93 ,"$1,104.84 ","$1,364.00 ","$1,104.84 ","$1,159.40 ", N/A ,$945.25 , N/A ,"$1,364.00 ",$765.20 , N/A ,$357.37 ,"$1,364.00 ", N/A , N/A , N/A ,"$1,091.20 ",$675.18 ,$381.92 ,"$1,227.60 ", N/A , N/A , N/A ,$654.72 
ST. MARY'S HOSPITAL - DECATUR,75001125,N/A,HC COLONOSCOPY STOMA DX W/BRUSH/WASH - 44388,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$3,581.00 ","$2,578.32 ",$938.22 ,"$3,581.00 ", N/A ,"$1,897.93 ","$1,969.55 ", N/A ,"$1,002.68 ","$1,872.86 ", N/A ,"$1,969.55 ", N/A ,"$1,772.60 ","$1,772.60 ", N/A ,"$1,772.60 ", N/A ,"$2,506.70 ","$2,238.13 ","$2,864.80 ", N/A , N/A ,"$2,506.70 ", N/A ,"$2,148.60 ", N/A ,"$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ", N/A ,"$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ", N/A ,"$2,481.63 ", N/A ,"$3,581.00 ","$2,008.94 ", N/A ,$938.22 ,"$3,581.00 ", N/A , N/A , N/A ,"$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ", N/A , N/A , N/A ,"$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$3,066.00 ","$2,207.52 ",$803.29 ,"$3,066.00 ", N/A ,"$1,624.98 ","$1,686.30 ", N/A ,$858.48 ,"$1,603.52 ", N/A ,"$1,686.30 ", N/A ,"$1,517.67 ","$1,517.67 ", N/A ,"$1,517.67 ", N/A ,"$2,146.20 ","$1,916.25 ","$2,452.80 ", N/A , N/A ,"$2,146.20 ", N/A ,"$1,839.60 ", N/A ,"$2,299.50 ","$1,692.43 ","$1,526.87 ","$1,692.43 ", N/A ,"$1,692.43 ","$2,483.46 ","$3,066.00 ","$2,483.46 ","$2,606.10 ", N/A ,"$2,124.74 ", N/A ,"$3,066.00 ","$1,720.03 ", N/A ,$803.29 ,"$3,066.00 ", N/A , N/A , N/A ,"$2,452.80 ","$1,517.67 ",$858.48 ,"$2,759.40 ", N/A , N/A , N/A ,"$1,471.68 "
ST. MARY'S HOSPITAL - DECATUR,75001139,N/A,HC PROCTOSIGMOIDOSCOPY RIGID DX W/W/O SPECIMEN - 45300,750,1 ,"$5,473.00 ","$3,940.56 ","$1,433.93 ","$5,473.00 ", N/A ,"$2,900.69 ","$3,010.15 ", N/A ,"$1,532.44 ","$2,862.38 ", N/A ,"$3,010.15 ", N/A ,"$2,709.14 ","$2,709.14 ", N/A ,"$2,709.14 ", N/A ,"$3,500.00 ","$3,420.63 ","$4,378.40 ", N/A , N/A ,"$3,831.10 ", N/A ,"$3,283.80 ", N/A ,"$4,104.75 ","$3,021.10 ","$2,725.55 ","$3,021.10 ", N/A ,"$3,021.10 ","$4,433.13 ","$5,473.00 ","$4,433.13 ","$4,652.05 ", N/A ,"$3,792.79 ", N/A ,"$5,473.00 ","$3,070.35 ", N/A ,"$1,433.93 ","$5,473.00 ", N/A , N/A , N/A ,"$4,378.40 ","$2,709.14 ","$1,532.44 ","$4,925.70 ", N/A , N/A , N/A ,"$2,627.04 "
ST. MARY'S HOSPITAL - DECATUR,75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,"$1,506.00 ","$1,084.32 ",$394.57 ,"$1,506.00 ", N/A ,$798.18 ,$828.30 , N/A ,$421.68 ,$787.64 , N/A ,$828.30 , N/A ,$745.47 ,$745.47 , N/A ,$745.47 , N/A ,"$1,054.20 ",$941.25 ,"$1,204.80 ", N/A , N/A ,"$1,054.20 ", N/A ,$903.60 , N/A ,"$1,129.50 ",$831.31 ,$749.99 ,$831.31 , N/A ,$831.31 ,"$1,219.86 ","$1,506.00 ","$1,219.86 ","$1,280.10 ", N/A ,"$1,043.66 ", N/A ,"$1,506.00 ",$844.87 , N/A ,$394.57 ,"$1,506.00 ", N/A , N/A , N/A ,"$1,204.80 ",$745.47 ,$421.68 ,"$1,355.40 ", N/A , N/A , N/A ,$722.88 
ST. MARY'S HOSPITAL - DECATUR,75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$3,184.00 ","$2,292.48 ",$834.21 ,"$3,184.00 ", N/A ,"$1,687.52 ","$1,751.20 ", N/A ,$891.52 ,"$1,665.23 ", N/A ,"$1,751.20 ", N/A ,"$1,576.08 ","$1,576.08 ", N/A ,"$1,576.08 ", N/A ,"$2,228.80 ","$1,990.00 ","$2,547.20 ", N/A , N/A ,"$2,228.80 ", N/A ,"$1,910.40 ", N/A ,"$2,388.00 ","$1,757.57 ","$1,585.63 ","$1,757.57 ", N/A ,"$1,757.57 ","$2,579.04 ","$3,184.00 ","$2,579.04 ","$2,706.40 ", N/A ,"$2,206.51 ", N/A ,"$3,184.00 ","$1,786.22 ", N/A ,$834.21 ,"$3,184.00 ", N/A , N/A , N/A ,"$2,547.20 ","$1,576.08 ",$891.52 ,"$2,865.60 ", N/A , N/A , N/A ,"$1,528.32 "
ST. MARY'S HOSPITAL - DECATUR,75001144,N/A,HC SIGMOIDOSCOPY W/FB REMOVAL -45332,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001145,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN  HOT BIOPSY -45333,750,1 ,"$2,375.00 ","$1,710.00 ",$622.25 ,"$2,375.00 ", N/A ,"$1,258.75 ","$1,306.25 ", N/A ,$665.00 ,"$1,242.13 ", N/A ,"$1,306.25 ", N/A ,"$1,175.63 ","$1,175.63 ", N/A ,"$1,175.63 ", N/A ,"$1,662.50 ","$1,484.38 ","$1,900.00 ", N/A , N/A ,"$1,662.50 ", N/A ,"$1,425.00 ", N/A ,"$1,781.25 ","$1,311.00 ","$1,182.75 ","$1,311.00 ", N/A ,"$1,311.00 ","$1,923.75 ","$2,375.00 ","$1,923.75 ","$2,018.75 ", N/A ,"$1,645.88 ", N/A ,"$2,375.00 ","$1,332.38 ", N/A ,$622.25 ,"$2,375.00 ", N/A , N/A , N/A ,"$1,900.00 ","$1,175.63 ",$665.00 ,"$2,137.50 ", N/A , N/A , N/A ,"$1,140.00 "
ST. MARY'S HOSPITAL - DECATUR,75001146,N/A,HC SIGMOIDOSCOPY W/CONTROL BLEEDING - 45334,750,1 ,"$2,534.00 ","$1,824.48 ",$663.91 ,"$2,534.00 ", N/A ,"$1,343.02 ","$1,393.70 ", N/A ,$709.52 ,"$1,325.28 ", N/A ,"$1,393.70 ", N/A ,"$1,254.33 ","$1,254.33 ", N/A ,"$1,254.33 ", N/A ,"$1,773.80 ","$1,583.75 ","$2,027.20 ", N/A , N/A ,"$1,773.80 ", N/A ,"$1,520.40 ", N/A ,"$1,900.50 ","$1,398.77 ","$1,261.93 ","$1,398.77 ", N/A ,"$1,398.77 ","$2,052.54 ","$2,534.00 ","$2,052.54 ","$2,153.90 ", N/A ,"$1,756.06 ", N/A ,"$2,534.00 ","$1,421.57 ", N/A ,$663.91 ,"$2,534.00 ", N/A , N/A , N/A ,"$2,027.20 ","$1,254.33 ",$709.52 ,"$2,280.60 ", N/A , N/A , N/A ,"$1,216.32 "
ST. MARY'S HOSPITAL - DECATUR,75001147,N/A,HC SIGMOIDOSCOPY W/SUBMUCOSAL INJ - 45335,750,1 ,"$2,375.00 ","$1,710.00 ",$622.25 ,"$2,375.00 ", N/A ,"$1,258.75 ","$1,306.25 ", N/A ,$665.00 ,"$1,242.13 ", N/A ,"$1,306.25 ", N/A ,"$1,175.63 ","$1,175.63 ", N/A ,"$1,175.63 ", N/A ,"$1,662.50 ","$1,484.38 ","$1,900.00 ", N/A , N/A ,"$1,662.50 ", N/A ,"$1,425.00 ", N/A ,"$1,781.25 ","$1,311.00 ","$1,182.75 ","$1,311.00 ", N/A ,"$1,311.00 ","$1,923.75 ","$2,375.00 ","$1,923.75 ","$2,018.75 ", N/A ,"$1,645.88 ", N/A ,"$2,375.00 ","$1,332.38 ", N/A ,$622.25 ,"$2,375.00 ", N/A , N/A , N/A ,"$1,900.00 ","$1,175.63 ",$665.00 ,"$2,137.50 ", N/A , N/A , N/A ,"$1,140.00 "
ST. MARY'S HOSPITAL - DECATUR,75001148,N/A,HC SIGMOIDOSCOPY W/DECOMPRESSION -45337,750,1 ,"$5,003.00 ","$3,602.16 ","$1,310.79 ","$5,003.00 ", N/A ,"$2,651.59 ","$2,751.65 ", N/A ,"$1,400.84 ","$2,616.57 ", N/A ,"$2,751.65 ", N/A ,"$2,476.49 ","$2,476.49 ", N/A ,"$2,476.49 ", N/A ,"$3,500.00 ","$3,126.88 ","$4,002.40 ", N/A , N/A ,"$3,502.10 ", N/A ,"$3,001.80 ", N/A ,"$3,752.25 ","$2,761.66 ","$2,491.49 ","$2,761.66 ", N/A ,"$2,761.66 ","$4,052.43 ","$5,003.00 ","$4,052.43 ","$4,252.55 ", N/A ,"$3,467.08 ", N/A ,"$5,003.00 ","$2,806.68 ", N/A ,"$1,310.79 ","$5,003.00 ", N/A , N/A , N/A ,"$4,002.40 ","$2,476.49 ","$1,400.84 ","$4,502.70 ", N/A , N/A , N/A ,"$2,401.44 "
ST. MARY'S HOSPITAL - DECATUR,75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$2,787.00 ","$2,006.64 ",$730.19 ,"$2,787.00 ", N/A ,"$1,477.11 ","$1,532.85 ", N/A ,$780.36 ,"$1,457.60 ", N/A ,"$1,532.85 ", N/A ,"$1,379.57 ","$1,379.57 ", N/A ,"$1,379.57 ", N/A ,"$1,950.90 ","$1,741.88 ","$2,229.60 ", N/A , N/A ,"$1,950.90 ", N/A ,"$1,672.20 ", N/A ,"$2,090.25 ","$1,538.42 ","$1,387.93 ","$1,538.42 ", N/A ,"$1,538.42 ","$2,257.47 ","$2,787.00 ","$2,257.47 ","$2,368.95 ", N/A ,"$1,931.39 ", N/A ,"$2,787.00 ","$1,563.51 ", N/A ,$730.19 ,"$2,787.00 ", N/A , N/A , N/A ,"$2,229.60 ","$1,379.57 ",$780.36 ,"$2,508.30 ", N/A , N/A , N/A ,"$1,337.76 "
ST. MARY'S HOSPITAL - DECATUR,75001150,N/A,HC SIGMOIDOSCOPY W/DILATION - 45340,750,1 ,"$2,271.00 ","$1,635.12 ",$595.00 ,"$2,271.00 ", N/A ,"$1,203.63 ","$1,249.05 ", N/A ,$635.88 ,"$1,187.73 ", N/A ,"$1,249.05 ", N/A ,"$1,124.15 ","$1,124.15 ", N/A ,"$1,124.15 ", N/A ,"$1,589.70 ","$1,419.38 ","$1,816.80 ", N/A , N/A ,"$1,589.70 ", N/A ,"$1,362.60 ", N/A ,"$1,703.25 ","$1,253.59 ","$1,130.96 ","$1,253.59 ", N/A ,"$1,253.59 ","$1,839.51 ","$2,271.00 ","$1,839.51 ","$1,930.35 ", N/A ,"$1,573.80 ", N/A ,"$2,271.00 ","$1,274.03 ", N/A ,$595.00 ,"$2,271.00 ", N/A , N/A , N/A ,"$1,816.80 ","$1,124.15 ",$635.88 ,"$2,043.90 ", N/A , N/A , N/A ,"$1,090.08 "
ST. MARY'S HOSPITAL - DECATUR,75001153,N/A,HC SIGMOIDOSCOPY W/ABLATION TUMOR - 45346,750,1 ,"$3,298.00 ","$2,374.56 ",$864.08 ,"$3,298.00 ", N/A ,"$1,747.94 ","$1,813.90 ", N/A ,$923.44 ,"$1,724.85 ", N/A ,"$1,813.90 ", N/A ,"$1,632.51 ","$1,632.51 ", N/A ,"$1,632.51 ", N/A ,"$2,308.60 ","$2,061.25 ","$2,638.40 ", N/A , N/A ,"$2,308.60 ", N/A ,"$1,978.80 ", N/A ,"$2,473.50 ","$1,820.50 ","$1,642.40 ","$1,820.50 ", N/A ,"$1,820.50 ","$2,671.38 ","$3,298.00 ","$2,671.38 ","$2,803.30 ", N/A ,"$2,285.51 ", N/A ,"$3,298.00 ","$1,850.18 ", N/A ,$864.08 ,"$3,298.00 ", N/A , N/A , N/A ,"$2,638.40 ","$1,632.51 ",$923.44 ,"$2,968.20 ", N/A , N/A , N/A ,"$1,583.04 "
ST. MARY'S HOSPITAL - DECATUR,75001155,N/A,HC SIGMOIDOSCOPY W/ENDO MUCOSAL RESECTION - 45349,750,1 ,"$7,223.00 ","$5,200.56 ","$1,892.43 ","$7,223.00 ", N/A ,"$3,828.19 ","$3,972.65 ", N/A ,"$2,022.44 ","$3,777.63 ", N/A ,"$3,972.65 ", N/A ,"$3,575.39 ","$3,575.39 ", N/A ,"$3,575.39 ", N/A ,"$3,500.00 ","$4,514.38 ","$5,778.40 ", N/A , N/A ,"$5,056.10 ", N/A ,"$4,333.80 ", N/A ,"$5,417.25 ","$3,987.10 ","$3,597.05 ","$3,987.10 ", N/A ,"$3,987.10 ","$5,850.63 ","$7,223.00 ","$5,850.63 ","$6,139.55 ", N/A ,"$5,005.54 ", N/A ,"$7,223.00 ","$4,052.10 ", N/A ,"$1,892.43 ","$7,223.00 ", N/A , N/A , N/A ,"$5,778.40 ","$3,575.39 ","$2,022.44 ","$6,500.70 ", N/A , N/A , N/A ,"$3,467.04 "
ST. MARY'S HOSPITAL - DECATUR,75001156,N/A,HC SIGMOIDOSCOPY W/BAND LIGATION - 45350,750,1 ,"$2,274.00 ","$1,637.28 ",$595.79 ,"$2,274.00 ", N/A ,"$1,205.22 ","$1,250.70 ", N/A ,$636.72 ,"$1,189.30 ", N/A ,"$1,250.70 ", N/A ,"$1,125.63 ","$1,125.63 ", N/A ,"$1,125.63 ", N/A ,"$1,591.80 ","$1,421.25 ","$1,819.20 ", N/A , N/A ,"$1,591.80 ", N/A ,"$1,364.40 ", N/A ,"$1,705.50 ","$1,255.25 ","$1,132.45 ","$1,255.25 ", N/A ,"$1,255.25 ","$1,841.94 ","$2,274.00 ","$1,841.94 ","$1,932.90 ", N/A ,"$1,575.88 ", N/A ,"$2,274.00 ","$1,275.71 ", N/A ,$595.79 ,"$2,274.00 ", N/A , N/A , N/A ,"$1,819.20 ","$1,125.63 ",$636.72 ,"$2,046.60 ", N/A , N/A , N/A ,"$1,091.52 "
ST. MARY'S HOSPITAL - DECATUR,75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$2,431.00 ","$1,750.32 ",$636.92 ,"$2,431.00 ", N/A ,"$1,288.43 ","$1,337.05 ", N/A ,$680.68 ,"$1,271.41 ", N/A ,"$1,337.05 ", N/A ,"$1,203.35 ","$1,203.35 ", N/A ,"$1,203.35 ", N/A ,"$1,701.70 ","$1,519.38 ","$1,944.80 ", N/A , N/A ,"$1,701.70 ", N/A ,"$1,458.60 ", N/A ,"$1,823.25 ","$1,341.91 ","$1,210.64 ","$1,341.91 ", N/A ,"$1,341.91 ","$1,969.11 ","$2,431.00 ","$1,969.11 ","$2,066.35 ", N/A ,"$1,684.68 ", N/A ,"$2,431.00 ","$1,363.79 ", N/A ,$636.92 ,"$2,431.00 ", N/A , N/A , N/A ,"$1,944.80 ","$1,203.35 ",$680.68 ,"$2,187.90 ", N/A , N/A , N/A ,"$1,166.88 "
ST. MARY'S HOSPITAL - DECATUR,75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$3,514.00 ","$2,530.08 ",$920.67 ,"$3,514.00 ", N/A ,"$1,862.42 ","$1,932.70 ", N/A ,$983.92 ,"$1,837.82 ", N/A ,"$1,932.70 ", N/A ,"$1,739.43 ","$1,739.43 ", N/A ,"$1,739.43 ", N/A ,"$2,459.80 ","$2,196.25 ","$2,811.20 ", N/A , N/A ,"$2,459.80 ", N/A ,"$2,108.40 ", N/A ,"$2,635.50 ","$1,939.73 ","$1,749.97 ","$1,939.73 ", N/A ,"$1,939.73 ","$2,846.34 ","$3,514.00 ","$2,846.34 ","$2,986.90 ", N/A ,"$2,435.20 ", N/A ,"$3,514.00 ","$1,971.35 ", N/A ,$920.67 ,"$3,514.00 ", N/A , N/A , N/A ,"$2,811.20 ","$1,739.43 ",$983.92 ,"$3,162.60 ", N/A , N/A , N/A ,"$1,686.72 "
ST. MARY'S HOSPITAL - DECATUR,75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$3,214.00 ","$2,314.08 ",$842.07 ,"$3,214.00 ", N/A ,"$1,703.42 ","$1,767.70 ", N/A ,$899.92 ,"$1,680.92 ", N/A ,"$1,767.70 ", N/A ,"$1,590.93 ","$1,590.93 ", N/A ,"$1,590.93 ", N/A ,"$2,249.80 ","$2,008.75 ","$2,571.20 ", N/A , N/A ,"$2,249.80 ", N/A ,"$1,928.40 ", N/A ,"$2,410.50 ","$1,774.13 ","$1,600.57 ","$1,774.13 ", N/A ,"$1,774.13 ","$2,603.34 ","$3,214.00 ","$2,603.34 ","$2,731.90 ", N/A ,"$2,227.30 ", N/A ,"$3,214.00 ","$1,803.05 ", N/A ,$842.07 ,"$3,214.00 ", N/A , N/A , N/A ,"$2,571.20 ","$1,590.93 ",$899.92 ,"$2,892.60 ", N/A , N/A , N/A ,"$1,542.72 "
ST. MARY'S HOSPITAL - DECATUR,75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$3,579.00 ","$2,576.88 ",$937.70 ,"$3,579.00 ", N/A ,"$1,896.87 ","$1,968.45 ", N/A ,"$1,002.12 ","$1,871.82 ", N/A ,"$1,968.45 ", N/A ,"$1,771.61 ","$1,771.61 ", N/A ,"$1,771.61 ", N/A ,"$2,505.30 ","$2,236.88 ","$2,863.20 ", N/A , N/A ,"$2,505.30 ", N/A ,"$2,147.40 ", N/A ,"$2,684.25 ","$1,975.61 ","$1,782.34 ","$1,975.61 ", N/A ,"$1,975.61 ","$2,898.99 ","$3,579.00 ","$2,898.99 ","$3,042.15 ", N/A ,"$2,480.25 ", N/A ,"$3,579.00 ","$2,007.82 ", N/A ,$937.70 ,"$3,579.00 ", N/A , N/A , N/A ,"$2,863.20 ","$1,771.61 ","$1,002.12 ","$3,221.10 ", N/A , N/A , N/A ,"$1,717.92 "
ST. MARY'S HOSPITAL - DECATUR,75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$4,419.00 ","$3,181.68 ","$1,157.78 ","$4,419.00 ", N/A ,"$2,342.07 ","$2,430.45 ", N/A ,"$1,237.32 ","$2,311.14 ", N/A ,"$2,430.45 ", N/A ,"$2,187.41 ","$2,187.41 ", N/A ,"$2,187.41 ", N/A ,"$3,093.30 ","$2,761.88 ","$3,535.20 ", N/A , N/A ,"$3,093.30 ", N/A ,"$2,651.40 ", N/A ,"$3,314.25 ","$2,439.29 ","$2,200.66 ","$2,439.29 ", N/A ,"$2,439.29 ","$3,579.39 ","$4,419.00 ","$3,579.39 ","$3,756.15 ", N/A ,"$3,062.37 ", N/A ,"$4,419.00 ","$2,479.06 ", N/A ,"$1,157.78 ","$4,419.00 ", N/A , N/A , N/A ,"$3,535.20 ","$2,187.41 ","$1,237.32 ","$3,977.10 ", N/A , N/A , N/A ,"$2,121.12 "
ST. MARY'S HOSPITAL - DECATUR,75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$3,816.00 ","$2,747.52 ",$999.79 ,"$3,816.00 ", N/A ,"$2,022.48 ","$2,098.80 ", N/A ,"$1,068.48 ","$1,995.77 ", N/A ,"$2,098.80 ", N/A ,"$1,888.92 ","$1,888.92 ", N/A ,"$1,888.92 ", N/A ,"$2,671.20 ","$2,385.00 ","$3,052.80 ", N/A , N/A ,"$2,671.20 ", N/A ,"$2,289.60 ", N/A ,"$2,862.00 ","$2,106.43 ","$1,900.37 ","$2,106.43 ", N/A ,"$2,106.43 ","$3,090.96 ","$3,816.00 ","$3,090.96 ","$3,243.60 ", N/A ,"$2,644.49 ", N/A ,"$3,816.00 ","$2,140.78 ", N/A ,$999.79 ,"$3,816.00 ", N/A , N/A , N/A ,"$3,052.80 ","$1,888.92 ","$1,068.48 ","$3,434.40 ", N/A , N/A , N/A ,"$1,831.68 "
ST. MARY'S HOSPITAL - DECATUR,75001164,N/A,HC COLONOSCOPY W/BALLOON DILATION - 45386,750,1 ,"$3,177.00 ","$2,287.44 ",$832.37 ,"$3,177.00 ", N/A ,"$1,683.81 ","$1,747.35 ", N/A ,$889.56 ,"$1,661.57 ", N/A ,"$1,747.35 ", N/A ,"$1,572.62 ","$1,572.62 ", N/A ,"$1,572.62 ", N/A ,"$2,223.90 ","$1,985.63 ","$2,541.60 ", N/A , N/A ,"$2,223.90 ", N/A ,"$1,906.20 ", N/A ,"$2,382.75 ","$1,753.70 ","$1,582.15 ","$1,753.70 ", N/A ,"$1,753.70 ","$2,573.37 ","$3,177.00 ","$2,573.37 ","$2,700.45 ", N/A ,"$2,201.66 ", N/A ,"$3,177.00 ","$1,782.30 ", N/A ,$832.37 ,"$3,177.00 ", N/A , N/A , N/A ,"$2,541.60 ","$1,572.62 ",$889.56 ,"$2,859.30 ", N/A , N/A , N/A ,"$1,524.96 "
ST. MARY'S HOSPITAL - DECATUR,75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$4,436.00 ","$3,193.92 ","$1,162.23 ","$4,436.00 ", N/A ,"$2,351.08 ","$2,439.80 ", N/A ,"$1,242.08 ","$2,320.03 ", N/A ,"$2,439.80 ", N/A ,"$2,195.82 ","$2,195.82 ", N/A ,"$2,195.82 ", N/A ,"$3,105.20 ","$2,772.50 ","$3,548.80 ", N/A , N/A ,"$3,105.20 ", N/A ,"$2,661.60 ", N/A ,"$3,327.00 ","$2,448.67 ","$2,209.13 ","$2,448.67 ", N/A ,"$2,448.67 ","$3,593.16 ","$4,436.00 ","$3,593.16 ","$3,770.60 ", N/A ,"$3,074.15 ", N/A ,"$4,436.00 ","$2,488.60 ", N/A ,"$1,162.23 ","$4,436.00 ", N/A , N/A , N/A ,"$3,548.80 ","$2,195.82 ","$1,242.08 ","$3,992.40 ", N/A , N/A , N/A ,"$2,129.28 "
ST. MARY'S HOSPITAL - DECATUR,75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$5,301.00 ","$3,816.72 ","$1,388.86 ","$5,301.00 ", N/A ,"$2,809.53 ","$2,915.55 ", N/A ,"$1,484.28 ","$2,772.42 ", N/A ,"$2,915.55 ", N/A ,"$2,624.00 ","$2,624.00 ", N/A ,"$2,624.00 ", N/A ,"$3,500.00 ","$3,313.13 ","$4,240.80 ", N/A , N/A ,"$3,710.70 ", N/A ,"$3,180.60 ", N/A ,"$3,975.75 ","$2,926.15 ","$2,639.90 ","$2,926.15 ", N/A ,"$2,926.15 ","$4,293.81 ","$5,301.00 ","$4,293.81 ","$4,505.85 ", N/A ,"$3,673.59 ", N/A ,"$5,301.00 ","$2,973.86 ", N/A ,"$1,388.86 ","$5,301.00 ", N/A , N/A , N/A ,"$4,240.80 ","$2,624.00 ","$1,484.28 ","$4,770.90 ", N/A , N/A , N/A ,"$2,544.48 "
ST. MARY'S HOSPITAL - DECATUR,75001171,N/A,HC COLONOSCOPY W/BAND LIGATION - 45398,750,1 ,"$3,581.00 ","$2,578.32 ",$938.22 ,"$3,581.00 ", N/A ,"$1,897.93 ","$1,969.55 ", N/A ,"$1,002.68 ","$1,872.86 ", N/A ,"$1,969.55 ", N/A ,"$1,772.60 ","$1,772.60 ", N/A ,"$1,772.60 ", N/A ,"$2,506.70 ","$2,238.13 ","$2,864.80 ", N/A , N/A ,"$2,506.70 ", N/A ,"$2,148.60 ", N/A ,"$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ", N/A ,"$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ", N/A ,"$2,481.63 ", N/A ,"$3,581.00 ","$2,008.94 ", N/A ,$938.22 ,"$3,581.00 ", N/A , N/A , N/A ,"$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ", N/A , N/A , N/A ,"$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$4,147.00 ","$2,985.84 ","$1,086.51 ","$4,147.00 ", N/A ,"$2,197.91 ","$2,280.85 ", N/A ,"$1,161.16 ","$2,168.88 ", N/A ,"$2,280.85 ", N/A ,"$2,052.77 ","$2,052.77 ", N/A ,"$2,052.77 ", N/A ,"$2,902.90 ","$2,591.88 ","$3,317.60 ", N/A , N/A ,"$2,902.90 ", N/A ,"$2,488.20 ", N/A ,"$3,110.25 ","$2,289.14 ","$2,065.21 ","$2,289.14 ", N/A ,"$2,289.14 ","$3,359.07 ","$4,147.00 ","$3,359.07 ","$3,524.95 ", N/A ,"$2,873.87 ", N/A ,"$4,147.00 ","$2,326.47 ", N/A ,"$1,086.51 ","$4,147.00 ", N/A , N/A , N/A ,"$3,317.60 ","$2,052.77 ","$1,161.16 ","$3,732.30 ", N/A , N/A , N/A ,"$1,990.56 "
ST. MARY'S HOSPITAL - DECATUR,75001176,N/A,HC ANOSCOPY W/BIOPSY SGL/MULT - 46606,750,1 ,"$2,945.00 ","$2,120.40 ",$771.59 ,"$2,945.00 ", N/A ,"$1,560.85 ","$1,619.75 ", N/A ,$824.60 ,"$1,540.24 ", N/A ,"$1,619.75 ", N/A ,"$1,457.78 ","$1,457.78 ", N/A ,"$1,457.78 ", N/A ,"$2,061.50 ","$1,840.63 ","$2,356.00 ", N/A , N/A ,"$2,061.50 ", N/A ,"$1,767.00 ", N/A ,"$2,208.75 ","$1,625.64 ","$1,466.61 ","$1,625.64 ", N/A ,"$1,625.64 ","$2,385.45 ","$2,945.00 ","$2,385.45 ","$2,503.25 ", N/A ,"$2,040.89 ", N/A ,"$2,945.00 ","$1,652.15 ", N/A ,$771.59 ,"$2,945.00 ", N/A , N/A , N/A ,"$2,356.00 ","$1,457.78 ",$824.60 ,"$2,650.50 ", N/A , N/A , N/A ,"$1,413.60 "
ST. MARY'S HOSPITAL - DECATUR,75001180,N/A,HC PLACE GASTROSTOMY TUBE PERC W/GUID - 49440,750,1 ,"$3,581.00 ","$2,578.32 ",$938.22 ,"$3,581.00 ", N/A ,"$1,897.93 ","$1,969.55 ", N/A ,"$1,002.68 ","$1,872.86 ", N/A ,"$1,969.55 ", N/A ,"$1,772.60 ","$1,772.60 ", N/A ,"$1,772.60 ", N/A ,"$2,506.70 ","$2,238.13 ","$2,864.80 ", N/A , N/A ,"$2,506.70 ", N/A ,"$2,148.60 ", N/A ,"$2,685.75 ","$1,976.71 ","$1,783.34 ","$1,976.71 ", N/A ,"$1,976.71 ","$2,900.61 ","$3,581.00 ","$2,900.61 ","$3,043.85 ", N/A ,"$2,481.63 ", N/A ,"$3,581.00 ","$2,008.94 ", N/A ,$938.22 ,"$3,581.00 ", N/A , N/A , N/A ,"$2,864.80 ","$1,772.60 ","$1,002.68 ","$3,222.90 ", N/A , N/A , N/A ,"$1,718.88 "
ST. MARY'S HOSPITAL - DECATUR,75001196,91110,HC IMAGE GI TRACT ESPOH THRU ILIEM W/REPORT- 91110,750,1 ,"$3,925.00 ","$2,826.00 ",$759.29 ,"$3,925.00 ","$1,936.98 ","$2,080.25 ","$2,158.75 ",$759.29 ,"$1,099.00 ","$2,052.78 ",$759.29 ,"$2,158.75 ",$759.29 ,"$1,942.88 ","$1,942.88 ",$759.29 ,"$1,942.88 ","$1,565.08 ","$2,747.50 ","$2,453.13 ","$3,140.00 ","$1,936.98 ",$759.29 ,"$2,747.50 ",$759.29 ,"$2,355.00 ",$774.48 ,"$2,943.75 ","$2,166.60 ","$1,954.65 ","$2,166.60 ",$759.29 ,"$2,166.60 ","$3,179.25 ","$3,925.00 ","$3,179.25 ","$3,336.25 ","$1,936.98 ","$2,720.03 ",$759.29 ,"$3,925.00 ","$2,201.93 ",$759.29 ,"$1,028.35 ","$3,925.00 ","$1,652.96 ","$1,577.82 ",$797.26 ,"$3,140.00 ","$1,942.88 ","$1,099.00 ","$3,532.50 ","$1,866.00 ","$2,248.00 ",$759.29 ,"$1,884.00 "
ST. MARY'S HOSPITAL - DECATUR,75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$3,560.00 ","$2,563.20 ",$453.04 ,"$3,560.00 ","$1,949.95 ","$3,000.00 ","$1,958.00 ",$764.38 ,$996.80 ,$635.09 ,$764.38 ,$663.53 ,$764.38 ,"$1,762.20 ","$1,762.20 ",$764.38 ,"$1,762.20 ","$1,575.56 ","$2,492.00 ","$2,225.00 ","$2,848.00 ","$1,949.95 ",$764.38 ,"$2,492.00 ",$764.38 ,"$2,136.00 ",$779.67 ,"$2,670.00 ","$1,965.12 ","$1,772.88 ","$1,965.12 ",$764.38 ,"$1,965.12 ","$2,883.60 ","$3,560.00 ","$2,883.60 ","$3,026.00 ","$1,949.95 ","$2,467.08 ",$764.38 ,"$3,560.00 ","$1,997.16 ",$764.38 ,$932.72 ,"$3,560.00 ",$474.62 ,$453.04 ,$802.60 ,"$2,848.00 ","$1,762.20 ",$996.80 ,"$3,204.00 ","$1,543.00 ","$1,784.00 ",$764.38 ,"$1,708.80 "
ST. MARY'S HOSPITAL - DECATUR,75001207,N/A,HC PLACEMENT OF SETON - 46020,750,1 ,"$7,485.00 ","$5,389.20 ","$1,961.07 ","$7,485.00 ", N/A ,"$3,967.05 ","$4,116.75 ", N/A ,"$2,095.80 ","$3,914.66 ", N/A ,"$4,116.75 ", N/A ,"$3,705.08 ","$3,705.08 ", N/A ,"$3,705.08 ", N/A ,"$3,500.00 ","$4,678.13 ","$5,988.00 ", N/A , N/A ,"$5,239.50 ", N/A ,"$4,491.00 ", N/A ,"$5,613.75 ","$4,131.72 ","$3,727.53 ","$4,131.72 ", N/A ,"$4,131.72 ","$6,062.85 ","$7,485.00 ","$6,062.85 ","$6,362.25 ", N/A ,"$5,180.00 ", N/A ,"$7,485.00 ","$4,199.09 ", N/A ,"$1,961.07 ","$7,485.00 ", N/A , N/A , N/A ,"$5,988.00 ","$3,705.08 ","$2,095.80 ","$6,736.50 ", N/A , N/A , N/A ,"$3,592.80 "
ST. MARY'S HOSPITAL - DECATUR,75001213,G0455,HC FECAL MICROBIOTA PREP INSTIL- G0455,750,1 ,"$2,672.00 ","$1,923.84 ",$700.06 ,"$2,672.00 ","$1,936.98 ","$2,672.00 ","$1,469.60 ",$759.29 ,$748.16 ,"$1,397.46 ",$759.29 ,"$1,469.60 ",$759.29 ,"$1,322.64 ","$1,322.64 ",$759.29 ,"$1,322.64 ","$1,565.08 ","$1,870.40 ","$1,670.00 ","$2,137.60 ","$1,936.98 ",$759.29 ,"$1,870.40 ",$759.29 ,"$1,603.20 ",$774.48 ,"$2,004.00 ","$1,474.94 ","$1,330.66 ","$1,474.94 ",$759.29 ,"$1,474.94 ","$2,164.32 ","$2,672.00 ","$2,164.32 ","$2,271.20 ","$1,936.98 ","$1,851.70 ",$759.29 ,"$2,672.00 ","$1,498.99 ",$759.29 ,$700.06 ,"$2,672.00 ", N/A , N/A ,$797.26 ,"$2,137.60 ","$1,322.64 ",$748.16 ,"$2,404.80 ", N/A , N/A ,$759.29 ,"$1,282.56 "
ST. MARY'S HOSPITAL - DECATUR,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$5,373.00 ","$3,868.56 ","$1,407.73 ","$5,373.00 ", N/A ,"$2,847.69 ","$2,955.15 ", N/A ,"$1,504.44 ","$2,810.08 ", N/A ,"$2,955.15 ", N/A ,"$2,659.64 ","$2,659.64 ", N/A ,"$2,659.64 ", N/A ,"$3,500.00 ","$3,358.13 ","$4,298.40 ", N/A , N/A ,"$3,761.10 ", N/A ,"$3,223.80 ", N/A ,"$4,029.75 ","$2,965.90 ","$2,675.75 ","$2,965.90 ", N/A ,"$2,965.90 ","$4,352.13 ","$5,373.00 ","$4,352.13 ","$4,567.05 ", N/A ,"$3,723.49 ", N/A ,"$5,373.00 ","$3,014.25 ", N/A ,"$1,407.73 ","$5,373.00 ", N/A , N/A , N/A ,"$4,298.40 ","$2,659.64 ","$1,504.44 ","$4,835.70 ", N/A , N/A , N/A ,"$2,579.04 "
ST. MARY'S HOSPITAL - DECATUR,76000012,36514,HC PLASMAPHERESIS THERAPY,361,1 ,"$6,955.00 ","$5,007.60 ","$1,250.76 ","$6,955.00 ","$3,190.73 ","$3,800.00 ","$3,825.25 ","$1,250.76 ","$1,947.40 ","$3,637.47 ","$1,250.76 ","$3,825.25 ","$1,250.76 ","$3,442.73 ","$3,442.73 ","$1,250.76 ","$3,442.73 ","$2,578.11 ","$3,500.00 ","$4,346.88 ","$5,564.00 ","$3,190.73 ","$1,250.76 ","$4,868.50 ","$1,250.76 ","$4,173.00 ","$1,275.78 ","$5,216.25 ","$3,839.16 ","$3,463.59 ","$3,839.16 ","$1,250.76 ","$3,839.16 ","$5,633.55 ","$6,955.00 ","$5,633.55 ","$5,911.75 ","$3,190.73 ","$4,819.82 ","$1,250.76 ","$6,955.00 ","$3,901.76 ","$1,250.76 ","$1,822.21 ","$6,955.00 ","$1,871.14 ","$1,786.09 ","$1,313.30 ","$5,564.00 ","$3,442.73 ","$1,947.40 ","$6,259.50 ","$1,866.00 ","$2,248.00 ","$1,250.76 ","$3,338.40 "
ST. MARY'S HOSPITAL - DECATUR,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,551.00 ","$1,116.72 ",$406.36 ,"$1,551.00 ","$1,511.88 ",$822.03 ,$853.05 ,$592.65 ,$434.28 ,$811.17 ,$592.65 ,$853.05 ,$592.65 ,$767.75 ,$767.75 ,$592.65 ,$767.75 ,"$1,221.60 ","$1,085.70 ",$969.38 ,"$1,240.80 ","$1,511.88 ",$592.65 ,"$1,085.70 ",$592.65 ,$930.60 ,$604.51 ,"$1,163.25 ",$856.15 ,$772.40 ,$856.15 ,$592.65 ,$856.15 ,"$1,256.31 ","$1,551.00 ","$1,256.31 ","$1,318.35 ","$1,511.88 ","$1,074.84 ",$592.65 ,"$1,551.00 ",$870.11 ,$592.65 ,$406.36 ,"$1,551.00 ",$577.10 ,$550.87 ,$622.29 ,"$1,240.80 ",$767.75 ,$434.28 ,"$1,395.90 ",$589.38 ,$843.74 ,$592.65 ,$744.48 
ST. MARY'S HOSPITAL - DECATUR,76100006,64447,HC INJ ANES NERVE FEMORAL SINGLE-BI,761,1 ,"$2,368.00 ","$1,704.96 ",$135.68 ,"$2,368.00 ","$2,267.83 ","$1,255.04 ","$1,302.40 ",$888.99 ,$663.04 ,"$1,238.46 ",$888.99 ,"$1,302.40 ",$888.99 ,"$1,172.16 ",$135.68 ,$888.99 ,"$1,172.16 ","$1,832.40 ","$1,657.60 ","$1,480.00 ","$1,894.40 ","$2,267.82 ",$888.99 ,"$1,657.60 ",$888.99 ,"$1,420.80 ",$906.76 ,"$1,776.00 ","$1,307.14 ","$1,179.26 ","$1,307.14 ",$888.99 ,"$1,307.14 ","$1,918.08 ","$2,368.00 ","$1,918.08 ","$2,012.80 ","$2,267.82 ","$1,641.02 ",$888.99 ,"$2,368.00 ","$1,328.45 ",$888.99 ,$620.42 ,"$2,368.00 ",$477.30 ,$455.61 ,$933.44 ,"$1,894.40 ","$1,172.16 ",$663.04 ,"$2,131.20 ",$899.84 ,$696.00 ,$888.99 ,"$1,136.64 "
ST. MARY'S HOSPITAL - DECATUR,76100007,64447,HC INJ ANES NERVE FEMORAL SINGLE-LT,761,1 ,"$2,368.00 ","$1,704.96 ",$135.68 ,"$2,368.00 ","$1,511.88 ","$1,255.04 ","$1,302.40 ",$592.65 ,$663.04 ,"$1,238.46 ",$592.65 ,"$1,302.40 ",$592.65 ,"$1,172.16 ",$135.68 ,$592.65 ,"$1,172.16 ","$1,221.60 ","$1,657.60 ","$1,480.00 ","$1,894.40 ","$1,511.88 ",$592.65 ,"$1,657.60 ",$592.65 ,"$1,420.80 ",$604.51 ,"$1,776.00 ","$1,307.14 ","$1,179.26 ","$1,307.14 ",$592.65 ,"$1,307.14 ","$1,918.08 ","$2,368.00 ","$1,918.08 ","$2,012.80 ","$1,511.88 ","$1,641.02 ",$592.65 ,"$2,368.00 ","$1,328.45 ",$592.65 ,$620.42 ,"$2,368.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,894.40 ","$1,172.16 ",$663.04 ,"$2,131.20 ",$899.84 ,$696.00 ,$592.65 ,"$1,136.64 "
ST. MARY'S HOSPITAL - DECATUR,76100008,64447,HC INJ ANES NERVE FEMORAL SINGLE-RT,761,1 ,"$2,368.00 ","$1,704.96 ",$135.68 ,"$2,368.00 ","$1,511.88 ","$1,255.04 ","$1,302.40 ",$592.65 ,$663.04 ,"$1,238.46 ",$592.65 ,"$1,302.40 ",$592.65 ,"$1,172.16 ",$135.68 ,$592.65 ,"$1,172.16 ","$1,221.60 ","$1,657.60 ","$1,480.00 ","$1,894.40 ","$1,511.88 ",$592.65 ,"$1,657.60 ",$592.65 ,"$1,420.80 ",$604.51 ,"$1,776.00 ","$1,307.14 ","$1,179.26 ","$1,307.14 ",$592.65 ,"$1,307.14 ","$1,918.08 ","$2,368.00 ","$1,918.08 ","$2,012.80 ","$1,511.88 ","$1,641.02 ",$592.65 ,"$2,368.00 ","$1,328.45 ",$592.65 ,$620.42 ,"$2,368.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,894.40 ","$1,172.16 ",$663.04 ,"$2,131.20 ",$899.84 ,$696.00 ,$592.65 ,"$1,136.64 "
ST. MARY'S HOSPITAL - DECATUR,76100009,64425,HC INJ ANES NERVE ILIOINGUINAL-LT,761,1 ,"$2,245.00 ","$1,616.40 ",$190.98 ,"$2,245.00 ","$1,511.88 ","$1,189.85 ","$1,234.75 ",$592.65 ,$628.60 ,"$1,174.14 ",$592.65 ,"$1,234.75 ",$592.65 ,"$1,111.28 ",$190.98 ,$592.65 ,"$1,111.28 ","$1,221.60 ","$1,571.50 ","$1,403.13 ","$1,796.00 ","$1,511.88 ",$592.65 ,"$1,571.50 ",$592.65 ,"$1,347.00 ",$604.51 ,"$1,683.75 ","$1,239.24 ","$1,118.01 ","$1,239.24 ",$592.65 ,"$1,239.24 ","$1,818.45 ","$2,245.00 ","$1,818.45 ","$1,908.25 ","$1,511.88 ","$1,555.79 ",$592.65 ,"$2,245.00 ","$1,259.45 ",$592.65 ,$588.19 ,"$2,245.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,796.00 ","$1,111.28 ",$628.60 ,"$2,020.50 ",$853.10 ,$696.00 ,$592.65 ,"$1,077.60 "
ST. MARY'S HOSPITAL - DECATUR,76100010,64425,HC INJ ANES NERVE ILIOINGUINAL-RT,761,1 ,"$2,245.00 ","$1,616.40 ",$190.98 ,"$2,245.00 ","$1,511.88 ","$1,189.85 ","$1,234.75 ",$592.65 ,$628.60 ,"$1,174.14 ",$592.65 ,"$1,234.75 ",$592.65 ,"$1,111.28 ",$190.98 ,$592.65 ,"$1,111.28 ","$1,221.60 ","$1,571.50 ","$1,403.13 ","$1,796.00 ","$1,511.88 ",$592.65 ,"$1,571.50 ",$592.65 ,"$1,347.00 ",$604.51 ,"$1,683.75 ","$1,239.24 ","$1,118.01 ","$1,239.24 ",$592.65 ,"$1,239.24 ","$1,818.45 ","$2,245.00 ","$1,818.45 ","$1,908.25 ","$1,511.88 ","$1,555.79 ",$592.65 ,"$2,245.00 ","$1,259.45 ",$592.65 ,$588.19 ,"$2,245.00 ",$318.20 ,$303.73 ,$622.29 ,"$1,796.00 ","$1,111.28 ",$628.60 ,"$2,020.50 ",$853.10 ,$696.00 ,$592.65 ,"$1,077.60 "
ST. MARY'S HOSPITAL - DECATUR,76100011,64450,HC INJ ANES NERVE PERIPHERAL-BI,761,1 ,"$1,890.00 ","$1,360.80 ",$127.30 ,"$2,267.83 ","$2,267.83 ","$1,001.70 ","$1,039.50 ",$888.99 ,$529.20 ,$988.47 ,$888.99 ,"$1,039.50 ",$888.99 ,$935.55 ,$127.30 ,$888.99 ,$935.55 ,"$1,832.40 ","$1,323.00 ","$1,181.25 ","$1,512.00 ","$2,267.82 ",$888.99 ,"$1,323.00 ",$888.99 ,"$1,134.00 ",$906.76 ,"$1,417.50 ","$1,043.28 ",$941.22 ,"$1,043.28 ",$888.99 ,"$1,043.28 ","$1,530.90 ","$1,890.00 ","$1,530.90 ","$1,606.50 ","$1,890.00 ","$1,309.77 ",$888.99 ,"$1,890.00 ","$1,060.29 ",$888.99 ,$495.18 ,"$1,890.00 ",$477.30 ,$455.61 ,$933.44 ,"$1,512.00 ",$935.55 ,$529.20 ,"$1,701.00 ",$718.20 ,$696.00 ,$888.99 ,$907.20 
ST. MARY'S HOSPITAL - DECATUR,76100015,64405,HC INJ ANES NERVE GREAT OCCIPITAL-BI,761,1 ,"$4,530.00 ","$3,261.60 ",$109.96 ,"$4,530.00 ",$956.95 ,"$2,400.90 ","$2,491.50 ",$375.12 ,"$1,268.40 ","$2,369.19 ",$375.12 ,"$2,491.50 ",$375.12 ,"$2,242.35 ",$109.96 ,$375.12 ,"$2,242.35 ",$773.21 ,"$3,171.00 ","$2,831.25 ","$3,624.00 ",$956.94 ,$375.12 ,"$3,171.00 ",$375.12 ,"$2,718.00 ",$382.62 ,"$3,397.50 ","$2,500.56 ","$2,255.94 ","$2,500.56 ",$375.12 ,"$2,500.56 ","$3,669.30 ","$4,530.00 ","$3,669.30 ","$3,850.50 ",$956.94 ,"$3,139.29 ",$375.12 ,"$4,530.00 ","$2,541.33 ",$375.12 ,"$1,186.86 ","$4,530.00 ",$477.30 ,$455.61 ,$393.88 ,"$3,624.00 ","$2,242.35 ","$1,268.40 ","$4,077.00 ","$1,721.40 ",$696.00 ,$375.12 ,"$2,174.40 "
ST. MARY'S HOSPITAL - DECATUR,76100016,64405,HC INJ ANES NERVE GREAT OCCIPITAL-LT,761,1 ,"$4,530.00 ","$3,261.60 ",$109.96 ,"$4,530.00 ",$637.98 ,"$2,400.90 ","$2,491.50 ",$250.09 ,"$1,268.40 ","$2,369.19 ",$250.09 ,"$2,491.50 ",$250.09 ,"$2,242.35 ",$109.96 ,$250.09 ,"$2,242.35 ",$515.47 ,"$3,171.00 ","$2,831.25 ","$3,624.00 ",$637.96 ,$250.09 ,"$3,171.00 ",$250.09 ,"$2,718.00 ",$255.08 ,"$3,397.50 ","$2,500.56 ","$2,255.94 ","$2,500.56 ",$250.09 ,"$2,500.56 ","$3,669.30 ","$4,530.00 ","$3,669.30 ","$3,850.50 ",$637.96 ,"$3,139.29 ",$250.09 ,"$4,530.00 ","$2,541.33 ",$250.09 ,"$1,186.86 ","$4,530.00 ",$318.20 ,$303.73 ,$262.59 ,"$3,624.00 ","$2,242.35 ","$1,268.40 ","$4,077.00 ","$1,721.40 ",$696.00 ,$250.09 ,"$2,174.40 "
ST. MARY'S HOSPITAL - DECATUR,76100017,64405,HC INJ ANES NERVE GREAT OCCIPITAL-RT,761,1 ,"$4,530.00 ","$3,261.60 ",$109.96 ,"$4,530.00 ",$637.98 ,"$2,400.90 ","$2,491.50 ",$250.09 ,"$1,268.40 ","$2,369.19 ",$250.09 ,"$2,491.50 ",$250.09 ,"$2,242.35 ",$109.96 ,$250.09 ,"$2,242.35 ",$515.47 ,"$3,171.00 ","$2,831.25 ","$3,624.00 ",$637.96 ,$250.09 ,"$3,171.00 ",$250.09 ,"$2,718.00 ",$255.08 ,"$3,397.50 ","$2,500.56 ","$2,255.94 ","$2,500.56 ",$250.09 ,"$2,500.56 ","$3,669.30 ","$4,530.00 ","$3,669.30 ","$3,850.50 ",$637.96 ,"$3,139.29 ",$250.09 ,"$4,530.00 ","$2,541.33 ",$250.09 ,"$1,186.86 ","$4,530.00 ",$318.20 ,$303.73 ,$262.59 ,"$3,624.00 ","$2,242.35 ","$1,268.40 ","$4,077.00 ","$1,721.40 ",$696.00 ,$250.09 ,"$2,174.40 "
ST. MARY'S HOSPITAL - DECATUR,76100018,G0260,HC INJ ARTHROGRAM SACROILIAC-BI,761,1 ,"$8,066.00 ","$5,807.52 ",$223.57 ,"$8,066.00 ","$1,511.88 ","$4,274.98 ","$4,436.30 ",$592.65 ,"$2,258.48 ","$4,218.52 ",$592.65 ,"$4,436.30 ",$592.65 ,"$3,992.67 ","$3,226.40 ",$592.65 ,"$3,992.67 ","$1,221.60 ","$5,646.20 ","$5,041.25 ","$6,452.80 ","$1,511.88 ",$592.65 ,"$5,646.20 ",$592.65 ,"$4,839.60 ",$604.51 ,"$6,049.50 ","$2,864.00 ","$2,577.00 ","$2,864.00 ",$592.65 ,"$2,864.00 ","$6,533.46 ","$8,066.00 ","$6,533.46 ","$6,856.10 ","$1,511.88 ","$5,589.74 ",$592.65 ,"$8,066.00 ","$4,525.03 ",$592.65 ,"$2,113.29 ","$8,066.00 ",$234.21 ,$223.57 ,$622.29 ,"$6,452.80 ","$3,992.67 ","$2,258.48 ","$7,259.40 ","$3,065.08 ",$696.00 ,$592.65 ,"$3,871.68 "
ST. MARY'S HOSPITAL - DECATUR,76100019,G0260,HC INJ ARTHROGRAM SACROILIAC-LT,761,1 ,"$5,377.00 ","$3,871.44 ",$223.57 ,"$5,377.00 ","$1,511.88 ","$2,849.81 ","$2,957.35 ",$592.65 ,"$1,505.56 ","$2,812.17 ",$592.65 ,"$2,957.35 ",$592.65 ,"$2,661.62 ","$2,150.80 ",$592.65 ,"$2,661.62 ","$1,221.60 ","$3,763.90 ","$3,360.63 ","$4,301.60 ","$1,511.88 ",$592.65 ,"$3,763.90 ",$592.65 ,"$3,226.20 ",$604.51 ,"$4,032.75 ","$2,864.00 ","$2,577.00 ","$2,864.00 ",$592.65 ,"$2,864.00 ","$4,355.37 ","$5,377.00 ","$4,355.37 ","$4,570.45 ","$1,511.88 ","$3,726.26 ",$592.65 ,"$5,377.00 ","$3,016.50 ",$592.65 ,"$1,408.77 ","$5,377.00 ",$234.21 ,$223.57 ,$622.29 ,"$4,301.60 ","$2,661.62 ","$1,505.56 ","$4,839.30 ","$2,043.26 ",$696.00 ,$592.65 ,"$2,580.96 "
ST. MARY'S HOSPITAL - DECATUR,76100020,G0260,HC INJ ARTHROGRAM SACROILIAC-RT,761,1 ,"$5,377.00 ","$3,871.44 ",$223.57 ,"$5,377.00 ","$1,511.88 ","$2,849.81 ","$2,957.35 ",$592.65 ,"$1,505.56 ","$2,812.17 ",$592.65 ,"$2,957.35 ",$592.65 ,"$2,661.62 ","$2,150.80 ",$592.65 ,"$2,661.62 ","$1,221.60 ","$3,763.90 ","$3,360.63 ","$4,301.60 ","$1,511.88 ",$592.65 ,"$3,763.90 ",$592.65 ,"$3,226.20 ",$604.51 ,"$4,032.75 ","$2,864.00 ","$2,577.00 ","$2,864.00 ",$592.65 ,"$2,864.00 ","$4,355.37 ","$5,377.00 ","$4,355.37 ","$4,570.45 ","$1,511.88 ","$3,726.26 ",$592.65 ,"$5,377.00 ","$3,016.50 ",$592.65 ,"$1,408.77 ","$5,377.00 ",$234.21 ,$223.57 ,$622.29 ,"$4,301.60 ","$2,661.62 ","$1,505.56 ","$4,839.30 ","$2,043.26 ",$696.00 ,$592.65 ,"$2,580.96 "
ST. MARY'S HOSPITAL - DECATUR,76100021,64484,HC INJ EPID LUMBAR/SACRAL ADDL,761,1 ,"$2,331.00 ","$1,678.32 ",$104.58 ,"$2,331.00 ", N/A ,"$1,235.43 ","$1,282.05 ", N/A ,$652.68 ,"$1,219.11 ", N/A ,"$1,282.05 ", N/A ,"$1,153.85 ",$104.58 , N/A ,"$1,153.85 ", N/A ,"$1,631.70 ","$1,456.88 ","$1,864.80 ", N/A , N/A ,"$1,631.70 ", N/A ,"$1,398.60 ", N/A ,"$1,748.25 ","$1,286.71 ","$1,160.84 ","$1,286.71 ", N/A ,"$1,286.71 ","$1,888.11 ","$2,331.00 ","$1,888.11 ","$1,981.35 ", N/A ,"$1,615.38 ", N/A ,"$2,331.00 ","$1,307.69 ", N/A ,$610.72 ,"$2,331.00 ",$577.10 ,$550.87 , N/A ,"$1,864.80 ","$1,153.85 ",$652.68 ,"$2,097.90 ",$885.78 ,$696.00 , N/A ,"$1,118.88 "
ST. MARY'S HOSPITAL - DECATUR,76100022,64484,HC INJ EPID LUMBAR/SACRAL ADDL-LT,761,1 ,"$2,331.00 ","$1,678.32 ",$104.58 ,"$2,331.00 ", N/A ,"$1,235.43 ","$1,282.05 ", N/A ,$652.68 ,"$1,219.11 ", N/A ,"$1,282.05 ", N/A ,"$1,153.85 ",$104.58 , N/A ,"$1,153.85 ", N/A ,"$1,631.70 ","$1,456.88 ","$1,864.80 ", N/A , N/A ,"$1,631.70 ", N/A ,"$1,398.60 ", N/A ,"$1,748.25 ","$1,286.71 ","$1,160.84 ","$1,286.71 ", N/A ,"$1,286.71 ","$1,888.11 ","$2,331.00 ","$1,888.11 ","$1,981.35 ", N/A ,"$1,615.38 ", N/A ,"$2,331.00 ","$1,307.69 ", N/A ,$610.72 ,"$2,331.00 ",$577.10 ,$550.87 , N/A ,"$1,864.80 ","$1,153.85 ",$652.68 ,"$2,097.90 ",$885.78 ,$696.00 , N/A ,"$1,118.88 "
ST. MARY'S HOSPITAL - DECATUR,76100023,64484,HC INJ EPID LUMBAR/SACRAL ADDL-RT,761,1 ,"$2,331.00 ","$1,678.32 ",$104.58 ,"$2,331.00 ", N/A ,"$1,235.43 ","$1,282.05 ", N/A ,$652.68 ,"$1,219.11 ", N/A ,"$1,282.05 ", N/A ,"$1,153.85 ",$104.58 , N/A ,"$1,153.85 ", N/A ,"$1,631.70 ","$1,456.88 ","$1,864.80 ", N/A , N/A ,"$1,631.70 ", N/A ,"$1,398.60 ", N/A ,"$1,748.25 ","$1,286.71 ","$1,160.84 ","$1,286.71 ", N/A ,"$1,286.71 ","$1,888.11 ","$2,331.00 ","$1,888.11 ","$1,981.35 ", N/A ,"$1,615.38 ", N/A ,"$2,331.00 ","$1,307.69 ", N/A ,$610.72 ,"$2,331.00 ",$577.10 ,$550.87 , N/A ,"$1,864.80 ","$1,153.85 ",$652.68 ,"$2,097.90 ",$885.78 ,$696.00 , N/A ,"$1,118.88 "
ST. MARY'S HOSPITAL - DECATUR,76100024,64483,HC INJ EPID LUMBAR/SACRAL SGL-BI,761,1 ,"$3,453.00 ","$2,486.16 ",$222.15 ,"$3,453.00 ","$2,999.33 ","$1,830.09 ","$1,899.15 ","$1,175.74 ",$966.84 ,"$1,805.92 ","$1,175.74 ","$1,899.15 ","$1,175.74 ","$1,709.24 ",$222.15 ,"$1,175.74 ","$1,709.24 ","$2,423.46 ","$2,417.10 ","$2,158.13 ","$2,762.40 ","$2,999.33 ","$1,175.74 ","$2,417.10 ","$1,175.74 ","$2,071.80 ","$1,199.26 ","$2,589.75 ","$1,906.06 ","$1,719.59 ","$1,906.06 ","$1,175.74 ","$1,906.06 ","$2,796.93 ","$3,453.00 ","$2,796.93 ","$2,935.05 ","$2,999.33 ","$2,392.93 ","$1,175.74 ","$3,453.00 ","$1,937.13 ","$1,175.74 ",$904.69 ,"$3,453.00 ",$865.65 ,$826.30 ,"$1,234.53 ","$2,762.40 ","$1,709.24 ",$966.84 ,"$3,107.70 ","$1,312.14 ",$696.00 ,"$1,175.74 ","$1,657.44 "
ST. MARY'S HOSPITAL - DECATUR,76100025,64483,HC INJ EPID LUMBAR/SACRAL SGL-LT,761,1 ,"$3,453.00 ","$2,486.16 ",$222.15 ,"$3,453.00 ","$1,999.55 ","$1,830.09 ","$1,899.15 ",$783.82 ,$966.84 ,"$1,805.92 ",$783.82 ,"$1,899.15 ",$783.82 ,"$1,709.24 ",$222.15 ,$783.82 ,"$1,709.24 ","$1,615.64 ","$2,417.10 ","$2,158.13 ","$2,762.40 ","$1,999.56 ",$783.82 ,"$2,417.10 ",$783.82 ,"$2,071.80 ",$799.50 ,"$2,589.75 ","$1,906.06 ","$1,719.59 ","$1,906.06 ",$783.82 ,"$1,906.06 ","$2,796.93 ","$3,453.00 ","$2,796.93 ","$2,935.05 ","$1,999.56 ","$2,392.93 ",$783.82 ,"$3,453.00 ","$1,937.13 ",$783.82 ,$904.69 ,"$3,453.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,762.40 ","$1,709.24 ",$966.84 ,"$3,107.70 ","$1,312.14 ",$696.00 ,$783.82 ,"$1,657.44 "
ST. MARY'S HOSPITAL - DECATUR,76100026,64483,HC INJ EPID LUMBAR/SACRAL SGL-RT,761,1 ,"$3,453.00 ","$2,486.16 ",$222.15 ,"$3,453.00 ","$1,999.55 ","$1,830.09 ","$1,899.15 ",$783.82 ,$966.84 ,"$1,805.92 ",$783.82 ,"$1,899.15 ",$783.82 ,"$1,709.24 ",$222.15 ,$783.82 ,"$1,709.24 ","$1,615.64 ","$2,417.10 ","$2,158.13 ","$2,762.40 ","$1,999.56 ",$783.82 ,"$2,417.10 ",$783.82 ,"$2,071.80 ",$799.50 ,"$2,589.75 ","$1,906.06 ","$1,719.59 ","$1,906.06 ",$783.82 ,"$1,906.06 ","$2,796.93 ","$3,453.00 ","$2,796.93 ","$2,935.05 ","$1,999.56 ","$2,392.93 ",$783.82 ,"$3,453.00 ","$1,937.13 ",$783.82 ,$904.69 ,"$3,453.00 ",$577.10 ,$550.87 ,$823.01 ,"$2,762.40 ","$1,709.24 ",$966.84 ,"$3,107.70 ","$1,312.14 ",$696.00 ,$783.82 ,"$1,657.44 "
ST. MARY'S HOSPITAL - DECATUR,76100027,64479,HC INJ EPIDURAL CREV/THOR SGL-BI,761,1 ,"$5,265.00 ","$3,790.80 ",$262.54 ,"$5,265.00 ","$2,999.33 ","$2,790.45 ","$2,895.75 ","$1,175.74 ","$1,474.20 ","$2,753.60 ","$1,175.74 ","$2,895.75 ","$1,175.74 ","$2,606.18 ",$262.54 ,"$1,175.74 ","$2,606.18 ","$2,423.46 ","$3,685.50 ","$3,290.63 ","$4,212.00 ","$2,999.33 ","$1,175.74 ","$3,685.50 ","$1,175.74 ","$3,159.00 ","$1,199.26 ","$3,948.75 ","$2,864.00 ","$2,577.00 ","$2,864.00 ","$1,175.74 ","$2,864.00 ","$4,264.65 ","$5,265.00 ","$4,264.65 ","$4,475.25 ","$2,999.33 ","$3,648.65 ","$1,175.74 ","$5,265.00 ","$2,953.67 ","$1,175.74 ","$1,379.43 ","$5,265.00 ",$865.65 ,$826.30 ,"$1,234.53 ","$4,212.00 ","$2,606.18 ","$1,474.20 ","$4,738.50 ","$2,000.70 ",$696.00 ,"$1,175.74 ","$2,527.20 "
ST. MARY'S HOSPITAL - DECATUR,76100028,64479,HC INJ EPIDURAL CREV/THOR SGL-LT,761,1 ,"$5,265.00 ","$3,790.80 ",$262.54 ,"$5,265.00 ","$1,999.55 ","$2,790.45 ","$2,895.75 ",$783.82 ,"$1,474.20 ","$2,753.60 ",$783.82 ,"$2,895.75 ",$783.82 ,"$2,606.18 ",$262.54 ,$783.82 ,"$2,606.18 ","$1,615.64 ","$3,685.50 ","$3,290.63 ","$4,212.00 ","$1,999.56 ",$783.82 ,"$3,685.50 ",$783.82 ,"$3,159.00 ",$799.50 ,"$3,948.75 ","$2,864.00 ","$2,577.00 ","$2,864.00 ",$783.82 ,"$2,864.00 ","$4,264.65 ","$5,265.00 ","$4,264.65 ","$4,475.25 ","$1,999.56 ","$3,648.65 ",$783.82 ,"$5,265.00 ","$2,953.67 ",$783.82 ,"$1,379.43 ","$5,265.00 ",$577.10 ,$550.87 ,$823.01 ,"$4,212.00 ","$2,606.18 ","$1,474.20 ","$4,738.50 ","$2,000.70 ",$696.00 ,$783.82 ,"$2,527.20 "
ST. MARY'S HOSPITAL - DECATUR,76100029,64479,HC INJ EPIDURAL CREV/THOR SGL-RT,761,1 ,"$5,265.00 ","$3,790.80 ",$262.54 ,"$5,265.00 ","$1,999.55 ","$2,790.45 ","$2,895.75 ",$783.82 ,"$1,474.20 ","$2,753.60 ",$783.82 ,"$2,895.75 ",$783.82 ,"$2,606.18 ",$262.54 ,$783.82 ,"$2,606.18 ","$1,615.64 ","$3,685.50 ","$3,290.63 ","$4,212.00 ","$1,999.56 ",$783.82 ,"$3,685.50 ",$783.82 ,"$3,159.00 ",$799.50 ,"$3,948.75 ","$2,864.00 ","$2,577.00 ","$2,864.00 ",$783.82 ,"$2,864.00 ","$4,264.65 ","$5,265.00 ","$4,264.65 ","$4,475.25 ","$1,999.56 ","$3,648.65 ",$783.82 ,"$5,265.00 ","$2,953.67 ",$783.82 ,"$1,379.43 ","$5,265.00 ",$577.10 ,$550.87 ,$823.01 ,"$4,212.00 ","$2,606.18 ","$1,474.20 ","$4,738.50 ","$2,000.70 ",$696.00 ,$783.82 ,"$2,527.20 "
ST. MARY'S HOSPITAL - DECATUR,76100030,64490,HC INJ PARAVERT F JNT C/T 1 LV-BI,761,1 ,"$2,434.00 ","$1,752.48 ",$211.39 ,"$2,999.33 ","$2,999.33 ","$1,290.02 ","$1,338.70 ","$1,175.74 ",$681.52 ,"$1,272.98 ","$1,175.74 ","$1,338.70 ","$1,175.74 ","$1,204.83 ",$211.39 ,"$1,175.74 ","$1,204.83 ","$2,423.46 ","$1,703.80 ","$1,521.25 ","$1,947.20 ","$2,999.33 ","$1,175.74 ","$1,703.80 ","$1,175.74 ","$1,460.40 ","$1,199.26 ","$1,825.50 ","$1,343.57 ","$1,212.13 ","$1,343.57 ","$1,175.74 ","$1,343.57 ","$1,971.54 ","$2,434.00 ","$1,971.54 ","$2,068.90 ","$2,434.00 ","$1,686.76 ","$1,175.74 ","$2,434.00 ","$1,365.47 ","$1,175.74 ",$637.71 ,"$2,434.00 ",$865.65 ,$826.30 ,"$1,234.53 ","$1,947.20 ","$1,204.83 ",$681.52 ,"$2,190.60 ",$924.92 ,$696.00 ,"$1,175.74 ","$1,168.32 "
ST. MARY'S HOSPITAL - DECATUR,76100031,64490,HC INJ PARAVERT F JNT C/T 1 LV-LT,761,1 ,"$2,434.00 ","$1,752.48 ",$211.39 ,"$2,434.00 ","$1,999.55 ","$1,290.02 ","$1,338.70 ",$783.82 ,$681.52 ,"$1,272.98 ",$783.82 ,"$1,338.70 ",$783.82 ,"$1,204.83 ",$211.39 ,$783.82 ,"$1,204.83 ","$1,615.64 ","$1,703.80 ","$1,521.25 ","$1,947.20 ","$1,999.56 ",$783.82 ,"$1,703.80 ",$783.82 ,"$1,460.40 ",$799.50 ,"$1,825.50 ","$1,343.57 ","$1,212.13 ","$1,343.57 ",$783.82 ,"$1,343.57 ","$1,971.54 ","$2,434.00 ","$1,971.54 ","$2,068.90 ","$1,999.56 ","$1,686.76 ",$783.82 ,"$2,434.00 ","$1,365.47 ",$783.82 ,$637.71 ,"$2,434.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,947.20 ","$1,204.83 ",$681.52 ,"$2,190.60 ",$924.92 ,$696.00 ,$783.82 ,"$1,168.32 "
ST. MARY'S HOSPITAL - DECATUR,76100032,64490,HC INJ PARAVERT F JNT C/T 1 LV-RT,761,1 ,"$2,434.00 ","$1,752.48 ",$211.39 ,"$2,434.00 ","$1,999.55 ","$1,290.02 ","$1,338.70 ",$783.82 ,$681.52 ,"$1,272.98 ",$783.82 ,"$1,338.70 ",$783.82 ,"$1,204.83 ",$211.39 ,$783.82 ,"$1,204.83 ","$1,615.64 ","$1,703.80 ","$1,521.25 ","$1,947.20 ","$1,999.56 ",$783.82 ,"$1,703.80 ",$783.82 ,"$1,460.40 ",$799.50 ,"$1,825.50 ","$1,343.57 ","$1,212.13 ","$1,343.57 ",$783.82 ,"$1,343.57 ","$1,971.54 ","$2,434.00 ","$1,971.54 ","$2,068.90 ","$1,999.56 ","$1,686.76 ",$783.82 ,"$2,434.00 ","$1,365.47 ",$783.82 ,$637.71 ,"$2,434.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,947.20 ","$1,204.83 ",$681.52 ,"$2,190.60 ",$924.92 ,$696.00 ,$783.82 ,"$1,168.32 "
ST. MARY'S HOSPITAL - DECATUR,76100033,64491,HC INJ PARAVERT F JNT C/T 2 LV,761,1 ,"$2,164.00 ","$1,558.08 ",$120.92 ,"$2,164.00 ", N/A ,"$1,146.92 ","$1,190.20 ", N/A ,$605.92 ,"$1,131.77 ", N/A ,"$1,190.20 ", N/A ,"$1,071.18 ",$120.92 , N/A ,"$1,071.18 ", N/A ,"$1,514.80 ","$1,352.50 ","$1,731.20 ", N/A , N/A ,"$1,514.80 ", N/A ,"$1,298.40 ", N/A ,"$1,623.00 ","$1,194.53 ","$1,077.67 ","$1,194.53 ", N/A ,"$1,194.53 ","$1,752.84 ","$2,164.00 ","$1,752.84 ","$1,839.40 ", N/A ,"$1,499.65 ", N/A ,"$2,164.00 ","$1,214.00 ", N/A ,$566.97 ,"$2,164.00 ",$577.10 ,$550.87 , N/A ,"$1,731.20 ","$1,071.18 ",$605.92 ,"$1,947.60 ",$822.32 ,$696.00 , N/A ,"$1,038.72 "
ST. MARY'S HOSPITAL - DECATUR,76100034,64491,HC INJ PARAVERT F JNT C/T 2 LV-LT,761,1 ,"$2,164.00 ","$1,558.08 ",$120.92 ,"$2,164.00 ", N/A ,"$1,146.92 ","$1,190.20 ", N/A ,$605.92 ,"$1,131.77 ", N/A ,"$1,190.20 ", N/A ,"$1,071.18 ",$120.92 , N/A ,"$1,071.18 ", N/A ,"$1,514.80 ","$1,352.50 ","$1,731.20 ", N/A , N/A ,"$1,514.80 ", N/A ,"$1,298.40 ", N/A ,"$1,623.00 ","$1,194.53 ","$1,077.67 ","$1,194.53 ", N/A ,"$1,194.53 ","$1,752.84 ","$2,164.00 ","$1,752.84 ","$1,839.40 ", N/A ,"$1,499.65 ", N/A ,"$2,164.00 ","$1,214.00 ", N/A ,$566.97 ,"$2,164.00 ",$577.10 ,$550.87 , N/A ,"$1,731.20 ","$1,071.18 ",$605.92 ,"$1,947.60 ",$822.32 ,$696.00 , N/A ,"$1,038.72 "
ST. MARY'S HOSPITAL - DECATUR,76100035,64491,HC INJ PARAVERT F JNT C/T 2 LV-RT,761,1 ,"$2,164.00 ","$1,558.08 ",$120.92 ,"$2,164.00 ", N/A ,"$1,146.92 ","$1,190.20 ", N/A ,$605.92 ,"$1,131.77 ", N/A ,"$1,190.20 ", N/A ,"$1,071.18 ",$120.92 , N/A ,"$1,071.18 ", N/A ,"$1,514.80 ","$1,352.50 ","$1,731.20 ", N/A , N/A ,"$1,514.80 ", N/A ,"$1,298.40 ", N/A ,"$1,623.00 ","$1,194.53 ","$1,077.67 ","$1,194.53 ", N/A ,"$1,194.53 ","$1,752.84 ","$2,164.00 ","$1,752.84 ","$1,839.40 ", N/A ,"$1,499.65 ", N/A ,"$2,164.00 ","$1,214.00 ", N/A ,$566.97 ,"$2,164.00 ",$577.10 ,$550.87 , N/A ,"$1,731.20 ","$1,071.18 ",$605.92 ,"$1,947.60 ",$822.32 ,$696.00 , N/A ,"$1,038.72 "
ST. MARY'S HOSPITAL - DECATUR,76100036,64492,HC INJ PARAVERT F JNT C/T 3 LV,761,1 ,"$1,232.00 ",$887.04 ,$122.22 ,"$1,232.00 ", N/A ,$652.96 ,$677.60 , N/A ,$344.96 ,$644.34 , N/A ,$677.60 , N/A ,$609.84 ,$122.22 , N/A ,$609.84 , N/A ,$862.40 ,$770.00 ,$985.60 , N/A , N/A ,$862.40 , N/A ,$739.20 , N/A ,$924.00 ,$680.06 ,$613.54 ,$680.06 , N/A ,$680.06 ,$997.92 ,"$1,232.00 ",$997.92 ,"$1,047.20 ", N/A ,$853.78 , N/A ,"$1,232.00 ",$691.15 , N/A ,$322.78 ,"$1,232.00 ",$577.10 ,$550.87 , N/A ,$985.60 ,$609.84 ,$344.96 ,"$1,108.80 ",$468.16 ,$696.00 , N/A ,$591.36 
ST. MARY'S HOSPITAL - DECATUR,76100037,64492,HC INJ PARAVERT F JNT C/T 3 LV-LT,761,1 ,"$1,232.00 ",$887.04 ,$122.22 ,"$1,232.00 ", N/A ,$652.96 ,$677.60 , N/A ,$344.96 ,$644.34 , N/A ,$677.60 , N/A ,$609.84 ,$122.22 , N/A ,$609.84 , N/A ,$862.40 ,$770.00 ,$985.60 , N/A , N/A ,$862.40 , N/A ,$739.20 , N/A ,$924.00 ,$680.06 ,$613.54 ,$680.06 , N/A ,$680.06 ,$997.92 ,"$1,232.00 ",$997.92 ,"$1,047.20 ", N/A ,$853.78 , N/A ,"$1,232.00 ",$691.15 , N/A ,$322.78 ,"$1,232.00 ",$577.10 ,$550.87 , N/A ,$985.60 ,$609.84 ,$344.96 ,"$1,108.80 ",$468.16 ,$696.00 , N/A ,$591.36 
ST. MARY'S HOSPITAL - DECATUR,76100038,64492,HC INJ PARAVERT F JNT C/T 3 LV-RT,761,1 ,"$1,232.00 ",$887.04 ,$122.22 ,"$1,232.00 ", N/A ,$652.96 ,$677.60 , N/A ,$344.96 ,$644.34 , N/A ,$677.60 , N/A ,$609.84 ,$122.22 , N/A ,$609.84 , N/A ,$862.40 ,$770.00 ,$985.60 , N/A , N/A ,$862.40 , N/A ,$739.20 , N/A ,$924.00 ,$680.06 ,$613.54 ,$680.06 , N/A ,$680.06 ,$997.92 ,"$1,232.00 ",$997.92 ,"$1,047.20 ", N/A ,$853.78 , N/A ,"$1,232.00 ",$691.15 , N/A ,$322.78 ,"$1,232.00 ",$577.10 ,$550.87 , N/A ,$985.60 ,$609.84 ,$344.96 ,"$1,108.80 ",$468.16 ,$696.00 , N/A ,$591.36 
ST. MARY'S HOSPITAL - DECATUR,76100039,64493,HC INJ PARAVERT F JNT L/S 1 LV-BI,761,1 ,"$2,313.00 ","$1,665.36 ",$179.70 ,"$2,999.33 ","$2,999.33 ","$1,225.89 ","$1,272.15 ","$1,175.74 ",$647.64 ,"$1,209.70 ","$1,175.74 ","$1,272.15 ","$1,175.74 ","$1,144.94 ",$179.70 ,"$1,175.74 ","$1,144.94 ","$2,313.00 ","$1,619.10 ","$1,445.63 ","$1,850.40 ","$2,999.33 ","$1,175.74 ","$1,619.10 ","$1,175.74 ","$1,387.80 ","$1,199.26 ","$1,734.75 ","$1,276.78 ","$1,151.87 ","$1,276.78 ","$1,175.74 ","$1,276.78 ","$1,873.53 ","$2,313.00 ","$1,873.53 ","$1,966.05 ","$2,313.00 ","$1,602.91 ","$1,175.74 ","$2,313.00 ","$1,297.59 ","$1,175.74 ",$606.01 ,"$2,313.00 ",$865.65 ,$826.30 ,"$1,234.53 ","$1,850.40 ","$1,144.94 ",$647.64 ,"$2,081.70 ",$878.94 ,$696.00 ,"$1,175.74 ","$1,110.24 "
ST. MARY'S HOSPITAL - DECATUR,76100040,64493,HC INJ PARAVERT F JNT L/S 1 LV-LT,761,1 ,"$2,313.00 ","$1,665.36 ",$179.70 ,"$2,313.00 ","$1,999.55 ","$1,225.89 ","$1,272.15 ",$783.82 ,$647.64 ,"$1,209.70 ",$783.82 ,"$1,272.15 ",$783.82 ,"$1,144.94 ",$179.70 ,$783.82 ,"$1,144.94 ","$1,615.64 ","$1,619.10 ","$1,445.63 ","$1,850.40 ","$1,999.56 ",$783.82 ,"$1,619.10 ",$783.82 ,"$1,387.80 ",$799.50 ,"$1,734.75 ","$1,276.78 ","$1,151.87 ","$1,276.78 ",$783.82 ,"$1,276.78 ","$1,873.53 ","$2,313.00 ","$1,873.53 ","$1,966.05 ","$1,999.56 ","$1,602.91 ",$783.82 ,"$2,313.00 ","$1,297.59 ",$783.82 ,$606.01 ,"$2,313.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,850.40 ","$1,144.94 ",$647.64 ,"$2,081.70 ",$878.94 ,$696.00 ,$783.82 ,"$1,110.24 "
ST. MARY'S HOSPITAL - DECATUR,76100041,64493,HC INJ PARAVERT F JNT L/S 1 LV-RT,761,1 ,"$2,313.00 ","$1,665.36 ",$179.70 ,"$2,313.00 ","$1,999.55 ","$1,225.89 ","$1,272.15 ",$783.82 ,$647.64 ,"$1,209.70 ",$783.82 ,"$1,272.15 ",$783.82 ,"$1,144.94 ",$179.70 ,$783.82 ,"$1,144.94 ","$1,615.64 ","$1,619.10 ","$1,445.63 ","$1,850.40 ","$1,999.56 ",$783.82 ,"$1,619.10 ",$783.82 ,"$1,387.80 ",$799.50 ,"$1,734.75 ","$1,276.78 ","$1,151.87 ","$1,276.78 ",$783.82 ,"$1,276.78 ","$1,873.53 ","$2,313.00 ","$1,873.53 ","$1,966.05 ","$1,999.56 ","$1,602.91 ",$783.82 ,"$2,313.00 ","$1,297.59 ",$783.82 ,$606.01 ,"$2,313.00 ",$577.10 ,$550.87 ,$823.01 ,"$1,850.40 ","$1,144.94 ",$647.64 ,"$2,081.70 ",$878.94 ,$696.00 ,$783.82 ,"$1,110.24 "
ST. MARY'S HOSPITAL - DECATUR,76100042,64494,HC INJ PARAVERT F JNT L/S 2 LV,761,1 ,"$1,596.00 ","$1,149.12 ",$104.79 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$104.79 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100043,64494,HC INJ PARAVERT F JNT L/S 2 LV-LT,761,1 ,"$1,596.00 ","$1,149.12 ",$104.79 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$104.79 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100044,64494,HC INJ PARAVERT F JNT L/S 2 LV-RT,761,1 ,"$1,596.00 ","$1,149.12 ",$104.79 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$104.79 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100045,64495,HC INJ PARAVRT F JNT L/S 3+ LV,761,1 ,"$1,596.00 ","$1,149.12 ",$106.09 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$106.09 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100046,64495,HC INJ PARAVRT F JNT L/S 3+ LV-LT,761,1 ,"$1,596.00 ","$1,149.12 ",$106.09 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$106.09 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100047,64495,HC INJ PARAVRT F JNT L/S 3+ LV-RT,761,1 ,"$1,596.00 ","$1,149.12 ",$106.09 ,"$1,596.00 ", N/A ,$845.88 ,$877.80 , N/A ,$446.88 ,$834.71 , N/A ,$877.80 , N/A ,$790.02 ,$106.09 , N/A ,$790.02 , N/A ,"$1,117.20 ",$997.50 ,"$1,276.80 ", N/A , N/A ,"$1,117.20 ", N/A ,$957.60 , N/A ,"$1,197.00 ",$880.99 ,$794.81 ,$880.99 , N/A ,$880.99 ,"$1,292.76 ","$1,596.00 ","$1,292.76 ","$1,356.60 ", N/A ,"$1,106.03 ", N/A ,"$1,596.00 ",$895.36 , N/A ,$418.15 ,"$1,596.00 ",$577.10 ,$550.87 , N/A ,"$1,276.80 ",$790.02 ,$446.88 ,"$1,436.40 ",$606.48 ,$696.00 , N/A ,$766.08 
ST. MARY'S HOSPITAL - DECATUR,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,"$1,303.00 ",$938.16 ,$198.69 ,"$1,303.00 ",$875.38 ,$690.59 ,$716.65 ,$343.15 ,$364.84 ,$681.47 ,$343.15 ,$716.65 ,$343.15 ,$644.99 ,$521.20 ,$343.15 ,$644.99 ,$707.30 ,$912.10 ,$814.38 ,"$1,042.40 ",$875.37 ,$343.15 ,$912.10 ,$343.15 ,$781.80 ,$350.01 ,$977.25 ,$719.26 ,$648.89 ,$719.26 ,$343.15 ,$719.26 ,"$1,055.43 ","$1,303.00 ","$1,055.43 ","$1,107.55 ",$875.37 ,$902.98 ,$343.15 ,"$1,303.00 ",$730.98 ,$343.15 ,$341.39 ,"$1,303.00 ",$208.15 ,$198.69 ,$360.31 ,"$1,042.40 ",$644.99 ,$364.84 ,"$1,172.70 ",$495.14 ,$696.00 ,$343.15 ,$625.44 
ST. MARY'S HOSPITAL - DECATUR,76100050,62367,HC ANALYSIS ELECT PUMP W/O REPROGRAMMING,761,1 ,"$1,188.00 ",$855.36 ,$50.75 ,"$1,188.00 ",$649.13 ,$629.64 ,$653.40 ,$254.46 ,$332.64 ,$621.32 ,$254.46 ,$653.40 ,$254.46 ,$588.06 ,$50.75 ,$254.46 ,$588.06 ,$524.50 ,$831.60 ,$742.50 ,$950.40 ,$649.13 ,$254.46 ,$831.60 ,$254.46 ,$712.80 ,$259.55 ,$891.00 ,$655.78 ,$591.62 ,$655.78 ,$254.46 ,$655.78 ,$962.28 ,"$1,188.00 ",$962.28 ,"$1,009.80 ",$649.13 ,$823.28 ,$254.46 ,"$1,188.00 ",$666.47 ,$254.46 ,$311.26 ,"$1,188.00 ",$183.29 ,$174.96 ,$267.18 ,$950.40 ,$588.06 ,$332.64 ,"$1,069.20 ",$451.44 ,$696.00 ,$254.46 ,$570.24 
ST. MARY'S HOSPITAL - DECATUR,76100051,62368,HC ANALYSIS ELECT PUMP W/REPROGRAMMING,761,1 ,$558.00 ,$401.76 ,$71.17 ,$649.13 ,$649.13 ,$295.74 ,$306.90 ,$254.46 ,$156.24 ,$291.83 ,$254.46 ,$306.90 ,$254.46 ,$276.21 ,$71.17 ,$254.46 ,$276.21 ,$524.50 ,$390.60 ,$348.75 ,$446.40 ,$649.13 ,$254.46 ,$390.60 ,$254.46 ,$334.80 ,$259.55 ,$418.50 ,$308.02 ,$277.88 ,$308.02 ,$254.46 ,$308.02 ,$451.98 ,$558.00 ,$451.98 ,$474.30 ,$558.00 ,$386.69 ,$254.46 ,$558.00 ,$313.04 ,$254.46 ,$146.20 ,$558.00 ,$183.29 ,$174.96 ,$267.18 ,$446.40 ,$276.21 ,$156.24 ,$502.20 ,$212.04 ,$558.00 ,$254.46 ,$267.84 
ST. MARY'S HOSPITAL - DECATUR,76100052,95990,HC PUMP MAINT SPINAL/BRAIN,761,1 ,"$1,642.00 ","$1,182.24 ",$82.48 ,"$1,642.00 ",$780.45 ,$870.26 ,$903.10 ,$305.94 ,$459.76 ,$815.66 ,$305.94 ,$852.18 ,$305.94 ,$812.79 ,$134.72 ,$305.94 ,$812.79 ,$630.61 ,"$1,149.40 ","$1,026.25 ","$1,313.60 ",$780.46 ,$305.94 ,"$1,149.40 ",$305.94 ,$985.20 ,$312.06 ,"$1,231.50 ",$906.38 ,$817.72 ,$906.38 ,$305.94 ,$906.38 ,"$1,330.02 ","$1,642.00 ","$1,330.02 ","$1,395.70 ",$780.46 ,"$1,137.91 ",$305.94 ,"$1,642.00 ",$921.16 ,$305.94 ,$430.20 ,"$1,642.00 ",$86.41 ,$82.48 ,$321.23 ,"$1,313.60 ",$812.79 ,$459.76 ,"$1,477.80 ",$623.96 ,$696.00 ,$305.94 ,$788.16 
ST. MARY'S HOSPITAL - DECATUR,76100053,62369,HC ANALYSIS ELECT PUMP W/REPROGRAMMING  AND  REFILL,761,1 ,"$1,044.00 ",$751.68 ,$71.17 ,"$1,044.00 ",$649.13 ,$553.32 ,$574.20 ,$254.46 ,$292.32 ,$546.01 ,$254.46 ,$574.20 ,$254.46 ,$516.78 ,$71.17 ,$254.46 ,$516.78 ,$524.50 ,$730.80 ,$652.50 ,$835.20 ,$649.13 ,$254.46 ,$730.80 ,$254.46 ,$626.40 ,$259.55 ,$783.00 ,$576.29 ,$519.91 ,$576.29 ,$254.46 ,$576.29 ,$845.64 ,"$1,044.00 ",$845.64 ,$887.40 ,$649.13 ,$723.49 ,$254.46 ,"$1,044.00 ",$585.68 ,$254.46 ,$273.53 ,"$1,044.00 ",$183.29 ,$174.96 ,$267.18 ,$835.20 ,$516.78 ,$292.32 ,$939.60 ,$396.72 ,$696.00 ,$254.46 ,$501.12 
ST. MARY'S HOSPITAL - DECATUR,76100054,64999,HC GANGLION IMPAR BLOCK,761,1 ,$833.00 ,$599.76 ,$218.25 ,$833.00 ,$637.98 ,$441.49 ,$458.15 ,$250.09 ,$233.24 ,$435.66 ,$250.09 ,$458.15 ,$250.09 ,$412.34 ,$333.20 ,$250.09 ,$412.34 ,$515.47 ,$583.10 ,$520.63 ,$666.40 ,$637.96 ,$250.09 ,$583.10 ,$250.09 ,$499.80 ,$255.08 ,$624.75 ,$459.82 ,$414.83 ,$459.82 ,$250.09 ,$459.82 ,$674.73 ,$833.00 ,$674.73 ,$708.05 ,$637.96 ,$577.27 ,$250.09 ,$833.00 ,$467.31 ,$250.09 ,$218.25 ,$833.00 ,$318.20 ,$303.73 ,$262.59 ,$666.40 ,$412.34 ,$233.24 ,$749.70 ,$316.54 ,$696.00 ,$250.09 ,$399.84 
ST. MARY'S HOSPITAL - DECATUR,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$413.00 ,$297.36 ,$108.21 ,$413.00 , N/A ,$210.63 ,$227.15 , N/A ,$115.64 ,$216.00 , N/A ,$227.15 , N/A ,$204.44 ,$204.44 , N/A ,$204.44 , N/A ,$289.10 ,$258.13 ,$330.40 , N/A , N/A ,$289.10 , N/A ,$247.80 , N/A ,$309.75 ,$227.98 ,$205.67 ,$227.98 , N/A ,$227.98 ,$334.53 ,$413.00 ,$334.53 ,$351.05 , N/A ,$286.21 , N/A ,$413.00 ,$231.69 , N/A ,$108.21 ,$413.00 , N/A , N/A , N/A ,$330.40 ,$204.44 ,$115.64 ,$371.70 ,$156.94 ,$413.00 , N/A ,$198.24 
ST. MARY'S HOSPITAL - DECATUR,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$71.00 ,$51.12 ,$18.60 ,$71.00 , N/A ,$36.21 ,$39.05 , N/A ,$19.88 ,$37.13 , N/A ,$39.05 , N/A ,$35.15 ,$35.15 , N/A ,$35.15 , N/A ,$49.70 ,$44.38 ,$56.80 , N/A , N/A ,$49.70 , N/A ,$42.60 , N/A ,$53.25 ,$39.19 ,$35.36 ,$39.19 , N/A ,$39.19 ,$57.51 ,$71.00 ,$57.51 ,$60.35 , N/A ,$49.20 , N/A ,$71.00 ,$39.83 , N/A ,$18.60 ,$71.00 , N/A , N/A , N/A ,$56.80 ,$35.15 ,$19.88 ,$63.90 ,$26.98 ,$71.00 , N/A ,$34.08 
ST. MARY'S HOSPITAL - DECATUR,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$62.00 ,$44.64 ,$15.00 ,$158.31 ,$158.30 ,$32.86 ,$34.10 ,$62.05 ,$17.36 ,$32.43 ,$62.05 ,$34.10 ,$60.76 ,$30.69 ,$15.00 ,$60.76 ,$30.69 ,$62.00 ,$43.40 ,$38.75 ,$49.60 ,$158.31 ,$62.05 ,$43.40 ,$62.05 ,$37.20 ,$60.76 ,$46.50 ,$34.22 ,$30.88 ,$34.22 ,$62.05 ,$34.22 ,$50.22 ,$62.00 ,$50.22 ,$52.70 ,$62.00 ,$42.97 ,$60.76 ,$62.00 ,$34.78 ,$62.05 ,$16.24 ,$62.00 , N/A , N/A ,$65.16 ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$54.00 ,$62.05 ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$62.00 ,$44.64 ,$8.00 ,$62.00 , N/A ,$32.86 ,$34.10 , N/A ,$17.36 ,$32.43 , N/A ,$34.10 , N/A ,$30.69 ,$8.00 , N/A ,$30.69 , N/A ,$43.40 ,$38.75 ,$49.60 , N/A , N/A ,$43.40 , N/A ,$37.20 , N/A ,$46.50 ,$34.22 ,$30.88 ,$34.22 , N/A ,$34.22 ,$50.22 ,$62.00 ,$50.22 ,$52.70 , N/A ,$42.97 , N/A ,$62.00 ,$34.78 , N/A ,$16.24 ,$62.00 , N/A , N/A , N/A ,$49.60 ,$30.69 ,$17.36 ,$55.80 ,$23.56 ,$54.00 , N/A ,$29.76 
ST. MARY'S HOSPITAL - DECATUR,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$94.00 ,$67.68 ,$15.00 ,$99.43 ,$99.43 ,$49.82 ,$51.70 ,$38.97 ,$26.32 ,$49.16 ,$38.97 ,$51.70 ,$38.97 ,$46.53 ,$15.00 ,$38.97 ,$46.53 ,$80.33 ,$65.80 ,$58.75 ,$75.20 ,$99.42 ,$38.97 ,$65.80 ,$38.97 ,$56.40 ,$39.75 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$38.97 ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 ,$94.00 ,$65.14 ,$38.97 ,$94.00 ,$52.73 ,$38.97 ,$24.63 ,$94.00 , N/A , N/A ,$40.92 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$54.00 ,$38.97 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$94.00 ,$67.68 ,$15.00 ,$99.43 ,$99.43 ,$49.82 ,$51.70 ,$38.97 ,$26.32 ,$49.16 ,$38.97 ,$51.70 ,$38.97 ,$46.53 ,$15.00 ,$38.97 ,$46.53 ,$80.33 ,$65.80 ,$58.75 ,$75.20 ,$99.42 ,$38.97 ,$65.80 ,$38.97 ,$56.40 ,$39.75 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$38.97 ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 ,$94.00 ,$65.14 ,$38.97 ,$94.00 ,$52.73 ,$38.97 ,$24.63 ,$94.00 , N/A , N/A ,$40.92 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$54.00 ,$38.97 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$94.00 ,$67.68 ,$15.00 ,$99.43 ,$99.43 ,$49.82 ,$51.70 ,$38.97 ,$26.32 ,$49.16 ,$38.97 ,$51.70 ,$38.97 ,$46.53 ,$15.00 ,$38.97 ,$46.53 ,$80.33 ,$65.80 ,$58.75 ,$75.20 ,$99.42 ,$38.97 ,$65.80 ,$38.97 ,$56.40 ,$39.75 ,$70.50 ,$51.89 ,$46.81 ,$51.89 ,$38.97 ,$51.89 ,$76.14 ,$94.00 ,$76.14 ,$79.90 ,$94.00 ,$65.14 ,$38.97 ,$94.00 ,$52.73 ,$38.97 ,$24.63 ,$94.00 , N/A , N/A ,$40.92 ,$75.20 ,$46.53 ,$26.32 ,$84.60 ,$35.72 ,$54.00 ,$38.97 ,$45.12 
ST. MARY'S HOSPITAL - DECATUR,77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 , N/A ,$80.00 ,$66.00 , N/A ,$33.60 ,$62.76 , N/A ,$66.00 , N/A ,$59.40 ,$48.00 , N/A ,$59.40 , N/A ,$84.00 ,$75.00 ,$96.00 , N/A , N/A ,$84.00 , N/A ,$72.00 , N/A ,$90.00 ,$66.24 ,$59.76 ,$66.24 , N/A ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 , N/A ,$83.16 , N/A ,$120.00 ,$67.32 , N/A ,$31.44 ,$120.00 , N/A , N/A , N/A ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 , N/A ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 , N/A ,$80.00 ,$66.00 , N/A ,$33.60 ,$62.76 , N/A ,$66.00 , N/A ,$59.40 ,$48.00 , N/A ,$59.40 , N/A ,$84.00 ,$75.00 ,$96.00 , N/A , N/A ,$84.00 , N/A ,$72.00 , N/A ,$90.00 ,$66.24 ,$59.76 ,$66.24 , N/A ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 , N/A ,$83.16 , N/A ,$120.00 ,$67.32 , N/A ,$31.44 ,$120.00 , N/A , N/A , N/A ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 , N/A ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100020,0051A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, FIRST DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100021,0052A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, SECOND DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100022,0053A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, THIRD DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100023,0004A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, DILUENT RECONSTITUTED, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$63.60 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100024,0054A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100026,0071A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, FIRST DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100027,0072A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, SECOND DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON  AND  JOHNSON, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100029,M0220,"HC INTRAVENOUS INFUSION,  TIXAGEVIMAB AND CILGAVIMAB ADMINISTRATION",771,1 ,$120.00 ,$86.40 ,$31.44 ,$353.13 ,$353.13 ,$63.60 ,$66.00 ,$138.42 ,$33.60 ,$62.76 ,$138.42 ,$66.00 ,$117.60 ,$59.40 ,$48.00 ,$117.60 ,$59.40 ,$120.00 ,$84.00 ,$75.00 ,$96.00 ,$353.13 ,$138.42 ,$84.00 ,$138.42 ,$72.00 ,$117.60 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$138.42 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$120.00 ,$83.16 ,$117.60 ,$120.00 ,$67.32 ,$138.42 ,$31.44 ,$120.00 , N/A , N/A ,$145.34 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$138.42 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100036,0134A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 50MCG/0.5ML,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100037,0144A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 25MCG/0.25ML,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100038,0124A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 30MCG/0.3ML,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,77100039,0154A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 10MCG/0.2ML,771,1 ,$120.00 ,$86.40 ,$31.44 ,$120.00 ,$97.43 ,$80.00 ,$66.00 ,$38.19 ,$33.60 ,$62.76 ,$38.19 ,$66.00 ,$38.19 ,$59.40 ,$48.00 ,$38.19 ,$59.40 ,$78.72 ,$84.00 ,$75.00 ,$96.00 ,$97.42 ,$38.19 ,$84.00 ,$38.19 ,$72.00 ,$38.95 ,$90.00 ,$66.24 ,$59.76 ,$66.24 ,$38.19 ,$66.24 ,$97.20 ,$120.00 ,$97.20 ,$102.00 ,$97.42 ,$83.16 ,$38.19 ,$120.00 ,$67.32 ,$38.19 ,$31.44 ,$120.00 , N/A , N/A ,$40.10 ,$96.00 ,$59.40 ,$33.60 ,$108.00 ,$45.60 ,$54.00 ,$38.19 ,$57.60 
ST. MARY'S HOSPITAL - DECATUR,78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$92.00 ,$66.24 ,$10.09 ,$92.00 ,$71.60 ,$48.76 ,$50.60 ,$28.07 ,$25.76 ,$48.12 ,$28.07 ,$50.60 ,$28.07 ,$45.54 ,$36.80 ,$28.07 ,$45.54 ,$57.85 ,$64.40 ,$57.50 ,$73.60 ,$71.60 ,$28.07 ,$64.40 ,$28.07 ,$55.20 ,$28.63 ,$69.00 ,$50.78 ,$45.82 ,$50.78 ,$28.07 ,$50.78 ,$74.52 ,$92.00 ,$74.52 ,$78.20 ,$71.60 ,$63.76 ,$28.07 ,$92.00 ,$51.61 ,$28.07 ,$24.10 ,$92.00 ,$10.57 ,$10.09 ,$29.47 ,$73.60 ,$45.54 ,$25.76 ,$82.80 ,$34.96 ,$50.05 ,$28.07 ,$44.16 
ST. MARY'S HOSPITAL - DECATUR,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 ,$165.36 ,$171.60 , N/A ,$87.36 ,$163.18 , N/A ,$171.60 , N/A ,$154.44 ,$116.16 , N/A ,$154.44 , N/A ,$218.40 ,$195.00 ,$249.60 , N/A , N/A ,$218.40 , N/A ,$187.20 , N/A ,$234.00 ,$172.22 ,$155.38 ,$172.22 , N/A ,$172.22 ,$252.72 ,$312.00 ,$252.72 ,$265.20 , N/A ,$216.22 , N/A ,$312.00 ,$175.03 , N/A ,$141.83 ,$312.00 , N/A , N/A , N/A ,$249.60 ,$154.44 ,$87.36 ,$280.80 ,$118.56 , N/A , N/A ,$149.76 
ST. MARY'S HOSPITAL - DECATUR,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 ,$219.95 ,$228.25 , N/A ,$116.20 ,$217.05 , N/A ,$228.25 , N/A ,$205.43 ,$157.53 , N/A ,$205.43 , N/A ,$290.50 ,$259.38 ,$332.00 , N/A , N/A ,$290.50 , N/A ,$249.00 , N/A ,$311.25 ,$229.08 ,$206.67 ,$229.08 , N/A ,$229.08 ,$336.15 ,$415.00 ,$336.15 ,$352.75 , N/A ,$287.60 , N/A ,$415.00 ,$232.82 , N/A ,$191.13 ,$415.00 , N/A , N/A , N/A ,$332.00 ,$205.43 ,$116.20 ,$373.50 ,$157.70 , N/A , N/A ,$199.20 
ST. MARY'S HOSPITAL - DECATUR,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 ,$320.65 ,$332.75 , N/A ,$169.40 ,$316.42 , N/A ,$332.75 , N/A ,$299.48 ,$231.24 , N/A ,$299.48 , N/A ,$423.50 ,$378.13 ,$484.00 , N/A , N/A ,$423.50 , N/A ,$363.00 , N/A ,$453.75 ,$333.96 ,$301.29 ,$333.96 , N/A ,$333.96 ,$490.05 ,$605.00 ,$490.05 ,$514.25 , N/A ,$419.27 , N/A ,$605.00 ,$339.41 , N/A ,$280.08 ,$605.00 , N/A , N/A , N/A ,$484.00 ,$299.48 ,$169.40 ,$544.50 ,$229.90 , N/A , N/A ,$290.40 
ST. MARY'S HOSPITAL - DECATUR,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 ,$62.01 ,$64.35 , N/A ,$32.76 ,$61.19 , N/A ,$64.35 , N/A ,$57.92 ,$47.12 , N/A ,$57.92 , N/A ,$81.90 ,$73.13 ,$93.60 , N/A , N/A ,$81.90 , N/A ,$70.20 , N/A ,$87.75 ,$64.58 ,$58.27 ,$64.58 , N/A ,$64.58 ,$94.77 ,$117.00 ,$94.77 ,$99.45 , N/A ,$81.08 , N/A ,$117.00 ,$65.64 , N/A ,$54.56 ,$117.00 , N/A , N/A , N/A ,$93.60 ,$57.92 ,$32.76 ,$105.30 ,$44.46 , N/A , N/A ,$56.16 
ST. MARY'S HOSPITAL - DECATUR,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 ,$114.48 ,$118.80 , N/A ,$60.48 ,$112.97 , N/A ,$118.80 , N/A ,$106.92 ,$86.12 , N/A ,$106.92 , N/A ,$151.20 ,$135.00 ,$172.80 , N/A , N/A ,$151.20 , N/A ,$129.60 , N/A ,$162.00 ,$119.23 ,$107.57 ,$119.23 , N/A ,$119.23 ,$174.96 ,$216.00 ,$174.96 ,$183.60 , N/A ,$149.69 , N/A ,$216.00 ,$121.18 , N/A ,$99.97 ,$216.00 , N/A , N/A , N/A ,$172.80 ,$106.92 ,$60.48 ,$194.40 ,$82.08 , N/A , N/A ,$103.68 
ST. MARY'S HOSPITAL - DECATUR,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 ,$166.95 ,$173.25 , N/A ,$88.20 ,$164.75 , N/A ,$173.25 , N/A ,$155.93 ,$123.98 , N/A ,$155.93 , N/A ,$220.50 ,$196.88 ,$252.00 , N/A , N/A ,$220.50 , N/A ,$189.00 , N/A ,$236.25 ,$173.88 ,$156.87 ,$173.88 , N/A ,$173.88 ,$255.15 ,$315.00 ,$255.15 ,$267.75 , N/A ,$218.30 , N/A ,$315.00 ,$176.72 , N/A ,$144.07 ,$315.00 , N/A , N/A , N/A ,$252.00 ,$155.93 ,$88.20 ,$283.50 ,$119.70 , N/A , N/A ,$151.20 
ST. MARY'S HOSPITAL - DECATUR,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 ,$171.19 ,$177.65 , N/A ,$90.44 ,$168.93 , N/A ,$177.65 , N/A ,$159.89 ,$166.51 , N/A ,$159.89 , N/A ,$226.10 ,$201.88 ,$258.40 , N/A , N/A ,$226.10 , N/A ,$193.80 , N/A ,$242.25 ,$178.30 ,$160.85 ,$178.30 , N/A ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 , N/A ,$223.84 , N/A ,$323.00 ,$181.20 , N/A ,$185.32 ,$323.00 ,$101.73 ,$97.10 , N/A ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A , N/A ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,78000108,99235,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE MODERATE 70 MIN-95,960,1 ,$505.00 ,$363.60 ,$97.10 ,$505.00 , N/A ,$267.65 ,$277.75 , N/A ,$141.40 ,$264.12 , N/A ,$277.75 , N/A ,$249.98 ,$207.30 , N/A ,$249.98 , N/A ,$353.50 ,$315.63 ,$404.00 , N/A , N/A ,$353.50 , N/A ,$303.00 , N/A ,$378.75 ,$278.76 ,$251.49 ,$278.76 , N/A ,$278.76 ,$409.05 ,$505.00 ,$409.05 ,$429.25 , N/A ,$349.97 , N/A ,$505.00 ,$283.31 , N/A ,$233.98 ,$505.00 ,$101.73 ,$97.10 , N/A ,$404.00 ,$249.98 ,$141.40 ,$454.50 ,$191.90 , N/A , N/A ,$242.40 
ST. MARY'S HOSPITAL - DECATUR,78000109,99236,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE HIGH 85 MIN-95,960,1 ,$565.00 ,$406.80 ,$97.10 ,$565.00 , N/A ,$299.45 ,$310.75 , N/A ,$158.20 ,$295.50 , N/A ,$310.75 , N/A ,$279.68 ,$267.57 , N/A ,$279.68 , N/A ,$395.50 ,$353.13 ,$452.00 , N/A , N/A ,$395.50 , N/A ,$339.00 , N/A ,$423.75 ,$311.88 ,$281.37 ,$311.88 , N/A ,$311.88 ,$457.65 ,$565.00 ,$457.65 ,$480.25 , N/A ,$391.55 , N/A ,$565.00 ,$316.97 , N/A ,$301.36 ,$565.00 ,$101.73 ,$97.10 , N/A ,$452.00 ,$279.68 ,$158.20 ,$508.50 ,$214.70 , N/A , N/A ,$271.20 
ST. MARY'S HOSPITAL - DECATUR,78000110,99238,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY <31MIN- 95,960,1 ,$218.00 ,$156.96 ,$61.04 ,$218.00 , N/A ,$115.54 ,$119.90 , N/A ,$61.04 ,$114.01 , N/A ,$119.90 , N/A ,$107.91 ,$84.45 , N/A ,$107.91 , N/A ,$152.60 ,$136.25 ,$174.40 , N/A , N/A ,$152.60 , N/A ,$130.80 , N/A ,$163.50 ,$120.34 ,$108.56 ,$120.34 , N/A ,$120.34 ,$176.58 ,$218.00 ,$176.58 ,$185.30 , N/A ,$151.07 , N/A ,$218.00 ,$122.30 , N/A ,$100.42 ,$218.00 , N/A , N/A , N/A ,$174.40 ,$107.91 ,$61.04 ,$196.20 ,$82.84 , N/A , N/A ,$104.64 
ST. MARY'S HOSPITAL - DECATUR,78000111,99239,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY >30MIN- 95,960,1 ,$265.00 ,$190.80 ,$74.20 ,$265.00 , N/A ,$140.45 ,$145.75 , N/A ,$74.20 ,$138.60 , N/A ,$145.75 , N/A ,$131.18 ,$125.03 , N/A ,$131.18 , N/A ,$185.50 ,$165.63 ,$212.00 , N/A , N/A ,$185.50 , N/A ,$159.00 , N/A ,$198.75 ,$146.28 ,$131.97 ,$146.28 , N/A ,$146.28 ,$214.65 ,$265.00 ,$214.65 ,$225.25 , N/A ,$183.65 , N/A ,$265.00 ,$148.67 , N/A ,$147.15 ,$265.00 , N/A , N/A , N/A ,$212.00 ,$131.18 ,$74.20 ,$238.50 ,$100.70 , N/A , N/A ,$127.20 
ST. MARY'S HOSPITAL - DECATUR,78000176,G0425,PC TELEHEALTH ED/IP CONSULT 30 MIN - 95,960,1 ,$350.00 ,$252.00 ,$97.10 ,$350.00 , N/A ,$185.50 ,$192.50 , N/A ,$98.00 ,$183.05 , N/A ,$192.50 , N/A ,$173.25 ,$133.81 , N/A ,$173.25 , N/A ,$245.00 ,$218.75 ,$280.00 , N/A , N/A ,$245.00 , N/A ,$210.00 , N/A ,$262.50 ,$193.20 ,$174.30 ,$193.20 , N/A ,$193.20 ,$283.50 ,$350.00 ,$283.50 ,$297.50 , N/A ,$242.55 , N/A ,$350.00 ,$196.35 , N/A ,$198.87 ,$350.00 ,$101.73 ,$97.10 , N/A ,$280.00 ,$173.25 ,$98.00 ,$315.00 ,$133.00 , N/A , N/A ,$168.00 
ST. MARY'S HOSPITAL - DECATUR,78000177,G0426,PC TELEHEALTH ED/IP CONSULT 50 MIN - 95,960,1 ,$450.00 ,$324.00 ,$97.10 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$181.62 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$269.77 ,$450.00 ,$101.73 ,$97.10 , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,78000178,G0427,PC TELEHEALTH ED/IP CONSULT 70 MIN - 95,960,1 ,$550.00 ,$396.00 ,$97.10 ,$550.00 , N/A ,$291.50 ,$302.50 , N/A ,$154.00 ,$287.65 , N/A ,$302.50 , N/A ,$272.25 ,$269.49 , N/A ,$272.25 , N/A ,$385.00 ,$343.75 ,$440.00 , N/A , N/A ,$385.00 , N/A ,$330.00 , N/A ,$412.50 ,$303.60 ,$273.90 ,$303.60 , N/A ,$303.60 ,$445.50 ,$550.00 ,$445.50 ,$467.50 , N/A ,$381.15 , N/A ,$550.00 ,$308.55 , N/A ,$400.27 ,$550.00 ,$101.73 ,$97.10 , N/A ,$440.00 ,$272.25 ,$154.00 ,$495.00 ,$209.00 , N/A , N/A ,$264.00 
ST. MARY'S HOSPITAL - DECATUR,78000191,G0508,PC TELEHEALTH CRITICAL CARE CONSULT 60 MIN - 95,960,1 ,$650.00 ,$468.00 ,$97.10 ,$650.00 , N/A ,$344.50 ,$357.50 , N/A ,$182.00 ,$339.95 , N/A ,$357.50 , N/A ,$321.75 ,$278.70 , N/A ,$321.75 , N/A ,$455.00 ,$406.25 ,$520.00 , N/A , N/A ,$455.00 , N/A ,$390.00 , N/A ,$487.50 ,$358.80 ,$323.70 ,$358.80 , N/A ,$358.80 ,$526.50 ,$650.00 ,$526.50 ,$552.50 , N/A ,$450.45 , N/A ,$650.00 ,$364.65 , N/A ,$419.54 ,$650.00 ,$101.73 ,$97.10 , N/A ,$520.00 ,$321.75 ,$182.00 ,$585.00 ,$247.00 , N/A , N/A ,$312.00 
ST. MARY'S HOSPITAL - DECATUR,78000192,G0509,PC TELEHEALTH CRITICAL CARE CONSULT 50 MIN - 95,960,1 ,$650.00 ,$468.00 ,$97.10 ,$650.00 , N/A ,$344.50 ,$357.50 , N/A ,$182.00 ,$339.95 , N/A ,$357.50 , N/A ,$321.75 ,$263.41 , N/A ,$321.75 , N/A ,$455.00 ,$406.25 ,$520.00 , N/A , N/A ,$455.00 , N/A ,$390.00 , N/A ,$487.50 ,$358.80 ,$323.70 ,$358.80 , N/A ,$358.80 ,$526.50 ,$650.00 ,$526.50 ,$552.50 , N/A ,$450.45 , N/A ,$650.00 ,$364.65 , N/A ,$388.37 ,$650.00 ,$101.73 ,$97.10 , N/A ,$520.00 ,$321.75 ,$182.00 ,$585.00 ,$247.00 , N/A , N/A ,$312.00 
ST. MARY'S HOSPITAL - DECATUR,78000224,G0425,PC TELEHEALTH STROKE ED/IP CONSULT 30 MIN - G0,960,1 ,$350.00 ,$252.00 ,$97.10 ,$350.00 , N/A ,$185.50 ,$192.50 , N/A ,$98.00 ,$183.05 , N/A ,$192.50 , N/A ,$173.25 ,$133.81 , N/A ,$173.25 , N/A ,$245.00 ,$218.75 ,$280.00 , N/A , N/A ,$245.00 , N/A ,$210.00 , N/A ,$262.50 ,$193.20 ,$174.30 ,$193.20 , N/A ,$193.20 ,$283.50 ,$350.00 ,$283.50 ,$297.50 , N/A ,$242.55 , N/A ,$350.00 ,$196.35 , N/A ,$198.87 ,$350.00 ,$101.73 ,$97.10 , N/A ,$280.00 ,$173.25 ,$98.00 ,$315.00 ,$133.00 , N/A , N/A ,$168.00 
ST. MARY'S HOSPITAL - DECATUR,78000225,G0426,PC TELEHEALTH STROKE ED/IP CONSULT 50 MIN - G0,960,1 ,$450.00 ,$324.00 ,$97.10 ,$450.00 , N/A ,$238.50 ,$247.50 , N/A ,$126.00 ,$235.35 , N/A ,$247.50 , N/A ,$222.75 ,$181.62 , N/A ,$222.75 , N/A ,$315.00 ,$281.25 ,$360.00 , N/A , N/A ,$315.00 , N/A ,$270.00 , N/A ,$337.50 ,$248.40 ,$224.10 ,$248.40 , N/A ,$248.40 ,$364.50 ,$450.00 ,$364.50 ,$382.50 , N/A ,$311.85 , N/A ,$450.00 ,$252.45 , N/A ,$269.77 ,$450.00 ,$101.73 ,$97.10 , N/A ,$360.00 ,$222.75 ,$126.00 ,$405.00 ,$171.00 , N/A , N/A ,$216.00 
ST. MARY'S HOSPITAL - DECATUR,78000226,G0427,PC TELEHEALTH STROKE ED/IP CONSULT 70 MIN - G0,960,1 ,$550.00 ,$396.00 ,$97.10 ,$550.00 , N/A ,$291.50 ,$302.50 , N/A ,$154.00 ,$287.65 , N/A ,$302.50 , N/A ,$272.25 ,$269.49 , N/A ,$272.25 , N/A ,$385.00 ,$343.75 ,$440.00 , N/A , N/A ,$385.00 , N/A ,$330.00 , N/A ,$412.50 ,$303.60 ,$273.90 ,$303.60 , N/A ,$303.60 ,$445.50 ,$550.00 ,$445.50 ,$467.50 , N/A ,$381.15 , N/A ,$550.00 ,$308.55 , N/A ,$400.27 ,$550.00 ,$101.73 ,$97.10 , N/A ,$440.00 ,$272.25 ,$154.00 ,$495.00 ,$209.00 , N/A , N/A ,$264.00 
ST. MARY'S HOSPITAL - DECATUR,78000227,G0508,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 60 MIN - G0,960,1 ,$650.00 ,$468.00 ,$97.10 ,$650.00 , N/A ,$344.50 ,$357.50 , N/A ,$182.00 ,$339.95 , N/A ,$357.50 , N/A ,$321.75 ,$278.70 , N/A ,$321.75 , N/A ,$455.00 ,$406.25 ,$520.00 , N/A , N/A ,$455.00 , N/A ,$390.00 , N/A ,$487.50 ,$358.80 ,$323.70 ,$358.80 , N/A ,$358.80 ,$526.50 ,$650.00 ,$526.50 ,$552.50 , N/A ,$450.45 , N/A ,$650.00 ,$364.65 , N/A ,$419.54 ,$650.00 ,$101.73 ,$97.10 , N/A ,$520.00 ,$321.75 ,$182.00 ,$585.00 ,$247.00 , N/A , N/A ,$312.00 
ST. MARY'S HOSPITAL - DECATUR,78000228,G0509,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 50 MIN -G0,960,1 ,$650.00 ,$468.00 ,$97.10 ,$650.00 , N/A ,$344.50 ,$357.50 , N/A ,$182.00 ,$339.95 , N/A ,$357.50 , N/A ,$321.75 ,$263.41 , N/A ,$321.75 , N/A ,$455.00 ,$406.25 ,$520.00 , N/A , N/A ,$455.00 , N/A ,$390.00 , N/A ,$487.50 ,$358.80 ,$323.70 ,$358.80 , N/A ,$358.80 ,$526.50 ,$650.00 ,$526.50 ,$552.50 , N/A ,$450.45 , N/A ,$650.00 ,$364.65 , N/A ,$388.37 ,$650.00 ,$101.73 ,$97.10 , N/A ,$520.00 ,$321.75 ,$182.00 ,$585.00 ,$247.00 , N/A , N/A ,$312.00 
ST. MARY'S HOSPITAL - DECATUR,80100010,90945,HC DIALYSIS PROC OTHER THAN HEMO,801,1 ,$518.00 ,$372.96 ,$135.72 ,$895.41 ,$895.40 ,$274.54 ,$284.90 ,$351.00 ,$145.04 ,$270.91 ,$351.00 ,$284.90 ,$351.00 ,$256.41 ,$256.41 ,$351.00 ,$256.41 ,$518.00 ,$362.60 ,$323.75 ,$414.40 ,$895.41 ,$351.00 ,$362.60 ,$351.00 ,$310.80 ,$358.02 ,$388.50 ,$285.94 ,$257.96 ,$285.94 ,$351.00 ,$285.94 ,$419.58 ,$518.00 ,$419.58 ,$440.30 ,$518.00 ,$358.97 ,$351.00 ,$518.00 ,$290.60 ,$351.00 ,$135.72 ,$518.00 ,$518.00 ,$650.79 ,$368.55 ,$414.40 ,$256.41 ,$145.04 ,$466.20 ,$196.84 ,$281.79 ,$351.00 ,$248.64 
ST. MARY'S HOSPITAL - DECATUR,80100011,G0257,HC HEMODIALYSIS INPATIENT,801,1 ,"$1,948.00 ","$1,402.56 ",$510.38 ,"$1,948.00 ","$1,479.45 ","$1,032.44 ","$1,071.40 ",$579.94 ,$545.44 ,"$1,018.80 ",$579.94 ,"$1,071.40 ",$579.94 ,$964.26 ,$964.26 ,$579.94 ,$964.26 ,"$1,195.40 ","$1,363.60 ","$1,217.50 ","$1,558.40 ","$1,479.45 ",$579.94 ,"$1,363.60 ",$579.94 ,"$1,168.80 ",$591.55 ,"$1,461.00 ","$1,075.30 ",$970.10 ,"$1,075.30 ",$579.94 ,"$1,075.30 ","$1,577.88 ","$1,948.00 ","$1,577.88 ","$1,655.80 ","$1,479.45 ","$1,349.96 ",$579.94 ,"$1,948.00 ","$1,092.83 ",$579.94 ,$510.38 ,"$1,948.00 ",$686.39 ,$655.19 ,$608.94 ,"$1,558.40 ",$964.26 ,$545.44 ,"$1,753.20 ",$740.24 ,"$1,059.71 ",$579.94 ,$935.04 
ST. MARY'S HOSPITAL - DECATUR,80300001,N/A,HC CAPD INPATIENT,803,1 ,$286.00 ,$205.92 ,$74.93 ,$286.00 , N/A ,$151.58 ,$157.30 , N/A ,$80.08 ,$149.58 , N/A ,$157.30 , N/A ,$141.57 ,$141.57 , N/A ,$141.57 , N/A ,$200.20 ,$178.75 ,$228.80 , N/A , N/A ,$200.20 , N/A ,$171.60 , N/A ,$214.50 ,$157.87 ,$142.43 ,$157.87 , N/A ,$157.87 ,$231.66 ,$286.00 ,$231.66 ,$243.10 , N/A ,$198.20 , N/A ,$286.00 ,$160.45 , N/A ,$74.93 ,$286.00 , N/A , N/A , N/A ,$228.80 ,$141.57 ,$80.08 ,$257.40 ,$108.68 ,$155.58 , N/A ,$137.28 
ST. MARY'S HOSPITAL - DECATUR,80400001,N/A,HC CCPD INPATIENT,804,1 ,"$1,144.00 ",$823.68 ,$299.73 ,"$1,144.00 ", N/A ,$606.32 ,$629.20 , N/A ,$320.32 ,$598.31 , N/A ,$629.20 , N/A ,$566.28 ,$566.28 , N/A ,$566.28 , N/A ,$800.80 ,$715.00 ,$915.20 , N/A , N/A ,$800.80 , N/A ,$686.40 , N/A ,$858.00 ,$631.49 ,$569.71 ,$631.49 , N/A ,$631.49 ,$926.64 ,"$1,144.00 ",$926.64 ,$972.40 , N/A ,$792.79 , N/A ,"$1,144.00 ",$641.78 , N/A ,$299.73 ,"$1,144.00 ", N/A , N/A , N/A ,$915.20 ,$566.28 ,$320.32 ,"$1,029.60 ",$434.72 ,$622.34 , N/A ,$549.12 
ST. MARY'S HOSPITAL - DECATUR,82900001,G0257,HC HEMODIALYSIS OUTPATIENT,829,1 ,"$1,948.00 ","$1,402.56 ",$510.38 ,"$1,948.00 ","$1,479.45 ","$1,032.44 ","$1,071.40 ",$579.94 ,$545.44 ,"$1,018.80 ",$579.94 ,"$1,071.40 ",$579.94 ,$964.26 ,$964.26 ,$579.94 ,$964.26 ,"$1,195.40 ","$1,363.60 ","$1,217.50 ","$1,558.40 ","$1,479.45 ",$579.94 ,"$1,363.60 ",$579.94 ,"$1,168.80 ",$591.55 ,"$1,461.00 ","$1,075.30 ",$970.10 ,"$1,075.30 ",$579.94 ,"$1,075.30 ","$1,577.88 ","$1,948.00 ","$1,577.88 ","$1,655.80 ","$1,479.45 ","$1,349.96 ",$579.94 ,"$1,948.00 ","$1,092.83 ",$579.94 ,$510.38 ,"$1,948.00 ",$686.39 ,$655.19 ,$608.94 ,"$1,558.40 ",$964.26 ,$545.44 ,"$1,753.20 ",$740.24 ,$803.00 ,$579.94 ,$935.04 
ST. MARY'S HOSPITAL - DECATUR,90000001,90785,HC PSYCH THERAPY COMPLEX INTERACTIVE,900,1 ,$151.00 ,$108.72 ,$23.97 ,$151.00 , N/A ,$80.03 ,$83.05 , N/A ,$42.28 ,$78.97 , N/A ,$83.05 , N/A ,$74.75 ,$23.97 , N/A ,$74.75 , N/A ,$105.70 ,$94.38 ,$120.80 , N/A , N/A ,$135.90 , N/A ,$90.60 , N/A ,$113.25 ,$83.35 ,$75.20 ,$83.35 , N/A ,$83.35 ,$122.31 ,$151.00 ,$122.31 ,$128.35 , N/A ,$104.64 , N/A ,$151.00 ,$84.71 , N/A ,$39.56 ,$151.00 , N/A , N/A , N/A ,$120.80 ,$74.75 ,$42.28 ,$135.90 ,$57.38 ,$151.00 , N/A ,$72.48 
ST. MARY'S HOSPITAL - DECATUR,90000002,90791,HC EVAL PSYCH DIAG,900,1 ,$395.00 ,$284.40 ,$103.49 ,$395.00 ,$341.88 ,$209.35 ,$217.25 ,$134.01 ,$110.60 ,$206.59 ,$134.01 ,$217.25 ,$134.01 ,$195.53 ,$222.01 ,$134.01 ,$195.53 ,$276.23 ,$276.50 ,$246.88 ,$316.00 ,$341.87 ,$134.01 ,$355.50 ,$134.01 ,$237.00 ,$136.69 ,$296.25 ,$218.04 ,$196.71 ,$218.04 ,$134.01 ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 ,$341.87 ,$273.74 ,$134.01 ,$395.00 ,$221.60 ,$134.01 ,$103.49 ,$395.00 ,$199.06 ,$190.01 ,$140.72 ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 ,$384.00 ,$134.01 ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,90100001,90870,HC ELECTROCONVULSIVE THERAPY,901,1 ,"$1,250.00 ",$900.00 ,$327.50 ,"$1,250.00 ","$1,134.33 ",$662.50 ,$687.50 ,$444.66 ,$350.00 ,$653.75 ,$444.66 ,$687.50 ,$444.66 ,$618.75 ,$618.75 ,$444.66 ,$618.75 ,$916.53 ,$812.50 ,$781.25 ,"$1,000.00 ","$1,134.32 ",$444.66 ,"$1,125.00 ",$444.66 ,$750.00 ,$453.54 ,$937.50 ,$690.00 ,$622.50 ,$690.00 ,$444.66 ,$690.00 ,"$1,012.50 ","$1,250.00 ","$1,012.50 ","$1,062.50 ","$1,134.32 ",$866.25 ,$444.66 ,"$1,250.00 ",$701.25 ,$444.66 ,$327.50 ,$596.00 ,$350.77 ,$334.82 ,$466.89 ,"$1,000.00 ",$618.75 ,$350.00 ,"$1,125.00 ",$475.00 , N/A ,$444.66 ,$600.00 
ST. MARY'S HOSPITAL - DECATUR,91400004,90832,HC THERAPY INDIVIDUAL PSYCH 30MIN,914,1 ,$173.00 ,$124.56 ,$45.33 ,$341.88 ,$341.88 ,$91.69 ,$95.15 ,$134.01 ,$48.44 ,$90.48 ,$134.01 ,$95.15 ,$134.01 ,$85.64 ,$108.54 ,$134.01 ,$85.64 ,$173.00 ,$112.45 ,$108.13 ,$138.40 ,$341.87 ,$134.01 ,$155.70 ,$134.01 ,$103.80 ,$136.69 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$134.01 ,$95.50 ,$140.13 ,$173.00 ,$140.13 ,$147.05 ,$173.00 ,$119.89 ,$134.01 ,$173.00 ,$97.05 ,$134.01 ,$45.33 ,$103.80 ,$107.10 ,$102.23 ,$140.72 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 , N/A ,$134.01 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,91400007,90834,HC THERAPY INDIVIDUAL PSYCH 45MIN,914,1 ,$220.00 ,$158.40 ,$57.64 ,$341.88 ,$341.88 ,$116.60 ,$121.00 ,$134.01 ,$61.60 ,$115.06 ,$134.01 ,$121.00 ,$134.01 ,$108.90 ,$144.60 ,$134.01 ,$108.90 ,$220.00 ,$143.00 ,$137.50 ,$176.00 ,$341.87 ,$134.01 ,$198.00 ,$134.01 ,$132.00 ,$136.69 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$134.01 ,$121.44 ,$178.20 ,$220.00 ,$178.20 ,$187.00 ,$220.00 ,$152.46 ,$134.01 ,$220.00 ,$123.42 ,$134.01 ,$57.64 ,$132.00 ,$107.27 ,$102.40 ,$140.72 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 , N/A ,$134.01 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,91400012,90837,HC THERAPY INDIVIDUAL PSYCH 60MIN,914,1 ,$489.00 ,$352.08 ,$102.40 ,$489.00 ,$341.88 ,$259.17 ,$268.95 ,$134.01 ,$136.92 ,$255.75 ,$134.01 ,$268.95 ,$134.01 ,$242.06 ,$217.24 ,$134.01 ,$242.06 ,$276.23 ,$317.85 ,$305.63 ,$391.20 ,$341.87 ,$134.01 ,$440.10 ,$134.01 ,$293.40 ,$136.69 ,$366.75 ,$269.93 ,$243.52 ,$269.93 ,$134.01 ,$269.93 ,$396.09 ,$489.00 ,$396.09 ,$415.65 ,$341.87 ,$338.88 ,$134.01 ,$489.00 ,$274.33 ,$134.01 ,$128.12 ,$293.40 ,$107.27 ,$102.40 ,$140.72 ,$391.20 ,$242.06 ,$136.92 ,$440.10 ,$185.82 , N/A ,$134.01 ,$234.72 
ST. MARY'S HOSPITAL - DECATUR,91600001,90846,HC THERAPY FAMILY PSYCH W/O PATIENT MASTERS,916,1 ,$298.00 ,$214.56 ,$78.08 ,$341.88 ,$341.88 ,$157.94 ,$163.90 ,$134.01 ,$83.44 ,$155.85 ,$134.01 ,$163.90 ,$134.01 ,$147.51 ,$188.41 ,$134.01 ,$147.51 ,$276.23 ,$193.70 ,$186.25 ,$238.40 ,$341.87 ,$134.01 ,$268.20 ,$134.01 ,$178.80 ,$136.69 ,$223.50 ,$164.50 ,$148.40 ,$164.50 ,$134.01 ,$164.50 ,$241.38 ,$298.00 ,$241.38 ,$253.30 ,$298.00 ,$206.51 ,$134.01 ,$298.00 ,$167.18 ,$134.01 ,$78.08 ,$178.80 ,$113.10 ,$107.96 ,$140.72 ,$238.40 ,$147.51 ,$83.44 ,$268.20 ,$113.24 , N/A ,$134.01 ,$143.04 
ST. MARY'S HOSPITAL - DECATUR,91600003,90847,HC THERAPY FAMILY PSYCH W/PATIENT MASTERS,916,1 ,$323.00 ,$232.56 ,$84.63 ,$341.88 ,$341.88 ,$171.19 ,$177.65 ,$134.01 ,$90.44 ,$168.93 ,$134.01 ,$177.65 ,$134.01 ,$159.89 ,$195.77 ,$134.01 ,$159.89 ,$276.23 ,$209.95 ,$201.88 ,$258.40 ,$341.87 ,$134.01 ,$290.70 ,$134.01 ,$193.80 ,$136.69 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$134.01 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$323.00 ,$223.84 ,$134.01 ,$323.00 ,$181.20 ,$134.01 ,$84.63 ,$193.80 ,$113.10 ,$107.96 ,$140.72 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$134.01 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,91600005,90846,HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN,916,1 ,$298.00 ,$214.56 ,$78.08 ,$341.88 ,$341.88 ,$157.94 ,$163.90 ,$134.01 ,$83.44 ,$155.85 ,$134.01 ,$163.90 ,$134.01 ,$147.51 ,$188.41 ,$134.01 ,$147.51 ,$276.23 ,$193.70 ,$186.25 ,$238.40 ,$341.87 ,$134.01 ,$268.20 ,$134.01 ,$178.80 ,$136.69 ,$223.50 ,$164.50 ,$148.40 ,$164.50 ,$134.01 ,$164.50 ,$241.38 ,$298.00 ,$241.38 ,$253.30 ,$298.00 ,$206.51 ,$134.01 ,$298.00 ,$167.18 ,$134.01 ,$78.08 ,$178.80 ,$113.10 ,$107.96 ,$140.72 ,$238.40 ,$147.51 ,$83.44 ,$268.20 ,$113.24 , N/A ,$134.01 ,$143.04 
ST. MARY'S HOSPITAL - DECATUR,91600006,90847,HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN,916,1 ,$323.00 ,$232.56 ,$84.63 ,$341.88 ,$341.88 ,$171.19 ,$177.65 ,$134.01 ,$90.44 ,$168.93 ,$134.01 ,$177.65 ,$134.01 ,$159.89 ,$195.77 ,$134.01 ,$159.89 ,$276.23 ,$209.95 ,$201.88 ,$258.40 ,$341.87 ,$134.01 ,$290.70 ,$134.01 ,$193.80 ,$136.69 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$134.01 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$323.00 ,$223.84 ,$134.01 ,$323.00 ,$181.20 ,$134.01 ,$84.63 ,$193.80 ,$113.10 ,$107.96 ,$140.72 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$134.01 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,91600007,90853,HC THERAPY GROUP PSYCH,916,1 ,$323.00 ,$232.56 ,$54.52 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$54.52 ,$69.77 ,$159.89 ,$143.80 ,$209.95 ,$201.88 ,$258.40 ,$177.97 ,$69.77 ,$290.70 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$193.80 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,91800008,96112,HC DEVELOPMENT TEST ADMIN MD/QHCP INIT HOUR,918,1 ,$683.00 ,$491.76 ,$178.95 ,$683.00 ,$629.35 ,$361.99 ,$375.65 ,$246.71 ,$191.24 ,$357.21 ,$246.71 ,$375.65 ,$246.71 ,$338.09 ,$295.93 ,$246.71 ,$338.09 ,$508.52 ,$478.10 ,$426.88 ,$546.40 ,$629.35 ,$246.71 ,$614.70 ,$246.71 ,$409.80 ,$251.64 ,$512.25 ,$377.02 ,$340.13 ,$377.02 ,$246.71 ,$377.02 ,$553.23 ,$683.00 ,$553.23 ,$580.55 ,$629.35 ,$473.32 ,$246.71 ,$683.00 ,$383.16 ,$246.71 ,$178.95 ,$409.80 ,$581.41 ,$554.98 ,$259.04 ,$546.40 ,$338.09 ,$191.24 ,$614.70 ,$259.54 ,$384.00 ,$246.71 ,$327.84 
ST. MARY'S HOSPITAL - DECATUR,91800009,96113,HC DEVELOPMENT TEST ADMIN MD/QHCP ADDL HOUR,918,1 ,$683.00 ,$491.76 ,$135.33 ,$683.00 , N/A ,$361.99 ,$375.65 , N/A ,$191.24 ,$357.21 , N/A ,$375.65 , N/A ,$338.09 ,$135.33 , N/A ,$338.09 , N/A ,$478.10 ,$426.88 ,$546.40 , N/A , N/A ,$614.70 , N/A ,$409.80 , N/A ,$512.25 ,$377.02 ,$340.13 ,$377.02 , N/A ,$377.02 ,$553.23 ,$683.00 ,$553.23 ,$580.55 , N/A ,$473.32 , N/A ,$683.00 ,$383.16 , N/A ,$178.95 ,$409.80 ,$581.41 ,$554.98 , N/A ,$546.40 ,$338.09 ,$191.24 ,$614.70 ,$259.54 ,$384.00 , N/A ,$327.84 
ST. MARY'S HOSPITAL - DECATUR,91800010,96130,HC PSYCH TESTING EVAL MD/QHCP INIT HOUR,918,1 ,$464.00 ,$334.08 ,$121.57 ,$629.35 ,$629.35 ,$245.92 ,$255.20 ,$246.71 ,$129.92 ,$242.67 ,$246.71 ,$255.20 ,$246.71 ,$229.68 ,$256.07 ,$246.71 ,$229.68 ,$464.00 ,$324.80 ,$290.00 ,$371.20 ,$629.35 ,$246.71 ,$417.60 ,$246.71 ,$278.40 ,$251.64 ,$348.00 ,$256.13 ,$231.07 ,$256.13 ,$246.71 ,$256.13 ,$375.84 ,$464.00 ,$375.84 ,$394.40 ,$464.00 ,$321.55 ,$246.71 ,$464.00 ,$260.30 ,$246.71 ,$121.57 ,$278.40 ,$464.00 ,$554.98 ,$259.04 ,$371.20 ,$229.68 ,$129.92 ,$417.60 ,$176.32 ,$384.00 ,$246.71 ,$222.72 
ST. MARY'S HOSPITAL - DECATUR,91800011,96131,HC PSYCH TESTING EVAL MD/QHCP ADDL HOUR,918,1 ,$232.00 ,$167.04 ,$60.78 ,$554.98 , N/A ,$122.96 ,$127.60 , N/A ,$64.96 ,$121.34 , N/A ,$127.60 , N/A ,$114.84 ,$194.87 , N/A ,$114.84 , N/A ,$162.40 ,$145.00 ,$185.60 , N/A , N/A ,$208.80 , N/A ,$139.20 , N/A ,$174.00 ,$128.06 ,$115.54 ,$128.06 , N/A ,$128.06 ,$187.92 ,$232.00 ,$187.92 ,$197.20 , N/A ,$160.78 , N/A ,$232.00 ,$130.15 , N/A ,$60.78 ,$139.20 ,$232.00 ,$554.98 , N/A ,$185.60 ,$114.84 ,$64.96 ,$208.80 ,$88.16 ,$232.00 , N/A ,$111.36 
ST. MARY'S HOSPITAL - DECATUR,91800012,96146,HC PSYCH TESTING EVAL SINGLE AUTO EVAL,918,1 ,$464.00 ,$334.08 ,$4.82 ,$554.98 ,$58.58 ,$245.92 ,$255.20 ,$22.96 ,$129.92 ,$242.67 ,$22.96 ,$255.20 ,$22.96 ,$229.68 ,$4.82 ,$22.96 ,$229.68 ,$47.32 ,$324.80 ,$290.00 ,$371.20 ,$58.57 ,$22.96 ,$417.60 ,$22.96 ,$278.40 ,$23.42 ,$348.00 ,$256.13 ,$231.07 ,$256.13 ,$22.96 ,$256.13 ,$375.84 ,$464.00 ,$375.84 ,$394.40 ,$58.57 ,$321.55 ,$22.96 ,$464.00 ,$260.30 ,$22.96 ,$121.57 ,$278.40 ,$464.00 ,$554.98 ,$24.11 ,$371.20 ,$229.68 ,$129.92 ,$417.60 ,$176.32 ,$384.00 ,$22.96 ,$222.72 
ST. MARY'S HOSPITAL - DECATUR,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,"$1,225.00 ",$882.00 ,$31.73 ,"$1,225.00 ",$417.98 ,$649.25 ,$673.75 ,$163.85 ,$343.00 ,$640.68 ,$163.85 ,$673.75 ,$163.85 ,$606.38 ,$31.73 ,$163.85 ,$606.38 ,$337.72 ,$857.50 ,$765.63 ,$980.00 ,$417.96 ,$163.85 ,$857.50 ,$163.85 ,$735.00 ,$167.12 ,$918.75 ,$676.20 ,$610.05 ,$676.20 ,$163.85 ,$676.20 ,$992.25 ,"$1,225.00 ",$992.25 ,"$1,041.25 ",$417.96 ,$848.93 ,$163.85 ,"$1,225.00 ",$687.23 ,$163.85 ,$320.95 ,"$1,225.00 ", N/A , N/A ,$172.04 ,$980.00 ,$606.38 ,$343.00 ,"$1,102.50 ",$465.50 ,$230.00 ,$163.85 ,$588.00 
ST. MARY'S HOSPITAL - DECATUR,92000003,93786,HC AMBUL BLOOD PRESS MONITR,920,1 ,$667.00 ,$480.24 ,$47.71 ,$667.00 ,$272.45 ,$353.51 ,$366.85 ,$106.80 ,$186.76 ,$348.84 ,$106.80 ,$366.85 ,$106.80 ,$330.17 ,$57.04 ,$106.80 ,$330.17 ,$220.13 ,$466.90 ,$416.88 ,$533.60 ,$272.44 ,$106.80 ,$466.90 ,$106.80 ,$400.20 ,$108.94 ,$500.25 ,$368.18 ,$332.17 ,$368.18 ,$106.80 ,$368.18 ,$540.27 ,$667.00 ,$540.27 ,$566.95 ,$272.44 ,$462.23 ,$106.80 ,$667.00 ,$374.19 ,$106.80 ,$174.75 ,$667.00 ,$49.98 ,$47.71 ,$112.14 ,$533.60 ,$330.17 ,$186.76 ,$600.30 ,$253.46 ,$230.00 ,$106.80 ,$320.16 
ST. MARY'S HOSPITAL - DECATUR,92000016,95970,HC ANALYZE NEUROSTIM W/O PROGRAMMING,920,1 ,$810.00 ,$583.20 ,$29.20 ,$810.00 ,$272.45 ,$429.30 ,$445.50 ,$106.80 ,$226.80 ,$217.42 ,$106.80 ,$227.15 ,$106.80 ,$400.95 ,$29.22 ,$106.80 ,$400.95 ,$220.13 ,$567.00 ,$506.25 ,$648.00 ,$272.44 ,$106.80 ,$567.00 ,$106.80 ,$486.00 ,$108.94 ,$607.50 ,$447.12 ,$403.38 ,$447.12 ,$106.80 ,$447.12 ,$656.10 ,$810.00 ,$656.10 ,$688.50 ,$272.44 ,$561.33 ,$106.80 ,$810.00 ,$454.41 ,$106.80 ,$212.22 ,$810.00 ,$30.59 ,$29.20 ,$112.14 ,$648.00 ,$400.95 ,$226.80 ,$729.00 ,$307.80 ,$230.00 ,$106.80 ,$388.80 
ST. MARY'S HOSPITAL - DECATUR,92000017,N/A,HC ADULT DAYCARE 15 MIN,920,1 ,$2.39 ,$1.72 ,$0.63 ,$2.39 , N/A ,$1.27 ,$1.31 , N/A ,$0.67 ,$1.25 , N/A ,$1.31 , N/A ,$1.18 ,$0.96 , N/A ,$1.18 , N/A ,$1.67 ,$1.49 ,$1.91 , N/A , N/A ,$1.67 , N/A ,$1.43 , N/A ,$1.79 ,$1.32 ,$1.19 ,$1.32 , N/A ,$1.32 ,$1.94 ,$2.39 ,$1.94 ,$2.03 , N/A ,$1.66 , N/A ,$2.39 ,$1.34 , N/A ,$0.63 ,$2.39 , N/A , N/A , N/A ,$1.91 ,$1.18 ,$0.67 ,$2.15 ,$0.91 ,$2.39 , N/A ,$1.15 
ST. MARY'S HOSPITAL - DECATUR,92000018,N/A,HC ADULT DAYCARE NON IDOA FULL DAY,920,1 ,$83.00 ,$59.76 ,$21.75 ,$83.00 , N/A ,$43.99 ,$45.65 , N/A ,$23.24 ,$43.41 , N/A ,$45.65 , N/A ,$41.09 ,$33.20 , N/A ,$41.09 , N/A ,$58.10 ,$51.88 ,$66.40 , N/A , N/A ,$58.10 , N/A ,$49.80 , N/A ,$62.25 ,$45.82 ,$41.33 ,$45.82 , N/A ,$45.82 ,$67.23 ,$83.00 ,$67.23 ,$70.55 , N/A ,$57.52 , N/A ,$83.00 ,$46.56 , N/A ,$21.75 ,$83.00 , N/A , N/A , N/A ,$66.40 ,$41.09 ,$23.24 ,$74.70 ,$31.54 ,$83.00 , N/A ,$39.84 
ST. MARY'S HOSPITAL - DECATUR,92000019,N/A,HC ADULT DAYCARE NON IDOA HALF DAY,920,1 ,$41.00 ,$29.52 ,$10.74 ,$41.00 , N/A ,$21.73 ,$22.55 , N/A ,$11.48 ,$21.44 , N/A ,$22.55 , N/A ,$20.30 ,$16.40 , N/A ,$20.30 , N/A ,$28.70 ,$25.63 ,$32.80 , N/A , N/A ,$28.70 , N/A ,$24.60 , N/A ,$30.75 ,$22.63 ,$20.42 ,$22.63 , N/A ,$22.63 ,$33.21 ,$41.00 ,$33.21 ,$34.85 , N/A ,$28.41 , N/A ,$41.00 ,$23.00 , N/A ,$10.74 ,$41.00 , N/A , N/A , N/A ,$32.80 ,$20.30 ,$11.48 ,$36.90 ,$15.58 ,$41.00 , N/A ,$19.68 
ST. MARY'S HOSPITAL - DECATUR,92000020,N/A,HC ADULT DAYCARE TRANSPORTATION ONE WAY,920,1 ,$17.00 ,$12.24 ,$4.45 ,$17.00 , N/A ,$9.01 ,$9.35 , N/A ,$4.76 ,$8.89 , N/A ,$9.35 , N/A ,$8.42 ,$6.80 , N/A ,$8.42 , N/A ,$11.90 ,$10.63 ,$13.60 , N/A , N/A ,$11.90 , N/A ,$10.20 , N/A ,$12.75 ,$9.38 ,$8.47 ,$9.38 , N/A ,$9.38 ,$13.77 ,$17.00 ,$13.77 ,$14.45 , N/A ,$11.78 , N/A ,$17.00 ,$9.54 , N/A ,$4.45 ,$17.00 , N/A , N/A , N/A ,$13.60 ,$8.42 ,$4.76 ,$15.30 ,$6.46 ,$17.00 , N/A ,$8.16 
ST. MARY'S HOSPITAL - DECATUR,92000021,N/A,HC ADULT DAYCARE TRANSPORTATION ROUND TRIP,920,1 ,$34.00 ,$24.48 ,$8.91 ,$34.00 , N/A ,$18.02 ,$18.70 , N/A ,$9.52 ,$17.78 , N/A ,$18.70 , N/A ,$16.83 ,$13.60 , N/A ,$16.83 , N/A ,$23.80 ,$21.25 ,$27.20 , N/A , N/A ,$23.80 , N/A ,$20.40 , N/A ,$25.50 ,$18.77 ,$16.93 ,$18.77 , N/A ,$18.77 ,$27.54 ,$34.00 ,$27.54 ,$28.90 , N/A ,$23.56 , N/A ,$34.00 ,$19.07 , N/A ,$8.91 ,$34.00 , N/A , N/A , N/A ,$27.20 ,$16.83 ,$9.52 ,$30.60 ,$12.92 ,$34.00 , N/A ,$16.32 
ST. MARY'S HOSPITAL - DECATUR,92000029,N/A,HC ADULT DAYCARE AFTER HOURS EA 15 MIN,920,1 ,$14.00 ,$10.08 ,$3.67 ,$14.00 , N/A ,$7.42 ,$7.70 , N/A ,$3.92 ,$7.32 , N/A ,$7.70 , N/A ,$6.93 ,$5.60 , N/A ,$6.93 , N/A ,$9.80 ,$8.75 ,$11.20 , N/A , N/A ,$9.80 , N/A ,$8.40 , N/A ,$10.50 ,$7.73 ,$6.97 ,$7.73 , N/A ,$7.73 ,$11.34 ,$14.00 ,$11.34 ,$11.90 , N/A ,$9.70 , N/A ,$14.00 ,$7.85 , N/A ,$3.67 ,$14.00 , N/A , N/A , N/A ,$11.20 ,$6.93 ,$3.92 ,$12.60 ,$5.32 ,$14.00 , N/A ,$6.72 
ST. MARY'S HOSPITAL - DECATUR,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,539.00 ","$1,108.08 ",$105.05 ,"$1,539.00 ",$547.93 ,$815.67 ,$846.45 ,$214.79 ,$430.92 ,$804.90 ,$214.79 ,$846.45 ,$214.79 ,$761.81 ,$301.09 ,$214.79 ,$761.81 ,$442.73 ,"$1,077.30 ",$365.00 ,"$1,231.20 ",$547.93 ,$214.79 ,"$1,077.30 ",$214.79 ,$923.40 ,$219.09 ,"$1,154.25 ",$849.53 ,$766.42 ,$849.53 ,$214.79 ,$849.53 ,"$1,246.59 ","$1,539.00 ","$1,246.59 ","$1,308.15 ",$547.93 ,"$1,066.53 ",$214.79 ,"$1,539.00 ",$863.38 ,$214.79 ,$403.22 ,"$1,539.00 ",$110.06 ,$105.05 ,$225.53 ,"$1,231.20 ",$761.81 ,$430.92 ,"$1,385.10 ",$584.82 ,$837.22 ,$214.79 ,$738.72 
ST. MARY'S HOSPITAL - DECATUR,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$760.00 ,$547.20 ,$98.30 ,$760.00 ,$250.78 ,$402.80 ,$418.00 ,$98.30 ,$212.80 ,$397.48 ,$98.30 ,$418.00 ,$98.30 ,$376.20 ,$193.41 ,$98.30 ,$376.20 ,$202.63 ,$532.00 ,$241.13 ,$608.00 ,$250.78 ,$98.30 ,$532.00 ,$98.30 ,$456.00 ,$100.27 ,$570.00 ,$419.52 ,$378.48 ,$419.52 ,$98.30 ,$419.52 ,$615.60 ,$760.00 ,$615.60 ,$646.00 ,$250.78 ,$526.68 ,$98.30 ,$760.00 ,$426.36 ,$98.30 ,$199.12 ,$760.00 ,$110.06 ,$105.05 ,$103.22 ,$608.00 ,$376.20 ,$212.80 ,$684.00 ,$288.80 ,$413.44 ,$98.30 ,$364.80 
ST. MARY'S HOSPITAL - DECATUR,92100004,93888,HC DOPPLER TRANSCRANIAL LTD,921,1 ,$313.00 ,$225.36 ,$82.01 ,$313.00 ,$250.78 ,$165.89 ,$172.15 ,$98.30 ,$87.64 ,$163.70 ,$98.30 ,$172.15 ,$98.30 ,$154.94 ,$246.16 ,$98.30 ,$154.94 ,$202.63 ,$219.10 ,$313.00 ,$250.40 ,$250.78 ,$98.30 ,$219.10 ,$98.30 ,$187.80 ,$100.27 ,$234.75 ,$172.78 ,$155.87 ,$172.78 ,$98.30 ,$172.78 ,$253.53 ,$313.00 ,$253.53 ,$266.05 ,$250.78 ,$216.91 ,$98.30 ,$313.00 ,$175.59 ,$98.30 ,$82.01 ,$313.00 ,$110.06 ,$105.05 ,$103.22 ,$250.40 ,$154.94 ,$87.64 ,$281.70 ,$118.94 ,$170.27 ,$98.30 ,$150.24 
ST. MARY'S HOSPITAL - DECATUR,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,"$1,486.00 ","$1,069.92 ",$97.95 ,"$1,486.00 ",$272.45 ,$787.58 ,$817.30 ,$106.80 ,$416.08 ,$777.18 ,$106.80 ,$817.30 ,$106.80 ,$735.57 ,$142.78 ,$106.80 ,$735.57 ,$220.13 ,"$1,040.20 ",$165.15 ,"$1,188.80 ",$272.44 ,$106.80 ,"$1,040.20 ",$106.80 ,$891.60 ,$108.94 ,"$1,114.50 ",$820.27 ,$740.03 ,$820.27 ,$106.80 ,$820.27 ,"$1,203.66 ","$1,486.00 ","$1,203.66 ","$1,263.10 ",$272.44 ,"$1,029.80 ",$106.80 ,"$1,486.00 ",$833.65 ,$106.80 ,$389.33 ,"$1,486.00 ",$102.62 ,$97.95 ,$112.14 ,"$1,188.80 ",$735.57 ,$416.08 ,"$1,337.40 ",$564.68 ,$808.38 ,$106.80 ,$713.28 
ST. MARY'S HOSPITAL - DECATUR,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,"$1,525.00 ","$1,098.00 ",$97.95 ,"$1,525.00 ",$341.23 ,$808.25 ,$838.75 ,$133.76 ,$427.00 ,$797.58 ,$133.76 ,$838.75 ,$133.76 ,$754.88 ,$216.33 ,$133.76 ,$754.88 ,$275.72 ,"$1,067.50 ",$252.18 ,"$1,220.00 ",$341.24 ,$133.76 ,"$1,067.50 ",$133.76 ,$915.00 ,$136.44 ,"$1,143.75 ",$841.80 ,$759.45 ,$841.80 ,$133.76 ,$841.80 ,"$1,235.25 ","$1,525.00 ","$1,235.25 ","$1,296.25 ",$341.24 ,"$1,056.83 ",$133.76 ,"$1,525.00 ",$855.53 ,$133.76 ,$399.55 ,"$1,525.00 ",$102.62 ,$97.95 ,$140.44 ,"$1,220.00 ",$754.88 ,$427.00 ,"$1,372.50 ",$579.50 ,$829.60 ,$133.76 ,$732.00 
ST. MARY'S HOSPITAL - DECATUR,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,"$1,525.00 ","$1,098.00 ",$97.95 ,"$1,525.00 ",$341.23 ,$808.25 ,$838.75 ,$133.76 ,$427.00 ,$797.58 ,$133.76 ,$838.75 ,$133.76 ,$754.88 ,$216.33 ,$133.76 ,$754.88 ,$275.72 ,"$1,067.50 ",$252.18 ,"$1,220.00 ",$341.24 ,$133.76 ,"$1,067.50 ",$133.76 ,$915.00 ,$136.44 ,"$1,143.75 ",$841.80 ,$759.45 ,$841.80 ,$133.76 ,$841.80 ,"$1,235.25 ","$1,525.00 ","$1,235.25 ","$1,296.25 ",$341.24 ,"$1,056.83 ",$133.76 ,"$1,525.00 ",$855.53 ,$133.76 ,$399.55 ,"$1,525.00 ",$102.62 ,$97.95 ,$140.44 ,"$1,220.00 ",$754.88 ,$427.00 ,"$1,372.50 ",$579.50 ,$829.60 ,$133.76 ,$732.00 
ST. MARY'S HOSPITAL - DECATUR,92100031,93923,HC RESTING ARTERIAL UPPER BILATERAL,921,1 ,"$1,525.00 ","$1,098.00 ",$97.95 ,"$1,525.00 ",$341.23 ,$808.25 ,$838.75 ,$133.76 ,$427.00 ,$797.58 ,$133.76 ,$838.75 ,$133.76 ,$754.88 ,$216.33 ,$133.76 ,$754.88 ,$275.72 ,"$1,067.50 ",$252.18 ,"$1,220.00 ",$341.24 ,$133.76 ,"$1,067.50 ",$133.76 ,$915.00 ,$136.44 ,"$1,143.75 ",$841.80 ,$759.45 ,$841.80 ,$133.76 ,$841.80 ,"$1,235.25 ","$1,525.00 ","$1,235.25 ","$1,296.25 ",$341.24 ,"$1,056.83 ",$133.76 ,"$1,525.00 ",$855.53 ,$133.76 ,$399.55 ,"$1,525.00 ",$102.62 ,$97.95 ,$140.44 ,"$1,220.00 ",$754.88 ,$427.00 ,"$1,372.50 ",$579.50 ,$829.60 ,$133.76 ,$732.00 
ST. MARY'S HOSPITAL - DECATUR,92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,"$1,859.00 ","$1,338.48 ",$97.95 ,"$1,859.00 ",$657.13 ,$985.27 ,"$1,022.45 ",$257.59 ,$520.52 ,$972.26 ,$257.59 ,"$1,022.45 ",$257.59 ,$920.21 ,$272.53 ,$257.59 ,$920.21 ,$530.96 ,"$1,301.30 ",$318.13 ,"$1,487.20 ",$657.13 ,$257.59 ,"$1,301.30 ",$257.59 ,"$1,115.40 ",$262.75 ,"$1,394.25 ","$1,026.17 ",$925.78 ,"$1,026.17 ",$257.59 ,"$1,026.17 ","$1,505.79 ","$1,859.00 ","$1,505.79 ","$1,580.15 ",$657.13 ,"$1,288.29 ",$257.59 ,"$1,859.00 ","$1,042.90 ",$257.59 ,$487.06 ,"$1,859.00 ",$102.62 ,$97.95 ,$270.47 ,"$1,487.20 ",$920.21 ,$520.52 ,"$1,673.10 ",$706.42 ,"$1,011.30 ",$257.59 ,$892.32 
ST. MARY'S HOSPITAL - DECATUR,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$1,819.00 ","$1,309.68 ",$138.27 ,"$1,819.00 ",$547.93 ,$964.07 ,"$1,000.45 ",$214.79 ,$509.32 ,$951.34 ,$214.79 ,"$1,000.45 ",$214.79 ,$900.41 ,$420.79 ,$214.79 ,$900.41 ,$442.73 ,"$1,273.30 ",$487.75 ,"$1,455.20 ",$547.93 ,$214.79 ,"$1,273.30 ",$214.79 ,"$1,091.40 ",$219.09 ,"$1,364.25 ","$1,004.09 ",$905.86 ,"$1,004.09 ",$214.79 ,"$1,004.09 ","$1,473.39 ","$1,819.00 ","$1,473.39 ","$1,546.15 ",$547.93 ,"$1,260.57 ",$214.79 ,"$1,819.00 ","$1,020.46 ",$214.79 ,$476.58 ,"$1,819.00 ",$144.86 ,$138.27 ,$225.53 ,"$1,455.20 ",$900.41 ,$509.32 ,"$1,637.10 ",$691.22 ,$989.54 ,$214.79 ,$873.12 
ST. MARY'S HOSPITAL - DECATUR,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,336.00 ",$961.92 ,$98.30 ,"$1,336.00 ",$250.78 ,$708.08 ,$734.80 ,$98.30 ,$374.08 ,$698.73 ,$98.30 ,$734.80 ,$98.30 ,$661.32 ,$245.12 ,$98.30 ,$661.32 ,$202.63 ,$935.20 ,$286.88 ,"$1,068.80 ",$250.78 ,$98.30 ,$935.20 ,$98.30 ,$801.60 ,$100.27 ,"$1,002.00 ",$737.47 ,$665.33 ,$737.47 ,$98.30 ,$737.47 ,"$1,082.16 ","$1,336.00 ","$1,082.16 ","$1,135.60 ",$250.78 ,$925.85 ,$98.30 ,"$1,336.00 ",$749.50 ,$98.30 ,$350.03 ,"$1,336.00 ",$144.86 ,$138.27 ,$103.22 ,"$1,068.80 ",$661.32 ,$374.08 ,"$1,202.40 ",$507.68 ,$726.78 ,$98.30 ,$641.28 
ST. MARY'S HOSPITAL - DECATUR,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,967.00 ","$1,416.24 ",$105.05 ,"$1,967.00 ",$547.93 ,"$1,042.51 ","$1,081.85 ",$214.79 ,$550.76 ,"$1,028.74 ",$214.79 ,"$1,081.85 ",$214.79 ,$973.67 ,$321.88 ,$214.79 ,$973.67 ,$442.73 ,"$1,376.90 ",$378.08 ,"$1,573.60 ",$547.93 ,$214.79 ,"$1,376.90 ",$214.79 ,"$1,180.20 ",$219.09 ,"$1,475.25 ","$1,085.78 ",$979.57 ,"$1,085.78 ",$214.79 ,"$1,085.78 ","$1,593.27 ","$1,967.00 ","$1,593.27 ","$1,671.95 ",$547.93 ,"$1,363.13 ",$214.79 ,"$1,967.00 ","$1,103.49 ",$214.79 ,$515.35 ,"$1,967.00 ",$110.06 ,$105.05 ,$225.53 ,"$1,573.60 ",$973.67 ,$550.76 ,"$1,770.30 ",$747.46 ,"$1,070.05 ",$214.79 ,$944.16 
ST. MARY'S HOSPITAL - DECATUR,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,386.00 ",$997.92 ,$98.30 ,"$1,386.00 ",$250.78 ,$734.58 ,$762.30 ,$98.30 ,$388.08 ,$724.88 ,$98.30 ,$762.30 ,$98.30 ,$686.07 ,$201.03 ,$98.30 ,$686.07 ,$202.63 ,$970.20 ,$240.33 ,"$1,108.80 ",$250.78 ,$98.30 ,$970.20 ,$98.30 ,$831.60 ,$100.27 ,"$1,039.50 ",$765.07 ,$690.23 ,$765.07 ,$98.30 ,$765.07 ,"$1,122.66 ","$1,386.00 ","$1,122.66 ","$1,178.10 ",$250.78 ,$960.50 ,$98.30 ,"$1,386.00 ",$777.55 ,$98.30 ,$363.13 ,"$1,386.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,108.80 ",$686.07 ,$388.08 ,"$1,247.40 ",$526.68 ,$753.98 ,$98.30 ,$665.28 
ST. MARY'S HOSPITAL - DECATUR,92100039,93931,HC DUPLEX ARTRL UPR EXT PSEUD ONLY,921,1 ,"$1,156.00 ",$832.32 ,$98.30 ,"$1,156.00 ",$250.78 ,$612.68 ,$635.80 ,$98.30 ,$323.68 ,$604.59 ,$98.30 ,$635.80 ,$98.30 ,$572.22 ,$201.03 ,$98.30 ,$572.22 ,$202.63 ,$809.20 ,$240.33 ,$924.80 ,$250.78 ,$98.30 ,$809.20 ,$98.30 ,$693.60 ,$100.27 ,$867.00 ,$638.11 ,$575.69 ,$638.11 ,$98.30 ,$638.11 ,$936.36 ,"$1,156.00 ",$936.36 ,$982.60 ,$250.78 ,$801.11 ,$98.30 ,"$1,156.00 ",$648.52 ,$98.30 ,$302.87 ,"$1,156.00 ",$110.06 ,$105.05 ,$103.22 ,$924.80 ,$572.22 ,$323.68 ,"$1,040.40 ",$439.28 ,$628.86 ,$98.30 ,$554.88 
ST. MARY'S HOSPITAL - DECATUR,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,847.00 ","$1,329.84 ",$138.27 ,"$1,847.00 ",$547.93 ,$978.91 ,"$1,015.85 ",$214.79 ,$517.16 ,$965.98 ,$214.79 ,"$1,015.85 ",$214.79 ,$914.27 ,$311.60 ,$214.79 ,$914.27 ,$442.73 ,"$1,292.90 ",$368.95 ,"$1,477.60 ",$547.93 ,$214.79 ,"$1,292.90 ",$214.79 ,"$1,108.20 ",$219.09 ,"$1,385.25 ","$1,019.54 ",$919.81 ,"$1,019.54 ",$214.79 ,"$1,019.54 ","$1,496.07 ","$1,847.00 ","$1,496.07 ","$1,569.95 ",$547.93 ,"$1,279.97 ",$214.79 ,"$1,847.00 ","$1,036.17 ",$214.79 ,$483.91 ,"$1,847.00 ",$144.86 ,$138.27 ,$225.53 ,"$1,477.60 ",$914.27 ,$517.16 ,"$1,662.30 ",$701.86 ,"$1,004.77 ",$214.79 ,$886.56 
ST. MARY'S HOSPITAL - DECATUR,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,"$1,509.00 ","$1,086.48 ",$98.30 ,"$1,509.00 ",$250.78 ,$799.77 ,$829.95 ,$98.30 ,$422.52 ,$789.21 ,$98.30 ,$829.95 ,$98.30 ,$746.96 ,$190.75 ,$98.30 ,$746.96 ,$202.63 ,"$1,056.30 ",$234.03 ,"$1,207.20 ",$250.78 ,$98.30 ,"$1,056.30 ",$98.30 ,$905.40 ,$100.27 ,"$1,131.75 ",$832.97 ,$751.48 ,$832.97 ,$98.30 ,$832.97 ,"$1,222.29 ","$1,509.00 ","$1,222.29 ","$1,282.65 ",$250.78 ,"$1,045.74 ",$98.30 ,"$1,509.00 ",$846.55 ,$98.30 ,$395.36 ,"$1,509.00 ",$144.86 ,$138.27 ,$103.22 ,"$1,207.20 ",$746.96 ,$422.52 ,"$1,358.10 ",$573.42 ,$820.90 ,$98.30 ,$724.32 
ST. MARY'S HOSPITAL - DECATUR,92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$700.00 ,$504.00 ,$98.30 ,$700.00 ,$250.78 ,$371.00 ,$385.00 ,$98.30 ,$196.00 ,$366.10 ,$98.30 ,$385.00 ,$98.30 ,$346.50 ,$245.71 ,$98.30 ,$346.50 ,$202.63 ,$490.00 ,$295.55 ,$560.00 ,$250.78 ,$98.30 ,$490.00 ,$98.30 ,$420.00 ,$100.27 ,$525.00 ,$386.40 ,$348.60 ,$386.40 ,$98.30 ,$386.40 ,$567.00 ,$700.00 ,$567.00 ,$595.00 ,$250.78 ,$485.10 ,$98.30 ,$700.00 ,$392.70 ,$98.30 ,$183.40 ,$700.00 ,$110.06 ,$105.05 ,$103.22 ,$560.00 ,$346.50 ,$196.00 ,$630.00 ,$266.00 ,$380.80 ,$98.30 ,$336.00 
ST. MARY'S HOSPITAL - DECATUR,92100047,93980,HC DUPLEX PENILE VESSELS COMPLETE,921,1 ,"$1,437.00 ","$1,034.64 ",$98.30 ,"$1,437.00 ",$250.78 ,$761.61 ,$790.35 ,$98.30 ,$402.36 ,$696.87 ,$98.30 ,$728.07 ,$98.30 ,$711.32 ,$116.92 ,$98.30 ,$711.32 ,$202.63 ,"$1,005.90 ",$134.38 ,"$1,149.60 ",$250.78 ,$98.30 ,"$1,005.90 ",$98.30 ,$862.20 ,$100.27 ,"$1,077.75 ",$793.22 ,$715.63 ,$793.22 ,$98.30 ,$793.22 ,"$1,163.97 ","$1,437.00 ","$1,163.97 ","$1,221.45 ",$250.78 ,$995.84 ,$98.30 ,"$1,437.00 ",$806.16 ,$98.30 ,$376.49 ,"$1,437.00 ",$110.06 ,$105.05 ,$103.22 ,"$1,149.60 ",$711.32 ,$402.36 ,"$1,293.30 ",$546.06 ,$781.73 ,$98.30 ,$689.76 
ST. MARY'S HOSPITAL - DECATUR,92100048,93886,HC DOPPLER TRANSCRANIAL COMPLETE,921,1 ,"$1,481.00 ","$1,066.32 ",$105.05 ,"$1,481.00 ",$547.93 ,$784.93 ,$814.55 ,$214.79 ,$414.68 ,$774.56 ,$214.79 ,$814.55 ,$214.79 ,$733.10 ,$417.80 ,$214.79 ,$733.10 ,$442.73 ,"$1,036.70 ",$532.73 ,"$1,184.80 ",$547.93 ,$214.79 ,"$1,036.70 ",$214.79 ,$888.60 ,$219.09 ,"$1,110.75 ",$817.51 ,$737.54 ,$817.51 ,$214.79 ,$817.51 ,"$1,199.61 ","$1,481.00 ","$1,199.61 ","$1,258.85 ",$547.93 ,"$1,026.33 ",$214.79 ,"$1,481.00 ",$830.84 ,$214.79 ,$388.02 ,"$1,481.00 ",$110.06 ,$105.05 ,$225.53 ,"$1,184.80 ",$733.10 ,$414.68 ,"$1,332.90 ",$562.78 ,$805.66 ,$214.79 ,$710.88 
ST. MARY'S HOSPITAL - DECATUR,92100049,93923,HC RESTING ARTERIAL EXTREMITY COMP -52,921,1 ,"$1,386.00 ",$997.92 ,$48.97 ,"$1,386.00 ",$170.63 ,$734.58 ,$762.30 ,$66.88 ,$388.08 ,$724.88 ,$66.88 ,$762.30 ,$66.88 ,$686.07 ,$216.33 ,$66.88 ,$686.07 ,$137.86 ,$970.20 ,$252.18 ,"$1,108.80 ",$170.62 ,$66.88 ,$970.20 ,$66.88 ,$831.60 ,$68.22 ,"$1,039.50 ",$765.07 ,$690.23 ,$765.07 ,$66.88 ,$765.07 ,"$1,122.66 ","$1,386.00 ","$1,122.66 ","$1,178.10 ",$170.62 ,$960.50 ,$66.88 ,"$1,386.00 ",$777.55 ,$66.88 ,$363.13 ,"$1,386.00 ",$51.30 ,$48.97 ,$70.23 ,"$1,108.80 ",$686.07 ,$388.08 ,"$1,247.40 ",$526.68 ,$753.98 ,$66.88 ,$665.28 
ST. MARY'S HOSPITAL - DECATUR,92100050,93293,HC ANALYSIS PACEMAKER TELEPHONIC,921,1 ,$253.00 ,$182.16 ,$29.20 ,$253.00 ,$82.13 ,$134.09 ,$139.15 ,$32.19 ,$70.84 ,$132.32 ,$32.19 ,$139.15 ,$32.19 ,$125.24 ,$72.10 ,$32.19 ,$125.24 ,$66.36 ,$177.10 ,$158.13 ,$202.40 ,$82.12 ,$32.19 ,$177.10 ,$32.19 ,$151.80 ,$32.84 ,$189.75 ,$139.66 ,$125.99 ,$139.66 ,$32.19 ,$139.66 ,$204.93 ,$253.00 ,$204.93 ,$215.05 ,$82.12 ,$175.33 ,$32.19 ,$253.00 ,$141.93 ,$32.19 ,$66.29 ,$253.00 ,$30.59 ,$29.20 ,$33.80 ,$202.40 ,$125.24 ,$70.84 ,$227.70 ,$96.14 ,$137.63 ,$32.19 ,$121.44 
ST. MARY'S HOSPITAL - DECATUR,92100053,93985,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL BILATERAL STUDY,921,1 ,"$1,403.00 ","$1,010.16 ",$105.05 ,"$1,403.00 ",$547.93 ,$743.59 ,$771.65 ,$214.79 ,$392.84 ,$733.77 ,$214.79 ,$771.65 ,$214.79 ,$694.49 ,$423.20 ,$214.79 ,$694.49 ,$442.73 ,$982.10 ,$508.28 ,"$1,122.40 ",$547.93 ,$214.79 ,$982.10 ,$214.79 ,$841.80 ,$219.09 ,"$1,052.25 ",$774.46 ,$698.69 ,$774.46 ,$214.79 ,$774.46 ,"$1,136.43 ","$1,403.00 ","$1,136.43 ","$1,192.55 ",$547.93 ,$972.28 ,$214.79 ,"$1,403.00 ",$787.08 ,$214.79 ,$367.59 ,"$1,403.00 ",$110.06 ,$105.05 ,$225.53 ,"$1,122.40 ",$694.49 ,$392.84 ,"$1,262.70 ",$533.14 ,$763.23 ,$214.79 ,$673.44 
ST. MARY'S HOSPITAL - DECATUR,92100054,93986,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL UNILATERAL STUDY,921,1 ,$750.00 ,$540.00 ,$98.30 ,$750.00 ,$250.78 ,$397.50 ,$412.50 ,$98.30 ,$210.00 ,$392.25 ,$98.30 ,$412.50 ,$98.30 ,$371.25 ,$240.95 ,$98.30 ,$371.25 ,$202.63 ,$525.00 ,$298.73 ,$600.00 ,$250.78 ,$98.30 ,$525.00 ,$98.30 ,$450.00 ,$100.27 ,$562.50 ,$414.00 ,$373.50 ,$414.00 ,$98.30 ,$414.00 ,$607.50 ,$750.00 ,$607.50 ,$637.50 ,$250.78 ,$519.75 ,$98.30 ,$750.00 ,$420.75 ,$98.30 ,$196.50 ,$750.00 ,$110.06 ,$105.05 ,$103.22 ,$600.00 ,$371.25 ,$210.00 ,$675.00 ,$285.00 ,$408.00 ,$98.30 ,$360.00 
ST. MARY'S HOSPITAL - DECATUR,92200000,95860,HC EMG ONE EXTREMITY,922,1 ,"$1,074.00 ",$773.28 ,$100.58 ,"$1,074.00 ",$272.45 ,$569.22 ,$590.70 ,$106.80 ,$300.72 ,$561.70 ,$106.80 ,$590.70 ,$106.80 ,$531.63 ,$100.58 ,$106.80 ,$531.63 ,$220.13 ,$751.80 ,$671.25 ,$859.20 ,$272.44 ,$106.80 ,$751.80 ,$106.80 ,$644.40 ,$108.94 ,$805.50 ,$592.85 ,$534.85 ,$592.85 ,$106.80 ,$592.85 ,$869.94 ,"$1,074.00 ",$869.94 ,$912.90 ,$272.44 ,$744.28 ,$106.80 ,"$1,074.00 ",$602.51 ,$106.80 ,$281.39 ,"$1,074.00 ",$237.58 ,$226.78 ,$112.14 ,$859.20 ,$531.63 ,$300.72 ,$966.60 ,$408.12 ,$584.26 ,$106.80 ,$515.52 
ST. MARY'S HOSPITAL - DECATUR,92200001,95861,HC EMG TWO EXTREMITIES,922,1 ,"$1,132.00 ",$815.04 ,$106.80 ,"$1,132.00 ",$272.45 ,$599.96 ,$622.60 ,$106.80 ,$316.96 ,$592.04 ,$106.80 ,$622.60 ,$106.80 ,$560.34 ,$130.30 ,$106.80 ,$560.34 ,$220.13 ,$792.40 ,$707.50 ,$905.60 ,$272.44 ,$106.80 ,$792.40 ,$106.80 ,$679.20 ,$108.94 ,$849.00 ,$624.86 ,$563.74 ,$624.86 ,$106.80 ,$624.86 ,$916.92 ,"$1,132.00 ",$916.92 ,$962.20 ,$272.44 ,$784.48 ,$106.80 ,"$1,132.00 ",$635.05 ,$106.80 ,$296.58 ,"$1,132.00 ",$237.58 ,$226.78 ,$112.14 ,$905.60 ,$560.34 ,$316.96 ,"$1,018.80 ",$430.16 ,$615.81 ,$106.80 ,$543.36 
ST. MARY'S HOSPITAL - DECATUR,92200003,95867,HC EMG CRANIAL NERVE UNI,922,1 ,"$1,006.00 ",$724.32 ,$91.87 ,"$1,006.00 ",$657.13 ,$533.18 ,$553.30 ,$257.59 ,$281.68 ,$514.76 ,$257.59 ,$537.81 ,$257.59 ,$497.97 ,$91.87 ,$257.59 ,$497.97 ,$530.96 ,$704.20 ,$628.75 ,$804.80 ,$657.13 ,$257.59 ,$704.20 ,$257.59 ,$603.60 ,$262.75 ,$754.50 ,$555.31 ,$500.99 ,$555.31 ,$257.59 ,$555.31 ,$814.86 ,"$1,006.00 ",$814.86 ,$855.10 ,$657.13 ,$697.16 ,$257.59 ,"$1,006.00 ",$564.37 ,$257.59 ,$263.57 ,"$1,006.00 ",$237.58 ,$226.78 ,$270.47 ,$804.80 ,$497.97 ,$281.68 ,$905.40 ,$382.28 ,$547.26 ,$257.59 ,$482.88 
ST. MARY'S HOSPITAL - DECATUR,92200008,95925,HC SSEP UPPER LIMBS,922,1 ,"$1,879.00 ","$1,352.88 ",$150.95 ,"$1,879.00 ",$657.13 ,$995.87 ,"$1,033.45 ",$257.59 ,$526.12 ,$910.60 ,$257.59 ,$951.37 ,$257.59 ,$930.11 ,$150.95 ,$257.59 ,$930.11 ,$530.96 ,"$1,315.30 ","$1,174.38 ","$1,503.20 ",$657.13 ,$257.59 ,"$1,315.30 ",$257.59 ,"$1,127.40 ",$262.75 ,"$1,409.25 ","$1,037.21 ",$935.74 ,"$1,037.21 ",$257.59 ,"$1,037.21 ","$1,521.99 ","$1,879.00 ","$1,521.99 ","$1,597.15 ",$657.13 ,"$1,302.15 ",$257.59 ,"$1,879.00 ","$1,054.12 ",$257.59 ,$492.30 ,"$1,879.00 ",$237.58 ,$226.78 ,$270.47 ,"$1,503.20 ",$930.11 ,$526.12 ,"$1,691.10 ",$714.02 ,"$1,022.18 ",$257.59 ,$901.92 
ST. MARY'S HOSPITAL - DECATUR,92200009,95926,HC SSEP LOWER LIMBS,922,1 ,"$1,879.00 ","$1,352.88 ",$145.32 ,"$1,879.00 ",$657.13 ,$995.87 ,"$1,033.45 ",$257.59 ,$526.12 ,$892.31 ,$257.59 ,$932.26 ,$257.59 ,$930.11 ,$145.32 ,$257.59 ,$930.11 ,$530.96 ,"$1,315.30 ","$1,174.38 ","$1,503.20 ",$657.13 ,$257.59 ,"$1,315.30 ",$257.59 ,"$1,127.40 ",$262.75 ,"$1,409.25 ","$1,037.21 ",$935.74 ,"$1,037.21 ",$257.59 ,"$1,037.21 ","$1,521.99 ","$1,879.00 ","$1,521.99 ","$1,597.15 ",$657.13 ,"$1,302.15 ",$257.59 ,"$1,879.00 ","$1,054.12 ",$257.59 ,$492.30 ,"$1,879.00 ",$237.58 ,$226.78 ,$270.47 ,"$1,503.20 ",$930.11 ,$526.12 ,"$1,691.10 ",$714.02 ,"$1,022.18 ",$257.59 ,$901.92 
ST. MARY'S HOSPITAL - DECATUR,92200010,95930,HC EVOKED POTENTIAL VISUAL,922,1 ,"$1,357.00 ",$977.04 ,$71.89 ,"$1,357.00 ",$657.13 ,$719.21 ,$746.35 ,$257.59 ,$379.96 ,$441.60 ,$257.59 ,$461.37 ,$257.59 ,$671.72 ,$71.89 ,$257.59 ,$671.72 ,$530.96 ,$949.90 ,$848.13 ,"$1,085.60 ",$657.13 ,$257.59 ,$949.90 ,$257.59 ,$814.20 ,$262.75 ,"$1,017.75 ",$749.06 ,$675.79 ,$749.06 ,$257.59 ,$749.06 ,"$1,099.17 ","$1,357.00 ","$1,099.17 ","$1,153.45 ",$657.13 ,$940.40 ,$257.59 ,"$1,357.00 ",$761.28 ,$257.59 ,$355.53 ,"$1,357.00 ",$237.58 ,$226.78 ,$270.47 ,"$1,085.60 ",$671.72 ,$379.96 ,"$1,221.30 ",$515.66 ,$738.21 ,$257.59 ,$651.36 
ST. MARY'S HOSPITAL - DECATUR,92200011,95886,HC EMG ADD ON >5 MUSCLES,922,1 ,$370.00 ,$266.40 ,$69.68 ,$370.00 , N/A ,$196.10 ,$203.50 , N/A ,$103.60 ,$193.51 , N/A ,$203.50 , N/A ,$183.15 ,$69.68 , N/A ,$183.15 , N/A ,$259.00 ,$231.25 ,$296.00 , N/A , N/A ,$259.00 , N/A ,$222.00 , N/A ,$277.50 ,$204.24 ,$184.26 ,$204.24 , N/A ,$204.24 ,$299.70 ,$370.00 ,$299.70 ,$314.50 , N/A ,$256.41 , N/A ,$370.00 ,$207.57 , N/A ,$96.94 ,$370.00 ,$237.58 ,$226.78 , N/A ,$296.00 ,$183.15 ,$103.60 ,$333.00 ,$140.60 ,$201.28 , N/A ,$177.60 
ST. MARY'S HOSPITAL - DECATUR,92200015,95938,HC SSEP UPPER AND LOWER,922,1 ,"$1,614.00 ","$1,162.08 ",$226.78 ,"$1,614.00 ","$1,134.33 ",$855.42 ,$887.70 ,$444.66 ,$451.92 ,$844.12 ,$444.66 ,$887.70 ,$444.66 ,$798.93 ,$434.44 ,$444.66 ,$798.93 ,$916.53 ,"$1,129.80 ","$1,008.75 ","$1,291.20 ","$1,134.32 ",$444.66 ,"$1,129.80 ",$444.66 ,$968.40 ,$453.54 ,"$1,210.50 ",$890.93 ,$803.77 ,$890.93 ,$444.66 ,$890.93 ,"$1,307.34 ","$1,614.00 ","$1,307.34 ","$1,371.90 ","$1,134.32 ","$1,118.50 ",$444.66 ,"$1,614.00 ",$905.45 ,$444.66 ,$422.87 ,"$1,614.00 ",$237.58 ,$226.78 ,$466.89 ,"$1,291.20 ",$798.93 ,$451.92 ,"$1,452.60 ",$613.32 ,$878.02 ,$444.66 ,$774.72 
ST. MARY'S HOSPITAL - DECATUR,92200016,95885,HC EMG ADD ON <5 MUSCLES,922,1 ,$187.00 ,$134.64 ,$48.99 ,$226.78 , N/A ,$99.11 ,$102.85 , N/A ,$52.36 ,$97.80 , N/A ,$102.85 , N/A ,$92.57 ,$60.97 , N/A ,$92.57 , N/A ,$130.90 ,$116.88 ,$149.60 , N/A , N/A ,$130.90 , N/A ,$112.20 , N/A ,$140.25 ,$103.22 ,$93.13 ,$103.22 , N/A ,$103.22 ,$151.47 ,$187.00 ,$151.47 ,$158.95 , N/A ,$129.59 , N/A ,$187.00 ,$104.91 , N/A ,$48.99 ,$187.00 ,$187.00 ,$226.78 , N/A ,$149.60 ,$92.57 ,$52.36 ,$168.30 ,$71.06 ,$101.73 , N/A ,$89.76 
ST. MARY'S HOSPITAL - DECATUR,92200017,95887,HC EMG ADD ON CRANIAL,922,1 ,$99.00 ,$71.28 ,$25.94 ,$226.78 , N/A ,$52.47 ,$54.45 , N/A ,$27.72 ,$51.78 , N/A ,$54.45 , N/A ,$49.01 ,$64.04 , N/A ,$49.01 , N/A ,$69.30 ,$61.88 ,$79.20 , N/A , N/A ,$69.30 , N/A ,$59.40 , N/A ,$74.25 ,$54.65 ,$49.30 ,$54.65 , N/A ,$54.65 ,$80.19 ,$99.00 ,$80.19 ,$84.15 , N/A ,$68.61 , N/A ,$99.00 ,$55.54 , N/A ,$25.94 ,$99.00 ,$99.00 ,$226.78 , N/A ,$79.20 ,$49.01 ,$27.72 ,$89.10 ,$37.62 ,$53.86 , N/A ,$47.52 
ST. MARY'S HOSPITAL - DECATUR,92200021,95907,HC NVR CNDJ TST 1-2 STUDIES,922,1 ,$911.00 ,$655.92 ,$61.13 ,$911.00 ,$341.23 ,$482.83 ,$501.05 ,$133.76 ,$255.08 ,$476.45 ,$133.76 ,$501.05 ,$133.76 ,$450.95 ,$61.13 ,$133.76 ,$450.95 ,$275.72 ,$637.70 ,$569.38 ,$728.80 ,$341.24 ,$133.76 ,$637.70 ,$133.76 ,$546.60 ,$136.44 ,$683.25 ,$502.87 ,$453.68 ,$502.87 ,$133.76 ,$502.87 ,$737.91 ,$911.00 ,$737.91 ,$774.35 ,$341.24 ,$631.32 ,$133.76 ,$911.00 ,$511.07 ,$133.76 ,$238.68 ,$911.00 ,$237.58 ,$226.78 ,$140.44 ,$728.80 ,$450.95 ,$255.08 ,$819.90 ,$346.18 ,$495.58 ,$133.76 ,$437.28 
ST. MARY'S HOSPITAL - DECATUR,92200022,95908,HC NVR CNDJ TST 3-4 STUDIES,922,1 ,"$1,825.00 ","$1,314.00 ",$81.62 ,"$1,825.00 ",$657.13 ,$967.25 ,"$1,003.75 ",$257.59 ,$511.00 ,$954.48 ,$257.59 ,"$1,003.75 ",$257.59 ,$903.38 ,$81.62 ,$257.59 ,$903.38 ,$530.96 ,"$1,277.50 ","$1,140.63 ","$1,460.00 ",$657.13 ,$257.59 ,"$1,277.50 ",$257.59 ,"$1,095.00 ",$262.75 ,"$1,368.75 ","$1,007.40 ",$908.85 ,"$1,007.40 ",$257.59 ,"$1,007.40 ","$1,478.25 ","$1,825.00 ","$1,478.25 ","$1,551.25 ",$657.13 ,"$1,264.73 ",$257.59 ,"$1,825.00 ","$1,023.83 ",$257.59 ,$478.15 ,"$1,825.00 ",$237.58 ,$226.78 ,$270.47 ,"$1,460.00 ",$903.38 ,$511.00 ,"$1,642.50 ",$693.50 ,$992.80 ,$257.59 ,$876.00 
ST. MARY'S HOSPITAL - DECATUR,92200023,95909,HC NVR CNDJ TST 5-6 STUDIES,922,1 ,"$2,737.00 ","$1,970.64 ",$97.51 ,"$2,737.00 ",$657.13 ,"$1,450.61 ","$1,505.35 ",$257.59 ,$766.36 ,"$1,431.45 ",$257.59 ,"$1,505.35 ",$257.59 ,"$1,354.82 ",$97.51 ,$257.59 ,"$1,354.82 ",$530.96 ,"$1,915.90 ","$1,710.63 ","$2,189.60 ",$657.13 ,$257.59 ,"$1,915.90 ",$257.59 ,"$1,642.20 ",$262.75 ,"$2,052.75 ","$1,510.82 ","$1,363.03 ","$1,510.82 ",$257.59 ,"$1,510.82 ","$2,216.97 ","$2,737.00 ","$2,216.97 ","$2,326.45 ",$657.13 ,"$1,896.74 ",$257.59 ,"$2,737.00 ","$1,535.46 ",$257.59 ,$717.09 ,"$2,737.00 ",$237.58 ,$226.78 ,$270.47 ,"$2,189.60 ","$1,354.82 ",$766.36 ,"$2,463.30 ","$1,040.06 ","$1,488.93 ",$257.59 ,"$1,313.76 "
ST. MARY'S HOSPITAL - DECATUR,92200024,95910,HC NVR CNDJ TST 7-8 STUDIES,922,1 ,"$3,650.00 ","$2,628.00 ",$125.17 ,"$3,650.00 ",$657.13 ,"$1,934.50 ","$2,007.50 ",$257.59 ,"$1,022.00 ","$1,908.95 ",$257.59 ,"$2,007.50 ",$257.59 ,"$1,806.75 ",$125.17 ,$257.59 ,"$1,806.75 ",$530.96 ,"$2,555.00 ","$2,281.25 ","$2,920.00 ",$657.13 ,$257.59 ,"$2,555.00 ",$257.59 ,"$2,190.00 ",$262.75 ,"$2,737.50 ","$2,014.80 ","$1,817.70 ","$2,014.80 ",$257.59 ,"$2,014.80 ","$2,956.50 ","$3,650.00 ","$2,956.50 ","$3,102.50 ",$657.13 ,"$2,529.45 ",$257.59 ,"$3,650.00 ","$2,047.65 ",$257.59 ,$956.30 ,"$3,650.00 ",$237.58 ,$226.78 ,$270.47 ,"$2,920.00 ","$1,806.75 ","$1,022.00 ","$3,285.00 ","$1,387.00 ","$1,985.60 ",$257.59 ,"$1,752.00 "
ST. MARY'S HOSPITAL - DECATUR,92200025,95911,HC NVR CNDJ TST 9-10 STUDIES,922,1 ,"$4,562.00 ","$3,284.64 ",$143.10 ,"$4,562.00 ","$1,134.33 ","$2,417.86 ","$2,509.10 ",$444.66 ,"$1,277.36 ","$2,385.93 ",$444.66 ,"$2,509.10 ",$444.66 ,"$2,258.19 ",$143.10 ,$444.66 ,"$2,258.19 ",$916.53 ,"$3,193.40 ","$2,851.25 ","$3,649.60 ","$1,134.32 ",$444.66 ,"$3,193.40 ",$444.66 ,"$2,737.20 ",$453.54 ,"$3,421.50 ","$2,518.22 ","$2,271.88 ","$2,518.22 ",$444.66 ,"$2,518.22 ","$3,695.22 ","$4,562.00 ","$3,695.22 ","$3,877.70 ","$1,134.32 ","$3,161.47 ",$444.66 ,"$4,562.00 ","$2,559.28 ",$444.66 ,"$1,195.24 ","$4,562.00 ",$237.58 ,$226.78 ,$466.89 ,"$3,649.60 ","$2,258.19 ","$1,277.36 ","$4,105.80 ","$1,733.56 ","$2,481.73 ",$444.66 ,"$2,189.76 "
ST. MARY'S HOSPITAL - DECATUR,92200026,95912,HC NVR CNDJ TST 11-12 STUDIES,922,1 ,"$5,472.00 ","$3,939.84 ",$147.72 ,"$5,472.00 ","$1,134.33 ","$2,900.16 ","$3,009.60 ",$444.66 ,"$1,532.16 ","$2,861.86 ",$444.66 ,"$3,009.60 ",$444.66 ,"$2,708.64 ",$147.72 ,$444.66 ,"$2,708.64 ",$916.53 ,"$3,830.40 ","$3,420.00 ","$4,377.60 ","$1,134.32 ",$444.66 ,"$3,830.40 ",$444.66 ,"$3,283.20 ",$453.54 ,"$4,104.00 ","$3,020.54 ","$2,725.06 ","$3,020.54 ",$444.66 ,"$3,020.54 ","$4,432.32 ","$5,472.00 ","$4,432.32 ","$4,651.20 ","$1,134.32 ","$3,792.10 ",$444.66 ,"$5,472.00 ","$3,069.79 ",$444.66 ,"$1,433.66 ","$5,472.00 ",$237.58 ,$226.78 ,$466.89 ,"$4,377.60 ","$2,708.64 ","$1,532.16 ","$4,924.80 ","$2,079.36 ","$2,976.77 ",$444.66 ,"$2,626.56 "
ST. MARY'S HOSPITAL - DECATUR,92200027,95913,HC NVR CNDJ TST 13 AND > STUDIES,922,1 ,"$9,122.00 ","$6,567.84 ",$163.60 ,"$9,122.00 ","$1,134.33 ","$4,834.66 ","$5,017.10 ",$444.66 ,"$2,554.16 ","$4,770.81 ",$444.66 ,"$5,017.10 ",$444.66 ,"$4,515.39 ",$163.60 ,$444.66 ,"$4,515.39 ",$916.53 ,"$6,385.40 ","$5,701.25 ","$7,297.60 ","$1,134.32 ",$444.66 ,"$6,385.40 ",$444.66 ,"$5,473.20 ",$453.54 ,"$6,841.50 ","$5,035.34 ","$4,542.76 ","$5,035.34 ",$444.66 ,"$5,035.34 ","$7,388.82 ","$9,122.00 ","$7,388.82 ","$7,753.70 ","$1,134.32 ","$6,321.55 ",$444.66 ,"$9,122.00 ","$5,117.44 ",$444.66 ,"$2,389.96 ","$9,122.00 ",$237.58 ,$226.78 ,$466.89 ,"$7,297.60 ","$4,515.39 ","$2,554.16 ","$8,209.80 ","$3,466.36 ","$4,962.37 ",$444.66 ,"$4,378.56 "
ST. MARY'S HOSPITAL - DECATUR,92200029,95870,HC EMG NON LIMB,922,1 ,$543.00 ,$390.96 ,$103.14 ,$543.00 ,$272.45 ,$287.79 ,$298.65 ,$106.80 ,$152.04 ,$283.99 ,$106.80 ,$298.65 ,$106.80 ,$268.79 ,$103.14 ,$106.80 ,$268.79 ,$220.13 ,$380.10 ,$339.38 ,$434.40 ,$272.44 ,$106.80 ,$380.10 ,$106.80 ,$325.80 ,$108.94 ,$407.25 ,$299.74 ,$270.41 ,$299.74 ,$106.80 ,$299.74 ,$439.83 ,$543.00 ,$439.83 ,$461.55 ,$272.44 ,$376.30 ,$106.80 ,$543.00 ,$304.62 ,$106.80 ,$142.27 ,$543.00 ,$237.58 ,$226.78 ,$112.14 ,$434.40 ,$268.79 ,$152.04 ,$488.70 ,$206.34 ,$295.39 ,$106.80 ,$260.64 
ST. MARY'S HOSPITAL - DECATUR,92200030,95865,HC EMG LARYNX,922,1 ,$759.00 ,$546.48 ,$95.97 ,$759.00 ,$272.45 ,$402.27 ,$417.45 ,$106.80 ,$212.52 ,$396.96 ,$106.80 ,$417.45 ,$106.80 ,$375.71 ,$95.97 ,$106.80 ,$375.71 ,$220.13 ,$531.30 ,$474.38 ,$607.20 ,$272.44 ,$106.80 ,$531.30 ,$106.80 ,$455.40 ,$108.94 ,$569.25 ,$418.97 ,$377.98 ,$418.97 ,$106.80 ,$418.97 ,$614.79 ,$759.00 ,$614.79 ,$645.15 ,$272.44 ,$525.99 ,$106.80 ,$759.00 ,$425.80 ,$106.80 ,$198.86 ,$759.00 ,$237.58 ,$226.78 ,$112.14 ,$607.20 ,$375.71 ,$212.52 ,$683.10 ,$288.42 ,$412.90 ,$106.80 ,$364.32 
ST. MARY'S HOSPITAL - DECATUR,92200031,95927,HC SSEP TRUNK/HEAD,922,1 ,"$1,879.00 ","$1,352.88 ",$152.14 ,"$1,879.00 ",$657.13 ,$995.87 ,"$1,033.45 ",$257.59 ,$526.12 ,$949.79 ,$257.59 ,$992.32 ,$257.59 ,$930.11 ,$152.14 ,$257.59 ,$930.11 ,$530.96 ,"$1,315.30 ","$1,174.38 ","$1,503.20 ",$657.13 ,$257.59 ,"$1,315.30 ",$257.59 ,"$1,127.40 ",$262.75 ,"$1,409.25 ","$1,037.21 ",$935.74 ,"$1,037.21 ",$257.59 ,"$1,037.21 ","$1,521.99 ","$1,879.00 ","$1,521.99 ","$1,597.15 ",$657.13 ,"$1,302.15 ",$257.59 ,"$1,879.00 ","$1,054.12 ",$257.59 ,$492.30 ,"$1,879.00 ",$237.58 ,$226.78 ,$270.47 ,"$1,503.20 ",$930.11 ,$526.12 ,"$1,691.10 ",$714.02 ,"$1,022.18 ",$257.59 ,$901.92 
ST. MARY'S HOSPITAL - DECATUR,92200032,95869,HC EMG THORACIC PARASPINAL,922,1 ,$535.00 ,$385.20 ,$107.75 ,$535.00 ,$341.23 ,$283.55 ,$294.25 ,$133.76 ,$149.80 ,$279.81 ,$133.76 ,$294.25 ,$133.76 ,$264.83 ,$107.75 ,$133.76 ,$264.83 ,$275.72 ,$374.50 ,$334.38 ,$428.00 ,$341.24 ,$133.76 ,$374.50 ,$133.76 ,$321.00 ,$136.44 ,$401.25 ,$295.32 ,$266.43 ,$295.32 ,$133.76 ,$295.32 ,$433.35 ,$535.00 ,$433.35 ,$454.75 ,$341.24 ,$370.76 ,$133.76 ,$535.00 ,$300.14 ,$133.76 ,$140.17 ,$535.00 ,$237.58 ,$226.78 ,$140.44 ,$428.00 ,$264.83 ,$149.80 ,$481.50 ,$203.30 ,$291.04 ,$133.76 ,$256.80 
ST. MARY'S HOSPITAL - DECATUR,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$382.00 ,$275.04 ,$61.18 ,$382.00 ,$272.45 ,$202.46 ,$210.10 ,$106.80 ,$106.96 ,$199.79 ,$106.80 ,$210.10 ,$106.80 ,$189.09 ,$136.76 ,$106.80 ,$189.09 ,$220.13 ,$267.40 ,$238.75 ,$305.60 ,$272.44 ,$106.80 ,$267.40 ,$106.80 ,$229.20 ,$108.94 ,$286.50 ,$210.86 ,$190.24 ,$210.86 ,$106.80 ,$210.86 ,$309.42 ,$382.00 ,$309.42 ,$324.70 ,$272.44 ,$264.73 ,$106.80 ,$382.00 ,$214.30 ,$106.80 ,$100.08 ,$382.00 ,$64.10 ,$61.18 ,$112.14 ,$305.60 ,$189.09 ,$106.96 ,$343.80 ,$145.16 ,$207.81 ,$106.80 ,$183.36 
ST. MARY'S HOSPITAL - DECATUR,94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$345.00 ,$248.40 ,$33.34 ,$345.00 ,$158.30 ,$182.85 ,$189.75 ,$62.05 ,$96.60 ,$180.44 ,$62.05 ,$189.75 ,$62.05 ,$170.78 ,$33.34 ,$62.05 ,$170.78 ,$127.92 ,$241.50 , N/A ,$276.00 ,$158.31 ,$62.05 ,$241.50 ,$62.05 ,$207.00 ,$63.30 ,$258.75 ,$190.44 ,$171.81 ,$190.44 ,$62.05 ,$190.44 ,$279.45 ,$345.00 ,$279.45 ,$293.25 ,$158.31 ,$239.09 ,$62.05 ,$345.00 ,$193.55 ,$62.05 ,$90.39 ,$345.00 , N/A , N/A ,$65.16 ,$276.00 ,$170.78 ,$96.60 ,$310.50 ,$131.10 ,$187.68 ,$62.05 ,$165.60 
ST. MARY'S HOSPITAL - DECATUR,94000105,96374,HC INJ IV PUSH SINGL/INITIAL,940,1 ,$418.00 ,$300.96 ,$54.78 ,$484.70 ,$484.70 ,$221.54 ,$229.90 ,$190.00 ,$117.04 ,$218.61 ,$190.00 ,$229.90 ,$190.00 ,$206.91 ,$54.78 ,$190.00 ,$206.91 ,$391.63 ,$292.60 , N/A ,$334.40 ,$484.70 ,$190.00 ,$292.60 ,$190.00 ,$250.80 ,$193.80 ,$313.50 ,$230.74 ,$208.16 ,$230.74 ,$190.00 ,$230.74 ,$338.58 ,$418.00 ,$338.58 ,$355.30 ,$418.00 ,$289.67 ,$190.00 ,$418.00 ,$234.50 ,$190.00 ,$109.52 ,$418.00 , N/A , N/A ,$199.50 ,$334.40 ,$206.91 ,$117.04 ,$376.20 ,$158.84 ,$227.39 ,$190.00 ,$200.64 
ST. MARY'S HOSPITAL - DECATUR,94000111,96373,HC INJ TX/PROPH/DIAG INTRA-ARTERIAL,940,1 ,$342.00 ,$246.24 ,$26.76 ,$484.70 ,$484.70 ,$181.26 ,$188.10 ,$190.00 ,$95.76 ,$178.87 ,$190.00 ,$188.10 ,$190.00 ,$169.29 ,$26.76 ,$190.00 ,$169.29 ,$342.00 ,$239.40 , N/A ,$273.60 ,$484.70 ,$190.00 ,$239.40 ,$190.00 ,$205.20 ,$193.80 ,$256.50 ,$188.78 ,$170.32 ,$188.78 ,$190.00 ,$188.78 ,$277.02 ,$342.00 ,$277.02 ,$290.70 ,$342.00 ,$237.01 ,$190.00 ,$342.00 ,$191.86 ,$190.00 ,$89.60 ,$342.00 , N/A , N/A ,$199.50 ,$273.60 ,$169.29 ,$95.76 ,$307.80 ,$129.96 ,$186.05 ,$190.00 ,$164.16 
ST. MARY'S HOSPITAL - DECATUR,94000112,E0202,HC PHOTO THERAPY PER HOUR,940,1 ,$14.00 ,$10.08 ,$2.74 ,$14.00 ,$7.00 ,$7.42 ,$7.70 ,$2.74 ,$3.92 ,$7.32 ,$2.74 ,$7.70 ,$2.74 ,$6.93 ,$14.00 ,$2.74 ,$6.93 ,$5.66 ,$9.80 ,$8.75 ,$11.20 ,$7.00 ,$2.74 ,$9.80 ,$2.74 ,$8.40 ,$2.80 ,$10.50 ,$7.73 ,$6.97 ,$7.73 ,$2.74 ,$7.73 ,$11.34 ,$14.00 ,$11.34 ,$11.90 ,$7.00 ,$9.70 ,$2.74 ,$14.00 ,$7.85 ,$2.74 ,$3.67 ,$14.00 , N/A , N/A ,$2.88 ,$11.20 ,$6.93 ,$3.92 ,$12.60 ,$5.32 ,$7.62 ,$2.74 ,$6.72 
ST. MARY'S HOSPITAL - DECATUR,94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$254.00 ,$182.88 ,$19.07 ,$254.00 ,$58.58 ,$134.62 ,$139.70 ,$22.96 ,$71.12 ,$132.84 ,$22.96 ,$139.70 ,$22.96 ,$125.73 ,$56.82 ,$22.96 ,$125.73 ,$47.32 ,$177.80 ,$158.75 ,$203.20 ,$58.57 ,$22.96 ,$177.80 ,$22.96 ,$152.40 ,$23.42 ,$190.50 ,$140.21 ,$126.49 ,$140.21 ,$22.96 ,$140.21 ,$205.74 ,$254.00 ,$205.74 ,$215.90 ,$58.57 ,$176.02 ,$22.96 ,$254.00 ,$142.49 ,$22.96 ,$66.55 ,$254.00 ,$19.98 ,$19.07 ,$24.11 ,$203.20 ,$125.73 ,$71.12 ,$228.60 ,$96.52 ,$138.18 ,$22.96 ,$121.92 
ST. MARY'S HOSPITAL - DECATUR,94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$254.00 ,$182.88 ,$19.07 ,$254.00 ,$58.58 ,$134.62 ,$139.70 ,$22.96 ,$71.12 ,$132.84 ,$22.96 ,$139.70 ,$22.96 ,$125.73 ,$84.61 ,$22.96 ,$125.73 ,$47.32 ,$177.80 ,$158.75 ,$203.20 ,$58.57 ,$22.96 ,$177.80 ,$22.96 ,$152.40 ,$23.42 ,$190.50 ,$140.21 ,$126.49 ,$140.21 ,$22.96 ,$140.21 ,$205.74 ,$254.00 ,$205.74 ,$215.90 ,$58.57 ,$176.02 ,$22.96 ,$254.00 ,$142.49 ,$22.96 ,$66.55 ,$254.00 ,$19.98 ,$19.07 ,$24.11 ,$203.20 ,$125.73 ,$71.12 ,$228.60 ,$96.52 ,$138.18 ,$22.96 ,$121.92 
ST. MARY'S HOSPITAL - DECATUR,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$75.00 ,$54.00 ,$19.65 ,$88.48 ,$75.20 ,$39.75 ,$41.25 ,$29.48 ,$21.00 ,$39.23 ,$29.48 ,$41.25 ,$29.48 ,$37.13 ,$45.10 ,$29.48 ,$37.13 ,$71.49 ,$52.50 ,$46.88 ,$60.00 ,$88.48 ,$29.48 ,$52.50 ,$29.48 ,$45.00 ,$35.38 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$29.48 ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 ,$30.08 ,$51.98 ,$29.48 ,$75.00 ,$42.08 ,$29.48 ,$19.65 ,$75.00 , N/A , N/A ,$30.95 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$75.00 ,$29.48 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$75.00 ,$54.00 ,$19.65 ,$77.08 ,$65.53 ,$39.75 ,$41.25 ,$25.69 ,$21.00 ,$39.23 ,$25.69 ,$41.25 ,$25.69 ,$37.13 ,$38.56 ,$25.69 ,$37.13 ,$62.28 ,$52.50 ,$46.88 ,$60.00 ,$77.08 ,$25.69 ,$52.50 ,$25.69 ,$45.00 ,$30.82 ,$56.25 ,$41.40 ,$37.35 ,$41.40 ,$25.69 ,$41.40 ,$60.75 ,$75.00 ,$60.75 ,$63.75 ,$26.21 ,$51.98 ,$25.69 ,$75.00 ,$42.08 ,$25.69 ,$19.65 ,$75.00 , N/A , N/A ,$26.97 ,$60.00 ,$37.13 ,$21.00 ,$67.50 ,$28.50 ,$75.00 ,$25.69 ,$36.00 
ST. MARY'S HOSPITAL - DECATUR,94200007,97804,HC MNT GROUP INIT 30 MIN,942,1 ,$21.00 ,$15.12 ,$5.50 ,$40.80 ,$34.68 ,$11.13 ,$11.55 ,$13.59 ,$5.88 ,$10.98 ,$13.59 ,$11.55 ,$13.59 ,$10.40 ,$21.00 ,$13.59 ,$10.40 ,$21.00 ,$14.70 ,$13.13 ,$16.80 ,$40.80 ,$13.59 ,$14.70 ,$13.59 ,$12.60 ,$16.32 ,$15.75 ,$11.59 ,$10.46 ,$11.59 ,$13.59 ,$11.59 ,$17.01 ,$21.00 ,$17.01 ,$17.85 ,$13.87 ,$14.55 ,$13.59 ,$21.00 ,$11.78 ,$13.59 ,$5.50 ,$21.00 , N/A , N/A ,$14.27 ,$16.80 ,$10.40 ,$5.88 ,$18.90 ,$7.98 ,$21.00 ,$13.59 ,$10.08 
ST. MARY'S HOSPITAL - DECATUR,94200019,N/A,HC LACTATION CONSULT 30 MIN,942,1 ,$230.00 ,$165.60 ,$60.26 ,$230.00 , N/A ,$121.90 ,$126.50 , N/A ,$64.40 ,$120.29 , N/A ,$126.50 , N/A ,$113.85 ,$92.00 , N/A ,$113.85 , N/A ,$161.00 ,$143.75 ,$184.00 , N/A , N/A ,$161.00 , N/A ,$138.00 , N/A ,$172.50 ,$126.96 ,$114.54 ,$126.96 , N/A ,$126.96 ,$186.30 ,$230.00 ,$186.30 ,$195.50 , N/A ,$159.39 , N/A ,$230.00 ,$129.03 , N/A ,$60.26 ,$230.00 , N/A , N/A , N/A ,$184.00 ,$113.85 ,$64.40 ,$207.00 ,$87.40 ,$173.00 , N/A ,$110.40 
ST. MARY'S HOSPITAL - DECATUR,94200020,N/A,HC LACTATION CONSULT 45 MIN,942,1 ,$292.00 ,$210.24 ,$76.50 ,$292.00 , N/A ,$154.76 ,$160.60 , N/A ,$81.76 ,$152.72 , N/A ,$160.60 , N/A ,$144.54 ,$116.80 , N/A ,$144.54 , N/A ,$204.40 ,$182.50 ,$233.60 , N/A , N/A ,$204.40 , N/A ,$175.20 , N/A ,$219.00 ,$161.18 ,$145.42 ,$161.18 , N/A ,$161.18 ,$236.52 ,$292.00 ,$236.52 ,$248.20 , N/A ,$202.36 , N/A ,$292.00 ,$163.81 , N/A ,$76.50 ,$292.00 , N/A , N/A , N/A ,$233.60 ,$144.54 ,$81.76 ,$262.80 ,$110.96 ,$173.00 , N/A ,$140.16 
ST. MARY'S HOSPITAL - DECATUR,94200021,N/A,HC LACTATION CONSULT 60 MIN,942,1 ,$344.00 ,$247.68 ,$90.13 ,$344.00 , N/A ,$182.32 ,$189.20 , N/A ,$96.32 ,$179.91 , N/A ,$189.20 , N/A ,$170.28 ,$137.60 , N/A ,$170.28 , N/A ,$240.80 ,$215.00 ,$275.20 , N/A , N/A ,$240.80 , N/A ,$206.40 , N/A ,$258.00 ,$189.89 ,$171.31 ,$189.89 , N/A ,$189.89 ,$278.64 ,$344.00 ,$278.64 ,$292.40 , N/A ,$238.39 , N/A ,$344.00 ,$192.98 , N/A ,$90.13 ,$344.00 , N/A , N/A , N/A ,$275.20 ,$170.28 ,$96.32 ,$309.60 ,$130.72 ,$173.00 , N/A ,$165.12 
ST. MARY'S HOSPITAL - DECATUR,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$276.00 ,$198.72 ,$29.51 ,$281.73 ,$281.73 ,$146.28 ,$151.80 ,$110.44 ,$77.28 ,$144.35 ,$110.44 ,$151.80 ,$110.44 ,$136.62 ,$29.51 ,$110.44 ,$136.62 ,$227.64 ,$193.20 ,$172.50 ,$220.80 ,$281.73 ,$110.44 ,$193.20 ,$110.44 ,$165.60 ,$112.65 ,$207.00 ,$152.35 ,$137.45 ,$152.35 ,$110.44 ,$152.35 ,$223.56 ,$276.00 ,$223.56 ,$234.60 ,$276.00 ,$191.27 ,$110.44 ,$276.00 ,$154.84 ,$110.44 ,$72.31 ,$276.00 , N/A , N/A ,$115.95 ,$220.80 ,$136.62 ,$77.28 ,$248.40 ,$104.88 ,$268.00 ,$110.44 ,$132.48 
ST. MARY'S HOSPITAL - DECATUR,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$52.00 ,$37.44 ,$13.62 ,$52.00 , N/A ,$27.56 ,$28.60 , N/A ,$14.56 ,$27.20 , N/A ,$28.60 , N/A ,$25.74 ,$20.80 , N/A ,$25.74 , N/A ,$36.40 ,$32.50 ,$41.60 , N/A , N/A ,$36.40 , N/A ,$31.20 , N/A ,$39.00 ,$28.70 ,$25.90 ,$28.70 , N/A ,$28.70 ,$42.12 ,$52.00 ,$42.12 ,$44.20 , N/A ,$36.04 , N/A ,$52.00 ,$29.17 , N/A ,$13.62 ,$52.00 , N/A , N/A , N/A ,$41.60 ,$25.74 ,$14.56 ,$46.80 ,$19.76 ,$52.00 , N/A ,$24.96 
ST. MARY'S HOSPITAL - DECATUR,94300020,N/A,HC CARDIAC REHAB PHASE 3 HALF MONTH,943,1 ,$49.00 ,$35.28 ,$12.84 ,$49.00 , N/A ,$25.97 ,$26.95 , N/A ,$13.72 ,$25.63 , N/A ,$26.95 , N/A ,$24.26 ,$19.60 , N/A ,$24.26 , N/A ,$34.30 ,$30.63 ,$39.20 , N/A , N/A ,$34.30 , N/A ,$29.40 , N/A ,$36.75 ,$27.05 ,$24.40 ,$27.05 , N/A ,$27.05 ,$39.69 ,$49.00 ,$39.69 ,$41.65 , N/A ,$33.96 , N/A ,$49.00 ,$27.49 , N/A ,$12.84 ,$49.00 , N/A , N/A , N/A ,$39.20 ,$24.26 ,$13.72 ,$44.10 ,$18.62 ,$49.00 , N/A ,$23.52 
ST. MARY'S HOSPITAL - DECATUR,94300024,N/A,HC CARDIAC REHAB PHASE 3 - 8 SESSIONS,943,1 ,$34.00 ,$24.48 ,$8.91 ,$34.00 , N/A ,$18.02 ,$18.70 , N/A ,$9.52 ,$17.78 , N/A ,$18.70 , N/A ,$16.83 ,$13.60 , N/A ,$16.83 , N/A ,$23.80 ,$21.25 ,$27.20 , N/A , N/A ,$23.80 , N/A ,$20.40 , N/A ,$25.50 ,$18.77 ,$16.93 ,$18.77 , N/A ,$18.77 ,$27.54 ,$34.00 ,$27.54 ,$28.90 , N/A ,$23.56 , N/A ,$34.00 ,$19.07 , N/A ,$8.91 ,$34.00 , N/A , N/A , N/A ,$27.20 ,$16.83 ,$9.52 ,$30.60 ,$12.92 ,$34.00 , N/A ,$16.32 
ST. MARY'S HOSPITAL - DECATUR,94400008,90791,HC DRUG EVAL PSYCH DIAG ADOL,944,1 ,$395.00 ,$284.40 ,$103.49 ,$395.00 ,$341.88 ,$209.35 ,$217.25 ,$134.01 ,$110.60 ,$206.59 ,$134.01 ,$217.25 ,$134.01 ,$195.53 ,$195.53 ,$134.01 ,$195.53 ,$276.23 ,$276.50 ,$246.88 ,$335.75 ,$341.87 ,$134.01 ,$276.50 ,$134.01 ,$237.00 ,$136.69 ,$296.25 ,$218.04 ,$196.71 ,$218.04 ,$134.01 ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 ,$341.87 ,$273.74 ,$134.01 ,$395.00 ,$221.60 ,$134.01 ,$103.49 ,$395.00 ,$199.06 ,$190.01 ,$140.72 ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 , N/A ,$134.01 ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,94400009,90791,HC DRUG EVAL PSYCH DIAG ADULT,944,1 ,$395.00 ,$284.40 ,$103.49 ,$395.00 ,$341.88 ,$209.35 ,$217.25 ,$134.01 ,$110.60 ,$206.59 ,$134.01 ,$217.25 ,$134.01 ,$195.53 ,$195.53 ,$134.01 ,$195.53 ,$276.23 ,$276.50 ,$246.88 ,$335.75 ,$341.87 ,$134.01 ,$276.50 ,$134.01 ,$237.00 ,$136.69 ,$296.25 ,$218.04 ,$196.71 ,$218.04 ,$134.01 ,$218.04 ,$319.95 ,$395.00 ,$319.95 ,$335.75 ,$341.87 ,$273.74 ,$134.01 ,$395.00 ,$221.60 ,$134.01 ,$103.49 ,$395.00 ,$199.06 ,$190.01 ,$140.72 ,$316.00 ,$195.53 ,$110.60 ,$355.50 ,$150.10 , N/A ,$134.01 ,$189.60 
ST. MARY'S HOSPITAL - DECATUR,94400013,90832,HC DRUG THERAPY INDIVIDUAL 30MIN,944,1 ,$173.00 ,$124.56 ,$45.33 ,$341.88 ,$341.88 ,$91.69 ,$95.15 ,$134.01 ,$48.44 ,$90.48 ,$134.01 ,$95.15 ,$134.01 ,$85.64 ,$85.64 ,$134.01 ,$85.64 ,$173.00 ,$121.10 ,$108.13 ,$147.05 ,$341.87 ,$134.01 ,$121.10 ,$134.01 ,$103.80 ,$136.69 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$134.01 ,$95.50 ,$140.13 ,$173.00 ,$140.13 ,$147.05 ,$173.00 ,$119.89 ,$134.01 ,$173.00 ,$97.05 ,$134.01 ,$45.33 ,$173.00 ,$107.10 ,$102.23 ,$140.72 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 , N/A ,$134.01 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,94400014,90834,HC DRUG THERAPY INDIVIDUAL 45MIN,944,1 ,$220.00 ,$158.40 ,$57.64 ,$341.88 ,$341.88 ,$116.60 ,$121.00 ,$134.01 ,$61.60 ,$115.06 ,$134.01 ,$121.00 ,$134.01 ,$108.90 ,$108.90 ,$134.01 ,$108.90 ,$220.00 ,$154.00 ,$137.50 ,$187.00 ,$341.87 ,$134.01 ,$154.00 ,$134.01 ,$132.00 ,$136.69 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$134.01 ,$121.44 ,$178.20 ,$220.00 ,$178.20 ,$187.00 ,$220.00 ,$152.46 ,$134.01 ,$220.00 ,$123.42 ,$134.01 ,$57.64 ,$220.00 ,$107.27 ,$102.40 ,$140.72 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 , N/A ,$134.01 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,94400016,90853,HC DRUG THERAPY GROUP 60 MIN,944,1 ,$323.00 ,$232.56 ,$69.77 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$159.89 ,$69.77 ,$159.89 ,$143.80 ,$226.10 ,$201.88 ,$274.55 ,$177.97 ,$69.77 ,$226.10 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$323.00 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,94400017,90853,HC DRUG THERAPY GROUP 90 MIN,944,1 ,$323.00 ,$232.56 ,$69.77 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$159.89 ,$69.77 ,$159.89 ,$143.80 ,$226.10 ,$201.88 ,$274.55 ,$177.97 ,$69.77 ,$226.10 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$323.00 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,94400019,90853,HC DRUG GROUP THERAPY 120 MIN,944,1 ,$323.00 ,$232.56 ,$69.77 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$159.89 ,$69.77 ,$159.89 ,$143.80 ,$226.10 ,$201.88 ,$274.55 ,$177.97 ,$69.77 ,$226.10 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$323.00 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,94400020,99408,HC DRUG ABUSE SCREEN W/INTERV 15-30MIN,944,1 ,$50.00 ,$36.00 ,$13.10 ,$102.23 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$24.75 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$42.50 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 ,$50.00 ,$102.23 , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,94400021,99409,HC DRUG ABUSE SCREEN W/INTERV > 30MIN,944,1 ,$50.00 ,$36.00 ,$13.10 ,$102.40 , N/A ,$26.50 ,$27.50 , N/A ,$14.00 ,$26.15 , N/A ,$27.50 , N/A ,$24.75 ,$24.75 , N/A ,$24.75 , N/A ,$35.00 ,$31.25 ,$42.50 , N/A , N/A ,$35.00 , N/A ,$30.00 , N/A ,$37.50 ,$27.60 ,$24.90 ,$27.60 , N/A ,$27.60 ,$40.50 ,$50.00 ,$40.50 ,$42.50 , N/A ,$34.65 , N/A ,$50.00 ,$28.05 , N/A ,$13.10 ,$50.00 ,$50.00 ,$102.40 , N/A ,$40.00 ,$24.75 ,$14.00 ,$45.00 ,$19.00 , N/A , N/A ,$24.00 
ST. MARY'S HOSPITAL - DECATUR,94400022,90832,HC DRUG THERAPY INDIVIDUAL W/IOP 30MIN,944,1 ,$173.00 ,$124.56 ,$45.33 ,$341.88 ,$341.88 ,$91.69 ,$95.15 ,$134.01 ,$48.44 ,$90.48 ,$134.01 ,$95.15 ,$134.01 ,$85.64 ,$85.64 ,$134.01 ,$85.64 ,$173.00 ,$121.10 ,$108.13 ,$147.05 ,$341.87 ,$134.01 ,$121.10 ,$134.01 ,$103.80 ,$136.69 ,$129.75 ,$95.50 ,$86.15 ,$95.50 ,$134.01 ,$95.50 ,$140.13 ,$173.00 ,$140.13 ,$147.05 ,$173.00 ,$119.89 ,$134.01 ,$173.00 ,$97.05 ,$134.01 ,$45.33 ,$173.00 ,$107.10 ,$102.23 ,$140.72 ,$138.40 ,$85.64 ,$48.44 ,$155.70 ,$65.74 , N/A ,$134.01 ,$83.04 
ST. MARY'S HOSPITAL - DECATUR,94400023,90834,HC DRUG THERAPY INIDIVIDUAL W/IOP 60MIN,944,1 ,$220.00 ,$158.40 ,$57.64 ,$341.88 ,$341.88 ,$116.60 ,$121.00 ,$134.01 ,$61.60 ,$115.06 ,$134.01 ,$121.00 ,$134.01 ,$108.90 ,$108.90 ,$134.01 ,$108.90 ,$220.00 ,$154.00 ,$137.50 ,$187.00 ,$341.87 ,$134.01 ,$154.00 ,$134.01 ,$132.00 ,$136.69 ,$165.00 ,$121.44 ,$109.56 ,$121.44 ,$134.01 ,$121.44 ,$178.20 ,$220.00 ,$178.20 ,$187.00 ,$220.00 ,$152.46 ,$134.01 ,$220.00 ,$123.42 ,$134.01 ,$57.64 ,$220.00 ,$107.27 ,$102.40 ,$140.72 ,$176.00 ,$108.90 ,$61.60 ,$198.00 ,$83.60 , N/A ,$134.01 ,$105.60 
ST. MARY'S HOSPITAL - DECATUR,94400024,90853,HC GROUP THERAPY W/IOP 90MIN,944,1 ,$323.00 ,$232.56 ,$69.77 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$159.89 ,$69.77 ,$159.89 ,$143.80 ,$226.10 ,$201.88 ,$274.55 ,$177.97 ,$69.77 ,$226.10 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$323.00 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,94400025,90853,HC GROUP THERAPY W/IOP 120MIN,944,1 ,$323.00 ,$232.56 ,$69.77 ,$323.00 ,$177.98 ,$171.19 ,$177.65 ,$69.77 ,$90.44 ,$168.93 ,$69.77 ,$177.65 ,$69.77 ,$159.89 ,$159.89 ,$69.77 ,$159.89 ,$143.80 ,$226.10 ,$201.88 ,$274.55 ,$177.97 ,$69.77 ,$226.10 ,$69.77 ,$193.80 ,$71.16 ,$242.25 ,$178.30 ,$160.85 ,$178.30 ,$69.77 ,$178.30 ,$261.63 ,$323.00 ,$261.63 ,$274.55 ,$177.97 ,$223.84 ,$69.77 ,$323.00 ,$181.20 ,$69.77 ,$84.63 ,$323.00 ,$152.12 ,$145.20 ,$73.25 ,$258.40 ,$159.89 ,$90.44 ,$290.70 ,$122.74 , N/A ,$69.77 ,$155.04 
ST. MARY'S HOSPITAL - DECATUR,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$54.00 ,$38.88 ,$15.12 ,$54.00 , N/A ,$28.62 ,$29.70 , N/A ,$15.12 ,$28.24 , N/A ,$29.70 , N/A ,$26.73 ,$17.84 , N/A ,$26.73 , N/A ,$37.80 ,$33.75 ,$43.20 , N/A , N/A ,$37.80 , N/A ,$32.40 , N/A ,$40.50 ,$29.81 ,$26.89 ,$29.81 , N/A ,$29.81 ,$43.74 ,$54.00 ,$43.74 ,$45.90 , N/A ,$37.42 , N/A ,$54.00 ,$30.29 , N/A ,$16.94 ,$54.00 ,$18.63 ,$17.79 , N/A ,$43.20 ,$26.73 ,$15.12 ,$48.60 ,$20.52 , N/A , N/A ,$25.92 
ST. MARY'S HOSPITAL - DECATUR,99000002,N/A,HC BOOKS AND PAMPHLETS ALL TYPES,990,1 ,$16.00 ,$11.52 ,$4.19 ,$16.00 , N/A ,$8.48 ,$8.80 , N/A ,$4.48 ,$8.37 , N/A ,$8.80 , N/A ,$7.92 , N/A , N/A ,$7.92 , N/A ,$11.20 ,$10.00 ,$12.80 , N/A , N/A ,$11.20 , N/A ,$9.60 , N/A ,$12.00 ,$8.83 ,$7.97 ,$8.83 , N/A ,$8.83 ,$12.96 ,$16.00 ,$12.96 ,$13.60 , N/A ,$11.09 , N/A ,$16.00 ,$8.98 , N/A ,$4.19 ,$16.00 , N/A , N/A , N/A ,$12.80 ,$7.92 ,$4.48 ,$14.40 ,$6.08 , N/A , N/A ,$7.68 
ST. MARY'S HOSPITAL - DECATUR,99980035,N/A,HC ER NO CHARGE,999,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A , N/A 
ST. MARY'S HOSPITAL - DECATUR,99980044,N/A,HC CLINIC NO CHARGE,999,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A , N/A